Mental Health Liaison services for children and adolescent Dr Stephen Cronin Consultant Paediatrician Designated Doctor for Child protection Invited by Dr Philippa Bolton Mental Health Liaison services for children and adolescent

Liaison service. What is it? What's different from the “Crisis Team”? Weekly liaison meeting Early involvement Office in Treetops Some examples of areas of need:

Need for CAMHs or Crisis Team cover Example 1 Teenagers with self-harm Suicidal Risk NB “Place of Safety” Need for CAMHs or Crisis Team cover Crisis team has been effective

Example 2 Eating disorders Not our area of expertise Need for input on the ward Need for jointly agreed eating/management plans

Functional disorder a huge area of need Conversion disorder Example 3 Functional disorder a huge area of need Conversion disorder Bernadette 2yrs on the ward Weekly hour of psychology Movement disorder Chronic pain syndromes

Comorbidity to medical disorder Diabetes Asthma Chronic Fatigue Example 4 Comorbidity to medical disorder Diabetes Asthma Chronic Fatigue Need for early and more significant overlap/joint working

Acute psychiatric problem  Example 6 Acute psychiatric problem Psychosis Not an apparent area of demand to hospital Paediatrics Visual hallucination

Example 5 Child at risk to themselves or others Not necessarily Psychiatric Behavioural Drugs induced Social “Place of safety” Not Police, SS, ED on Paediatric ward