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Self harm and suicide support for young people, parents/carers and families

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Self harm and suicide support for young people, parents/carers and families

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CAMHS:

https://www.penninecare.nhs.uk/tamesidecamhs

42nd Street:

https://www.42ndstreet.org.uk/support/read/help-with-self-harm/

Mind:

https://www.mind.org.uk/information-support/types-of-mental-health-problems/self-harm/useful-contacts/#.Wor0ykx2uM8

Self injury support:

https://www.selfinjurysupport.org.uk

Young Minds:

https://www.youngminds.org.uk

The Mix:

https://www.themix.org.uk

Hub of hope:

https://hubofhope.co.uk/?utm_source=mind_website&utm_medium=referral&utm_campaign=self-harm

Papyrus:

https://www.papyrus-uk.org

Shout:

https://giveusashout.org

Calm Harm:

https://calmharm.stem4.org.uk

The calm zone:

https://www.thecalmzone.net/feeling-suicidal

NSPCC help and support:

https://www.nspcc.org.uk/keeping-children-safe/childrens-mental-health/self-harm/

Self harm UK:

https://www.selfharm.co.uk

Samaritans:

https://www.samaritans.org/how-we-can-help/schools/

The Ollie foundation:

https://theolliefoundation.org/who-we-work-with/young-adults-and-teens/

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Tameside and Glossop CAMHS (child and adolescent mental health service), formerly Healthy Young Minds.

We offer specialist services to children and young people who are experiencing mental health difficulties.

We help children and young people up to the age of 16 years and from 16-18 years for young people on particular pathways. Some of the problems that we an help with include:

Anxiety

Depression

Eating disorders

Psychosis

Post-Traumatic Stress Disorder (PTSD)

Self-harm

ADHD (Attention Deficit Hyperactivity Disorder)

ASD (Autistic Spectrum Disorder)

More complex psychological difficulties

We also provide consultation, advice and training to other agencies and accept referrals from a wide range of professionals.

Our clinicians come from a range of clinical and professional backgrounds, including psychiatrists, nurses, social workers or psychologists, amongst others.

Health professionals - referring to our service

All referrals for children and adolescent mental health services in Tameside and Glossop now go through a single point of access team, in partnership with Tameside Metropolitan Borough Council Early Help.

Referrals can be made through completion of the multi agency referrals service (MARS) form. Your referral will be checked by mental health professionals and allocated to the service that best meets the needs of the child or young person.

What to do if you're worried about a child's mental health

Make time to listen - create a calm, safe space where they can communicate their feelings. They may feel overwhelmed by a changing situation that isn't being clearly explained in a way they can understand.

Take time to talk - some young people find it easier to talk while doing something together such as playing in the park, going for a walk, painting or other activities.

Try to understand the problems and provide reassurance that you have heard them and you are there to help. Their problems could be something you haven't picked up on - it's very common, so don't feel guilty about this.

Further advice and helpful tips can be found on NHS's Every Mind Matters.

Are you worried about a child right now?

If a child has taken an overdose or needs urgent medical help call 999 or take them to the nearest A&E. In Tameside & Glossop, it will be Tameside General Hospital nhs.uk/location

If you need urgent mental health support or advice, such as a child is having suicidal thoughts or is self-harming, call Pennine Care's 24-hour mental health helpline on 0800 014 9995 or contact your GP for advice

If you have noticed physical injuries such as deep cuts or burns contact NHS 111 or your GP for advice.

I need help now:

I need advice or help:

OKE (Our Kids Eyes) health navigator service, advice and additional support on health and mental health services for parents - 0161 342 5550, 07867484290 or oketameside@gmail.com

TOG Mind Community Hive, walk-in support for mental health and emotional wellbeing in accessible neighbourhood locations

, family information service - 0161 342 4260 (Monday-Wednesday 8.30am - 5pm, Thursday until 4.30pm, Friday until 4pm).

, free, safe and anonymous mental health support for young people

Parenting support, Tameside Council parenting team support parents, carers and professionals - 0161 368 7722 or parentingreferrals@tameside.gov.uk

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Tameside and Glossop CAMHS (child and adolescent mental health service), formerly Healthy Young Minds. We offer specialist services to children and young people who are experiencing mental health difficulties. We help children and young people up to the age of 16 years and from 16-18 years for young people on particular pathways.

