Mental Health Services for Children & Young People in Brighton & Hove

The services available to children & young people in Brighton & Hove who need help and support with their mental health and emotional wellbeing are changing from 1 June 2017 through the introduction of the Community Wellbeing Service

Children, young people, their families and professionals have said that it has not always been easy to find out about children’s and young people’s mental health services, or to access them when they need to and be seen and treated quickly.

Brighton & Hove Clinical Commissioning Group has used this feedback to commission, with partners in Public Health and Children Families &Learning Directorate in the Local Authority, a new pathway that ensures people can find out information and seek help early, can refer in to one place and get the right response and level of support as soon as possible.

 


How to access the Community Wellbeing Service for children and young people and specialist Child and Adolescent Mental Health services (CAMHS)

From 1 June 2017 you can make a referral, including a self-referral, to the single point of access for mental health needs (The only exception to this is Urgent Specialist CAMHS referrals – please see below)

  • All non-urgent routine and priority 5 day referrals will be handled by a central triage hub staffed with clinicians from the partners within the new Community Wellbeing Service (including Here, YMCA Dialogue, Specialist CAMHS, and Lead GP’s).
  • The Triage team will be available Mon-Fri 9am-1pm on 0300 002 0060 or by email at: BICS.brighton-and-hove-wellbeing@nhs.net. Parents, carers, children and young people as well as professionals working with them can refer directly to the team or contact them to request a referral form or speak to somebody if they have any queries / require further information before making a referral.
  • The service will contact you if we need further information in order to make the most clinically appropriate decision.
  • On occasion they will also contact the person you are referring, and/or their family if necessary, to ensure a smooth pathway into services.
  • GPs will send referrals via the Electronic Referral System ERS – https://nww.ebs.ncrs.nhs.uk/
    • Assign to the Brighton & Hove Wellbeing Service and NOT Optum
    • GP Referrals made for people aged 18 & over will require a completed PHQ-9 / GAD-7

For more information on the services provided please read the Community Wellbeing Service Briefing 

Or visit the Brighton & Hove Wellbeing Service website at www.brightonandhovewellbeing.org for more details and to access self referral forms for young people and adults.


Seeking help, advice and guidance

www.findgetgive.com is a website where you can find information about mental health services and support available for people aged 25 and under in Brighton & Hove, including details on self-referral options. Young people can leave a star rating and a review of a service they have visited, and you can also access help and advice pages to find books, podcasts, apps and other handy tools that can help with wellbeing.

There is also a parents and carers page with helpful resources and tools to support yourself and your child around mental health.


Urgent Specialist CAMHS referrals

if the young person is at immediate risk of taking their own life or is showing severe psychotic symptoms please telephone the CAMHS service directly

 

  • The Duty Clinician on call for CAMHS is available from 9am – 5pm Monday to Friday on 0300 304 0061 (extended hours are being developed). Referrals for those young people presenting with this level of mental health risk and being referred directly to CAMHS. This can be arranged via contacting 0300 304 0061and may require to be seen at the Royal Alexandra Children’s Hospital (RACH) the duty clinician at Specialist CAMHS can assist with this
  • The Urgent Help Team are available 5pm-8pm Monday – Friday and 10am – 6pm on weekends and bank holidays accessed by a professional referral.
  • Sussex Partnership’s Specialist Child and Adolescent Mental Health Service (CAMHS) support children and young people who are affected by specific mental health conditions such as anxiety, depression and post-traumatic stress disorder.

For more information on the services provided please read the Community Wellbeing Service Briefing 

  • 1. Universal

    Has needs met within universal provision. May need limited intervention within the setting to avoid needs arising.

  • 2. Early Help

    Has additional needs identified within the setting that can be met within identified resources through a single agency response and partnership working.

  • 3. Early Help Partnership Plus

    Has multiple needs requiring a multi-agency coordinated response.

  • 4. Specialist Services to address Acute & Chronic need

    Has a high level of unmet & complex needs, or is in need of protection.

