Urgent & Emergency MH Care Pathway for Children & Young People – Paediatric Liaison MH Team, Royal Alexandra Children’s Hospital, Brighton – NCCMH

The Paediatric Liaison Mental Health Team at the Royal Alexandra Children’s Hospital in Brighton is a relatively new service in its first year. The service offers assessment to children and young people attending the children’s ED in crisis, as well as offering a service to the hospital wards for children and young people requiring an acute mental health assessment.

Co-Production

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

Evaluation

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

Find out more

  • Jo Bullen, Team Leader

Paediatric Liaison Mental Health Team at the Royal Alexandra Children’s Hospital, Brighton

The Paediatric Liaison Mental Health Team at the Royal Alexandra Children’s Hospital in Brighton is a relatively new service in its first year. The service offers assessment to children and young people attending the children’s ED in crisis, as well as offering a service to the hospital wards for children and young people requiring an acute mental health assessment. Out-of-hours queries go through the on-call child and adolescent consultant psychiatrist for advice. If a child or young person requires a mental health review, they are normally admitted to await an assessment the following day.

The Paediatric Liaison Mental Health Team operates as a stand-alone service within the Royal Alexandra Children’s Hospital, with robust pathways developed with local specialist community and inpatient children and young people’s mental health services. The service aims to respond to referrals within one hour, and offers a crisis management and safety plan for children and young people assessed in the hospital at the time of assessment, or for the period of time they are admitted to hospital. Further follow-up is provided by either the community teams or crisis and outreach teams. An estimated 40% reduction in admissions has occurred since the service commenced, although more robust methods of data collection are currently being established, with more accurate information predicted at the yearly data gathering point.

 

Operating hours9am-8pm
Age rangeUp to 18 years
Geographical area coveredBrighton and Hove
Approximate size of 0-18 population55,300
Referrals received per yearProjected yearly referral rate of 330
No. referrals seen per yearApproximately 330
% referrals 9am-5pm51%
% referrals 5pm-midnight37%
% referrals midnight-9am12%
Response timeApproximately one hour from referral to response
Workforce0.2 WTE consultant psychiatrist

1 WTE team leader (band 7 nurse)

2.6 WTE band 6 nurse

0.4 WTE administrator

Out-of-hours provisionsOn-call child and adolescent consultant psychiatrist
Service modelStand-alone paediatric liaison mental health service, with links to specialist community and inpatient children and young people’s mental health services.
Team contactJo Bullen, Team Leader

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