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Mental health support for young people, parents/carers and families

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Mental health support for young people, parents/carers and families

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TOG Mind:

https://www.togmind.org/youth-in-mind/community-wellbeing-offer

KOOTH:

https://www.kooth.com

Beat eating disorders:

https://www.beateatingdisorders.org.uk

Childline:

https://www.childline.org.uk

Anna Freud:

https://www.annafreud.org/resources/children-and-young-peoples-wellbeing/self-care/

Smiling mind app:

https://www.smilingmind.com.au/smiling-mind-app

Anthony Seddon:

https://tasfund.org.uk

Talk, listen, care:

https://talklistenchange.org.uk/make-an-appointment/

Stop.Breathe.Think:

https://www.stopbreathethink.org.uk

Stem4:

https://stem4.org.uk/schools/#

Clear fear app:

https://clearfear.stem4.org.uk/?_gl=1*1e2xgvn*_ga*Nzk4OTk3MzQzLjE3MjMyODY4MDI.*_ga_G6DB2JZYN7*MTcyMzMwNTk3MC4xLjEuMTcyMzMwNTk5NS4wLjAuMA..

Move mood app:

https://movemood.stem4.org.uk/?_gl=1*18kj8u4*_ga*Nzk4OTk3MzQzLjE3MjMyODY4MDI.*_ga_G6DB2JZYN7*MTcyMzMwNTk3MC4xLjEuMTcyMzMwNTk5NS4wLjAuMA..

Worth Warrior app:

https://worthwarrior.stem4.org.uk/?_gl=1*18kj8u4*_ga*Nzk4OTk3MzQzLjE3MjMyODY4MDI.*_ga_G6DB2JZYN7*MTcyMzMwNTk3MC4xLjEuMTcyMzMwNTk5NS4wLjAuMA..

Place2Be:

https://www.place2be.org.uk/our-services/services-in-schools/mental-health-services-for-pupils/

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Tameside, Oldham & Glossop Mind have teamed up with 42nd Street to bring your ideas of what mental health support should look like to life.

Introducing Community Hive, Tameside & Glossop's Community Mental & Emotional Wellbeing Offer, providing a range of support, information, guidance, and training to young people age 8 - 18 years old, living in Tameside and Glossop.

Delivered via local community bases located in Ashton, Hyde, and Droylsden; we offer a wide range of support including:

Click above for more information on these.

42nd Street is an innovative Greater Manchester young people's mental health charity with 40 years' experience of providing free and confidential services to young people who are experiencing difficulties with their mental health and emotional wellbeing. Click on the logo for more info!

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Tameside, Oldham & Glossop Mind have teamed up with 42nd Street to bring your ideas of what mental health support should look like to life.

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LGBTQ+ support for young people, parents/carers and families

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LGBTQ+ support for young people, parents/carers and families

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42nd Street:

https://www.42ndstreet.org.uk/lgbtq-resources

Mind:

https://www.mind.org.uk

Stonewall:

https://www.stonewall.org.uk/schools-colleges

Mermaids:

https://mermaidsuk.org.uk

Proud Trust:

https://www.theproudtrust.org

FFLAG:

https://www.fflag.org.uk/

Switch Board:

https://switchboard.lgbt/

Bereavement support for young people, parents/carers and families

Child bereavement UK:

https://childhoodbereavementnetwork.org.uk

Young Minds:

https://www.youngminds.org.uk/parent/parents-a-z-mental-health-guide/grief-and-loss/

Hope Again:

https://www.hopeagain.org.uk

Once upon a smile:

https://www.onceuponasmile.org.uk

Winston's Wish:

https://winstonswish.org

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We've pulled together resources direct from young people on a range of topics around being LGBTQ+ or supporting friends who are to create our new LGBTQ+ resource centre.

Explore the topics below to get started!

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We've pulled together resources direct from young people on a range of topics around being LGBTQ+ or supporting friends who are to create our new LGBTQ+ resource centre. Explore the topics below to get started!

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Bereavement support for young people, parents/carers and families

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Bereavement support for young people, parents/carers and families

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Child bereavement UK:

https://childhoodbereavementnetwork.org.uk

Young Minds:

https://www.youngminds.org.uk/parent/parents-a-z-mental-health-guide/grief-and-loss/

Hope Again:

https://www.hopeagain.org.uk

Once upon a smile:

https://www.onceuponasmile.org.uk

Winston's Wish:

https://winstonswish.org

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Too many children in the UK are not getting the support they need to grow up safe and happy. We're here to put this right.

