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Brighton & Hove Mental Health & Wellbeing Guide

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Brighton & Hove Mental Health & Wellbeing Guide Brighton & Hove Mental Health & Wellbeing Guide – Childen & Young People Presentation Green Amber Red Information, advice and prevention Targeted support Specialist Support (urgent, emergency, acute, Behaviour: requires immediate action) • Erratic changes in behaviour If the young person’s presentation points to the Unusual beliefs and experiences: e.g paranoia, pressure of speech • Inappropriate familiar/ normal up and downs of adolescence provide and agitation. Does the presentation suggest urgent serious attention seeking advice, verbal and written on the Five Ways mental health disturbance and associated risks? Eating disorder: e.g BMI under 17.5 (below 15 treat as urgent – red • Impulsive behaviour to Wellbeing. referral), significant, deliberate weight loss. If the young person presents with: • Changes in educational www.brighton-hove.gov.uk/thefiveways • Symptoms of severe depression with suicidal performance Moderate depression: e.g if there is a clustering of symptoms 1. Connect – socialise ideation www.nice.org.uk/guidance/cg90/ • Difficulties in concentration • Physical symptoms – poor sleep, altered appetite/weight, libido 2. Learn – about yourself, new things chapter/1-guidance • Loss of interest in activities • Cognitive symptoms – negative thoughts about self, world and others, 3. Active – exercise makes you feel good, look • Depression illness with significant risk/biological • Poor relationships with helplessness at the health walk or council sports pages symptoms peers/difficulties in groups • Co-morbidity – depression often occurs concurrently with other mental 4. Notice – your environment, self awareness, • Presentation of anorexia with severe physical • Low self esteem health problems when you may be getting ill signs (BMI below 15) • Disruptive, defiant, 5. Give – help others, volunteering • Binge eating disorder or attention seeking Anxiety: e.g panic attacks, hyperventilation, strong physiological manifestations, increased heart-beat, sweating, etc. • Bulimia behaviour You can find further information and a map of • Self-harm • Watchful frozen, flat effect all services (13 – 25 years) and how to access The presentation does not fall into the above descriptors but has • Absenteeism/school refusal them at www.wheretogofor.co.uk To be discussed with the Duty Clinician for the persisted over time, despite support with various adults, resulting in: • Stressful/adverse life events Specialist CAHMS team and response will be within For further information specifically for children • Impact on daily living • Sad, withdrawn, anxious, 4 hours for urgent referrals. Assessment arranged under 13 years old, please go to: • Significant difficulties with the young person’s peer relationships self-isolating within 24 hours or 7 days depending on urgency www.safety-net.org.uk and or • Unusual or very fixed interests and bizarre or usual behaviours • Anger www.oasisproject.org.uk/services/ • Marked preference for routine and difficulties in adapting to change Urgent Assessment – SPFT on Tel: 01273 718680 • Deliberate self-harm young-oasis-centre • Hyperactivity, impulsivity, inattention in more than one setting (8.30am – 5pm Mon to Fri) • Significant breakdown in relationship with school/college Schools can access a consultation from the Out of Hours – Sussex Partnership Mental Health Community CAMHS team via the School Refer to CAMHS Aldrington Centre, 35 New Church Road, Hove BN3 4AG line Tel: 0300 5000 101 Community Mental Health worker. Schools may 01273 718660 (8.30am – 5pm Mon to Fri) also have access to School Counsellors and Refer to Teen to Adult Personal Advisor (TAPA) service for emotional School Nurses. and mental health need with a history of difficulty engaging with a range You can make an enquiry by calling the Early of services Aldrington Centre, 35 New Church Road, Hove BN3 4AG If the young person presents with: Help Hub on 01273 292632. 07738 758373 [email protected] • Severe psychotic symptoms such as abnormal Grief: Make a referral to Early Help Hub: Agree, with consent, with the perception (hallucinations) www.nice.org.uk/ guidance/cg178/chapter/introduction • Young person experiences Mild to moderate grief: parent/young person. Complete a referral request to the Early Help Hub difficulty in coping with You can find information at: Tel: 01273 292632 www.brighton-hove.gov.uk/content/children-and- Contact Early Psychosis Intervention Service at separation, loss or www.wheretogofor.co.uk education/childrens-services/early-help Aldrington Centre, 35 New Church Road, significant changes in www.winstonswish.org.uk Moderate to severe grief: Extreme impact on child’s functioning Hove BN3 4AG 01273 718682 or parental figures [email protected] As well as pastoral care in schools Traumatic grief/ complex bereavement Family difficulties: Mild to moderate family difficulties: Refer to CAMHS Aldrington Centre, 35 New Church Road, Hove BN3 4AG • Emotional discord in relation 01273 718660 (8.30am – 5pm Mon to Fri) to family stress/parental You can find information at: separation or divorce: www.wheretogofor.co.uk Moderate to severe family difficuties: Prolonged family difficulties; including access issues www.relate.org.uk complex, severe and significant, impacting on young person’s wellbeing or www.oasisproject.org.uk/services/ mental health Substance misuse: young-oasis-centre/ • Young person’s main Refer to CAMHS Aldrington Centre, 35 New Church Road, Hove BN3 4AG problem appears to be Where there are concerns about substance 01273 718660 (08.30-17.00 M-F) with substance misuse in misuse but it is not significantly affecting education, home or day to day functioning, visit: Where substance misuse is affecting day to day functioning, having a the absence of significant significant impact on the young persons home/school life and affecting mental health problem. www.talktofrank.com/ treatment-centre/brighton-and-hove- relationships, mood etc. or where there is evidence of co-morbidity with the community-alcohol-team-cat emerging mental health problem: Refer to: www.ruokservice.co.uk.
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