CAMHS National and Specialist Services Directory - SLaM National ...

National Services 

CAMHS National and 

Specialist Services Directory 

A guide to our mental health services for children and young people across the United Kingdom. 

April 2012 – March 2013 

www.national.slam.nhs.uk

Welcome 

We are very pleased to provide you with our directory 

of child and adolescent specialist mental health 

services for 2012–13, which are available to children 

and young people across the United Kingdom. 

Our directory provides you with information about 

the services we offer who is eligible for them, the type 

of treatments provided and the outcomes you can 

expect. All of our individual care options are listed, 

as are the costs. 

You can also access this information, and much more, 

on our website for health professionals and 

commissioners, which features a secure online referral 

system, profiles of our experts and comprehensive 

information to help you navigate our services. Visit 

www.national.slam.nhs.uk 

We hope that our directory and website provide you 

with the information you need to access specialist 

mental health services quickly and easily. 

We look forward to working with you in 2012–13, 

helping to improve the lives of children and young 

people who need specialist mental health services. 

Professor Emily Simonoff 

Academic Lead 

CAMHS Clinical Academic Group 

Dr Bruce Clark 

Clinical Director 


Paul Calaminus 

Service Director 


Cover image: provided by the CREATEAM creative art group at the Neurodevelopmental Disorders Service. 

3

Contents 

Child Traumatic Stress Service 40 

Mood Disorder Service 58 

Bereavement 

Post-traumatic reactions 

Bipolar disorder 

Depression 

About us 7 

Leading our CAMHS National 

and Specialist Services 10 

Referring to our services 11 

INPATIENT CARE 

Acorn Lodge Children’s Unit 16 

Anxiety disorders 

Autism 

Autism spectrum disorders 

Behavioural disorders 

Depressive disorders 

Developmental disorders 

Eating disorders 

Emotional disorders 

Encopresis 

Hyperkinetic disorder 

Neuropsychiatric disorders 

with epilepsy 

Obsessive compulsive 

disorder 

Stress-related disorders 

Tic disorders 

Very early-onset bipolar 

disorder 

Very early-onset psychotic 

disorders 

Bethlem Adolescent Unit 18 



Learning disabilities 

Mood disorders 

Neurodevelopmental 

disorders 


disorder 

Psychiatric problems 

Psychosis 

Self-harm 

Suicide attempt 

Kent and Medway Adolescent Unit 20 






disorders 


disorder 


Psychosis 

Self-harm 


Snowsfields Adolescent Unit 22 






disorders 


disorder 


Psychosis 

Self-harm 


OUTPATIENT CARE 

Acquired Brain Injury Service26 

Acquired brain injury 

Brain disorders 

Cognitive assessment 

Neuropsychiatry 

Neuropsychology 

Adoption and Fostering Service 28 

Adoption 

Anti-social behaviour 

Anxiety 

Attachment disorders 

Autistic spectrum disorders 

Disruptive behaviour 

Emotional development 

Failed placements 

Fostering 

Parent training 

Post-traumatic stress disorder 

Sexualised behaviour 

Anxiety Service 30 

Agoraphobia 

Anxiety 

Fearfulness 


disorder 

Panic disorder 

Phobic avoidance 

Separation anxiety 

Simple phobias 

Social phobia 

Autism and Related Disorders Service 32 

Attention deficit 

hyperactivity disorder 


Autism 

Cornelia de Lange syndrome 

Cri du chat syndrome 


Down’s syndrome 

Prader-Willi syndrome 

Tuberous sclerosis complex 

Williams syndrome 

Centre for Interventional Paediatric 

Psychopharmacology (CIPP) 34 


Genetic disorders 

Neurodegenerative disorders 


disorders 


Psychotropic-induced 

side-effects 

Terminal illness 

Challenging Behaviour Service 36 

Aggression 

Challenging behaviour 

Destructive behaviour 


disorder 

Non-compliance 

Child Care Assessment Service 38 

Care proceedings 

Psychiatric court report 


Trauma 

Chronic Fatigue Service 42 

Chronic fatigue 

Conduct Problems Service 44 



Aggressive behaviour 



Impulsiveness 


School behaviour problems 

Social services liaison 

Dialectical Behaviour Therapy Service 46 

Anger 

Borderline personality disorder 

Emotion regulation difficulties 

Impulsiveness 

Self-harm 

Suicidal ideation 

Eating Disorders Service 48 

Anorexia nervosa 

Bulimia nervosa 

Eating disorder not 

otherwise specified 

Selective eating 

Forensic Mental Health Service 52 


Anger 


Arson 


Fire setting 

Offending 

Sex offending 

Violence 

Forensic Psychology Service 54 


Anger 


Arson 


Fire setting 

Offending 

Sex offending 

Violence 

Mental Health of Learning 

Disability Service 56 

Autism 

Depression 


Global developmental delay 


Learning disabilities, 

with or without epilepsy 

Neural tube defect 


Psychosis 

Sex chromosome 

abnormalities 

Complex mood 

related disorders 

Seasonal affective disorder 

Neuropsychiatry Service 60 

Aggression 




Challenging behaviours 

Huntington’s chorea 


with epilepsy 

Psychosis 

Self-harm 

Velo-cardio-facial syndrome 

Neuropsychology Service 62 



Obsessive Compulsive Disorder Service 64 

Anxiety 


Body dysmorphic disorder 

Habit disorders 



disorder 

Tic disorders 

Tourette syndrome 

Trichotillomania 

Paediatric Liaison Service 68 

Co-morbid psychiatric illness 

and medical conditions 

Supported Discharge Service 70 

Inpatient to outpatient 

Transition 

TRAINING PROGRAMMES 

Centre for Parent and Child Service 74 

Empowering Parents, 

Empowering Communities 

Family Partnership Model 

Parenting 

Eating Disorders Training Programme 78 

Consultation 

Multi-family day treatment 

Service development 

Service evaluation 

Supervision 

Multidimensional Treatment Foster 

Care Service 80 

Attachment difficulties 


Complex needs 

Emotional difficulties 

Fostering 

Multiple placements 

Unstable placements 

Multidisciplinary court report 

Psychological court report 

Index84 

4 

5

About us 

Our Service 

Our child and adolescent national and specialist 

service includes a range of outpatient clinics and five 

inpatient units, located at the Maudsley Hospital in 

Camberwell, the Bethlem Royal Hospital in Beckenham 

and Woodland House in Staplehurst. Our services are 

renowned nationally and internationally, with clinical 

practice that thrives on links with the Institute of 

Psychiatry, King’s College London and the Medical 

Research Council Child Psychiatry Unit. 

Our clinical teams are fully committed to multidisciplinary, 

comprehensive assessments of young 

people within their family and social context, 

taking into account their academic achievements 

and potential. This enables us to develop a clear 

understanding of any problems and possible solutions. 

We have a strong tradition of evidence-based 

treatment; our clinicians and academics have 

contributed to many of the NICE guideline panels, 

including obsessive compulsive disorder, attention 

deficit hyperactivity disorder, post-traumatic stress 

disorder and conduct disorder. 

We are active in clinical research; developing, assessing 

and implementing effective new treatments like multifamily 

groups for eating disorders and computerdelivered 

treatments for depression. Many teams 

have aspects of their clinical, teaching or research 

work funded at a national level. 

We recognise that the physical clinical environment is 

an important part of treatment and we are proud of 

our ward and clinical spaces, which we’ve developed 

through extensive consultation with young people and 

their families. Our clinics are equipped with some of 

the latest audiovisual equipment and videoconferencing 

facilities, which are used to link with national and 

international partner institutions, patients’ schools, 

and other clinics, in situations where assessment and 

treatment need to be delivered further afield. 

We also offer training programmes and service 

development support for mental health professionals 

both nationally and internationally. 

“ All the time that you invested in her has really 

led to a happier human being. From our point 

of view and probably yours too, I don’t think 

there is any greater reward than that.” 

Parent, Conduct Problems Service 

6 

7

About us 

South London and Maudsley 

NHS Foundation Trust (SLaM) 

Institute of Psychiatry 

King’s Health Partners 

SLaM offers the most extensive portfolio of mental 

health services in the United Kingdom, supported 

by internationally recognised training and research. 

Each year, 5000 people receive hospital treatment, 

and 32,000 receive outpatient care. 

We are the only mental health trust in the UK to host 

a Biomedical Research Centre (BRC) with a special focus 

on children and adolescents, which is pioneering the 

translation of scientific developments into new ways 

of screening, detecting, treating and preventing mental 

illness. The BRC is managed in partnership with the 

Institute of Psychiatry, King’s College London, and 

funded by the National Institute for Health Research. 

We are focused on promoting mental health and wellbeing, 

rather than simply responding to severe mental 

illness. The Trust is focusing on early intervention and 

supporting children and young people with mental 

health problems at an early stage in their lives. 

Visit www.slam.nhs.uk 

We are proud of our unique clinical and academic 

partnership with the adjacent Institute of Psychiatry, 

part of King’s College London. The Institute is the 

largest academic community in Europe devoted to 

the study and prevention of mental health problems. 

Working together means that lessons learnt from 

research are translated directly into better treatment 

locally, throughout the United Kingdom, and 

internationally. Many of our National and Specialist 

CAMHS services are led by academics, helping the 

translation of research into practice. 

Visit www.iop.kcl.ac.uk 

SLaM has joined with King’s College London, Guy’s 

and St Thomas’ NHS Foundation Trust and King’s 

College NHS Foundation Trust to establish King’s 

Health Partners, an Academic Health Sciences 

Centre (AHSC). 

As one of only five AHSCs in the United Kingdom, 

we deliver healthcare to patients and undertake 

health-related science and research. We also have 

a well-developed role in teaching and education. 

Our aim is to create a centre where world-class 

research, teaching and clinical practice are brought 

together for the benefit of patients. We want to make 

sure that the lessons from research are used more 

swiftly, effectively and systematically to improve 

healthcare services for people with physical and 

mental health problems. 

At the same time as competing on the international 

stage, our focus remains on providing the local 

community with the very best care that the NHS has 

to offer. King’s Health Partners is bringing real and 

lasting benefits to the communities of south London. 

Local people will continue to benefit from access to 

worldleading healthcare experts and clinical services 

which are underpinned by the latest research 

knowledge. There are also benefits for the local area 

in regeneration, education, jobs and economic growth. 

SLaM’s services are organised into Clinical Academic 

Groups (CAGs). The creation of CAGs involves 

bringing people together who are experts in their field 

– whether that’s cancer care, dementia or diabetes – 

so that we can offer patients the very best care and 

treatment, based upon reliable research evidence. This 

involves clinical staff like doctors and nurses working 

alongside academic researchers much more closely 

than ever before. And it means that patients will 

receive a high quality service. 

There are eight CAGs involving mental health 

services, teaching and research: 

• Addictions 

• Behavioural and developmental psychiatry 

• Child and adolescent mental health services 

• Clinical neurosciences 

• Mental health of older adults and dementia 

• Mood, anxiety and personality 

• Psychological medicine 

• Psychosis 

Visit www.kingshealthpartners.org 

8 

9

Leading our CAMHS National and 

Specialist Services 

Referring to our services 

Contacts: 

Dr Bruce Clark, Clinical Director 

Dr Bruce Clark, Consultant Child and Adolescent 

Psychiatrist, is responsible for the quality of the clinical 

care in our services, ensuring that evidence-based 

practice, regulatory and statutory standards are 

delivered. He provides the clinical perspective and 

leader ship in the provision and development of services. 

Paul Calaminus, Service Director 

Paul Calaminus has been the Service Director 

responsible for CAMHS since April 2007. He manages 

the overall performance and delivery of services across 

the directorate. 

Professor Emily Simonoff, Academic Lead 

Professor Emily Simonoff is Academic Lead of the 

CAMHS Clinical Academic Group, Professor of Child 

and Adolescent Psychiatry and Honorary Consultant 

in Child and Adolescent Psychiatry. She is responsible 

for the overall research strategy and the integration 

of research with clinical activities. 

Addresses: 

Maudsley Hospital 

Michael Rutter Centre 

De Crespigny Park 

London SE5 8AZ 

Tel: 020 3228 2556 

Fax: 020 3228 5048 

Email: bruce.clark@slam.nhs.uk 





Tel: 020 3228 2644 

Fax: 020 3228 5048 

Email: paul.calaminus@slam.nhs.uk 





Tel: 020 3228 2547 

Fax: 020 3228 5011 

Email: emily.simonoff@slam.nhs.uk 

On the following pages of this directory, you will find 

all the contact details you need to refer to each of our 

services. Listed below is some useful information about 

the referral process. 

You can refer to our services by sending written referrals 

by post or fax, or online using our secure referral site 


Referrals to our services usually come from the CAMHS 

teams, but GPs, GP consortia, families, schools, social 

services and both NHS and private mental health 

professionals are welcome to contact us directly by phone 

or email to discuss referring to our services. 

Please note: 

• The care option prices listed in this directory are valid from 

April 2012 through to March 2013. 

• Additional medical investigations, e.g. MRI, EEG, CT scan, 

will be charged at the cost price. 

• You may need to liaise with your primary care, mental health 

trust or GP consortia when making a referral to our services. 

• We accept referrals for private patients from GPs, 

paediatricians and mental health professionals. These 

referrals will incur a 20% surcharge in addition to the 

listed prices to cover additional administrative costs. 

• Our service can accommodate children and young 

people of health professionals for whom treatment 

in their local area may not be appropriate on the 

grounds of confidentiality. 

Jo Fletcher, Deputy Director 

Jo Fletcher assists with the strategic development of the 

directorate and leads on many service developments, 

working closely with commissioners of services. 





Tel: 020 3228 2556 

Fax: 020 3228 5048 

Email: jo.fletcher@slam.nhs.uk 

Dr Sean Maskey, Lead Clinician 

Dr Sean Maskey works in the CAMHS service, and with 

the British Forces in Germany. He provides clinical care 

and works with Patricia O’Neill to ensure the highest 

quality and effectiveness. 





Tel: 020 3228 2652 

Fax: 020 3228 2738 

Email: sean.maskey@slam.nhs.uk 

Patricia O’Neill, National and Specialist Service Manager 

Patricia O’Neill is responsible for the operational 

management of the CAMHS service and works 

closely with Dr Sean Maskey to ensure quality, 

effectiveness and efficiency. 





Tel: 020 3228 2652 

Fax: 020 3228 2738 

Email: patricia.oneill@slam.nhs.uk 

10 

11


Our website for health professionals makes 

navigating our services and referring to SLaM 

simple and efficient. 

“ This is a good system; easy to navigate 

and the step-by-step PDF guide was 

useful. If only all referrals within the 

NHS could be this straightforward!” 

Consultant psychiatrist, Exeter 

” I thought the system was pretty slick. 

I would certainly use it again, it was 

a pleasure doing business.” 

Forensic consultant psychiatrist, North West London 

Featuring: 

›› 

A secure online referral system 

“What helped me was my determination to 

succeed and find the girl I used to be. The 

intensive treatment programme took me 

away from all I knew, but it brought back 

the most important part of me that was 

hiding – happiness.” 

Kerry, Eating Disorders Service 

›› 

Detailed information about each of our national and specialist services including 

service contact details 

›› 

Care options, interventions, outcomes and costs 

›› 

Profiles of our experts 

›› 

Our latest research 

›› 

The experiences of people who have used our services 

Offering over 50 national and specialist services and accepting referrals for adults 

and young people from across the United Kingdom. 

Visit www.national.slam.nhs.uk today 

13

Inpatient care

Acorn Lodge Children’s Unit 

Location: Bethlem Royal Hospital 

Mode: Inpatient, day patient 

Average length of inpatient treatment: 80 days 

Beds: 10 

Children in education at the time of 

admission to Acorn Lodge was 52%, 

compared to 93% at the time of 

discharge. Bethlem Hospital School 2009-10 

We scored 99% in the Quality 

Network for Inpatients CAMHS visit. 

