Voluntary sector workers working with children with additional needs Thresholds of Need Services Available to Children across the Four Levels of Need: CAMHS Needs: Level 1 Base Level 2 Children with Level 3 Children in Need Level 4 Children with Complex and/or – – – – Population Additional Needs Acute Needs Assessments: Routine FHNA, school Preliminary Assessment Specialist Assessment Specialist Assessment medical screening, GP diagnosis Services (inc. Tier One: children’s emotional health and Tier Two: assessment, treatment and Tier Three: assessment, Tier Four: In-patient referral well0-being needs are met by intervention. Some families will management and treatment of assessment, professionals currently engaged with the to tier 2 services, other are children and adolescents whose treatment and child. There is no specialist CAMHS referred through by Tier 1 staff as a mental health needs cannot be intervention for service at this level. consequence of its complexity, levels managed at Tier 2 because of the adolescents who are of risk and persistence. CAMHS complexity, risk, persistence and referred from Tier 3 For example, recommendations services are provided through Family interference with social functioning services due to their regarding lifestyle choices; positive Centres and direct work in people’s and normal development. mental health parenting advice homes. problems being In addition to those services extremely complex, For example, professional consultation provided at Tier Two, the following high-risk and and assessment; group work to groups may be provided: self-regulation persistent. identified as requiring CAMHS therapy; eye movement services; family therapy; advice about desensitisation Reprocessing provision of building sense of self, identity and (EMDR) specialist individual psychotherapy; intervention on a parent management training; NLP regional basis which (Neuro-Linguistic Processing); would not be behaviour therapy; cognitive therapy; in every locality practitioners In addition to those professionals In addition to those professionals In addition to those Professionals: paediatricians providing services at Level 1, the providing services at Level 1 and 2, professionals Visitors following professionals may become the following professionals may providing services at Workers involved at Level 2: become involved at Level 3: Level 1, 2 and 3, the following
Voluntary sector workers working with children with additional needs Thresholds of Need Services Available to Children across the Four Levels of Need: CAMHS Needs: Level 1 – Base Population Level 2 – Children with Additional Needs Level 3 – Children in Need Level 4 – Children with Complex and/or Acute Needs Assessments: Routine FHNA, school medical screening, GP diagnosis Preliminary Assessment Specialist Assessment Specialist Assessment Services (inc. referral Tier One: children’s emotional health and well0-being needs are met by professionals currently engaged with the child. There is no specialist CAMHS service at this level. For example, recommendations regarding lifestyle choices; positive parenting advice Tier Two: assessment, treatment and intervention. Some families will to tier 2 services, other are referred through by Tier 1 staff as a consequence of its complexity, levels of risk and persistence. CAMHS services are provided through Family Centres and direct work in people’s homes. For example, professional consultation and assessment; group work to groups identified as requiring CAMHS services; family therapy; advice about building sense of self, identity and individual psychotherapy; parent management training; NLP (Neuro-Linguistic Processing); behaviour therapy; cognitive therapy; Tier Three: assessment, management and treatment of children and adolescents whose mental health needs cannot be managed at Tier 2 because of the complexity, risk, persistence and interference with social functioning and normal development. In addition to those services provided at Tier Two, the following may be provided: self-regulation therapy; eye movement desensitisation Reprocessing (EMDR) Tier Four: In-patient assessment, treatment and intervention for adolescents who are referred from Tier 3 services due to their mental health problems being extremely complex, high-risk and persistent. provision of specialist intervention on a regional basis which would not be in every locality Professionals: practitioners paediatricians Visitors Workers In addition to those professionals providing services at Level 1, the following professionals may become involved at Level 2: In addition to those professionals providing services at Level 1 and 2, the following professionals may become involved at Level 3: In addition to those professionals providing services at Level 1, 2 and 3, the following
thresholds-of-need-model_0.docx