Have your say on standards for Tier 4 Services

NHS England are currently conducting a National Review of Children and Adolescent Mental Health Service (CAMHS) Tier 4. This page will tell you what the review is, why it's happening, and how you can participate as a young person, parent or carer.

Who is this page for?

We want to hear from you if you're a young person (up to the age of 25), parent or carer, and interested in ensuring that young people accessing mental health services can access the right care - whether or not you have used Tier 4 services themselves. 

What are tier 4 services?

Tier 4 services offer specialised day and inpatient units where young people with more severe mental health problems can be assessed and treated. Accessing Tier 4 services involves either:

  • checking into a hospital or clinic on a daily basis
  • staying in a hospital or clinic

What is a service review?

A service review makes sure that the right services are commissioned (supported to happen) in the right place and at the right time for the people that need it.

Wherever a young person lives in England, they and their family should expect to have the same access to the services they need, and they should experience the same high quality of care wherever they are receiving treatment.

Why am I being asked?

To ensure the standards and requirements that make up NHS England service specifications are informed by the children, young people, parents and carers who are impacted by these decisions. It will shape the specification before providers bid to run these services.

How does this work?

NHS England have opened a consultation for 90 days to gather as much feedback from as many people impacted by these services. This includes professionals and charities that support work with young people and their families. They will be publishing an easy read version of these documents shortly.

NHS England have asked YoungMinds to produce a survey for young people, parents and carers so that as many voices are heard.

As well as this survey, YoungMinds will host two interactive workshops with Young People (January 28th 2017) and Parents and Carers (January 26th 2017) to have a more detailed conversation about the service review. If you are interested in taking part, you can sign up by emailing zoe.large@youngminds.org.uk

Then what happens?

All the feedback from the consultations will be written up by an organisation outside of NHS England. They will include the most important themes and questions from the feedback.

NHS England will then report what has changed in the service specifications as a result of people’s engagement.

I would like to take part

You can choose a particular service specification to review by clicking on the links below. You will be taken to a survey which will take about 20 minutes to complete (including the time it will take you to read the service specification included). If you are interested in more than one of the service specification, you will be given the option to review another at the end of the feedback form.

Click on a link below for the service area you are interested in reviewing:

General Adolescent ServicesCAMHS General Adolescent Services provide care for young people aged 13 to 18 who have a mental health problem that is so serious or puts them at such risk to themselves that they need more support and care than can be provided by a community mental health services.

Psychiatric Intensive Care Units: PICUs provide care for young people with severe mental health problems who are too unwell to be treated in a general adolescent service. They might have been in a general adolescent service without getting better, and currently be too unwell or at risk to be there. The care offered in a PICU is short term, for up to eight weeks, and it aims to help young people cope better so they can return to a general adolescent service.

Low Secure Units: Low Secure Units are designed to care for young people who require secure care because they are at high risk of harming themselves or someone else due to their mental illness. They also provide a safe place for young people who have left a Medium Secure unit and need continuing care.

Medium Secure UnitsCAMHS Medium Secure Services provide a place for young people who present an especially high risk to others, this includes young people who have committed crimes.  Young people would usually stay in them for months or years and the units have a special team to help the young people stay safe and be able to recover.

Child and Adolescent Forensic Outreach Units: Child and Adolescent Forensic Outreach Services are new services which are being introduced to help make sure that young people who enter or leave secure mental health services are well supported and well-coordinated with the other services supporting the young people in the community.

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