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

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Confidentiality<br />

The majority <strong>of</strong> young people interviewed understood the issue <strong>of</strong><br />

confidentiality <strong>and</strong> had it explained to them. Young people in the Belfast Trust<br />

were able to explain the parameters <strong>of</strong> confidentiality when there are child<br />

protection concerns. In the Belfast Trust young people noted that they felt<br />

that the staff in CAMHS were very mindful <strong>of</strong> confidentiality. It is <strong>of</strong> concern<br />

that in the Northern Trust half <strong>of</strong> the participants were not sure if they had<br />

confidentiality explained to them.<br />

Young people stated that:<br />

“No, you just go into a clinical room, there are<br />

introductions <strong>and</strong> they begin the session.”<br />

Southern Trust<br />

All Trusts (64)<br />

Trust Name (Total no. <strong>of</strong><br />

participants per Trust<br />

BHSCT (18)<br />

NHSCT (13)<br />

SEHSCT (8)<br />

SHSCT (12)<br />

WHSCT (13)<br />

Don't know<br />

Yes<br />

No<br />

0 10 20 30 40 50 60<br />

Number <strong>of</strong> responses by trust<br />

Figure 9: Participants’ responses when asked if the issue <strong>of</strong> confidentiality was<br />

explained<br />

Involvement In More Than One Service Within CAMHS<br />

Twenty-one <strong>of</strong> 64 young people had been involved with more than one<br />

service. Nine <strong>of</strong> these young people were from the Belfast Trust <strong>and</strong> they had<br />

transferred to the inpatient service at Beechcr<strong>of</strong>t. Of these, only three young<br />

people cited a positive experience with the remaining six young people<br />

describing the experience as negative, using words such as scary, quite bad,<br />

quick. One young person stated that the impact on them <strong>of</strong> their detention<br />

was not positive. There was a mix <strong>of</strong> feelings regarding the transition across<br />

services in the other trust areas. Two young people who accessed support<br />

outside Northern Irel<strong>and</strong> had a very positive transition, whereas generally<br />

young people described their move to CAMHS inpatient services in negative<br />

terms. Some <strong>of</strong> the young people who moved to adult services described it<br />

as a scary <strong>and</strong> distressing experience.<br />

39

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