March 2012 

We offer assessment and treatment for children aged 

between four and 13 years old, who have a wide range 

of severe emotional or behavioural disorders, including 

neurodevelopmental disorders and very early-onset 

psychosis. We adopt a flexible model, allowing us to 

accept emergency admissions. 

Our staff are from a variety of specialised backgrounds, 

including child psychiatry, clinical psychology, nursing, 

social work and occupational therapy. Education is provided 

on site by specialist teaching staff at the Bethlem Royal 

Hospital school. 

Our unit works closely with families to understand their child’s 

needs, the impact of the child on other family members, and 

of the family on the child. Our treatment is based around 

a weekly, five-day model, allowing the child to spend the 

weekend at home if possible. In some cases, children require 

a seven-day provision at certain stages during their admission 

to enhance their recovery. We believe this flexible model 

is very important for both the child and the family to help 

minimise the time away from home, and also to try 

interventions within a community setting. 

Patient discharge is carefully planned and managed through 

the CAMHS care programme approach, adapted for Acorn 

Lodge patients. Our unit works closely with referrers to 

develop a safe, tailored discharge plan with risk assessment 

and appropriate relapse and crisis planning. 

Interventions which may be provided 

• Comprehensive mental state assessment 

• Autism assessment with the use of the Autism Diagnostic 

Observation Schedule (ADOS) and the Autism Diagnostic 

Interview (ADI-R) 

• Medical assessment and investigations 

• Psychometric assessment 

• Risk assessment 

• Physical health review and investigations 

• CBT 

• Individual behaviour therapy 

• Milieu therapy 

• Group therapy 

• Occupational therapy 

• Family therapy 

• Therapeutic play 

• Self-esteem work 

• Anger management 

• Anxiety management 

• Psychoeducation 

• Continued education 

• Medication review 

• Ward and school observations of the child’s behaviour to assist 

in determining the diagnosis and treatment 

• Support groups and counselling for parents and siblings 

Outcomes 

• Formulation and diagnosis 

• Symptom reduction and resolution of presenting difficulty 

• Written admission and discharge summaries to referrers 

• Written care programme approach reviews and other reports 

as required (autism assessment, psychometric assessment) 

to referrers 

• Improved access to education 

• Improved general well-being 

• Support for families and carers 

• Advice and support for community CAMHS teams 

Care option Description Cost Unit Code 

Inpatient 

Assessment and 

treatment 

Assessment of clinical presentation including observations, ongoing 

mental state examination, physical examination, investigations as 

necessary and assessment of educational needs. Treatment includes 

psychological, family and educational interventions and medication. 

£530 OBD 30370 

Criteria 

Eligibility 

• Four to 13 years old 

• Male or female 

• Children with a known or possible diagnosis of: 

–– 

Developmental disorders including autism, 

hyperkinetic disorders and tic disorders 

–– 

Neuropsychiatric disorders as part of epilepsy 

–– 

Depressive disorders 

–– 


–– 

Very early-onset psychotic disorders 

–– 

Very early-onset bipolar disorders 

–– 

Obsessive compulsive disorder 

–– 

Anxiety and stress-related disorders 

–– 

Resistant and severe encopresis 

–– 

Complex diagnostic conditions 

• People local to the hospital may attend as day patients 

Exclusion 

• Children with conduct disorders as their primary difficulty 

Outpatient 

Day treatment 

Pre-admission 

assessment, for 

inpatient stay or 

day treatment 

Assessment of clinical presentation including observations, ongoing 

mental state examination, physical examination, investigations as 

necessary and assessment of educational needs. Treatment includes 

psychological, family and educational interventions and medication. 

Children stay at Acorn Lodge from 9am to 5pm on weekdays. 

This assessment is undertaken by our multidisciplinary team, 

to determine if inpatient or day patient treatment is appropriate. 

A report is sent to referrers detailing rationale, and alternative 

options are recommended where the inpatient or day patient 

treatment is not indicated. 

This option can be undertaken on the unit, in other clinics 

or somewhere local to the child. 

Referrals are accepted from: Contacts: Address: 

£374 Per day 41744 

£628 Per assessment 30411 

“ The whole team at Acorn Lodge was 

wonderful and helped our family through 

a very difficult period in our lives.” Parent 

Consultant psychiatrists 

Consultant paediatricians 

GP consortia 

Mental health professionals 

Dr Marinos Kyriakopoulos, Consultant Child and 

Adolescent Psychiatrist 

Gillene Thomas, Ward Manager 

Rowena Firth, Ward Administrator 


Tyson East Two 

Bethlem Royal Hospital 

Monks Orchard Road 

Beckenham BR3 3BX 

Tel: 020 3228 4399 

Fax: 020 3228 4511 

Email: marinos.kyriakopoulos@slam.nhs.uk 

16 17

Bethlem Adolescent Unit 

Location: Bethlem Royal Hospital 



Beds: 12 inpatient, 3 day patient 


Network for Inpatients CAMHS 

(QNIC) visit. May 2009 

We are an open adolescent unit offering mental health care 

for adolescents with a serious mental illness, who require 

hospital admission. We have developed a national and 

international reputation for innovation and have a 

comprehensive, all hours emergency admission service. 

The majority of the young people we treat are emergency 

admissions, however planned admissions can also be arranged. 

Admissions are accepted 24 hours a day, 365 days a year, 

including admissions under the Mental Health Act. 

Approximately half of the young people admitted to our 

unit have psychosis. Others have problems relating to their 

mood and often pose a risk to themselves. We are also 

able to admit young people with a variety of other 

psychiatric or neurodevelopmental disorders, or where 

there is diagnostic uncertainty. 

As we are an open unit, we are unable to admit young 

people who pose a level of risk that is not consistent with 

being cared for in such an environment. This judgement 

is always based on an individual risk assessment rather than 

applying absolute exclusion criteria, and is reviewed 

regularly. People requiring care in a more secure setting 

can be admitted to the unit later if the risk has reduced. 

We provide a range of interventions, which are delivered 

by a team of psychiatrists, psychologists, nurses, teachers, 

occupational therapists, social workers and other therapists. 

We maintain close links with the person’s referring team 

to ensure they experience a smooth transition back to 

the community. Day treatment is often used as a stepdown 

service and can sometimes be used to avoid 

admission altogether. 

Criteria 

Eligibility 

• Adolescents (12 years), up to 18 years old 


• Mental illness or suspected mental illness that cannot 

be safely managed by outpatient services 



• Psychological assessment and treatment 

• Access to physical health assessment and appropriate 

treatment and advice 



• Activity programme, including social and recreational 

activities, as well as therapeutic groups 

• Education provided on site by professional teaching staff 

• Family work and psychoeducational support for families 

• Care planning, including working with the young person’s 

family and carers 

• Medication review and prescribing 

• Relapse prevention planning 

• Social work support, including assistance with benefits 

and housing 

Exclusion 

• Young people requiring a more secure environment 

Outcomes 


• Stabilisation or resolution of mental health crisis 

• Readiness for re-integration into education, 

or plans for alternative training and development 

• Readiness to resume outpatient psychiatric care 

• Relapse prevention strategies 


• Comprehensive admission, care plan approach 

and discharge summaries 


Inpatient 


treatment 

A multidisciplinary assessment is undertaken to create an individual 

treatment plan, which is reviewed regularly throughout the stay. 

Psychiatric reviews, nursing supervision, routine physical health 

monitoring and access to ward-based educational, recreational 

and therapeutic groups are provided for all patients. 

£530 OBD 30340 

Close links are maintained with referring teams to ensure a smooth 

transition from inpatient care to the community. Discharge planning 

is undertaken using the care programme approach. 

Our length of stay (40 days) compares 

favourably with published data; 106 days from 

the National Inpatient Child and Adolescent 

Psychiatry Study and 128 days from CHYPIE. 

“ I had regular communication with all members 

of my son’s team and felt involved in decisions 

about his care.” Parent 

Outpatient 

Day treatment 

Day treatment is used as a transition stage from inpatient to 

outpatient care, but may also be used as an alternative to admission. 

Day patients are offered an individual package of care, drawing 

on the regular daytime group and educational activities of the ward, 

as well as individual therapeutic input as needed. 



GP consortia 



Dr Dan Hayes, Consultant Child and Adolescent 

Psychiatrist 

Dianne Russell, Ward Manager 

£374 Per day 30334 


Tyson East One 

Bethlem Royal Hospital 

Monks Orchard Road 

Beckenham BR3 3BX 

Tel: 020 3228 4160 

Fax: 020 3228 4511 

Email: dianne.russell@slam.nhs.uk 

18 19

Kent and Medway Adolescent Unit 

Location: Staplehurst, Tonbridge, Kent 

Mode: Inpatient 

Beds: Ash Ward – 12, Oak Ward – 12 

We are an open adolescent unit, offering mental health care 

for adolescents with a serious mental illness who require 

hospital admission. We work alongside our sister units that 

have developed national and international reputations for 

innovation, including the introduction of a comprehensive, 

all hours emergency admission service. 

We are able to admit both planned and emergency admissions. 

Admissions are accepted 24-hours a day, 365 days a year, 

and can be accepted under the Mental Health Act. 

Some young people who are admitted to our unit may 

have an eating disorder, others may have problems relating 

to their mood, often posing a risk to themselves. We are 

also able to admit young people with a variety of other 

psychiatric or neurodevelopmental disorders, or where 


As we are an open unit, we are unable to admit young people 

who pose a level of risk that is not consistent with being cared 

for in such an environment. This judgement is always based 

on individual risk assessment rather than applying absolute 

exclusion criteria, and is reviewed regularly. People requiring 

care in a more secure setting can be admitted to the unit 

if the risk has altered. 

We provide a broad range of interventions, which are 

delivered by a team of psychiatrists, psychologists, nurses, 

teachers, occupational therapists, social workers, family 

therapists and other therapists. 

Our unit is located in a rural part of Kent, with 27 acres of 

gardens and grounds. Our patients have access to facilities 

that include a fully-equipped gym, dance studio, patient 

kitchen, games room, garden, woodland walks and 

bicycles. This enables us to offer a wide range of therapies 

in different environments. 

Our average length of stay is 43 days; 

comparing favourably with both published 

data and our other adolescent units. 

Criteria 

Eligibility 



• Mental illness or suspected mental illness that cannot be safely 

managed by outpatient services 


















Exclusion 


Outcomes 











Inpatient 


treatment 










£566 OBD 92686 


GP consortia 



Ash Ward 

Dr John Watts, Consultant Child and 


Oak Ward 

Dr Helen Garrett, Consultant Child and 



Cranbrook Rd 

Staplehurst 

Tonbridge 

Kent TN12 0ER 

Tel: 020 3228 3200 

Fax: 020 3228 3202 

Email: rajendra.padayachee@slam.nhs.uk 

20 

21

Snowsfields Adolescent Unit 

Location: Maudsley Hospital 



Beds: 11 inpatient and a day treatment service 


Network for Inpatients CAMHS 

(QNIC) visit. August 2009 

We are an open adolescent unit offering mental health care 

for adolescents with a serious mental illness, who require 

hospital admission. We have developed a national and 

international reputation for innovation and pioneered the 

introduction of a comprehensive, all hours emergency 

admission service. 

The majority of the young people we treat are emergency 

admissions, however planned admissions can also be 

arranged. Admissions are accepted 24 hours a day, 

365 days a year, including admissions under the Mental 

Health Act. 

Approximately half of the young people admitted to 

our unit have psychosis. Others have problems relating 

to their mood and often pose a risk to themselves. We are 

also able to admit young people with a variety of other 

psychiatric or neurodevelop mental disorders, or where 


As we are an open unit, we are unable to admit young 

people who pose a level of risk that is not consistent with 

being cared for in such an environment. This judgement 

is always based on an individual risk assessment rather than 

applying absolute exclusion criteria, and is reviewed 

regularly. People requiring care in a more secure setting 

can be admitted to the unit later if the risk has reduced. 

We provide a range of interventions, which are delivered 

by a team of psychiatrists, psychologists, nurses, teachers, 

occupational therapists, social workers and other therapists. 

We maintain close links with the person’s referring team 

to ensure they experience a smooth transition back to 

the community. Day treatment is often used as a stepdown 

service and can sometimes be used to avoid 

admission altogether. 

Criteria 

Eligibility 



• Mental illness or suspected mental illness that cannot be 

safely managed by outpatient services 


















Exclusion 


Outcomes 











Inpatient 


treatment 






£530 OBD 60010 




“ Snowsfields really helped me mentally and 

changed my point of view and the way I react 

to problems. The staff have done an excellent 

job and helped me as much as they could.” 

Former patient 

Our length of stay (40 days) compares 

favourably with published data; 106 days from 

the National Inpatient Child and Adolescent 

Psychiatry Study and 128 days from CHYPIE. 

Outpatient 

Day treatment 

Day treatment is used as a transition stage from inpatient to outpatient 

care, but may also be used as an alternative to admission. Day 

patients are offered an individual package of care, drawing on the 

regular daytime group and educational activities of the ward, as well 

as individual therapeutic input as needed. 



GP consortia 



Dr Richard Corrigall, Consultant Child and 


Karren Dickson, Ward Manager 

Juleka Khatun, Ward Administrator 

£374 Per day 60024 


Mapother House 



Denmark Hill 


Tel: 020 3228 2200 

Fax: 020 3228 2223 

Email: karren.dickson@slam.nhs.uk 

22 23

Outpatient care

Acquired Brain Injury Service 

A stream of the Developmental Neuropsychiatry and Neuropsychology Service 


Mode: Outpatient 

the central nervous system function e.g. sickle cell, 

thalasaemia renal and liver disorders. 


Outpatient 

Assessment, 

neuropsychiatry 

Assessment includes a psychiatric interview to review the diagnosis, 

a clinical review of the person’s developmental history and a detailed 

review of medication history. The information collated provides a 

formulation of the young person’s presentation and this is disseminated 

in a report to the referrer, family and court (if required), and we also 

provide face-to-face feedback. 

£1,884 Per assessment 92738 

Our service offers neuropsychological and neuropsychiatric 

assessment and treatment to children and adolescents with 

acquired brain injury, which may be as a result of traumatic 

brain injury, epilepsy, stroke, central nervous system 

infection, brain tumour, or medical conditions affecting 

We provide the young person and their family with a better 

understanding of the presenting problem as well as strategies 

that have been shown to improve cognitive, educational, 

emotional, behavioural and social difficulties. Comprehensive 

reports are provided to the referrer, families and to courts. 

Multidisciplinary 

assessment, 

standard 

Our multidisciplinary psychiatric assessment establishes a diagnosis. 

Our standardised neuropsychological tests provide a profile of the 

young person’s strengths and difficulties. We quantify emotional, 

social and behavioural functioning by using norm-referenced 

self-report measures. The information collated provides a formulation 

of the young person’s presentation and this is disseminated in a report 

to the referrer, family and court (if required). 


Developmental Neuropsychiatry and Neuropsychology Service 

Our Developmental Neuropsychiatry and Neuropsychology Service 

(DNN) includes the following services: 

• Acquired Brain Injury Service 

• Autism and Related Disorders Service 

• Challenging Behaviour Service 

• Mental Health of Learning Disability Service 

• Neuropsychiatry Service 

• Neuropsychology Service 

Criteria 

The DNN sees young people who have, or might have, 

neurodevelopmental disorders like autism, attention deficit 

hyperactivity disorder or learning disability with additional mental 

health or behaviour problems, as well as young people with 

psychological problems associated with head injury, physical 

disability or genetic conditions. Our teams work together and 

refer between services as necessary. 

Multidisciplinary 

assessment, 

complex 

We provide feedback about the diagnosis and profile of cognitive 

skills to the referrer in writing and via telephone, and to the family 

in a written report and in a clinical session. We also visit the person’s 

school discuss the results of the psychometric assessment, offer 

educational advice including placement recommendations, and 

recommend behavioural management strategies. 

Our multidisciplinary psychiatric assessment establishes a diagnosis. 

