(CAMHS) and Schools - London Health Programmes

4. CASE STUDIES
In order to explore some of the themes identified above, four CAMHS were selected
to study in depth from the 83 respondents who expressed an interest in participating in
further research. There was a huge range of interesting practice, and it was hard to
select case studies. On the basis of factors identified from the literature review, two
sets of criteria were used to select the case studies. (See chapter 2 for criteria used for
identifying the case studies). Much of the work conducted below is innovative, and
has not been operational for long: it should be seen as work in progress. The aim of
investigating these structures and practice is to learn from their experience to date.
The following sections provide detailed descriptions of the structure and practice of
the case studies individually. The chart below summarises the structure and context of
the case studies.
Table 7
Structure
Location
Tiers (see
Chapter 1)
Management
Summary of case studies
Cornwall Southwark Portsmouth North Tyneside
Joint service
between NHS
and LEA
Based in six
locality teams
Using tier
structure – Tier
2 but
increasingly
locating Tier 3
services to
locality teams
Teams coordinated
by
health worker.
Professional
supervision by
education or
health as
appropriate
Specialist
schools team
within
CAMHS tier 2
service
Based across
four locality
teams
Secondments
of NHS staff
(primary
mental health
workers) to
Education
Department
(Educational
Psychology)
Based in four
locality teams
Tier 2 Tier 2/3 Tier 2/3
Managed by
Clinical
Manager of
Tier 2 service.
Links with
education via
EAZ Director
Line manager
for the day to
day
management.
Supervision
and appraisal
from
professional
discipline.
Secondment of
NHS staff
(Community
Psychiatric Nurses)
to Education
Department
(Behaviour and
Attendance
Support Service -
BASS)
One based in an
LEA team, one
based in a
secondary school
Line manager of
CPNs by head of
BASS team,
professional
supervision by
CAMHS team.