Transcript What Do We Mean By Mental Health?

CHILD AND ADOLESCENT
MENTAL HEALTH SERVICES
Presented by
Burnley and Pendle Tier 3 CAMHS
WHAT IS MENTAL
HEALTH?
Definition of Mental Health.
“Mental health is the capacity of each
and all of us to feel, think and act in ways
that enhance our ability to enjoy life and
deal with the challenges we face. It is a
positive sense of emotional and spiritual
well-being that respects the importance
of culture, equity, social justice,
interconnections and personal dignity.”
Components of Mental Health.
Develop psychologically, emotionally,
intellectually and spiritually.
Initiate, develop and sustain mutually
satisfying personal relationships.
Use and enjoy solitude.
Become aware of others and empathise
with them.
Play and learn.
Components of Mental Health.
Develop a sense of right and wrong.
Confront setbacks and learn from this
experience.
Develop a sense of personal worth.
Types of Mental Health Issues.
Anxiety Disorders – PTSD, phobias, OCD,
panic disorder.
Hyperkinetic Disorders – disturbance of
activity and attention e.g. ADHD, ADD.
Developmental Disorders – Autistic
Spectrum Disorders.
Attachment Disorders.
Types of Mental Health Issues.
Eating Disorders - e.g. Anorexia, Bulimia,
Binge Eating.
Mood Disorders - e.g. Depression, Mania.
Psychosis – Schizophrenia, Bi-polar
Disorder.
The Continuum.
Problems- minor every day issues that
require some effort to achieve resolution
Difficulties – Mild and transitory issues that
impact on both the young person & their
family.
Disorders – More severe & complex issues
presenting in a range of settings, that persist
over time. Young people can experience a
number of these issues simultaneously.
Illness – Term reserved for most severe cases
of mental health issues e.g. schizophrenia,
drug induced psychosis, bipolar disorder.
PRIMARY MENTAL
HEALTH WORKERS
PMHWs.
PMHWs provide specialist support, advice,
training and consultation for other Primary
Care Workers re: mental health issues.
They undertake some short term clinical
work with less complex problems of recent
onset, often in conjunction with another
worker.
Other workers could be……..
School Nurses.
Health Visitors.
Social Workers.
Teachers/ learning mentors.
Counsellors.
Nursery Staff.
Family Centre Workers.
Voluntary Agency Workers.
GPs.
Consultations.
PMHWs are available for consultations
to other Primary Care Workers, statutory and
voluntary.
Consultations can be by phone or face to
face appointment.
If client identifiable information is to be
given, parental consent must be obtained.
Outcome of Consultation.
Advise other agency about available
services.
Try to enable practitioner to undertake
work, if appropriate.
Advise referral to CAMHS.
Offer to undertake joint work. (CAMHS
referral still required.)
Training.
PMHWs also provide training for other
Primary Care Workers about mental
health issues. E.g. mental health
awareness.
Requests for specific training can be
made.
Groupwork
PMHW's can provide group work within
schools, community and family centres.
For example Parenting Programmes and
school based workshops.
CAMHS REFERRALS
Referrals.
Any professional can refer.
Before 16th Birthday.
Should have parental consent (unless
competent)
All referrals have one point of entry
(through Sector Team).
Discussed at Referral Meeting – if
appropriate allocated for screening.
Referral Criteria One.
Psychotic Disorder.
Depressive Disorders.
Autistic Spectrum Disorders.
Anxiety Disorders.
ADHD.
Eating Disorders.
Neuropsychiatric disorders e.g. Tourettes.
Referral Criteria Two.
Abnormal grief reactions.
Somatic conversion disorders.
Family relationship difficulties associated
with severe abnormal behaviour.
Severe attachment difficulties.
Self-Harm.
Problems not suitable for referral.
Offending/Anti-social behaviour.
Substance misuse.
Conduct Disorders.
Difficulties exclusively in school setting.
Pre-school conduct/emotional problems.
Cases where consent not obtained.
Children aged 16 or over.
Referrals to Specialist CAMHS.
1. Referrals should have a clear description
of presenting problems e.g. examples,
triggers, duration, frequency, severity,
history.
2. Relevant information on family
relationships, school, physical disorders
and development should be included.
3. Previous interventions where known.
If unsure about referral , discuss with
PMHW.
The 4-Tier Structure of the Delivery of Children and Young Person’s Mental Health Services in East
Lancashire
Highly Specialist
Services
Often
At High
Risk
Residential or
Inpatient
Specialist
Services
Residential Services
Inpatients
T4
At High Risk
Looked After Children’s
Mental Health Service (homes)
T4
T1
Youth Offending
Service (At Risk)
CAMHS Specialist Service
T3
T3
At Risk
CAMHS Specialists working together as a multidisciplinary service
Voluntary Organisation MH Services
DAT
Targeted
Services
Child Psychiatry
Clinical Psychologists & Educational Psychologists
T2 T2
Nursing
Community Paediatrics
Youth Offending (Prevention)
In Need &
Vulnerable
Connexions
Therapy Services
Community Development
Social Work
Workers
Primary Mental Health Worker
Universal
Services
Primary Care
(GP’s, HV’s)
Education Welfare
Services
All Children
Community Schools & Extended School Clusters
Children’s Centres
Type Of Service
Provision
T1
Voluntary Sector Organisations
Service Providers
Connexions
Levels of Risk