The DSR is a voluntary register (list) held by Buckinghamshire Integrated Care Board (ICB). It helps services keep track of who might need more or different support.

Once you’re on the register:

• Your care will be regularly reviewed to make sure your support still meets your needs
• If things start to feel more difficult, we can act early and help make changes quickly

We use a colour system to understand risk:

• Green – your network is supporting you to remain out of a mental health hospital
• Amber or Red – there might be growing concerns that a mental health hospital admission may be required, and extra support is may be needed to help prevent this

Being on the DSR can also help us decide when a Care (Education) and Treatment Review (C(E)TR/CTR) might be helpful.

Sometimes we share anonymised (non-identifiable) information from the DSR to help services understand how to improve support in the future. Your name and details will never be shared without permission.

Lyuba Copestake – Operational Lead:

Hello, I’m Lyuba and I am the Operational Lead for the Bucks CAMHS ACE Team.

I began my career as a Mental Health Nurse, and now am very proud to be a part of our team; everyone is so caring and committed to improving the lives of young people and I find it so motivating to work in a service where people genuinely want to make a difference. Being able to contribute to positive change for those who need it most is what drives me. Our team is friendly, supportive and open, and I’m often learning something new from my colleagues and from the young people and families we support.

My faith is a central part of who I am. It shapes my values of and keeps me going in tough times. I enjoy spending time in my garden and caring for my indoor and outdoor plants – I have a dream to be able to keep an Orchid alive! I also listen to loads of audiobooks and to really help me relax, I play Zelda on my Nintendo.

Pia Treitlein – Facilitator:

My role is to provide support to you, your family and the professionals working with you to ensure you are receiving all the support you need to live in your community or to be discharged from hospital and access the support you need to stay out of hospital.

Some of the things I do, is to attend meetings and ensure your voice is heard in those meetings you cannot attend. I make sure you are being kept up to date with what is happening around your care. I help the professional team to identify any gaps in provision, care or services that could support you further.  You and your needs are unique so how I provide support will depend on those needs.

I was a primary school teacher for over 20 years, teaching year groups up to Year 9 in classrooms around the world. I grew up overseas and have lived in many different places. I love reading, listening to music (especially live music), going to the theatre and spending time with family and friends. I crochet, knit and do other arts and crafts.

I also enjoy playing games and keep a variety of games in my car to use in meetings. So, if playing a game would help you, please do ask me to bring them to any meetings we have.

Emma Fairhurst – Facilitator:

My name is Emma and I am a Dynamic Support Facilitator.

My role is all about supporting you, your family, and the professionals working with you. I’m here to make sure you get all the help you need to live comfortably in your community or to transition smoothly out of the hospital.

In any meetings that you cannot attend, I ensure your voice is heard, as well as making sure make sure you are involved in planning your care and kept up to date with the outcomes of these meetings. I will also help the professional team working around you to identify any gaps in provision, care or services that could support you further – you, and your needs, are unique so the ways I will support you will depend on those needs and be completely tailored to you.

If you run out of things to talk to me about, you can always ask me about one of these:

• I love dogs and enjoy spending time them, I two dogs one is very fluffy, and one is very cheeky!
• I enjoy playing most board game especially asymmetrical ones. I also play Magic the gathering and Dungeons and dragons.
• I also try and spend some time each day doing a craft activity and listen to an audio book

Claire Daniels – Facilitator:

I am a Facilitator within the team, which means that I work with young people under 25 yrs old with a diagnosis of Autism and / or a Learning Disability to make sure that they get all the support that they need in the community. I am a qualified Social Worker and Approved Mental Health Professional and have worked for Oxford Health for over 10 years in different roles.

My role is to provide support to you, your family and the professionals working with you to ensure you are receiving all the support you need to live in your community or to be discharged from hospital and access the support you need to stay out of hospital.

Some of the things I do, is to attend meetings and ensure your voice is heard in those meetings you cannot attend. I make sure you are being kept up to date with what is happening around your care. I help the professional team to identify any gaps in provision, care or services that could support you further. You and your needs are unique so how I provide support will depend on those needs. I have a strong sense of justice and fairness, and it is important to me that the people I work with feel cared for, respected and part of all the decisions made about their care.

Outside of work I have lots of hobbies and interests including crochet, cross stitch (anything crafty) and I am a Beekeeper with a hive in my garden.

I like spending time with my 3 adult children, pet sausage dog called Frank and our 4 tortoises. I like going or walks, playing board games, gardening or binge-watching Netflix. I can be quite a busy person at times but love my sleep too!!

