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FOI Request

Disclosure ID
FOI/02696
Request Date
September 4, 2018
Subject
CAMHS 2
Description

Please could you provide a copy of your threshold criteria/protocol/guidelines for access to community (Tier 2), specialist community (Tier 3) and inpatient (Tier 4) (whichever is applicable) CAMHS in your area, including any specific service thresholds for certain conditions such as eating disorders?

 

For each of the last five years since 2013/14, how many children and young people have been referred to community (Tier 2), specialist community (Tier 3) and inpatient (Tier 4) (whichever is applicable) CAMHS in your area?

 

Has there been a rise in the rate of referrals over the last five years since 2013/14?

 

What percentage of referrals to CAMHS services have been rejected or deemed inappropriate in the last financial year for which figures are available?

 

Please tick the reasons for refusal:

  1. Condition not serious enough to meet threshold for access to service
  2. Duration of condition not long enough (please state if you have a specific time limit)
  3. Condition or situation not suitable for CAMHS service intervention (eg child does not have a diagnosable mental health condition)
  4. Service lacks capacity to support the patient at this time
  5. Existence of co-morbidity which excludes support from your service (eg substance misuse)
  6. Young person above 18
  7. Other (please state)

 

Do you wish to make any further comments on the issue of referral to children’s mental health services?

What is your maximum waiting time in days for CAMHS from a) referral to first appointment and b) referral to start of treatment in 2017/18 or the most recent financial year available?

What is your median waiting time in days for CAMHS from a) referral to first appointment and b) referral to start of treatment in 2017/18 or the most recent financial year available?

If you collect the above information in weeks please could you state whether your measure of a week is equivalent to seven days? If you collect the information in months please could you state the number of days in each month?

What is your procedure regarding referrals to specialist CAMHS who are rejected or deemed inappropriate? Please select all that apply:

  1. No action taken once referral is rejected or deemed inappropriate
  2. Inform referrer that young person was not accepted into treatment
  3. Signpost young person/parent/carer/young person’s school/young person’s GP to another service that is more appropriate
  4. Contact signposted agency on behalf of the young person/parent/carer
  5. Follow-up with young person/parent/carer/school/GP about whether the young person is accessing the signposted service or another service
  6. Other (please specify)

 

Do you wish to make any further comments on the issue of rejected referrals to children’s mental health services?

Response

Please could you provide a copy of your threshold criteria/protocol/guidelines for access to community (Tier 2), specialist community (Tier 3) and inpatient (Tier 4) (whichever is applicable) CAMHS in your area, including any specific service thresholds for certain conditions such as eating disorders?

 

For each of the last five years since 2013/14, how many children and young people have been referred to community (Tier 2), specialist community (Tier 3) and inpatient (Tier 4) (whichever is applicable) CAMHS in your area?

We are unable to split the tier. For National Reporting all CAMHS referrals are reported as Tier 3

 

Has there been a rise in the rate of referrals over the last five years since 2013/14?

No

 

What percentage of referrals to CAMHS services have been rejected or deemed inappropriate in the last financial year for which figures are available?

24% declined

 

Please tick the reasons for refusal:

  1. Condition not serious enough to meet threshold for access to service
  2. Duration of condition not long enough (please state if you have a specific time limit)
  3. Condition or situation not suitable for CAMHS service intervention (eg child does not have a diagnosable mental health condition)
  4. Service lacks capacity to support the patient at this time
  5. Existence of co-morbidity which excludes support from your service (eg substance misuse)
  6. Young person above 18
  7. Other (please state)

 

The Following refusal criteria are used:

 

Inappropriate referral

Does not meet service criteria

Duplicate referral

Insufficient information provided

 

Do you wish to make any further comments on the issue of referral to children’s mental health services?

No

What is your maximum waiting time in days for CAMHS from a) referral to first appointment and b) referral to start of treatment in 2017/18 or the most recent financial year available?

  • 235 days
  • 322 daysWhat is your median waiting time in days for CAMHS from a) referral to first appointment and b) referral to start of treatment in 2017/18 or the most recent financial year available?

 

  • 34 days
  • 56 daysYes our reporting week is 7 days c. Signpost young person/parent/carer/young person’s school/young person’s GP to another service that is more appropriate e. Follow-up with young person/parent/carer/school/GP about whether the young person is accessing the signposted service or another service Do you wish to make any further comments on the issue of rejected referrals to children’s mental health services?

 

  1. No
  2. d. Contact signposted agency on behalf of the young person/parent/carer
  3. b. Inform referrer that young person was not accepted into treatment
  4. What is your procedure regarding referrals to specialist CAMHS who are rejected or deemed inappropriate? Please select all that apply:
  5. If you collect the above information in weeks please could you state whether your measure of a week is equivalent to seven days? If you collect the information in months please could you state the number of days in each month?
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