Your Journey through ELCAS

The Start

ELCAS is a specialist service which means that you can’t just ring up and ask for an appointment. Referrals can be made by other people who have already met you and think that ELCAS might be able to help.

Those people include:

• Your GP (family doctor)
• Social Worker
• Paediatrician (Specialist Children’s Doctor)
• School (with a supporting CAF – Common Assessment Framework)

Once we receive your referral and we think we might be able to help; we get in touch as soon as possible to offer a choice of appointment dates.

Your First Appointment

When you come for your first appointment, you will be seen by one of the people who work in ELCAS. You are usually seen with your parents or carers, but as part of the meeting we might to want to see you alone. Sometimes we also need to see your parents alone so don’t be too worried if this happens. It is important that everyone feels comfortable and able to talk openly about what concerns they have.

The first appointment usually takes about 60 minutes.

When you have had your first appointment, we may need more information to help us decide what we can do to support you. This may mean speaking to teachers at school or other people who are known to you. We would always discuss this with you first.

After your first appointment, the person you met from ELCAS will need to talk to the other members of the ELCAS team to help think about if and how ELCAS can help.

If we think that ELCAS is the best service to help you, we will write to you to let you know. You may need to wait for a little while for your next appointment and then you will be invited back so that we can work together on a plan. This is sometimes called a treatment or care plan.

Sometimes we need to carry out further assessments and may have to ask another member of the ELCAS team to help. Don’t worry if this happens, it just gives you and us a better understanding of what is happening in your life.

Treatment / Therapy

We offer lots of different types of treatments or therapy which include mostly talking, but we also offer play therapy and art therapy. It is sometimes helpful for your family to be seen together in Family Therapy. There are times when medication might be helpful too.

Your family or carers will usually be part of the treatment plan, to help decide what treatment/therapy would be best for you.


When you are getting ready to move on from ELCAS, we will work with you to make sure you feel comfortable about your next steps. If you are going to another service, we will do our best to work closely with that service for a while to make sure the change is smooth and you feel supported.

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