The 4-tier model for CAMHS Very specialist Services, often Tier 4 - - PowerPoint PPT Presentation
The 4-tier model for CAMHS Very specialist Services, often Tier 4 children away from home Specialist Multi-disciplinary Tier 3 Teams Individual Professionals Trained Tier 2 in Children and Young Peoples Mental Health eg
GPs, Paediatricians, Teachers, Health Visitors, Social Workers etc
Tier 1
Individual Professionals Trained in Children and Young People’s Mental Health eg Psychiatrists, Psychologists, Therapists etc Specialist Multi-disciplinary Teams
Tier 2 Tier 3
Very specialist Services, often children away from home
Tier 4
Four Tier Model: Together We Stand, Health Advisory Service, 1995
The 4-tier model for CAMHS
Mild early stage problems
Tier 1
Moderately severe problems requiring attention from professionals trained in child mental health Severe and complex problems Requiring multi-disciplinary team working
Tier 2 Tier 3
Very serious problems – life threatening or very specialist treatment
Tier 4
The 4-tier model for CAMHS:
Presenting Difficulties & Projected Prevalence
Example projected local prevalence derived from: Treating Children Well, Kurtz Z., Mental Health Foundation, 1996
Universal / Tier 1 Services Promotion of emotional health and well-being and early identification of mental health problems Community CAMHS - Generic Tier 2 Services Services for children and young people and families with moderately severe problems whose needs are met by universal service provision e.g. group work, brief intervention, talking therapies and counselling Training, consultation and joint work and increasing the capacity of universal service providers to meet the mental health needs of children, young people and their families CYPS-Specialist Community Child and Adolescent Mental Health And Learning Disability Service Tier 3/4 Intensive support/ home treatment services MST Service Tier 3 Support for all children and young people with complex, severe and persistent mental health needs Tier 2 Support for children and young people with learning disabilities and in special circumstances with moderate severe mental health needs, training, consultation, in-reach, out- joint work ,in-reach / outreach with service providers e.g. paediatric/ YOS, LAC, Substance misuse services Tier 4 In-patient Services
Community CAMHS - Generic Tier 2 Services Services for children and young people and families with moderately severe problems whose needs are met by universal service provision e.g. group work, brief intervention, talking therapies and counselling Training, consultation and joint work and increasing the capacity of universal service providers to meet the mental health needs
North Team
Health Specialist
Health Specialist
South Team
Health Specialist
Health Specialist
Worker
Washington Team
Health Specialist
Health Specialist
(EBD School link)
CYPS Weekly Meeting
CCAMHS
GP Strengthening Families Panel Social Worker Health Visitor School Nurse School, etc.
Children and Young People aged 0 – 18 with Moderate or Severe, Complex and Persistent Mental Health problems Assessment and Intervention / Treatment
Moderate Severe, Complex and Persistent
CAMHS Referral Pathway
www.sunderlandcommunitycamhs.nhs.uk