CAMHS are specialist mental health services for children and young people. They offer assessments and treatments for children and young people who have emotional, behavioural and mental health difficulties.

In Richmond and Kingston, Tier 2 CAMHS services are provided by Achieving for Children. This service is called the Emotional Health Service (EHS) locally.

The EHS have worked with young people to develop information aimed at young people to help them understand more about what the service does and how they work with children and young people. The information contains useful resources and suggestions of things that people can do to help themselves.  We recommend that you read those pages together with this section. 

Emotional Health Service information for young people

Services offered

Within CAMHS, there are different levels of support. Referrals and assessments will identify which level of support a child or young person will need to access. Nationwide, CAMHS services are divided as follows:

In Richmond and Kingston, Tier 2 CAMHS services are provided by Achieving for Children. This service is called the Emotional Health Service which has an early intervention approach for children and young people, who experience prolonged periods of emotional distress and present with difficulties that fall within the mild-moderate range of mental health disorders. Tier 2 offers assessments and treatments with the aim of helping to improve a person’s ability to function and cope with the difficulties that they have. To access this service, a child or young person has to live in the boroughs of Richmond and Kingston.

Tier 3 and Tier 4 services are provided by South West London and St George’s Mental Health Trust. Tier 3 offer assessments, diagnosis and treatments to children and young people who have signs and symptoms of an emerging mental health disorder which is having a global impact on their ability to function. Tier 4 offers inpatient services for children and young people with exceptionally high levels of distress and complex mental health disorders. To access these services, a child or young person has to have a GP registered within the boroughs of Richmond or Kingston.

You may find the "Your Guide to CAMHS" on the Young Minds website helpful.

The Emotional Health Service and Tier 3 CAMHS will offer a Choice appointment to assess the presenting difficulties a child or young person has. During this appointment, a range of options will be provided; the child and young person will then choose their preferred option.

The Emotional Health Service offers the following: 

  • General assessments for emotional distress/mental health conditions
  • Risk assessments around issues connected to the young person’s mental health
  • Screening for ASD and ADHD
  • Cognitive Behaviour Therapy (CBT)
  • CBT Group work for anxiety
  • Behavioural interventions
  • Art psychotherapy
  • Interpersonal Psychotherapy for Adolescents (IPT-A)
  • Family therapy
  • Psycho-education and parent work to support families
  • Consultations and network meetings with other professionals

Tier 3 Richmond and Tier 3 Kingston CAMHS offer the following: 

  • General assessments for emotional distress/mental health conditions
  • Risk assessments around issues connected to the young person’s mental health
  • Psychiatry assessments
  • Screening for ASD and ADHD
  • Emergency psychiatric assessments at Kingston Hospital
  • Child Psychotherapy
  • Cognitive Behaviour Therapy (CBT)
  • Family Therapy
  • Psycho-education and parent work to support families
  • Consultations and network meetings with other professionals

If a young person has an Eating Disorder, there is a specialist service at Springfield Hospital where they will be referred to from Tier 3 CAMHS.

For a comprehensive assessment and diagnosis of ADHD or ASD, both the Emotional Health Service and Tier 3 CAMHS will refer a child or young person to the neurodevelopmental service at Springfield Hospital.

Referral criteria and making a referral (opens a separate page on this website)