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Birmingham and Solihull Mental health NHS Foundation Trust
Better Together
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Solar will ensure that protocols are in place that make sure that transitions between services are robust and that wherever possible services work together with the service user and their family to plan in advance for transition and ensure that children and young people have continuity of care.

As a minimum, young people leaving Solar should have:

  • A written care plan detailing what service(s) they will receive after leaving the Service.
  • At least one face-to-face meeting with their Service key worker and the key worker from the service to which they will move for further care.
  • Follow up after the transition within six months to ensure all has gone smoothly.
  • Information for the young person (and where appropriate the family) about what to do if they become unwell again.

Young people want flexible services which do not have strict 'cut-off' points and these services are especially important for young people with emotional problems, complex needs, mild learning disability, ADHD and ASDs, for whom there are limited statutory adult services beyond GPs. At Solar we will;

  • Fully involve the young person, family and carers where appropriate and with the young person’s consent.  Be transparent in planning and making decisions.  Remember that mental health service transitions are a ‘process’, rather than simply a ‘transfer’.
  • Begin planning as early at least 6 months before discharge
  • Refer young people to age-appropriate, accessible services where they exist; We will not assume that young people in CAMHS need transfer to adult services
  • Take account of the wider context of young people's lives: there is a growing evidence base that helping young people with broader life issues leads to improvements in their mental health.
  • Work collaboratively with other professionals and agencies: staff should know how each other's services operate in order to provide co-ordinated and joined-up care.
  • Make service transition a flexible, managed process, with planning and assessments, continuity of care and follow-up. A period of shared or parallel care is good practice.
  • Work at the young person's pace and acknowledge that change takes time.
  • Follow up and monitor outcomes following the discharge from CAMHS, including those young people who don't transfer to adult services.
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