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Tier 4 Severe/highly complex mental health needs Highly Specialist Services Tier 3 Moderate to severe mental health needs Specialist Services Tier 2 Children vulnerable to mental health difficulties Targeted Services in education, social care, and health Tier 1 All children Schools, GPs, health visitors, Children’s Centres Universal Services

In-patient

Specialist CAMHS

CAMHS Tier 2 work liaison/joint working with targeted and universal services

Tier 1 is a primary level of care that is available for all children and young people and consists of the following professionals and services: – GPs, surgeries with community psychiatric nurses, and health visitors – Teachers, teaching assistants, and school nurses – Juvenile justice workers – Voluntary agencies – Social workers and social services

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