Thank you Ashley, when I visit on Wednesday I will ask them who their expert is with this experience.
WRT outreach support, our camhs team will not visit the home for therapy and outreach support could come from the unit but we are too far away from the unit for this.
I considered skyping therapy but our camhs refused this, and quite honestly I do not think it would work for him. His aunt has been skyping him English lessons as he is off school, and after ten skypes he is only just now starting to show his face to her.
I also considered a private therapist, but I do not think he would go, his fear of contamination from other people is too great.
Someone coming to the house I think would work, but it would have to be at least two or three times a week to make impact on him. I would much prefer to take him as an outpatient or have intensive home therapy, but so far I have drawn blanks.
ALso at the moment we have weeks before he is 12, once he is 12 he would have to go to a unit with teenagers. That would not be good for him. Stuck between a rock and a hard place.