RQIA Independent Review of Child and Adolescent Mental Health ...
RQIA Independent Review of Child and Adolescent Mental Health ...
RQIA Independent Review of Child and Adolescent Mental Health ...
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3.3 Pr<strong>of</strong>ile <strong>of</strong> Southern HSC Trust<br />
The Southern HSC Trust became operational on the 1 April 2007 following a<br />
merger <strong>of</strong> three former trusts, <strong>and</strong> covers five council areas which are both<br />
rural <strong>and</strong> suburban communities. The Southern Trust has a total population<br />
<strong>of</strong> 348,665 (NISRA) <strong>and</strong> it is estimated that 90,673 are under 18 years.<br />
CAMHS teams provide services to children <strong>and</strong> young people <strong>and</strong> their<br />
families who present with mild to severe mental health problems at tier 3.<br />
They <strong>of</strong>fer a range <strong>of</strong> therapeutic interventions on a clinic <strong>and</strong> community<br />
basis for those aged 0-18 years. There are three locality based clinics<br />
providing a full range <strong>of</strong> child <strong>and</strong> adolescent mental health services.<br />
Emergency <strong>and</strong> routine responses are available Monday to Friday, <strong>and</strong><br />
emergency responses are available over weekends <strong>and</strong> public holidays.<br />
Each locality team has one mental health practitioner who provides<br />
community intensive short-term interventions for young people who would<br />
otherwise be admitted to hospital. In addition, the Southern Trust has access<br />
to a regional trauma service <strong>and</strong> a range <strong>of</strong> voluntary <strong>and</strong> statutory<br />
organisations.<br />
A trust-wide specialist eating disorder service for those aged 0-18 at tier 3<br />
consists <strong>of</strong> a multidisciplinary team who provide assessment <strong>and</strong><br />
management <strong>of</strong> young people <strong>and</strong> support to their families. An out-<strong>of</strong>-hours<br />
hospital liaison service at tier 3 is available to young people who attend<br />
accident & emergency <strong>and</strong> require a mental health risk assessment following<br />
an act <strong>of</strong> self-harm. This service is provided at weekends <strong>and</strong> public<br />
holidays.<br />
Graph 3 outlines the pattern <strong>of</strong> referrals in the Southern Trust <strong>and</strong> indicates<br />
that the largest referral group is male <strong>and</strong> aged between 11 <strong>and</strong> 15 years.<br />
The Southern Trust was able to provide information on the background <strong>of</strong><br />
referrals. Across the three age ranges: 5-10, 11-15 <strong>and</strong> 16-17 years old, the<br />
number <strong>of</strong> children receiving a service after referral is 67 per cent.<br />
600<br />
Southern Trust Referrals<br />
1 April 2008 - 31 March 2009<br />
500<br />
Number <strong>of</strong> Referrals<br />
400<br />
300<br />
200<br />
100<br />
0<br />
12<br />
1<br />
102<br />
150<br />
49<br />
74<br />
211<br />
289<br />
175<br />
172<br />
130<br />
105 85<br />
0-4 5-10 11-15 16-18<br />
31 10<br />
Age by Group.<br />
1st Column - number <strong>of</strong> CAMHS referrals<br />
2nd Column - numbers who received a service<br />
111<br />
Female<br />
Male<br />
Graph 3: Southern Trust referrals<br />
23
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