across situations and settings at unclear or a severe/complex presentation is – home, school, and in public which described a referral to Tier 3 CAMHS may – began before 7 years of age. be considered. Families with children who display CAMHS would not normally assess a child difficulties in these categories should for ADHD until they have completed at least have already received significant advice one term within P1. and intervention from other professionals such as paediatricians, The PMHW Service may offer consultation health visitors, social workers and to those adults supporting the child/young educational support services before person when their behavioural needs are referral to Tier 3 CAMHS is made. causing concern. Anxiety Anxiety is a normal and common part of Those with recently emerging, less severe You may wish to find out more at: childhood. In most cases, anxiety in difficulties may be directed to the PMHW children is temporary, and may be Service via consultation. triggered by a specific stressful event. Children who show persistent or severe In some cases, anxiety in children can symptoms of anxiety should be referred to be persistent and intense, interfering Tier 3 These cases would include the with a child’s daily routines and following: activities. Where the child’s development or level of functioning has been Anxiety disorders include phobias, seriously affected or there has been a sudden deterioration. general anxiety, panic or persistent unexplained physical symptoms, such the anxiety appears to be out as headache or stomach-ache, where of proportion to the family physical cause has been excluded. circumstances. Where there is a significant impact on the parent/carer-child relationship - please describe in referral. Bereavement: Children’s response to grief will vary Consult with PMHW in the first instance Although painful for everyone including dependent on age, cognitive and describing what support has already been professionals, you may wish to give the & developmental stage. Quite often it can offered and how the difficulties are affecting family some time to experience a normal grief be the subsequent change in the child’s day to day functioning. The process circumstances or other family members’ PMHW may work directly with the reactions that can prove difficult for the child/young person or may signpost to other You may wish to consider referral to CHAS at child. services that can provide bereavement Home (the Highland outreach service for the support. Children’s Hospice Association of Scotland),
across situations and settings – at home, school, and in public – which began before 7 years of age. Families with children who display difficulties in these categories should have already received significant advice and intervention from other professionals such as paediatricians, health visitors, social workers and educational support services before referral to Tier 3 CAMHS is made. unclear or a severe/complex presentation is described a referral to Tier 3 CAMHS may be considered. CAMHS would not normally assess a child for ADHD until they have completed at least one term within P1. The PMHW Service may offer consultation to those adults supporting the child/young person when their behavioural needs are causing concern. Anxiety Anxiety is a normal and common part of childhood. In most cases, anxiety in children is temporary, and may be triggered by a specific stressful event. In some cases, anxiety in children can be persistent and intense, interfering with a child’s daily routines and activities. Anxiety disorders include phobias, general anxiety, panic or persistent unexplained physical symptoms, such as headache or stomach-ache, where physical cause has been excluded. Those with recently emerging, less severe difficulties may be directed to the PMHW Service via consultation. Children who show persistent or severe symptoms of anxiety should be referred to Tier 3 These cases would include the following: Where the child’s development or level of functioning has been seriously affected or there has been a sudden deterioration. the anxiety appears to be out of proportion to the family circumstances. Where there is a significant impact on the parent/carer-child relationship - please describe in referral. You may wish to find out more at: Bereavement: Children’s response to grief will vary dependent on age, cognitive and developmental stage. Quite often it can be the subsequent change in circumstances or other family members’ reactions that can prove difficult for the child. Consult with PMHW in the first instance describing what support has already been offered and how the difficulties are affecting the child’s day to day functioning. The PMHW may work directly with the child/young person or may signpost to other services that can provide bereavement support. Although painful for everyone including professionals, you may wish to give the & family some time to experience a normal grief process You may wish to consider referral to CHAS at Home (the Highland outreach service for the Children’s Hospice Association of Scotland),
CAMHS%20Referral%20Criteria%20Final1.docx