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drphalaksh

CAMHS service model.

8 posts in this topic

hia,

any child psychiatrists, SPR,S or SHO, s working or worked in child psych,

please outline the service delivery model in child and adolescent psychiatry.

i never got my head around the' tier 'systems as i dozed off in da MRCpsych course].

will b greatful

thanx

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There are 4 tiers

The foll are Tier 1 and deal with mild-moderate mental health problems.(25%)

a)Health--GP,Health visitors,School Nurse

b)Social Services department--FSW's,Daycenter,etc

c)Education--

d)Voluntary Services--MIND,Connexions etc

e) community paediatrics

Tier 2/3--coordinate multiagency packages,training package to non specialist services.

deal with severe mental health problems and OP treatment of mental illness

These are specialist CAMHS

Tier 4 are IP services and deal with Children with mental illness.

Any more to be added or changed please let me know

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josie what is IP services.

and how tier2/3 differ from tier 4

thanks..

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josie what is IP services.

and how tier2/3 differ from tier 4

thanks.. :D

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IP services is IN PATIENT UNITS.

Tier 2/3 are broadly out patient set ups

whereas tier 4 is primarily the in patient service

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Details of the tiered model of service delivery can be found in the 1995 Health Advisory Service's Review of CAMHS ' TOGETHER WE STAND - A Thematic review of CAMHS'.

My understanding of the tiered model is as follows:

TIER 1 :

Primary, FIRST LINE or direct contact services.These are delivered by professionals such as teachers, GP's, health visitors, school nurses, school medical officers, social workers, police officers and voluntary sector staff, who are not necessarily employed for the prime purpose of promoting mental health, but who directly and indirectly influence the mental health of children and young people through their work with them.They are usually the FIRST POINT OF CONTACT for a child or the family.

TIER 2:

At this level, SPECIALIST STAFF provide services and work as INDIVIDUAL mental health professional.Frequently they will be members of multi-disciplinary CAMHS team ( Clinical Psychologists, Nurses, Social Workers etc ) .They could either be based at CAMHS, but could conduct home and school visits, or in health centres, educational or social services.

TIER 3:

Interventions offered by TEAMS of staff from specialist CAMHS. Services at this tier are more specialised by virtue of the COMPLEXITY of problems dealth with. Members of MDT will often work in specific therapeutic teams to provide co-ordinated interventions of several professionals to address the complex problems. Professionals include Psychiatrists and Psychotherapists along with other CAMHS staff.

Most CAMHS function at tier 3 level.

TIER 4:

VERY SPECIALIST interventions and care.This tier provides for highly specific and complex problems which require considerable resources and cannot be managed in tier 3.There are very few tier 4 services and include In-Patient and Day services and other Highly Specialised Regional Services ( like Eating Disorder Units).

Hope this is helpful.

Cheers.

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