Our standardised neuropsychological tests provide a profile of the 

young person’s strengths and difficulties. We quantify emotional, 

social and behavioural functioning by using norm-referenced 

self-report measures. We do school and home visits to observe the 

young person’s social interactions and behaviour. The information 

collated provides a formulation of the young person’s presentation 

and this is disseminated in a report to the referrer, family and court 

(if required). 


Eligibility 

• Up to 18 years old 

• Male or Female 

• Children and young people with traumatic brain injury, infection of the central nervous system, suspected cognitive difficulties 

secondary to medical condition, epilepsy or stroke 



• Medication management 

• Cognitive rehabilitation 

• CBT 

• Behavioural management 

• Systemic therapy 

• Consultation to schools and colleges 

Outcomes 

• Comprehensive neuropsychological assessment 

• Formulation of cognitive and behavioural difficulties 

• Report for referrers, families and court 

• Treatment recommendations 

• Improved functioning 


Outpatient 

Assessment, 

neuropsychology 

Assessment includes an interview with the young person and their 

family, to hear their view of the presenting problem. Our standardised 

neuropsychological tests provide a profile of the young person’s 

strengths and difficulties. We quantify emotional, social and 

behavioural functioning by using norm-referenced self-report 

measures. The information collated provides a formulation of the 

young person’s presentation and this is disseminated in a report 

to the referrer, family and court (if required), and we also provide 

face-to-face feedback. The assessment enables us to develop an 

individual treatment plan based on the person’s unique strengths 

and difficulties. 


Treatment 

Consultation 

We provide feedback about the diagnosis and profile of cognitive 

skills to the referrer in writing and via telephone, and to the family 

in a written report and in a clinical session. We also visit the person’s 

school to discuss the results of the psychometric assessment, offer 

educational advice including placement recommendations, and 

recommend behavioural management strategies. 

Treatment is designed to address the young person’s difficulties 

and the needs of their support network, which usually includes 

their family, school or college. Our evidenced-based interventions 

utilise a combination of: 



• Behavioural management for challenging behaviours 

• Systemic work to address family difficulties 

• CBT for emotional difficulties. 

• Psychopharmacology. 

• Social skills 

When a local team works with the young person and the family, 

we offer a two-hour consultation session between the local team 

and our team. 




GP consortia 


Dr Maxine Sinclair, Consultant Clinical Psychologist 

Dr Teresa Lax-Perical, Consultant Child and 


Bridget Flanagan, Administrator 

£292 Per session 92741 






Denmark Hill 


Tel: 020 3228 2547 

Fax: 020 3228 5011 

Email: maxine.sinclair@slam.nhs.uk 

26 27

Adoption and Fostering Service 



55 

54 

53 

52 

51 

50 

49 

Pre-trial 

ratings 

Post-trial 

ratings 

Intervention group 

(n=34) 

Control group 

(n=29) 

Changes in quality of attachment relationships of fostered children 

whose carers have attended the Fostering Changes course 

(Briskman & Scott, 2012) 

We provide a specialist service for young people who are 

fostered or adopted and who are experiencing difficulties. 

These may relate to their emotional or behavioural 

development or to more specific placement issues, 

including failed placements, the degree of contact with 

siblings or birth family and permanency planning. 

Criteria 

Eligibility 



• Young people with emotional difficulties 

arising from adoption, fostering and care proceedings 


• Assessment of the young person, their attachments and 

identity, the family environment and their school functioning 

• Psychometric assessment of the young person’s abilities 

and emotional profile 

• Assessment of educational attainment 

• Specialist neuropsychological and social communication 

assessments 

• Intensive, personalised parenting programme designed 

to improve the parent and child relationship using 

real-time coaching 

• Individual CBT 

• Skilled work on improving the parent and child relationship 

using real-time coaching 

• Liaison with school and education services, including school 

visits and advice on behavioural management and learning 

strategies in class 

• Consultation with social services, for example where there 

are multiple placement breakdowns 

• Medication prescribed or reviewed 

Outcomes 

• A written report is provided, including formulation 

of psychiatric, psychological and learning factors 

• Reduction in antisocial and oppositional behaviours 

in the home and school 

• Improved parent and child relationship 

• Development of more secure attachments and better 

affect regulation, with fewer tantrums and angry outbursts 

• Increased engagement in education due to reduced 

hyperactivity, oppositional behaviour and improved 

emotional regulation 

• Well-developed identity 

• Effective peer relationships 

• Improved well-being 

• A combination of clinic and patient-led outcomes allows us to 

capture change at the personal and global level 


Outpatient 

Assessment 

Assessments are undertaken by a psychiatrist, psychologist, and 

professionals with a social work background. 


“ The specialist adoption support made all the 

difference. I believe it took a specialist team to 

really unravel my son’s problems, but he’s a 

very happy little boy now.” 

Treatment 

The assessment lasts five hours, with a history from parents, 

psychological assessment and physical examination of the young 

person, a team meeting to feedback to referrers, teachers or outside 

professionals if needed and detailed verbal feedback to the family. 

This is followed by a written report and care plan which can be 

shared with the family. 

Treatment comprises of a range of evidence-based approaches, including 

parent training to improve attachments and behaviour, working around 

family relationships and beliefs, CBT, medication, advice on alteration of 

the school environment and teaching approaches. 


Adoptive mother of 7-year-old 

Consultation 

We offer a consultation service to social services, CAMHS services 

and the voluntary sector. 

£268 Per consultation 90242 




GPs 


Educational psychologists, 

teachers and special 

educational needs 

co‐ordinators 

Social services 

GP consortia 

Professor Stephen Scott, Professor of Child Health 

and Behaviour 

Dr Carmen Pinto, Consultant Child and 


Dr Matthew Woolgar, Consultant Clinical Psychologist 

Toni Cole, Administrator 





Denmark Hill 


Tel: 020 3228 2546 

Fax: 020 3228 5011 

Email: toni.cole@slam.nhs.uk 

28 29

Anxiety Service 



Effect of CBT treatment 

Percentage 

100 

80 

60 

40 

20 

0 

GAD SAD OCD 

Percentage reduction in DSM-IV diagnoses of generalised anxiety 

disorder (GAD) (n=15), separation anxiety disorder (SAD) (n=10), 

and obsessive compulsive disorder (OCD) (n=10) following eight 

to 12 weeks of CBT in the clinic. 

Pre 

Post 

Our service is for young people with difficulties caused by 

intense worrying, fearfulness, phobic avoidance, nervousness 

and panic. We provide comprehensive diagnostic and family 

assessments to identify anxiety disorders and the impact they 

are having on the young person and family’s functioning. 

Where an anxiety disorder is present and requires treatment, 

we offer consultation to services about treatment, and 

provide individual and family-based CBT. 

Our research leads the way in improving evidence-based 

treatments for childhood anxiety disorders. Families seen 

in the clinic are often invited to participate in ongoing 

research projects. Our staff provide training for clinicians 

on the assessment and treatment of childhood anxiety 

disorders in our clinic, nationally and internationally. 

Criteria 

Eligibility 



• Known or possible diagnosis of an anxiety disorder, including: 

–– 

Generalised anxiety 

–– 

Social phobia 

–– 

Separation anxiety 

–– 

Panic and agoraphobia 

–– 

Specific phobias 

–– 


–– 

Health-related anxiety 


• Structured diagnostic assessment and formulation 

• Specialist, anxiety-focused CBT 

• Family-focused CBT, where appropriate 

• Treatment sessions outside the clinic involving exposure 

to feared situations 

• Assistance in treatment planning via local mental health services 

Exclusion 

• Presence of another psychiatric disorder or problem requiring 

more urgent assessment or treatment 

Outcomes 

• Reduced symptoms 

• Improved quality of life for the young person and their family 


Outpatient 

“ I started coming to the Anxiety Service 

because I had panic attacks and problems 

going to school and getting out to places… 

I have learnt a lot of strategies here and have 

overcome a lot of my difficulties. I learnt how 

to control my breathing, how to reason with 

my thoughts, how to look for evidence for 

my thoughts (drawing charts and diagrams 

to help). I have learnt how to get my worry 

level down, and have compared my scores 

on some questionnaires to old times and 

seen how well I have done.” Former patient, age 11 

Assessment 

Assessment involves face-to-face interviews with the young person 

and their parents (both separately and together), by a clinical 

psychologist. The session includes a semi-structured diagnostic 

interview for ICD-10 and DSM-IV disorders, and standardised self 

and parent reported measures of symptoms and functionality. The 

assessment may include a standardised assessment of intellectual and 

academic attainment. A comprehensive report detailing the diagnostic 

formulation, treatment and care recommendations is provided. 

Treatment Treatment is offered on a weekly basis, with sessions between 60 

and 90 minutes. Length of individual sessions and treatment follows 

clinical need, but treatment generally lasts between six and 14 

sessions. Treatment is provided by clinical psychologists specialising 

in cognitive and behavioural approaches, who are also clinical 

researchers and CBT trainers. 

Consultation 

Consultation with clinical services is offered on assessment methods 

(including selection of appropriate measures), formulation 

(including differential diagnosis), care planning and treatment, service 

development and training. Consultation may also involve meeting 

at our clinic, the young person’s local area, over the phone or via email. 




GPs 

Schools and school 

counsellors 

GP consortia 


Professor Derek Bolton, Consultant Clinical Psychologist 

Dr Patrick Smith, Consultant Clinical Psychologist 

Dr Eleanor Leigh, Clinical Psychologist 

Charlene Clancy, Administrator 








Denmark Hill 


Tel: 020 3228 2657 

Fax: 020 3228 5011 

Email: charlene.clancy@slam.nhs.uk 

30 31

Autism and Related Disorders Service 




We provide assessment and treatment for young people 

with autism, pervasive developmental disorders and 

related difficulties. 

Our expert team includes psychiatrists, clinical psychologists 

and a mental health worker, and is renowned nationally and 

internationally. We lead the way in the diagnosis, assessment 

and management of complex developmental disorders. 

Members of our team also have specialised experience in 

rare disorders such as Tuberous Sclerosis Complex, Williams 

syndrome, Prader-Willi syndrome, Cri du Chat syndrome, 

Cornelia de Lange syndrome, Cohen syndrome and 

Down’s syndrome. 

We specialise in treatment for young people where there 

are particular difficulties in the diagnosis or management 

of autism and related disorders (ARD), including complex 

diagnostic issues, complicated and challenging behavioural 

and psychiatric problems, or when services are seeking 

a second opinion. Our service also takes a special interest 

in families where more than one individual has ARD, 

including twins and affected parents. 

We also offer consultation, genetic counselling, treatment, 

support and advice to families or carers in relation to 

parenting children with ARD or being a parent with ARD. 


Outpatient 

Assessment 

Treatment 

Consultation 

Assessment may include an interview with the family, standardised 

diagnostic interview with parents or carers, comprehensive 

developmental, medical and psychiatric history, psychometric assessment 

and standardised observational assessment of the young person. 

We can also offer other detailed investigations including clinical 

chemistry, chromosomal analysis, EEGs and neuroimaging procedures. 

A written report is provided to carers and referrers. 

Some assessments may require a school or home visit, or additional 

psychometric tests which will incur additional charges of £296 per 

appointment, up to a maximum of £888. 

Treatment may include CBT for anxiety and emotional problems, 

social skills training, behavioural management and advice for families 

and schools. 

All families are offered a review session after the initial appointment 

to discuss any issues arising from the diagnostic assessment. 

We offer consultations to schools and other clinical services, 

both in the UK and abroad, where contracts exist. 























GP consortia 


Professor Patrick Bolton, Professor of Psychiatry 

Jaqueline Mills, Administrator 





Denmark Hill 


Tel: 020 3228 2535 

Fax: 020 3228 5011 

Email: jacqueline.mills@slam.nhs.uk 

Criteria 

Eligibility 



• Young people with a known or possible diagnosis of autism, 

pervasive developmental disorders and related difficulties 


• Assessment, using standardised measures of IQ, 

language ability, behavioural and emotional difficulties 

• Information, advice and consultation to referring agencies 

• Genetic counselling 

• Individual counselling 

• CBT 

• Social skills training 

• Behavioural management advice to schools and families 

• Educational advice 

Exclusion 



Outcomes 

• Formulation and diagnosis, using standardised observational 

and interview measures (e.g. Autism Diagnostic Interview 

and Autism Diagnostic Observation Schedule) 

• Cognitive assessment 

• Report for referrers and families 

• Treatment recommendations including behavioural, 

educational and pharmacological 

• Reduction in symptom severity and improvement in well-being 

“ Thank you so much for all the support. 

At last I feel my son and I can start to move 

forward and rebuild our lives. He is now 

doing very well at the mainstream college 

where he is studying chemistry and physics.” 

Parent of adolescent with high functioning autism 

32 33


Psychopharmacology (CIPP) 


• Staged assessments and interventions based on a bio-psychosocial 

approach 

• Pharmacological treatment 

• Advice about non-pharmacological treatments. 

• Medication review 

Outcomes 

• Clarification and additional diagnoses 

• Improved understanding of difficulties 

• Improved symptom control and reduced functional impairment 

• Decreased need for inpatient stay 



Over 90% of the children we have 

treated have improved on target, 

symptom-based clinical global 

impression ratings (TSCGI). 

Our service offers highly specialist pharmacological and 

psychological assessment and treatment for children with 

a variety of neuropsychiatric disorders, in the context of 

complex neurodevelopmental disorders, genetic or 

neurodegenerative disorders, acquired brain injury, 

psychotropic-induced side-effects and children experiencing 

specific medical conditions and terminal illnesses. 

Innovative pharmacological and behavioural strategies 

implemented within existing neuro-rehabilitation programmes 

produced 90% good or excellent TS-CGI improvement. 

Less than 8% of children referred have required 

inpatient admissions. 

Over 85% of children with neurodegenerative disorders, 

including childhood dementias, have shown good or 

excellent response on TS-CGI. We are the only clinic 

currently specializing in this in the world. 

Serious psychotropic-related side-effects such as tardive 

dyskinesia has been successfully treated in the majority of 

subjects referred to the clinic. 


Outpatient 

Assessment 

Treatment, 

months 1 – 6 

Treatment, 


A comprehensive assessment with the child or young person 

(depending upon abilities) and their parents or carers to clarify 

diagnostic status, in particular neurodevelopmental and 

neuropsychiatric disorders. Information is collated using internetbased 

questionnaires, paper questionnaires, audio-conferencing and 

video-conferencing methods in addition to face-to-face assessment 

and information from a variety of sources is included e.g. child, 

parent, schools, other agencies etc. 

Medication initiation, monitoring and stabilisation. Nonpharmacological 

treatment and support to parents or carers, as well 

as CAMHS and educational colleagues. 

Pharmacological intervention modifications. Non-pharmacological 

treatment and support to parents or carers and CAMHS and 

educational colleagues. 

£12,200 12 months 92843/4/5 

Treatment, 


Pharmacological and psychological review and treatment. £400 Per month 92846 

Criteria 

Eligibility 

• Two – 18 years old 


• Centre for Interventional Paediatric Psychopharmacology assesses 

and manages: 

(i) Complex multiple co-morbid neuropsychiatric and 

neurodevelopmental disorders such as ADHD, organic pathology, 

autism spectrum disorders, obsessive compulsive disorder, 

Tourette’s syndrome or tic disorders, epilepsy, paediatric bipolar 

disorder, depression 

(ii) Treatment-resistant neuropsychiatric disorders, especially in the 

context of previous failed multiple pharmacological interventions 

(iii) Children being considered for inpatient admission, with a 

view to preventing this through fine-tuning of pharmacological 

and psychological interventions 

(iv) Assessment and treatment to facilitate and enable discharge 

of children who have not responded adequately to long 

inpatient admissions 

(v) Serious psychopathology such as childhood regression and 

childhood dementias, neurometabolic syndromes in the context 

of genetic or medical disorders e.g. lysosomal storage disorders 

such as Hurler’s syndrome, Hunter’s syndrome, Sanfilipo and 

Gaucher’s disease, Niemann-Pick Type C 

(vi) Psychopathology in those with severe and profound brain injury 

(vii) Provides outreach neuropsychiatry and psychopharmacology 

support to inpatient neurorehabilitation units 

(viii) Serious medication-related side-effects such as tardive 

dyskinesia, metabolic syndrome, cardiac complications etc 

(ix) Children who need medication to manage psychopathology 

in medically high-risk groups such as cardiomyopathy, organ 

transplants 

Exclusion 

• Two years old and under 

Treatment, 

18 months 

onwards 

Training 

Pharmacological and psychological review and treatment. £350 Per session 92847 

Training is available on topics relating to the assessment, treatment 

and management of children and young people with complex 

neurodevelopmental and neuropsychiatric disorders in the context of 

a range of physical conditions. 

