Some Child and Adolescent Mental Health Services are inefficient and unsafe.
A new report by the Inspector of Mental Health Service shows CAMHS teams are significantly below the recommended staffing levels.
Children and young people have been "lost" to follow-up care, with no planning, discharge or transition to adult services when they turned 18, or any advice about medication.
Mental Health Commission Chief Executive, John Farrelly describes some of the reasons for poor care.
''Some teams had no consultant psychiatrist and were covered by a number of different consultants which sometimes led to confusion, in one CHO, three consultant psychiatrists were not on a specialist register, and really there was a patchwork of cover which can increase the risk of poor care.''