Download Referring to Enfield CAMHS

Referring to Enfield
CAMHS
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Child and Adolescent Mental Health Service (CAMHS) offers help
to children, young people and their families/carers living in Enfield.
The age range is from birth up to their 18th birthday. The following
guidance should be read with reference to the CAMHS Access Policy
(see http://www.beh-mht.nhs.uk/gps-and-referrers/making-referrals.
htm and click on ‘CAMHS Access Referrals’ Page). Referrals should
be made on an Early Help Form.
What is CAMHS ACCESS in Enfield?
Child and Adolescent Mental Health Service (CAMHS) Access is
available within each of the three London boroughs of Barnet,
Enfield and Haringey. There is a single point of entry in each
borough for all referrals requesting a child and adolescent mental
health service.
Our aim is to provide a clear, consistent and transparent referral
process for all children and young people in this area. We also aim
to ensure appropriate communication between service providers,
fostering co-working and minimising duplication of work.
CAMHS ACCESS is made up of representatives from Barnet
Haringey and Haringey Mental Health NHS Trust (Lead provider).
Child & Adolescent Mental Health Services provide a variety of
services and professionals for children and young people structured
according to need.
There are a number of community and clinic-based out-patient
services, and an outreach team. These services/teams offer specialist
assessments, interventions, consultation, and psychological therapy
services to children and young people experiencing difficulties in
their emotional and psychological well-being or mental health,
along with their families.
CAMHS ACCESS was created as a single point of entry to ensure
that clients are offered the most appropriate CAMHS service as
quickly as possible.
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Emergencies
Please note CAMHS ACCESS is not an emergency service.
If you feel that a young person or a child is at risk and needs
immediate or urgent medical assistance, s/he will need to go to their
GP or local hospital Accident and Emergency.
How do I refer?
In Enfield, referrals to CAMHS are via the Early Help form if there is
already multiagency involvement sent to the Administrator as part of
the Single Point of Entry (SPOE) process. If CAMHS referrals are only
single agency (i.e. no other agency apart from CAMHS) then referrals
can be passed directly to Enfield CAMHS (Charles Babbage House,
1 Orton Grove, EN1 4TU Tel: 020 8379 2000 Fax: 020 8379 2020)
on the CAMHS Access Referral Form. CAMHS ACCESS and Single
Point of Entry (SPOE) are in close liaison and information is shared as
appropriate.
CAMHS and Early Help Referral Forms
Please complete Early Help forms as fully as possible. This information
will help us to quickly and accurately assess what service is the most
appropriate for the young person/family you are referring.
Send the completed Early Help forms after following the relevant
instructions.
Enfield SPOE Early Help forms (which replace CAF) are available
electronically at:
https://www.enfield.gov.uk/enfieldlscb/info/8/professionals_
and_volunteers/215/early_help_and_the_single_point_of_
entry_spoe (CAF team: 020 8351 1630 CAF administrator: 020
8379 2111)
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What happens next?
Referrals are processed on a daily basis, taking into account clinical
need, and GP location. You will receive a letter advising you which
team your referral has been forwarded to. This team will then write
to the family/young person and to you.
CAMHS Teams in Enfield
CAMHS - an integrated service offered by Barnet, Enfield & Haringey
Mental Health Services NHS Trust and the London Borough of Enfield’s
Schools, Children’s Services and Leisure Department to support
children/young people and their families where there is concern about
emotional or behavioural difficulties. Assessment and therapy are
provided to children/young people and families and a consultation
service to other professionals. CAMHS works closely with colleagues
in the Educational Psychology Service. CAMHS professional staff
include: Child and Adolescent Psychiatrists, Child and Adolescent
Psychotherapists, Family and Systemic Psychotherapists, CAMHS
Practitioners, Clinical Psychologists, Specialist Nurse Therapists and
Educational Psychologists. CAMHS offers help to children, young
people and their families/carers living within the London Borough
of Enfield. The age range is from birth up to their 18th birthday or
leaving school. There are two Generic teams- Enfield North and South
CAMHS Teams.
Service for Adolescents and Families in Enfield (SAFE) – SAFE
is a service to provide rapid, community-based intervention to
young people between the ages of 13 to 18 who are in need of
crisis mental health support. This includes young people who have
harmed themselves or who are at risk of suicide. In addition SAFE
offers specialist assessment and intervention to teenagers who may
be experiencing severe mental health difficulties, such as emerging
psychosis. A&E psychiatric liaison teams and paediatric wards at local
hospitals can refer directly to SAFE where urgent CAMHS assessment
is required.
