Step2 (CAMHS)

About the Service

Covid-19 update:

In order to continue to treat children and young people we have introduced remote working arrangements; only in extenuating circumstances will we see children face to face.

Step2 have changed our referrals approach to enable Children, Young People and their families to self-refer into the service.

If Parent/carers need support for their child or young person, or if a child or young person needs support for a mild to moderate mental health difficulty please call SPA on 0300 777 0707 in the first instance. The SPA advisor will be able to discuss your needs, and take the details needed to direct you to Step2 or to the appropriate service for support.


Due to the high volume of ADHD Pre-screening requests we receive, there is currently a wait for the completion of Pre-screens. Please ensure that both parts of the form (Home and School) is completed before sending to us in order to prevent any further delay and additional strain on our resources. 

Step2 is a children and young people’s mental health service working with 0-19 year olds in Hertfordshire. We offer brief, goal focused interventions to those who have mild to moderate mental health difficulties which are causing distress and impacting on day to day life. Young people should already have accessed specific help for their mental health prior to referral (which may include input from their health visitor or school nurse, counselling or group work). We offer either group or 1:1 interventions and this will depend on the nature of young people’s difficulties.

Step2 is an early intervention CAMHS service working with mild to moderate mental health difficulties, as such, we do not work with children and young people who have been medicated for a mental health presentation. Where a child or young person requires medication to manage their mental health condition, they no longer meet Step 2 criteria. If however, the presenting needs of the child are deemed to be most suitable to be treated by Step2 then we would expect the prescribing physician to be responsible for deciding whether that young person remains on medication or stops. If the family and physician do not feel it is appropriate to stop medication, then treatment will need to be sought elsewhere.

We also offer a screening service for suspected Attention Deficit Hyperactivity Disorder (ADHD) which is available for young people who have a GP in West or South Hertfordshire - for more information see the "Making a referral" section. For children in the East and North please see

The Step2 under 5s clinicians offer parent/infant relationship focused work using strengths and evidence based approaches to promote emotional health and wellbeing for infants and young children. Interventions offered include 1:1 and group approaches.

The service operates on Mondays to Fridays between 9am and 5pm. We have one main base at Starfish House in Stevenage and offer clinics on specific days of the week at other sites throughout Hertfordshire.

We are not an emergency service, please contact NHS 111 or emergency services in these circumstances.

Our dedicated administration and clinical team celebrating after being commended for “Excellence in Partnership working” by the Trust.

Contact the service

Please call us on 01438 730 570 or email

Please note that you may need to leave a message when you call as our administrators may be on other calls or dealing with our clinical record system.

We will always aim to be professional, fair and respectful. In return, NHS Staff have the right to have safe working conditions free from harassment, bullying and violence, to be treated fairly, equally and free from discrimination.

Please note that we are not an emergency service, please contact NHS 111 or emergency services in these circumstances.

How the Service is provided

Who is eligible for this Service

What will happen at your appointment

Useful information

Making a referral

Patient Experience