CYP Emotional Health and Wellbeing

Emotional Health and Wellbeing is one of the strongest determinants of an individual’s health; it fundamentally affects behaviour, social cohesion, social inclusion and prosperity. In Lancashire, there are clear inequalities in wellbeing between different groups of the population with 25% of people in the most deprived areas of Lancashire having a low wellbeing score compared to 13% of those living in the least deprived areas.

All members of the CYP workforce have a responsibility to address the emotional health and wellbeing of the children and families that we work with. In addition The Child and Adolescent Mental Health Service (CAMHS) provide help and treatment for children, young people and their families, who experience complex emotional and behavioural difficulties. These can include mental health problems or disorders. In 1995, the NHS Health Advisory Service introduced the ‘four-tier’ model in relation to the development, provision and management of these specialist mental health services.

Definitions of each of these tiers are:

  • Tier 1: Services provided by practitioners working in universal services such as GPs, health visitors, teachers and youth workers. These practitioners are not necessarily mental health specialists, but offer general advice and treatment for less severe problems, promote mental health, aid early identification of problems and refer to more specialist services.
  • Tier 2: Services provided by specialists working in community and universal and targeted settings such as educational psychologists, psychologists and paediatric clinics. They offer consultation to families and other practitioners, outreach to identify severe/complex needs, and assessments and training to practitioners at Tier 1 to support service delivery.
  • Tier 3: Services usually provided by a multi-disciplinary team/service working in a community setting. They offer a specialised service for those with more severe, complex and persistent disorders.
  • Tier 4: Services provided for children and young people with the most serious problems. Services include day units, highly specialised outpatient teams and inpatient units, which usually serve more than one area.

It is anticipated that the numbers of Lancashire children and young people needing to access the CAMHS services in Tiers 1 to 4 will increase up to 2020. It is estimated that the increase in numbers will rise more sharply in the period up to 2015 and then at a lesser rate in the years between 2015 and 2020 across each of the tiers.

Ensuring good emotional health of our children and young people in Lancashire needs to be everybody's business. This page has been created as a resource for people to use to know what services are out there and how to access them. We recommend the use of MindEd, a free educational resource on children and young people’s mental health for all adults.