Freedom of Information Request – Ref: FOI 268-2025
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Does your Trust have a policy on Transition between children and adult mental health services? Could you please share a copy of the policy or include a link if it is available online.
Our response:
Q1 – CLP155 Transition Policy V1 Joint issued 17.3.22 links updated 14.10.22
You asked:
2. Does your Trust offer 0 to 25 pathway for mental health support and if it does, who is it offered to past the age of 18 (eg. all young people or specific groups/conditions)?
Our response:
Our Trust has CAMHS teams that offer a service from 0 to 18 CAMHS services and a CAMHS Young Adult Service who work with ages 16 to 25:
| Remit of Young Adult Service |
| The service provides 16-25 year olds who do not ordinarily meet the thresholds for AMHS and/or those who mental health services struggle to engage with offering mental health assessments and support and giving young people the opportunity to plan for their future by offering ongoing practical goal focussed support to improve their mental health and emotional wellbeing.
The service is fully integrated and based with Young Gloucestershire (YG), offering initial mental health assessments where a young person is under the care of YG (and not under the care of Trust teams) and warrants an extended level of support. The team has access to the YG youth workers and projects which enables the team to offer a youth work approach alongside mental health assessments and interventions. The team also works with our CAMHS and AMHS colleagues to offer young people a service where reasonable adjustment is required for them to receive the support they need. |
| Service Thresholds/ inclusion criteria |
The team work with 16-25 year olds who:
Exclusion criteria:
|
You asked:
3. What are the mental health care pathways for those under the age of 18 and 18+ within your Trust. Please provide the list for both of these age groups?
Our response:
- Young Adults as described above offers support age 16 to 25
- Young Minds Matters – Mental Health Support Team in schools, in nearly all secondary schools in the county (11 to 18) and in a number of primary schools (4 to 11)
- Core CAMHS – Specialist multi-disciplinary team for age 2 to 18
- Infant Mental Health – specialist parent infant relationship service
- CAMHS Outreach – Intensive intervention at home service, aimed at supporting tier 4 admission avoidance and supporting step down from those facilities. Also has an urgent support function and works closely with the GHC crisis team who offer a service from age 11 upwards (age 10 and under are rare in crisis situations and our Outreach team can support.
- CAMHS Youth Justice and also CAMHS Harmful Sexual Behaviour – small teams who offer bespoke support to children with these needs up to age 18
- Functional Family Therapy Team – a specific model for family therapy offered within families for young people up to the age of 18
- Gloucester Multiagency Team – 2 family mental health practitioners co-located with social care who can work with children and adults living in the Gloucester area
- Learning Disability Team – offer a service up to the age of 18
- Children’s Autism and ADHD Assessment Service – offering assessment up to the age of 18 with a transition arrangement to adult services for young people as they approach their 18th birthday.
You asked:
4. Please provide information in the table below on the total number of 17 year olds with an active referral to community children’s mental health services and the number of 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services in the following periods of time
a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025
Total number of 17 year olds with active referral due to children and young people mental health services
Total number of 17 year olds who accessed treatment from children and young people mental health services
Our response:
| a)1 April 2021- to 31 March 2022 | b) 1 April 2022 to 31 March 2023 | c)1 April 2023 to 31 March 2024 | d)1 April 2024 to 31 March 2025 | |
| Total number of 17 year olds with active referral due to children and young people mental health services | 709 | 725 | 787 | 751 |
| Total number of 17 who who accessed treatment from children and young people mental health services | 182 | 176 | 149 | 169 |
You asked:
5. Of the 17 year olds who accessed treatment (treatment means 2 or more contacts with services) within your Trust’s community children and young people mental health services how many were: discharged back to GP; recorded as completed treatment; referred to adult mental health services; and continued treatment with children mental health services upon reaching the age of 18 in the following periods of time: 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below.
