The first point of contact for children and young people with mental health difficulties is generally primary care services. These services can include community psychologists, speech and language therapists, community occupational therapists and public health nurses. Children and young people may be referred onto General Practitioners (GPs) by other primary care professionals if this is deemed necessary, or families may contact GPs directly themselves. A recognised deficit in the supports currently available to children and young people at primary care level is mitigating against early intervention and leading to an increase in referrals to Child and Adolescent Mental Health Services (CAMHS)