Possible Adolescent Mental Health Unit Admission

My 13 year old son, James, has been experiencing increasing difficulties with social interaction & communication, particularly since his transition to mainstream secondary school in September 2013. He has been largely absent from school since March 2014, despite transferring to a special school in January, & has become increasingly withdrawn & isolated. At our last CAMHS session today, the psychiatrist told James (without prior indication to myself or my husband) that if the current situation did not improve within 2 to 3 weeks, she would refer him to an inpatient unit. She specifically stated she did not feel James was depressed & his difficulties were solely related to his ASD. Neither my husband nor I feel an inpatient environment would be appropriate for James & fear he would suffer further if he were taken out of the family home. We also feel the psychiatrist was using the prospect of an inpatient admission as almost a threat to ourselves & James, that if we did not sort things out, the matter would be taken out of our hands. Obviously we are deeply concerned. James was formally diagnosed with Autism last July & has not recieved any support or therapy thus far. He is on anti-anxiety medication & melatonin. He will not engage with the pscyhologist or  psychiatrist at CAMHS, neither of whom are ASD specialists. We really feel that the CAMHS team do not know how best to help James or have his best interests in mind. We would be grateful for any advice or support you may be able to offer. Thank you.

Parents
  • hi Cassie

    It could be the stress of the changes that have affected your son so much.  

    A different school building, rules, lessons, and people, - they are all big things to deal with and take a lot of getting used

    My daughter who is now 15, moved to senior school 4 years ago, and she was very socially anxious, had no self esteem, and no thoughts for her future.

    She had also had sensory and other issues anyway, and I'd always thought it was 'just how she was' and she was happy when she was on her own. 

    But all the changes and pressures of the bigger senior school affected her badly, and even now she often she doesn't want to go, but I perservere and walk her to school some days, even if it means she goes in quite late on occasions.  Her attendance has not been good either.  

    In the past the GP tried to help by talking to her, (medication didn't help as side effects were too bad,) and eventually she was referred to camhs last year. 

    Camhs have tried to help with her social anxieties mainly. They couldn't help with her sensorty problems at all.  She has been tested to see if she is on the autistic spectrum and I am waiting for results so don't know how long that will be.  

    Meanwhile camhs said they can't help with a lot of her issues, and have said that having an ASD is not a mental health issue.  Perhaps it only becomes an issue if depression or anxiety is causing severe problems in life?

    Camhs suggested I looked on the internet to find out more, and try to find things that could help, and said I could try the autism helpline which I haven't called yet.

    I think she will be discharged from camhs soon, as she doesn't appear to be depressed on their mood chart.  So I am trying to help her myself, as I always have anyway, and I hope to find out as much as I can.  

    But there is no support in my area for ASD either, so it isn't easy.

    If camhs have said they might want your son as an inpatient, they may has serious concerns about him?  I would have thought that would be on a voluntary basis?  So you could choose and decide as his parent?  I would have thought you would have to sign to give your consent.  Ask them what they hope to achieve and ask them to explain what would happen.  

    Maybe a way to express your concern so they listen would be to write a letter to your local camhs office, and give a copy to the psychiatrist.

    We all only want the best we can for our children, and that's the most important thing.

Reply
  • hi Cassie

    It could be the stress of the changes that have affected your son so much.  

    A different school building, rules, lessons, and people, - they are all big things to deal with and take a lot of getting used

    My daughter who is now 15, moved to senior school 4 years ago, and she was very socially anxious, had no self esteem, and no thoughts for her future.

    She had also had sensory and other issues anyway, and I'd always thought it was 'just how she was' and she was happy when she was on her own. 

    But all the changes and pressures of the bigger senior school affected her badly, and even now she often she doesn't want to go, but I perservere and walk her to school some days, even if it means she goes in quite late on occasions.  Her attendance has not been good either.  

    In the past the GP tried to help by talking to her, (medication didn't help as side effects were too bad,) and eventually she was referred to camhs last year. 

    Camhs have tried to help with her social anxieties mainly. They couldn't help with her sensorty problems at all.  She has been tested to see if she is on the autistic spectrum and I am waiting for results so don't know how long that will be.  

    Meanwhile camhs said they can't help with a lot of her issues, and have said that having an ASD is not a mental health issue.  Perhaps it only becomes an issue if depression or anxiety is causing severe problems in life?

    Camhs suggested I looked on the internet to find out more, and try to find things that could help, and said I could try the autism helpline which I haven't called yet.

    I think she will be discharged from camhs soon, as she doesn't appear to be depressed on their mood chart.  So I am trying to help her myself, as I always have anyway, and I hope to find out as much as I can.  

    But there is no support in my area for ASD either, so it isn't easy.

    If camhs have said they might want your son as an inpatient, they may has serious concerns about him?  I would have thought that would be on a voluntary basis?  So you could choose and decide as his parent?  I would have thought you would have to sign to give your consent.  Ask them what they hope to achieve and ask them to explain what would happen.  

    Maybe a way to express your concern so they listen would be to write a letter to your local camhs office, and give a copy to the psychiatrist.

    We all only want the best we can for our children, and that's the most important thing.

Children
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