WSP2 Effective services for people in mental health crisis

advertisement
Crisis care for Children and Young
People
NCAS
Manchester
29/10/14
Dr Peter Hindley and Dr Louise Theodosiou
Royal College of Psychiatrists
Self-harm
Significant increase in presentations at
Emergency Departments ≈ x3 over past 5
years
Increase in young people reporting self-harm
and suicidal thoughts to Childline 41% 20122013
Young people who commit suicide often have
contact with services prior to committing
suicide (LAAC Joint Planning Group 2006)
The Canary in the Mine
Increasing rates of self-harm are the canary in
the mine
Local Authorities under severe pressure
Difficult decisions re funding leading to loss of
universal and targetted services
Growing inequality and loss of opportunity for
young people
Social media
Not all crises involve self-harm
Severe behavioural disturbance with
breakdown of care
Children with neurodevelopmental disorders
and challenging behaviour
Intoxication with drugs/alcohol
Severe physical illness with delirium
The picture in Manchester 16–17 CMHT
Anecdotal trends demonstrate an increase in
rates of emergency presentations and young
people presenting later in their illness journey
Referrals from Tier 1 have reduced, referrals
from GPs have increased
Referral rates of males are significantly lower
than females.
Crisis Care Concordat and Children and
Young People
Less than 40% of CAMH services have rapid
access through crisis pathways (CAMHS
Benchmarking 2013)
958 children and young people held under
S136 2012-2013 >100 in Police cells (Howard
League 2014)
37/52 mental health trusts do not have
specialised places of safety for CYP (Howard
League 2014)
Crisis Care Concordat and Children and
Young people
 Develop effective crisis care pathways for all children
and young people
 Develop network of CYP places of safety for safe
management of children and young people detained
under S136
 Promote work between Police/social care/mental
health/child health for appropriate use of S136 with
CYP
 Develop Standards for S136 and CYP
How to prevent crises or intervene
early?
 Early intervention and resilience building services to
prevent crises – more cost effective
 Increased awareness in all services about signs of
impending crisis – catch crises early
 Better linkage between physical health- mental
health- social care – Police- youth offending at point
of crisis
 Reduce inequality and improve opportunity
 Enhance communication at transition points
between school and college, child and adult services
Download
Related flashcards

Suicides in Japan

18 cards

Mental health

14 cards

Psychiatric hospitals

14 cards

French psychologists

53 cards

Russian psychologists

13 cards

Create Flashcards