  • Child developmental needs
    • Good attendance (above 90%)
    • ×

      Good attendance (above 90%)

      ×

      Good attendance (above 90%)

    • Meeting developmental & learning milestones
    • ×

      Meeting developmental & learning milestones

      ×

      Meeting developmental & learning milestones

    • Has emotional well-being
    • ×

      Has emotional well-being

      ×

      Has emotional well-being

    • Ability to protect self and be protected
    • ×

      Ability to protect self and be protected

      ×

      Ability to protect self and be protected

    • Resilient and able to adapt to change
    • ×

      Resilient and able to adapt to change

      ×

      Resilient and able to adapt to change

    • Physically healthy
    • ×

      Physically healthy

      ×

      Physically healthy

    • Age-appropriate self care & independence skills
    • ×

      Age-appropriate self care & independence skills

      ×

      Age-appropriate self care & independence skills

    • Ability to express needs
    • ×

      Ability to express needs

      ×

      Ability to express needs

  • Child developmental needs
    • Absence/truancy from school    
    • ×

      Absence/truancy from school

      ×

      Absence/truancy from school

    • Incidence of absence/missing from home    
    • ×

      Incidence of absence/missing from home

    • Persistent poor behaviour in school  
    • ×

      Persistent poor behaviour in school

      ×

      Persistent poor behaviour in school

    • Risk of social exclusion    
    • ×

      Risk of social exclusion

      ×

      Risk of social exclusion

    • Poor relationships  
    • ×

      Poor relationships

      ×

      Poor relationships

    • Language and communication difficulties  
    • ×

      Language and communication difficulties

      ×

      Language and communication difficulties

    • Disability or additional special educational needs    
    • ×

      Disability or additional special educational needs

      ×

      Disability or additional special educational needs

    • Difficulty in achieving in education  
    • ×

      Difficulty in achieving in education

      ×

      Difficulty in achieving in education

    • Potential for becoming Not in Education, Employment or Training (NEET)    
    • ×

      Potential for becoming Not in Education, Employment or Training (NEET)

      ×

      Potential for becoming Not in Education, Employment or Training (NEET)

    • Slow in meeting developmental milestones    
    • ×

      Slow in meeting developmental milestones

      ×

      Slow in meeting developmental milestones

    • Missing health checks/immunisations    
    • ×

      Missing health checks/immunisations

    • Minor health problems  
    • ×

      Minor health problems

      ×

      Minor health problems

    • Early signs of offending/anti-social behaviour  
    • ×

      Early signs of offending/anti-social behaviour

      ×

      Early signs of offending/anti-social behaviour

    • Underage sexual activity    
    • ×

      Underage sexual activity

    • Early signs of drug/alcohol misuse    
    • ×

      Early signs of drug/alcohol misuse

    • Poor self-esteem    
    • ×

      Poor self-esteem

    • Low level emotional & behavioural issues that may be linked to attachment and/or emotional development delay    
    • ×

      Low level emotional & behavioural issues that may be linked to attachment and/or emotional development delay

    • Young carers    
    • ×

      Young carers

    • Bullying    
    • ×

      Bullying

      ×

      Bullying

    • Children who have previously been in Care, and children living away from their birth parents e.g adopted children, Special Guardianship Orders, Kinship Care.  
    • ×

      Children who have previously been in Care, and children living away from their birth parents e.g adopted children, Special Guardianship Orders, Kinship Care.

      ×

      Children who have previously been in Care, and children living away from their birth parents e.g adopted children, Special Guardianship Orders, Kinship Care.

  • Child developmental needs
    Despite intervention at 2, there is evidence of continuing and escalating need:
    • Persistent absence from school    
    • ×

      Persistent absence from school

      ×

      Persistent absence from school

    • Missing from school/ home regularly with no explanation    
    • ×

      Missing from school/ home regularly with no explanation

    • Fixed Term exclusions/no school place  
    • ×

      Fixed Term exclusions/no school place

      ×

      Fixed Term exclusions/no school place

    • Social exclusion    
    • ×

      Social exclusion

      ×

      Social exclusion

    • Poor relationships  
    • ×

      Poor relationships

      ×

      Poor relationships

    • No access to universal services / “Hidden Children”    
    • ×

      No access to universal services / “Hidden Children”

      ×

      No access to universal services / “Hidden Children”

    • Significant disabilities    
    • ×

      Significant disabilities

    • NEET (Not in Education, Employment or Training)    
    • ×

      NEET (Not in Education, Employment or Training)

      ×

      NEET (Not in Education, Employment or Training)

    • Developmental milestones not being met due to persistent parental failure/inability    
    • ×

      Developmental milestones not being met due to persistent parental failure/inability

      ×

      Developmental milestones not being met due to persistent parental failure/inability

    • Chronic/recurring health problems    
    • ×

      Chronic/recurring health problems

      ×

      Chronic/recurring health problems

    • Regular missed appointments affecting developmental progress    
    • ×

      Regular missed appointments affecting developmental progress

      ×

      Regular missed appointments affecting developmental progress

    • Teenage pregnancy    
    • ×

      Teenage pregnancy

    • Drug/alcohol misuse impacting negatively    
    • ×

      Drug/alcohol misuse impacting negatively

    • Risky sexual behaviour (e.g. unprotected sex)    
    • ×

      Risky sexual behaviour (e.g. unprotected sex)

