1. What should the 0-25 model of children and young people’s mental health services look like?
Consultant Psychiatrist
Transition Clinical Advisor Strategic Clinical Network

2. Emerge 16 – 17 Cmht Enthusiastic outreach model
Offers home/college/GP/community visits
Works to enhance autonomy and ownership of mental health needs
Models of phoning young people to arrange appointments and chase missed appointments
Joint working with voluntary sector organisations

3. What are the challenges for 18 year olds with mental health needs
Leaving home for college/relationship/work
Leaving care/youth justice/secure setting
Moving from child to adult healthcare settings
Change in legal status – increased autonomy / responsibility
Different licensing guidelines for medication
Conditions which are treated in children’s services are not always fully recognised in adult services e.g. ADHD, ASD, learning needs, people whose needs do not fit neatly into any one category.

4. What are the challenges for services
Resources
CAMHS often offers a ‘one stop shop approach’ thus the same clinician may be treating ADHD and depression.
Care plans developed in CAMHS often involve parents/carers/education/social care/wider multiagency network
CAMHS – AMHS involves Different trusts with different casenote systems/ s/cultures
AMHS is designed in terms of pathways which can be difficult for patients with more than one mental health need.

5. What has enhanced care in Manchester
Innovations flowing from NHS England Transition CQUIN
Multiagency transition board attended by child and adult services
Electronic referrals with follow up
Face to face meeting
Ongoing training
Models of care across agencies
Therapy within a voluntary sector setting with psychiatry input from Emerge
Joint working with young people such as the Transaction network

6. What has enhanced care in Manchester
Joint working across CAMHS/AMHS e.g. EIS
Young people can continue to work with the same care co- ordinator when they turn 18
A model of care which operates on episode of care rather than age
Expansion of a model which has developed over time in Emerge. Completion of an episode of care with skills to understand how to access ongoing support.
Maintenance of care plan between the young person and service which can be updated on an ongoing basis using the principles of ready steady go