Child and Adolescent Mental Health Services: An Operational Handbook, 2nd Edition PDF
Preview Child and Adolescent Mental Health Services: An Operational Handbook, 2nd Edition
This book explains in straightforward operational terms how child and BR Child and Adolescent adolescent mental health services (CAMHS) can best be delivered. arrich ea That means services organised in ways that children, families and ttrd s Mental Health Services other agencies can understand, that are as local to the child and o n , family as possible, that are helpful to educational, social, voluntary P a and other partner agencies and that allow clear commissioning rt An operational handbook r processes. The operation of each of the four tiers of service provision id g is clearly described with specific examples at each tier. e second edition Much has changed since the first edition in 2003. There have been many government initiatives aimed at the welfare of children that C h have been incorporated into this book, which has broadened its i l d scope to cover more children with many different difficulties and in a many different predicaments. Those providing, working with and n d commissioning CAMHS will find this book an indispensible guide. An A d q straightforward, ‘how to’ guide Opole q focus on inter-agency working within each tier of service ersc ae q practical examples of service provision tn i ot q geared towards all professionals working with CAMHS n M a q fully revised and updated edition l e Hn ata nl d H About the editors b e o Greg Richardson is a child and adolescent psychiatrist who has spent a ol his career trying to ensure that children’s mental health needs are met as kth efficiently and effectively as possible. S e After reading history at Cambridge, Ian Partridge worked for 10 years as rv i a residential social worker in London before moving to CAMHS in York in c e 1988. Having married well, in 2001, he retired young to become a full-time s househusband. Occasionally, he still teaches and writes. Jonathan Barrett is a child and adolescent psychiatrist aspiring to implement innovative and effective CAMHS. He is especially interested in medical education and neurodevelopmental disorders. Edited by Cover illustration Greg Richardson, Ian Partridge, Jonathan Barrett PUBLICATIONS © Ian Whadcock/Eastwing 2010 This page has been left blank intentionally Child and adolescent mental health services An operational handbook Second edition This page has been left blank intentionally Child and adolescent mental health services An operational handbook Second edition Edited by Greg Richardson, Ian Partridge and Jonathan Barrett RCPsych Publications This page has been left blank intentionally For Dr Tom Pitt-Aitkens – who understood the importance of ‘the good authority’ © The Royal College of Psychiatrists 2010 RCPsych Publications is an imprint of the Royal College of Psychiatrists, 17 Belgrave Square, London SW1X 8PG http://www.rcpsych.ac.uk All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. British Library Cataloguing-in-Publication Data. A catalogue record for this book is available from the British Library. ISBN 978 1 904671 80 0 Distributed in North America by Publishers Storage and Shipping Company. The views presented in this book do not necessarily reflect those of the Royal College of Psychiatrists, and the publishers are not responsible for any error of omission or fact. The Royal College of Psychiatrists is a charity registered in England and Wales (228636) and in Scotland (SC038369). Printed by Bell & Bain Limited, Glasgow, UK. Contents Tables, boxes and figures x Contributors xiii Abbreviations xv Preface xvii Ian Partridge and Greg Richardson 11 Introduction 1 Ian Partridge and Greg Richardson 12 CAMHS in context 9 Greg Richardson and Ashley Wyatt 13 CAMHS and the law 21 Ian Partridge, Greg Richardson and Mary Mitchell 14 Structure, organisation and management of CAMHS 34 Ian Partridge and Greg Richardson 15 Evidence-based practice 39 Jonathan Barrett, Juliette Kennedy and Ian Partridge 16 Clinical governance 51 Greg Richardson 17 Education, supervision and workforce development 58 Margaret Bamforth, Sophie Roberts, Sarah Bryan and Nick Jones 18 Multidisciplinary working 69 Ian Partridge, Greg Richardson, Geraldine Casswell and Nick Jones 19 User and carer participation and advocacy 78 Jonathan Barrett 10 A comprehensive CAMHS 85 Clare Lamb and Ann York 11 Referral management 96 Sophie Roberts and Ian Partridge 12 Demand and capacity management 104 Ann York and Steve Kingsbury vii contents 13 Strategies for working with Tier 1 112 Greg Richardson, Ashley Wyatt and Ian Partridge 14 Structuring and managing treatment options 127 Barry Wright, Sarah Bryan, Ian Partridge, Nick Jones and Greg Richardson 15 CAMHS in the emergency department 138 Tony Kaplan 16 Paediatric liaison 151 Barry Wright, Sebastian Kraemer, Kate Wurr and Christine Williams 17 Self-harm 162 Sophie Roberts, Phil Lucas, Barry Wright and Greg Richardson 18 Learning disability services 169 Christine Williams and Barry Wright 19 Services for autism-spectrum disorders 182 Christine Williams and Barry Wright 20 Attentional problems services 191 Sarah Bryan, Barry Wright and Christine Williams 21 Eating disorder teams 200 Ruth Norton, Ian Partridge and Greg Richardson 22 Bereavement services 207 Barry Wright, Ian Partridge and Nick Jones 23 CAMHS for refugees and recent immigrants 214 Matthew Hodes 24 CAMHS and looked-after children 226 Fiona Gospel, Jackie Johnson and Ian Partridge 25 Drug and alcohol teams 234 Norman Malcolm 26 Parenting risk assessment service 242 Ian Partridge, Geraldine Casswell and Greg Richardson 27 Court work 248 Greg Richardson and Geraldine Casswell 28 Tier 4 options 259 Tim McDougall, Anne Worrall-Davies, Lesley Hewson, Rosie Beer and Greg Richardson 29 In-patient psychiatric care 270 Angela Sergeant, Greg Richardson, Ian Partridge, Tim McDougall, Anne Worrall-Davies and Lesley Hewson 30 Forensic services 284 Sue Bailey and Enys Delmage 31 Neuropsychiatry and neuropsychology services 293 Tom Berney viii
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