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Mental health resources for children, students, parents, carers and school/college staff

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This article was updated on 19 March 2024 to reflect the latest information. We have put together some useful links and sources of mental health support so that children and young people, parents, carers, and school and college staff can get …

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NSPCC - Contact us 24 hours a day by email or our online reporting form. You can also call us on 0808 800 5000 Monday to Friday 8am-10pm or 9am-6pm at the weekends

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Self Harm- suicidal thoughts risk assessment/ support plan

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Self Harm- suicidal thoughts risk assessment/ support plan

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Stop Breath Think counselling referral

https://www.stopbreathethink.org.uk/letstalk/

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Stop.Breathe.Think - Youth mental health charity

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Stop.Breathe.Think & AJ Bell Futures Foundation - Stop.Breathe.Think

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https://www.place2be.org.uk/about-us/news-and-blogs/2021/july/how-to-support-a-child-or-young-person-who-is-self-harming/?utm_source=Schools&utm_campaign=fdb13d7867-Non-Partner_Schools_Newsletter_October_2021&utm_medium=email&utm_term=0_c6b02a1e38-fdb13d7867-220425288

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Earlier this school year, Place2Be's school-based staff noticed a significant increase* in the number of young people self-harming, particularly in secondary schools. In response to this, Rebecca Wilkinson-Quinn shares her advice and offers some practical ways in which parents and carers can support a child who may be self-harming.
Self-harm most often used as a coping strategy for dealing with psychological pain. It isn't attention-seeking, it isn't a 'cry for help' or something that can be 'cured'. By nature, there are many different factors that could lead a young person to self-harm, including but not at all limited to bullying, pressure from school, anxiety or depression. In fact, to make it clear, self-harm can affect anyone, of any age, from any background.

It's important to remember that people who self-harm don't always have suicidal feelings. Instead, the act of self-harm is often a coping mechanism to help them deal with life's stressors.

What can I do to help?

Suspecting or discovering that your child is self-harming can cause an overwhelming array of emotions - panic, guilt, shame, anger, sadness, frustration - all of these are normal reactions.

But remember it's not your fault and trying to rescue your child by asking them to stop, may not be the best strategy in the immediate moment. Here are a few things you can try if you suspect your child is struggling with self-harm:

Communication is key. Talking about self-harm can be tough for everyone involved. Try to be patient, take your time and try not to push for more information than they are willing to give. The most important thing is to make them feel heard and avoid any language that could be considered lecturing or condescending. You know your child best, so try finding a way of communicating that works for them.

Acknowledge their emotions. You might feel an urgent need to understand why this is happening, but it is best to give your child time and space to talk in a way that they're comfortable with. You do not need to have the answer. What's more important is to be there with your child and acknowledge what they are feeling.

Focus on the now. It can be really tempting to ask a lot of questions to try and find out as much as you can about your child's self-harm. However, it is all too easy to slip into interrogation mode. Reliving the self-harming acts may be embarrassing or even traumatic and is not always helpful. Try to focus on the here and now and what would help moving forward.

Explore alternative coping strategies. We know self-harm is often used as a way of coping with psychological pain. When talking to your child, try focusing on the feelings that led to the act and help them to explore alternative ways to cope and distract from difficult feelings. Different things will help different people, but examples may include going for a walk, listening to music, deep breathing or even embracing their emotions and having a cry. Distraction is a good technique, and by using alternative coping options and distraction, the length of time between acts of harming may be built up.

Reinforce stability. For children, many aspects of life may feel uncertain, whether it's changes at school, at home or an increased need for independence. The more we create an environment of stability, the easier it may be for your child to navigate challenging emotions. If your child is struggling with their emotions, knowing they have trusted people that they can depend on can be comforting. Remind them you are there for them - no matter what.

Maintain normality. It can be helpful to keep a sense of normality at home, whatever that may look like for you, and this will help your child feel secure and in control. Self-harming behaviours can go hand-in-hand with isolation and can be embarrassing, so it's most likely they won't want to be the centre of attention. Carry on as you would whilst staying aware and supportive.

Create a 'Safety Plan'. A safety plan is a document, physical or digital, that is easily accessed and contains useful information. You could include practical elements, such as sources of support and emergency numbers, as well as some more emotionally focused content, such as listing triggers for self-harming behaviour, or alternative methods that help your child calm down when stressed. If you feel a plan would be helpful, remember it is important that the content is decided by you and your child together. If you feel this would be useful, please let your child's school or their GP to support a joint safety plan being completed.

