What does the ED Home Treatment Team (HTT) do?

We provide guidance to young people and their families in their home before, during and after meal times.

We support parents to take a central role during meals, coaching and modelling (showing) appropriate behaviours and feedback to the young person.

We work alongside your CAMHS locality team, who will continue to coordinate the care of the young person and remain responsible for treatment changes.

Our aims

We aim to support young people and parents with the challenges at home by achieving goals that will hopefully prevent the young person from being admitted to hospital or an acute general child and adolescent Mental Health specialist unit (CAMHS Tier 4 Unit).

How long will we work with you?


CAMHS Locality teams will refer you to us for an intensive 6-week intervention.
The frequency of this will be agreed with you on our first visit.

Who are we?

Our team is made up of Mental Health Practitioners (Registered Health Professionals and Nurses) and Support Workers with a range of skills and experience.

Who is the ED Home Treatment Team for?

  • Young people up to 18 years old.
  • Those at risk of admission to hospital or a to, CAMHS Specialist Eating Disorder unit.
  • Those being discharged from hospital who may need further support at home.
  • Those whose eating is impacting greatly on their physical health.

When and where do we work?

The Home Treatment Team operates Monday – Sunday, 8am – 8pm including bank holidays. We work across Bristol, South Gloucestershire and North Somerset.

What will a home visit look like?


The time during our visits is divided evenly into time before (pre-meal), mealtime and time after (post-meal).

Our vists last 1 hour 30 mins for main meal visits and 1 hour for snack visits.

What will happen during our vists?


Before and after meals we will spend time:

  • Getting to know the young person and their family to provide person centered care and build therapeutic relationships.
  • Supporting young people and parents / carers to recognise and challenge unhelpful behaviours at mealtimes.
  • Looking at motivations for recovery.
  • Exploring new and helpful ways of coping with distress; such as distraction techniques and distress tolerance skills.
  • Setting goals and helping young people and their families work towards these.
  • Working with your locality team, we will provide diet advice and guidance on appropriate portion sizes.

To ensure effectiveness

We provide a smaller core team working around each young person and their family, to ensure a consistent approach.

Parents/carers/appropriate adults will need to be present for all appointments, provide the meals and eat with the young person to help normalise mealtimes.

We expect families and carers to be fully involved in all appointments.

“If fully involved, families and carers can help their loved ones recover faster and to ensure they don’t relapse” – BEAT 2023 https://www.beateatingdisorders.org.uk/

Advocacy

If you feel that you are struggling to get your point of view across, you may wish to think about having someone to act as an advocate.

To find out more, contact:

The Advocacy People

0330 440 9000

https://www.theadvocacypeople.org.uk/contact

Team Contact

Office only address (not in use for clinical appointments): 1-2 Perry Rd Bristol  BS1 5BQ

Telephone: 0117 354 6400

Monday to Sunday 8am-8pm

Urgent / emergency number:

If your call is urgent, a member of staff can be contacted via the 24/7 CAMHS response line on:

0800 953 9599

In case of medical emergencies:

Dial 999

 

BSL Video Relay

https://connect.interpreterslive.co.uk/vrs?ilc=AvonWiltshireMHT and ask for our number; or for switchboard 01225 731731 to connect you.

PALS

To make a comment, raise a concern or make a complaint, please contact the Trust’s Patient Advice and Liaison Service (PALS)

Tel: 01225 362 900

Freephone: 0800 073 1778

Email:  awp.pals@nhs.net

Other languages and formats

Please ask if you need this information in another language or format (such as large print, audio).

Lead: CAMHS ED Community Support Worker
Leaflet code: 057 AWP

Approved May 2023
Review due May 2026