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Child and Adolescent Mental Health Service (CAMHS)

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CAMHS provide services for all children and young people with mental health difficulties or a moderate or severe learning disability where mental health symptoms or complex presentation requires CAMHS involvement.

Who to contact

Contact Name
Lao Cooper
Contact Position
Head of service
Telephone
02380 743049
E-mail
laocooper@nhs.net
Website
www.hampshirecamhs.nhs.uk

Where to go

Name
Child and Adolescent Mental Health Service (CAMHS)
Address
Sussex Partnership Foundation Trust
Winchester
Postcode
SO23 0HU

Local Offer

Local Offer
What does your service do?

CAMHS is commissioned to provide services for all children and young people (CYP) with mental health difficulties or a moderate or severe learning disability where mental health symptoms or complex presentation requires CAMHS involvement. Our service works with people up to age 18 (19 for those with LD and children in care). All young people accepted by CAMHS will have a case worker, who will be responsible for coordinating their care and support, and liaising with other relevant people such as GP, school and the family. Young people and families have access in each locality to Psychiatrists, Mental Health and Learning Disability nurses, Family Therapists, Psychotherapy, Arts Therapists, Psychology and Primary Mental Health Workers. Therapy may be provided on an individual basis or through group work. Each person will have different needs and this is reflected in the therapy and regularity of contact. We recognise that at times things may prove particularly difficult or deteriorate and therefore additional service provision for those young people in crisis is provided as follows. Urgent Referrals - All areas in Hampshire currently operate a rota of clinicians available to respond to emergency referrals in working hours, which includes assessments at the local hospitals for those Young people who may have self-harmed. Intensive support - i2i is an additional service, which offers young people with severe and complex mental health needs who are at significant risk of tier 4 in-patient psychiatric placement or who require this level of support as part of their care/discharge plan.

Who does your service provide for?

CAMHS work with yp up to age 18 (19 if the yp has learning disabilities or is in care).

The nature of the difficulties that we see are when there is concern that a CYP is:

1. Developing a significant psychiatric disorder, e.g. displaying psychotic symptoms, mania, schizophrenia or an affective disorder such as significant depressive signs, an eating disorder, obsessive-compulsive disorder, anxiety disorder etc.

2. A CYP presenting with significant and/or escalating self-harming behaviour where there is also evidence of an underlying mental health issue and/or the self-harm is likely to cause lasting damage or on-going mental health difficulties.

3. A CYP presents with symptoms of distress that are unusually prolonged or disabling secondary to an event (e.g. physical, emotional, sexual abuse, bereavement, and divorce) or other potentially traumatising family, environmental or physical influences.

4. There are significant family relationship difficulties leading to impairing mental health symptoms within the CYP.

5. A CYP has a developmental delay including Tourette’s/tics, moderate learning difficulties, autistic spectrum disorder and mental health difficulties.

6. A CYP is exhibiting over-activity, impulsivity and a degree of distraction/inattention which is inappropriate for the child’s developmental age. Moreover these behaviours are observed as impeding the child/young person’s capacity to engage and access the school curriculum and general social interactions with peers and adults

The single point of access provides a consultation line on a daily basis if a referrer or family wishes to discuss a particular young person that they are concerned about or are considering referring.

How can I start using the service?

OurReferrals will be accepted from all health, education and children’s services professionals and from young people/families themselves. This is via a single point of access, which can be accessed via telephone or using an electronic referral form. [SPNT.HantsCamhsSpa@nhs.net] Consultation line - Call 0300 304 0050 The CAMHS service is provided by the NHS and therefore is provided at no charge to families. Waiting times do vary across the County due to the significant demands that teams experience. The waiting time targets we seek to meet are 4 weeks to the initial assessment appointment, and currently this is being achieved in the majority of teams. If further treatment is required the waiting time target is 8 weeks from the original referral date. Currently some teams are not meeting this target due to the large numbers of referrals. All referrals are seen based on priority which includes significant risk of harm or death to the young person, and therefore there may be times when young people may be waiting longer than we would hope for an appointment.

Where is it located and what areas does it cover?

CAMHS is commissioned to provide mental health treatment and intervention for CYP and their families across Hampshire, excluding the unitary authority areas of Portsmouth and Southampton. CYP who reside here but are under the care of a local authority other than HCC remain the responsibility of the placing authority. CAMHS is not commissioned locally to provide on-going intervention to these young people but we do provide services as agreed and funded by the placing authority as per the agreed care and treatment plan. The service provision as outlined in question one is available consistently across the County. Hampshire CAMHS is divided into 3 localities, North, South and West and further divided into 8 teams that are based within local areas, as below; '''Havant CAMHS''' The Old Gymnasium Building Fort Southwick James Callaghan Drive Fareham PO17 6AR Tel: 02392 224560 '''Fareham CAMHS''' 2nd Floor Osborn Clinic Osborn Road Fareham Hants PO16 7ES Tel: 01329 822220 '''Winchester CAMHS''' Avalon House Chesil Street Winchester SO23 0HU Tel: 01962 831044 '''Eastleigh CAMHS''' 2c Newtown Road Eastleigh Hants SO50 9DB Tel: 02380 673984 '''New Forest CAMHS''' Child and Family Health The Ashurst Centre Lyndhurst Road Ashurst Southampton Hants SO40 7AR Tel: 02380 743000 '''Andover CAMHS''' Andover Health Centre Charlton Road Andover SP10 3LD Tel: 01264 835356 '''Basingstoke CAMHS''' Bramblys Bramblys Drive Basingstoke Hants RG21 8UN Tel: 01256 842800 '''Aldershot CAMHS''' 3rd Floor Aldershot Centre For Health Hospital Hill Aldershot Hants GU11 1AY Tel: 01252 335600

How are decisions made about who can use your service?

