CAMHS - SMT Minutes

Summary

The Department of Health and Social Care responded to a request for CAMHS treatment numbers, waiting list data, total demand, and senior management minutes, disclosing most statistics but noting that some waiting list data was not held on a monthly basis.

Key Facts

• As of 28 February 2017, the CAMHS current caseload was 683.
• The Older Persons Mental Health Service, Drug & Alcohol Team, and Acute In-patient Services have not held waiting lists since January 2013.
• The Psychological Therapies Service was closed in March 2015 and replaced by the Community Well Being Service in June 2016.
• Total referrals to Mental Health and CAMHS services between January 2013 and February 2017 numbered 12,956.
• The Community Mental Health Team for Adults does not hold waiting list information on a month-by-month basis.

Data Disclosed

• 683
• 145
• 14
• 28th February 2017
• January 2013
• March 2015
• June 2016
• 9208
• 1080
• 2507
• 61
• 12,956

Original Request

Question 01: 'the number being treated by services provided by the Community Child and Adolescent Mental Health Services (CAMHS) Team for children and young people at the present date' Question 02: 'provide a figure for the number of people on waiting lists to receive treatment for mental illness within each Mental Health service including CAMHS each month from January 2013 until the present date' Question 03: 'indicate the total demand over services for Mental Health and CAMHS over the period in question 2' Question 04: 'indicate the average wait time for access to individual mental health services (psychiatry, psychotherapy, ECT therapy etc) and CAMHS services' Question 05: 'provide copies of the Mental Health senior management team minutes from January 2015 until the present date'.

Data Tables (5)

Full Response Text

Department of Health and Social Care

Rheynn Slaynt as Kiarail y Theay

Page 1 of 4 FOIA/DHSC/rvsd/01

Chief Executive: Malcolm Couch By email:

Freedom of Information Team Department of Health & Social Care Chief Executive’s Office Crookall House Demesne Road Douglas Isle of Man, IM1 3QA Tel: Email: Website: Date: FOI Reference: (01624) 642621 foi.dhsc@gov.im www.gov.im/dhsc 27th March 2017 IM79-776i Dear

REQUEST UNDER THE FREEDOM OF INFORMATION ACT 2015 (“the Act”) Thank you for your request to the Department of Health and Social Care dated 1 March 2017 Your request You asked for: Question 01: “the number being treated by services provided by the Community Child and Adolescent Mental Health Services (CAMHS) Team for children and young people at the present date” Question 02: “provide a figure for the number of people on waiting lists to receive treatment for mental illness within each Mental Health service including CAMHS each month from January 2013 until the present date” Question 03: “indicate the total demand over services for Mental Health and CAMHS over the period in question 2” Question 04: “indicate the average wait time for access to individual mental health services (psychiatry, psychotherapy, ECT therapy etc) and CAMHS services” Question 05: “provide copies of the Mental Health senior management team minutes from January 2015 until the present date”.
Response to your request While our aim is to provide information whenever possible, in this instance we are unable to provide some of the information you have requested at this time; the reasons are shown as part of the corresponding answers below. However, we are pleased to be able to provide a response to your four of the above questions within this letter.

Page 2 of 4 FOIA/DHSC/12 Question 01: the number being treated by services provided by the Community Child and Adolescent Mental Health Services (CAMHS) Team for children and young people at the present date In response to Question 01, as of 28th February 2017 the CAMHS current caseload is 683.
Question 02: provide a figure for the number of people on waiting lists to receive treatment for mental illness within each Mental Health service including CAMHS each month from January 2013 until the present date; In response to Question 02, the following teams within the Mental Health Service have not held waiting lists since January 2013: Older Persons Mental Health Service, Drug & Alcohol Team, Acute In-patient Services. The Community Mental Health Team for Adults does maintain a waiting lists however they do not hold the information on a month by month basis. Therefore we only have information on the current number of people on their waiting lists. There are 145 people awaiting allocation to Psychology Services and 14 people awaiting allocation to a Community Mental Health Professional.
The Child & Adolescent Mental Health Service does maintain a waiting list since January 2013 and have provided the following breakdown as requested.
Child & Adolescent Mental Health Service
Year Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2013 49 41 54 44 44 59 65 41 53 48 48 50 2014 49 65 61 77 46 43 38 34 27 29 34 36 2015 36 41 47 47 47 59 70 62 72 82 89 90 2016 65 58 67 62 56 59 68 61 50 57 68 76 2017 78 90

The Psychological Therapies Service maintained a waiting list from January 2013 to March 2015; we have provided a breakdown as requested. Please note that this team was closed in March 2015 and replaced with the Community Well Being Service which was established in June 2016. Psychological Therapies Service Year Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2013 93 100 136 148 146 144 149 161 150 163 167 180 2014 177 184 197 194 192 193 202 201 211 177 159 154 2015 121 129 136

The following breakdown is from the Community Well Being Service from June 2016.
Community Well Being Service Year Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 2016

124 151 231 250 244 245 252 2017 242 220

Question 03: indicate the total demand over services for Mental Health and CAMHS over the period in question 2

Page 3 of 4 FOIA/DHSC/12 In response to Question 02, please find the information you have requested within the table below. We do not currently collect this data on a monthly basis; however the total figures below represent referrals between 1st January 2013 and 28th February 2017.

