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Forensic Child & Adolescent Mental Health Service
Dr Aileen Blower Consultant Child & Adolescent Psychiatrist Grampian & Forensic Network, Aberdeen Oct 12
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Recommended NHS provision for Mentally Disordered YO’s
Regional medium & low secure inpatient units Community Forensic CAMHS In-reach into YOI’s & secure schools Youth Offending Teams & clinician Grampian & Forensic Network, Aberdeen Oct 12
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Provision for young offenders
HM YOI Polmont Secure schools Youth Justice Grampian & Forensic Network, Aberdeen Oct 12
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Provision for Mentally Disordered Young Offenders
Regional YPU’s x3 Generic CAMHS (Forensic CAMHS – GG&C) Grampian & Forensic Network, Aberdeen Oct 12
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NHS GG&C service redesign for MDYO’s
Regional (open generic) & English (secure) Inpatient services Forensic CAMHS “Hub” (psychologist & psychiatrist) 8 x Locality CAMHS + 2 Forensic practitioners Youth Justice & secure schools + 1 Forensic practitioner Therapeutic Foster Care Multi-systemic Therapy Parenting Interventions Grampian & Forensic Network, Aberdeen Oct 12
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FCAMHS Referral criteria
age 8 – 18y (mean 15y, boys > girls) Resident within Greater Glasgow & Clyde Inpatient within national child or regional adolescent unit serious mental disorder significant risk of serious harm Grampian & Forensic Network, Aberdeen Oct 12
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Hospital admissions 2011-12 9 boys; 4 girls
Mean age of admission 15y (13 – 17y) > 80% secure school or prison 70% from Glasgow City All detained in adult locked wards 30% admitted to secure adolescent unit Grampian & Forensic Network, Aberdeen Oct 12
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Primary Diagnosis Grampian & Forensic Network, Aberdeen Oct 12
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Forensic risk Grampian & Forensic Network, Aberdeen Oct 12
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Risks to self Grampian & Forensic Network, Aberdeen Oct 12
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Mental health strategy 2012-15: key commitments
Faster access to CAMHS Faster access to psychological therapies Improved access to Intensive Home Treatment & 1st episode psychosis services Prevention agenda – focus on early years Reduced admissions to adult wards Policy: connect with justice & children’s services Grampian & Forensic Network, Aberdeen Oct 12
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Early detection & intervention
Preschool Infant mental health Victims of abuse & neglect Childhood Conduct Disorder Neuro-developmental Disorders Adolescence Psychosis Depression Substance misuse Suicide Grampian & Forensic Network, Aberdeen Oct 12
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Workforce Increased CAMHS staffing since 2008 Increased training in:
- child psychotherapy - infant mental health awareness - evidence-based parenting programmes - suicide prevention Grampian & Forensic Network, Aberdeen Oct 12
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Issues Increased age range for CAMHS (0 – 18y)
Increased minimum age for prosecution Diversion from prosecution Alternatives to remand / secure care Access to safe inpatient care in Scotland Grampian & Forensic Network, Aberdeen Oct 12
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