Children and Young People Mental Health Service (CYPS) - Haringey
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Haringey CYPS provide multi-disciplinary assessment and treatment of children and young people with mental ill-health or severe emotional and behavioural difficulties. Haringey CYPS is an NHS service consisting of five teams which work closely together.
- Borough(s): Haringey
- Service Manager (s): Richmond Opoku.(Service Lead) Mark Dumbrill (Clinical Lead)
- Age range treated: 0-17
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Address:
L Block, Oak Building St Ann's Hospital, St Ann's Road, London, N15 3TH
- Phone number: 02087023400
- CYPS Single Point of Access
- Children and Young Peoples Service (CYPS) generic team
- Children and Young Person Service (CYPS) - Learning Disability Team
- Adolescent Outreach Team (AOT)
- Haringey Trailblazers (Mental Health Support Team)
- Haringey Neurodevelopment Pathway
- Useful information and resources
CYPS Single Point of Access
The single point of access for majority of referrals to CAMHs services across the 3 boroughs. The service has one direct contact number offering both a triage, Initial assessment and brief intervention service. The delivery of the model in based on iTHRIVE principles and “ensuring no wrong front door”. Moving forward there are plans to have greater integrations with Social Care, Voluntary Community & Social Enterprise (VCSE) and third sector providers.
The aim of the SPoA is to provide timely access to children and young people mental health services (CYPMHS). This team has been created to streamline the North Central London Mental Health Partnership (NCLMHP) CYPMHS referral and assessment process, ensuring a consistent and equitable approach to service delivery so children and young people (CYP) across the tri-borough are offered a unified service.
Eligibility
CYP under the age of 18 with a GP address in the relevant boroughs are eligible for referral to the service. Whilst some referrers may have a specific intervention or service in mind for the CYP they are referring, the SPoA will direct the referral to the most appropriate setting/provider according to the I-Thrive principles. CYP will be offered a service in the Borough where their GP is located. Specific requests to be seen across boroughs should be directed to the Service Manager. These requests will be considered on a case-by-case basis noting the full circumstances of the case and any reasons for exceptionality. The wishes of the family will also be considered in the decision-making process. The exception to this is the Mental Health Support Teams who will see children based on the school they attend and not where they live or GP location.SPoA Contact Details
All referrals can be sent to: beh-tr.camhs-spoa@nhs.net ( This email address is the ONLY one shared to external referrers and stakeholders). The phone number is: 0208 702 3111 (Monday to Friday 9am to 5pm)
Children and Young Peoples Service (CYPS) generic team
The CYPS Generic Team provides support to children and young people aged 0-18 years and their families for a range of mental health difficulties. The service offers a range of individual, family and group-based interventions. These services are provided by Barnet, Enfield and Haringey Mental Health NHS Trust with a clinic based at St Ann’s Hospital. CYPS give support to Haringey young people is also provided by the Tavistock clinic and by Royal Free NHS Foundation, particularly for young people with eating disorders.
Team Manager: Thembi Magadlela
Tel: 020 8702 3400
Address: L Block, Oak Building St Ann's Hospital, St Ann's Road, London, N15 3THChildren and Young Person Service (CYPS) - Learning Disability Team
Eligibility (who team work with age of child, parent/carers, presentation/needs etc)
We provide treatment and support to children and young people (YP) who have moderate to severe learning disability (LD) from 5 to 18years. We would also consider support for mild LD cases with concerns/difficulties around behaviours at school or home where support from Generic CAMHS was not appropriate – e.g. specifically seeking PBS support.
Referral criteria to the LD team–
Moderate to Severe/Profound Learning Disability, with a mental health or behavioural need that is not solely explained by a social care need.
Below is a descriptor of LD categorisations:
- Referrer to provide descriptions of any moderate to severe LD symptoms.
- Mild — approximate IQ range of 50 to 69. Likely to result in some difficulties in the acquisition and comprehension of complex language concepts and academic skills. Most people can manage basic self-care, domestic, and practical activities, and can live and work relatively independently, but may require appropriate support.
- Moderate — approximate IQ range of 35 to 49. Likely to have basic language and academic skills, but some will manage basic self-care, domestic, and practical activities. Most will need considerable and consistent support to live and work independently.
- Severe — approximate IQ range of 20 to 34. Have very limited language and academic skills and may also have motor impairments. Typically need daily support in a supervised environment for adequate care, but may acquire basic self-care skills with intensive training.
- Profound — IQ under 20. Results in very limited communication skills and may have basic concrete skills. May have motor and sensory impairments, and typically need daily support in a supervised environment for adequate care.
Where there is no formal diagnosis of LD, we would want information on the following:
- The key stage at which the YP is functioning?
- Where unclear, to have access to EHCP/ EP reports prior to referral.
- Important to provide information as to whether the YP attend mainstream or SEN school. What level of support is provided at school e.g. 1:1 all day.
- Provide information as to whether the YP is a verbal/ minimally verbal (e.g. single words)/ Non-verbal communicator.
- Provide information around the YP’s verbal understanding.
How to Refer (procedure/system team use to manage/accept new referrals to team)
Referrals are accepted from professionals including GPs, other health professionals, social care, schools and other educational institutions.
All referrals are to be made to CAMHS Access team (Single Point of Access SPOA).
Team Manager: Adwoa Boampong
Tel: 020 8702 3400
Address: L Block, Oak Building St Ann's Hospital, St Ann's Road, London, N15 3TH
Adolescent Outreach Team (AOT)
The AOT are a multi-disciplinary, community-based, outreach service working with young people aged 12-18, where there are concerns about mental health and emotional well-being.
