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<p>NHS England has responsibility for commissioning health services in young offenders’
institutions (YOIs). NHS England has worked closely with the Royal Colleges of Paediatrics
and Child Health; General Practitioners; Nursing; Psychiatrists and Forensic Medicine
and has used their standards for children and young people in secure settings as a
basis for national service specifications for the health services commissioned in
YOIs.</p><p> </p><p> </p><p> </p><p>A key component of this is that the service should
deliver child and adolescent mental health services (CAMHS) which meet the emotional
and mental health needs of children and young people accommodated within the secure
setting, based on clinical need. Children in secure settings are entitled to service
provision that is equivalent to that available for children living in the wider community,
within the constraints of the secure environment.</p><p> </p><p> </p><p> </p><p>CAMHS
cover early intervention, mental health promotion, prevention and treatment for the
full range of mental health needs and care after discharge from a secure placement,
including transfer to inpatient or adult services.</p><p> </p><p> </p><p> </p><p>The
CHAT (Comprehensive Health Assessment Tool) is used as a health screen for all children
and young people entering the secure estate to assess individual health need and identify
those needing a full mental health assessment.</p><p> </p><p> </p><p> </p><p> </p><p>
</p><p><strong> </strong></p><p> </p><p><strong> </strong></p><p> </p>
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