RQIA Independent Review of Child and Adolescent Mental Health ...

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Term of Reference 2 Theme 4 Young people on adult wards Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT The Belfast Trust provided a protocol which sets out requirements for support by CAMHS in management of young people on adult ward. 2.4.2. Adult wards have appropriate inreach support by local CAMHS professionals to assist the management of young people. The review team visited an adult ward in the Belfast Trust. Discussion with staff indicated that young people receive sufficient inreach support from CAMHS. At the time of the review there were no young people admitted to the adult ward. Validation from staff nurses working on adult wards of regular involvement. Evidence of effective co working with CAMHS and adult ward. CAMHS take lead in development of care plan. The review team visited an adult ward in the Northern Trust and were able to validate that CAMHS staff provide sufficient in reach and support for young people admitted to this ward. At the time of the review there were no young people on the adult ward. In addition, the review team found that CAMHS staff are involved with care planning and monitoring the young person’s mental state and staff on the ward confirmed with reviewer that they can phone CAMH staff for advice. It was confirmed that CAMHS consultant retains medical responsibility and will regularly visit the young The review team visited an adult ward in the Southern Trust. It was clear that young people in the ward have access to their CAMHS consultant. At the time of the review there was one young person on the ward. It was confirmed by a member of staff that CAMHS provide regular and sufficient in-reach into the adult ward. In addition, a member of staff from the ward is completing a CAMHS course and will often be the primary nurse for the young people admitted to the ward. It was reported that CAMHS review every young person twice weekly, or when requested. The Western Trust provided the review team with a policy which indicates that adult wards have in reach support by ICMS from CAMHS. This was confirmed by the team. The trust report that regular meetings between staff in adult wards and CAMHS in reach teams take place on a regular basis. In reach CAMHS professionals also provide training and supervision with adult colleagues. CAMHS in reach support at weekends can be provided, however adult staff in the focus group suggested difficult to access at time. 105
Assessment by review team person on the adult ward. Documented protocol indicated shared responsibility between CAMHS and adult consultant (shared care approach). The trust reported that it has a strategy meeting each week with all members of the team involved with the young person. Report strong relationship with adult colleagues. Shared care planning meeting on regular basis. Fully achieved Fully achieved Fully achieved Fully achieved 106
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Place your message here. For maximu
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Chapter 6 Risk Assessment and Manag
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Executive Summary Context The revie
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Findings • Staff in each of the f
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Terms of Reference 2 Risk Assessmen
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CHAPTER 1: Context of the Review 1.
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1.3 Relevant legislation The follow
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Key areas for improvement identifie
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Quality Improvement Network for Mul
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Self-assessment The five trusts and
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Chapter 3: Profile of CAMHS in Nort
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When a young person requires access
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When inpatient CAMHS or an alternat
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Trust Number of Admissions Age Rang
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Number of Referrals 700 600 500 400
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3.6 HSC Board profiling Following t
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Chapter 4: Regional Views of Servic
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It was agreed that the consultation
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Of the young people who did not fin
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Trust Name (Total no. of participan
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medication changes. In the Belfast
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Young people stated: “I have five
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Care Plan Young people were asked a
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Young people discussed a range of e
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that they did not have a good relat
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Trust Name (Total no. of participan
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Waiting Times Parents were asked if
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Figure 20: Parents’ views on supp
Page 57 and 58: 32% 5% 63% Happy with crisis respon
Page 59 and 60: Of the parents surveyed only two ha
Page 61 and 62: Chapter 5: Access and Availability
Page 63 and 64: Criterion 1.1.4 - Service delivery
Page 65 and 66: The following scoring system has be
Page 67 and 68: Term of Reference 1 Theme 1. Organi
Page 73 and 74: 5.2 Theme 2: Information and Commun
Page 75 and 76: Term of Reference 1 Theme 2. Inform
Page 77 and 78: 5.3 Theme 3: Access and Availabilit
Page 79 and 80: specialist CAMHS in some areas prac
Page 81 and 82: Term of Reference 1 Theme 3. Access
Page 87 and 88: Assessment by review team comprehen
Page 89 and 90: It would appear that all trusts att
Page 91 and 92: Term of Reference 1 Theme 4 Access
Page 95 and 96: Term of Reference 1 Theme 5 CAMHS f
Page 97 and 98: Theme 2: Clinical and Social Care G
Page 99 and 100: 6.2 Theme 2: Clinical and Social Ca
Page 101 and 102: 6.3 Theme 3: Human Rights Term of R
Page 103 and 104: appropriate care was delivered on t
Page 105 and 106: Criterion 2.4.8 - All incidents of
Page 107: hospital. They stated that at times
Page 111 and 112: Term of Reference 2 Theme 4 Young p
Page 119 and 120: All of the trusts indicated that th
Page 121 and 122: Term of Reference 3 Theme 1 Transit
Page 123 and 124: 3.1.4. All service users, their fam
Page 125 and 126: Chapter 9 Assessment of HSC Board 9
Page 129 and 130: 1.2.7 CAMHS Clinical psychology (Co
Page 133 and 134: Term of Reference 1 Theme 3 Commiss
Page 135 and 136: Belfast reported they had poor acce
Page 137 and 138: ased services and interventions. 8.
Page 139 and 140: Theme 5: CAMHS Facilities No recomm
Page 141 and 142: Southern Trust - Recommendations Th
Page 143 and 144: DAMHS DART DHSSPS DNA ECRs FACE Fou
Page 145 and 146: Tier 4 Specialist Multi-disciplinar
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