Variable 


NHS consultants child and 

adolescent psychiatrists 

NHS consultant paediatricians 

Social Services 

Dr Paramala Santosh, Consultant Child and 


Dr Ruksana Ahmed, Consultant Clinical Psychologist 

Per day 


Psychopharmacology (CIPP) 




Denmark Hill 


Tel: 020 3228 3900 

Fax: 020 3228 5011 

Email: cipp@slam.nhs.uk 

34 35

Challenging Behaviour Service 




Our service is for young people with neurodevelopmental 

disorders and intellectual disability where challenging 

behaviour is a primary concern. Challenging behaviour 

includes aggression directed at themselves or others, severe 

non-compliance and significant destructive behaviour. 

We see young people across the intellectual ability spectrum. 

A systematic assessment of causes of challenging behaviour 

includes consideration of learnt behaviour, co-morbid 

psychiatric disorders, predisposing neurocognitive 

characteristics and physical problems. 

We work closely with referrers to identify the most 

suitable care package and recommended management 

strategies, which involve behavioural interventions, 

environmental change, medication and treatment 

of co-morbid medical problems. 


Outpatient 

Assessment 

A consultant psychiatrist and junior doctor meet with the family and 

the psychology team meets the young person to carry out a general 

psychometric assessment. Additional psychometric tests are 

undertaken depending on need and a psychiatric history, physical 

examination and mental state assessment is completed. Reports are 

sought from the young person’s school and any other relevant 

places. The young person, parents and teachers are invited to 

complete questionnaires. Draft reports are prepared for the feedback 

meeting on the day and parents are invited to correct 

misunderstandings in the history. 

A final report is sent to the referrer and the parents. At the parents 

request reports can be distributed more widely to places like the 

young person’s school. 














Criteria 

Eligibility 



• Challenging behaviour, including significant verbal or physical 

aggression directed at others or self-injury 

• A known or suspected neurodevelopmental disorder like ADHD, 

autism spectrum disorder or intellectual disability e.g. learning 

disability or global developmental delay 








Exclusion 

• A known primary diagnosis of a psychotic or severe 

mood disorder 

Treatment 

Consultation 

Medication review appointments vary between fortnightly and once 

every six months. Each appointment lasts between 30 to 60 minutes. 

We also offer a cognitive behavioural approach for anger 

management in blocks of six sessions of up to one hour. 

Consultation is offered as a two-hour session for complex case 

discussions between the referring team and senior members 

of our service. 



Consultant psychologists 


GPs 

GP consortia 


Professor Emily Simonoff, Professor of Child and 

Adolescent Psychiatry 









Denmark Hill 


Tel: 020 3228 2547 

Fax: 020 3228 5011 

Email: bridget.flanagan@slam.nhs.uk 


• Neuropsychiatric assessment including attention, inhibition and 

executive functioning aspects 

• Psychiatric formulation and diagnosis 

• Behavioural assessment 

• Psychometric testing 

• Physical examination with an emphasis on neurological 

examination 

• Laboratory investigations e.g. biochemistry, genetic analysis, 

EEGs and neuroimaging 

• Medication management 

• Behavioural therapy 

• CBT 

Outcomes 


• Reduced aggressive, defiant behaviour, or other symptoms 

• Recommendations for local management, including 

management in schools 

• Recommendations for health and educational services 

regarding care plans to treat symptoms and improve 

current and future functioning 

• Improvement in well-being and improved social functioning 

36 

37

Child Care Assessment Service 



91% of lead solicitors rated the 

quality of our service as above 

average. Child Care Assessment Service 

Evaluation, 2009 

94% of guardians rated the quality 

of our service as above average. 

Child Care Assessment Service Evaluation, 2009 

We see children, young people and their families who are 

undergoing care proceedings in public or private courts. 

Our team also has agreements with some local authorities 

to undertake a set number of assessments per year, 

including consultation and pre-proceedings assessment. 

We provide assessments and court reports for children and 

their parents or carers. We also include members of the 

extended family and foster carers, where appropriate. 

Criteria 

We provide detailed assessments of parenting, the quality 

of relationships and attachments within the family, the 

mental health or diagnosis of the children and mental health 

screening of adults to include personality disorder, substance 

misuse and forensic history. 

Our assessment is tailored to the questions raised by the 

court, and includes psychiatric, psychological and social 

work interviews. This may include individual child and parent 

interviews for couples, and siblings or family interviews. 

As well as interviews with foster carers and schools. 

Our team provides a comprehensive report for the court, 

with recommendations on placement needs, contact 

arrangements, education and treatment needs. The lead 

clinician writing the report attends court to give evidence 

upon request. 

Service level agreements are negotiated with local boroughs 

if required. 

Eligibility 

• Families with children up to 18 years old 

• Male or female, adults and children 

• Families undergoing public or private law proceedings 

• Any members of a family (children, adolescents or parents) requiring a psychological or psychiatric report (or both) 

• Local authorities requiring consultation on a particular case before commissioning an expert 

Care option Description Cost Unit 

Outpatient 

Assessment 

Court reports 

Professional 

meetings 

Court attendance 

Consultation 

Our assessments take place for one day per week over a three to four week 

period and involves the whole family. We regularly request information from 

schools and other professionals involved with the family. We provide a detailed 

formulation of each family member’s needs, including risk assessment and risk 

management plans. The assessment process involves interviews and questionnaires 

completed with family members and other professionals, detailed observations 

of contact, and a multidisciplinary case discussion. 

An average adult assessment takes approximately 35 hours and an average 

child or adolescent assessment is 25 hours. 

Comprehensive reports are provided, which address questions raised by the 

court. Our reports include recommendations on placement options, educational 

and treatment needs, and contact arrangements. 

Once our reports have been filed with the court, we hold professional meetings 

in order to assist with the care planning for the children. At these meetings we 

present our findings and formulations, including any risk management issues. 

We also provide advice on care planning. 

The lead clinician for each case is the person who attends court on behalf 

of the team. 

We provide consultation to local authorities in pre-proceeding cases. This is to 

help the referrer consider and formulate the case, and provide guidance for the 

next steps. This may include things like, whether or not a comprehensive 

assessment is required, whether safeguarding procedures need to be put 

in place and whether the adults require psychiatric assessments. 


Local authorities 

Solicitors 

Dr Nicola Cosgrave, Consultant Clinical Psychologist 

Margaret Jailler, Administrator 

£190 Per hour 



£1,000 Per day 


Child Care Assessment Service 




Denmark Hill 


Tel: 020 3228 3474 

Fax: 020 3228 5011 

Email: margaret.jailler@slam.nhs.uk 


• Multidisciplinary assessment 

• Cognitive and neuropsychological assessments 

• Autism and autistic spectrum diagnosis 

• Assessment of family relationships and attachments 

• Assessment of parenting capacity 

• Assessment of emotional, physical and sexually harmful 

behaviour, and neglect 

• Assessment of adult personality and mental health screening 

• Parental substance misuse 

• Diagnosis of child psychiatric disorder 

• Diagnosis of adult personality disorder 

• Risk assessment and management 

• Forensic risk assessment 

• Detailed observations of contact between family members 

• Comprehensive court report 

• Recommendations on placement, education, treatment needs 

and contact arrangements 

Outcomes 

• Recommendations that aim to improve the long-term 

outcomes for children, through advice about placement 

at home or elsewhere, contact and appropriate treatment 

” The judge really liked the report and relied 

on this evidence in court.” Solicitor 

38 39

Child Traumatic Stress Service 



PTSD scores 

30 

25 

20 

15 

10 

5 

0 

Pretreatment 

Posttreatment 

6-12 

months 

Waiting-list group 

(n=12) 

Treatment group 

(n=12) 

Post-traumatic stress disorder (PTSD) scores at pre-treatment, 

following 12 weeks of trauma-focused cognitive therapy or waiting 

for treatment, and at 6-12 months post-treatment. 

Smith, Yule, Perrin, Tranah, Dalgleish & Clark (2007). 

Cognitive behavioral therapy in children and adolescents with PTSD: 

A preliminary randomized controlled trial. Journal of the American 

Academy of Child & Adolescent Psychiatry, 46, 1051-1061 

Our service is for young people with difficulties arising from 

exposure to traumatic and severely stressful events. We offer 

specialist diagnostic assessments to identify post-traumatic 

stress responses, including post-traumatic stress disorder 

(PTSD), complicated bereavement reactions, and other 

anxiety and depressive conditions. 

Where post-traumatic symptoms are present and require 

treatment, we offer consultation on treatment, traumafocused 

CBT, eye movement desensitisation and 

reprocessing therapy. 

Our research leads the way in improving and disseminating 

evidence-based treatments for traumatised young people 

and their families. People seen in our clinic are often invited 

to participate in ongoing research projects. 

We also provide professional training in the assessment 

and treatment of post-traumatic responses in young people 

and families. 

“ I could not make myself stop thinking about 

the crash. I was just too afraid to talk about 

it with anyone. Now the pictures, the dreams, 

the guilty thoughts are gone. I know I have 

been through something horrible and I will 

always miss my friend, but I can get on with 

my life again.” Charles, age 16 

“ I was devastated when I got the call at work 

saying that Charles and his friend were in 

a fatal car accident. I thought my son had 

been killed. I never thought that I might have 

PTSD too. Thank you for helping Charles and 

for getting me the help I needed.” Mother of Charles 

Criteria 

Eligibility 



• Young people who have been exposed to a traumatic or severely 

stressful event, resulting in PTSD, adjustment disorder with 

anxiety or complicated grief reaction 


• Comprehensive assessment involving a structured diagnostic 

interview, problem formulation and treatment recommendations 

• Expert medico-legal assessments of post-traumatic reactions 

• Weekly, trauma-focused, CBT 

• Family-focused CBT 

• Treatment sessions outside the clinic involving exposure 

to traumatic reminders 

• Treatment planning with the referring team 

Exclusion 

• Presence of a psychiatric disorder or problem other than PTSD, 

adjustment disorder or grief reaction requiring more urgent 

assessment or treatment 

Outcomes 


• Reduced symptoms of PTSD 

• Improved quality of life for the young person and their family 


Outpatient 

Assessment 

Assessment involves face-to-face interviews with the young 

person and their parents or carers (both separately and together), 

by a clinical psychologist. The session includes a semi-structured 

diagnostic interview for ICD-10 and DSM-IV disorders, and 

standardised self and parent reported measures of symptoms and 

functionality. The assessment may include a standardised assessment 

of intellectual and academic attainment. A comprehensive report 

detailing the diagnostic formulation, treatment and care 

recommendations is provided. 

Treatment Treatment is offered on a weekly basis, with sessions between 60 

and 90 minutes. Length of individual sessions and treatment is based 

on clinical need, but generally lasts between six and 14 sessions. 

Treatment is provided by clinical psychologists specialising in cognitive 

and behavioural approaches, who are also clinical researchers and 

CBT trainers. 

Consultation 

Medico-legal 

service 

Consultation with clinical services is offered on assessment methods 

(including selection of appropriate measures), formulation (including 

differential diagnosis), care planning and treatment, service 

development and training. Consultation may also involve meeting at 

our clinic, the young person’s local area, over the phone or via email. 

We offer a medico-legal service and can provide court reports 

as required. 




GPs 

Schools and school 

counsellors 

GP consortia 



Dr Eleanor Leigh, Clinical Psychologist 










Denmark Hill 


Tel: 020 3228 2657 

Fax: 020 3228 5011 


40 41

Chronic Fatigue Service 


Outpatient 


Mode: Outpatient, outreach 

Proportion school 

attendance 

Family-focused CBT versus psychoeducation 

for chronic fatigue syndrome in 11 to 18 year olds 

0.8 

0.6 

0.4 

0.2 

0.0 

Baseline 

Discharge 

3 months 

follow-up 

6 months 

follow-up 

CBT 

12 months 

follow-up 

Psychoeducation 

This graph shows the school attendance over time of patients who 

were treated using family-focused CBT or psychoeducation. 

Chalder T. Deary V, Walwyn R (2009). Family-focused CBT versus 

psycho-education for CFS in 11 to 18 year olds: a randomised 

controlled treatment trial, Psychological Medicine 

Our service provides assessment and treatment programmes 

for young people with chronic fatigue syndrome. We offer 

evidence-based treatments that are routinely evaluated. 

Our goal is to increase the young person’s functioning and 

reduce the severity of their fatigue. 

Following family-focused CBT, 70% 

of young people are back at school 

for at least 70% of the time. 

Assessment 

Treatment 

This is a comprehensive assessment with two team members, the 

young person and their family with additional team members who 

contribute to the discussion, formulation and treatment planning. 

This assessment may also require additional structured assessments 

e.g. psychometric testing, Autism Diagnostic Observation Schedule 

(ADOS), and may require several meetings. It also includes discussions 

with the paediatricians and liaison with the school. We provide a 

diagnostic formulation and treatment plan. 

Treatment involving approximately 20 sessions of CBT or graded 

exercise therapy with a psychotherapist or clinical psychologist, to help 

the young person become less functionally impaired and fatigued. 

Young people are offered follow-up appointments at three-monthly 

intervals after the completion of treatment, for up to 12 months. 


Community mental 

health teams 

GP consortia 

Professor Trudie Chalder, Director 

Dr Teresa Lax-Pericall, Consultant Child and 




Chronic Fatigue Service 



Denmark Hill 

London SE5 4RS 

Tel: 020 3228 5075 

Fax: 020 3228 5074 

Email: suzanne.roche@slam.nhs.uk 

“ Coming to the unit changed our lives. It was 

unimaginable a year ago that my daughter 

would have been back at school. Thank you 

so much.” Parent 

Criteria 

Eligibility 

• Adolescents (11 years), up to 18 years 


• Long-lasting fatigue 

• Mild to profound disability 

• Disturbed sleep pattern 

• Associated anxiety and depression may be present 


• Structured diagnostic interview 

• Clinical assessment, which involves the whole family 

• Cognitive behavioural therapy (CBT) 

• Family work 

• Where appropriate, liaise with paediatrician, CAMHS services 

and schools 

Outcomes 

• Resume daily activities 

• Establish a sleep routine 

• Reduced associated anxiety or depression 

42 

43

Conduct Problems Service 


Outpatient 

Assessment 

Assessments are undertaken by a psychiatrist, psychologist, and 

professionals with a social work background. 




Effect of treatment on antisocial behaviour 

Severity percentile 

100 

90 

80 

70 

Pretreatment 

Posttreatment 

Follow-up 

Treated 

Control 

Our team of specialists help families with ongoing 

difficulties with disruptive children and stressful family 

relationships. We provide assessment and, in the 

majority of cases, treatment as well. 

“All the time that you invested 

in her has really led to a happier 

human being. From our point 

of view, and probably yours too, 

I don’t think there is any greater 

reward than that.” Parent 

Treatment 

Consultation 

The assessment lasts five hours and includes a history from parents, 

psychological assessment of the child, physical examination of the 

child, a team meeting to feedback to referrers, teachers or outside 

professionals if needed, and detailed verbal feedback to the family. 

This is followed by a written report and care plan which the family 

can comment on. 

Treatment comprises of a range of evidence-based approaches, 

including parent training to improve attachments and behaviour, 

work around family relationships and beliefs, CBT, medication, advice 

on alteration of the school environment and teaching approaches. 

