There is increasing concern that children and young people referred to child and adolescent mental health services (CAMHS) experience long waiting times to access assessment and treatment. The Choice and Partnership Approach (CAPA) is used by CAMHS to match services to needs appropriately and provide timely access to care. The CAPA is based on a formula where 66% of children and young people who are assessed in CAMHS will attend at least one treatment appointment. This is referred to as the CAPA conversion rate.

An audit was conducted at all eight CAMHS in NHS Greater Glasgow and Clyde with the aim of investigating the access of children and young people with learning disabilities to mental health services. The conversion rate was found to be higher than the CAPA conversion rate, which suggests that children and young people with learning disabilities do not necessarily face barriers to accessing mental health services. Looked-after status did not appear to be a barrier but living in the most deprived areas of the health board did. It also appeared that the eight CAMHS may be receiving more referrals than recommended in the CAPA, which could have negative implications for the quality of services and for staff well-being.