We provide intensive, short-term support at home for children and young people under the age of 18 who are experiencing a serious mental health crisis. This can be offered up to 7 days a week.
We work alongside the Mental Health Liaison Team at Gloucestershire Royal Hospital or the Children and Adolescent Mental Health Service (CAMHS) who coordinates the provision of care during crisis points.
Following a referral, we work with the young person, their parent or carer to carry out an assessment of the young person’s needs, the risk they face and potential support.
We focus on what we can do to help with recovery and work hard to minimise disruption to the young person’s education at school or in higher education.
We also aim to avoid hospitalisation and, where it cannot be prevented, we aim to minimise the length of stay and arrange for the young person to engage with CAMHS as soon as they are able.
We work closely with each person, as well as their parents and carers, professionals within schools, children’s social care and other mental health services to manage risk and ensure the young person is as safe as possible.
We ensure the right support is in place to help reduce the risk of further difficulties arising which may impact on mental health in the future.
We are flexible in our approach to engaging with young people, their families and carers and we also offer appointments in school, clinics, at the Gloucestershire Royal Hospital Paediatric Ward and other community sites.
We will work with you to:
- To understand your story and your feelings of distress.
- To reduce the need for you to go to hospital.
- To enable you to return home from hospital safely and in a planned way.
- To work with your family and/or carers to understand how best to support you and keep you safe
- To work alongside other professionals in your life such as teachers and social workers.
Referrals can be made by CAMHS and the Mental Health Liaison Service.
We work with children and young people up until the age of 18 years who live in Gloucestershire and who:
- are experiencing an acute crisis in their mental wellbeing. This could include difficulties with intense and overwhelming emotions, increased self-harm, intrusive suicidal thoughts or attempted suicide
- may be at risk of admission to a mental health in-patient unit (Tier 4) due to the severity of their mental health illness or risk
- have been admitted to a Tier 4 inpatient unit and require support for early discharge
- present with an escalation in their mental health and risk behaviours
- have had re-current attendance at A&E for mental health crisis or may be at risk of A&E attendance.
We are unable to work with people if:
- their need can be met by existing specialist services such the Eating Disorders Service or Learning Disability team or Gloucestershire Recovery in Psychosis (GRIP)
- there is a primary diagnosis of substance misuse in the absence of severe acute mental health difficulties
- the referral is due to placement breakdowns within Social Care where there are no identified mental health needs at the point of referral to the Outreach team
- they are best supported within core Children and Adolescent Mental Health Services in the absence of a mental health crisis.