Remember, you are never alone when it comes to dealing with your child's self-harm. Your GP should be your first port of call, but your child's school would also be very important to include in this. Wider support is always available too - check what is on offer within your local area, use the dedicated services listed below, and above all, approach the subject of self-harm with the compassion and warmth you would want yourself when you feel everything is becoming a bit much. It is also important to note that supporting anyone with self-harm is distressing. Your GP and the list of resources are also there to support you too.

Other resources you may find useful

If you are worried about a child or young person, the below resources may be helpful.
* Place2Be's school-based staff noticed a significant increase in the number of young people self-harming when compared to the same time period the year before.

News & blogs

Supporting your child after the death of a loved one

Place2Be School Project Manager, Husna Rahman, shares her experience of supporting her child through the loss of a loved one.

READ MORE

Ceri's story - overcoming anxiety at school

Place2Be's Area Manager for South Wales, Emma Bell, shares a recent story of Place2Be's impact in one of our partner schools.

READ MORE

How to support a child or young person who is self-harming

Rebecca Wilkinson-Quinn offers some practical ways in which parents and carers can support a child who may be self-harming.

READ MORE

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How to support a child or young person who is self-harming - Place2Be

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Earlier this school year, Place2Be's school-based staff noticed a significant increase* in the number of young people self-harming, particularly in secondary schools. In response to this, Rebecca Wilkinson-Quinn shares her advice and offers some practical ways in which parents and carers can support a child who may be self-harming.

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Mental health and emotional wellbeing advice for pupils

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Mental health and emotional wellbeing advice for pupils

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There is often a lot of confusion about what we mean when we talk about mental health. Many people immediately start thinking about mental health problems or mental illness - but this is only one part of the picture. Everyone has 'mental health' and this can be thought of in terms of:

How we feel about ourselves and the people around us.

Our ability to make and keep friends and relationships.

Our ability to learn from others and to develop emotionally.

Being mentally healthy is also about having the strength to overcome the difficulties and challenges we can all face at times in our lives - to have confidence and self-esteem, to be able to take decisions and to believe in ourselves.

Having said that, it's also important to understand when you might need to get some help or support with how you are feeling - or to know when perhaps you may be experiencing a more serious problem.

It is quite normal to sometimes feel worried, anxious or upset when things don't go as you hope - everyone faces pressure in their lives at certain times and these can include:

Exams.

Work and getting a job.

Growing up and becoming more independent from your family.

Making up (and breaking up) with friends.

Living with Good Mental Health - 5 Ways to Wellbeing

The Five Ways to Wellbeing are a set of actions to promote people's wellbeing. They are: Connect, Be Active, Take Notice, Keep Learning and Give. These activities are simple things individuals can do in their everyday lives.

Connect
Feeling close to and valued by other people is important to everyone. It's clear that social relationships are essential for people's wellbeing and for acting as a buffer against mental ill health for people of all ages.
With this in mind, try to do something different today and make a connection:

Speak to someone new

Ask how someone's weekend was and really listen when they tell you

Put five minutes aside to find out how someone really is.

Be active
Regular physical activity is linked with lower rates of depression and anxiety across all ages. But physical activity doesn't need to be particularly intense for you to feel good. Over activities such as walking can provide some level of exercise.

Here are a few ideas:

Take the stairs not the lift

Go for a walk at lunchtime

Walk into work or school - perhaps with a colleague - so you can 'connect' as well!

Get off the bus one stop earlier than usual and walk the final part of your journey to work

Do some 'easy exercise', like stretching, before you leave for work/school in the morning.

Take notice
Reminding yourself to 'take notice' can strengthen and broaden awareness. Being aware of what is taking place in the present directly improves your wellbeing and savouring 'the moment' can allow you to make positive choices based on your own values and motivations.

Take some time to enjoy the moment and the environment around you. Here are a few ideas:

Have a 'clear the clutter' day

Take notice of how your colleagues/friends are feeling or acting

Take a different route on your journey to or from work/school

Visit a new place for lunch.

Keep Learning
Learning through life boosts self-esteem and encourages social interaction and a more active life.

Why not learn something new today? Here are a few more ideas:

Find out something about your colleagues/ friends

Sign up for a class

Read the news or a book

Do a crossword or Sudoku

Research something you've always wondered about

Learn a new word.