The AOT is an urgent response service and work with young people presenting with serious mental health needs such as severe depression, repeated deliberate self-harm and attempted suicide. The service is also part of the Early Intervention Service (EIS) pathway for young people where there may be concerns about possible psychosis or other more enduring mental health concerns. The AOT provides self-harm assessments at the North Middlesex University Hospital.
Service Manager: Volker Agyekum (Interim)
Tel: 020 8702 3400
Address: L Block, Oak Building St Ann's Hospital, St Ann's Road, London, N15 3THHaringey Trailblazers (Mental Health Support Team)
Mental Health Support Teams are currently based in 36 schools in Haringey. They have three core functions:
- To deliver evidence-based interventions for mild-to-moderate mental health needs
- To support the senior mental health lead (where established) in each school or college to introduce or develop whole school or college approach.
- To give timely advise to school and college staff and liaise with external specialist service to help children and young people to get the right support and stay in education.
These teams work in close partnership with other partners in schools work as part of a ‘Trailblazer’ alliance, including the voluntary sector including:
Haringey Neurodevelopment Pathway
Haringey CYPS provide attention deficit hyperactivity disorder (ADHD) assessment only. Referrals are from schools only. Children between 0-18 years can be referred for ADHD. However, we do not assess children for ADHD until they are 6-year-old.
Referral to Access Team
If a child under 6 is referred for ADHD, they will be under the Haringey CYPS 0-5 years project for parental work and for observation. They may be referred to Whittington Health to rule out other developmental problems.
The referral is screened based on the information provided by school, parents, and the score from a screening questionnaire.
If they meet the threshold for ADHD, they have initial assessment. Following assessment, they would be added to the waiting list for a full assessment that would be done by psychiatrist or experienced clinicians.If the child or young person requires medication, they will be on the medical waiting list. They will also receive psychoeducation. If medication is not required, they receive psychoeducation from CYPS, signpost and be discharged.
6a) Private neurodevelopmental assessmentsIf parent and young person decide to have a private ADHD assessment, instead of one provided by an NHS neurodevelopmental service, there are important issues to consider first.
What to expect from a private service?- Parent should check clinicians completing the assessment are qualified mental health professionals completing specialist neurodevelopmental assessment and giving a diagnosis.
They could be:- A child and adolescent psychiatrist or consultant paediatrician registered with the General Medical Council (GMC).
- A multidisciplinary team that includes: HCPC (Health and Care Professions) Registered Practitioner Psychologist, Specialist Nurses registered with NMC, Occupational therapist, or speech and language therapist registered with the HCPC. All whom specialise in assessment of ADHD.
- All assessments will be reviewed and may require an additional assessment.
- Where possible or indicated a physical health check is recommended as part of the assessment.
- The National Institute of Clinical Excellence (NICE) provides guidance on neurodevelopmental assessments and diagnosis. You should ask the private service if the assessment, diagnosis, and assessment report will meet the NICE standards.
This means the assessment will involve:
- Child being at the centre of the assessment and having their voice heard.
- Reviewing information from more than one setting (usually home and school)
- A direct clinical observation of the child
- Longitudinal/Developmental history considering ADHD (including the neurodevelopmental medical & family history).
- Consideration of differential diagnosis and formulation
- The use of questionnaires or specialist standardised assessments.
- The child/young person must have been seen at least once
- The report should reflect the ADHD symptoms as described in the DSM criteria
- Risks need to be clearly identified in the report
- Where possible or indicated a physical health, check is recommended as part of the assessment.
Haringey CYPS cannot advise parent on which private service to use- please discuss with your GP, your options.Transferring from a private service to an NHS neurodevelopmental service:
- We will review the private assessment report meets the standards in the NICE guidance. All assessments will be reviewed and may require an additional assessment.
- A request can be made for your child treatment from the NHS, after having a private neurodevelopmental assessment and diagnosis.
- You will need to ask your child’s school or GP to make a referral attaching the report to Haringey/Barnet/Enfield CYPS.
- Depending on the request, we will discuss it within our MDT and share options for next steps.
- Medications that have been prescribed will be reviewed within UK guidance
- If the private clinician is prescribing, they will hold clinical responsibility until the child is seen by NHS.
- We will request a hand-over letter from the private provider with your consent
If the report does not comply with the NICE guidance, we will:
- Tell you what information is missing and ask you to get this information from the private service.
- Give you the option of a full neurodevelopmental assessment based on recommended guidance with Haringey/Barnet/Enfield CYPS.
Autism Assessment
Haringey CYPS are not commissioned to do Autism assessments.
Children aged 0-11 would be referred to child development service at the Whittington Health Trust.
Young people aged 12 – 18 would go Tavistock and Portman Trust.
Useful information and resources
What the service does
The Learning Disability/Autistic Spectrum Disorder (LD/ASD) Keyworker Service forms part of the North Central London commitment to ensure that children/young people with Learning Disabilities and/or who are Autistic, with behaviours of concern and complex mental health needs, will have increased access to enhanced support and care, including intensive support/crisis services.
How to access the serviceCurrently all referrals to the service come through the Dynamic Support Register for the borough in which the young person resides. If you would like to discuss a referral, please refer to the team email address.
Who the service is for
0-18 years. The Keyworker Service works with children and young people with the most complex needs and their families and carers to make sure families are fully involved in their plans, feel listened to and informed, plans are personalised, and they have the support they need at the right time, in a co-ordinated way.
What to expect
Keyworking should help families experience a reduction in stress, and uncertainty and an increase instability.
Service Manager: Sinclair Jenkins, available 09.00am - 05.00pm
Tel: 020 8702 6850
Email: beh-tr.ldasdkeyworkerservice@nhs.net
Address: Orchard House, St Ann's Hospital, St Ann's Rd, London N15 3TH
