NEWS
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Humber NHS FT has been in early discussions with The Tavistock and Portman NHS Foundation Trust to work collaboratively with the Anna Freud Centre to introduce the i-THRIVE model within…
MAKE A REFERRAL
To make a referral for a young person with mental health or emotion health needs please complete the form below.
If you have any queries please call Contact Point between 9am and 5pm on weekdays excluding bank holidays on 01482 303688/303810.
The Neurodiversity Service which includes ADHD, ASD, Sensory Processing, Learning Disability Services and SEND Sleep Service can be accessed via the below link
https://www.humber.nhs.uk/Services/hull-and-east-riding-childrens-neurodiversity-service.htm
WORRIED ABOUT A CHILD?
Young people and children might not want to seek out help as they might feel like they are causing a fuss or that they might get into trouble, they might even feel that telling someone will only make their problems worse. If they don’t speak up they often display signs that they are suffering with mental health issues and require professional help.
Signs such as:
Inward signs:
-Becoming increasingly quiet
-Depressed
-Becoming withdrawn and not communicating
-Anxious
-Lack of appetite
-Not socialising
-Depressed
-Becoming withdrawn and not communicating
-Anxious
-Lack of appetite
-Not socialising
Outward signs:
-Disrupting others
-Poor attendance to school/college
-Dropping grades
-Becoming aggressive
A doctor, social worker or school nurse can offer further support, and if they believe CAMHS is a suitable service, they will send a referral.
Safeguarding
Safeguarding Adults and Children is everyone’s business and responsibility. Health services along with many other public services have a duty to act upon concerns and seek support. Those concerns don’t need to be evidenced to have a discussion with an experienced safeguarding colleague and could prevent further harm occurring. This includes concerns about extremism and referrals to PREVENT.
To discuss a concern with a Humber Safeguarding Practitioner for either adults or children please contact the central administration team on 01482 335810, they will ensure your call is dealt with.
The Humber Safeguarding Team operates Monday to Friday 9am – 5pm.
If your concern is urgent or you wish to make a formal referral to the Local Authority you should follow the appropriate Humber safeguarding procedure and contact either:
East Riding Local Authority – Children 01482 395500 and Adult 01482 396940
Hull Local Authority – Children 01482 448879 and Adult 01482 616092
North Yorkshire Local Authority – Children & Adults 01609 534527
NICE Guidance relevant to CAMHS
Disturbance of Conduct Technology Appraisal on Parenttraining/ education programmes in the management of children with conduct disorders – guidance, (July 2006)
Disturbances of Attention Attention Deficit Hyperactivity disorder (ADHD) 2008 NICE Review of Technology Appraisal 13: Methylphenidate, atomoxetine and dexamfetamine for attention deficit hyperactivity disorder (ADHD) in children and adolescents (March 2006)
Anxiety Disorders NICE Guideline on Anxiety (amended) – Management of anxiety (panic disorder, with or without agoraphobia, and generalised anxiety disorder) in adults in primary, secondary and community care (April 2007 NICE Guideline on Obsessive Compulsive Disorder for 8 years+ (November 2005)
Post Traumatic Stress Disorder NICE Guideline on Post-traumatic stress disorder (PTSD):The management of adults and children in primary and secondary care (March 2005)
Depressive Disorder NICE guideline on depression in children and young people (March 2006)
Psychotic Disorder NICE guideline on schizophrenia (adult specific) (2002)
Eating Disorder NICE guideline on eating disorders (aged 8 +) (2004)
Deliberate Self Harm NICE guideline on deliberate self harm (adult focussed but with section on children and young people) (2004)
Substance Abuse NICE guideline on substance abuse
HOW WE WORK:
We help those under 18 years of age who are struggling with emotional/mental health problems, although those under the age of 5 years will be individually considered. To achieve the best information possible, we require that the referral is made by the professional with the most knowledge of the client problems and the family’s difficulty.
We supply support and training which highlights the signs of mental health issues to those working with young people, such as teachers and social workers.
In addition to these we also help children and young people that may need referrals to hospital and individualised specialised care.
CAMHS Looked after Children Team
The Child and Adolescent Mental Health (CAMHS) Looked After Children team offers consultations to foster carers and any other professionals working with children who are Looked After by the East Riding of Yorkshire.
We accept referrals from social workers for Looked After Children and any requests from other professionals are always notified and discussed with the child’s social worker first. The children and young people’s emotional health needs are assessed and they can be offered therapeutic work for trauma and attachment issues by this team, or, if necessary can be referred on to specialist CAMHS. The team consists of a team leader and two play therapists.
We know that Looked After Children are more vulnerable than their peers to developing mental health issues later in life so we aim to address problems such as attachment difficulties as soon as they are identified. As these difficulties often do not meet specialist CAMHS criteria, the local authority has commissioned the CAMHS Looked After Children service. If this service is not sufficient for their needs there is a pathway through to specialist CAMHS. Currently the service is only for children who are Looked After by the East Riding and living in the East Riding or near vicinity.