Give
Giving and participating with others makes us feel happy and are good for our health. The smallest act of 'giving' can count; even giving a smile to someone can make a big difference, or giving your parents a hand cleaning the house can really help.

Committing to an act of kindness once a week over a six-week period is related with an increase in wellbeing.

Time to Change

Mental health problems are relatively common. One in four of us will be affected by mental illness in any year. Yet, nearly nine out of ten people who experience them say they face stigma and discrimination as a result. This can be even worse than the symptoms experienced. Time to Change is England's biggest programme to challenge mental health stigma and discrimination.
Time to Change is an anti-stigma campaign run by the leading mental health charities Mind and Rethink Mental Illness. These charities provide a lot of information about:

Different mental health conditions;

What you can do to help yourself or people you know who have a mental health condition;

Help and support if you are facing stigma and discrimination because of a mental health condition.

Where to get Support, Advice and Help

If you want to try and help yourself before contacting an agency below.

Sane offers online advice for those in crisis and can also be contacted on 0845 767 8000.

Living Life to the Full is an online course aimed at improving people's wellbeing - taking this course may make you feel stronger and better able to help other people.

Get Self Help has some resources for dealing with suicidal thoughts.

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There is often a lot of confusion about what we mean when we talk about mental health. Many people immediately start thinking about mental health problems or mental illness - but this is only one part of the picture.

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When children and young people need help, we want them to find it easily, for it to meet their needs, be delivered by people who care and for services to listen to their views.

Local Services

Getting advice and getting help: There are lots of organisations that offer mental health support locally. You might need different types of support at different times in your life. Sometimes it might just be about getting a bit of advice or sometimes problems are more serious or don't get better with self-help.

Getting More Help - Sometimes people need more specialist advice, support and treatment regarding mental illness. In this area you will find services that offer long term support around serious issues that you or your loved one may be struggling with.

Nationally available services

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children and young people mental health support

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Children and Young People Mental Health Support

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When children and young people need help, we want them to find it easily, for it to meet their needs, be delivered by people who care and for services to listen to their views. Getting advice and getting help: There are lots of organisations that offer mental health support locally.

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Tameside mental health referral criteria

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Tameside mental health referral criteria

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All areas of Greater Manchester use the I-Thrive Model to navigate Children, Young People and families to the most appropriate mental health or wellbeing services.

In Tameside and Glossop there is a range of commissioned support for children's young people and their families delivered in a range of community bases across the locality. Specialist mental health (Getting More Help / Getting Risk Support) is offered by CAMHS, but there is a range of community provision that offers counselling, peer support and psychosocial support, for Getting Advice or Getting Help.

When making a referral for mental health and emotional wellbeing, please consider; if a Specialist Mental Health Service is the most appropriate pathway at this stage, that the current difficulties have been present over the last four weeks and are at level where they are impacting on daily functioning. We would expect that most children, young people and or carers will have already received either a universal, primary care or social care first line support service / intervention before referring on to CAMHS.

A range of open access walk-in sessions from the Community Hive, or online support from Kooth, can support the young person in Getting Advice or Getting Help, without needing specialist support from CAMHS.

The Single Point of Access to Mental Health is collocated with the Early Help Access Point and Safeguarding Hub and the team will triage referrals holistically, to ensure the right support is offered at the right time, for every referral. A SPOA referral is a mental health referral, not a CAMHS referral, so it is imperative that consent is gained by the referrer to discuss the referral and signpost.

All referrals are triaged in line with the Thrive Framework and the right service is identified at that time for the young person/family. Every referral receives a plan of support to ensure that the young person receives the right support at the right time, and this is communicated back to the referrer by letter. The referral pathway is able to be accessed again where the single point of access can look what worked well and what didn't in case the young person needs follow up support.

The information below is a navigation guide to support you in your referral decision making.

