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absent from school since March 2014, despite transferring to a special school in January, & has become increasingly withdrawn & isolated.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
  • Thank you all for your replies. I do think James has had difficulties coming to terms with & understanding his diagnosis. Since his CDAC assessment confirming ASD last July, we have had no specialist input at all. We were handed some leaflets & contact numbers of charitable support groups but have had no contact with an ASD professional or paediatrician since. James’ next scheduled appointment with the paediatrician is scheduled for late December, despite our attempts to bring this forward. 

    Previously we have been in contact with Families in Focus with regard to James’ educational needs. We have felt under pressure to help James return to school from both the LEA & CAMHS as their feeling is that if James were able reengage with education this would help extend his social experiences & enable him to learn coping strategies. However we have received no actual support to help James return & every day that James has not been able to attend feels like a huge failure for us.

    We were encouraged by James’ psychologist at CAMHS to refer James to our local social services department for assessment by the disabilities team. We now do have an appointed social worker for James who is actively trying to arrange a meeting of the professionals involved in James’ care (School, CAMHS, Social Services)  but we are waiting for a date & a list of those who we able to attend. Our local service for ASD children with challenging behaviour (PALMS) has stated they cannot help James in transitioning back to school.

    We are greatly relieved to hear that James cannot be forcibly admitted to an adolescent mental health unit.  He does not pose a danger to himself or others. The inpatient admission has never been mentioned before until our last CAMHS meeting on Friday & we were very shocked at the tone & manner in which this was presented to ourselves & James. It had not been discussed as a possibility with my husband or I at any time previously & the psychiatrist clearly told James he must understand he could not “opt out” otherwise she would make a referral to a specialist unit. We are concerned now that James is more distressed & that this has added to his mistrust of professionals.

    We have contacted the NAS helpline & are awaiting their advice. We certainly feel a placing James on an adolescent mental health ward would be harmful & will not consent to this. We will also put our concerns in writing to CAMHS.

    Thanks again for your input.

Reply
  • Thank you all for your replies. I do think James has had difficulties coming to terms with & understanding his diagnosis. Since his CDAC assessment confirming ASD last July, we have had no specialist input at all. We were handed some leaflets & contact numbers of charitable support groups but have had no contact with an ASD professional or paediatrician since. James’ next scheduled appointment with the paediatrician is scheduled for late December, despite our attempts to bring this forward. 

    Previously we have been in contact with Families in Focus with regard to James’ educational needs. We have felt under pressure to help James return to school from both the LEA & CAMHS as their feeling is that if James were able reengage with education this would help extend his social experiences & enable him to learn coping strategies. However we have received no actual support to help James return & every day that James has not been able to attend feels like a huge failure for us.

    We were encouraged by James’ psychologist at CAMHS to refer James to our local social services department for assessment by the disabilities team. We now do have an appointed social worker for James who is actively trying to arrange a meeting of the professionals involved in James’ care (School, CAMHS, Social Services)  but we are waiting for a date & a list of those who we able to attend. Our local service for ASD children with challenging behaviour (PALMS) has stated they cannot help James in transitioning back to school.

    We are greatly relieved to hear that James cannot be forcibly admitted to an adolescent mental health unit.  He does not pose a danger to himself or others. The inpatient admission has never been mentioned before until our last CAMHS meeting on Friday & we were very shocked at the tone & manner in which this was presented to ourselves & James. It had not been discussed as a possibility with my husband or I at any time previously & the psychiatrist clearly told James he must understand he could not “opt out” otherwise she would make a referral to a specialist unit. We are concerned now that James is more distressed & that this has added to his mistrust of professionals.

    We have contacted the NAS helpline & are awaiting their advice. We certainly feel a placing James on an adolescent mental health ward would be harmful & will not consent to this. We will also put our concerns in writing to CAMHS.

    Thanks again for your input.

Children
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