We offer a consultation service to social services, CAMHS services 

and the voluntary sector. 




(n=110 children aged 3-8) 

Scott, S. (2005). Do parenting programmes for severe child 

antisocial behaviour work over the longer term, and for whom 

Behavioural and Cognitive Psychotherapy, 33, 403-421. 

Criteria 

Eligibility 

• Three to eight years old 


• Children with disruptive, difficult, or antisocial behaviour, who persistently behave in an aggressive or defiant way 



GPs and other mental health 

professionals 

Educational psychologists, 

teachers and special 

educational needs 

co-ordinators 


GP consortia 

Professor Stephen Scott, Professor of Child Health 

and Behaviour 

Dr Carmen Pinto, Consultant Child and 


Dr Matthew Woolgar, Consultant Clinical Psychologist 

Toni Cole, Administrator 





Denmark Hill 


Tel: 020 3228 2546 

Fax: 020 3228 5011 

Email: toni.cole@slam.nhs.uk 



• Assessment of the young person, their family environment 

and school functioning 

• Psychometric assessment of the young person’s abilities 

and emotional profile 

• Assessment of educational attainment 

• Specialist neuropsychological and social communication 

assessments 

• Individual CBT 

• Intensive, personalised parenting programme designed 

to improve the parent and child relationship using 

real-time coaching 

• Skilled work on improving the parent and child relationship 

using real-time coaching 

• Liaison with school and education services, including school 

visits, advice on behavioural management and learning 

strategies in class 

• Consultation to social services, e.g. where there are 

safeguarding issues 

• Medication prescribed or reviewed 

Outcomes 

• A written report is provided, including formulation 

of psychiatric, psychological and learning factors 

• Reduction in antisocial and oppositional behaviours 

in the home and school 

• Improved parent and child relationship 

• Development of more secure attachments and better 

affect regulation, with fewer tantrums and angry outbursts 

• Increased engagement in education due to reduced 

hyperactivity, oppositional behaviour and better 

emotional regulation 

• Well-developed identity 

• Effective peer relationships 


• A combination of clinic and patient-led outcomes allows us to 

capture change at the personal and global level 

44 45

Dialectical Behaviour Therapy Service 


Outpatient 



“Before when I was upset or 

stressed I used to cut myself. 

Now I stop and think about 

which of the coping skills 

I have learnt that I can use 

to help me calm down.” 

Our service specialises in the assessment and treatment 

of young people who have a history of self-harm and 

symptoms associated with borderline personality disorder 

such as impulsiveness, unstable relationships, anger, 

difficulties controlling emotions and feelings of emptiness. 

We provide assessment, treatment, consultation and 

training. Treatment involves individual therapy and group 

skills training for the young person. The young person’s 

parents or carers also take part in group skills training. 

Assessment 

Pre-treatment 

Treatment 

A comprehensive assessment with the young person and their 

parents or carers, to clarify diagnostic status, in particular whether 

the young person meets criteria for emerging borderline personality 

disorder. Self-harm behaviours and suitability for DBT are assessed. 

An assessment report is sent to the young person, their parents 

or carers and the referrer. 

A series of up to six individual sessions with the young person to 

orientate them to DBT, assess and strengthen motivation, clarify 

and prioritise goals of treatment, and for the young person to 

decide whether they wish to commit to DBT. 

Consists of weekly individual work and group skills training for the 

young person and group skills training for their parents or carers. 

Skills training via telephone is also available. A psychiatric medication 

review and follow-up are added as required. Duration of treatment 

is up to one year. 


£1,755 Per pretreatment 

course 

92311 

£2,112 Per month 92312 


Criteria 

Eligibility 



• Recurrent self-harm including at least one episode of self-harm 

in the past six months 

• Presents symptoms associated with an emerging borderline 

personality disorder 

Exclusion 

• Substance dependency (not misuse) 



• Previous exclusion from the dialectical behaviour therapy 

(DBT) Service within the last three months 

Consultation 

Training 

Consultation is available to clinicians and teams regarding self-harm, 

risk management and difficulties related to elements of borderline 

personality disorder. Consultation may be a one-off meeting with 

the referring team or may require more extensive involvement. 

This could include meeting with the young person and parents 

or carers, examining available notes, chairing a meeting of professionals, 

and treatment planning depending on the aims of the consultation. 

A comprehensive report of the consultation, including recommendations 

regarding case management, can also be provided. 

We train by request on topics including assessment, the treatment 

and management of self-harm, borderline personality disorder, risk, 

mindfulness, emotion regulation, interpersonal effectiveness, 

distress tolerance and DBT strategies. Price varies based on 

individual requirements. 

Variable Per consultation 92331 

Variable 

Per training 

event 


Outcomes 


• DBT 

• Decreased suicide rates in adolescents 

• Reduced frequency of inpatient admissions 

• Reduced self-harm and risk of suicide 

• Decreased impulsivity 

• Improved mood 

• Increased mindfulness and distress tolerance skills 

• Improved interpersonal skills and emotion regulation 

• Improved quality of life 




GP consortia 


Dr Mima Simic, Consultant Child and 


Dr Katrina Hunt, Clinical Psychologist 

Dr Lucy Taylor, Clinical Psychologist 

Dialectical Behaviour 

Therapy Service 




Denmark Hill 


Tel: 020 3228 3381 / 2749 

Fax: 020 3228 5011 

Email: dbtservicecamhs@slam.nhs.uk 

46 47

Eating Disorders Service 



Adolescent anorexia nervosa single 

and multi-family therapy 

Percentage 

100 

80 

60 

40 

20 

0 

Single family 

therapy 

Multi-family 

therapy 

Our treatment is provided mainly on an outpatient basis 

by a multidisciplinary team, which includes psychiatrists, 

psychologists, nurses, family therapists, dieticians and 

paediatric support. As well as individual and family therapy 

we offer multi-family therapy (MFT) for anorexia, which 

we received the Positive Practice award from the National 

Institute for Mental Health in England, 2004. The MFT 

programme for anorexia involves an initial intensive four-day 

multi-family workshop, with further follow-up group 

meetings over nine months. Feedback from families has 

been very positive, with many emphasising the collaborative 

nature of the treatment. The high user satisfaction is 

reflected in a drop-out rate of less than three per cent. 

Criteria 

Eligibility 



• Suspected diagnosis of anorexia nervosa, bulimia nervosa, 

food refusal, extreme faddism, atypical conditions, or eating 

disorder not otherwise specified including patients on paediatric, 

medical or adolescent mental health wards 


• Multidisciplinary assessment 

• Assessments and consultation for complex difficulties 

• Multi-modal integrative treatment 


• Multi-family therapy 

• Intensive treatment programme 

• CBT 

• Dietetic advice 

• Paediatric review and physical health monitoring 

Exclusion 

• 98th centile (equivalent to BMI >30 in adults) 

Outcomes 

• Recovery or significant improvement in illness 

• Improved psychological and psychosocial functioning 

• Improved well-being 

Percentage of patients reaching a normal weight at the end 

of treatment in single family and multi-family therapy 

Our service is renowned nationally and internationally 

for our clinical and research evaluation of psychological 

treatments for eating disorders. We have specialist 

knowledge of eating disorders, with expertise in both 

individual and family therapy. We help patients and their 

families explore the nature of the eating disorder and the 

impact it is having on the young person, their family and 

ways in which the family can help the young person 

overcome their problems. 

We recently completed a large multi-centre treatment study 

evaluating MFT. Funded by the Health Foundation, this has 

provided empirical evidence for the efficacy of this approach. 

We also offer MFT for bulimia nervosa, a once-a-week 

programme for 20 weeks, integrating a variety of 

psychotherapeutic approaches combining individual and 

group formats. 

Our service offers an intensive treatment programme (ITP) 

for anorexia nervosa and eating disorder not otherwise 

specified. This is a nine-week programme, running from 

Monday to Friday, consisting of group, family and 

educational input tailored to each person’s specific needs. 

“ We were so relieved when the service got 

involved. We thought we were going to lose 

our daughter.” Parent 

48 49



Outpatient 

Assessment 

Treatment 

Multi-family 

therapy treatment, 

bulimia 

Half-day multidisciplinary assessment includes individual, familybased 

and medical assessments, collation and scoring of assessment 

questionnaires. A designated therapist or team member carries out 

the assessment with other team members behind the one-way 

screen, and contributes to the discussion, formulation and treatment 

planning. The family are given initial verbal feedback including 

dietetic advice. 

A written report with a treatment plan that includes goals for 

treatment is provided. 

One-hour sessions include physical and medical monitoring (weight, 

blood pressure, pulse, blood tests as necessary), and appropriate 

dietetic advice. Sessions may include team members observing 

behind a one-way screen and providing additional therapeutic input. 

This is a 20-week programme, with weekly sessions using integrated 

cognitive, dialectical and systemic behavioural therapies. These are 

delivered as a combination of groups for parents and young people, 

individual sessions and multi-family sessions. 



£346 Per week 40352 



Consultant psychologists 

GPs 

GP consortia 



Dr Mima Simic, Consultant Child and 


Professor Ivan Eisler, Professor of Family Psychology 

and Family Therapy 

Dr Katrina Hunt, Clinical Psychologist 

Dr Jonathan Espie, Clinical Psychologist 

Gladys Ellis, Team Co-ordinator 

Kiran Virk, Administrator 

Louise Proust, Administrator 





Denmark Hill 


Tel: 020 3228 2545 

Fax: 020 3228 5011 

Email: louise.proust@slam.nhs.uk 

“ What helped me was my determination to 

succeed and find the girl I used to be. ITP took 

me away from all I knew, but it brought back 

the most important part of me that was hiding 

– happiness.” Former patient 

Multi-family 

therapy 

programme, 

anorexia or eating 

disorder not 

otherwise 

specified 

An intensive group treatment which begins with an initial 

90-minute information evening, followed by four successive, 

whole-day treatments and then six full-day follow-up sessions 

over nine to 12 months. 


Professional or 

one-off family 

consultation 

This consultation could be with a member of our team only or with 

the family present. It is based on an interview conducted by a senior 

team member with two to three team members viewing the 

interview behind a one-way screen. This package may be suitable for 

second opinions. A report with recommendations is provided. Price 

varies based on individual requirements. 

Variable 

Per consultation 

Day service 

intensive 

treatment 

programme 

This programme benefits those young people who might otherwise 

need admission to hospital, or whose progress may be slow under 

outpatient treatment. Young people with anorexia nervosa take part 

in the programme for a period of up to nine weeks. 

The programme includes group, individual and family-based 

therapies. Education is also arranged through a local provider. 

After completing the programme, young people are discharged 

to our outpatient service. 

£3,480 

to 

£28,059 

Per 9 week 

programme 

based on half 

day per week 

up to 5 days 

per week 

Training and 

consultation on 

service 

development 

The team provides regular training in family and multiple family 

therapy approaches, treatment of child and adolescent eating 

disorders for individual or small groups of professionals, as well 

as team-based training for larger groups. 

Variable 

Per session 

We also provide consultations to clinicians, managers and 

commissioners wishing to develop specialist child and adolescent 

eating disorders services. Price varies based on individual requirements. 

50 51

Forensic Mental Health Service 

Criteria 

Eligibility 



• Engaged in or at risk of offending behaviour 



Young people with behavioural 

problems have increased rates of 

underlying emotional and 

developmental problems, as well as 

learning difficulties. These problems 

often go undiagnosed as the 

difficulties may be masked by the 

young person’s difficult behaviour. 

Dimond, C., Floyd, A., and Misch, P. (2004). Key Elements of 

Effective Practice – Mental Health, Source document. London: 

Youth Justice Board. 

We provide specialist forensic services, treating complex and 

high risk cases. Many of the young people we work with are 

vulnerable, and present with severe psychopathology. 

Young people referred to us may be involved with the 

criminal justice system or be at high risk of being so 

in the future. They are likely to present with behavioural 

problems like violence and aggression towards others, 

harming themselves, fire setting or engaging in sexually 

inappropriate behaviour. 

We provide a fast-track service for cases requiring 

an urgent response because of the nature of the presenting 

problem or, in some cases, the time limits imposed by 

criminal proceedings. We conduct home and community 

assessments where appropriate. 


• Assessments involving structured diagnostic interviews, 

psychometry, risk assessment, risk formulation and 

treatment recommendations 

• Support and partnership work with community CAMHS 

and other agencies, to help manage risk and complex 

behavioural difficulties 

• Medico-legal assessments and reports for criminal proceedings 

• Offence-related interventions for anger management, 

violence reduction, sexual offending and dangerous fire 

setting behaviour 

• Trauma-related interventions 

• Consultation and care planning for forensic cases in 

outlying secure facilities 

Outcomes 

• Completion of structured risk assessment 

• Identification of protective factors (mitigating risk) 

• Provision of risk management strategy 

• Involvement of the young person and their family 

in the care plan 

• Improvement in the young person’s Children’s Global 

Assessment Scale score in cases where intervention 

is provided 


Outpatient 

Standard 

assessment 

Forensic diagnostic assessment includes risk formulation and 

intervention, and a care plan involving a consultant forensic psychiatrist. 


Complex 

assessment 

Complex and high risk case structured forensic assessment involves 

a consultant psychiatrist and clinical psychology psychometric 

evaluation, where indicated. We offer a forensic diagnostic 

assessment, risk formulation and intervention. This may include 

additional consultation with the referring team and a risk or 

intervention review. 


could have 1 larger 

image here if you prefer 

Treatment Offence specific forensic therapy, including family work and CBT. £264 Per session 55982 

Medico-legal 

service 

We offer a medico-legal service and can provide court reports 

as required. 




GPs 

Youth justice 

Dr Peter Misch, Consultant Child and 


Dr Yolanda Devine, Consultant Child and 







Denmark Hill 



Solicitors 

Law courts 

Tel: 020 3228 3841 

Fax: 020 3228 5011 

Email: peter.misch@slam.nhs.uk 

GP consortia 


52 53

Forensic Psychology Service 


Outpatient 

Assessment, 

diagnostic and 

cognitive 

This assessment may include an IQ assessment, assessment and 

formulation of risk, a diagnostic assessment for ADHD or autism and 

a complex case formulation. 




Our flexible and responsive service offers evidence-based 

assessment and interventions for young people who are 

engaged in, or present significant risk of serious violence, 

fire-setting and/or sexually inappropriate behaviour. Young 

people who present with an emerging anti-social or 

borderline personality disorder alongside their offending 

behaviour are also seen by our service. We often treat 

young people who have exhausted the resources of their 

local CAMHS and still need assistance. 

There is a high prevalence of 

complex and persistent mental 

health and social care needs among 

children and young people in 

contact with the youth justice 

system (Youth Justice Board, 2011). 

An estimated 25 to 81% of these 

children and young people have 

mental health needs (The Mental 

Health Foundation, 2002), which are 

often undiagnosed and untreated. 

Harrington & Bailey, 2006; Fazel et al, 2008 

Assessment, 

comprehensive 

Assessment, 

complex 

Complex court 

assessment 

Treatment 

This assessment is for high risk cases, and includes a combination of 

standardised cognitive assessments that examine neuropsychological 

profiles, diagnostic assessments for relevant mental health problems 

(e.g. autism), and a comprehensive risk assessment and formulation. 

This assessment includes any combination of the above assessments 

plus in-depth clinical interviews with the young person and their 

parents or carers and thorough review of background documentation. 

Court reports are charged at an hourly rate and assessments will vary 

according to individual requirements. 

Individually tailored treatment sessions are delivered on a weekly basis 

with additional telephone support available during office hours. 

Treatment options include offence-focused CBT, dialectical behaviour 

therapy, acceptance and commitment therapy and group sessions. 


