dr aileen blower consultant child & adolescent psychiatrist grampian & forensic network,...
TRANSCRIPT
Dr Aileen BlowerConsultant Child & Adolescent Psychiatrist
Grampian & Forensic Network, Aberdeen Oct 12
Recommended NHS provision for
Mentally Disordered YO’s
Grampian & Forensic Network, Aberdeen Oct 12
Provision for young offenders• HM YOI
Polmont• Secure
schools• Youth
Justice
Grampian & Forensic Network, Aberdeen Oct 12
Provision for Mentally Disordered Young Offenders• Regional
YPU’s x3• Generic
CAMHS• (Forensic
CAMHS – GG&C)
Grampian & Forensic Network, Aberdeen Oct 12
NHS GG&C service redesignfor MDYO’s
Grampian & Forensic Network, Aberdeen Oct 12
FCAMHS Referral criteriaage 8 – 18y (mean 15y, boys > girls) Resident within Greater Glasgow &
Clyde Inpatient within national child or
regional adolescent unitserious mental disorder significant risk of serious harm
Grampian & Forensic Network, Aberdeen Oct 12
Hospital admissions 2011-129 boys; 4 girls Mean age of admission 15y (13 – 17y)
> 80% secure school or prison70% from Glasgow CityAll detained in adult locked wards30% admitted to secure adolescent unit
Grampian & Forensic Network, Aberdeen Oct 12
Primary Diagnosis
Grampian & Forensic Network, Aberdeen Oct 12
Forensic risk
Grampian & Forensic Network, Aberdeen Oct 12
Risks to self
Grampian & Forensic Network, Aberdeen Oct 12
Mental health strategy 2012-15: key commitmentsFaster access to CAMHSFaster access to psychological therapiesImproved access to Intensive Home
Treatment & 1st episode psychosis servicesPrevention agenda – focus on early yearsReduced admissions to adult wardsPolicy: connect with justice & children’s
services
Grampian & Forensic Network, Aberdeen Oct 12
Early detection & intervention
Grampian & Forensic Network, Aberdeen Oct 12
WorkforceIncreased CAMHS staffing since 2008
Increased training in: - child psychotherapy - infant mental health awareness - evidence-based parenting programmes
- suicide preventionGrampian & Forensic Network, Aberdeen Oct 12
IssuesIncreased age range for CAMHS (0 –
18y)Increased minimum age for
prosecution Diversion from prosecutionAlternatives to remand / secure care Access to safe inpatient care in
ScotlandGrampian & Forensic Network, Aberdeen Oct 12