    • Offending / anti-social behaviour resulting in risk of entering Youth Justice System  
    • ×

      Offending / anti-social behaviour resulting in risk of entering Youth Justice System

      ×

      Offending / anti-social behaviour resulting in risk of entering Youth Justice System

    • Emotional / mental health issues    
    • ×

      Emotional / mental health issues

      ×

      Emotional / mental health issues

  • Child developmental needs
    Persistent/continued/severe:
    • Chronic persistent absence, permanent exclusions or no school place that risks entry to the care system  
    • ×

      Chronic persistent absence, permanent exclusions or no school place that risks entry to the care system

      ×

      Chronic persistent absence, permanent exclusions or no school place that risks entry to the care system

    • Persistent social exclusion    
    • ×

      Persistent social exclusion

      ×

      Persistent social exclusion

    • Poor relationships  
    • ×

      Poor relationships

      ×

      Poor relationships

    • Complex / multiple disabilities    
    • ×

      Complex / multiple disabilities

    • Complex mental health issues affecting development needs, including self harm    
    • ×

      Complex mental health issues affecting development needs, including self harm

      ×

      Complex mental health issues affecting development needs, including self harm

    • High level emotional health issues and very low self-esteem    
    • ×

      High level emotional health issues and very low self-esteem

    • Non-organic failure to thrive  
    • ×

      Non-organic failure to thrive

      ×

      Non-organic failure to thrive

    • Inappropriate sexual knowledge / sexualised behaviour for age.    
    • ×

      Inappropriate sexual knowledge / sexualised behaviour for age.

      ×

      Inappropriate sexual knowledge / sexualised behaviour for age.

    • Harmful Sexual Behaviour / Peer on Peer Abuse    
    • ×

      Harmful Sexual Behaviour / Peer on Peer Abuse

    • Teenage parent/pregnancy under the age of 13    
    • ×

      Teenage parent/pregnancy under the age of 13

    • Concerns about exploitation (including sexual exploitation/ abuse, radicalisation; criminal exploitation; gang affiliation)    
    • ×

      Concerns about exploitation (including sexual exploitation/ abuse, radicalisation; criminal exploitation; gang affiliation)

    • Child victims of modern slavery or human trafficking    
    • ×

      Child victims of modern slavery or human trafficking

      ×

      Child victims of modern slavery or human trafficking

    • Unaccompanied minors    
    • ×

      Unaccompanied minors

    • Drug/alcohol use severely impairing development    
    • ×

      Drug/alcohol use severely impairing development

    • Frequently missing from home resulting in self-neglect    
    • ×

      Frequently missing from home resulting in self-neglect

    • Relationship breakdown between child & parent    
    • ×

      Relationship breakdown between child & parent

    • Offending and in the criminal justice system    
    • ×

      Offending and in the criminal justice system

      ×

      Offending and in the criminal justice system

    • Unexplained / suspicious injury    
    • ×

      Unexplained / suspicious injury

  • Family & Environment
    • Positive relationship between parents
    • ×

      Positive relationship between parents

      ×

      Positive relationship between parents

    • Stable & affectionate relationships with caregivers
    • ×

      Stable & affectionate relationships with caregivers

      ×

      Stable & affectionate relationships with caregivers

    • Housed, good diet and kept healthy
    • ×

      Housed, good diet and kept healthy

      ×

      Housed, good diet and kept healthy

    • Supportive networks
    • ×

      Supportive networks

      ×

      Supportive networks

    • Access to positive activities
    • ×

      Access to positive activities

      ×

      Access to positive activities

    • Positive sense of self and abilities
    • ×

      Positive sense of self and abilities

      ×

      Positive sense of self and abilities

  • Family & Environment
    • Children of prisoners/ parents subject to community orders    
    • ×

      Children of prisoners/ parents subject to community orders

    • Low income affects achievement    
    • ×

      Low income affects achievement

    • Parental conflict and risk of relationship breakdown    
    • ×

      Parental conflict and risk of relationship breakdown

    • Concerns about possible domestic abuse    
    • ×

      Concerns about possible domestic abuse

  • Family & Environment
    • Housing tenancy at risk    
    • ×

      Housing tenancy at risk

      ×

      Housing tenancy at risk

    • Harmful parental conflict and/or relationship breakdown    
    • ×

      Harmful parental conflict and/or relationship breakdown

      ×

      Harmful parental conflict and/or relationship breakdown

    • Transient families  
    • ×

      Transient families

      ×

      Transient families

    • Domestic abuse & coercive control    
    • ×

      Domestic abuse & coercive control

    • No recourse to public funds    
    • ×

      No recourse to public funds

  • Family & Environment
    • Significantly harmful parental conflict and/or relationship breakdown    
    • ×

