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About the Emotional Health Service

The Emotional Health Service (EHS) is a team of therapists that work with young people and their families who have mild to moderate mental health difficulties.

  • EHS is a Tier 2 Child and Adolescent Mental Health Services (CAMHS).

Read more about the different tiers (levels) of Child and Adolescent Mental Health Services (CAMHS) (opens a new window)

  • The EHS works in partnership with other agencies that provide health, social care and education.
  • Our aim is to ensure that you and your family receive the best service possible to meet your needs. 
  • The EHS covers Kingston and Richmond boroughs across three different sites: Twickenham, Kingston and Chessington.

This service works with children and young people up to the age of 19 years old who have a Richmond or Kingston home address. The focus of this service is early intervention and prevention, including consultation, training and short term direct therapeutic interventions. We are very happy to have a discussion with you if you are worried about a child or young person.

Referrals will be accepted into Tier 2 when:

  • The problem is a mental health problem and is having a significant impact on the child’s general functioning and
  • the problem is not resolving despite interventions from universal (Tier 1 for example school based interventions or counselling with school nurse) services located in school or the community and
  • the difficulties are present at home and in addition may be present at school or in the community.

This may include persistent moderate presentations of the following in the child or young person which cause significant distress:

  • Anxiety problems: panic or phobia including not wanting to go out of the home/finding it difficult to go to school, obsessional and compulsive behaviours
  • Low mood
  • Superficial self-injury without suicidal intention or plans
  • Psychosomatic complaints such as stomach aches or headaches where physical medical concerns have been ruled out
  • Eating problems and concerns about weight (that may lead if untreated, to an eating disorder)
  • Difficulties in coping with everyday life after experiencing a trauma or significant life event

Concerns about possible ADHD or ASC will be screened and if necessary stepped up to Tier 3 CAMHS for specialist assessment and diagnosis.

If a child/young person has a diagnosis of ADHD or ASC and there are significant behavioural or emotional well being concerns, despite attendance at a specialist parenting group, Tier 2 will be able to offer specialist intervention.

We do not accept referrals if:
  • The psychiatric concern is an emergency. Tier 2 CAMHS is not an emergency mental health service. If you are worried about a child’s immediate safety due to deterioration in their mental state, we advise you to contact emergency services or visit the local Accident and Emergency Department.
  • The child or young person is in need of immediate protection due to safeguarding concerns i.e. due to emotional, physical or sexual abuse or neglect. In these cases, safeguarding concerns must be reported and addressed to ensure the child is safe, before psychological support is assessed. We are happy to offer consultation around this particular issue to help think about the timeliness and appropriateness of any mental health intervention.

The South West London and St George’s Mental Health Trust CAMHS SPA service screens all referrals for children / young people
under the age of 18 who either: 

  • live in Richmond or a have Richmond GP
  • live in Kingston or a have Kingston GP

The CAMHS SPA team screen all referrals to ensure that the child/young person is directed to the most appropriate service, including completing telephone screenings with the family and/or relevant professionals, or face-to-face assessments as appropriate.  

The referral may be accepted to one of the South West London and St George’s Mental Health Trust Tier 3 CAMHS services, or for the Emotional Health Service (Tier 2 CAMHS Services) within Achieving for Children. We also accept referrals on behalf of local youth counselling services and may signpost young people and their families to other local support services and resources.

Any professional, who has parental consent, can make a referral to CAMHS.  All referrals should have prior consent from the young person and /or the family.  Following acceptance of a referral you and / or the family may be offered a consultation to discuss your concerns in more depth.  Alternatively the family or young person will be invited to opt in to a Choice Assessment appointment.  

Parents/carers can also refer on their children’s behalf.

Make a referral to Emotional Health Service (Tier 2 CAMHS Services)

From the 1 April 2022 all GP’s should make any CAMHS referrals via the Electronic Referral System (eRS). 

From 2 May 2022 all other professional referrers or parents/families should refer directly to the CAMHS SPA by downloading the referral form from the South West London and St George’s Mental Health Trust website and emailing this into the Kingston and Richmond CAMHS SPA Referrals inbox:

If you would like to make an enquiry prior to making a referral you can call the CAMHS SPA on 020 8547 6171, 9am – 5pm on weekdays.


Your first appointment could be at either of our 3 sites: The Moor Lane Centre in Chessington, York Road in Twickenham, or the Guildhall in Kingston.

  • First appointments are about getting to know you.
  • They usually last about 45 minutes.
  • We ask about the difficulties you are experiencing and how you are managing these difficulties.
  • We will want to hear about what works well for you e.g. whether you want to talk to us alone, with your family, or with a friend.
  • We will consider whether it is best for you to continue with the EHS or if there is a different service that would be better suited to help you.
  • You and your therapist will come up with a plan that you can follow up until you see us for your second appointment.
Where to look for support while you're on the waiting list

Waiting for your referral to Emotional Health Service/Child and Adolescent Mental Health Services (CAMHS) can feel like a slow process.

Find support while you wait (opens a new window)

During your appointments
  • All of the information you share with us is confidential unless you or someone known to you is at risk of harm.
  • If we do have to share information, we will never do so without telling you.
  • We will sometimes ask you to fill out questionnaires to see you are and how things have been changing over time.
After your first appointment
  • After your first appointment, you may feel that you do not need any further help and that one session has been helpful enough.
  • If you decide that you want to continue with the EHS, there is often a wait between your first appointment and any future appointments.
  • We will aim to make a decision with you about what type of evidence-based therapy will meet your needs.

Types of evidence-based therapeutic work that the EHS offers (opens a new window).

If your child is on the waiting list for either therapy or an ASD/ADHD assessment, you can contact us by email at:


Phone: Kingston 020 8547 6269

Phone: Richmond 020 8487 5470

Office hours: Monday to Friday: 9am to 5pm

If you have any questions before your first appointment, then please contact us and we can discuss any questions with you. Once your therapy sessions have started, then please call the clinician you are working with. If they are not available, you can leave a message and they will get back to you.

If you are unhappy about the service you are receiving, please call us and ask to speak with either the Head of Service or Deputy Heads of Service.