Child & Adolescent Mental Health Services - CAMHS

 St Andrew’s Healthcare provides low and medium secure Tier 4 CAMHS inpatient services, with the objective of enabling young people to live well and to their full potential in the least restrictive environment possible.

A medium secure forensic service for boys aged 13 - 18 with learning disabilities.

Our service ethos is based on a Positive Behavioural Support (PBS) framework, using boundaries, positive role modelling and solution focused therapies to enhance the young people's quality of life, taking account of their developmental stage.


Bright and colourful therapies room


Therapeutic sensory room

IMG 20200921 WA0001

open plan living space

IMG 8697

Quiet space to relax

Sitwell: Admission criteria

Boys aged 13 - 18 on admission who:

  • have mild to moderate learning / developmental disabilities, including those with co-morbid conditions such as:
  • attention deficit hyperactivity disorder (ADHD)
  • autistic spectrum disorder
  • developmental dyspraxia
  • developmental trauma
  • mental illness
  • pose a significant risk of harming themselves or others
  • require care within a medium secure environment
  • have been detained under the Mental Health Act 1983 (as amended in 2007) or Irish High Court order.

Sitwell: Boys, Medium Secure Mental Health Ward

Delivered by a full time, on-site multidisciplinary team (MDT), young people will benefit from a range of therapy programmes and interventions, specially adapted for the needs of vulnerable young boys:

  • emotional regulation
  • social skills
  • adapted Sex Offender Treatment programme
  • fire setting reduction programme
  • self-care groups to promote cleanliness and confidence
  • weight management
  • education at St Andrew's College - rated 'outstanding' by Ofsted
  • sensory integration
  • physical healthcare - access to gym, football sessions, physiotherapy, physical education, regular health checks
  • dietetics - supporting nutrition, weight management and healthy eating
  • speech and language therapy
  • Workbridge vocational opportunities - enabling young people to learn work and life skills.

More information

Next steps

Discharge is considered at admission and our clinical and social work teams work with appropriate case managers to support a single transition back into the community.

Smyth House