CAMHS

1. CAMHS Sue Davies Service Manager East Sussex

2. Statistics • 1 in 4 young people have a mental health issue which requires extra support • In East Sussex there is a 3% increase year on year in new referrals • Across the County we have an approx 7% DNA rate for new assessments.

3. About the Service • Sussex Partnership Foundation trust provides CAMHS services for East and West Sussex, Kent, Brighton & Hove and Hampshire. • In East Sussex there are 3 teams-Lewes, Uckfield & The Havens, Eastbourne & Hailsham and Hastings & Rother.

4. Lewes, Uckfield & The Havens • Main office base for Lewes and Peaceheaven is Orchard house, Lewes-01273 402510 • Main office base for Uckfield is Uckfield Hospital-01825 745001

5. Eastbourne & Hailsham • Main office base is Highmore, Hailsham -01323 446070 • All referrals for the West of the County are triaged at this base

6. Hastings & Rother • Main base is St. Annes’, The Ridge, St. Leonards – 01424 758905 • All referrals for Hastings & Rother are triaged at this base.

7. Referrals to CAMHS • Who can refer? • We accept referrals from any professional including 3rd sector organisations. • We also accept self referrals • For school/college based issues it is preferable if the school/college make the referral • We do not prioritise GP referrals • Harming acts as a safety valve. My head often feels like a pressure cooker, I can feel

8. Who Is In The Team? • Psychiatry • Psychology • Nurse specialists • Psychotherapists • Mental Health Practitioners • Primary Mental Health Workers

9. Tier System • Tier 1 – universal services • Tier 2 –specialist but usually uni-professional. PMHWs sit in Tier 2 • Tier 3 – specialist multi-professional CAMHS • Tier 4 – specialist in-patient and Urgent help Services

10. What happens when a new referral is made? • Referrals are triaged daily • They may be accepted or redirected. • We are always happy to discuss redirected referrals with the referrer or young person/carers • Research tells us that nationally the norm is that 33% of referrals are redirected

11. Accepted Referrals • Once a referral is accepted an initial appointment is arranged. This is called a Choice appointment and is the start of the assessment process. • Our standard is to offer this within 4 weeks of referral but if this is not possible then a telephone consultation will take place. • The assessment can take place over 1-6 sessions.

12. After Assessment • Once the assessment is completed: • The young person may be referred internally for therapeutic support or a specific assessment eg ADHD/ASC • The case may be closed with no further action • The case may be redirected to a more appropriate service • 33% of cases initially referred will need further support

13. Service Provision • We can provide: • Assessment • Diagnosis • Therapy including systemic family therapy and group work • Consultation • Training • Prescribing

14. Crisis Intervention • Some young people present in a crisis. This is typically at A & E following an overdose or other serious form of self harm but may be in other circumstances. • We have a new A & E Liaison service. This consists of 2 full time clinicians whose role is to assess these young people in A & E or on the paediatric ward and offer an initial follow up • We also have a duty officer on call every day M-F, 9-5 • Outside of these hours there is an urgent help service which provides cover from 4.30-8pm weekdays and 10-6 weekends and bank holidays. • There is also an on-call psychiatrist available at all other times for telephone consultation and advise

15. Other Services • PMHW support in schools • Directories • Books on Prescription • Consultation Line -12 -1pm, M-F, 07786 110175

16. Exciting New projects • PMHW service extended and to work with Early Help Key Worker Service and also to liaise with GPs • Prodigy-which provides an outreach service for young people not engaged in anything • Irock-in Hastings- a new youth drop in service for 14-25 year olds. CAMHS are having input • A & E Liaison • Discovery College