Mill Lodge is our Trust’s Child and Adolescent Mental Health Service (CAMHS) inpatient unit for children and young people between 13 and 18 years of age.
The unit is based in Huntington, two-and-a-half miles out of York city centre and is staffed by nurses with the support of a larger team of psychiatrists, teachers, clinical psychologists, occupational therapists, a family therapist, a dietician, secretarial support staff and a pharmacist.
Who is inpatient CAMHS for?
Many young people will experience difficult times when growing up. This can include emotional and behavioural problems which arise from a mental health condition and young people experiencing such issues are usually referred to a Child and Adolescent Mental Health Service, known as CAMHS.
Most young people with mental health issues are seen as outpatients by community CAMHS teams. However, if the problem is more severe and needs more intensive support then a referral to an inpatient team or unit – like Mill Lodge – may be appropriate.
An inpatient unit is like a hospital ward, though it is often a separate building in the community and the staff do not normally wear uniforms.
Most people who come to Mill Lodge are informal residential service users and some are admitted after being detained under the Mental Health Act (1993) or are subject to other court orders.
The team at Mill Lodge have worked with our service users to create the video below which offers information for young people about what to expect when being referred to the service. You can also find out more about the creation of the video.
Each young person and their family are encouraged to be actively involved in their own care and in the overall running of Mill Lodge. Young people have their own care plan, which they contribute to. Families are invited to meet with team members to talk about all aspects of the service.
Full details of what to expect as a service user or a friend or family member of a service user at Mill Lodge can be found in our downloadable information packs:
Young people are usually referred into our inpatient service when they require more intensive support than can be provided through a community child and adolescent mental health service (community CAMHS) and referrals can only be taken from community CAMHS.
A young person cannot be self-referred to our service. If a young person or their family/carers feels that they need inpatient care, they need to approach their local community CAMHS team via their GP.
The decision to admit a young person to Mill Lodge is made after the young person and their family/carers have visited and discussed the advantages and disadvantages of admission. Parents maintain full parental rights and responsibilities throughout the admission unless the young person is detained under the Mental Health Act (1983) or a court order affects those rights and responsibilities.
Both the young person and their family/carers will be expected to participate in a discharge process from day one of admission. This will include structured home leaves, with the first home leave taking place during their first week at Mill Lodge and these increasing in frequency towards discharge.
Feedback from young people has shown how important home visits were for them and how these helped them to maintain their links to the community and have a sense of normalcy in their life.
We ask all young people staying at Mill Lodge to take responsibility for their own behaviour and to be conscious of how their actions can affect themselves and others.
Information for professionals making a referral
Information for professionals making a referral to Mill Lodge Inpatient CAMHS is available in the professionals section below.
Mill Lodge is a regional/national unit and we accept referrals in Yorkshire and the Humber as well as national referrals from across England and Wales.
In terms of national referrals, ties with community teams, schools, social care and the practicalities surrounding family work will take precedence in weighing up the pros and cons of admission. Our decision on whether to accept the referral will be based on what is in the best interests of the young person and their family when considering all these factors.
A clinical decision and feedback will be given upon receipt of a referral.
Referral process for professionals
Referrals into our service must be made by a member of a community CAMHS team and endorsed by a consultant child and adolescent psychiatrist.
The process follows the standard NHS England procedure:
A member of a community CAHMS team must complete NHS England’s ‘referral form 1’ and submit it to firstname.lastname@example.org* during the hours of 9am – 5pm, Monday to Friday. This referral form is available from your area NHS England case manager.
To make a referral out-of-hours, please call the York District Hospital switchboard on 01904 631313 and ask to speak to the on-call consultant child and adolescent psychiatrist. The consultant will then liaise with Mill Lodge regarding the appropriateness of the referral and arrange admission if this is agreed to be the best course of action.
Depending on both the urgency of the referral and the clinical acuity in the ward, staff will discuss an appropriate time and date for admission over a phone call or email.
If you have any queries whilst making a referral, please do not hesitate to contact Mill Lodge on 01904 294050 to speak to a clinician.
* Please be aware any information sent via email that isn’t from a secure email address such as an nhs.net address is at risk and as such should be encrypted.
You can find out more about MS-Office document encryption in the appendices of our Trust’s Safe Haven Guidance.
Our Trust is a teaching trust and Mill Lodge is part of our wider teaching and research framework. As a result the unit can offer nursing, medical, psychology and occupational therapy student training opportunities.
If you would like to find out more about student placement opportunities at Mill Lodge, please call 01904 294050 and ask to speak to the ward manager.
You can find out more about a career at our Trust by visiting our careers pages.
We also work closely with volunteers at Mill Lodge, for more information about volunteering at our Trust please visit our volunteering page.
The team at Mill Lodge are currently contributing to the following research project:
Development of an inpatient risk assessment tool This is a survey based on the admission referral forms of young people referred to our CAMHS inpatient unit.The study looks at what risks may increase on admission, how these are being considered and how the referring team come to a decision that these risks do not outweigh the benefits of admission.This research is being led by Dr Thevarajan, Consultant Child and Adolescent Psychiatrist and Lead Clinician at Mill Lodge.
More information on research and development at our Trust can be found by visiting our research pages.