All young offender institutions (YOIs) in England have access to Child and Adolescent Mental Health Services (CAMHS) at Tiers 1 to 3, delivered on site, by a range of staff including primary health care staff, education staff, youth justice workers, psychologists, prison officers, child and adolescent psychiatrists, social workers, clinical psychologists.
Tier 4 CAMHS, the level of service for children and young people with serious problems who require highly specialised in-patient treatment, will usually be delivered off-site.
The Secure Forensic Mental Health Service for Young People oversees in-patient treatment and referrals to seven specialist NHS secure hospital units for under-18s throughout England. These are: Roycroft (Newcastle), Gardener (Manchester), Ardenleigh (Birmingham), Bill Yule (Beckenham, South London), Wells Unit (Middlesex), Malcolm Arnold Unit (Northampton) and Bluebird House (Southampton).
The commissioning of secondary/tertiary care health services to YOIs based in Wales is the responsibility of the Welsh Assembly Government/NHS Wales.