Jigsaw Student Characteristics & Referrals

This criterion has been reviewed to help schools and other professionals make appropriate referrals to the Secondary Jigsaw Mental Health Team. The Jigsaw team would like to discuss possible referrals in a telephone consultation.

We accept referrals from:

      • Heads of Years / Pastoral Manager
      • S.E.N.C.O.
      • Educational Psychologists
      • E.W.O.’s with school approval
      • Core C.A.M.H.S panel and C.A.M.H.S professionals in conjunction with schools
      • Community C.A.M.H.S projects (KITE)
      • G.P’s
      • School nurses
      • School Counsellors

Which children are appropriate for the Jigsaw Team?

The Jigsaw Team provides a service to secondary aged students, who are experiencing mental health difficulties which are beginning to have an impact on their emotional, social and educational wellbeing.

All students must be currently receiving an education from their school.

All referrals will be acknowledged and screened for appropriateness. If a referral is deemed inappropriate, suggestions of an alternative service will be sought. In some circumstances this may become apparent during the consultation.

Referrals we consider:

Recent changes in personality and /or behaviour-

(The young person may have longstanding problems but they need to present with recent changes in their behaviour, which may be helped by a short term specific intervention through Jigsaw)

        • Mood Swings

– Irritability, unusual aggressive outbursts without apparent risk to self or others
– Sadness/ low mood
– Low self-esteem, reduced confidence, reduced engagement
– Without concern of risk to self

        • Anxiety and Fears

– Generalised, separation, health, social phobias including school phobia
– Panic attacks
– The above of which have a mild to moderate impact upon daily functioning.

        • Somatic problems

– Physical pains that have an unidentified physical cause such as abdominal pain which have been assessed by a physician

        • Sleep problems

– Waking up in the night, difficulty falling asleep, early morning waking, night mares

        • Grief reaction/ bereavement issues

– Short term emotional support and school liaison with a view to signposting onto specialist services if needed

        • Deliberate Self Harm – Without suicidal ideation or need for medical intervention.

– Short term work to promote alternative coping strategies and self management of risk with view to referral onto specialist services if needed.

Referrals we will not accept:

– Emergency and urgent problems that warrant hospital services
– Severe Mental Health Disorders that require core CAMHS e.g.:

        • Moderate to severe depression
        • Suicidal ideation
        • Psychotic disorders; Schizophrenia, Bi-polar disorder or Drug induced psychosis
        • When the primary need is an assessment for ADHD
        • Assessment for Autistic spectrum disorders /Social communication disorders.
        • Chronic somatic and anxiety disorders that are having a significantly high impact on daily functioning
        • Deliberate self harm with suicidal ideation or need for medical intervention
        • Risk to self or others from aggression
        • Suspected/actual eating disorder

– Where attachment work is needed as primary intervention

– Suspected or actual abuse without social care assessment having been completed or when young person
remains in abusive setting.

(N.B: If concerns are held about the student’s mental health or risk of self harm a referral needs to be
made to core CAMHS through the school nurse or family GP)

– Where substance misuse (drugs and alcohol) is the primary presentation

– Conduct disorders – stealing, defiance, fire setting, long-standing aggression and anti-social behaviour,
criminal record where none of the referral criteria apply

– Family dysfunction where none of the referral criteria apply

Information we require from schools or other referrers:

        • Description of the student’s difficulties
        • Length of presenting difficulties
        • Affect of presenting difficulties on daily functioning
        • School attendance levels over past 12 months
        • Any recent or past critical incidents in student’s life
        • Previous and current support / intervention and their effectiveness
        • Student and carer’s view of and informed consent to the referral

How to make a referral:

1. Telephone consultation with a member of the Jigsaw Team: Tel: 428 9305.
2. If advised that a referral would be appropriate. Complete a Community C.A.M.H.S referral form
and send to :
Referral Panel
Community C.A.M.H.S
The Tree House
Stepping Hill Hospital
Poplar Grove
Hazel Grove
SK2 7JE
3. The referral will be discussed at the Single Access Panel held each Tuesday and a final
decision made. The referrer will be directly informed of the Panel’s decision.

Who can refer and how?

People working within Tier 1 can refer to Tier 2 services by completing a community CAMHS referral form. All referrals are discussed at a multi-agency panel which meets each Tuesday at the Tree House. Referral forms can be requested from The Tree House by telephoning 0161 419 2050/2053. Prior to completing a referral form for the Secondary Jigsaw team all potential referrals need to be discussed within a telephone consultation with a member of the Jigsaw team. This can be done by contacting the Jigsaw Office on 0161 428 9305.

Referrals direct to Tier 3 services can only be made through the child’s family G.P or through the school nurse. Children in acute need can attend Stepping Hill A and E department where an urgent assessment with a Tier 3 worker can be arranged as needed.

Referrals directly to tier 4 cannot be made by tier 1 workers. This would happen through existing tier 3 support or emergency psychiatric assessment by a child and adolescent psychiatrist.

To make a referral, please complete the following form:

JIGSAW REFERRAL FORM