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A Perfect CAMHS Journey - By Devon Young People

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The document provides an idealized description of a young person's journey through CAMHS (Child and Adolescent Mental Health Services) support from start to finish. The summary is: 1) The young person's GP listens carefully and refers them to CAMHS, where they are contacted promptly by phone or letter and provided useful information. 2) At their first CAMHS appointment, the welcoming receptionist and comfortable waiting area help put them at ease before meeting with their empathetic worker. 3) Ongoing support involves the worker taking a holistic approach and clear communication from managers about the treatment structure and options. 4) The ending is well-managed too, with follow-ups and

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A Perfect CAMHS Journey --From a Service Users Perspective Presented by Olivia Stanley, Matt Ruane, Rachel Vowden, Jon Davies and with help from Robin Tay.
A Perfect CAMHS Journey
For many young people, the first step of the CAMHS journey is a trip to their GP GP: Hello, Im your GP. As well as my expertise in physical health, I have an extensive knowledge and understanding of mental and emotional health. When you come to see me Ill listen carefully to what you say and Ill focus on the emotional aspects of what you talk about as well as the physical. Ill tell you about the various services that might be able to support you and Ill ask for your views on what should happen next. Between us well decide what the next step will be. So lets say we decided that a referral into CAMHS is the way forward.Someone from CAMHS will contact you in a couple of days, how would you like to be contacted? Rachel: By phone please Jon: Id like CAMHS to write to me please GP: Okey dokey, no problem
Visit to the GP Key Points The GP would consider both our physical and mental health when we go to see them for any emotional or behavioural problems. They would have an extensive knowledge of the services available for young people to access. The young persons individual needs shall be acknowledged and if they are referred to CAMHS they should have a say in how they would like to be contacted.
A Perfect CAMHS Journey
CAMHS Worker no.1: Hi Rachel, Im a CAMHS Worker and when I give you a call a couple of days after youve seen your GP, Ill chat to you and find out more about what you need and assess whether or not youre at risk. Ill tell you about CAMHS and reassure you about the way we work. Also, Ill let you know roughly how long it will be until your first appointment and Ill suggest some websites you can look at to get information and support in the meantime.
CAMHS Worker no.2: Hi Jon, Im also a CAMHS Worker and when I write to you a couple of days after youve seen your GP Ill make sure the letter has a friendly tone and is in plain English not too formal and complicated. Ill include information about CAMHS and what we do and Ill let you know roughly how long it will be until your first appointment. Ill give you an outline of what being a CAMH Service user means so that youve got an idea of what to expect. Also, Ill include some information about where you can find information and support while youre waiting for your appointment.
First contact from CAMHS Key Points If the young person wishes to receive a phone call, they should be provided with useful information about CAMHS and how they can help. If the young person decides to receive a letter from CAMHS, it should be easy to read and have a welcoming tone. In both cases, the young person should receive useful resources which can support them whilst they wait to be seen. A rough estimate of when the young person can expect to have an appointment would also be appreciated.
A Perfect CAMHS Journey
Letter with details of first appointment: Im the letter confirming the details of your first appointment. Im reassuring, personal, positive and friendly.Im definitely not cold and clinical. First impressions are important. I might be feeling nervous and anxious when I come to CAMHS for the first time. I really want to be made to feel at ease CAMHS Receptionist: Hello, Im the CAMHS Receptionist. Mine will be the first face you see when you come for your appointment and I know how important first impressions are. I realise that you might be a bit on the nervous side so Ill be attentive, cheerful and welcoming. Ill find out your name and Ill always use it when Im talking to you Ill tell you what my name is too. When you come back for more appointments Ill remember you and Ill always be pleased to see you.
CAMHS Building: Im the CAMHS building. When you come here youll find all the doors open no secret codes or magical security key fobs. In the waiting room there are comfy sofas and chairs and there are some childrens toys.but not too many. Theres a variety of reading material including some of the daily papers (but NEVER the Daily Mail). Theres a TV thats sometimes on in the corner and when its on its never, ever on the CBEEBIES channel. When the TV is not on, theres a radio on in the background. Theres a vending machine for hot drinks, a water dispenser and a good supply of cups. Also, theres some plants a yucca plant and a bonsai tree. The place doesnt smell of dodgy air fresheners or anything unpleasant in fact. The walls are neutral colours not too bright but not too drab either and there are pieces of art made by children and young people who have used CAMHS on the walls. Some of the floors are wood and some are carpeted there is absolutely no lino.