1 April 2021- to 31 March 2022 1 April 2022 to 31 March 2023 1 April 2023 to 31 March 2024 1 April 2024 to 31 March 2025
number of children age 17 discharged back to GP
number of children age 17 recorded as completed treatment
number of children age 17 referred to adult mental health services
number of children age 17 continuing treatment with children mental health services upon reaching the age of 18
Our response:
| 1 April 2021- to 31 March 2022 | 1 April 2022 to 31 March 2023 | 1 April 2023 to 31 March 2024 | 1 April 2024 to 31 March 2025 | |
| number of children age 17 discharged back to GP | Note: The service does not currently capture the discharge reason when a patient is discharged back to their GP. | |||
| number of children age 17 recorded as completed treatment | 165 | 142 | 146 | 163 |
| number of children age 17 referred to adult mental health services | 1 | 2 | 3 | 5 |
| number of children age 17 continuing treatment with children mental health services upon reaching the age of 18 | 377 | 308 | 283 | 338 |
You asked:
6. Please provide information in the table below on the total number of 18 year olds with active referral to community adults mental health services within your trust in the following periods of time
a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025
Total number of 18 year olds with active referral
Our response:
| On the caseload and aged 18 between 1 April 2021 to 31 March 2022 | On the caseload and aged 18 between 1 April 2022 to 31 March 2023 | On the caseload and aged 18 between 1 April 2023 to 31 March 2024 | On the caseload and aged 18 between 1 April 2024 to 31 March 2025 | |
| Number of patients aged 18 on the caseload of an adult community mental health team per year | 266 | 361 | 414 | 399 |
You asked:
7. How many of young people age 18 with active referral to community adults mental health services within your trust had referral source recorded as ‘children and young people mental health services’ in the following periods of time a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 2025. Please provide information in the table below
a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025
Total number of 18 year olds with active referral by referral source ‘children and young people mental health services’
Our response:
| On the caseload and aged 18 between 1 April 2021 to 31 March 2022 | On the caseload and aged 18 between 1 April 2022 to 31 March 2023 | On the caseload and aged 18 between 1 April 2023 to 31 March 2024 | On the caseload and aged 18 between 1 April 2024 to 31 March 2025 | |
| Number of patients aged 18 on the caseload of an adult community mental health team per year, and the team referred from was a children and adolescent mental health service | 25 | 31 | 39 | 56 |
You asked:
8. Of young people age 18 who had active referral to adult mental health services within your Trust by referral source ‘children and young people mental health services’ how many accessed treatment (2 or more contacts with services) within community adult mental health services in your trust in the following periods of time
a)1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c)1 April 2023 to 31 March 2024 d)1 April 2024 to 31 March 2025
Total number of 18 year olds referred from ‘children and young people mental health services’ who accessed treatment within community adult mental health services
Our response:
| Aged 18 at the second contact between 1 April 2021 to 31 March 2022 | Aged 18 at the second contact between 1 April 2022 to 31 March 2023 | Aged 18 at the second contact between 1 April 2023 to 31 March 2024 | Aged 18 at the second contact between 1 April 2024 to 31 March 2025 | |
| <span “>Number of patients aged 18 on their second contact with an adult community mental health team, referred from a children and adolescent mental health service | 7 | 12 | 13 | 9 |
You asked:
9. For young people age 18 who accessed treatment from adult mental health services within your Trust and whose referral source was ‘children and young people mental health services’ what was the median wait in days; the longest wait in days; and the shortest wait in days from referral to second contact in the following periods of time
a) 1 April 2021- to 31 March 2022 b) 1 April 2022 to 31 March 2023 c) 1 April 2023 to 31 March 2024 d) 1 April 2024 to 31 March 20
Median wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services
Longest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services
Shortest wait in days from referral to second contact for 18 year olds who accessed services and whose referral came from children and young people mental health services
Our response:
| Aged 18 at the second contact between 1 April 2021 to 31 March 2022 | Aged 18 at the second contact between 1 April 2022 to 31 March 2023 | Aged 18 at the second contact between 1 April 2023 to 31 March 2024 | Aged 18 at the second contact between 1 April 2024 to 31 March 2025 | |
| Median wait in days from referral to second contact for those aged 18 at the contact with an adult community mental health team and the team referred from was a children and young people mental health service | 51 | 55 | 66 | 30 |
| Longest wait in days from referral to second contact for those aged 18 at the contact with an adult community mental health team and the team referred from was a children and young people mental health service | 278 | 160 | 644 | 91 |
| Shortest wait in days from referral to second contact for those aged 18 at the contact with an adult community mental health team and the team referred from was a children and young people mental health service | 14 | 1 | 2 | 0 |
For questions 6 to 9:
The eating disorder service is for all ages. It is included in referrals to an adult team, but is not included as a children and adolescent service referral source.
For questions 6 and 7, patients could be counted more than once if they are on the caseload over more than one financial year.
The adult ADHD service has been excluded as the service delivers assessments and annual medicine reviews only.
You asked:
10. Does your trust record information on the sources of referrals to children and young people mental health services and adult mental health services? If yes, what are the sources of referrals listed in both cases.
Our response:
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.