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Child and Adolescent Mental Health Services (CAMHS)

CAMHS are specialist mental health services for children and young people. They offer assessments and treatments for children and young people who have emotional, behavioural and mental health difficulties.

Within CAMHS, there are different levels of support. Referrals and assessments will identify which level of support a child or young person will need to access.  

In Richmond and Kingston, Tier 2 CAMHS services are provided by Achieving for Children.

This service is called the Emotional Health Service which has an early intervention approach for children and young people, who experience prolonged periods of emotional distress and present with difficulties that fall within the mild-moderate range of mental health disorders.

Tier 2 offers assessments and treatments with the aim of helping to improve a person’s ability to function and cope with the difficulties that they have. To access this service, a child or young person has to live in the boroughs of Richmond and Kingston.

The Emotional Health Service offers the following:
  • General assessments for emotional distress/mental health conditions
  • Risk assessments around issues connected to the young person’s mental health
  • Screening for ASD and ADHD
  • Cognitive Behaviour Therapy (CBT)
  • CBT group work for anxiety
  • Behavioural interventions
  • Art psychotherapy
  • Interpersonal Psychotherapy for Adolescents (IPT-A)
  • Family therapy
  • Psycho-education and parent work to support families
  • Consultations and network meetings with other professionals

Tier 3 and Tier 4 services are provided by South West London and St George’s Mental Health Trust.

Tier 3 offer assessments, diagnosis and treatments to children and young people who have signs and symptoms of an emerging mental health disorder which is having a global impact on their ability to function.

Tier 4 offers inpatient services for children and young people with exceptionally high levels of distress and complex mental health disorders. To access these services, a child or young person has to have a GP registered within the boroughs of Richmond or Kingston.

You may find the "Your Guide to CAMHS" on the Young Minds website (opens a new window) helpful. 

The Emotional Health Service and Tier 3 CAMHS will offer a Choice appointment to assess the presenting difficulties a child or young person has. During this appointment, a range of options will be provided; the child and young person will then choose their preferred option.

Tier 3 Richmond and Kingston CAMHS offer the following:
  • General assessments for emotional distress/mental health conditions
  • Risk assessments around issues connected to the young person’s mental health
  • Psychiatry assessments
  • Screening for ASD and ADHD
  • Emergency psychiatric assessments at Kingston Hospital
  • Child Psychotherapy
  • Cognitive Behaviour Therapy (CBT)
  • Family Therapy
  • Psycho-education and parent work to support families
  • Consultations and network meetings with other professionals

If a young person has an eating disorder, there is a specialist service at Springfield Hospital. If you are concerned that a child/young person may have an eating disorder, it is recommended to make a direct referral to the CAMHS Eating Disorder Service using their referral form.

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. They 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 

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: krcamhsreferrals@swlstg.nhs.uk

 

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

If a young person is currently a CAMHS service user, please call the appropriate CAMHS team to speak with a clinician or the duty worker (Tier 3 only) Mondays to Friday between 9am -5pm:

Kingston Tier 3: 0203 513 5183/5321 

Richmond Tier 3: 0203 513 3238

Alternatively please call the CAMHS Crisis Line on 020 3228 5980 (Mon to Fri 5pm to 11pm and Sat to Sun (and Bank Holidays) 9am to 11pm)
 

Other boroughs may have a slightly different set-up for CAMHS.

To find CAMHS in other boroughs: 

  • Speak to your GP or school who can refer you to your local CAMHS;
  • Search online for ‘Child and Adolescent Mental Health Services’ in your area.

Your local NHS Trust website should have the details. It is likely that your child will still need to be referred by a professional.