Children and Young People Service (CYPS) - Barnet
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Barnet Children and Young People’s Service (CYPS) provide multi-disciplinary assessment and treatment of children and young people with mental ill-health or severe emotional and behavioural difficulties. Barnet CYPS is an NHS service consisting of five teams which work closely together.
- Borough(s): Barnet
- Age range treated: 0-17
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Address:
Holly Oak, Edgware Community Hospital, Burnt Oak Broadway, Edgware, HA8 0AD
- Children and Young Peoples Service (CYPS) Access and Generic Team East and West Barnet
- Paediatric Liaison
- Barnet Adolescent Service (BAS)
- Service for Children and Adolescents with Neurodevelopmental difficulties (SCAN)
- Barnet Children and Young People’s Service (CYPS) in Specialist Schools
- Learning Disabilities and/or Autistic Spectrum Disorder Keyworker Service
Children and Young Peoples Service (CYPS) Access and Generic Team East and West Barnet
Paediatric Liaison
The paediatric liaison team provide specialist mental health provision and consultation for young people and families who are in-patients or out-patients under the care of the paediatric and neonatal services at Barnet Hospital.
Focus is on improving identification, engagement and providing early, brief and some longer-term interventions to reduce the high levels of psychiatric morbidity in young people with long-term physical illnesses, life threatening medical conditions and in those with medical unexplained symptoms. The team also provide support for staff and families in the case of child deaths, early parent work and support in neonatal units where babies have extreme prematurity or complex medical problems. Paediatric Liaison team run parent groups on neonatal units and have a diabetes service, providing input within multidisciplinary clinics; meetings and 1:1 work with this client group.
The team provide induction and training for paediatrics around paediatric mental health topics, consultation to the paediatric and neonatal units around complex cases, and act as a liaison between CYPS and the hospital. The team regularly provide liaison input to enhance the safe care, assessment and follow up of young people with self-harm who present to A&E and the ward. We provide clinical presence and consultation at all three weekly psychosocial meetings on the ward and in A&E.
Barnet Adolescent Service (BAS)
Service for Children and Adolescents with Neurodevelopmental difficulties (SCAN)
SCAN is a multidisciplinary team (consisting of Psychiatry, Clinical Psychology, Child Psychotherapy, Family Therapy, Counselling Psychology, Nursing) providing a full provision to children and adolescents with moderate to severe neurodevelopmental difficulties and comorbid mental health problems. Referrals are accepted when mental health problems are identified in accordance with the children and young peoples service (CYPS) referral criteria and when the child or adolescent attends one of the special schools in Barnet.
Under particular circumstances referrals are also accepted from special educational units within mainstream education. SCAN clients have chronic and life-long difficulties and will often be re-referred through childhood, or they require long term monitoring of medication, as their difficulties are generally linked to their disabilities. Most patients receive a general initial assessment, although some may require complex specialist diagnostic assessments involving several clinicians and other services (such as a Paediatrician, for example). A range of short or long term treatments are offered.
However, all assessment and treatment work are increased in complexity due to the comorbid neurodevelopmental difficulties and mental health problems, requiring more resources to assess, diagnose, treat and liaise with the many professionals involved with the client and their family. A great deal of anxiety and risk surround our client group and the team has to be able to respond quickly and flexibly to safely support families in need. SCAN offer consultation and joint assessments to other CYPS team in Barnet and foster good links with the special schools, Children with Disabilities Service, the voluntary sector and the community paediatricians. Alongside this assessment and treatment we offer support to parents who are frequently suffering from the stress and low mood that can come with parenting a child with a mental health problem and a major disability.
Tel:020 8702 4500
Address: Holly Oak, Edgware Community Hospital, Burnt Oak Broadway, Edgware HA8 0APrivate ADHD Assesments for Barnet
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.
Barnet 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.
For information on private ASD Asessments, please see this document.
Barnet Children and Young People’s Service (CYPS) in Specialist Schools
Learning Disabilities and/or Autistic Spectrum Disorder Keyworker Service
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 service
Currently 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