Urgent & Emergency MH Care Pathway for Children & Young People – North East Lincolnshire – NCCMH

North East Lincolnshire’s Crisis and Intensive Home Treatment Service for children and young people was established in 2013, with the aim of supporting young people with their mental health needs in the community and helping them to stay at home.

Co-Production

  • From start: No
  • During process: No
  • In evaluation: Yes

Evaluation

  • Peer: No
  • Academic: Yes
  • PP Collaborative: No

Find out more

  • Anita Bird, CAMHS Tier 3+ Team Coordinator

North East Lincolnshire

North East Lincolnshire’s Crisis and Intensive Home Treatment Service for children and young people was established in 2013, with the aim of supporting young people with their mental health needs in the community and helping them to stay at home. During working hours, children and young people are seen in a variety of locations, such as the clinic, at home, at school, at the local hospital or other community venue (for example, café or sports centre). There is also an out-of-hours on-call service through which staff will respond to assessments at the local hospital and provide telephone advice, consultation and support as necessary. The service also liaises closely with the local hospital and police, providing support around section 136 assessments, including care planning and follow-up, such as intensive home treatment.

The service provides a four- to six-week crisis intervention for children and young people, however this is flexible depending on the circumstances, with an average intervention duration of 4-12 weeks. The service also offers evidence-based pathways of care (within the core child and young people’s mental health service for longer-term interventions, including individual and group treatments, and multi-agency working). The Crisis and Intensive Home Treatment Service reports that inpatient mental health admissions have reduced from 18 to two in the last two years. The service operates as part of an integrated model with community child and young people’s mental health teams.

Operating hours8:45am to 7pm, 7 days a week + out-of-hours on-call service
Age rangeUp to 18 years
Geographical area coveredNorth East Lincolnshire, Grimsby, Cleethorpes, Immingham
Approximate size of 0-18 populationApproximately 39, 000
Referrals received per year223
No. referrals seen per year223
% referrals 9am-5pm60%
% referrals 5pm-9am40%
Response timeFrom referral to response:

2 hours from referral to response for a mental health assessment in hospital

24 hours for emergency referrals

5 days for urgent referrals

Workforce1 WTE band 7 team coordinator (mental health nurse)

3 WTE senior band 6 staff (2 x social workers; 1 x mental health nurse)

4 WTE band 6 staff (3 x social workers; 1 x mental health nurse)

Service modelCollaboration with other specialist child and young people’s mental health services
Team contactAnita Bird, CAMHS Tier 3+ Team Coordinator

 

 

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