Core CAMHS

The service provides a range of comprehensive, multidisciplinary community mental health services for children and young people with mental health needs and support for their parents and carers. This is delivered through integrated, targeted and specialist teams.

These mental health needs include moderate to severe mental health problems as well as serve and enduring mental health problems.

The service operates core hours of 9:00am – 5:00pm, Monday to Friday. There is late night opening until 7pm on Wednesday evenings.

Care is delivered via evidence based pathways for:

  • Depression
  • Eating Disorders
  • Anxiety disorders – including OCD
  • PTSD
  • Self-Harm
  • Attachments disorders (primarily for children who are fostered or in the care of the local authority, children who have been adopted or children who are at risk of going in to the care of the local authority)

Services available

  • CAMHS advice line for all agencies
  • An intergrated CAMHS provision delivering evidence based pathways and outcome focussed measures.
  • Group Therapy and individual psychological therapy.
  • Support to vulnerable groups including young people with a learning disability, looked after children, youth offending service and pupil referral units where there is an identified mental health need.
  • Support to universal services.
  • Care and support through transition to adult services where needed.
  • Specialist Autistic Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) assessment in partnership with other services.

CAMHS Crisis and Home Treatment Service

This service is available 7 days a week, between 8:40 and 7pm, 365 days a year, with a range of multi-disciplinary practitioners accessible within these hours. Outside these hours, cover is provided for emergency advice and crises via an on-call system. The service is not a stand-alone service but an extension of Core CAMHS Service thereby supporting continuity of care where possible for the child, young person and family and enabling an effective step up, step down model. The service works to maintain the child or young person in their ‘home’ setting and works closely with local Accident and Emergency services, Adult Crisis Intervention Services and the Duty Team within Children’s services.

Typically children and young people accessing this service will have one or more of the following:

  • Severe depression/emotional disorders
  • Newly presenting or acute untreated psychosis
  • Imminent risk of suicide or history of serious self- harm.

The service is available for;

  • Children and young people meeting the criteria for moderate to severe mental health problems as a minimum requirement.
  • Those whose mental health needs and emotional disturbance is to such a degree that the level of risk the young person poses cannot be contained by Core CAMHS alone, but support by a specialist community service could provide an alternative to admission to inpatient services.
  • Those whose deterioration in mental state and functioning renders them liable for admission to an inpatient unit.
  • Those requiring discharge from an acute inpatient service following an episode of care.
  • Children and young people requiring an intensive acute care pathway.
  • A primary diagnosis of eating disorder where the young person needs an acute intervention in relation to complexity of risk, mental illness (e.g.Depression) and/or low BMI requiring emergency intervention.

CAMHS Crisis Team will respond to a crisis referral by phone within 2 hours and see the young person for a face to face contact within 24 hours for an emergency and within 5 days for an urgent assessment.

Vulnerable Groups

CAMHS ensures that children and young people in vulnerable groups are able to access the most relevant pathway to match their presenting need and this is supplemented by the required level of additional support and shorter waiting times to access services.

Looked After Children CAMHS Team

Children in care generally have greater health needs than their peers; the CAMHS Review 2008 stated that “nearly 50% of children in care have a diagnosable mental health disorder, compared with 10% of the general population

To offer support and containment to Looked After Children presenting with emotional and behavioural difficulties. To assist in maintaining placement stability and promoting emotional well-being by providing a psychological understanding of the young person’s needs to all involved in their care.

The LAC CAMHS team consists of two part-time Clinical Psychologists and a part-time CAMHS Practitioner. We are based in Grimsby within the CAMHS service.

We offer support to children and young people from 0 to 18 years Looked After by the local authority presenting with low mood, anxiety, obsessive behaviours, relationship/attachment difficulties, anger/aggression, self-harming behaviours, and low self-esteem.

Support is offered in one or several of the ways listed below:

  • Individual therapeutic support for the young people: including play therapy, attachment based therapies, cognitive behavioural therapies, counselling, self-esteem work and talking therapy.
  • Consultation, advice and support to professionals/carers involved in the young people’s lives.
  • Training to foster carers and adoptive parents. Training focuses on the attachment difficulties displayed by looked after children, including strategies for managing these issues.
  • Training for residential home staff; providing a psychological understanding of the children/young people in their residential care.
  • Psychological assessments of children and young people, looked after children and those in adoptive placements to inform future support/decision making.

Support in coordinating the transition from child to adult mental health services for those reaching 18 years

Pupil Referral Unit Support

We have a dedicated member of staff who works to support students from the pupil referral unit.

Specialist Autism Spectrum Disorder and Attention Deficit Hyperactivity Disorder Service

Working in partnership with other services

Children and young people at risk of, or in contact with the Youth Justice System

Assessments allow early identification of those in contact with the Youth Justice System (YJS) and ensure that a strong multi-disciplinary/agency approach is put in place to support the young person. Young people have equitable access to the relevant care pathway. Support and advice in regards to managing young people in contact with the YJS is provided to YOS worker and relevant specialist support is available from the consultant forensic psychologist.

Children and Young people with a Learning Disability

“The NEL Learning Disability CAMHS team is made up of a Clinical Psychologist and a part-time CAMHS practitioner, with support from an Assistant Psychologist.

We are based in Grimsby within the CAMHS service.

We offer support to children and young people from 0 to 18 years who have a moderate, severe, or profound learning disability as well as for those with profound and multiple learning disabilities.

To access our service the young person would also be presenting with evidence of a mental health difficulty, including but not limited to; low mood, anxiety, depression, post-traumatic stress disorder, obsessive compulsive disorder or self-injurious behaviour linked to a mental health difficulty.

Our team offers 1:1 work if appropriate but will also work with parents, carers and schools as needed. Joint clinics are run with Paediatrics in order to help identify those who need mental health support early and regular consultation takes place with local special schools in order to support their pupils. We also offer an advice line for parents and professionals. To access this, please call 01472 626100 and ask for the LD team.”