Total number of children and young people who miss appointments Total number for the period between 1 January 2016 (Q.4) – 31 December 2016 (Q.3) of 2016 Total number of children and young aged 16 and 17 (inclusive) who have missed an initial appointment 49 Total number of children and young aged 16 and 17 (inclusive) who have missed one subsequent appointment 16 Total number of children and young aged 16 and 17 (inclusive) who have missed two subsequent appointments 3 Total number of children and young aged 16 and 17 (inclusive) who have missed three subsequent appointments 3 Total number of children and young aged 16 and 17 (inclusive) who have missed four subsequent appointments 3 Total number of children and young aged 16 and 17 (inclusive) who have missed five or more subsequent appointments 0 Referrals received and Did Not Attend (DNA) by source of referral In the period between 1 January 2016 and 31 December 2016, and in relation to Tier 3/specialist CAMHS in your area, please could you provide a breakdown of a) the total numbers of referrals received and b) the total numbers missed initial appointments by source of referral? Source of referral Total number of children and young people aged 10 to 17 (inclusive) who were referred for support to Tier 3 /specialist CAMHS in the period between 1 January 2016 and 31 December 2016 by source of referral Total number of children and young people aged 10 to 17 (inclusive) who have missed an initial appointment for Tier 3/specialist CAMHS in the period between 1 January 2016 and 31 December 2016 by source of referral GP 1507 40 Paediatric health service 33 2 Other health service, please specify 329 28 Educational psychologist 6 0 School (including referrals from school nurse) 11 1 Further Education or other educational establishments 0 n/a Social services 64 0 Police 1 0
Never Rarely Sometimes Most of the time Always Following a missed Tier 3/specialist CAMHS appointment, does your service refer vulnerable groups of young people to advocacy services? For example advocacy for looked after children or children and young people with disabilities. (Please circle or tick beside the answer) Never Rarely Sometimes Most of the time Always Annex Specialist/Tier 3 CAMHS Specialist/Tier 3 CAMHS Most young people will present with moderate and severe mental health problems that are causing significant impairments in their day-to-day lives. These may be acute presentations. There should be a pathway for challenging behaviour of mild to moderate severity in place. Commissioners should consider how they would commission a range of services for children and young people who will typically present with one or more of the following: Emotional and behavioural disorders (moderate to severe) Conduct disorder and oppositional defiant disorder Hyperkinetic disorders Psychosis Obsessive-compulsive disorder Eating disorders Self-harm Suicidal ideation Dual diagnosis – including comorbid drug and alcohol use Neuropsychiatric conditions Attachment disorders Post-traumatic stress disorders Development disorders Significant mental health problems where there is comorbidity with mild/moderate learning disabilities or comorbid physical and mental health problems Mood disorders Somatising disorders NB: Presentations that could be described as emerging personality disorder will probably be accepted under mood disorder, suicidal ideation and self-harm. Commissioners should also take account of other specialist services, e.g. for children with Learning Difficulties Source.