Alex Gritz – Social Prescriber:

Hello, my name is Alex and I’m a Social Prescriber. My role is to support you in finding activities you enjoy, exploring what’s important to you, and looking towards the future. Our time together is completely centred around you, and we can adapt it however you’d like. That might mean playing your favourite sport or game, chatting about your hobbies and interests, attending a local group together or even heading out to a local café. The possibilities are endless!

My likes and hobbies include:

• I love animals and spending time outdoors. I grew up with horses and dogs and now share my home with a cheeky cat called Nala and dog called Otto.
• I enjoy sport—especially horse riding—and whenever I get the chance, I love to go skiing or snowboarding.
• I’m a big fan of board games (especially Monopoly!) and enjoy anything with a competitive edge.
• Each day I try to make time for mindfulness. At the moment, I’m really enjoying colouring and getting lost in a good detective novel.

I’m really looking forward to meeting you and hearing all about your hobbies and interests. See you soon!

Alice Wooding – Administrator:

Hi, my name is Alice and I am the Administrator for the team. My career so far has been mainly in Early Years Education based within nursery settings for over eight years. I was also part of the admin team for a SEN school and residential provision, which gave me so much admiration for the work for and around young people with special needs, learning disabilities and more. I am passionate about to being part of such a wonderful team that is always striving to improve the wellbeing and care of young people who need a little extra.

Outside of work I like to spend time with my family and friends. I love the countryside and am often found outdoors on walks, camping, or taking part in sport. I also have many hobbies including crochet, needle felting and drawing to name a few, and have recently welcomed a new puppy into my household!

Lauren Nicklin – Business Manager:

My name is Lauren and I am the Business Manager for the team. I am a Sports Injury Rehabilitation Therapist by background, and did that for many years, meeting lots of interesting people and the odd famous face along the way, too!

My job nowadays is ‘behind the scenes’ in Bucks CAMHS, and I work with the Service Managers, Team Managers, Clinicians and Administrators to help make sure that we’re doing the best that we can in all areas to ensure we’re giving our young people, colleagues and network partners the best service possible. I work with data mostly and look at the ways we work together as teams in the wider Bucks CAMHS service to see what we’re doing well, but also what we could be doing better – we are always learning and reviewing what we do to make sure we can be as helpful and effective as we can be… for everyone.

Outside of work my love for sport lives on, being an avid Football, Tennis & F1 fan, aiming to attend any of these sports as often as possible. I love riding horses, the countryside, city breaks, travelling, spending time with my friends and family and walking my two sausage dogs named Frank & Stanley as often as possible!

A Care, Education & Treatment Review (CETR) is a meeting about a child or young person who has a learning disability and/or Autism and who is either at risk of being admitted to, or is currently detained in, an in-patient (psychiatric) service. Your appointed Facilitator will assist you and your young person through the process of the CETR and ensuring actions from meetings and CETRs are carried out.

A care plan is a description of the main issues, treatment plan, goals and which professionals and agencies will be involved. Clear care planning and goals for treatment that are realistic, specific and measurable make it clear when to end contact as well as giving a focus for the work. Your appointed Facilitator will work through and identify the individual needs of your young person and bring everything together in line with the plan.

We are able to signpost to additional outside services, tailored to the wants and needs of the young person and the family unit around them. We can also recommend aspects of support and treatment that are not currently in place; ensuring that the best possible outcome is reached and that the correct work is carried out in a timely and effective manner.

Your appointed Facilitator will also work with the wider multi-agency network around your young person, to develop bespoke plans and support tailored to their individual needs and the condition(s) they display, for example: exploring what their Autism diagnosis means to them specifically, and how they can thrive in life alongside their diagnosis.

If you or your young person is under 25 years old, then please email the bucksdsft@oxfordhealth.nhs.uk to make a self-referral. If you or your young person is 25 years old, please email Bucksccg.ctrs@nhs.net

• Autism Bucks – Autism Bucks (autism-bucks.charity)
• Resources & Useful Links – Autism Bucks (autism-bucks.charity) – has lots of information and links to other third party services that are helpful
• Ambitious about Autism | National charity for autistic children and young people – has information about understanding autism and uses expert b experience (under 25 years old) with workshops, videos, online, youth groups
• Autism Toolbox to help parents and carers of autistic children | Family Information Service (buckinghamshire.gov.uk) – Has information for families
• Thames Valley Autism Alert Card – Autism Berkshire – Thames Valley Police Autism Alert Card: I am autistic card  or  My child is autistic card
• Occupational Therapy – Buckinghamshire Healthcare NHS Trust – CYP Website (buckshealthcare.nhs.uk) – Buckinghamshire Healthcare NHS Trust Occupational Therapy – has set of 3 Sensory Webinars that are very informative and useful as well as webinars on other Occupational Therapy subjects that may be helpful. There is also a link to book a consultation if needed