Many of our children have to be referred to CAMHS - The Child and Adolescent Mental Health Service - to help manage their behavioural difficulties or perhaps if they are experiencing a difficult period of depression or anxiety.
After a very difficult Year 8, largely due to an issue with a particular teacher about whom the less said the better, we found ourselves in this position with Youngest , who has Asperger Syndrome. He was referred by his paediatrician at the end of last year.
The paediatrician, it later transpired, in the battery of blood tests ordered, had not included a Vitamin D test and so missed that part of his issues stemmed from a severe Vitamin D deficiency. This was only picked up by our forward-thinking GP, when Youngest 's legs began to cause him pain some weeks later.
So, we wait for the CAMHS appointment. And wait. And wait. Meantime, Youngest was finding it difficult to go to lessons and is on many occasions, unable to go to school at all, a stressful situation for the whole family.
Then eventually, an appointment arrives, SIX MONTHS after referral. My husband takes the day off and off we go. At the appointment is the paediatrician and a CAMHS psychologist who shall remain unnamed to save their blushes. Youngest , predictably, refuses to speak to either of them.
We explain Youngest 's issues, as the paediatrician yawns through the whole appointment, then takes a phone call. At an appointment we have waited six months for. I studiously ignore him. The psychologist agrees to prescribe a trial of a particular medication and says she will call the school to speak to his counsellor there before we get it filled. However, to the best of my knowledge, she does not and we are left with an unfilled prescription a week later, still waiting to hear back from her. I call and leave a message. No response. So, I decide to get the prescription filled although Youngest will only agree to take it after I take him back to our GP who explains to him the effect it will have on him and that he will soon start to feel better, something, presumably, the psychologist should have taken the time to do.
Within a couple of weeks, indeed Youngest is feeling better and even manages to go to the local shop by himself for the first time in a year. But there is still no word from the psychologist and we are coming to the end of the bottle. I call the GP who agrees to prescribe a further bottle, even though this is supposed to be a monitored trial.
Off we go on holiday, where Youngest has a couple of relapses but is generally much better. When we return, there is still nothing from the psychologist, so I call my GP again to ask who should be monitoring Youngest as we have heard nothing, nor have we received a follow up appointment. She checks her screen and has a recent letter scanned in that says Youngest had been referred to the wrong county sector of CAMHS and had been re-referred to a different local region. They had not bothered to cc us in because, of course, as the child and his parents, we are the least important people in this process, it would seem.
I call the new department to find out what is happening and, to avoid my call going ignored again, I pass on to the lady who takes my details that I am also co-chair of the local parent-carer forum and a response would be appreciated, as I am extremely unhappy at this rather careless administration when they are dealing with a vulnerable child who has been prescribed some serious medication.
An hour later, a lady calls me, very concerned that I shouldn't be complaining about them and I assure her that it's not them at fault, but the other CAMHS section. We now have an appointment for 25th September. So, because of this mistake in referral Youngest will have had three months with no monitoring for a child who was only put on an initial trial of an SSRI.
It doesn't bode well for the future for an integrated health, education and care plan if they can't even figure out where you should be referred. And at the heart is an autistic boy who has been suffering since the end of last year. Parents should not have to chase for information, it's very distressing, because it makes you feel very alone and insignificant.
Because of my position, I happen to know the head of CAMHS in our county (a very sincere person, in my experience) and I emailed her to tell her about the whole sorry tale. As I expected, she was horrified and apologised, assuring me she would ensure Youngest received the right treatment and that she would also take steps to make sure this did not happen to anyone else.
However, I am not sure my experience of CAMHS, in any county, is particularly unusual, or even especially bad, and I would be interested in hearing your story too.
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