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 mild to moderate mental health problems as well as severe or complex mental health problems or disorders.

The service operates core hours of 9:00am – 5:00pm, Monday to Friday. Each hub will have a different late night opening until 8pm to provide improved access and choice.

Care is delivered via evidence based pathways for :

  • Depression
  • General anxiety
  • Anxiety –specific e.g. OCD
  • Social Anxiety
  • PTSD
  • Self-Harm
  • Attachment disorder (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 into the care of local authority).
  • Harmful sexualised behaviour
  • Forensic psychology assessments
  • Psychosis
  • Behaviour (as part of Lincolnshire County Council’s Collaborative Behaviour Pathway)

Services available

  • Single Point of Access referral line
  • Support to universal services.
  • An integrated CAMHS provision delivering evidence based pathways and outcome focused measures known as Core CAMHS.
  • Group therapy and individual psychological therapy.
  • A specialist community eating disorder service.
  • Support to vulnerable groups including young people with a learning disability.
  • Specialist Inpatient Services at Ash Villa
  • Care and Support through transition to Adult services where needed.
  • CAMHS routine appointments will be made within 6 weeks of referral.

CAMHS Crisis and Home Treatment Service

This service is available 7 days a week, between 8:45 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 and the Eating Disorder 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

Obsessive Compulsive Disorder

Imminent risk of suicide or history of serious self- harm.

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.

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.

Professionals can contact the CAMHS crisis and home treatment service by contacting the SPA – 0303 123 4000 (available 24 hours a day, 7 days a week)

CAMHS will respond to a Crisis referral by phone within 4 hours and will see the young person for a face to face contact within 13 hours.

CAMHS Eating Disorder Service

The Eating Disorder Service implements a NICE guidance eating disorder pathway which includes:

Anorexia Nervosa – When a person tries to keep their weight as low as possible; for example, by starving themselves and/or exercising excessively.

Bulimia – When a person goes through periods of binge eating and is then deliberately sick or uses laxatives to try and control their weight.

Binge Eating – When a person feels compelled to over eat large amounts of food in a short space of time.

Atypical Eating Disorder – Some people, particularly those who are young, may have some but not all of the typical signs of an eating disorder and this is known as an eating disorder not otherwise specified (EDNOS).

Along with an evidence based pathway, the team uses a clear ‘stepped care’ approach which includes escalation to inpatient facilities if required. Young people with an eating disorder are also able to access the full range of supportive interventions available in the core team.

The team operates out of the local hubs and also offers a home treatment and family support.

The Team Provides:

The team will provide a comprehensive assessment of the young person’s mental and physical health needs and will refer to or liaise with their GP or Paediatrician whenever this is required.

Rapid Response.

Staff trained in evidence based psychological interventions for eating disorders.

Home treatment and family support.

The team is available Monday to Friday, 9:00am – 5:00pm, with home support in place 7 days a week 8:00am-6:00pm, when required. The team is supported by the Crisis and Home treatment Team

CAMHS Eating Disorders Service response times

13 hours for face to face emergency response

72 hours for an urgent face to face response

Treatment to start within one week for urgent cases and four weeks for routine cases.

Referrals enquiries to be made through the PALS line – see for details.

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

Support to Looked After Children will be provided by skilled staff within the core team.

The additional support available includes:

  • Consultation, advice and support to foster carers, residential social workers and adopted parents
  • Assistance with placement stability including behavioural management strategies to help prevent breakdown of placement
  • Training in areas such as attachment and other mental health issues.
  • Coordination and liaison by Crisis and Home Treatment should admission be required.

(NB. Young people leaving care can be supported by CAMHS up until the age of 24, if already receiving a service from CAMHS and if transition to adult services is not appropriate for them)

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

Reflective of Greenlight principles (improving mental health support for people with learning disabilities), young people with a mild learning disability are able to access the full range of services on offer, subject to reasonable adjustments. All assessments of young people with a mild learning disability are carried out by the Core Team. However, there are also dedicated and specialist learning disability care pathways for young people with a moderate to severe learning disability. These pathways will provide highly specialist mental health assessment delivered by staff, who are specialist in the learning disability field, and reflective of the 2015 NICE guidance and ‘Transforming Care’ guidance.

There are learning disability nurses in the core teams based in Grantham, Lincoln and Boston who can provide support to the special schools in that area. There is also a highly specialist clinical psychologist and a consultant psychiatrist allocated for young people with a moderate to severe learning disability.

Vulnerable groups Response Times

24 hours for self-harm assessment and intervention service

4 weeks for Looked After Children (LAC)

3 weeks for young people in contact with the youth justice system.

Professionals Advice Line (PAL) – 01522 309120

GP, Paediatricians and Social Workers (Children’s Services) can refer direct to the service in writing or using a CAMHS referral form via the Single Point of Access (SPA)

This should be addressed to

Lincolnshire CAMHS

LPFT Single Point of Access

Sycamore Centre

Beacon Lane

Grantham

NG34 9DF

All other referrers should first speak to the CAMHS Professional Advice Line (PAL) on 01522 309120, available 9:00am-4:45pm, Monday to Friday. Once a referral has been confirmed as suitable it should be submitted using a CAMHS referral form and sent to the SPA address.