Working Description Initial intervention from other Tier Service provided by formulation 1 /2 services (Universal and & Adolescent Targeted services) prior to CAMHS Mental Health Service involvement 3 –Tier Anxiety Anxiety is the Self help literature Where there are based feeling of fear or nfo severe and disorders, panic. It is quite persistent generalised normal to feel www.youngminds.org.uk/ symptoms that anxiety, social anxiety when faced Guided Self help literature have not anxiety, panic with something available from PMHLWs. Can responded to attacks stressful, or a be used by PFSAs or LSAs in intervention at tier problematic schools to run groups. 2 or that are situation however Mindful online counselling having a once the difficult Support and intervention from significant impact situation is over you PFSA, School nurse or School on the life of the usually feel better. counsellor where one is available. young person, will Anxiety becomes a Involvement of an Educational be assessed by problem when the Psychologist. CAMHS and worry, fear and offered Cognitive feelings of panic do Professionals can discuss behavioural not go away once concerns with Primary Mental therapy (CBT) the fearful situation Health Linkworkers (PMHLWS). based group is gone, where it interventions and leads to feelings of individual therapy. depression, poor sleep and eating difficulties. Physical symptoms of nausea, trembling, dry mouth etc are often associated with anxiety. Anxiety can be linked to a family history of anxiety, a trauma or a physical Obsessive Many young people will Self help literature Where there is a or additional mental Compulsive have an nfo moderate to severe “obsessive” health difficulty. Disorder interest in something or impact on daily and be compulsive in their living, CAMHS will Body behaviours. This may not provide assessment Dysmorphic be a problem but when Guided Self help literature and intervention as disorder this urge to do things available from PMHLWs. Can indicated. repeatedly becomes a be used by PFSAs or LSAs in necessity and causes schools to run groups. significant anxiety if they do not act on the Mindful online counselling obsession or compulsion then they may be Support and intervention from developing OCD. PFSA, School nurse or School counsellor where one is available The most common obsessions focus on contamination, disasters and symmetry.
Working formulation Description Initial intervention from other Tier 1 /2 services (Universal and Targeted services) prior to CAMHS involvement Service provided by & Adolescent Mental Health Service –Tier 3 Anxiety based disorders, generalised anxiety, social anxiety, panic attacks Anxiety is the feeling of fear or panic. It is quite normal to feel anxiety when faced with something stressful, or a problematic situation however once the difficult situation is over you usually feel better. Anxiety becomes a problem when the worry, fear and feelings of panic do not go away once the fearful situation is gone, where it leads to feelings of depression, poor sleep and eating difficulties. Physical symptoms of nausea, trembling, dry mouth etc are often associated with anxiety. Anxiety can be linked to a family history of anxiety, a trauma or a physical or additional mental health difficulty. Self help literature nfo www.youngminds.org.uk/ Guided Self help literature available from PMHLWs. Can be used by PFSAs or LSAs in schools to run groups. Mindful online counselling Support and intervention from PFSA, School nurse or School counsellor where one is available. Involvement of an Educational Psychologist. Professionals can discuss concerns with Primary Mental Health Linkworkers (PMHLWS). Where there are severe and persistent symptoms that have not responded to intervention at tier 2 or that are having a significant impact on the life of the young person, will be assessed by CAMHS and offered Cognitive behavioural therapy (CBT) based group interventions and individual therapy. Obsessive Compulsive Disorder and Body Dysmorphic disorder Many young people will have an “obsessive” interest in something or be compulsive in their behaviours. This may not be a problem but when this urge to do things repeatedly becomes a necessity and causes significant anxiety if they do not act on the obsession or compulsion then they may be developing OCD. The most common obsessions focus on contamination, disasters and symmetry. Self help literature nfo Guided Self help literature available from PMHLWs. Can be used by PFSAs or LSAs in schools to run groups. Mindful online counselling Support and intervention from PFSA, School nurse or School counsellor where one is available Where there is a moderate to severe impact on daily living, CAMHS will provide assessment and intervention as indicated.
eligibility-criteria-final-290518.docx