£2072 

to 

£4145 


POA 

Per assessment 92804 

Per hour 

£1,858 Per month 92800 

Criteria 

Eligibility 

• 10 to 17 years old 


• Has committed or is at risk of committing violent and/or sexual offences or fire-setting 


Outcomes 

Youth offending teams 

Solicitors 

Courts 


Clinical psychologists 


Social workers 

Dr Troy Tranah, Consultant Clinical Psychologist 

Dr Kate Johnston, Clinical Psychologist 

Forensic Psychology Service 




Denmark Hill 


Tel: 020 3228 2749 / 3381 / 2865 

Fax: 020 3228 5011 

Email: kate.johnston@slam.nhs.uk 

• Assessment and formulation of offending behaviour 

• Assessment of ability to effectively participate within 

court proceedings 

• Cognitive/intellectual functioning assessment 

• Diagnostic assessment (e.g. autism spectrum disorders, ADHD) 

• Structured risk assessment 

• Offence-focused cognitive behavioural therapy (CBT) 

• Dialectical behaviour therapy (DBT) 

• Acceptance and commitment therapy (ACT) 

• Treatment groups 

• Family work, including individual parent management training 

• Telephone support during office hours for young people and 

their parents/carers 

• Consultation/supervision/training packages for other services 

• Comprehensive risk assessment and risk management planning 

• Identification of risk factors and whether mental health issues 

might be viewed as mitigating factors in relation to the offence 

(e.g. ADHD or learning disability) 

• Identification and improved understanding of diagnosis and 

relationship to offending 

• Effective participation in court proceedings 

• Advice regarding sentencing and treatment needs 

• Reduction in severity and frequency of re-offending 

• Reduction in mental health problems 

• Improved parenting and family functioning 

“ Diversion of these young people into 

mental health services can reduce the risk 

of re-offending, promote a range of other 

positive outcomes and save costs across a 

range of public services.” Sainsbury Centre, 2009 

54 55

Mental Health of Learning Disability Service 


Criteria 

Eligibility 



• Recognised as having global development delay 

Exclusion 

• High functioning autism or Asperger’s syndrome. Please see 

the Autism and Related Disorders Service (page 30) 



We are one of the leading CAMHS 

outpatient services for young people 

with a learning disability in the 

United Kingdom. We provide service 

development support and expertise 

to CAMHS services across London. 

We provide assessment and management for young people 

with a learning disability and behavioural or mental health 

problems. Our service assesses young people with 

recognised learning disabilities (global developmental delay), 

and associated behavioural or mental health problems, 

including autism, ADHD, obsessive compulsive disorder, 

psychosis, depression, feeding disorders, offending 

behaviours and sleep disorders. 

We have expertise in the assessment and management of a 

range of genetic disorders, including Prader -Willi syndrome, 

Down’s syndrome, Fragile X, sex chromosome abnormalities 

and Rett syndrome. 

We offer advice on medication, neuropsychological 

functioning, behaviour management, educational placements 

and risk assessment, all in relation to learning disabilities. 


• Multidisciplinary assessment of mental and behavioural problems 

• Medico-legal assessment 

• Attendance at multi-professional meetings as part of assessment 

• Attendance at child protection meetings as part of assessment 

• Cognitive neuro-psychometric assessment using a range of tools 

• Functional analysis 

• Haematological and bio-chemical investigations, where appropriate 

• Laboratory investigations; bio-chemistry, genetic analysis, 

EEGs and neuroimaging procedures 

• School and home observations 

• Specialist CBT 

• Initiating medication in conjunction with local service 

• Family work 

• Training for schools, parents or carers 

• Recommendations about educational placement 

• Co-working with local services 

Outcomes 


• Comprehensive written report with recommendations 

• Reduction of behavioural disturbance 

• Optimised quality of life for the young person and family 










We assess capacity as well as fitness to plead and offer 

specialist assessment of parenting ability in patients with a 

learning disability. 

We provide a range of training programmes, including halfday 

workshops, one-day master classes and short courses. 









Outpatient 

Assessment 

Treatment 

This includes a detailed assessment of the young person’s mental 

health or behavioural problem. The young person is seen with their 

family in the clinic setting and at home. School observations are also 

carried out, if needed. A mental state assessment, neuropsychometric 

assessment and function analysis of the young person’s behaviour 

is undertaken. The case is then formulated with a differential 

diagnosis being reached and recommendations made for intervention 

and treatment. A written report is provided. 




Sessions are offered on a regular basis, both at home and in the 

outpatient setting. A young person usually requires between eight 

and 12 sessions. Regular reviews are provided and there is close 

liaison with the young person’s referrers, their school and others 

involved with their management. 



Consultation 


discussions between the referring team and senior members of the 

learning disability team 


“ You have turned my child’s life around. He can 

now sit in class and has even been invited to 

a birthday party – the first in 10 years!” Parent 

Medico-legal 

service 

We offer a medico-legal service and provide court reports as 

required, which offers assessment of parenting ability in parents with 

a learning disability, assessments of needs and capacity assessments. 




Solicitors 

GP consortia 


Dr Sarah Bernard, Consultant Child and 


Rowland Wells, Administrator 


Mental Health of Learning 

Disability Service 




Denmark Hill 


Tel: 020 3228 2570 

Fax: 020 3228 5011 

Email: sarah.bernard@slam.nhs.uk 

56 57

Mood Disorder Service 


Outpatient 



Symptoms of depression before and 

after treatment 

Mood and feelings questionnaire, child self-report 

45 

40 

35 

30 

25 

20 

15 

10 

5 

0 

Criteria 

ASSESSMENT 

END OF ACTIVE 

TREATMENT 

CUT-OFF 

Eligibility 



• Primary problem is a mood disorder 

• Co-morbid problems like anxiety 


• Comprehensive assessment involving structured diagnostic 

interview, problem formulation and recommendations 

for treatment 




• Specialist CBT 

• Computerised CBT for mild to moderate depression 

• Interpersonal psychotherapy for adolescents 

• Pharmacotherapy in combination with psychological treatment 

• Young people who have residual symptoms after a course 

of treatment may be offered group intervention to prevent 

relapse (mindfulness-based cognitive therapy) 

Our clinic provides a service for young people whose primary 

problem is a mood disorder. This includes young people 

presenting with a first episode of depression, chronic and 

severe treatment-resistant depression, seasonal affective 

disorder, chronic and physically ill young people who develop 

depression, and complex diagnostic issues involving mood 

and bipolar disorders. 

We offer multidisciplinary assessment and evidence-based 

treatment, including CBT, interpersonal psychotherapy 

for adolescents (IPT-A), family therapy and medication. 

We also offer diagnostic consultation and second opinions 

for complex presentations. 

Our clinic is committed to undertaking research and training 

in mood disorders of young people and has close ties to the 

Biomedical Research Centre, the Academic Department 

of Child and Adolescent Psychiatry, and the Department 

of Psychology at the Institute of Psychiatry, King’s College 

London. As our clinic is based in a teaching and researchoriented 

hospital, trainee professionals may be involved 

in assessment and treatment. Also, parents and young 

people may be invited to participate in special research 

projects or clinical trials. 

Exclusion 

• Emergency referrals 

• Referrals involving very high risk young people may be seen 

jointly with the local community team 

• Young people whose main problem is self-harm (please 

see the Dialectical Behaviour Therapy Service, page 42) 

• Presence of another psychiatric disorder or problem 

requiring more urgent assessment or treatment 

Outcomes 

• Comprehensive report for referrers and families with detailed 

recommendations for treatment 

• Reduced symptoms 

• Improvement in well-being and quality of life 

• Support and advice for the young person’s referring team 

Assessment 

Extended 

assessment and 

second opinion 

Treatment 

Assessment involves face-to-face meetings with young people and 

their families, and includes a specialist assessment of mood-related 

problems, using reliable and valid assessment tools like self-report 

instruments and interview schedules. The assessment report 

includes formulation of the problem and recommendations for 

care and treatment. 

We offer extended assessment or second opinion assessments for 

referrers. This includes diagnosis of bipolar disorders or treatmentresistant 

depressions. These assessments involve a consultant 

psychiatrist and consultant clinical psychologist. In addition to 

the standard assessment, a comprehensive diagnostic evaluation 

of the full range of psychiatric disorders is conducted using K-SADS. 

Psychometric assessment of cognitive ability is completed and 

physical tests may be ordered. Home or ward visits may be 

undertaken. Price varies based on individual requirements. 

Treatment options include CBT, IPT-A and short-term family therapy. 

Hour-long appointments are offered on a weekly basis for 12 to 15 

weeks, with further sessions as needed. Young people are followed 

up after full or partial remission for at least six months. Supported 

self-help in the form of computerised CBT may be offered for young 

people with mild symptoms of depression. Medication reviews are 

carried out regularly to ensure safe and beneficial prescribing. 

We also offer a mindfulness-based cognitive therapy group for eight 

to 12 young people, facilitated by two clinicians. 


Variable 




Clinical psychologists 


GPs 

GP consortia 

Dr Gordana Milavić, Consultant Child and 


Dr Argyris Stringaris, Honorary Consultant Child and 



Dr Eleanor Leigh, Chartered Clinical Psychologist 


Per assessment 






Denmark Hill 


Tel: 020 3228 2657 

Fax: 020 3228 5011 


“ I have learnt that only I can change myself and 

I have more power to do so than I believed.” 


“ I have gained a lot of skills in this course 

of therapy that are incredibly useful and 

that I will carry on using.” Former patient 

58 59

Neuropsychiatry Service 




We have shown that ADHD is eight 

times more common in children 

with an intellectual disorder, and 

that 70% of children with an autism 

spectrum disorder have psychiatric 

co-morbidities. Challenging 

behaviour occurs in up to 20% of 

those with an intellectual disorder 

and is most common in those with 

an autism spectrum disorder. 

Simonoff, E., Pickles, A., Gringras, P., Chadwick, O. ADHD 

symptoms in children with mild intellectual disability. Journal 

of the American Academy of Child & Adolescent Psychiatry. 

2007;46(5):591-600. 

We offer assessment, interventions, consultation and 

second opinions about neuropsychiatric disorders. We have 

close links with other teams within SLaM and the Institute 

of Psychiatry, and have clinical and research expertise 

at an international level. 

Our team specialises in disorders of attention, including 

ADHD, challenging behaviours (self-injury, severe aggression 

and defiant behaviour) in the context of a neuropsychiatric 

disorder, complex neuropsychiatric disorders, including the 

psychiatric complications of brain disorders and epilepsy, and 

genetic disorders including velo-cardio-facial syndrome. 

We provide advice on neuropsychiatric medication, neuropsychological 

functioning, behaviour management and 

developing social and other skills. 


• Neuropsychiatric assessment including attention, inhibition 

and executive functioning aspects 

• Psychiatric formulation and diagnosis 

• Behavioural assessment 

• Psychometric testing 

• Behavioural therapy 

• CBT 

• Anger management 

• Physical examination with an emphasis on neurological 

examination 



• Medication advice 

• Psychoeducation for parents and the young person 

Outcomes 


• Reduced aggressive, defiant behaviour or other symptoms 

• Recommendations regarding local management, 

including management in schools 

• Recommendations to health and educational services 

regarding care plans to treat symptoms and improve 

current and future functioning 

• Improvement in well-being 


Outpatient 

Assessment 

A full multidisciplinary assessment where a consultant psychiatrist 

and junior doctor meet the family, and the psychology team 

meet the child to carry out a general psychometric assessment. 

Additional psychometric tests are undertaken depending on need. 

A psychiatric history, physical examination and mental state 

assessment is completed, and reports are sought from the young 

person’s school and any other relevant places. The young person, 

parents and teacher are invited to complete questionnaires. 

Draft reports are prepared for the feedback meeting on the day, 

and parents are invited to correct misunderstandings in the history 

if necessary. A final report is sent to the referrer and the parents. 

If the parents want the reports to be distributed more widely to 

places like the school, this can be arranged. 


















Treatment 




Medication review: frequency of appointments varies between 

fortnightly and once every six months. Each appointment lasts 

between 30 minutes and one hour. 

Anger management: a cognitive behavioural approach to the 

treatment of anger is offered in blocks of six sessions of up to 

one hour. 


Criteria 

Eligibility 



• Known or possible diagnosis of a neuropsychiatric disorder, 

including: 

–– 

ADHD 

–– 


–– 

Psychiatric complications of brain disorders 

–– 

Neuropsychiatric disorders with epilepsy 

–– 

Genetic disorders 

Exclusion 

• Presence of another psychiatric disorder or problem 

requiring more urgent assessment or treatment 

Consultation 


discussions between the referring team and senior members 

of our neuropsychiatry team. 




GP consortia 


Professor Emily Simonoff, Professor of Child and 

Adolescent Psychiatry 







Denmark Hill 


“ You helped us see our child’s problems 

in a different way.” Parent 

Tel: 020 3228 2547 

Fax: 020 3228 5011 

Email: bridget.flanagan@slam.nhs.uk 

60 61

Neuropsychology Service 





• CBT 

• Behavioural management 

• Systemic therapy 

Outcomes 

• Neuropsychological assessment 

• Formulation of cognitive and behavioural difficulties 

• Report for referrers, families or court 

• Treatment recommendations 

• Improved functioning 



• Psychiatric conditions (early onset psychosis and anorexia 

nervosa) 


We provide neuropsychological assessment and treatment 

to young people with neurological, medical, 

neurodevelopmental and psychiatric conditions, including: 

• Neurodevelopmental disorders (ADHD, autistic spectrum 

disorder or learning disabilities) 

• Acquired brain injury (epilepsy, stroke, traumatic brain 

injury, central nervous system infection, or brain tumor) 

• Medical conditions affecting central nervous system 

function (sickle cell, thalasaemia renal and liver disorders) 

• Memory, attention, or language problems that impair 

functioning, but for which the causes are unknown 

• Identification and description of cognitive abilities in 

preparation for neurosurgery, including post-surgical testing 

Our treatment packages provide the young person and 

their family with a better understanding of the presenting 

problem, together with strategies that have been shown 

to improve cognitive, educational, emotional, behavioural 

and social difficulties. 

Outpatient 

Assessment 

Treatment 

The assessment lasts for approximately eight hours and if complex 

may be split across two appointments. It includes interviews with the 

young person and their parents or carers to obtain their view of the 

problem. Neuropsychological tests provide a profile of the young 

person’s strengths and difficulties. Emotional, social and behavioural 

functioning is quantified using self-report measures. A report about 

the young person’s presentation is given to the referrer, family or court. 


psychometric tests which incur additional charges of £296 per 


Our treatment sessions meet the needs of the young person, 

their family and school, these may include: 



















Consultation 

• Psychoeducation to provide accurate information about the 

presenting difficulties, prognosis and treatment options 

• Cognitive rehabilitation to target specific difficulties that may 

include attention, memory, organisation and planning 

• CBT for emotional difficulties 

• Behavioural management for challenging behaviours 

• Systemic work to address family difficulties 

• Psychopharmacology 

• Social skills 

We offer a two-hour consultation for local teams, to provide support 

when delivering a treatment programme for a young person. 


Criteria 

Eligibility 



• Young people with known or suspected neurological or neurodevelopmental disorders 




GPs 

GP consortia 







Denmark Hill 



Tel: 020 3228 2547 

Fax: 020 3228 5011 

Email: maxine.sinclair@slam.nhs.uk 

“ Your tests have managed to describe 

my son so accurately and you have only 

seen him once.” Parent 

62 63

Obsessive Compulsive Disorder Service 

Criteria 

Eligibility 



• Suspected diagnosis of OCD or related disorders, including body dysmorphic, tic and habit disorders, as well as Tourette’s syndrome 

CBT Location: outcomes Maudsley for clinic patients: Hospital 

OCD 

Mode: 

severity 

Outpatient, 

scores on children’s 

day patient, 

Yale-Brown 

outreach 

Obsessive Compulsive Scale (CY-BOCS) 

Score 

30 

CBT outcomes for clinic patients: 

25 

OCD severity scores on children’s Yale-Brown 

20 Obsessive Compulsive Scale (CY-BOCS) 

15 

Score 

10 

30 

25 

5 

20 

0 

15 

10 

5 

0 

Before 

treatment 

Before 

treatment 

End of 

treatment 

End of 

treatment 

3 months 


3 months 


6 months 


6 months 



impairment scores on 

Child Global Assessment Scale (CGAS) 

12 months 


Score 

80 


70 

60 impairment scores on 

50 Child Global Assessment Scale (CGAS) 

40 

30 

Score 

20 80 

10 70 

60 0 

50 

40 

30 

20 

10 

0 

Our service provides assessment and treatment for young 

people with obsessive compulsive disorder (OCD) and 

related conditions, including body dysmorphic disorder, tic 

disorders, Tourette’s syndrome, anxiety and habit disorders, 

including trichotillomania. We also assess and treat OCD 

related anxiety disorders in young people with 

a developmental disorder, e.g. high functioning autism 

spectrum disorders or neurological conditions. 

