Hearing all of these awful stories about CAMHS is very depressing and shit.
I’m sorry that this has happened to so many people.
There are good services out there, unfortunately I really feel that some places have much more resource and expertise than others with a very different work culture, which obviously makes a huge difference.
I work in a CAMHS service and we very very rarely have any complaints. If someone needs to be seen- they are seen. And they are allocated immediately. We see every referral within 28 days (which is a legal stipulation) and offer regular slots (as often as is needed) immediately if we feel that there is risk. If I go on holiday and I’m worried about a family, a colleague will check in on them whilst I’m not there. If we have a child who has attempted suicide we see them within 7 days psychology and psychiatry, and we make a safety plan with the family.. but we then also attend planning meetings with social care and education to provide wraparound support. Alongside this we would then start an ongoing piece of work (usually with the parents). We wouldn’t ever leave people waiting in that situation.
We have waiting lists but if anyone called us upset and feeling like things were becoming unmanageable we would see them in person as soon as possible, usually within a week, or if they just wanted to chat things through we would stay on the phone and do that no problem. We will move people to the top of the waiting list if necessary. We always try to be flexible offering appointments out of school hours if requested, unless someone is in crisis, in which case we need to go quickly so it would probably be mid-day.
We have well attended community groups / coffee mornings for parents and children to provide a sense of community. We have regular groups and workshops. We have therapy provision for those with less severe MH difficulties, we have therapy provision for more significant needs and we also have a pathway for those in active crisis. We don’t hold a waiting list for those in active crisis.
We have close links to external services like social care so we aren’t all blaming each other and pushing referrals on to one another, we work together to think what each of us can bring to support. Sometimes we do appointments together because we want to and that is usually more helpful.
We are picky about who we employ. We only want passionate people. I can think of nobody in my team I wouldn’t want to work with, we often join together to do work when things feel harder. We have time and space (given by management) to reflect and learn together. We have complex case discussions regularly to really think about what is helpful for families.
Maybe people will feel that this still isn’t enough, but where I work is very well resourced and managed with a high retention rate. This is the difference that is made through having more resources.