Table 5 shows that the gender distribution of Hackney and the City clients seen for Tier 2 and Tier 3 services in Q4 2014/15 (January to March 2015) was similar, with 55% of Tier 2 service users and 56% of Tier 3 service users being male.
This is roughly consistent with national prevalence estimates of 61% cases male and 39% female (Figure 4).
Table 5: Gender distribution of Hackney and the City CAMHS service use (Q4 2014/15)
Hackney and the City 0-18 demographicsxiii | Tier 2 | Tier 3 | |||
---|---|---|---|---|---|
Number | Proportion | Number | Proportion | ||
Patients seen | – | 719 | – | 880 | – |
Male | 50.5% | 335 | 54.7% | 490 | 55.7% |
Female | 49.5% | 277 | 45.3% | 390 | 44.3% |
Missing | – | 107 | – | 0 | – |
Local data: Hackney Children and Young People’s Emotional Health and Wellbeing Partnership report, Q4 2014/15
Table 5 shows that the age distribution of Hackney and the City clients seen in Q4 2014/15 differed between Tier 2 and Tier 3, with Tier 2 services having a younger profile (24% of service users aged 0-4 in Tier 2 compared to 6% in Tier 3). The age profile of Tier 3 services was roughly consistent with national prevalence estimates3
applied to the Hackney and the City age distributions, which predicts that 49% of cases would be aged 5-10 and 51% aged 11-16.B
Table 6: Age distribution of Hackney and the City CAMHS service use (Q4 2014/15)
Hackney and the City 0-18 demographicsxiii | Tier 2 | Tier 3 | |||
---|---|---|---|---|---|
Number | Proportion | Number | Proportion | ||
Patients seen | – | 719 | – | 880 | – |
0-4 | 32.7% | 144 | 23.4% | 55 | 6.3% |
5-11 | 36.2% | 265 | 43.1% | 373 | 42.4% |
12-18 | 31.1% | 206 | 33.5% | 452 | 51.4% |
Missing | – | 104 | – | 0 | – |
Local data: City and Hackney Children and Young People’s Emotional Health and Wellbeing Partnership report, Q4 2014/15
Nationally, conduct disorder and hyperkinetic disorder are more prevalent in boys than girls, while emotional disorder is more prevalent in girls, especially in their teens (Figure 4).
Almost half (46%) of boys and more than one third (36%) of girls with conduct disorder are estimated to have at least one co-existing mental health problem.4
This compares with just one in five of all children with any mental health condition.
Figure 4: Prevalence of mental disorders by age and sex, 2004x

Notes
- The national prevalence rate is 7.7% in 5-10 year olds and 9.6% in 11-16 year olds, but the 5-10 population is larger than the 11-16 population in Hackney and the City.
- The national prevalence rate is 7.7% in 5-10 year olds and 9.6% in 11-16 year olds, but the 5-10 population is larger than the 11-16 population in Hackney and the City.
References
- Green, H., McGinnity, A., Meltzer, H., Ford, T. & Goodman, R. (2005). Mental health of children and young people in Great Britain, 2004. ONS. http://www.hscic.gov.uk/catalogue/PUB06116/ment-heal-chil-youn-peop-gb-2004-rep2.pdf (PDF document)
- National Collaborating Centre for Mental Health (2013). Antisocial behaviour and conduct disorders in children and young people: recognition, intervention and management. NICE Clinical Guidance 158. http://www.nice.org.uk/guidance/cg158
- Green, H., McGinnity, A., Meltzer, H., Ford, T. & Goodman, R. (2005). Mental health of children and young people in Great Britain, 2004. ONS. http://www.hscic.gov.uk/catalogue/PUB06116/ment-heal-chil-youn-peop-gb-2004-rep2.pdf (PDF document)
- National Collaborating Centre for Mental Health (2013). Antisocial behaviour and conduct disorders in children and young people: recognition, intervention and management. NICE Clinical Guidance 158. http://www.nice.org.uk/guidance/cg158