1. York & Selby CAMHS
Service Delivery

2. Previous Service Delivery Model
Based on the Tier Structure (HAS Report 1995).
‘Children’s mental Health is Everybody's Business’
Geographical Point of Access
Role of Primary Mental Health Worker:-
Consultation
Initial Assessments and Short term Work
Session into specialist CAMHS.
Networking
Education/Information

3. Tier System of Service Delivery

4. Constraints to Tier model
Impact of Austerity.
Service Transformation Agenda
Change in multi agency landscape of provision
Increase in referrals
Lack of signposting opportunities.
Erosion of PMHW role.
Increase in waiting times at point of entry.
Increase in waiting times for therapeutic interventions.

5. Vale of York Transformation Plan Priorities
Prevention and early intervention
Easier Access to support at all levels.
Improved approaches in support for the most vulnerable.
Committed to the Implementation of two main projects Enhanced Community Eating Disorder Team and School wellbeing project.
Additional Funding to reduce waiting times.
Single Point of Access for Child and Adolescent Mental Health Service.

6. York & Selby CAMHS Single Point of Access

7. Single Point Of Access
Simplify access for referrers and service users.
Allow the service to work to a single operating model
Make best use of our expertise at the first point of contact
Improve speed of Access to Family's.

9. York & Selby CYPS Proposed Service Model (Jan 2017)
Signposted
Psycho- Education
SPA (Single Point of Access)
Triage
30 Min Access to Service Interview
Advice
Discharge
CAMHS Assessment (4 weeks)
ED Pathway
Duty/ Urgent Appointment
Well Being Worker
Pathways
Emotional Disorders (depression, Anxiety, OCD, PTSD)
Neurodevelopment (ASD, ADHD, LD)
Eating Disorders (AN, BN)
Speciality Pathways (Psychosis)
Self Harm Assessment and Follow up
Caseload Management
Routine Outcome Measures/ Friends and Family Test
CPA Status and Care plan
Supervision
Passport/ Care plan
Pathway Clip-Ons
Medication
Family Therapy
Parenting
THRIVE Keys
Green – Getting advice
Blue – Getting help/getting more help
Red – Getting risk support
Discharge
Passport/Care plan
Discharge

10. Challenges of Change from Previous Service Model
Reduction in CAMHS short term preventative work
Reduction in capacity to attend multi agency meetings e.g. school meetings, Family Early Health Assessment’s.
Less capacity for Specialist CAMHS to provide training, however Well Being Worker Service are offering training packages to schools.

11. Hoped for Benefits of Change
Reduction of waiting times as increased assessments within Comprehensive Assessment slots will mean that clients are assessed sooner.
Opportunity for staff skill mix development and to utilise range of skills as most staff will be facilitating Comprehensive Assessments.
Increased capacity and utilisation of specialist skills.
More direct route of referrals- accountability shared rather than individual.
More robust networking and information sharing regarding service delivery across area.

12. Proposed benefits for families/young people.
Immediate Screening and Contact with the Service.
Centralised screening of required response.
Signposting referrals at telephone consultation (up to 30 minute)
More timely initial comprehensive assessment (ICA, working towards 28 day from point of referral) .
Earlier Identification of clinical pathway.

13. Proposed benefits for Referrers
Easier to Liaise with CAMHS
Easier that referrals are more centralised.
Increased partnership Working with Local Area Teams, Education etc.
Centralisation Screening of Referrals regarding required Response times e.g. Rapid Access
Self referrals commencing in July 2017

14. Benefits and Challenges for the CAMHS SPA Team
Less isolating
Shared Responsibility
Structured and consistent
Immediate access to Admin support
Access to wider team.
Embedded within Specialist CAMHS Team
Embedded within local service delivery.
Managing duty within current capacity
Formation of a revised team/Consistency of approach

15. SPA Aspirations
Referrers or family receive a phone call within 24 hours to discuss issues, advise on next steps or signpost those families who are not in need of CAMHS support to other services.
To offer ICA within 4 weeks of referral
Helping provide early advice for families that do not require further CAMHS assessment.
From July 2017 families/young people will be able to self refer.

16. Remember !
This is a significant change to our service delivery. Your thoughts, ideas and views as this process evolves and develops are important!