Transcript National Deaf Child and Adolescent Mental Health Service

National Deaf Child and
Adolescent Mental Health
Service
Tim Richardson, Service Manager
Aims

What is NDCAMHS?
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Who do we work with?
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Mental health in deaf children and young people
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When and how to refer?
What is NDCAMHS?
 National
Deaf CAMHS
 National mental health service for deaf
children and young people aged 0-18.
 Increased risk of mental health problems
in deaf children
Who do we work with?
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Work with deaf children and young people (0-18yrs) with
mental health problems, and their families
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Work with hearing children who have deaf parents
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To be referred:
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CGAS score below 50
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Severe/profound hearing loss or…

BSL as preferred language (Oral, non-signing children can be
referred)
Who pays?
National Specialist Commissioning Team
(NSCT), part of NHS.
NHS CB as of April 2013
Free for families.
Who works in the Northern arm?
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Service Manager
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Outreach Team Managers
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Deaf Family Support Workers
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Specialist Deaf Outreach Workers
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Social Workers
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CAMHS Community Nurses
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Clinical Psychologists
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Child and Adolescent Psychiatrists
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BSL Interpreters
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Medical Secretaries
Mental health and deaf children
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Deaf children at greater risk of mental health
problems (40%)
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Less likely to access CAMHS
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Rates in deaf children with deaf parents
probably same as hearing children (25%)
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90% deaf children born into hearing families
Types of mental health problems
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ADHD
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Psychosis
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Eating disorders
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Behaviour problems
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Attachment problems
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Mood Problems
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Self esteem/identity problems
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Self Harm
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Anxieties/phobias
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(Autistic spectrum disorders)
‘Deafness itself is not a risk for mental
health needs, it is the consequences of
being deaf in a hearing-oriented society.’
Helen Reed, NDCS 1996
Factors which may affect
deaf children
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Abuse (NDCS)
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Communication problems
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Family relationship difficulties (e.g. attachment)
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Peer relationship difficulties
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Self esteem/identity
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Additional sensory, physical, learning difficulties
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School
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Isolation
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“Failure” (academic and social)
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Bullying
Additional difficulties
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About 1/3 of deaf children have additional
difficulties e.g.:
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•
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syndromes (eg. CHARGE, Waardenburg,
Ushers)
causes of deafness such as meningitis,
rubella, prematurity
Problems in identifying and assessing
additional difficulties (e.g. learning
difficulties and autism)
Deafness & Autism
 ASD
diagnosis more common in deaf
children BUT
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Delayed Theory of Mind common when there
is linguistic deprivation
Fewer opportunities for incidental learning
When to refer
If there are concerns about a child/young person’s
mental health or behaviour.
 Could be related to concerns about e.g.
developmental disorder, communication disorder,
learning disability.
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Who can refer?
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Professional who knows the child or young
person such as a G.P., Social Worker, or Teacher
of Deaf.
If in doubt – professionals can contact us for a
consultation before referring.
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What if I am a parent/carer?
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We do not accept referrals from parents/carers.
Talk to a professional (G.P, ToD, Social worker),
they can refer.
Referrals
 Process:
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Refer via referral form
Key worker allocated
Communication profile
Assessment offered
Care plan/intervention agreed
Review
How do we help?
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Whole family work/family therapy
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Parenting work
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Individual work
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Specialist full team assessments
How do we help?
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Work with teachers and carers
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Work with other agencies who may be involved
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Communication (e.g. BSL letters)
Contact Details – York
Deaf Children, Young People and Family
Service (National Deaf CAMHS)
Lime Trees
31 Shipton Road
York YO30 5RE
Tel: 01904 726926
Fax: 01904 632893