We provide a range of evidence-based care packages, 

tailored to meet the needs of the young person and their 

parents or carers. 

Many of the young people we see are offered individual CBT, 

which may involve parents or carers and other family members. 

We have an active research programme and are committed 

to increasing knowledge and understanding of the disorders 

we treat, and developing our treatments to help improve 

the outcomes for young people with OCD. We offer treatment 

as part of a trial to the majority of young people we see. 

Treatment trials provide the same package of care, but 

under more controlled protocols. 

We also offer an extensive programme of training and 

consultancy in the assessment, treatment and management 

of different aspects of OCD through seminars, workshops, 

individual case supervision and research project supervision. 


• Comprehensive assessment 

• Psychometric and cognitive assessment 

• CBT (flexible intensity) 

• Medication management and review 

• Network planning with referring service 

• Working with the referring team to provide interventions 

through local services 

Outcomes 

• Improved quality of life and functioning, like returning 

to education and improved social functioning 

• Understanding and managing anxiety 

• Reduced obsessions and compulsions, and their impact 

• Reduced family stress related to OCD, and improved 

family functioning 

Score 

12 

10 

CY-BOCS obsessions 

8 

CY-BOCS obsessions and compulsions 

CY-BOCS compulsions 

6 

Score 

12 

structure 4 

2 which enabled 

CY-BOCS obsessions 

us to work towards 

10 

0 

8 

CY-BOCS compulsions 

goals 6 each week and break problems down 

4 

2 

into manageable chunks.” Parent 

0 

Baseline 

End of 

treatment 

3-month 

follow-up 

6-month 

Follow-up 

12-month 

Follow-up 

Before 

treatment 

End of 

treatment 

Before 

treatment 

3 months 


6 months 


End of 

treatment 

12 months 


3 months 


6 months 


12 months 


12 months 


“Absolutely brilliant, it has definitely helped 

me get my life back.” Tom 

CY-BOCS obsessions and compulsions 

“Treatment was well planned with good 

Baseline 

End of 

treatment 

3-month 

follow-up 

6-month 

Follow-up 

12-month 

Follow-up 

64 65



Outpatient 

Assessment 

Treatment 

Our half-day assessment includes: 

• Family questionnaires completed at home prior to assessment 

• Discussion with parents or carers about the difficulties they 

have faced, and how they have managed them to date 

• Talking with the young person and their carers, both separately 

and together 

• Establishing joint aims for the assessment 

• Feedback at the end of the assessment, to discuss findings 

and treatment options with the family 

• Agreeing on a recommended treatment, a care plan and providing 

a written report 

• Psychometric assessment if needed 

Where appropriate, we refer the young person to local services 

for treatment. In these cases we offer consultation, supervision and 

joint working with therapists in the young person’s local service. 

A written report is provided with recommendations. 

We offer flexible treatment packages of CBT, including a mixture 

of sessions delivered in the clinic, at the young person’s home 

or over the phone. These include: 

• 14 weekly sessions of outpatient CBT (within 17 weeks) 

• Extended package of CBT (e.g. 20+ sessions) 

• Intensive clinic-based CBT 

• Intensive home-based CBT 

• Follow-up sessions at one, three, six and 12 months after CBT 






Psychologists 

GPs 

CBT therapists 

GP consortia 


Dr Bruce Clark, Consultant Child and 


Professor David Mataix-Cols, Consultant 

Clinical Psychologist 

Dr Chloe Volz, Consultant Clinical Psychologist 

Christine Fuller, Administrator 

Obsessive Compulsive 

Disorder Service 




Denmark Hill 


Tel: 020 3228 5222 

Fax: 020 3228 5011 

Email: christine.fuller@slam.nhs.uk 

“ They were helpful, gentle, would always 

listen to my point of view and take that 

into account.” Jemma 

“ For the first time in the past couple of years, 

I feel we are at the right place for my son’s 

OCD and I can finally see light at the end 

of a very dark tunnel.” Parent 

Consultation 

National Specialist 

Commissioning 

Team 

These packages may include medication management, educational 

or school liaison, and family work, where appropriate. 

Sessions can be undertaken intensively or over a period of time. 

Inpatient care can take the form of day patient attendance or a brief, 

tailored admission. Both options allow joint working between our 

service and our adolescent units. We offer a CBT programme that 

runs in conjunction with the adolescent unit programme of education, 

weekly reviews and other therapy sessions. 

In some cases it may be appropriate for the young person to receive 

treatment through their local service, for example if they are already 

engaged with a therapist, or if the distance from our clinic 

precludes the possibility of attending regular sessions. In these 

cases, ongoing consultation and case supervision can be offered 

to the local team. Families are required to attend an assessment 

at the clinic. 

There is a national service for children and adults with severe 

and treatment-resistant OCD, funded by the National Specialist 

Commissioning Team (NSCT). Our clinic is a designated centre for 

adolescents and the eligibility criteria for this service is below: 

• Severe OCD (CYBOCS score = 30 or above) 

• Previous treatment with CBT 

• Previous treatment with medication 

Any young person fulfilling these criteria can be referred 

to us for assessment and treatment. 


NSCT 

funded 

66 67

Paediatric Liaison Service 

Location: King’s College Hospital and 

St Thomas’ Hospital 


We treat young people with medical conditions who also 

have psychological difficulties and psychiatric illnesses which 

are pre-existing, secondary to or co-morbid to their medical 

conditions. We often see young people who are undergoing 

transplant assessments, have difficulties taking medication or 

adhering to special diets, somatisation disorders, coping with 

pain, trauma following illness or injury, anxiety, depression, 

grief and bereavement, treatment after serious assault and 

medically unexplained physical symptoms. 

Criteria 

Eligibility 



• Mental illness arising from the nature of the acute disorder being treated 

We also offer an emergency provision to acute hospitals. 

Reasons for emergency referral often include overdoses, 

deliberate self-harm, acute anxiety and dramatic and 

unexplained changes in mood or behaviour. 

Our team specialises in mental health disorders related to 

acquired brain injury, epilepsy, oncology, and trauma. 






• Treatment planning with the referring team 

• Expert medico-legal assessment 


Outcomes 


• Improvement in well-being and quality of life for the young 

person and their family 

• Recommendations to acute services regarding care plans to 

treat symptoms and improve current and future functioning 


Outpatient 

Basic assessment 

Enhanced 

assessment 

Complex 

assessment 

Treatment 

Assessment involves face-to-face meetings with young people 

and their families, leading to a formulation of diagnosis and a 

treatment plan. 

The extended and second opinion assessment involves a consultant 

psychiatrist and another member from our team and includes liaison 

with the young person’s school and any other professionals involved 

in their care. This assessment may extend over two sessions. 

This is a comprehensive assessment with two team members, the 

young person and their family, with additional team members 

behind a one-way screen, who contribute to the discussion, 

formulation and treatment planning. This assessment may also 

require additional structured assessments, e.g. psychometric testing, 

the autism diagnostic observation schedule (ADOS) and may require 

several meetings. It also includes discussions with the paediatricians 

and liaison with the school. We provide a diagnostic formulation and 

treatment plan. 

Individual sessions are offered on a regular basis, in close liaison with 

the person’s paediatric team. 





Consultation 


discussions between the referring team and senior members of 

our team. 



NHS consultant psychiatrists 


King’s College Hospital 

Dr Teresa Lax-Pericall, Consultant Child and 


Gill Savoury, Team Leader 


Dr Peter Hindley, Consultant Child and 


Claire Dempster, Team Leader 

Paediatric Liaison Service 

King’s College Hospital 

3rd Floor, Hambledon Wing 

Denmark Hill 

London SE5 9RS 

Tel: 020 3299 3219/3220 

Fax: 020 3299 3221 

Email: gill.savoury@slam.nhs.uk 

Paediatric Liaison 


2nd Floor, Gassiot House 

Westminster Bridge Road 

London SE1 7EH 

Tel: 020 7188 9125 

Fax: 020 7188 9668 

Email: claire.dempster@slam.nhs.uk 

68 69

Supported Discharge Service 



Our service works to reduce overall length of inpatient stay 

and improve quality of care, by providing a care pathway 

back to outpatient services for young people who have been 

admitted as inpatients. We offer intensive, short-term, 

solution-focused therapeutic work including home 

treatment, day care and intensive case management. 


• Interventions to improve young people’s access to education, 

housing, social care and leisure 

• Crisis resolution and crisis prevention 

• Evidence-based psychological therapies 

• Skills groups to develop emotional regulation capacity, 

mindfulness, interpersonal skills, social skills, facilitate 

behavioural activation and cognitive restructuring 

• Art psychotherapy, music therapy, occupational therapy 

• Improve school or vocational performance, engage with 

recreational activities and develop a functional support network 

on the basis of the family members, peers, members of the 

community and professionals 

Outcomes 

• Successful school or college integration 

• Accessing extracurricular activities 

• Housing support 

• Improvement in family functioning 

• Better community integration 

• Improved independence 


Criteria 

Eligibility 


• Residents of Lambeth Southwark, Lewisham and Croydon (or residents elsewhere if an assessment/consultation only is required) 

• Being admitted for in-patient treatment 

Outpatient 


treatment 

Assessment and treatment packages are developed based on the 

young person’s individual presentation and requirements. 

Variable 


Per package 

of care 

“ I am very grateful for the support. It made all 

the difference.” Mother of former patient 

NHS consultant psychiatrists 


Dr Dennis Ougrin, Consultant Child and 


Vicky Slater, Team leader 

Jason Poole, Administrator 

Supported Discharge Service 




Denmark Hill 


Tel: 020 3228 3983 

Fax: 020 3228 3990 

Email: vicky.slater@slam.nhs.uk 

“ I have got my life back together.” Former patient, 17 

“ I want to take this opportunity to thank 

everyone at the supported discharge service 

for supporting me when I was taken ill and 

visiting me in hospital. I and my family are 

very grateful.” Former patient 

70 71

Training programmes

Centre for Parent and Child Support 


Mode: Training and service delivery 

Our team leads the national and international dissemination 

of the Family Partnership Model (FPM) and the Empowering 

Parents, Empowering Communities (EPEC). We provide 

workforce change programmes, training and supervision in 

FPM and associated approaches like the Helping Families 

Programme (HPP), antenatal and postnatal promotional 

guides and the EPEC programme. 

Family Partnership Model 

The Family Partnership Model is an evidence-based approach 

that demonstrates how specific practitioner qualities and 

skills, when used in partnership, enables parents and families 

to overcome their difficulties, build strengths and resilience 

and achieve improved outcomes. 

It is recognised internationally as an exemplar of effective 

partnership working and user-centred practice in health, 

education and social services. Its effectiveness has been 

demonstrated through a number of research trials 

conducted by the Centre as well as independent randomised 

trials; with findings indicating positive benefits to service 

outcomes, the developmental progress of children, parentchild 

interaction and the psychological functioning of 

parents, families and children. 

Our workforce change and developmental programmes 

consist of practitioner training, consultation and supervision, 

and are commissioned by a wide range of organisations, 

including acute and mental health NHS Trusts, children’s 

services, schools and local authorities. We develop an 

individual plan for each commissioning organisation based 

on needs and objectives. 

Empowering Parents, Empowering Communities 

EPEC provides a system for training and supervising peerled 

parenting groups for parents of children aged two to 11 

years (Being a Parent),and parents of teenagers aged 12 to 

16 years (Living with Teenagers). within a local community. 

These peer-led parenting courses help parents to learn 

practical communication skills for everyday life and develop 

their abilities to bring up confident, happy and co-operative 

children. The programmes use discussion groups and role play, 

where new skills can be practicedin a supportive environment. 

Free crèches are provided alongside each group and parents 

attending the course can choose to gain accreditation for their 

work through the Open College Network. 

Data from our recently completed randomised control trial 

indicates that this peer-led parenting intervention is popular 

and effective at improving parenting competencies and 

reducing child behaviour problems. 

Helping Families programme 

The HFP aims to improve the outcomes of children who live 

in some of the most complex and disadvantaged families in 

the UK. It is targeted at those families with multiple 

problems, where chaotic parenting is likely to give rise to 

disruptive anti-social behaviour. The HFP targets parent’s 

behaviour, cognition and emotional regulation. 

We offer practitioners a Learn and Change programme as 

part of the HFP. It offers practitioners an evidence-based 

foundation to support and enhance existing practice when 

working with difficult families. The programme is designed 

to achieve sustainability for both practitioners and 

organisations. And initial introduction to the underpinning 

knowledge, frameworks and principles is followed by 

progressive theory and skill sets, to facilitate practice 

integration, workforce development and capacity building. 

The Family Partnership Model has played a 

pivotal role in consolidating a developing 

our service. The impact of the FPM training 

was so significant, it contributed to wider 

training of the children’s services workforce 

in our borough. Wandsworth Council 2010 

“ The Family Partnership Model supervision 

model has already changed my practice. 

The structure it provides covers a wide range 

of issues and it clarifies contract and case 

formulation.” Course participant, 2009 

Who is this programme for 

• Local authorities including social services, early years, schools, 

extended school and education support services, third sector 

and independent organisations 

• Acute community and mental health NHS trusts 

• Children’s services and Trusts 

• Third sector, social enterprise and independent organisations 

Outcomes 

• Clinicians and practitioners become competent and effective 

in the use of FPM and EPEC with families and patients 

• Supervisors, managers and trainers become competent and 

effective in supporting the systematic implementation and 

the use of FPM and EPEC 

• The effective use of FPM and EPEC improves patient engagement 

and partnership working, and results in improved outcomes 

for children, parents and families 

Programme Programme structure Cost Unit 

Family Partnership 

Model foundation 

training course 

Supplementary 

modules 

pregnancy and 

parenting from 

birth to adulthood 


Model supervisor 

course 


Model facilitator 

course 

The course consists of 10 sessions, each lasting three-and-a-half hours, 

with up to 12 participants. The sessions are usually run over five days at 

weekly intervals. Each session addresses the theoretical and practical skills 

and of FPM. Participants are expected to complete short reading and 

practical assignments between sessions. 

The content of the course covers the needs of families, the aims and the 

processes of helping, the nature of the parent-practitioner relationship, 

the qualities and skills of the helper, exploration, personal construing, 

facilitating change and collaborative problem management. 

Modules 

• Antenatal and postnatal promotional guides (two days) 

• Parent and carer workshops 

• Partnership working for schools 

This course is for people to improve their skills in the supervision of practitioners. 

It is based upon the FPM and parallels the foundation course in theory, skills 

development and the style and format of the training. It involves two facilitators 

working with groups of up to 12 participants over 10 half-day sessions. 

This course is for people who wish to learn how to facilitate the FPM foundation 

course. Participants should usually have already completed the FPM foundation 

course and have previous experience in facilitating groups. The course consists of 

six full days, usually conducted at weekly intervals for groups of up to 12 people. 