We are based with the Social Services Looked After Children Team at:
Beverley Children, Young People and Family Centre
Coltman Avenue
Beverley
HU17 9LP
Tel: 01482 396080 ext 255
Intensive Intervention Team
The team offers a specialist Children and Adolescent Mental Health Service provision to children and young people whose needs (usually due to risk and/or severity of presenting problems) cannot be met by core CAMHS. Intensive Intervention should be considered as an extension of the integrated Pathway Model, ensuring continuity of care for the child, young person and family and enabling an effective step-up, step-down service delivery model.
The team offers high intensity; time limited interventions, into existing care plans without duplicating services. The service aims to support the principles of a Care Programme Approach (where relevant) and reduce the gap between community CAMHS and inpatient care. It also aims to address the needs of young people and families who have worked with CAMHS for some time but change has been difficult to achieve.
The clinical activity of the Intensive Intervention Team is based on systemic principles and emphasises the importance of considering all elements of the lives of the young people we work with. Formulations place the young person’s context at the centre of understanding how presenting difficulties might be resolved, and offers opportunities for intervention that include working with families and carers, peer group, schools, colleges and places of work as appropriate. The involvement of families, carers and significant others is seen as essential and no individual work will be undertaken in isolation.
Core CAMHS
Core CAMHS provides a specialist assessment and treatment service to children and young people up to 18 years of age who are experiencing significant emotional or mental health difficulties. In practice, CAMHS involvement does not usually begin before the start of attendance at primary school but advice can be given to the parents of younger children if needed.
CAMHS has clinical care pathways in place to help with problems including depression and mood, eating difficulties, self-harming, ADHD, severe behaviour problems and psychosis.
A comprehensive range of services and interventions are available in a variety of community settings across Hull and the East Riding. A Key worker is allocated to remain with each family throughout their time with CAMHS.
Core CAMHS operates from 8am until 8pm, Monday to Saturday.
CAMHS Crisis Response Team
Our Child Adolescent Mental Health Service (CAMHS) crisis team covers Hull and the East Riding and operates 24 hours a day, 7 days a week. This service is for young people (under 18) who are experiencing emotional distress and are struggling to cope.
We respond to a young person’s immediate care needs offering specialist short-term help in the community. We will stay involved until there is a resolution of the immediate crisis (usually within 72 hours).
We provide a timely response, working flexibly and tailor the intervention to meet the needs of the individual.
The aim of this service is to prevent children and young people (under 18) from hospital attendance or admission if no medical intervention is required, keeping them at home with their families.
I-THRIVE
Background
Humber NHS FT has been in early discussions with The Tavistock and Portman NHS Foundation Trust to work collaboratively with the Anna Freud Centre to introduce the i-THRIVE model within Humber NHS FT CAMHS Provision.
The ambition is for Humber NHS FT to become a Community of Practice (essentially a pilot site) for the introduction of the i-THRIVE model within our CAMHS service.
What is the i-THRIVE model?
I THRIVE is a needs based model that enables care to be provided according to four distinct groupings determined by service user needs and preferences for care. The model replaces the current tiered model with a conceptualisation of a whole system that is aligned to emerging thinking on payment systems, quality improvement and performance management. The framework outlines groups of children and young people, and the support they may need, and establishes a clearer distinction between treatment and support. It focuses on a wish to build on individual and community strengths wherever possible, and to ensure children, young people and families are active decision makers in the process of choosing the right approach.
The I-THRIVE Model
The I -THRIVE describes the four clusters, indicating prevention and promotion as a key component of any treatment regime. Therefore, rather than an escalator model of increasing severity or complexity, the model establishes four clusters (or groupings) for young people with mental health issues and their families, as part of the wider group of young people who are supported to thrive by a variety of prevention.
Advantages of using the i-THRIVE model
The i-THRIVE model enables the delivery of the Future in Mind objectives and meets the requirements of the CCG Transformation Plans. Specifically:
• I-THRIVE incorporates existing approaches, for examples CYP IAPT
• I-THRIVE proposes a whole system approach, integrating, health, social care, education and third sector.
• The model provides real time outcome and preferences, including service user feedback.
• The model is aligned with the emerging payment tariff
• The tool enables the development of a patient-reported measure of shared decision-making (The Collaborate Model) The i-THRIVE model has been discussed within the CAMHS clinical team and is seen as a viable and positive model for future development of provision within Humber FT.
• I-THRIVE incorporates existing approaches, for examples CYP IAPT
• I-THRIVE proposes a whole system approach, integrating, health, social care, education and third sector.
• The model provides real time outcome and preferences, including service user feedback.
• The model is aligned with the emerging payment tariff
• The tool enables the development of a patient-reported measure of shared decision-making (The Collaborate Model) The i-THRIVE model has been discussed within the CAMHS clinical team and is seen as a viable and positive model for future development of provision within Humber FT.
Implementation within Humber NHS FT
Humber FT has an ambitious redesign programme for CAMHS that will encompass current provision and establish future service provision, specifically proposed Tier 4 development. The key milestones are detailed at Figure 3.
WE PROVIDE PROVIDE HELP TO CHILDREN AND YOUNG PEOPLE UP TO 18 YEARS OF AGE FIND OUT MORE
