8.9 Vulnerable young people Any child or young person with a mental health problem is vulnerable. However, there are some specific groups who have a greater likelihood of difficulties requiring extra support. There is evidence from services which suggests there is increasing demand for support from children and young people in these groups, but the same groups often find it more difficult to access help. Future in Mind detailed how they are less likely to attend appointments, and so less likely to have mental health issues identified, diagnosed and treated. They are also likely to have a range of complex needs involving a number of services and organisations. These factors combine to create an overall health inequality for many vulnerable groups of children and young people. Specific groups of children and young people identified who may have extra vulnerability to mental health problems include but are not limited to: looked after and adopted children and care leavers those who have experienced trauma such as child sexual abuse or domestic violence children and young people in contact with the youth justice system; and children and young people living with issues such as learning disability or neurodevelopmental problems. Life Coaches for children and young people in care or at risk is an initiative North Yorkshire County Council are piloting. Young people in residential care, or on the edge of care constitute a particularly vulnerable group, with poor life outcomes. The Life Coach model (Clinical Psychologist) to provide intensive support has been shown to significantly improve life chances for these young people, by building self-esteem and resilience, and learning how to build relationships in ways that reduce high risk behaviours. The extension of the Life Coach model supports the No Wrong Door policy in North Yorkshire, which seeks to provide a single umbrella service for looked after children and young people in the Youth Justice System and those with very complex needs. There are a small number of children and young people with highly complex needs, falling within the scope of the Transforming Care Plan: Building the Right Support, which plans care for those with autism or learning disabilities and challenging behaviours. This group is at high risk of admission into inpatient units, and a key focus of the Plan is to provide support in the community to prevent such admissions. Whilst the greatest risk is for the adult group, there is a need to plan for young people approaching adulthood, and we are working with local authority partners on ensuring structured and supportive transition from children’s to adult support Services. Our work on autism and SEND strategies with local authority partners will ensure there are clear and structured pathways of support for these potentially very
Appendix 3 – Core services activity Harrogate and Rural District CCG 2014/15 2015/16 2016/17 (to December) Referrals to T3 (TEWV): 848 653 527 Accepted referrals: 504 314 386 Numbers of referrals discharged following assessment Not recorded 46 45 Average wait for assessment: 23 days 90% in less than 9 weeks of referral Not recorded 99% less than 9 weeks 25 days 94% in less than 9 weeks 42% in 4 weeks or less Average wait for treatment: 22 days N/A N/A 71% within 9 weeks of referral Numbers referred for suspected eating disorder N/A N/A 13 Number of active cases as at 31 March 1087 395 393 as at December 2016 Admissions to T4 inpatient 16 To be provided To be provided % with transition plan age 17 ½ N/A N/A N/A
Hambleton Richmondshire and Whitby CCG 2014/15 2015/16 2016/17 (to December) Referrals to T3 (TEWV): 712 672 511 Accepted referrals: 610 294 365 Numbers of referrals discharged following assessment Not recorded 140 37 Average wait for assessment: 27 days 90% within 9 weeks of referral 98% within 9 weeks of referral Average waiting time 24 days 100% within 9 weeks of referral Average wait for treatment: 26 Not recorded To be provided by TEWV 85% commence treatment within 9 weeks of referral Numbers referred for suspected eating disorder N/A N/A 8 Number of active cases as at 31 March 614 355 347 Admissions to T4 inpatient 15 To be provided To be provided % with transition plan age 17 ½ N/A N/A 80%