Appendix One: Child and Adolescent Mental Health Services: SAMH screening survey
Have you, or has someone in your family been referred to but not accepted by a Child and Adolescent Mental Health Service ( CAMHS) since January 2016?
This happens to one in five young people who are referred to CAMHS and is also known as a “rejected referral”. At a national level we want to learn more about this situation. So the Scottish Government has asked SAMH to gather evidence from children, young people and their families to help understand and improve the situation.
This work is being done as part of the Government’s Mental Health Strategy. The research will help to answer those questions and make recommendations for the future.
This survey will help us to identify people who would like to take part in this research. It will take about five minutes to complete. We will then contact you to arrange the best way for you to participate.
We can’t always prevent young people from experiencing a mental health problem, but we can give them every chance to get the help they need, when they need it.
Thank you for participating.
Q1 Which of these categories best describes you?
sibling or other relative
teacher SKIP TO Q11
GP SKIP TO Q11
other (please state) SKIP TO Q12
Q2 How old are you?
5-11 years ASK Q3
12-15 years ASK Q3
16-18 years SKIP TO Q4
19 – 25 years SKIP TO Q4
26 years or older SKIP TO Q4
ASK ALL AGED UNDER 16 YEARS
Q3 If you are under 16 years old, please ask a parent or guardian to read the following information, and give their consent for you to take part in this survey.
The Scottish Government has asked SAMH to gather evidence from children, young people and their families who have been referred to but not accepted by a Child and Adolescent Mental Health Service ( CAMHS) since January 2016. The purpose of this short survey is to help us to identify people who would like to take part in this research, and to collect their contact details to arrange the best way for them to participate.
The online questionnaire should take no more than 5 minutes to complete. All information provided will be treated in confidence and used only for research purposes.
Do you agree that your child can participate in this online survey?
No CLOSE *
Please provide an email address or phone number that can be used if we are requested to confirm your consent:
NOW GO TO Q4
ASK ALL YOUNG PEOPLE, PARENTS/CARERS, OTHER FAMILY MEMBERS CODES 1-3 AT Q1
Q4 Have you been referred to CAMHS but not accepted, between January 2016 and now?
Note: this might also be known as being “rejected” or “declined” from CAMHS.
Yes, I was referred but not accepted
Yes, a member of my family was referred but not accepted
No CLOSE *
Q5 What was the primary reason for being referred?
Q5 What was the approximate date of the referral?
Drop down list – month & year (Jan 2015 to Dec 2017)
Q6 And what was the approximate date you (or the person concerned) received notification that the referral would not be accepted?
Drop down list month & year (Jan 2016 to Dec 2017)
Q7 Who told you (or the person concerned) you would not be accepted to CAMHS?
Learned the information in another way (please write in)
Q8 Can we contact you about taking part in the research? This could involve taking part in a focus group, a telephone or video interview or a more detailed online survey.
Q9 Please enter your contact details below. Please note this information will only be used for the purposes of this research. We will not identify anyone by name in the research that we produce as a result of this work.
Postcode (first part only)
Email: (include email format check)
Prefer to self-describe
Prefer not to say
Thank you for your interest in participating. We will be in touch soon with information about the next stage of the research.
Q11 Teacher/ GP
Thank you for your interest in this research. We will be undertaking some specific research with teachers and GPs later in our research process. If you would like to be involved, please fill in your details below.
Email address: (include email format check)
Workplace postcode (first part only)
Thank you for your interest in this research. At the moment we are specifically looking for children, young people and their families who have experienced a CAMHS rejected referral. Please follow us on @SAMHTweets for updates on this and other work. You can also find out more about the Scottish Government’s Mental Health Strategy.
*CLOSE MESSAGE Thank you for your interest in this research.Please follow us on @SAMHTweets for updates on this and other work. You can also find out more about the Scottish Government’s Mental Health Strategy
An easy-read version is available on request from MentalHealthStrategyandCoordinationUnit@gov.scot.