Monday 21 February 2022 - Project Specification

Child and Adolescent Mental Health Service

Topics: Value for Money

Departments: All

Sector: Health & Social Care

Project specification - Child and Adolescent Mental Health Service

Project Specification: pdf (229.26 KB)

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Background

Improving mental health and wellbeing is a major public health challenge.  In part, this is because the underlying issues tend to be complex and people’s needs can be different.  Evidence suggests that mental health problems in childhood and adolescence have a significant impact on physical health, education and on the ability to find and sustain employment.    

The Government of Jersey has stated in the Government Plan 2022-25 that ‘the physical, emotional, and mental health of the Island’s children and young people remain of the highest priority.’ 

The Child and Adolescent Mental Health Service (CAMHS) is a specialist mental health service for children and young people (up to the age of 18) and their families.  

CAMHS provide a range of services including assessment, diagnosis and treatment for children and young people experiencing: 

  • emotional difficulties  
  • behavioural difficulties  
  • relationship difficulties  
  • developmental difficulties; and  
  • other mental health disorders (for example psychosis, eating disorders).  

Services include individual therapy, family therapy, parent counselling and group therapy (where children, young people or carers with similar difficulties are seen together in groups). 

The number of referrals to CAMHS has risen over recent years as shown in Exhibit 1.  There continues to be a high level of demand for CAMHS. 

 

Exhibit 1: Number of accepted CAMHS referrals 

 

Source: Government of Jersey 

The Government Plan 2022-25 includes planned investment of over £8 million for CAMHS redesign.  This investment is intended to support the ongoing implementation of a new model of community-focussed services.  The Government’s aim is also to make sure that, for those experiencing both acute and/or long-term mental ill-health episodes or conditions, there is appropriate on-Island in-patient care designed into the Jersey Care Model and Our Hospital. 

Scope

The review will evaluate: 

  • overall governance arrangements for CAMHS, including consideration of 
  • how recommendations made in the C&AG Report Governance Arrangements for Health and Social Care – Follow up (2021) that are relevant to CAMS are being monitored and implemented 
  • whether responsibilities and accountabilities are clearly set out and agreed 
  • how the oversight of performance information drives improvement; and 
  • how performance improvement is being overseen 
  • service design including consideration of: 
  • the range of services offered 
  • how the range of services has been designed to meet known and anticipated need 
  • the design of transition services between CAMHS and adult mental health services 
  • how learning from previous reviews has helped to shape the range of services offered; and 
  • the engagement of multi-agency partners in the design of services 
  • referrals management including consideration of: 
  • who can make referrals 
  • how pathways from all referrers are set out and communicated; and 
  • how criteria for referral acceptance are agreed and implemented 
  • service delivery: how does the service as delivered: 
  • compare with the service as designed and with best practice; and 
  • maximise the use of available resources 
  • service resourcing: how do resourcing decisions: 
  • work across States of Jersey departments; and 
  • ensure a joined-up service for children, young people and their family and carers 
  • the effectiveness of commissioning and partnership arrangements, including consideration of: 
  • how decisions are made on which services to commission, which services are provided by Government and which services are provided in partnership with third sector organisations 
  • how the commissioning of services compares to best practice; and 
  • how partnership arrangements compare to best practice 
  • performance management and oversight, including consideration of: 
  • how the services are monitored and reported 
  • whether the targets and measures being monitored are designed to ensure better outcomes for children and young people 
  • the current and planned performance against key indicators 
  • how performance and targets compare with best practice 
  • how services are benchmarked; and 
  • how partnership performance indicators are measured, managed and monitored. 

The review will consider all aspects of CAMHS provision including services delivered by partners both on and off Island.  


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