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The Service for Children & Adolescents with Neurodevelopmental disorders (SCAN) - SCAN sees children/young
people with severe learning disabilities and neuro-developmental
disorders, who attend specials schools, where the degree of
impairment is significant and coupled with mental health problems
including for example, severe challenging behaviour. Referrals are
primarily taken from CAMHS, SAFE, paediatricians, Special Schools
and Cheviots (Enfield Children’s Social Services). The Service works
closely with the Child Development Team.
Children’s Centres Therapeutic Team (CCTT) – this is a service
provided by CAMHS and the Educational Psychology Service to help
children under 5. This service can help with parent and child issues
which may be affecting their relationship and concerns around a
child’s emotional/ behavioural development. Clinicians offer up to 5
sessions of brief therapeutic support which can be accessed in local
Enfield Children’s Centres.
Health and Emotional Wellbeing Service (HEWs) for Enfield
Schools – this provides Tier 2 CAMHS interventions within schools
who have commissioned this service .This may include brief direct
therapeutic work with children, young people and their families, staff
consultation and training.
HEART Team (Health, Education, Access and Resource Team) –
this is a specialist service which offers a range of services to improve
the emotional wellbeing of looked after children. These include
assessments and treatments for mental health disorders, group and
individual consultations for carers and professional staff, support for a
therapeutic fostering project (IN-STEP) and a mental health screening
project (EBH).
A representative for all of the above CAMHS Services attends
the SPOE each Tuesday and advises the partnership about the
appropriateness of referrals to the above services. However, where a
referral is received that identifies self-harm or potential severe mental
health issues for a child or young person, the SPOE manager should
contact CAMHS immediately for advice and should not offset the
referral for early help prior to this.
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Royal Free NHS Foundation Trust Specialist Eating Disorders
Service – provides outpatient, outreach and inpatient treatment for
young people with eating disorders. An innovative intensive service
has been developed to promote faster recovery and reduce relapse
rates.
Referral Criteria
• The core business of CAMHS is: “the assessment and treatment
of serious mental health disturbances and associated risks in
young people under the age of 18 years”.
• Most young people with mild emotional or behavioural difficulties
are best served by universal services e.g. General Practitioners,
schools, health visitors and community groups etc. Before making
a referral to CAMHS, these other options should be considered
(i.e. Tier 1 and tier 2 services).
• When the difficulties are complex and enduring and there is a
significant impact on the young person’s functioning, a direct
referral to targeted community based services or specialist clinic
based mental health services such as CAMHS or social care may be
appropriate.
• The criteria for acceptance of a referral to CAMHS in terms of
severity of the referring problems is gauged by considering the
level of disturbance in a young person’s functioning.
• If a referral is thought to be inappropriate for CAMHS, the Access
team endeavour to explain why and make recommendations for
alternative services in their communications back to referrers and
families.
• As part of the process of clearly understanding the nature of the
CAMHS referral, CAMHS Access clinicians may request further
information from the referrer, or the young person or their family,
or with permission of the child or young person’s parents or carers,
from other involved agencies. This is to ensure that the referral
gets sent to the appropriate service as soon as possible, saving
time for those being referred and increasing the efficiency of the
Access service.
• If there are high levels of risk or urgency indicated in the referral a
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timely response from CAMHS Access is essential to ensure patient
safety. Such a response depends upon clear risk information being
provided by the referrer.
Problems Appropriate for CAMHS Referral
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Depression or Mood Disorder
Self-Harm -Risks need to be clearly described
Psychosis
Anxiety
Somatisation Disorders, Hypochondriasis, Dissociative Disorders
School Refusal
Eating problems
Eating Disorders (Anorexia and Bulimia)
Post-Traumatic Stress Disorder
Obsessive Compulsive Disorder
Tourette’s Syndrome and Complex Tic Disorders
Autistic Spectrum Disorders: In Enfield the Child Development
Team assesses children under 6 and children over 6 are assessed in
CAMHS.
ADHD/ ADD symptoms: In Enfield the Child Development Team
assesses children under 6 and children over 6 are assessed in
CAMHS.
