Sarah Goddard & Ruth Houghton CAMHS UPDATE Sarah Goddard & Ruth Houghton

Neuro team/CDP/crisis CAMHS Overview Community Team COT IMHT Plymouth CAMHS CIC/YOT PMDT SLD Neuro team/CDP/crisis Tier 4 - PBH

Targeted intervention CAMHS Community Team Consultation. Assessment Targeted intervention

Secondary school offer 27 secondary schools involved. The Zone – Progeny are co-ordinating project. Mental Health Lead Half a day CAMHS clinician. Young Devon counselling service. Kooth online counselling.

CAMHS Outreach Team COT work 7 days a week from 8am – 8pm. Offer assessment in the acute setting within 24 hours of referral being made. Offer follow up post assessment in the community. See all urgent referrals to CAMHS within 7 days Manage CYP in crisis or with high risk in the community. Aim to prevent admission to Tier 4 unit. Offer targeted support to reduce crisis and manage risk behaviours

Plymouth MDT Complex pathway CYP with complex MH needs who are not clinically ready for a specific therapy but need MH monitoring or support before receiving therapy. Outcome based interventions for up to 12 weeks Intervention team CBT Art/creative therapy Family Therapy Psychotherapy Eating Disorder pathway Early Intervention Psychosis (EIP) pathway

Neuro-developmental Team Multi –Disciplinary Team (MDT) outpatient assessment for 5-18 years with suspected neuro-developmental disorder and co-morbid MH presentation. Intervention work and family support for CYP with a diagnosis of ASC/ADHD with co-morbid mental health issue Children’s day Programme 5-12 years 2 full days over 4 weeks assessment days for complex neuro/mental health presentation Neuro Crisis Team 2 week response for CYP with a diagnosis who are going into crisis (not risk or MH crisis)

Specialist Teams Infant Mental Health Team 0-5 years Consultation Assessment Intervention Children in Care Team 5-19 years Consultation Assessment Intervention Foster carer support Co-working with CSC colleagues. YOT liaison post Severe Learning Disabilities Team 5-18 years Consultation Assessment Intervention Family support Liaison and direct work into the special schools

Plym Bridge House 12 bedded regional Tier 4 inpatient unit commissioned by NHSE. CYP aged 12- 18 years with acute mental health presentation that cannot be managed in the community. CYP PoS unit for all aged CYP detained under (S)136 of MHA

LSW Children’s Service Model

LSW – CYPFS contract New contract goes live April 2019 Services will be aligned with Thrive Model CAMHS will sit as part of CYPFS offer Focus on prevention, empowering families to manage CYP EHWB Improving accessibility Early Intervention Crisis support Evidence Based Interventions

Discussion and Questions….