Urgent & Emergency MH Care Pathway for Children & Young People – Tees – NCCMH

The Tees Children and Young People’s Service started their 24/7 crisis and liaison service for children and young people up to the age of 18 years in February 2015. The service provides crisis assessment, short-term crisis interventions (maximum of three sessions), and some longer-term interventions, with staff receiving training in dialectical behaviour therapy with a view to offering a more defined home treatment model.

Co-Production

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

Evaluation

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

Find out more

  • John Barnard, Team Manager

Tees

The Tees Children and Young People’s Service started their 24/7 crisis and liaison service for children and young people up to the age of 18 years in February 2015. The service provides crisis assessment, short-term crisis interventions (maximum of three sessions), and some longer-term interventions, with staff receiving training in dialectical behaviour therapy with a view to offering a more defined home treatment model. The service is a stand-alone team with established links with all local children and young people’s mental health services (community and inpatient) in the Tees area.

Operating hours24/7
Age rangeUp to 18 years
Geographical area coveredHartlepool, Stockton-on-Tees, Middlesbrough, Redcar and Cleveland local authority areas
Approximate size of 0-18 population137,866
Referrals received per year1292
No. referrals seen per year864 initial crisis assessments (approximately 67%)
% referrals 9am-5pm37.7%
% referrals 5pm-midnight48.6%
Midnight – 9am13.7%
Response timeApproximately one hour between referral and response
Workforce10.8 WTE band 6 nurses

2 WTE band 7 nurses

1 WTE band 8 nurse

1 WTE occupational therapist

1 WTE secretary

1 WTE clerical

+ Access to duty psychiatrist (9am-5pm) or the out-of-hours on-call consultant psychiatrist

Service modelSpecialist stand-alone service with links to local children and young people’s mental health community and inpatient teams.
Team contactJohn Barnard, Team Manager

 

Out-of-hours (5pm to 9am) referrals are seen on site until 8pm, or at home (if they are known to the service and have an up-to-date risk assessment, with no evident risk to staff or others, or requirement for medical intervention), in a child and adolescent suite, or in the emergency department (ED). Referrals that are not seen by the service are triaged by the team but then referred to locality children and young people’s mental health services or (rarely) an alternative service. Psychiatrist input is provided by locality psychiatrists in working hours, or the on-call psychiatrist after 5pm.

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