consuming preoccupations with restricted subjects. Where the conditions below have been identified there would also need to be a coexisting mental health problem as listed above for a referral to CAMHS to be appropriate. Working Brief Description Interventions available from Tier Child & Adolescent formulation 1 /2 Mental Health Service 3 –Tier Oppositional ODD is characterised by Children aged 7-11 can be Defiant behaviours such as: a referred to the Incredible Years Disorder, child or young person parenting programme being (ODD) loses their temper, piloted in the Health Visiting Conduct argues with adults, defies service. Disorder & adult requests, Challenging deliberately Refer to a parent training course behaviour annoys via the Get Set services. others, shifts to others, For younger children Paediatric touchy, easily assessment may be indicated. annoyed, resentful, In complex cases, including those spiteful or vindictive. where the challenging behaviour is linked to cognitive Conduct disorder and impairment, consultation for Challenging behaviour in children and young people aged this context can include: 11 18 PMHLW can be sought – self-injurious behaviour, to determine whether the client culturally abnormal meets the referral to CAMHS behaviours of such due to the presence of a intensity, frequency or mental health difficulty or duration that the physical because the behaviour is safety of the person or believed to be the way in which others is likely to be placed the client demonstrates mental in serious jeopardy, or distress. GPs and social behaviour which is likely to workers can seek advice via the seriously limit use of, or advice line. Behaviours believed result in the person being to be primarily the result of a denied access to, ordinary learning disability or a social community facilities. communication difficulty will not warrant a referral in themselves. Enuresis: A disorder Initial physical screen by GP, Enuresis and characterised by Early stage of presentation should Faecal uncontrolled urinating, by be signposted to Health Visitor or day and/or by night, which School Nurse for intervention. is abnormal in relation to Referral to paediatrics and via the child or young person’s them to the continence developmental stage and team. which is not a consequence of a neurological disorder, epileptic attacks or to structural abnormality of the urinary tract.
consuming preoccupations with restricted subjects. Where the conditions below have been identified there would also need to be a coexisting mental health problem as listed above for a referral to CAMHS to be appropriate. Working formulation Brief Description Interventions available from Tier 1 /2 Child & Adolescent Mental Health Service –Tier 3 Oppositional Defiant Disorder, (ODD) Conduct Disorder & Challenging behaviour ODD is characterised by behaviours such as: a child or young person loses their temper, argues with adults, defies adult requests, deliberately annoys others, shifts to others, touchy, easily annoyed, resentful, spiteful or vindictive. Conduct disorder and Challenging behaviour in this context can include: self-injurious behaviour, culturally abnormal behaviours of such intensity, frequency or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour which is likely to seriously limit use of, or result in the person being denied access to, ordinary community facilities. Children aged 7-11 can be referred to the Incredible Years parenting programme being piloted in the Health Visiting service. Refer to a parent training course via the Get Set services. For younger children Paediatric assessment may be indicated. In complex cases, including those where the challenging behaviour is linked to cognitive impairment, consultation for children and young people aged 11 – 18 PMHLW can be sought to determine whether the client meets the referral to CAMHS due to the presence of a mental health difficulty or because the behaviour is believed to be the way in which the client demonstrates mental distress. GPs and social workers can seek advice via the advice line. Behaviours believed to be primarily the result of a learning disability or a social communication difficulty will not warrant a referral in themselves. Enuresis and Faecal Enuresis: A disorder characterised by uncontrolled urinating, by day and/or by night, which is abnormal in relation to the child or young person’s developmental stage and which is not a consequence of a neurological disorder, epileptic attacks or to structural abnormality of the urinary tract. Initial physical screen by GP, Early stage of presentation should be signposted to Health Visitor or School Nurse for intervention. Referral to paediatrics and via them to the continence team.
eligibility-criteria-final-290518.docx