      Significantly harmful parental conflict and/or relationship breakdown

      ×

      Significantly harmful parental conflict and/or relationship breakdown

    • Suspicion of physical, emotional or sexual abuse or neglect    
    • ×

      Suspicion of physical, emotional or sexual abuse or neglect

      ×

      Suspicion of physical, emotional or sexual abuse or neglect

    • Domestic abuse resulting in child being at risk of significant harm    
    • ×

      Domestic abuse resulting in child being at risk of significant harm

    • Homeless Child/Young Person    
    • ×

      Homeless Child/Young Person

    • Family intentionally homeless    
    • ×

      Family intentionally homeless

    • Extreme poverty affecting child well-being    
    • ×

      Extreme poverty affecting child well-being

      ×

      Extreme poverty affecting child well-being

    • Forced Marriage, Honour Based Violence, Female Genital Mutilation    
    • ×

      Forced Marriage, Honour Based Violence, Female Genital Mutilation

  • Parents & Carers
    • Protected by carers
    • ×

      Protected by carers

      ×

      Protected by carers

    • Secure and caring home
    • ×

      Secure and caring home

      ×

      Secure and caring home

    • Receive and act on information, advice and guidance
    • ×

      Receive and act on information, advice and guidance

      ×

      Receive and act on information, advice and guidance

    • Appropriate boundaries maintained
    • ×

      Appropriate boundaries maintained

      ×

      Appropriate boundaries maintained

  • Parents & Carers
    • Inconsistent care arrangements  
    • ×

      Inconsistent care arrangements

      ×

      Inconsistent care arrangements

    • Poor supervision by parent/carer    
    • ×

      Poor supervision by parent/carer

      ×

      Poor supervision by parent/carer

    • Poor response to child’s physical, emotional or health needs    
    • ×

      Poor response to child’s physical, emotional or health needs

      ×

      Poor response to child’s physical, emotional or health needs

    • Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences (ACEs)  
    • ×

      Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences (ACEs)

      ×

      Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences (ACEs)

  • Parents & Carers
    • Parental learning or physical disability, substance misuse, or mental health impacts on parenting    
    • ×

      Parental learning or physical disability, substance misuse, or mental health impacts on parenting

    • Inconsistent care arrangements  
    • ×

      Inconsistent care arrangements

      ×

      Inconsistent care arrangements

    • Poor supervision by parent/carer  
    • ×

      Poor supervision by parent/carer

      ×

      Poor supervision by parent/carer

    • Poor response to identified needs    
    • ×

      Poor response to identified needs

      ×

      Poor response to identified needs

    • Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences  
    • ×

      Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences

      ×

      Historic context of parents/carers own childhood, i.e Adverse Childhood Experiences

  • Parents & Carers
    • Edge of care  
    • ×

      Edge of care

      ×

      Edge of care

    • Parental encouragement of abusive/offending behaviour
    • ×

      Parental encouragement of abusive/offending behaviour

      ×

      Parental encouragement of abusive/offending behaviour

    • Continuing poor supervision in the home    
    • ×

      Continuing poor supervision in the home

    • Parental non-compliance / superficial co-operation    
    • ×

      Parental non-compliance / superficial co-operation

    • Inconsistent parenting affects child’s developmental progress  
    • ×

      Inconsistent parenting affects child’s developmental progress

      ×

      Inconsistent parenting affects child’s developmental progress

    • Private fostering    
    • ×

      Private fostering

  • Level of assessment
    No formal assessment
  • Level of assessment
    Consider commencement of Early Help Assessment / Pastoral Support Plan
  • Level of assessment
    Strengthening Families Early Help Assessment and Plan
  • Level of assessment
    Strengthening Families > Child in Need Plan or Child Protection Conference
  • Go direct to Service or search the Family Service Directory for the Local Offer, or call the Family Information Service on 01273 293545
  • Early Help Strengthening Families Assessment & Plan. If you require advice or guidance in respect of the child needs contact the Front Door For Families on 01273 290400
  • Contact Front Door For Families on 01273 290400 or if the child is at immediate risk call the Police on 999