CAMHS Worker no.3: Im the worker that will be with you during your time with CAMHS. When you come for your first appointment Ill come and meet you in the waiting room. Ill tell you my name and my job title and Ill explain my role in a clear way so that you have some understanding of what I do. Ill be relaxed, confident and friendly. Ill know your name and Ill use it. If youre with someone else, like a parent or carer, Ill engage with them too and Ill ask you if you would like them to come with you to your appointment. When we get to the therapy room youll find it cool and airy with some comfy chairs and no desk. Ill check that its cool enough or warm enough for you and Ill let you choose where you sit. Continued.
CAMHS Worker no.3 (continued) Ill break the ice with a few light hearted questions and Ill tell you a bit about me too. In our first meeting Ill find out as much as I can about you and your life and Ill ask some questions about your emotional wellbeing but nothing too pressured and Ill let you know that you dont have to answer any questions that you dont want to. Ill listen really carefully and Ill check with you that its ok to take notes if I feel I need to. When Im working with you Ill think about you in the broadest sense Ill consider your family, your friends. School or college, work, pets and anything else that plays a part in your life. When we get to the end of our first appointment, Ill be really clear and honest about what will happen next for example, how many appointments youre likely to have and how often.
First visit to CAMHS Key Points CAMHS Receptionists play a large role in a young persons first impression of the service theyre just as important as therapists and consultants in regards to the CAMHS experience! Young people would like a waiting area which is contemporary, comfortable and equipped with refreshment facilities. Positive traits of a CAMHS worker would include the ability to listen, to be likeable and take an holistic approach when assessing what support the young person needs. This could encompass their family, school, friends, work and even pets!
A Perfect CAMHS Journey
CAMHS Manager no.1: As a CAMHS Manager Ill make sure that your worker knows to explain the structure of your support and all the details such as where you have to go, how often and how long youll get support for. Ill make sure that your worker uses outcome measures as supporting tool and not as the main factor in hearing what youve got to say. As a service, well give you information and resources to help you between sessions. Well always listen to what you say, give you advice and guidance when you ask for it and encourage you to contact us between sessions if you need to. Well also encourage you to keep a record of how your support is going maybe a diary so that you can share these thoughts with your worker. Well ask your worker to share with you how they think its going too. We hope that this will help the worker to get even better at their job.
CAMHS Manager no.2: Hi, Im another CAMHS Manager. Ill make sure you have some choice over the Worker that helps you and Ill make sure its as easy as possible to change your Worker if you need to. As a service, well do everything we can to keep you with the Worker youre happy with and well be really honest, and give you as much warning as we can, if this has to change for any reason. Well make sure you know how to raise a concern about CAMHS in a way that feels safe for you so that you dont feel uncomfortable or worry that your support might be affected in bad way.
During our time with CAMHS Key Points It is important that the young person understands the treatment that they may receive and its structure. In between sessions, the young person can contact their CAMHS worker, if they are in distress or need help outside of appointment time. We understand the constraints of a health service like CAMHS, but where possible young people would like a choice over the worker they are assigned. If there are any direct concerns, either by the worker or young person, there should be a dedicated person who can deal with any difficulties or complaints, to ensure that effective treatment is given.
A Perfect CAMHS Journey
At some point well have to say goodbye to CAMHS and its really important to get the ending right CAMHS Manager no.3: Hello, Im CAMHS Manager number 3. When youre getting towards the end of your time in CAMHS, Ill make sure your Worker explains how your support will end and what will happen next. Youll be able to have some follow up sessions to see how youre doing these will get less frequent and will end up like occasional check-ups. When your support has come to an end, your Worker will assure you that if you feel you need their help again, youll be able to make an appointment with them without having to go through the whole referral process for a second time.
CAMHS Manager no.4: Hi, Im another CAMHS Manager I realise were starting to look a bit management heavy in this scenariosorry about that. Anyway, if youre moving from CAMHS into Adult Services, Ill make sure that were flexible about how this happens we wont be too rigid about when this has to happen and well base our decision on your needs as an individual. Before you leave us, well give you lots of information about Adult Services and explain how its different from CAMHS so that you know what to expect. Once youve moved on, well keep in touch with Adult Services and support their work with you as much as we can. Well share any information with them that you want us to in order to help you.
Towards the end of our time at CAMHS Key Points The young person should be aware of the support they can receive after they have reached the end of their time at CAMHS. Follow-up appointments should be arranged and would become less frequent, to ensure that the right progress is being made. Clear information will be given to the young person about adult mental health services, and how it may benefit them. An agreement between CAMHS and the young person could be reached about the right time for the transition to occur.
