A young person can also have physical, social,
emotional, educational and financial needs during this transition
period. These needs may or may not be related to, or affected by,
an underlying mental illness. When CAMHS are involved, it is
possible that support was provided alongside other services, such
as education and social care. For adults (usually those 18 years
and older), there may be different forms of support, and sometimes
this can mean types of resources that were not previously
available. Some of the services that can provide support are
Full-time education in a school setting is
provided for some young people with special needs and those with
significant learning difficulties up until the age of 19 years. A
transition plan should be started in year 9 and an
appropriate provision identified. This process is led by the
special educational needs co-ordinator, and an educational
psychologist may be involved to support this process through
further assessment, if necessary.
After leaving school, there is a range of provision for further
education from colleges, which will have support in place for young
people with special needs, to specialist day and residential
colleges. It may be possible that education will plan and pay for
post-16 education and training, especially for students with
learning difficulties and disabilities.
'Connexions' may be involved in
helping young people, their families and other professionals to put
together the transition plan that is developed in year 9. They may
also support a young person to find a training course,
apprenticeship or job after school or college.
In many local areas, for those young people
with identified special care needs such as support with everyday
living, housing or transport, the transition arrangements may be
managed by a social worker based in adult services or a specialist
transition support worker. These professionals will talk to the
young person and their family, as well as any relevant services
already involved such as the children's disability team, the looked
after children (children in local authority care) team and/or CAMHS
to determine the care needs of the family and the young person. Any
reassessment should be based on existing information such as the
Common Assessment Framework (CAF).
From the age of 18, a young person could also
start preparing their own Personal Centre Plan which helps them
access other available support.
If the young person has been 'looked after' by the local
authority, they may be considered a "Care Leaver", and so may
continue to be entitled to support from the local authority's
leaving care service until the age of 21 years. Those entering
higher or further education may also access support until the age
of 21 and, in the case of a young person with disability, they may
be able to access support in education for a longer period.
It may also be possible to find voluntary
organisations, like YoungMinds, that can provide a
wide range of help and advice. The appropriate service will depend
on the young person's particular skills and needs.
Your GP usually takes care of this. If there
is a need for specialist care, the GP should be able to refer you
to an appropriate adult service. If medication was prescribed by a
CAMHS professional, this could be reviewed by the GP or it might
need to be reviewed by a specialist (such as a psychiatrist). The
key worker or doctor in CAMHS should make arrangements for this
transfer of care, before the young person is discharged from
As a young person
The most important part of leaving CAMHS is to
be able to talk about what you need.
This means understanding your illness,
medication if prescribed, your skills, abilities and needs in
everyday life. You may need to ask professionals and people, such
as family or friends that you know well, for their opinions. This
will help you to make decisions about what support you might
benefit from. Even if no specific service is available for you,
it is important to ask.
As a parent
The young person might want to involve
their family, friends or partners in making decisions.
If the young person has a disability or
illness affecting their capacity to make decisions, they may be
officially treated as a 'vulnerable adult' with the parent taking
on the role of 'formal carer'.
If at any point you or your family feel you
have not been listened to, involved, or your questions have not
been answered, you should not hesitate to express this and if
needed even complain about this. As an adult and carer, it is
important you are aware of your rights and what you are entitled
As a professional
It is important to give sufficient time for
young people and families to move to their new roles and services.
You may find the list of references below useful.