What happens when you come here and what kinds of treatments are there?

Initially a professional such as a teacher, family doctor or social worker, with whom you have discussed your family’s or child’s difficulties, may feel the need to contact a primary mental health worker. Should the primary mental health worker decide the best way forward is to ask Child and Adolescent Mental Health Services to become involved, a referral letter will then be sent here to Lime Trees. The team will then allocate a member of staff or specialist team who best meets the needs of your child or family (have a look at who works here).

Or alternatively inpatient care (note: this is only offered to a minority of children or young people; the majority of people are seen as outpatients).

Initial meeting

On receipt of a referral and allocation of staff, someone will contact you either by letter or phone asking you to attend an appointment at Lime Trees, Selby War Memorial or an appointment at your home.

For younger children this will be with parents or sometimes we ask to see parents alone first. For young people (i.e. 16-18 year olds) we invite the individual; they may come alone or with family (whichever they prefer).

The first session will last one to one and-a-half hours, depending on what worker/team you are seeing. We will mainly ask questions around wha has led you to services and current concerns. At this meeting you may be asked details on the background of your family, medical and social history—this gives us an overall picture of things. This information is stored in a confidential file (refer to Lime Trees ‘storing of personal information’). A Lime Tree’s member of staff will explain this fully at your first appointment.

From this meeting we may need to gather further assessment details before we plan with you any recommendations/treatments. We may also ask your permission to visit your child’s school or to liaise with relevant services/agencies who also know your child.

What treatments do we offer?

  • Different forms of therapy, including: individual; group and family therapy
  • Medication (though this is not common)
  • Parent support groups
  • Networking and consultation with different agencies to help you/your child remain involved with day to day activities (ie. school, colleges, employers, youth services, voluntary agencies)
  • The CAMHS team may suggest hospital admission but this is rare. In such circumstances, we will explain our reasons why and fully support you and your family through this process.

 What sort of outcome can I expect?

Child and Adolescent Mental Health Services nationwide are required to monitor the effectiveness of their work. At Lime Trees, we ask young people, their carers and teachers to complete outcome measures both at the start of treatment and after six months. These assess various areas of difficulties and strengths. Comparing the two sets of scores allows us to monitor what, if any, change has taken place. We also ask for comments and views to be shared, both on what has worked well and what may need improving.

Our first set of responses were collected between September 2008 and February 2010. These showed that parents judged their child’s overall stress to have been significantly reduced. Improvements in specific areas of difficulty were observed, including behaviour and hyperactivity/inattentiveness. In schools, the impact of children’s difficulties in the classroom was reduced. There was also an increase in pro-social behaviour. After six months, 81% of parents and 88% of young people rated their difficulties to have stabilised or got better. Coming to Lime Trees was helpful in other ways to 85% of parents and all young people.Here are some examples of feedback we have received from parents and young people:

The help we received was fantastic. I can't help but praise the staff that work here. Just a big thank you.

Personal interaction and attention to detail from professionals.

Contact between school and Lime Trees was good.

I was listened to and everything was taken into consideration.

Good to talk with people who understand our problems and found ADHD support group really helpful.

The people were very friendly and very supportive of me when on school visits and at meetings.

We will continue to evaluate our work and take all feedback into account. In this way, we hope to be continually improving the service we are providing.


York Family Information Service

01904 554444