CAMHS Worker no.4: And finallyIm another CAMHS Worker by the way.and if I was your Worker when we come to the end of our work together Ill let you know that its ok to keep in touch with me and tell me about all of the exciting things youre doing.
Thank you.

More Related Content

A Perfect CAMHS Journey - By Devon Young People

  • 1. A Perfect CAMHS Journey --From a Service Users Perspective Presented by Olivia Stanley, Matt Ruane, Rachel Vowden, Jon Davies and with help from Robin Tay.
  • 2. A Perfect CAMHS Journey
  • 3. For many young people, the first step of the CAMHS journey is a trip to their GP GP: Hello, Im your GP. As well as my expertise in physical health, I have an extensive knowledge and understanding of mental and emotional health. When you come to see me Ill listen carefully to what you say and Ill focus on the emotional aspects of what you talk about as well as the physical. Ill tell you about the various services that might be able to support you and Ill ask for your views on what should happen next. Between us well decide what the next step will be. So lets say we decided that a referral into CAMHS is the way forward.Someone from CAMHS will contact you in a couple of days, how would you like to be contacted? Rachel: By phone please Jon: Id like CAMHS to write to me please GP: Okey dokey, no problem
  • 4. Visit to the GP Key Points The GP would consider both our physical and mental health when we go to see them for any emotional or behavioural problems. They would have an extensive knowledge of the services available for young people to access. The young persons individual needs shall be acknowledged and if they are referred to CAMHS they should have a say in how they would like to be contacted.
  • 5. A Perfect CAMHS Journey
  • 6. CAMHS Worker no.1: Hi Rachel, Im a CAMHS Worker and when I give you a call a couple of days after youve seen your GP, Ill chat to you and find out more about what you need and assess whether or not youre at risk. Ill tell you about CAMHS and reassure you about the way we work. Also, Ill let you know roughly how long it will be until your first appointment and Ill suggest some websites you can look at to get information and support in the meantime.
  • 7. CAMHS Worker no.2: Hi Jon, Im also a CAMHS Worker and when I write to you a couple of days after youve seen your GP Ill make sure the letter has a friendly tone and is in plain English not too formal and complicated. Ill include information about CAMHS and what we do and Ill let you know roughly how long it will be until your first appointment. Ill give you an outline of what being a CAMH Service user means so that youve got an idea of what to expect. Also, Ill include some information about where you can find information and support while youre waiting for your appointment.
  • 8. First contact from CAMHS Key Points If the young person wishes to receive a phone call, they should be provided with useful information about CAMHS and how they can help. If the young person decides to receive a letter from CAMHS, it should be easy to read and have a welcoming tone. In both cases, the young person should receive useful resources which can support them whilst they wait to be seen. A rough estimate of when the young person can expect to have an appointment would also be appreciated.
  • 9. A Perfect CAMHS Journey
  • 10. Letter with details of first appointment: Im the letter confirming the details of your first appointment. Im reassuring, personal, positive and friendly.Im definitely not cold and clinical. First impressions are important. I might be feeling nervous and anxious when I come to CAMHS for the first time. I really want to be made to feel at ease CAMHS Receptionist: Hello, Im the CAMHS Receptionist. Mine will be the first face you see when you come for your appointment and I know how important first impressions are. I realise that you might be a bit on the nervous side so Ill be attentive, cheerful and welcoming. Ill find out your name and Ill always use it when Im talking to you Ill tell you what my name is too. When you come back for more appointments Ill remember you and Ill always be pleased to see you.
  • 11. CAMHS Building: Im the CAMHS building. When you come here youll find all the doors open no secret codes or magical security key fobs. In the waiting room there are comfy sofas and chairs and there are some childrens toys.but not too many. Theres a variety of reading material including some of the daily papers (but NEVER the Daily Mail). Theres a TV thats sometimes on in the corner and when its on its never, ever on the CBEEBIES channel. When the TV is not on, theres a radio on in the background. Theres a vending machine for hot drinks, a water dispenser and a good supply of cups. Also, theres some plants a yucca plant and a bonsai tree. The place doesnt smell of dodgy air fresheners or anything unpleasant in fact. The walls are neutral colours not too bright but not too drab either and there are pieces of art made by children and young people who have used CAMHS on the walls. Some of the floors are wood and some are carpeted there is absolutely no lino.
  • 12. CAMHS Worker no.3: Im the worker that will be with you during your time with CAMHS. When you come for your first appointment Ill come and meet you in the waiting room. Ill tell you my name and my job title and Ill explain my role in a clear way so that you have some understanding of what I do. Ill be relaxed, confident and friendly. Ill know your name and Ill use it. If youre with someone else, like a parent or carer, Ill engage with them too and Ill ask you if you would like them to come with you to your appointment. When we get to the therapy room youll find it cool and airy with some comfy chairs and no desk. Ill check that its cool enough or warm enough for you and Ill let you choose where you sit. Continued.
