Tier 1 services are provided entirely in schools, GP practices, youth centres and other general settings. We do not have data on the number of children and young people who receive Tier 1 services within these settings.

Tier 2 services are also provided in schools, GP practices, youth clubs and other general settings. Where these services are provided by teachers, school nurses, GPs or other non-specialists, we not have data on the number of children and young people who receive them. However, we do have data on services provided by specialist Tier 2 City and Hackney CAMHS services in these settings (see Section 1.7 for more details). There were almost 1,000 open cases receiving such servies at the end of the financial year 2014/15 (Table 2). The largest Tier 2 open caseload for specialist services was held by First Steps, an early intervention service, which consisted of 80% of open Tier 2 cases for specialist services.

At the end of the financial year 2014/15, there were over 1,100 open cases in Tier 3 City and Hackney CAMHS services (Table 2). The largest Tier 3 open caseload was held by Specialist CAMHS, which consisted of 59% of all open Tier 3 cases.

In the financial year 2014/15, 17 City of London resident children aged 0-18 with mild to moderate mental health problems attended First Steps (Tier 2); no other data are available separately for City of London.

Data were not available for London Tier 4 CAMHS service use.

Table 2: Hackney and the City residents using CAMHS (Q4 2014/15)

Tier Service Cases open at the end of the quarter Cases seen during the quarter
No. No. As proportion of cases open at the end of Q4 in this service*
Tier 2

(does not include non-specialist services)

Hackney Children’s Social Care 194 227 117%
First Steps 789 492 62%
Tier 2 Total 983 719  
Tier 3 CAMHS Disability 313 215 69%
Specialist CAMHS 648 534 82%
CAMHS for Young Hackney 81 78 96%
Adolescent Mental Health Team 61 53 87%
Tier 3 Total 1,103 880  

Local service data extracted from the Hackney Children and Young People’s Emotional Health and Wellbeing Partnership report, Q4 2014/15

* Please note some cases were seen during the quarter but closed before the end of the quarter.

Local data are broken down by age and gender in Section 1.4.