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11.6.8 Child and Adolescent Mental Health Service - Emotional Health and Wellbeing Team Operating Model


In December 2014, this chapter was updated to reflect the process followed if a child become looked after and requires additional support.

The CAMHS Emotional Health and Wellbeing Team (EHWBT) located within Access to Resources, has introduced a new operating model which will enable more effective engagement with Children’s Social Care.

Direct consultation will be offered to individual social workers and teams where there are concerns regarding the emotional and mental health of children, young people and their family. 

Each district will be allocated an EHWBT social worker(s) who can be contacted directly and attend team meetings when required. In addition weekly consultation slots will be offered in conjunction with the relevant Team Manager.

Social workers can contact the named EHWBT social workers directly for advice and support. Support may include joint home visits and practical advice with a pathway to access CAMHS if required (see the Emotional Health and Wellbeing Team Operating Model). If a referral is made to CAMHS, this referral will be expedited and will not be subject to the usual waiting lists.

The EHWB social workers will continue to be based within the EHWB teams within each district and will continue to take referrals from the District Leads in relation to the existing thresholds.

The aim is to increase the support available to Assessment; District Child Protection teams and Children’s Disability Service; offering the best possible service to children and families on the edge of care; to prevent family breakdown and cases resulting in accommodation. To this end the majority of work undertaken will be family based work where a family member has an identifiable emotional health issue. This does not need to have been diagnosed.

The EHWBT is a core member of the Creative Solutions Panel (see Section 20 Accommodation Decisions). Consultation with EHWBT must take place prior to a referral to CSP if there are emotional and mental health concerns.

The EHWBT will offer therapeutic work on behalf of District social workers and the case is expected to remain open during the course of the intervention unless the CAMHS intervention is the outstanding piece of work identified. In these circumstances the case will be closed to the social work team and allocated to EHWBT. EHWBT social workers will record an outline of their work on Framework i but the clinical notes will be recorded on the NHS system.

The EHWBT will continue to work with birth families if the child becomes LAC in an attempt to return the child home if at all possible. If it becomes clear that the foster carer/child/young person requires additional support the SW from District Child Protection Team will refer to CAMHS CLA & Adoption Team.

Workers from EHWBT, DCPT and CLA Team will meet to identify a plan. (This will open the referral on RIO and allow access to psychology /psychiatry if needed)

In addition to the work for Social Care, CAMHS EHWBT will offer a similar service of consultation to staff at the three Learning Centres within Nottinghamshire where there is concern about a student’s emotional health. Students on role at the Learning Centres are under-represented in CAMHS seemingly finding the service inaccessible particularly those for whom engagement is problematic.  The EHWB team aim to bridge this gap and ensure that the students are offered an appropriate pathway to mainstream provision.  In some circumstances it may be appropriate to provide some short interventions to students in the Leaning Centres.