1. About CAMHS
CAMHS in Calderdale provides an evidence-based, comprehensive service to children and young people aged up to 18 years who are experiencing emotional and mental health problems.
The service is provided by Northpoint Wellbeing Limited (Tier 2 CAMHS) and South West Yorkshire Partnership Foundation Trust (Tier 3 CAMHS) and the two organisations work closely together.
The CAMHS service offers direct work to children and young people and their families, both on an individual and group basis, and offers mental health expertise across children’s services, providing consultation, training and advice to carers/families and other professionals.
2. When can CAMHS help?
CAMHS may be able to help when emotional or mental health problems which significantly affect a child’s daily life have persisted despite a preventative or universal services intervention.
Referral to CAMHS should be considered if some or all of the following issues are present:
- Serious deterioration in self-care
- All/most family members highly distressed
- Non-school attendance as a result of mental health presentation
- Serious deterioration in academic attainment related to mental health presentation
- Social withdrawal (e.g. no contact with friends)
- Relations with peers leading to serious risk-taking
CAMHS works with children and young people in most need of mental health services. Therefore we do not normally offer face-to-face treatment for:
- normal reactions to adverse life events (e.g. anxiety / distress following bereavement or divorce)
- difficulties which are normal to children’s development, such as temper tantrums, or oppositional teenagers, or
- difficulties which could be helped by services working in schools and children’s centres
CAMHS can also provide consultation to help and support other professionals working with complex cases.
3. What does CAMHS provide?
Calderdale CAMHS provides an integrated service which offers support at Tier 2 and Tier 3 levels, depending on the needs of the young person/family.
Tier 2 CAMHS offers advice and support to professionals working with children & young people where emotional, behavioural or mental health problems are not responding to preventative or universal services interventions.
Tier 2 practitioners may also offer initial face-to-face brief treatments for children & young people and/or families/carers where appropriate. Tier 2 interventions are often provided in community settings such as children’s centres, schools and health centres. A range of short term interventions can be offered depending on the needs of the young person/family.
Tier 3 CAMHS works with more severe, complex, and enduring difficulties. Tier 3 CAMHS can also help where there is a reasonable indication that the child may have complex neurodevelopmental difficulties eg autistic spectrum continuum, ADHD or other difficulties that may require a multi-disciplinary assessment.
Tier 3 CAMHS are able to work with children & young people where there are signs and symptoms suggestive of the following:
- ADHD (attention deficit hyperactivity disorder) in school aged children
- Moderate to severe depression
- Moderate to severe anxiety or phobia (not responding to Tier 2 interventions)
- Post Traumatic Disorder (presenting 3 months or more after the event)
- Attachment disorder
- Obsessive Compulsive Disorder (OCD)
- Autistic Spectrum Disorders in school aged children (diagnosis & treatment)
- Psychosis (if over 14yrs should be referred to Insight Team in Calderdale on 01422 425 101)
- Eating disorders (such as Anorexia Nervosa or Bulimia)
- Conduct disorder (where there is a mental health presentation)
- Deliberate self-harm
- Tic disorders (including Tourette’s Syndrome)
Factors such as level of parental/carers concern, level of distress in the child, how long the problem has been going on, and known risk and/or resilience factors will all be taken into account.
4. Specialist pathways
There are clear pathways within Tier 3 CAMHS for referrals for adopted & Looked After children (LAC), children with Learning Disabilities, young people with eating disorders, young people with ADHD, and young people with ASD (autistic spectrum disorders).
5. Urgent & emergency treatment
Very rarely a child or young person may need to be seen more quickly than usual because of worries about their immediate safety. For example:
- Serious self-harm
- Attempted suicide or high risk of suicide
- Severe restricted eating/Low Body Mass Index – these issues may require admission or to be seen by paediatrician because of physical health concerns
In these situations the young person should visit their local GP or A&E department. Here their condition will be assessed and a referral made to the appropriate service, including to Tier 3 CAMHS if required. Tier 3 CAMHS prioritise individuals in these circumstances, following an urgent referral from a GP or A&E.
In cases of psychosis if the young person is aged 14 or over, please consider contacting the Insight Early Intervention in Psychosis Team on 01422 425 101.
6. Issues and problems that should be directed to other services
The following issues and problems should be directed to the service indicated:
- Behavioural issues in school – The parent should be advised to speak to the head teacher/head of year or special educational needs co-ordinator (SENCO). They should refer the child to Behavioural Support Services, the Public Health Nurse (School Nursing), Educational Psychologist, Inclusion Service, or Educational Welfare Officer. These agencies can refer to CAMHS once they have made an assessment
- Safeguarding Concerns – Concerns or evidence should be referred to Multi-Agency Screening Team (01422 393 336) or the Locality Early Intervention Panel
- Developmental delay – Assessed by Paediatrics, Educational Psychology Services and Inclusion Services
- Dyspraxia – Assessed by Occupational Therapy (referral via school)
- Substance misuse issues (10 years and over) – refer to Branching Out – Lifeline (01422 510 000)
- Psychosis (14 years and over) – refer to Insight Team (01422 425 101)