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

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

Term of Reference 1 Theme 4 Access to specialized services

Criterion: BHSCT & SEHSCT NHSCT SHSCT WHSCT

1.4.2. Young

people gain

referral to

specialist

CAMHS

according to their

need.

The Belfast Trust provides a

range of specialist community

CAMH services. The range

and provision of specialist

CAMHS in SEHSCT was not

always evident.

Validation visits confirmed

clear referral pathways and

easy access to the specialist

eating disorder service. The

review team found there was

good integration with other

CAMH services.

The trust reported having good

access to the regional trauma

service.

Validation visits also confirmed

that clear referral pathways

are in place for the specialist

drug and alcohol service in

Belfast (DART).

Young people with ADD, ASD

The Northern Trust provides a

limited range of specialist

CAMHS. The eating disorder

team is the single specialist

CAMHS provision.

Validation visits confirmed

clear referral pathways and

easy access to the eating

disorder service. If an

inpatient admission is required

the team has developed a

pathway where young people

will be admitted to a paediatric

ward. The Northern Trust

provided evidence of clear

protocols and plans for

management of individuals

with an eating disorder.

The Northern Trust reported

having access to the regional

trauma centre.

The trust confirmed that they

have no CAMHS substance

The Southern Trust has

attempted to provide a range

of specialist CAMHS.

The eating disorder service

operates across the Southern

Trust. There are clear referral

pathways for this service.

The Southern Trust reported

having access to the regional

trauma centre, with good links

with CAMHS.

A substance misuse

practitioner provides

assessment, treatment and

liaison to community supports.

The Southern Trust reported

not having developed a

specific crisis service but

having used funding to

develop a community intensive

intervention service and outof-hours

hospital liaison

The Western Trust

has a proactive

approach to

specialist CAMHS

but needs to make

sure that services

are accessible

throughout all

areas.

The Western Trust

provides an eating

disorder service

at community and

in-patient level.

Validation visits

confirmed good

access to

Intensive

treatment, an

alternative to

hospital admission

and a preferable

option to young

people and

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