Table of contents


Background papers: children :: Emotional health and wellbeing of children and young people :: Recommendations

• Review the robustness of managing referrals to Tier 2 and 3 CAMHS through single point of access (SPA) arrangements, with the aim of reducing waiting times for assessment, intervention and treatment, and facilitating self-referral to the SPA.
• Commissioning plans should be developed jointly with adult MH services to ensure good transitional arrangements are in place.
• Ensure clear, evidence based pathways for MH conditions in children and young people with clear step up/down criteria to ensure that children and young people with MH needs do not fall out of services through the gaps between the tiers and at transition to adult services. Ensure links across partner agencies and areas of support, e.g., substance misuse, Youth Justice and domestic violence.
• Review CAMHS specialist service provision to specific vulnerable groups, ensuring effective identification of and targeting/improved accessibility of services for children and young people who are at an early stage/high risk of MH problems or poor outcomes due to predisposing factors. A strong focus is needed on earlier intervention for these groups.
• Further exploration of the possible influences on emotional health and wellbeing and access to services which are experienced by children and young people from Medway's Ethnic Minority Groups should be considered.
• Investigate the reasons for the higher than expected prevalence of ASD and ADHD. ADHD and ASD pathways should be reviewed to ensure that the appropriate range of assessments and interventions is offered, adopting a multidisciplinary approach to the long-term management of conditions. Coordination between health and other key services such as education, social care and the voluntary sector is important.
• Review the self-harm pathway for Medway against the NICE Quality Standard.
• Further work is required in order to determine whether there is unmet need at Tier 4, in particular to explore access to inpatient services and the setting for provision of care whilst inpatient bed availability is awaited.
• Children and young people should be directly involved in the identification of needs and issues affecting them in order that their views are reflected in the design and delivery of emotional health and wellbeing services.
• Increase support for schools in promoting emotional wellbeing and resilience. Raise awareness of MH issues in schools, involving teachers and school nurses in MH awareness and prevention.
• Consider support for schools to address issues such as domestic abuse within a Personal, Social and Health Education framework.