Understanding Inpatient Care for Young People: CAMHS and Self-Harm
Managing self-harm at a young age is a deeply concerning issue for both the individual and their support network. The journey through the mental health system can be challenging, particularly when dealing with frequent self-harm. This article aims to provide clarity on the potential pathways and options for inpatient care, focusing on the role of CAMHS (Child and Adolescent Mental Health Services) in the UK.
CAMHS and Self-Harm: Common Scenarios
In many regions, the likelihood of being admitted inpatiently or to a psych ward for self-harm can be relatively low until certain thresholds of harm or risk are met. For instance, if someone has been self-harming 2-4 times a day, they may not immediately be rushed to an inpatient setting. However, the first step often involves emergency room (ER) visits or urgent assessments conducted by the CAMHS team.
According to firsthand accounts, if someone comes to the emergency department with self-harm injuries, they might be kept overnight for a thorough assessment. This process involves a liaison team who can provide immediate support and advice while ensuring medical and mental health needs are addressed.
Insights from the CAMHS Ward
Many CAMHS wards, where specialized mental health care for children and adolescents is provided, offer a more engaged and supportive environment than commonly perceived. For example, patients can interact with other people and do not always face intrusive questioning. The environment ensures a balance of care, food, and emotional support, contrary to the misperception of being just about questioning and harsh conditions.
One person who has worked on a CAMHS ward shares insights, highlighting that the decision to admit a patient inpatiently depends on a range of factors, including the severity of the self-harm incidents and the overall mental health status. If the situation escalates or if there is a significant risk to the patient, the likelihood of inpatient admission increases.
The Current State of CAMHS Services
The UK's CAMHS services are under immense pressure, with long waiting lists and a general strain on resources. The COVID-19 pandemic has exacerbated these challenges. Currently, CAMHS wards are not always the ideal setting for recovery, as the environment can sometimes serve as an escape or a place for escalations, masking underlying issues or problematic behaviors.
For parents and guardians, the recommendation is clear: aim to avoid inpatient stays whenever possible. If your child is struggling with mental health, explore all other options first. CAMHS services are designed to provide the best possible support in settings that are conducive to recovery, whether in the community or through closer supervision.
Seeking Support for Self-Harm
When considering the next steps, it is crucial to approach the situation with transparency and honesty. Encourage the young person to discuss their feelings and experiences openly with their mental health professionals. Remember that CAMHS and other mental health services are there to support, not just to judge or punish.
Additionally, here are a few key steps you can take:
Secure Professional Help: Contact CAMHS or go to the nearest emergency room if the situation seems immediately dangerous. Stay Informed: Learn as much as you can about CAMHS services, inpatient care, and other available resources. Support Network: Build a strong support network of family, friends, and professionals who can provide ongoing assistance and guidance.Remember, the goal of mental health care should be to ensure the well-being and recovery of the individual. By seeking help and understanding the options available, you can work towards a healthier future.