Persistent low mood of at least 2 weeks in duration at a level that is impacting on daily functioning

Psycho Education
Behavioural Activation
Cognitive Behavioural Therapy Informed
Solution Focused Therapy
Resilience Group Support
Walk-in Brief Intervention (the Hive)
1:1 Coaching
Peer Support

https://www.togmind.org/youth-in-mind/the-hive

School mental health lead or safeguarding lead Self referral to Community Hive 8-18 Self referral to Kooth 10-25

Depression or Mood Disorder (including mood dysregulation)

Low mood that has not responded to "getting help interventions", Or current presentation of Clinical Depression / Mood Disorder

CBT
IPT
Systemic Family Practice (Family Therapy)
Medication
Psychotherapy

Single point of Access Mental Health Referral (MARS referral)

GP or professional referral. up to 18

Self-Harm: That is infrequent and not require medical intervention

Self-harm is when somebody intentionally damages or injures their body. It's usually a way of coping with or expressing overwhelming emotional distress

Psycho- Education / Distraction Techniques
Counselling
Guided Self Help
Compassion Focused Work
Solution Focused Therapy
Walk-in Brief Intervention (the Hive)
1:1 Coaching

School/ College Pastoral Team

Kooth .Com

Community Hive

https://www.togmind.org/youth-in-mind/the-hive
School mental health lead or safeguarding lead Self referral to Community Hive 8-18 Self referral to Kooth 10-25

Self-Harm: That has become more frequent and intense
Suicidal Ideation with some plans and or few protective factors and or increased identified risk factors

Where a young person has a history of self-harm and is currently harming more frequently and is as risk of significant harm
N.B if the child or young person need immediate medical intervention -They will need to attend their local A and E

Medical Intervention
(GP/ Walk in Centre /
Emergency Department A and E)
Mental Health / Risk Assessment
Safety Planning
DBT / DBT Informed Work
Psycho Education - Self Regulation Techniques

Follow Self Harm Pathway

Local Medical Services

https://www.nhs.uk/using-the-nhs/nhs-services/urgent-and-emergency-care/nhs-111/

Liaison Mental Health (LMH) for advice

CAMHS Urgent / Duty Referral

Complete MARS

GP or professional contact CAMHS duty team or contact SPOA depending on risk

Where a young person is expressing some fleeting thoughts with no plan and has identified protective factors

Risk Assessment
Safety Planning / Care Plan
Self Help strategies - Guided Self-Help Psycho Education
Solution Focused Therapy
Counselling

https://www.togmind.org/youth-in-mind/the-hive

School mental health lead or safeguarding lead Self referral to Community Hive 8-18 Self referral to Kooth 11-25

Where a young person is presenting with increased and intrusive suicidal thoughts and or regular increased self-harm

Mental Health / Risk Assessment
Safety Planning / Care Plan
Psycho Education
Self-Regulation

CAMHS Urgent / Duty Referral

Rapid Response Team

Liaison Mental Health (LMH)

Actual Significant Self Harm or Overdose /Need for Medical Intervention

If a young person presents with significant self-harm and or has taken substances / overdosed
Send to A and E immediately

Medical Intervention
Risk Assessment
Safety Planning
Admission

Medical Services

Liaison Mental Health (LMH)

Anxiety including:
Ÿ Phobias
Ÿ Panic Disorder
Ÿ Social Phobia
Ÿ Generalised
Anxiety Disorder
Ÿ Obsessive-
Compulsive Disorder

Anxiety at a level that is affecting the child's/young person's development or level of functioning, over a sustained period and this is not a normal adjustment reaction to a life event / adverse event

Psycho Education
Guided Self Help
CBT informed interventions
Solution Focused Therapy
Walk-in Brief Intervention (The Hive)
1:1 Coaching
Counselling
Peer Support

https://www.togmind.org/youth-in-mind/the-hive

School/ College Pastoral Team

Kooth.Com online Counselling

Single Point of Entry Mental Health Referral - CYPWPs (MARS referral)

With a view to accessing getting more help / getting risk support

School mental health lead or safeguarding lead Self referral to Community Hive 8-18 Self referral to Kooth 10-25 GP referral for CAMHS up to 18

Prolonged / More Frequent/ Intense Anxiety

More Intense repetitive, intrusive thoughts, greater distress, more significant impact on thoughts feelings and behaviour which affects daily life, quality of life and activity. Obsessions/Compulsions causing functional impairment

Single Point of Access Mental Health Referral (MARS referral)

Post-Traumatic Stress Disorder (PTSD)

Avoidance of reminders of the traumatic event. Persistent anxiety. Intrusive thoughts and memories e.g. nightmares. Sleep disturbance. Hypervigilance. Symptoms continuing longer than three months following event

Trauma Focused CBT
EMDR

Single Point of Access Mental Health Referral (MARS referral)

Major Mental Health Difficulties / Psychosis

Active symptoms Inc. Paranoia, delusional beliefs & abnormal perceptions, (hearing voices & other hallucinations). Fixed, unusual ideas. Negative symptoms Including deterioration in self-care & social & family functioning.