Behaviour problems and Conduct Disorders
Sleep difficulties
Response to bereavement
Severe family discord or family break-up
Looked after Children (LAC) for those children resident in Enfield
and under Enfield Social Services as well as adopted children who
have mental health disorders.
Significant learning disability with co-morbidity of enduring, severe
challenging behaviour or mental health problems.
Medical Conditions and Physical Disabilities where there are
comorbid with mental health problems
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• Enuresis or Soiling-refer to CAMHS if this is secondary in origin
and primary causes are ruled out
Children Who May Be Helped By Other Services
• Cognitive assessments / Educational assessments – referral to
Educational Psychology Service, this referral is made by the child’s
school
• Dyspraxia can be referred to Occupational Therapy
• Serious concerns about the safety of a child/young person due
to neglect, abuse or exploitation then you will need to refer to
Children’s Social Care.
• Substance Misuse Problems without mental health comorbidity
can be referred to local Drug and Alcohol Services
• Learning difficulties and learning disability without comorbid
mental health problems
• Where parents are seeking help for the behaviour of pre-school
children e.g., feeding or sleeping difficulties, tantrums, then they
should initially be encouraged to contact their health visitor
• Where parents may have concerns about a possible medical
condition they should discuss with their GP a possible referral to a
Consultant Paediatrician
• For children up to the age of 6, where there are concerns about
neuro-development such as ASD, ADHD or developmental
concerns, then the GP or Health Visitor may refer to the Child
Development Team (CDT)
• If a child’s parents seek assistance with their parenting they can
be referred to the Parent Support Service. This Service offers help
through Parent Support Advisors or via Parent Group Training
Programme
• If school staff are concerned about a child’s behaviour in school,
their SENCO should consider referring to other agencies such as
the Behaviour Support Service. If SENCOs are seeking help with
learning and/or emotional or behavioural difficulties, then they
can consult their Educational Psychologist. If the problem relates
to school attendance referrals should be made to the Educational
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Welfare Officer in the first instance
• Where parents are engaged in legal disputes around residence
and contact, they should be advised to contact a Family Mediation
Service through a solicitor
• When a compensation claim is outstanding, such as in relation to
the trauma experienced due to a Road Traffic Accident, then you
could advise the family that their child can be referred to CAMHS
once the legal matters have been resolved
• Where the reason for a referral is primarily about a mentally
ill parent, then the parent should be advised that they can
request help for their own mental health difficulties through
their GP. Parents can also refer themselves to agencies such as
IAPT or MIND in Enfield. Young people aged 16 or over with
mild / moderate symptoms of anxiety and depression can refer
themselves to IAPT
CAMHS Access clinicians can redirect these referrals to appropriate
services, or referring professionals can refer direct.
Contact CAMHS
You can contact CAMHS ACCESS to discuss a referral on:
020 8379 2000
Referrers may call the Team Co-ordinator for the relevant service to
discuss the referral (e.g. suitability or timing):
North (Generic CAMHS) Team: 020 8379 2000
South (Generic CAMHS) Team: 020 8379 2000
SAFE (Adolescents & Families): 020 8379 2090
SCAN (Neuro-developmental Disorders): 020 8375 2806
HEART (Health, Education, Access and Resource Team):
020 8379 2000
Contact numbers for other specific agencies are listed on the Early
Help Form.
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Crisis Resolution and Home Treatment Team
(CRHT) Service
In a crisis, where the individual 16 year old or over, a CRHT service is
available. The CRHT service provides urgent outreach, and assessment
24 hours a day, wherever the over 16s are situated e.g. GP surgery,
A&E, or in their own homes. Enfield CRHT contact is 0208 702 3800.
Barnet, Enfield and Haringey Mental Health NHS
Trust
We provide a range of mental health services to people living in the
London boroughs of Barnet, Enfield and Haringey, and a range of
more specialist mental health services to our core catchment area and
beyond.
Our aim is to improve the health and wellbeing of the people of north
London and beyond. For more information about who we are and
what we do please visit: www.beh-mht.nhs.uk. Referrers can also
visit: www.beh-mht.nhs.uk/referrers
Options Available
If you’d like a large print, audio, Braille or translated version then
please ask us.
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You can ring for a translation
Monday - Friday
9.00am - 5.00pm.
Please give this number:
499942
and also for
Audio, Large Print and Braille,
call now on:
0800 952 0119
Produced By:
Date of Publication:
Page 12 Review Date:
Reference:
Communications Team
April 2016
April 2019
BE&H71