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

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

Training frameworks for Child protection were reviewed using principles

outlined in Cooperating to Safeguard Children (DHSSPS, 2003). The review

identified that all CAMHS staff involved in looking after children and young

people should be trained to a minimum of Child Protection Stage 2.

The review team found a committed workforce aiming to provide a service

which meets the mental health needs of the children and young people. This

was supported by the positive experiences of CAMHS documented in the

consultation with young people and their parents, providing further evidence

of a developing service.

Despite this, the review identified that more work needs to be done to ensure

that children and young people with mental health needs will be seen by the

right person at the right time in the right place. At present the absence of

extant guidance for CAMHS in Northern Ireland has resulted in each trust

area developing services differently.

Due to the absence of policy guidance and model for service provision, the

terms of reference were developed using current Northern Ireland reports,

inquiries and Departmental circulars. The review primarily assessed the

progress of recommendations set out in the Bamford review. RQIA

recognises that the recommendations of the Bamford sub group on CAMHS

were based on a longer term vision and investment plan. This review

provides a baseline assessment of progress against that vision. The review

team also considered the recommendations from the McCartan Report as

they relate to CAMHS and the interface with adult mental health services.

At the request of the Department of Health, Social Services and Public Safety

(DHSSPS) the review team also undertook to assess the implementation of

recent departmental guidelines on the assessment and management of risk in

CAMHS. The publication of Promoting Quality Care introduced the

application of a risk assessment tool, Functional Assessment of the Care

Environment (FACE) in CAMHS, which was still at an early stage of

implementation during the review. An overview of this is provided as part of

this report.

The terms of reference for the review examined the availability of services for

children and young people in Northern Ireland, the safeguards in place when

a child is placed on an adult psychiatric ward and the transitional

arrangements between CAMHS and adult mental health services.

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