Closer2Home

We specialise in supporting young people who:

• repeatedly harm themselves and/or make suicidal gestures; and may also experience rapid or exaggerated changes in mood, and distress in relationships
• have complex eating disorders, especially anorexia nervosa, and require intensive treatment
• are currently in Tier 4 mental health services who could be discharged or moved closer to home if increased support was available.

The service operates 365 days a year from 8am-8pm, and the teams work together to deliver a specialist service to help young people remain at home who otherwise would have been admitted to an inpatient hospital.

We will work in partnership with you and your family or carer to design the support you need. This is delivered as an intensive 12 to 14-week programme by our multi-disciplinary team, including Consultant Psychiatrists, Mental Health Practitioners, Community Adolescent Senior Support Workers, Peer Support Workers and Trainee Nurse Associates.

We will regularly review the care you are receiving to ensure that you have the appropriate support in place, and will work closely with other services involved in your care to ensure that all services are contributing to your care in a joined-up way.

Referrals to Closer2Home are made by health care professionals in the same way as a referral for Tier 4 inpatient services by completing a FORM 1. The service is delivered in Hampshire only.

Please refer to the inclusion and exclusion criteria before making a referral.

Inclusion and exclusion criteria

Inclusion criteria:

• Young people referred to Tier 4 CAMHs who might benefit from intensive home treatment as an alternative to admission.

Exclusion criteria:

• Young people who need an emergency or urgent response to crisis
• Young people whose risk necessitates constant supervision or medical stabilisation
• Young people with challenging behaviour not solely attributable to mental disorder
• Young people who do not have a place to live.

Service pathways

Eating disorders
Includes mental state and risk monitoring, physical observations, meal support and post-meal supervision and support to carers.

Emotional dysregulation and repeated self-harm
Behaviour Therapy (DBT), medication monitoring and interface between Tier 4 and Tier 3 CAMHS.

Psychosis/severe affective disorders/severe anxiety disorder
Includes mental state and risk monitoring, medication monitoring and interface between Tier 4 and Tier 3 CAMHS.

Treatment and support

Dependant on the treatment pathway, we offer a range of interventions including Dialectical Behaviour Therapy (DBT). This will be made up of 1:1 therapy, skills groups, telephone support and family sessions, where required.

We also provide additional support to complement the care of the local Eating Disorder Service for young people with complex eating disorders, which includes visits to support young people and their families. 

We tailor our interventions to the young person, including those with neurodevelopmental differences and/or intellectual impairments who display behaviour that challenges, including affective disorders with debilitating anxiety disorders, and emerging psychosis that may necessitate admission.