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

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

3.4 Profile of the Western Trust

The Western Trust was established on the 1 April 2007 following merger of

three trusts. The Western Trust covers a large geographical area including

Londonderry, Limavady, Strabane, Omagh and Enniskillen. The population

of the trust is 296,909 with 28 per cent of population under 18 (source

NISRS). From 1 January 2010 Western Trust included 16 and 17 year olds

within their CAMH service.

CAMHS provision includes a primary mental health service at tier 2 dealing

with mild to moderate mental health problems. A consultation service is

provided by referral coordinators. CAMHS provide assessment and planned

intervention with complex mental health problems.

Community CAMHS include teams which provide assessment and treatment

for young people with moderate to severe mental health issues. In addition,

an eating disorder service is also provided at tier 3 which offer an

assessment and management service for young people with a recognised

eating disorder. An intensive care management service is a communitybased

service providing assessment and treatment for young people with

severe psychiatric and psychological difficulties at tier 3. The Western Trust

has access to a range of voluntary and statutory services and the regional

trauma service.

The Western Trust has reported a year-on-year increase in referrals, peaking

in March 2010. Western Trust was the only trust to receive more female

referrals than males in the 11-15 age range (see graph 4). For age group

16-18 years the Western Trust has the lowest percentage rate for referral.

CAMHS did not provide a service to those aged over 16 until January 2010.

The Western Trust was able to provide background information in relation to

the referrals received. Referrals of disabled children, children on the child

protection register and Looked After Children (LAC) had been received. No

referrals had come from the youth justice system. Across the three age

ranges: 5-10, 11-15 and 16-17 years, the number of children receiving a

service after referral was 67 per cent.

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