Extend Assessment
Referral to EIT services
Psycho-Ed
Medication
CBT

Single Point of Access (MARS referral)

Neurodevelopmental Concerns:
Autistic Spectrum Conditions (ASC)

If there are concerns regarding pervasive developmental disorders such as ASD then school would complete a 12-week pre referral questionnaire before being accepted onto the MAAT (assessment) pathway

Assessment
Consultation
Post Diagnostic Group

School complete 12-week pre referral Questionnaire

School forward 12 week questionnaire plus one professional report to MAAT for triaging

Pupil Support Service (specialist outreach support) to schools

MAAT assessment of social communication difficulties

Speech and Language assessment / Sensory workshops (Children with Disabilities Team (CWD) self referral)

Community Paediatrics

Support for parents

MAAT post diagnostic workshops; social communication strategies document; post diagnostic pack

Websites such as NAS/Cerebra

https://i-am-autism.org.uk/

Autism - Local Offer

Getting Risk Support - flag early concerns about potential risk of hospital admission or placement breakdown so that family is supported on the Dynamic Support Register

Consider a referral to Community Paediatrics if your concerns are around child development.

School to complete the pre referral questionnaire. GPs do not refer to CAMHS but may refer to paeds for a reason. GP may also raise with social worker if at risk of placement breakdown.

Attention Deficit Hyperactivity Disorder (ADHD)

If there are concerns relating to ADHD refer to Pupil Support Service to initiate the assessment process within school to gather evidence or observed behaviours in all settings (Home, School, In Clinic)

Assessment
Medication
Post Diagnostic interventions

Pupil Support Services

Paediatrician

Single Point of Access (MARS referral)

GP or school to refer to pupil support services in the first instance

Anorexia Nervosa / Bulimia Nervosa, Binge Eating Disorder
Please include recent Bloods weight/height and rate of weight change

Family Based Treatment, Specialist Family Therapy for Anorexia / Bulimia Nervosa, Adolescent Focused Therapy, CBT, Physical Monitoring, Community Re-feeding,

CEDS Community Eating Disorders

GP or professional or family referral to CEDS

Where there are difficulties in the family's daily living: - such as family conflict, difficulty setting routines and boundaries for mealtimes, homework, sleep, school, and house hold rules, social difficulties, parents and other family members needing carer support

Parenting Courses/ Groups,
Psycho- Education
Early Help
GP for parental health and wellbeing
Family Work
Walk in Brief Intervention (The Hive)
1:1 Coaching

GP or professional referral to Early Help via MARS

Self refer to Parenting, Solihull or Family Support

Persistent and Pervasive Behavioural Problems

Where the presentation is indicative of Conduct Disorder, and or Attachment Difficulties.

Parent Interventions Family Therapy
Parent Child Game
VIG
Multi Systemic Therapy

Single Point of Access Mental Health Referral

GP or professional referral to Early Attachment Service up to age 5

GP referral to Early Help

N.B A first line intervention e.g. parenting course and or an early help intervention should have been tried before referring to mental health

Multi Systemic Therapy Via Social Worker

Helping at Home

Early Attachment consultation

Consultation from Family Intervention service

This would include persistent and repetitive patterns of challenging behaviours, which are not in the context of an Autistic Spectrum Condition, Learning Disability and/or explained by another medical condition or social circumstance. For example, ADHD or social deprivation.

Plus the nature and degree of the behavioural problems have a significant impact on daily functioning and the social and emotional development of the child.

Complex Behavioural Problems / Emotional Dysregulation

Children and Young People unable to benefit from or engage with recommended interventions but remain a significant concern or risk, including those who routinely go into crisis or don't/ Can't make use of help

Liaison with the network to develop a multiagency shared care Risk Assessment and management plan Actions include Calling for and attending Social Care Strategy Meetings, Child Protection Conferences, Edge of Care Meeting, School / College Safeguarding / Fitness to Learn Meetings, Police Silver and Gold Strategy Meetings, CAMHS Risk Assessment Management Meetings (RAMM), In-patient Emergency Admissions and Discharge Meetings.