  • 13. CAMHS Worker no.3 (continued) Ill break the ice with a few light hearted questions and Ill tell you a bit about me too. In our first meeting Ill find out as much as I can about you and your life and Ill ask some questions about your emotional wellbeing but nothing too pressured and Ill let you know that you dont have to answer any questions that you dont want to. Ill listen really carefully and Ill check with you that its ok to take notes if I feel I need to. When Im working with you Ill think about you in the broadest sense Ill consider your family, your friends. School or college, work, pets and anything else that plays a part in your life. When we get to the end of our first appointment, Ill be really clear and honest about what will happen next for example, how many appointments youre likely to have and how often.
  • 14. First visit to CAMHS Key Points CAMHS Receptionists play a large role in a young persons first impression of the service theyre just as important as therapists and consultants in regards to the CAMHS experience! Young people would like a waiting area which is contemporary, comfortable and equipped with refreshment facilities. Positive traits of a CAMHS worker would include the ability to listen, to be likeable and take an holistic approach when assessing what support the young person needs. This could encompass their family, school, friends, work and even pets!
  • 15. A Perfect CAMHS Journey
  • 16. CAMHS Manager no.1: As a CAMHS Manager Ill make sure that your worker knows to explain the structure of your support and all the details such as where you have to go, how often and how long youll get support for. Ill make sure that your worker uses outcome measures as supporting tool and not as the main factor in hearing what youve got to say. As a service, well give you information and resources to help you between sessions. Well always listen to what you say, give you advice and guidance when you ask for it and encourage you to contact us between sessions if you need to. Well also encourage you to keep a record of how your support is going maybe a diary so that you can share these thoughts with your worker. Well ask your worker to share with you how they think its going too. We hope that this will help the worker to get even better at their job.
  • 17. CAMHS Manager no.2: Hi, Im another CAMHS Manager. Ill make sure you have some choice over the Worker that helps you and Ill make sure its as easy as possible to change your Worker if you need to. As a service, well do everything we can to keep you with the Worker youre happy with and well be really honest, and give you as much warning as we can, if this has to change for any reason. Well make sure you know how to raise a concern about CAMHS in a way that feels safe for you so that you dont feel uncomfortable or worry that your support might be affected in bad way.
  • 18. During our time with CAMHS Key Points It is important that the young person understands the treatment that they may receive and its structure. In between sessions, the young person can contact their CAMHS worker, if they are in distress or need help outside of appointment time. We understand the constraints of a health service like CAMHS, but where possible young people would like a choice over the worker they are assigned. If there are any direct concerns, either by the worker or young person, there should be a dedicated person who can deal with any difficulties or complaints, to ensure that effective treatment is given.
  • 19. A Perfect CAMHS Journey
  • 20. At some point well have to say goodbye to CAMHS and its really important to get the ending right CAMHS Manager no.3: Hello, Im CAMHS Manager number 3. When youre getting towards the end of your time in CAMHS, Ill make sure your Worker explains how your support will end and what will happen next. Youll be able to have some follow up sessions to see how youre doing these will get less frequent and will end up like occasional check-ups. When your support has come to an end, your Worker will assure you that if you feel you need their help again, youll be able to make an appointment with them without having to go through the whole referral process for a second time.
  • 21. CAMHS Manager no.4: Hi, Im another CAMHS Manager I realise were starting to look a bit management heavy in this scenariosorry about that. Anyway, if youre moving from CAMHS into Adult Services, Ill make sure that were flexible about how this happens we wont be too rigid about when this has to happen and well base our decision on your needs as an individual. Before you leave us, well give you lots of information about Adult Services and explain how its different from CAMHS so that you know what to expect. Once youve moved on, well keep in touch with Adult Services and support their work with you as much as we can. Well share any information with them that you want us to in order to help you.
  • 22. Towards the end of our time at CAMHS Key Points The young person should be aware of the support they can receive after they have reached the end of their time at CAMHS. Follow-up appointments should be arranged and would become less frequent, to ensure that the right progress is being made. Clear information will be given to the young person about adult mental health services, and how it may benefit them. An agreement between CAMHS and the young person could be reached about the right time for the transition to occur.
  • 23. CAMHS Worker no.4: And finallyIm another CAMHS Worker by the way.and if I was your Worker when we come to the end of our work together Ill let you know that its ok to keep in touch with me and tell me about all of the exciting things youre doing.