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
Assessment by
review team
with co-morbid mental health
problems can access the
adolescent mental health
service. Children can access
CAMHS, subject to criteria
related to functional ability.
The Belfast and South Eastern
areas have developed an outof-hour's
crisis assessment
and response service (CAIT).
The review team found this
was a model of good practice.
Plans are in place to develop a
home treatment team as an
appropriate and alternative to
hospital.
Plans are also in place to
develop an intensive day
service, which is not currently
operational.
misuse worker currently in
post. At the time the trust was
waiting for a replacement.
This is at variance with the
other trust areas.
When a young person requires
referral to the addictions
service the Northern Trust will
make use of voluntary and
community groups such as
Dunlewey substance advice
centre, which provides a
service for 8 to 18 years.
The trust does not currently
provide crisis intervention or
out-of-hours provision.
A crisis service was initially
developed but had to be
withdrawn as the staff member
needed to be redeployed to
other duties.
service for same or next day
hospital liaisons.
The Southern Trust reported
having a community intensive
intervention service, which has
been developed and utilised
as a step down process for
discharge from in-patient care.
This is provided by one staff
member in each CAMHS
team.
An out-of-hour’s liaison service
is provided to acute hospitals
at weekends and bank
holidays. The liaison officer
contacts wards and
departments in all the acute
hospitals and actively seeks
new referrals. The review
team found that this may not
be the most cost effective
option but was assured that
the time is used effectively.
families due to the
distance from the
regional in-patient
facility.
Service
descriptions
known as
intensive care
management
system and home
treatment appear
to be used
interchangeably.
The Trust provides
a drug and alcohol
service with good
links to the
community
service.
Substantially achieved Partially achieved Substantially achieved Substantially
achieved
90