Black Country CAMHS Referral Information
Black Country CAMHS offers help to young people with complex, severe or enduring emotional and mental health problems. We support young people who are aged between 0-18 years of age and who are registered with a Black Country GP.
At present, young people are referred into our service by a professional who knows what CAMHS offers, and knows the young person.
We accept referrals from these types of professionals:
- GPs
- Social Workers
- Health Visitors
- School Professionals
- Paediatricians / Hospital Doctors
- Paediatric Occupational Therapists
- Specialist Nurses
- School Nurses
If you are a referrer, wishing to refer a Child in Care, both Referral Forms (SPA and Additional Information) must be completed.
Referral Forms
You can access our Referral Criteria here:
Black_Country_Wide_Criteria_v2_Sept_2025.docx
You can access and download copies of our Black Country CAMHS Referral Forms here:
Black_Country_SPA_and_CYPIC_Combined_Referral_Form_V6.docx
CAMHS_CYPiC_Additional_Information_Form_Black_Country_v3.docx
Preparing for Your Initial Assessment
If you have received a letter from CAMHS inviting you to an initial assessment, we kindly ask that some forms are completed in preparation for your appointment.
Developmental History
It is helpful for us to know information about your child’s developmental history. Please can the bellow form be completed and sent to us before the date of your appointment. The questionnaire will ask lots of questions around your child/young person’s early life. Some families have found that looking at their child/young persons red book helps to answer some of the questions, it is okay to leave some questions blank if you are not sure.
You can access the CAMHS Developmental History Questionnaire here: Developmental_History_Form.docx


