Tier 2

Service Model Specialist CAMHS Objectives

The team will aim to improve links between tier 1 and specialist tier 3 services and give guidance on referrals to CAMHS. It will formalise supportive partnerships and networks with tier 1 professionals through integration with specialist CAMHS and ensuring positive provision according to levels of mental health need.

The team will provide consultation between agencies working with children; this will include telephone, face to face advice and ongoing support for tier 1 practitioners who are at a more advanced level; including joint assessments. There will be increased opportunity to consolidate existing skills of tier 1 practitioners and help them to develop new skills and build confidence in dealing with children’s mental health problems.

Regular multi-agency training programmes will be offered to include development of training packages to increase this understanding and recognition of mental health problems and the appropriate utilisation of services. Interventions with children will include joint assessment or to support the tier 1 practitioner with work they are already carrying out.

The PMHW will carry out time limited direct work with children and families where mental health needs have not been responsive to interventions currently carried out by practitioners but the level of need is not appropriate for input by specialist CAMHS.

Scope

Included:

• Operationally the team will cover the county but with dedicated workers in each locality ·
• Short-term interventions for a maximum of 3 -4 sessions 
• Referrals will come through ‘single point of entry’ (SPA) and the CHOICE system
• Workers will contribute to the CHOICE rota
• The team will deliver education, intervention, advice and support to tiers 1 and 2

Staff skill mix:

• The staffing of the proposed team should be balanced to ensure the availability of an appropriate representation of skills to meet the objectives of the team; this includes leadership, clinical skills, organisational and administrative support.
• The team structure will therefore be multi-disciplinary with varied experience and operate as a county wide team but with locality responsibility.
• Children who present in Crisis or whose mental health needs are urgent
• Children and young people whose needs are more complex, who will be redirected via SPA to tier 3.

We recently held a stakeholder event and online consultations to gain feedback on the Tier 2 Service Model Specialist CAMHS (Business Proposal for Primary Mental Health Team) (PDF 125 KB).  

Watch this space for further updates!

This page was last reviewed 25 April 2013 at 12:47.
The page is next due for review 22 October 2014.