Children and Young Peoples Mental Health and Emotional Wellbeing (Wakefield) Care Pathway

Review in progress

Disclaimer: The guidance contains helpful primary care information for management of referrals and up to date referral criteria. These guidelines are locality specific to best reflect local services. This guidance does not override or replace the individual responsibility of healthcare and social care professionals involved in the delivery of care to make informed professional judgements appropriate to the circumstances of the individual.


This guidance refers to:

  • Children and Young People with emotional health and well-being concerns
  • Children and Young People with a suspected eating disorder
  • Referral to CAMHS Single Point of Access (SPA)
  • Children and Young people up the their 18th Birthday living in the Wakefield District

This guidance does not cover:

  • Individuals aged 18 or over
  • ASD diagnostic pathways
  • Crisis team referrals ­(accessible via A&E - further information available via CAMHS SPA)


Signs and Symptoms:

Young people presenting with emotional wellbeing concerns, which may include:

  • Anxiety/Stress
  • Family Issues
  • Confidence
  • Relationship Issues
  • Depression
  • Self-Worth
  • Loneliness
  • gender and identity issues.

Young people presenting with:

  • Self-Harm
  • a suspected Eating Disorder
  • a 'diagnosable' mental illness

Red Flags

Seek immediate or urgent specialist advice/treatment if:

  • a young person is having a breakdown in their mental health presenting harm to themselves or others


Referral Criteria

  1. To access the support of the Primary Practitioner Team:
  • For those children and young people requiring emotional wellbeing support, but who do not currently have a diagnosable mental health condition, including those presenting with self-harm:
  • Referral to be led by the school (primary, secondary or special school) in the first instance. All schools in Wakefield are signed up to the Future in Mind programme and have a named lead Primary Practitioner.
  • If the Family are currently supported by the Children's Early Help Hub a referral can be made via the Hub
  • If you require further guidance or support in making a referral to the Primary Practitioners please contact the SPA on 01977 735865. The SPA is delivered by the Primary Practitioner Team.

2. To access online counselling services:

  • For Young People aged 11 and over who want access to online counselling – direct text chat with a trained counsellor, access to fully moderated peer-to-peer forums, and resource and information library:
  • Young person can register and access, and more information is available at:

3.To access face-to-face counselling services:

  • For Young People aged 11 and over who want access to counselling support, with typical support for six sessions delivered in the young person's school, or early help hub.
  • Young person can register for face-to-face and more information is available at:
  • Face-to-face counselling can be accessed through the Primary Practitioner (see referral route 1).

4.To access support through the Community Navigator service:

  • For children and young people who are experiencing barriers to accessing services, and require more concentrated support in encouraging attendance and providing additional support. There are seven navigators with a geographical patch, who have specialisms in working with vulnerable groups including: BME communities, early years, youth support, domestic abuse, sexual identity:
  • Community Navigator support can be accessed through the Primary Practitioner (see referral route 1).

5.To access the CAMHS services:

  • For children and young people with a clinically diagnosable mental health condition requiring specialist support at tier 3. This includes children and young people with an Eating Disorder.
  • Referral via the CAMHS SPA: 01977 735865

Assurance & Governance

  • This guidance was developed on: 05.2017
  • This guidance was ratified by:The OSCAR Assurance Group
  • Date ratified: 05.2017
  • Publication Date: 05.2017
  • Review Date: 05.2019
  • Ref No: MH4 - 05.2017
Any feedback or suggestions to improve this guidance should be sent
Only the electronic version is maintained, once printed this is no longer a controlled document


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