Child and Adolescent Mental Health Services (CAMHS) have been under recent increased demand, with increasingly limited resources, contributing to longer waiting lists, and a growing proportion of rejected referrals due to limited capacity and increasing thresholds. Child and Wellbeing Practitioners (CWPs) provide an opportunity to meet the needs of rejected referrals. We aimed to determine the feasibility of a new and direct referral route within a South London CAMHS. All referrals rejected to the local CAMHS in one year were assessed for inclusion to an embedded child and youth wellbeing in schools team (CYWS), and data collected on reasons for rejection, demographics and eligibility for the CYWS team. Of the 1,322 referrals made to CAMHS in this period, 317 were rejected. The most common reason for referral rejection was not meeting the severity threshold. One third of rejected referrals were judged to be eligible for inclusion to the CYWS team. Therefore, a significant number of children and young people (CYP) being rejected by CAMHS would be eligible for assessment and possible treatment under the CYWS team, making a new referral route potentially feasible, allowing more CYP to access mental health support and have a positive impact on waiting times.

中文翻译：

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扩大早期干预服务：为伦敦南部儿童和青少年心理健康服务机构的儿童福祉从业者提供新的护理途径。

儿童和青少年心理健康服务 (CAMHS) 最近的需求不断增加，但资源日益有限，导致等待名单更长，而且由于能力有限和门槛不断提高，被拒绝的转诊比例也不断增加。儿童和福利从业者 (CWP) 提供了满足被拒绝转介的需求的机会。我们的目的是确定南伦敦 CAMHS 内新的直接转诊路线的可行性。一年内拒绝向当地 CAMHS 转介的所有转介均经过评估，以确定是否纳入学校儿童和青少年福利团队 (CYWS)，并收集有关拒绝原因、人口统计数据和 CYWS 团队资格的数据。在此期间向 CAMHS 提交的 1,322 份转介中，有 317 份被拒绝。转诊拒绝的最常见原因是未达到严重性阈值。三分之一被拒绝的推荐被认为有资格加入 CYWS 团队。因此，大量被 CAMHS 拒绝的儿童和青少年 (CYP) 将有资格接受 CYWS 团队的评估和可能的治疗，这使得新的转诊途径可能可行，让更多的 CYP 获得心理健康支持并获得积极的帮助。对等待时间的影响。