Archived decisions

Tier 1

A primary level which includes interventions by:

These non-specialist staff:

GPs - Identify mental health problems early in their development.

Offer general advice - and , in certain cases, treatment for less severe mental health problems

Pursue opportunities for promoting mental health and preventing mental health problems

Health Visitors

Residential Social Workers

Juvenile Justice Workers

School nurses

Teachers

Tier 2

A level of service provided by professionals working on their

own who relate to others through a network rather than a team:

CAMHS professionals offer:

Training and consultation to other professionals (who might be within Tier 1)

Consultation for professionals and families

Outreach to identify severe or complex needs where children or families are

unwilling to use specialist services

Assessment which may trigger treatment at this level or in a different tier

Clinical child psychologists

Educational psychologists

Paediatricians - especially community

Community child psychiatric nurses or nurse specialists

Child psychiatrists

Tier 3 A specialist service for the more severe, complex and

persistent disorders:

This is usually a multi-disciplinary team or service working in a community child mental health clinic or child psychiatry outpatient service and offering:

Assessment and treatment of child mental health disorders

Assessment for referrals to Tier 4

Contributions to the services, consultation and training at Tiers 1 and 2

Participation in research and development projects

Social Workers

Clinical psychologists

Community psychiatric nurses

Child and adolescent psychiatrists

Art, music and drama therapists

Child psychotherapists

Occupational therapists

Tier 4 Infrequently used but essential tertiary services such as day

units, highly specialised outpatient teams and inpatient units for

older children and adolescents who are severely mentally ill or at

suicidal risk