Herefordshire CAMHS Complex and Vulnerable Service

The Herefordshire CAMHS Complex team are a small team of Psychologists and highly specialist CAMHS Practitioners within CAMHS whose work is focused on increasing the reach of specialist mental health work to children, young people and families who may not engage with usual Tier 3 CAMHS interventions.  The team uses a trauma-informed approach recognising the impact that adverse childhood experiences have on children and young people and how trauma-informed care is more response to the needs of children with very complex needs.  

The team offers:

  • Assessment to children and young people with very complex needs, who may also present with other difficulties or have experiences of care, trauma and neurodiversity.
  • Psychological consultancy and family consultation to young people who regularly attend Hereford County Hospital (or at risk of regularly attending) in crisis. The aim of this work is to develop specialist risk management planning to increase the resources available to families and young people when psychological crisis arises.
  • TI:MAP: supports co-ordinated, psychologically informed multi-agency working by offering Consultation sessions to professionals around a child, with a focus on meeting the needs of the child holistically TI:MAP.  NICE guidelines highlight the need for co-ordinated care across systems for children with a range of presenting difficulties, particularly those with high numbers of ACEs (e.g. those at risk of, or those who are already, looked after).  The need for co-ordinated support for children with high numbers of ACEs is repeatedly emphasised by the Children’s Commissioner (e.g. Vulnerability Report, 2018).  Multi-agency working is also consistently highlighted in Serious Case Reviews as an essential part in protecting children. 
  • Consultation/reflective practice to other agencies working with complex and vulnerable children.

Help and resources

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