Even with some extra support, the child or young persons mental health hasn’t improved, and they may now need more joined-up and intensive help from different services working together.
At this stage, they might be struggling to cope day-to-day, and without further support, there could be a risk of harm to themselves or others. They may be finding it hard to take part in everyday life—whether that’s at school, at home, or with friends.
This level of support looks at the child or young persons overall needs and makes sure the right professionals are working together to help them.
The child or young person might:
be in need of constant supervision
no longer be managing self-care, and be experiencing distress daily
be increasingly absent from school, with less than 60% attendance
engage in substance abuse/risky sexual behaviours
shut out family and friends, be increasingly isolated, stop leaving the house
be unable to sleep till early hours, wake at night, or have disturbing dreams
not be eating/overeating
be self-harming and/or having thoughts of or attempts at suicide
be facing family breakdown, bereavement or a traumatic event
