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As NSFT employees we have links to external agencies - This means we can work closely with other services. For example if a child is on the wait list for CAMHS we can find out information and potentially complete the waitlist treatment.

It also allows us to complete onward referrals to other services (if appropriate) and also our assessments can be used and sent to CAMHS if we feel the child will meet CAMHS threshold.

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As a health team we deliver formulation-based assessments, consultations, and interventions; formulations are something we can use to help understand ourselves.

The 5P formulation helps you to understand yourself by looking at five different parts of your life and seeing how they can link. A formulation summarises a child’s core difficulties and suggests how those difficulties may relate to one another by drawing on psychological theories and principles. Formulation aims to explain the development and maintenance o the service user’s difficulties at this time and these situations, this should then feed into a plan of intervention based in the psychological processes and principles already identified. Formulation’s should never be considered ‘complete’ and instead are open to revision and re-formulation. In essence a formulation is a story of the child/families life and a tentative explanation of why they present as they do.

Above is a child friendly example of what a 5P's formulation may look like.

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To make a referral to our team, please outline what you feel you need i.e. Health Assessment, Trauma consultation or specific short intervention (such as sleep hygiene).

In the email please include details such as presenting difficulties (what are they currently struggling with), what they would/may like support with, and any necessary background information that may be helpful to us.

If your unsure what you would like at first it's ok! Email our inbox with the details outlined above and as a team we will discuss the most suitable option to begin with.

Any new referrals are checked and discussed on Tuesday mornings.

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When sending a referral to the health team please specify if it is a health assessment or consultation required. It is also important to consider what is the best environment for the child to feel comfortable in and be able to engage with the assessment process.

The assessment includes questions relating to physical health difficulties, any concerns would be triaged, and the child would be signposted to their GP or any other relevant agencies related to their physical health difficulties. Questions will be asked about if the child can access their GP and identify any barriers around this.

A brief sexual health assessment is completed where a c card and self-screening for Gonorrhoea and Chlamydia is offered. Sexual health education may be identified as a need and an intervention can be offered following this or signposting to icash or another relevant agency.

A full mental health assessment is completed which leads to a psychological formulation to establish the needs of the child. If the mental health difficulties of the child have played a part in leading to their offence, then an intervention will be offered by either Becca, Donna or the Assistant Practitioner dependent on the complexity of the intervention. Consultation with case managers can be offered to support with intervention delivery.

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The NYJS health team interventions are short, targeted, pieces of work undertaken by a member of the health team with the child to work on any identified health needs. They can include things such as psychoeducation, introducing coping techniques/skills and potentially graded exposure work to name a few. The intervention plan will be created by the health professional, in collaboration with the child, focusing on goal/s they may want to achieve from the intervention i.e. I would like to find a way to manage my anger.

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The NYJS Psychological Consultations are a space with the aim of offering a child-first, family-focused trauma-informed psychology-led consultation space for YJS staff working with young people where there may be additional concerns around attachment, neurodevelopment, mental health and/or trauma. The consultations are facilitated by a Clinical Psychologist and focus on developing a case formulation to inform recommendations for assessment and intervention and, where appropriate, signposting to further resources. Consultation requests are mandatory for pre-sentence and breach reports.