Significant risk of to self or Anorexia: at least 15% deficit from others ideal weight with associated psychopathology Urgent criteria Bulimia: engaging in binge and purge To be discussed with the Duty Clinician for behaviours the Community CAMHS team and Eating Disorders Not Otherwise assessment arranged as is clinically Specified (EDNOS) with functional indicated and as a maximum within 7 days impairment or physical risk Severe symptoms of depression with or without suicidal ideas/thoughts Psychotic Illness Symptoms of anorexia with over 20% Positive symptoms – Paranoia, deficit from ideal weight and/or delusional beliefs, abnormal significant physical risk perceptions (hallucinations on all Severe unexplained deterioration in sensory modalities) emotional state and behaviour at Negative, symptoms – deterioration in home and school not thought to be self-care and daily personal, social and due to drugs, alcohol or physical family functioning illness Disinhibited behaviour, over-activity, Assessment following deliberate risk taking, with pressure of speech harm and presentation at accident and and agitation emergency services. The referrer Severe depression with psychomotor needs to identify the level of urgency retardation, social withdrawal, suicidal of the case. If in doubt the referrer ideas/thoughts should contact the Community CAMHS Duty Clinician. Anxiety Disorders Standard criteria Anxiety panic attacks There will be an emphasis on the need for Separation anxiety assessment to ascertain presence or not of Phobias including phobic anxiety severe mental ill health and Community related to school CAMHS contribution to management of complex cases. Factors to consider include: Depression severity, complexity, enduring difficulties Physical symptoms: poor sleep / over time, difficulties in appetite / libido one or more domain, impairment of Cognitive symptoms: negative function at home, school or socially. thoughts about self / others / world Suicidal ideas / thoughts: such as level Attention Deficit Hyperactivity Disorder of intent, current thought (ADSHD) & Autistic Spectrum Disorder Co-morbidity: depression often occurs (ASD) concurrently with other presenting Complex Attention Deficit mental health problems Hyperactivity Disorder & Autistic Spectrum Disorder cases with Post Traumatic Stress Disorder mental health issues which Symptoms occurring more than 1 meet Community CAMHS criteria month after a recognised traumatic event Eating Disorders Intrusion and avoidance of thoughts and memories about the trauma
Significant risk of to self or others Urgent criteria To be discussed with the Duty Clinician for the Community CAMHS team and assessment arranged as is clinically indicated and as a maximum within 7 days Severe symptoms of depression with or without suicidal ideas/thoughts Symptoms of anorexia with over 20% deficit from ideal weight and/or significant physical risk Severe unexplained deterioration in emotional state and behaviour at home and school not thought to be due to drugs, alcohol or physical illness Assessment following deliberate and presentation at accident and emergency services. The referrer needs to identify the level of urgency of the case. If in doubt the referrer should contact the Community CAMHS Duty Clinician. Standard criteria There will be an emphasis on the need for assessment to ascertain presence or not of severe mental ill health and Community CAMHS contribution to management of complex cases. Factors to consider include: severity, complexity, enduring difficulties over time, difficulties in one or more domain, impairment of function at home, school or socially. Attention Deficit Hyperactivity Disorder (ADSHD) & Autistic Spectrum Disorder (ASD) Complex Attention Deficit Hyperactivity Disorder & Autistic Spectrum Disorder cases with mental health issues which meet Community CAMHS criteria Eating Disorders Anorexia: at least 15% deficit from ideal weight with associated psychopathology Bulimia: engaging in binge and purge behaviours Eating Disorders Not Otherwise Specified (EDNOS) with functional impairment or physical risk Psychotic Illness Positive symptoms – Paranoia, delusional beliefs, abnormal perceptions (hallucinations on all sensory modalities) Negative, symptoms – deterioration in self-care and daily personal, social and family functioning Disinhibited behaviour, over-activity, risk taking, with pressure of speech and agitation Severe depression with psychomotor retardation, social withdrawal, suicidal ideas/thoughts Anxiety Disorders Anxiety panic attacks Separation anxiety Phobias including phobic anxiety related to school Depression Physical symptoms: poor sleep / appetite / libido Cognitive symptoms: negative thoughts about self / others / world Suicidal ideas / thoughts: such as level of intent, current thought Co-morbidity: depression often occurs concurrently with other presenting mental health problems Post Traumatic Stress Disorder Symptoms occurring more than 1 month after a recognised traumatic event Intrusion and avoidance of thoughts and memories about the trauma harm