All Services / Providers Share Responsibility for getting a Child or Young Person Risk Support
Getting Risk Support it is a multiagency / multidisciplinary approach. We are all responsible for the safety of the children and young people we see, therefore all services / professionals need to be involved in the development of a cross agency multi-disciplinary risk plan, working in conjunction with the child / young person and their family/carers / support networks.
Including: Social Care, Police, Ambulance and Fire Services, Accident and Emergency Departments, Schools, Collages, 3rd / Voluntary Sector, Crisis Support Services, Liaison Mental Health, Home Treatment Teams, GP, Community Nurses, Safeguarding Practitioners, 111, Crisis Help Line Providers, Early Help Hub, Youth Workers, CAMHS etc.

Team Around Approach

Family Intervention Team

Flag to the DSR (LDA / plus other presentations can be discussed)

Mild / Moderate / Severe / Profound Learning Disability
Presenting with Behaviour that Challenges

If there are concerns regarding a child or young person with an identified learning disability having a change in behaviour which could be indicative of a mental health difficulty, or difficulties in the family's daily living where parents need support

Parenting Courses/ Groups,
Psycho- Education
Early Help
GP for parental health and wellbeing
Family Work
Walk in Brief Intervention (The Hive)
1:1 Coaching
SENDIAS to support with education
Psychology or LD nurse consultation
Short term interventions
Initial assessment, risk assessment and formulation via CAMHS LD
Consideration whether LD CAMHS/generic CAMHS most appropriate service
Signposting and liaison
Use of GBO
Multi-agency meetings

GP or professional referral to Early Help

Self referral to Community Hive

Mild/ Moderate/ Severe / Profound Learning Disability
Presenting with Persistent and Pervasive Behaviour that Challenges

Mild - moderate learning disability as above for individual mental health conditions as managed by core CAMHS team

Parent Interventions
Registering (with family consent) with Dynamic Risk Register
Longer term interventions e.g. functional analysis of challenging behaviour
Pharmacotherapy
Evidence based treatment approaches (family therapy, adapted CBT, narrative approaches)
Ongoing risk monitoring and input into multi-agency planning

Face to face parenting interventions e.g. Riding the Rapids (via Parenting Panel/CAMHS)

Single Point of Access Mental Health Referral

Child and Adolescent Behaviour Service (CABS), Children with Disabilities Team (CWD)

Individualised Commissioning (Dynamic Support Register)

GP or professional referral to Single Point of Access

Severe - profound learning disability

Mild / moderate / severe / profound learning disability presenting with complex behaviour that challenges

Children and Young People unable to benefit from or engage with recommended interventions but remain a significant concern or risk, including those who routinely go into crisis or don't/ Can't make use of help

Liaison with the network to develop a multiagency shared care Risk Assessment and management plan Actions include Calling for and attending Social Care Strategy Meetings, Child Protection Conferences, Edge of Care Meeting, School / College Safeguarding / Fitness to Learn Meetings, Police Silver and Gold Strategy Meetings, CAMHS Risk Assessment Management Meetings (RAMM), In-patient Emergency Admissions and Discharge Meetings.

All Services / Providers Share Responsibility for getting a Child or Young Person Risk Support
Getting Risk Support it is a multiagency / multidisciplinary approach. We are all responsible for the safety of the children and young people we see, therefore all services / professionals need to be involved in the development of a cross agency multi-disciplinary risk plan, working in conjunction with the child / young person and their family/carers / support networks.
Including: Social Care, Police, Ambulance and Fire Services, Accident and Emergency Departments, Schools, Collages, 3rd / Voluntary Sector, Crisis Support Services, Liaison Mental Health, Home Treatment Teams, GP, Community Nurses, Safeguarding Practitioners, 111, Crisis Help Line Providers, Early Help Hub, Youth Workers, CAMHS etc.

Team Around Approach

Family Intervention Team

Dynamic Risk Register and CETR process

The range of services in the community offer to support with Getting Advice or Getting Help can be found on the following links:
Mental Health Support
TOG MIND/COMMUNITY OFFER
Contacts and Referral Details
THE HIVE/TOG Mind & 42nd Street Community Offer - brief intervention walk in appointments
CAMHS single point of access - MARS referral direct from GP system or https://secure.tameside.gov.uk/forms/mars/f1312mars.asp
Early Help - MARS referral direct from GP system or https://secure.tameside.gov.uk/forms/mars/f1312mars.asp
CEDS - Tel: 0161 716 4060 Email: pcn-tr.ceds@nhs.net

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Tameside Adolescent Mental Health Services Referral Criteria

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Tameside Adolescent Mental Health Services Referral Criteria