The evidence base to guide development of Tier 4 CAMHS (29th July 2009)
Until recently the idea of Tier 4 specialist CAMHS was synonymous with psychiatric inpatient provision, sometimes with day hospitals attached. Tier 4 has more recently come to be understood as multi-faceted with multi-agency services that can include inreach, outreach, intensive and crisis community initiatives, day provision, therapeutic fostering and other services that may be described as 'wrap around'. What has been seen over the past few years are innovative approaches in assessment and treatment of this most complex group of young people and the development of new intensive community focused services.
The purpose of this paper is to present the latest information on these new developments and share with commissioners and providers the evidence base for development of effective services in this area.
Paper
Until recently the idea of Tier 4 specialist CAMHS was synonymous with psychiatric inpatient provision, sometimes with day hospitals attached. Tier 4 has more recently come to be understood as multi-faceted with multi-agency services that can include inreach, outreach, intensive and crisis community initiatives, day provision, therapeutic fostering and other services that may be described as 'wrap around'. What has been seen over the past few years are innovative approaches in assessment and treatment of this most complex group of young people and the development of new intensive community focused services.
The purpose of this paper is to present the latest information on these new developments and share with commissioners and providers the evidence base for development of effective services in this area.
Paper
Pharmacy-based stop smoking services: optimising commissioning (July 2009)
Stop smoking services are one of the most cost effective of all health interventions in the NHS. This guidance covers the key areas for primary care trusts (PCTs) when commissioning 'world class' pharmacy-based stop smoking services.
Guidance
Stop smoking services are one of the most cost effective of all health interventions in the NHS. This guidance covers the key areas for primary care trusts (PCTs) when commissioning 'world class' pharmacy-based stop smoking services.
Guidance
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