Method of Referral Total number of referrals 01/01/13 - 28/02/17 GP
9208 Self 1080 Nobles (Medical) 2507 UK Trusts (Medical) 61 Question 04: indicate the average wait time for access to individual mental health services (psychiatry, psychotherapy, ECT therapy etc) and CAMHS services. In response to Question 04, Waiting time is currently collected by Mental Health Team and not by type of therapy. Please note that all teams are multi-disciplinary. Below lists the current average waiting time for urgent and non-urgent referrals per Mental Health Team.

Team
Average Waiting Times Urgent Referral Average Waiting Times Non-Urgent Referral Child & Adolescent Mental Health Service (CAMHS) Seen immediately Neurodevelopmental Disorder Clinic (NDD) - 8 months; CAMHS-4 months Crisis Response Home Treatment Team (CRHTT) 4 hours N/A Community Wellbeing Service: As required/ appropriate in line with NICE GUIDELINES for: Psychological issues, Obsessive Compulsive Disorder, Maternal mental health, Post-Traumatic Stress Disorder

• Low Intensity Therapy
  10 months
• Counselling for Depression
  17 weeks
• Counselling & Therapies Service – screening
  2-14 days depending on date referral received
• Counselling & Therapies Service – allocation 8 weeks Drug & Alcohol Team (DAT) High criteria patients within a couple of days if the risks warrant this. DAT criteria “High” – 2 weeks; “Medium” – 4 weeks; “Low” – 6 weeks Older Persons Mental Health Service (OPMHS) 24 hours (Crisis situations will be responded to within same working day) Community Nurses – 10 working days from receipt of referral Psychiatry – 3 months
  Adult Occupational Therapy 6 weeks 6 weeks Psychiatry
  24 hours via Crisis Response Home Treatment Team Psychiatrist
  Out-patient assessments/ reviews: Douglas - 2-4 weeks; Port Erin/ Peel/ Ramsey - 4-8 weeks Community Mental Health Service for Adults (CMHSA)

CRHTT same day; Community Mental Health Processional 1 week
4 weeks - Psychology
Within 4 weeks Art Therapy - 13 months Psychology - 11 months In-patient Acute Admissions 4 hours N/A

Page 4 of 4 FOIA/DHSC/12 Question 05: provide copies of the Mental Health senior management team minutes from January 2015 until the present date.
We are considering whether any absolute or qualified exemptions apply to the information you have requested in Question 05, which may prevent us from providing some or all of the information to you. To enable us to do this the law says that we are allowed an extended period, beyond 20 days to respond. We have determined the period of time reasonable in the circumstances by considering:  the time required to consult with a person who may be affected by the disclosure of information; or  the time taken to consult with a person about whether access to the information would be in the public interest; or  whether responding to your request for information will substantially or unreasonably interfere with the day-to-day operations of the Department. Therefore we aim to provide a response to Question 05 of your request within an additional 20 days and therefore no later than Thursday 27th April. Whilst this process is on-going we will continue to give you reasonable notice of the progress of your request. Your right to request a review
If you are unhappy with this response to your Freedom of Information request, you may ask us to carry out an internal review of the response, by completing a complaint form and submitting it electronically or by delivery/post to the FOI Co-ordinator, Department of Health & Social Care, Chief Executive’s Officer, Crookall House, Demesne Road, Douglas, Isle of Man, IM1 3QA. An electronic version and paper version of our complaint form can be found by going to our website www.gov.im/about-the-government/freedom-of-information/how-to- make-a-freedom-of-information-request/ . Your review request should explain why you are dissatisfied with this response, and should be made as soon as practicable. We will respond as soon as the review has been concluded. If you are not satisfied with the result of the review, you then have the right to appeal to the Information Commissioner for a decision on: 01. Whether we have responded to your request for information in accordance with Part 2 of the Freedom of Information Act; or
02. Whether we are justified in refusing to give you the information requested.
In response to an application for review, the Information Commissioner may, at any time, attempt to resolve a matter by negotiation, conciliation, mediation or another form of alternative dispute resolution and will have regard to any outcome of this in making any subsequent decision. Further information about Freedom of Information requests can be found on the Information Commissioner’s website at: www.inforights.im/information- centre/freedom-of-information. Should you have any queries concerning this letter, please do not hesitate to contact us. Yours Sincerely

Freedom of Information Team Department of Health and Social Care

Appendix 01a  Minutes 05-Feb-2015  Minutes 19-Feb-2015  Minutes 05-Mar-2015  Minutes 19-Mar-2015  Minutes 02-Apr-2015  Minutes 16-Apr-2015  Minutes 30-Apr-2015  Minutes 14-May-2015 DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a DHSC FOI IM79-776i - Appendix 1a

Appendix 01b  Minutes 28-May-2015  Minutes 25-Jun-2015  Minutes 09-Jul-2015  Minutes 06-Aug-2015  Minutes 20-Aug-2015  Minutes 17-Sep-2015  Minutes 15-Oct-2015  Minutes 26-Nov-2015

DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b DHSC FOI IM79-776i - Appendix 1b

Appendix 01c  Minutes 21-Jan-2016  Minutes 18-Feb-2016  Minutes 17-Mar-2016  Minutes 21-Apr-2016

DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - Appendix 1c DHSC FOI IM79-776i - App

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