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

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Eating disorders specialist teams have been developed throughout the region. With reference to ADD and ASD the Northern Trust identified service developments but no service delivery plan was outlined. The Southern Trust indicated that CAMHS do not have a specific remit for specialist management of behavioural problems associated with autism; however the child and family clinics will assess and treat co-morbid psychiatric disorders. The Western Trust women and Children's Directorate has developed a plan which includes ADD and ASD. Belfast Trust indicated that children with co-morbidity are seen within CAMHS but no specific service development plan or service delivery plan is in place. Until a specific Tier 3 team is developed these young people are being managed within the generic CAMH service. 87
Term of Reference 1 Theme 4 Access to specialized services Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT The Belfast Trust provides the Senior management Senior management regional inpatient service. The reported difficulties in reported difficulties in review team found that the regional accessing regional accessing regional inpatient beds appear to be inpatient beds. inpatient beds. disproportionately used by Belfast and South Eastern Trust, although access by other trusts has improved in the past two years. 1.4.1. Provision and procedures are in place to ensure that appropriate and timely inpatient care is available for young people. Assessment by review team The review team found that at present there is an over-reliance on the provision of inpatient treatment. It was found that the development of alternatives to hospital admission and community services via outreach, early intervention and day services would reduce the need for in-patient beds. In turn, the regional unit may then have sufficient places to avoid the need for children and young people in Northern Ireland to be placed on an adult ward. The Northern Trust reports it has been allocated 1.5 adolescents beds in the regional unit, however a bed is not always available when needed and young people are often placed in an adult ward. The review team highlighted this as a particular challenge as the trust does not have access to alternatives to hospital admission. The Southern Trust reports it has been allocated approximately two adolescents beds in the regional inpatient unit. However, they stated that they rarely have two patients using the unit. It was reported that 28 patients have been referred within the last year and only three have been admitted. The review team noted that alternatives to hospital admission are limited. Senior management reported difficulty accessing regional inpatient beds for children and young people. In addition the trust reported that young people and their families feel that the regional unit is inaccessible due to geographical distance from the Western area to Belfast. Partially achieved Not achieved Not achieved Not achieved 88
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Place your message here. For maximu
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Chapter 6 Risk Assessment and Manag
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Executive Summary Context The revie
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Findings • Staff in each of the f
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Terms of Reference 2 Risk Assessmen
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CHAPTER 1: Context of the Review 1.
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1.3 Relevant legislation The follow
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Key areas for improvement identifie
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Quality Improvement Network for Mul
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Self-assessment The five trusts and
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Chapter 3: Profile of CAMHS in Nort
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When a young person requires access
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When inpatient CAMHS or an alternat
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Trust Number of Admissions Age Rang
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Number of Referrals 700 600 500 400
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3.6 HSC Board profiling Following t
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Chapter 4: Regional Views of Servic
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It was agreed that the consultation
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Of the young people who did not fin
Page 39 and 40: Trust Name (Total no. of participan
Page 41 and 42: medication changes. In the Belfast
Page 43 and 44: Young people stated: “I have five
Page 45 and 46: Care Plan Young people were asked a
Page 47 and 48: Young people discussed a range of e
Page 49 and 50: that they did not have a good relat
Page 51 and 52: Trust Name (Total no. of participan
Page 53 and 54: Waiting Times Parents were asked if
Page 55 and 56: Figure 20: Parents’ views on supp
Page 57 and 58: 32% 5% 63% Happy with crisis respon
Page 59 and 60: Of the parents surveyed only two ha
Page 61 and 62: Chapter 5: Access and Availability
Page 63 and 64: Criterion 1.1.4 - Service delivery
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Page 67 and 68: Term of Reference 1 Theme 1. Organi
Page 73 and 74: 5.2 Theme 2: Information and Commun
Page 75 and 76: Term of Reference 1 Theme 2. Inform
Page 77 and 78: 5.3 Theme 3: Access and Availabilit
Page 79 and 80: specialist CAMHS in some areas prac
Page 81 and 82: Term of Reference 1 Theme 3. Access
Page 87 and 88: Assessment by review team comprehen
Page 89: It would appear that all trusts att
Page 93 and 94: Term of Reference 1 Theme 4 Access
Page 95 and 96: Term of Reference 1 Theme 5 CAMHS f
Page 97 and 98: Theme 2: Clinical and Social Care G
Page 99 and 100: 6.2 Theme 2: Clinical and Social Ca
Page 101 and 102: 6.3 Theme 3: Human Rights Term of R
Page 103 and 104: appropriate care was delivered on t
Page 105 and 106: Criterion 2.4.8 - All incidents of
Page 107 and 108: hospital. They stated that at times
Page 109 and 110: Assessment by review team person on
Page 111 and 112: Term of Reference 2 Theme 4 Young p
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Page 121 and 122: Term of Reference 3 Theme 1 Transit
Page 123 and 124: 3.1.4. All service users, their fam
Page 125 and 126: Chapter 9 Assessment of HSC Board 9
Page 129 and 130: 1.2.7 CAMHS Clinical psychology (Co
Page 133 and 134: Term of Reference 1 Theme 3 Commiss
Page 135 and 136: Belfast reported they had poor acce
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Page 139 and 140: Theme 5: CAMHS Facilities No recomm
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Southern Trust - Recommendations Th
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DAMHS DART DHSSPS DNA ECRs FACE Fou
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Tier 4 Specialist Multi-disciplinar
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