PLACEMENT IN CHILD AND ADOLESCENT MENTAL HEALTH SERVICES
(CAMHS)
Please only apply to CAMHS if it is your first choice of elective
placement.
Following submissions of application all potential placement applicants will be
asked to attend for an informal discussion regarding their possible placement.
Clarity of learning objectives and placement days are of importance in
informing our decision.
Name: ……………………………………Contact address: ...............................
…………………………………………………………………………………………..
Telephone number: ………………………Mobile: ………………………………
Email address: ................................................................................................
Branch/Discipline: ………………………………………………………..
Course: …………………………………………………………………….
Cohort: ……………………………………………………………………..
University: ………………………………………………………………….
Contact Lecturer: ................................................................................
Preferred Placement (select one)
(see summary of each clinical area on Leeds University Practice Placement
website)
1.
Little Woodhouse Hall Tier 4 Adolescent Inpatient Service
2.
CAMHS Outreach and Therapies Service (CO&TS)
3.
West Wedge (Cringlebar House / Armley Moor HC)
4.
East Wedge (Child and Family Unit / Osmondthorpe)
5.
South Wedge (12A Clarendon Road / St. George’s Centre)
6.
Youth Offending Service (YOS) 3rd year students only
This placement is available to:
 Child Branch Nursing Students - (Jan-May)
 Learning Disability Nursing Students – (May – Sept)
 Mental Health Nursing Students – (Sept – Dec)
7.
Wetherby Young Offenders Institute - CAMHS Inreach
(RMN/LD applications required to be submitted at least 4 months prior to
placement toallow vetting process to be undertaken)
Start date of Placement:
Finishing date of Placement:
Please note which days you will be in clinical practice and details of any
annual leave or study blocks.
Outline clinical experience, as a student, to date
Briefly outline your interest in child and adolescent mental health
Briefly state any previous experience of working with children and young
people
What specific aims and objectives do you have to meet during this
placement?
Please link to learning outcomes.
Please return the completed form to:
Karen Worton-Smith
Professional Lead for Nursing
Little Woodhouse Hall
18 Clarendon Road
Leeds LS2 9NT
Tel: 0113 3057200
E – mail Karen.worton-smith@nhs.net
It is essential that you supply evidence of recent police clearance as all
employees who work within Child and Adolescent Mental Health are required
to have police clearance prior to commencing employment.
Course Lecturer to complete the following statement:
…………………………. has had a satisfactory enhanced CRB clearance
check. The disclosure number is ……………………. .
Signature: ………………………………………………… Date: ………………
Position: . ……………………………………………………………………………