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

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Chapter 2: Methodology<br />

2.1 Terms <strong>of</strong> Reference<br />

The terms <strong>of</strong> reference were established as:<br />

1. Pr<strong>of</strong>ile the availability <strong>of</strong> Tier 2, 3 <strong>and</strong> 4 CAMH services <strong>and</strong> review the<br />

current policy in the commissioning <strong>and</strong> provision <strong>of</strong> services to meet<br />

the health <strong>and</strong> social care needs <strong>of</strong> children <strong>and</strong> young people<br />

experiencing mental health needs, including links with education <strong>and</strong><br />

any other agencies.<br />

2. Conduct a baseline review <strong>of</strong> the risk assessment <strong>and</strong> management in<br />

CAMHS to include the provision <strong>of</strong> care to children <strong>and</strong> young people<br />

on adult wards.<br />

3. Assess the quality <strong>and</strong> safety <strong>of</strong> existing transitional arrangements<br />

between CAMHS <strong>and</strong> adult services <strong>and</strong> the strategies to improve<br />

these, where necessary.<br />

Outside the remit <strong>of</strong> the review - the review recognises the importance <strong>of</strong> Tier<br />

1 <strong>and</strong> its significance in early intervention. However, the review excluded the<br />

services provided at Tier 1, that are beyond the scope <strong>of</strong> mental health<br />

services.<br />

2.2 Methodology - Pr<strong>of</strong>iling<br />

A pr<strong>of</strong>iling questionnaire was completed by each service to provide<br />

information on the following topics:<br />

• CAMH services provided by trust<br />

• CAMHS demographics<br />

• interface with external agencies <strong>and</strong> service users<br />

• gaps in service<br />

• extra contractual referrals<br />

• plans <strong>and</strong> development<br />

• workforce<br />

• transitional arrangements<br />

15

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