All referrals will be screened for appropriateness and urgency, at which point factors such as severity, duration, complexity, likelihood of response to available treatments, and likelihood of engagement may be considered. Further information may be sought from a referrer or family if necessary.
Level 1 – Emergency – to be seen same day
Please note that as a community based service we are unable to deal with acute emergency situations. Patients who are actively suicidal, exhibiting life threatening self-harming behaviour or are acutely psychotic are emergencies. In these cases, the child/young person should be referred directly to A&E for same day, urgent assessment.
Staff are very willing to discuss with referrers whether or not cases should be considered as emergencies.
Level 2 – Urgent assessment – to be seen within 5 working days
Where there is concern about suicidal risk or where the young person presents with symptoms suggestive of significant psychiatric disorder, cases are considered for urgent assessment. In addition, consideration is given to the level of risk, distress, impairment, symptom severity and other contextual factors in determining priority.
Significant psychiatric disorders which will require urgent assessment include:-
Symptoms suggestive of Psychosis
Attempted or threatened suicide
Symptoms of Anorexia nervosa with any of the following features: rapid or severe weight loss, very low calorie intake for more than 5 days, deliberate self harm
Level 3 – priority assessment – to be seen within 4 weeks
Where serious psychiatric, emotional or behavioural concerns exist and/ or delaying an assessment is likely to result in or contribute to significant deterioration, a referral will be prioritised for assessment eg:
Level 4 – Routine – to be seen within 11 weeks
We aim to see all accepted referrals within 11 weeks of referral in accordance with Department of Health guidance. Most are seen far sooner than this. Accepted referrals include persistent and moderate/severe difficulties related to:-