Emotional Wellbeing and Mental Health Service

(EWMHS)

October Stakeholder Engagement Event Presentation

Some background

• Child and Adolescent Mental Health Services (CAMHS) were provided by a number of different health and social care organisations across the county of Essex

• The services young people received were different depending on where they lived

• The Commissioners (who pay for services) in all the areas got together and decided it would be best for young people if one organisation provided the same service for all young people in the county of Essex

• They chose NELFT to provide these services

• This means that from 1 November 2015, “CAMHS” will be called the Emotional Wellbeing and Mental Health Service (EWMHS)

• For the areas of Essex, Thurrock and Southend for young people aged 0 to 18 - and up to age 25 for young people with Special Educational Needs (SEN)

EWMHS formerly known as “CAMHS”

A bit about NELFT

NELFT has a lot of experience providing services for children and young people

We provide mental health services for children and young people in four London Boroughs

We provide community health services for children and young people with physical health needs in parts of Essex and London

We also provide a range of health services for adults in parts of Essex and London

www.nelft.nhs.uk

Twitter: @NELFT

NELFT EWMHS management structure

Structure of NELFT’s EWMHS

• Three Children’s Single Point of Access (CSPA) teams

• Seven Locality teams

• Three Crisis Response teams

• “Hub and Spoke” structure

Our “Hub and Spoke” model explained

NELFT Model

Crisis Team

7 Locality Teams

Mood and anxiety pathway 50% brief

intervention50% longer intervention

Neurodevelopmentalpathway 50% brief

intervention50% longer intervention

Complex pathway50% brief

intervention50% longer intervention

Behavioural and conduct pathway

50% brief intervention50% longer intervention

Universal services: Health visitors, School Nurses, GPs, Midwives, Adult/Perinatal MHS, Paediatricians, Drug and Alcohol Services

Social Services

Social and emotional learning programs,Anti-bullying interventions in schools/colleges, Mentor/peer support

Voluntary sector, e.g. YMCA , Children Centres, Family support workers, SNAPTurning tides in South End, Spurgeons, Essex Wilderness

Engagement services e.g. participation workersAdvocacy projectsSelf-management

Triage/Allocate

Signpost approx. 25%Essex CSPA

SouthendCSPA

ThurrockCSPA

About the Children’s Single Point of Access (CSPA)

Southend CSPA

(Multi-agency early help point)

Essex CSPA

(Links to early help and advice hub)

ThurrockCSPA

(MASH office)

All staff working in the CSPA will be part of a linked locality team and rotated into the CSPA on a daily basis (9am - 5pm) to provide:• Telephone advice• Triage• Signposting, preventative planning and an early offer of help• Allocation of the referral to a locality team for a NICE compliant care

“Pathway”• Feedback to the person making the referral

Children’s Single Point of Access locations (CSPA)

North Essex: Essex House, Colchester Business Park, Essex

Southend: Civic Centre, 2 Southend on Sea, Essex

Thurrock: Thurrock Council Civic Offices, Essex

Crisis Response teams – how they will work

Crisis team leadWest and Mid

Essex

Crisis team leadNorth East

Crisis team leadBasildon &

Brentwood, Castle Point & Rochford,

Southend and Thurrock

9am - 5pm on site (From 1 November 2015) and on-call cover 24 hours a day

9am – 9pm on site (From April 2016) and on-call cover 24 hours a day

Crisis Response team locations

Basildon & Brentwood, Castle Point & Rochford, Southend and Thurrock: Acorn House, Basildon, Essex

North East Essex: Colchester Business Park, Essex

West and Mid Essex: Aylmer House, Harlow, Essex

Referral Criteria

The following needs will be met through a “Pathway” approach - a “Pathway” is a best practice treatment package that is informed by NICE guidelines

Our referral criteria is as follows:

• mood and anxiety disorders• behavioural and conduct disorders• emerging personality and attachment disorders• eating disorders• psychotic disorders• deliberate self-harm and suicidal ideation• substance misuse including dual diagnosis• autistic spectrum disorder (ASD)• attention deficit hyperactivity disorder (ADHD)• neurodevelopmental disorders• prolonged bereavement problems

NELFT referral process and response timesReferrers seeking advice will be contacted within 24 hours of the initial request

Referrals to the CSPA will be reviewed daily, screened within two working days and responded to within five working days once allocated to the locality team

All referrals will be prioritised according to the presenting clinical need

All assessments will take place within 18 weeks

All consultant and non-consultant led treatment will start within 18 weeks of the referral (RTT)

Locations of Our Seven Locality Hubs Basildon & Brentwood: Acorn House, Ground floor, Great Oaks,

Basildon, Essex SS14 1AH

Castle Point & Rochford: Council Offices, Kiln Road, Thundersley, Benfleet, Essex SS7 1TF

Mid-Essex: County Hall & Duke Street Hub. County Hall, Duke Street, Market Road, Chelmsford, Essex CM1 1QH

North East Essex: 651 The Crescent, Colchester Business Park, Colchester, Essex CO4 9YQ

Southend: The Hive, Victoria Avenue, Southend-on-Sea, Essex SS2 6ER

Thurrock: South Ockendon Health Centre, Darenth Lane, South Ockendon, Essex RM15 5LP

West Essex: Aylmer House, Kitson Way, Harlow, Essex CM20 1DG

Our vision by working together

“I will try to understand my feelings, and

get help when I have

questions”

Contact us:

Email: ewmhs@nelft.nhs.ukTwitter: @NELFTwww.nelft.nhs.uk