CAHMS Health and Wellbeing Service in Schools and GP pilot

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Support for children and young people with special
educational needs in Haringey – our ‘local offer’
Health and Well Being Service (HEWs) in schools and GP Pilot Tier 2
service HEWs
What our service does
Our service is for children, young people and/or their parents/carers with:
•
Parenting concerns
•
Behavioural difficulties
•
Problems with family transitions (parental separation, bereavement)
•
Anxiety and mild to moderate depression
•
Phobias
•
Feeding and sleeping problems
•
Other emotional wellbeing/mental health problems likely to respond to a short term
intervention
•
Consultation and advice regarding possible CAMHS cases where the best approach is
unclear.
The service aims to provide psychological interventions before emotional and psychological
difficulties have become embedded. The School Based Service is delivered in specific schools, both
primary and secondary across the borough, which have purchased the service. It is provided in
either half or whole days, weekly or fortnightly depending on the contract. The schools identify
pupils who they believe need assistance, the service provide consults to the school and/or
assessment of the young person with a parent, followed by up to 6 treatment sessions or referral to
CAMHS Tier 3.
The GP Pilot Tier2 service is a direct referral service for GPs or referral on from Tier 3 access, for
assessment and up to 6 treatment sessions. It is delivered from ‘hubs’ – GP surgeries across the
borough, each hub available on a weekly basis ( though one hub is split on alternate weeks
between 2 surgeries).
Where service is located and the areas it covers
The service is located in schools who have purchased the service, including:
•
Earlham Primary, Wood Green / Woodside High School, Wood Green / Muswell Hill
Primary/ Canonbury Primary (shared contract)
•
Mulberry Primary, Tottenham / Heartlands Secondary, Wood Green / Risley Avenue
Primary Tottenham
•
Fortismere Secondary Muswell Hill (days to be confirmed)
GP Pilot Tier 2 service, Hub locations include:
•
South East – Westbury Avenue, 26 Westbury Avenue, London N22 6RS
•
Northeast – Somerset Gardens Family Health Centre, 4 Creighton Road, London N17
8NW
•
Central – Bounds Green Group Practice, Gordon Road, London N11 2PF
•
West (split between) – Highgate Group Practice, 44 North Hill, London N6 4QA and
Christchurch Hall Surgery, 20 Edison Road, London N8 8AE
Who our service provides for
We offer assessments and short-term interventions and treatment programmes for young people
and their families.
The HEW service in schools is for school age children and parents. The GP Tier2 Pilot is for children
2-18yrs old and their families.
How a child or young person can start using the service
School based service. This service is accessed in schools that have purchased the service via referral
from the school; consultation is offered to identify with the school whether there is a
psychological/emotional/ behavioural issue prior to a referral for assessment and treatment. The
schools themselves identify children they wish to access the service.
The GP service is available to all patients registered with Haringey GP practices. The patient is
referred by the GP through the single point of access for all CAMH services. Telephone number: 020
8342 5900.
How decisions are made about eligibility for our service
The HEWS team in schools and GP Pilot Tier 2 service make decisions about eligibility to use the
service based on severity, risk and the need. HEWS are participant in the single point of CAMHS
access screening.
Eligibility criteria:
1.
Between 2 – 18 years old
The child or young person must be young enough to complete a comprehensive
assessment (4 weeks) before their 18th birthday. If not, they would need to be referred
directly to adult services for intervention.
2.
Mental health Presentation that is amenable to short term intervention due to being of
relatively recent onset or of limited level of distress or disturbance to normal functioning
– CAMHS Access screening to help determine sufficient severity.
3.
Diagnostic categories

Parenting concerns

Behavioural difficulties

Problems with family transitions (parental separation, bereavement)

Anxiety and mild to moderate depression

Phobias

Feeding and sleeping problems

Other emotional wellbeing/mental health problems likely to respond to a short term
intervention
School referrals are discussed at the beginning of each session in school, and reviewed at the end of
the day.
GP Referrals are accepted and allocated to a hub practitioner throughout the week, to be seen
within 4 weeks of referral.
In either service we assist in signposting to other community services as appropriate.
The process of assessment is explained to the young person, and their family or carers as
appropriate. Consent and explanation of confidentiality regarding sharing of information and a
provisional plan is made at first appointment.
How we communicate with service users and how they are involved in decision
making/planning
The school based service starts each day with a planning meeting in the school, and ends with a
review and feedback. Written summaries of interventions are provided to the school, the
child/young person and family.
The GP service informs the referring GP of initial appointments, and sends the referring GP a
summary of intervention at conclusion, a copy of which is sent to the patient/family.
How accessible our service is
By being in community localities the service is aimed at being accessible in locations that are familiar
and frequently used by children, young people and their families, so limiting difficulties concerning
mental health stigma.
Training our staff have had in supporting children and young people with
special educational needs and disabilities
All the team are highly qualified in management of children with mental health, emotional and
psychological difficulties.
Specialist training in specific therapeutic modalities including: Systemic Therapy, Cognitive
Behavioural therapy (CBT).
Up to date continuous professional development for safeguarding, health and safety, risk
assessment, breakaway training, information governance.
All staff are registered with the relevant Professional Bodies.
Who a service user should contact if they want to raise a concern or complain
about something
A service user who wishes to raise a concern or complain about something can contact
Fidelis Chibwe, Interim Team Manager, Haringey CAMHS
Email: Fidelis.Chibwe@beh-mht.nhs.uk
Telephone: 0208 342 5900
Who a parent carer/young person can contact for further information
If a child is already known to the Service, they should contact their named therapist.
We are open Monday – Friday, 9.00a.m – 5.00p.m.
Our contact details are:
Address:
Health and Emotional Well being service/ GP Tier2 Pilot service
Haringey CAMHS
58A Burgoyne Road,
London N4 1AE
Tel: 020 8342 5900
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