Staff within the single point of access are qualified and experienced clinicians who will read and consider the referrals to check if it meets the criteria for the service that we are commissioned to provide. It can be the case that there is not enough information provided for CAMHS to understand or agree to accept the referral, and where appropriate the clinician may seek further information by contacting the referrer to discuss. Each day we review all referrals marked as urgent to assess if the young person needs to be seen within 24 hours or less. If CAMHS do not accept the referral we will make suggestions of who may be more appropriate to help and with consent can share your referral directly with another provider to avoid delay. We will of course explain why CAMHS won’t be meeting with the young person who has been referred. If families don’t agree with the decision made by CAMHS they can of course speak to their local team to gather more information and clarity about the outcome. The outcome decision of the referral will be sent to the referrer and young person and family by letter.

How do you communicate with service users and how are they involved in decision making?

The teams complete a number of outcome measures with young people who give regular feedback as to their experiences and progress through therapy. The Friends and Family Test (FFT) is a national requirement for NHS mental health trusts by 01/01/15. Service users and carers will be asked regularly how likely they are to recommend the service they have recently received to friends and family if their needed similar care and treatment, and rate us on a scale of extremely likely to extremely unlikely giving a reason for their rating. There are a number of ways that teams communicate with and provide information to families, via the trust website, noticeboards, resource folders in waiting areas, relevant leaflets and information sheets, copies of letters and reports. For those whose first language is not English translations of written information or translators for clinical work can be provided. The team has the option of Makaton to communicate with those young people who have a learning disability. A new project is underway called ACE which aims to involve young people, parents and carers who use or have used CAMHS alongside those who have not in order that there can be full involvement in shaping all aspects of the service. As a volunteer, there would then be an expectation of attending an agreed set of training to include; • Self-awareness/disclosure/telling your own story • Communication skills & Presentation skills • Interview knowledge and skills. • Buddying Skills

Is your service fully accessible?

'''Wheelchair accessible?''' Yes the buildings are fully wheelchair accessible for clinical areas. '''Have there been improvements in the auditory and visual environment?''' Yes, the waiting rooms have been decorated and sensory equipment such as sensory items and bubble tubes and toys to make the environment more suitable for our service users. '''Are there disabled changing and toilet facilities?''' Yes '''Do you have a changing places facility?''' Yes '''What support is there for a child with additional needs in general areas e.g. waiting rooms?''' – None '''How will my child or young person be able to access all of the activities of the service and how will you assist him or her to do so?''' Clinics are all on one level and accessible. '''If the service is delivered at the person’s home or in the community please state.''' We do deliver services in other settings such as schools and complete home visits. All young people have access to all the facilities of the service. '''How do signs within your building help users who can’t read or see well?''' There are no signs that support this issue. '''How do the care plans you create involve users with learning disabilities?''' All clients and where appropriate their parent/carer are involved in the planning of their care. There are specialist LD nurses to work with young people or provide consultation with colleagues. '''Can you adapt your approaches for someone with autism who cannot manage a change in routine or staffing?''' Yes although limited by staff capacity.

What training are the staff supporting children and young people with SEN and Disabilities had or are having?

All qualified staff will have completed appropriate core training and be registered with the appropriate recognised professional body, and registrations are checked and monitored annually. All new staff are expected to attend a Trust induction and attend mandatory training updates as required. Staff are encouraged and supported to attend further training courses, conferences and events to ensure that their skills are maintained and updated in line with evidence based practice. A number of staff across the county have additional specialist training and are able to be used as a resource to other teams or act in a consultation and advisory role. CAMHS work alongside many other pertinent services including Schools, GPs paediatricians, social services, Childrens homes etc Particular teams will also have working relationships with other tier 1 and 2 services that are in their particular area.

How will I know my child is safe?

All staff that work within CAMHS will have undergone pre-employment checks at appointment, including an enhanced check via the Vetting and Barring Service, these are repeated on a 3 yearly basis. Both clinical supervision and line management support is provided on a monthly basis to all staff, in order to ensure competent and safe practice. All staff are required to be registered with their relevant professional body which also details a number of training and competence requirements to ensure continued registration. The services are subject to Inspections from the Care Quality Commission. There are policies and processes in place to ensure that all aspects of risk, health and safety are managed appropriately, and for reporting concerns.

Who can I contact for further information?

The single point of access provides a consultation line on a daily basis if a referrer, or family wishes to discuss a particular young person that they are concerned about or are considering referring. Consultation line - Call 0300 304 0050 GPs and Schools are also familiar with the role of CAMHS with young people’s psychological and emotional wellbeing, and would be in a good position to advise. The referral criteria may also be found on the trust and local authority website, or could be provided by contacting your local CAMHS team. There are also a number of other services and organizations within schools, GP practices and your locality that can provide support and advice to families and young people. You can also read an article on CAMHS (including their referral criteria) here]

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