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What is a Care, Education and Treatment Review (CETRs)

What is a Care, Education and Treatment Review (CETR)

Care, Education and Treatment Reviews are focused on those children and young people who either have been, or may be about to be admitted to a specialist mental health / learning disability hospital either in the NHS or in the independent sector.   The process specifically relates to Children and Young People with a learning disability and/or autism who display behaviour that challenges, including those with a mental health condition.

 

Care, Education and Treatment Reviews bring together those responsible for commissioning and providing services (this will include nurses, social workers, education, commissioners and other health, education and social care professionals alongside strategic commissioners where appropriate) with independent clinical opinion and the lived experience of children and young people and families from diverse communities with learning disabilities, autism or both.

 

Care Education and Treatment Reviews are driven by the NHS but the involvement of local authorities and education services in the Care, Education and Treatment Review process and its outcomes is integral to improving care, education and treatment for children and young people with learning disabilities, autism or both and their families.  They may take place prior to admission (community CETR), following admission or at 3 month intervals throughout the admission.

Who might access a Care, Education and Treatment Review?

A Care Education and Treatment Review is an option for a child or young person with learning disability and / or autism who is currently admitted to a specialist mental health / learning disability hospital or who is at risk of being admitted.   In Salford it is recognised that there are a small number of Children and Young People with complex needs, issues and challenges who do not fall into the Autistic Spectrum or Learning disability definition that could benefit significantly from the Care Education and Treatment Review process. The proposal is to extend the process to include these Children and Young People.

In Salford we are confident that our current panel structures provide the right reviews of packages of care at the right time and these systems will remain in place alongside the option of a Care, Education and Treatment Review should there be additional challenge, risk or concern, to ensure the most appropriate review for each individual child or young person.

Triggering a Care, Education and Treatment Review

It is anticipated that the majority of Children and Young People requiring a Care, Education and Treatment Review will already be known to local services and likely to be a Looked After Child (LAC) or a Child with Continuing Care needs who are more than likely being dealt with via an existing multi agency panel. The following provides outline criteria:-

  • In line with the Care, Education and Treatment Review – Code and Tool kit any Salford child or young person who is risk of admission, due to the nature of their mental health needs will have access to a Care, Education and Treatment Review if the existing panel structure identifies an escalation in need or risk
  • The initial focus of will be on adults, and children with learning disabilities who are of transition age (usually aged 14 plus) and must include children of transition age who are in 52-week residential school placements who through their Education Health and Care Planning (EHCP) processes are identified as being at risk of admission.
  • In addition any child or young person (outside the Autistic Spectrum or Learning disability definition) whose current package of care is at risk or unable to meet their needs (this may be due to changes in situation, behaviour or as a result of a particular crisis point) and who as a result are deemed to be at additional risk to themselves and/or others will if appropriate have access to a Care, Education and Treatment Review.

However the Care, Education and Treatment Review process will only be triggered if the existing package of care (following panel review) is at risk or cannot meet the needs and /or if there has been a breakdown of package and/or an escalation of need.