£1,300 

plus 

materials 

and 

expenses 

£1,300 

plus 

materials 


expenses 

£1,300 

plus 

materials 


expenses 

£1,300 

plus 

materials 


expenses 

Per day for 

5 days 

Per day 

Per day for 

5 days 

Per day for 

6 days 

74 75


Contacts: 

Address: 


FPM workforce 

development 

sustaining practice 

EPEC training and 

development 

Supervision 

We provide skilled supervision for practitioners using the FPM in their work, 

and managers implementing service redesign based on the approach. It is 

appropriate for frontline practitioners working directly with families, or for 

people who are acting as supervisors, facilitators or trainers. We can provide 

supervision on a one-to-one basis or in groups, in a face-to-face situation, 

telephone or video conference. This service may be commissioned by 

organisations or individuals and the content, length, number and frequency 

of sessions is negotiated to suit the needs of the participants. 

Consultancy 

We offer a range of consultancy options to organisations considering or 

already using the FPM in their work. Consultancy can encompass any area 

of implementation: application of family partnership to work, service structure, 

training, supervision, evaluation, research, integration and maintenance. 

Flexible packages are available to meet people’s needs. 

We provide an accredited 10-day course to prepare peer facilitators to be able 

to lead parenting groups using the Being a Parent approach. During the training, 

parent participants are introduced and participate in the Being a Parent 

programme, which covers key parenting topics including parent and child 

self-esteem, managing feelings, understanding behaviour, child-centred listening 

and play skills, setting limits and positive behaviour management. The participants 

then concentrate on the key knowledge and skills required to facilitate the Being 

a Parent course, such as the skills and qualities for supporting parents and their 

parenting skills, skills and methods for coping with children’s behaviour, group 

work theory and practice, and ethical issues in parenting programmes. 

£ 650 to 

£1,300 

plus 

materials 


expenses 

£1,300 

plus 

materials 


expenses 

Per day 

The minimum booking 

is a half-day session. 

Per day for 

10 days 

Dr Crispin Day, Consultant Clinical Psychologist 

Megan Ellis, Programme Lead and Specialist Nurse 

Lucy Draper, Specialist Trainer 

Caroline Penney, Specialist Trainer 

Soni Mutschelknauss, Administrator 





Denmark Hill 


Tel: 020 3228 9751 

Fax: 020 3228 9755 

Email: info@cpcs.org.uk 

Website: www.cpcs.org.uk 

“ The Empowering Parents, Empowering 

Communities course was really valuable 

and has allowed me to analyse how I relate 

to my children and how to improve our 

relationship.” Parent, 2009 

EPEC supervision 

and consultation 

Supervision 

We provide skilled supervision for peer facilitators using the EPEC system and for 

managers supporting its introduction. Supervision is on a one-to-one basis 

or in groups, in a face-to-face situation or via telephone or video conference. This 

service may be commissioned by organisations and the content, length, number 

and frequency of sessions is negotiated to suit the needs of the participants. 

£650 to 

£1,300 

plus 

materials 


expenses 

Per day 

The minimum booking 

is a half-day session. 

Consultancy 

We offer a range of consultancy options to organisations considering or 

already using the EPEC system in their work. 

76 77

Eating Disorders Training Programme 


Outpatient 


Mode: Training programme, clinical supervision, 

service development 

We provide training in single and multiple family therapy 

approaches, the treatment of child and adolescent eating 

disorders for individuals or small groups of professionals, 

and team-based outreach training for larger groups. 

Our multi-family therapy (MFT) treatment training is relevant 

not only to clinicians working with eating disorders, but to 

those working with other mental health problems like 

obsessive compulsive disorder, substance misuse, depression, 

school refusal and psychosis. 

We offer follow-up consultation and ongoing supervision 

on multi-family therapy and single family-based treatments. 

We also provide consultations to clinicians, managers and 

commissioners wishing to develop specialist child and 

adolescent eating disorders services. 

Commissioned 

presentations and 

one to two-day 

workshops 

Multi-family 

therapy 

programme 

Outreach teambased 

training 

We offer workshops and presentations on child and adolescent eating disorders 

treatment, service development and research outcomes to professional groups, 

organisations and conferences. Workshops provide an introduction to family 

therapy for child and adolescent eating disorders. They can be combined with 

multi-family day treatment training or extended training secondments. 

This programme consists of four consecutive days with up to 25 participants. 

The programme addresses the theoretical underpinning, phases of treatment 

and practical skills of running the MFT. Didactic and experiential techniques are 

used to develop theoretical understanding and to enable participants to gain 

insight, and learn about how families respond to this model. 

The specific format is negotiated, but generally includes intensive four-day 

training with follow-up meetings as required. A training group of 15 to 25 

clinicians, from several services takes part. Content is tailored to the specific 

needs of the services and is modified depending on the existing skills and 

knowledge of the participants. The focus is on MFT treatment but general 

aspects of family therapy is also covered. 

£700 Per day 

£975 

including 

lunches 


training 

materials 

£7,500 

to 

£10,000 

plus 

materials 


expenses 

Per person, 

for 4 days 

For 4 days 

(Training can be 

up to 20 days 

over 2 years) 

Outcomes 

Multi-family therapy training 

• Competent and effective in the application of MFT treatment in their own service settings 

• Participants develop networks of professional support in running multi-family groups 

• Service managers become competent and effective in supporting the systematic implementation and the use of MFG 

• The use of MFT in addition to single family-therapy treatment improves engagement and clinical outcomes for young people 

and their families 

Family therapy for adolescent eating disorders training 

• An understanding of the theoretical principles underpinning effective family intervention in child and adolescent eating disorders 

• Develop specific skills to engage and intervene with families where a child or adolescent has an eating disorder 

• Explore ways in which systemic family therapy and individual therapy skills can be combined with knowledge about 

eating disorders, nutrition and the medical risk associated with eating disorders in the context of a team 

Supervision and consultancy 

• Ongoing group consultation and group or individual supervision provides continuity for development and implementation 

of the treatment model in service settings 

Supervision and 

consultancy 

Research and 

evaluation 

We can provide supervision and consultation by experienced clinicians who are 

also accredited supervisors. Specific details are agreed individually depending 

on need. 

We encourage, support and work in collaboration with services who have 

participated in our training to evaluate the implementation and impact of single 

family therapy and MFG treatment, including the planning and preparation 

of applications for external research and evaluation funding. 

Who is this programme for Contacts: Address: 

Acute and mental health NHS 

Trusts 

Primary Care Trusts 

Clinicians from outside the 

United Kingdom 

Professor Ivan Eisler, Professor of Family Psychology 

and Family Therapy 

Dr Stamatoula Voulgari, Family Therapist 

£700 

plus 

materials 


expenses 

£700 

plus 

materials 


expenses 

Per day 

Per day 

Eating Disorders Training Programme 




Denmark Hill 


Tel: 020 3228 2545 

Fax: 020 3228 5011 

Email: stamatoula.voulgari@slam.nhs.uk 

“ This is the most practical, useful training 

I have been involved with in years. I loved 

how family role play carried across days so 

that we could really get into it. The learning 

was spot on with my practice and areas for 

growth and change.” Course participant 

78 79

Multidimensional Treatment 

Foster Care Service 


Mode: Training and consultation 

We provide training and consultancy services in the Multidimensional 

Treatment Foster Care (MTFC) model to multiagency 

teams running a MTFC programme. 

Our team also holds the United Kingdom Network Partnership 

agreement with the programme originators in the USA, and 

can provide a package of training and consultation to local 

authorities and fostering agencies wishing to set up a new 

MTFC programme in the United Kingdom. 

The MTFC programmes, developed and researched in the 

USA over 40 years ago by the Oregon Social Learning 

Centre (OSLC), provides an evidence-based intervention for 

children and young people in foster care. The programmes 

are designed for those with complex behavioural and 

emotional difficulties who have experienced, or are at risk 

of, multiple placement disruptions. 

MTFC works by having highly trained foster carers supported 

by a clinical team. Together, they deliver individual treatment 

programmes. Each foster family works with one child at 

a time for between six and 12 months. Foster carers and 

clinical staff are trained in behaviour management systems 

for the age group with which they work. These systems 

involve giving lots of encouragement, building skills and 

celebrating achievements. 

We offer three programmes spanning the age range from 

three to 17 years. We conduct regular audits of outcomes 

which are reported to the Department for Education 

in July each year. 

Who is this programme for 

• Local authority social service departments with partner 

agencies, such as health and education 

• Primary Care Trust’s and Children’s Trusts 

• Independent fostering agencies 

Outcomes 

• Promote stability for the child and the ability to live 

in a family, whether the intended outcome is a return home 

to birth family, extended family, long-term fostering, adoption 

or independent living 

• Improved outcomes for children and young people, and 

a broadened range of out of home placements for children 

with more complex needs 

• Support for local authorities and other agencies, to help 

deliver an effective treatment foster care programme 

• Participants can become certified as MTFC providers by the 

programme originators at the Oregon Social Learning Centre 

“ Before all I saw was a brick wall, but now 

I’m going to college.” Young person, age 16 

Our team provides training and consultation 

to local authorities running Multidimensional 

Treatment Foster Care programmes nationally. 

Children and young people in the 

Multidimensional Treatment Foster Care 

programme for adolescents have shown 

reductions in offending (43% v 16%) violence 

(76.6% v 42.5%), sexual behaviour difficulties 

(49.5% v 25.6%), and self-harm (33.3% v 4.5%) 

at one year following admission. 

Audit outcomes, MTFCE Annual Report 2010, DFE and MTFC websites. 

80 81

Multidimensional Treatment Foster Care Service 


“ The programme has significantly contributed 

to us reducing expenditure on residential care.” 

Adolescent 

programme 

11 to 16 years 

(MTFC-A) 

Year one: 

• Developmental support, including assistance with recruitment of staff 

and foster carers 

• Specialist training in the model for programme staff 

• Training for foster carers 

• Consultation services include site visits, weekly consultation calls and video 

review of clinical and foster carer meetings, periodic review of programme 

development needs and compliance with the model 

• Networking days to meet with other MTFC teams in the United Kingdom 

and Europe 

£34,000 1 year of 

developmental 

support, training 


Senior Manager from Solihull local authority 


Prevention 

programme 

3 to 6 years 

(MTFC-P) 

Year one: 






review of clinical, foster carer and playgroup meetings, periodic review 

of programme development needs and compliance with the model 



Year two and subsequent services until certification: 

• Consultation services typically include one or two site visits, weekly 

telephone consultation calls and fortnightly video review of clinical, foster 

carer and playgroup meetings, review of programme development 

needs and compliance with the model 

• Networking days to meet with other MTFC team members 

• Additional training as required 

£36,000 1 year of 

developmental 



£9,000 to 

£18,000 for 

six months 

6-month 

package. Cost 

varies according 

to requirements 

Contacts: 

Rosemarie Roberts, Project Director 

Jolanta Hernik, Senior Administrator 



telephone consultation calls and fortnightly video review of clinical 

and foster carer meetings, review of programme development needs 

and compliance with the model 



Address: 

£8,000 to 

£16,000 for 

six months 

Multidimensional Treatment 

Foster Care Service 




Denmark Hill 


6-month 

package. Cost 



Tel: 020 3228 3264 

Fax: 020 3228 5011 

Email: jolanta.hernik@slam.nhs.uk 

Website: www.mtfce.org.uk 

School age 

programme 

7 to 11 years 

(MTFC-C) 

Year one: 






review of clinical and foster carer meetings, periodic review of programme 

development needs and compliance with the model 



£34,000 1 year of 

developmental 





telephone consultation calls and fortnightly video review of clinical 

and foster carer meetings, review of programme development needs 

and compliance with the model 



£8,000 to 

£16,000 for 

six months 

6-month 

package. Cost 



82 83

Index 

Keywords Service Page 




26 

62 

Adoption Adoption and Fostering Service 28 

Aggression 



36 

60 




44 

52 

Agoraphobia Anxiety Service 30 

Anger 



46 

52 

Anorexia nervosa Eating Disorders Service 48 





28 

44 

52 

Anxiety 




28 

30 

64 




16 

32 

Arson Forensic Mental Health Service 52 

Attachment difficulties Multidimensional Treatment Foster Care Service 80 

Attachment disorders Adoption and Fostering Service 28 

Attention deficit hyperactivity disorder 




32 

44 

60 

Autism 



16 

32 

Autism Mental Health of Learning Disability Service 56 








16 

28 

18 

20 

64 

22 




16 

52 

Bereavement Child Traumatic Stress Service 40 

Bipolar disorder Mood Disorder Service 58 

Body dysmorphic disorder Obsessive Compulsive Disorder Service 64 

Borderline personality disorder Dialectical Behaviour Therapy Service 46 






26 

60 

62 

Bulimia nervosa Eating Disorders Service 48 

Care proceedings Child Care Assessment Service 38 

Challenging behaviour 




36 

60 

80 

Cognitive assessment Acquired Brain Injury Service 26 

Co-morbidity Centre for Interventional Paediatric Psychopharmacology 34 

Complex mood related disorders Mood Disorder Service 58 

Complex needs Multidimensional Treatment Foster Care Service 80 

Consultation Eating Disorders Training Programme 78 

Cornelia de Lange syndrome Autism and Related Disorders Service 32 

Cri du chat syndrome Autism and Related Disorders Service 32 

Depression 



56 

58 

Depressive disorders Acorn Lodge Children’s Unit 16 

Destructive behaviour Challenging Behaviour Service 36 




16 

32 




28 

44 

Down’s syndrome Autism and Related Disorders Service 32 

Eating disorder not otherwise specified Eating Disorders Service 48 







16 

18 

20 

22 

56 

Emotion regulation difficulties Dialectical Behaviour Therapy Service 46 

Emotional development Adoption and Fostering Service 28 

Emotional difficulties Multidimensional Treatment Foster Care Service 80 

Emotional disorders Acorn Lodge Children’s Unit 16 

Empowering Parents, Empowering Communities Centre for Parent and Child Service 74 

Encopresis Acorn Lodge Children’s Unit 16 

Failed placements Adoption and Fostering Service 28 

Family Partnership Model Centre for Parent and Child Service 74 

Fearfulness Anxiety Service 30 

Fire setting Forensic Mental Health Service 52 

Fostering 



28 

80 

84 85

Index 


Global developmental delay Mental Health of Learning Disability Service 56 

Habit disorders Obsessive Compulsive Disorder Service 64 

Huntington’s chorea Neuropsychiatry Service 60 

Hyperkinetic disorder Acorn Lodge Children’s Unit 16 

Impulsiveness 



44 

46 






18 

20 

56 

22 

Learning disabilities, with or without epilepsy Mental Health of Learning Disability Service 56 





18 

20 

22 

Multidisciplinary court report Child Care Assessment Service 38 

Multi-family day treatment Eating Disorders Training Programme 78 

Multiple placements Multidimensional Treatment Foster Care Service 80 

Neural tube defect Mental Health of Learning Disability Service 56 

Neurodevelopmental disorders 





18 

36 

20 

22 

Neuropsychiatric disorders Obsessive Compulsive Disorder Service 64 

Neuropsychiatric disorders with epilepsy Acorn Lodge Children’s Unit 16 

Neuropsychiatry Acquired Brain Injury Service 26 

Neuropsychology Acquired Brain Injury Service 26 

Non-compliance Challenging Behaviour Service 36 








16 

30 

18 

20 

64 

22 

Offending Forensic Mental Health Service 52 

Panic disorder Anxiety Service 30 




28 

44 

Parenting Centre for Parent and Child Service 74 

Phobic avoidance Anxiety Service 30 

Post-traumatic reactions Child Traumatic Stress Service 40 




28 

40 





32 

56 

Psychiatric court report Child Care Assessment Service 38 





18 

20 

22 

Psychological court report Child Care Assessment Service 38 

Psychosis 






18 

20 

56 

60 

22 

School behaviour problems Conduct Problems Service 44 

Seasonal affective disorder Mood Disorder Service 58 

Selective eating Eating Disorders Service 48 

Self-harm 






18 

46 

20 

60 

22 

Separation anxiety Anxiety Service 30 

Service development Eating Disorders Training Programme 78 

Service evaluation Eating Disorders Training Programme 78 

Sex chromosome abnormalities Mental Health of Learning Disability Service 56 

Sexual offending Forensic Mental Health Service 52 

Sexualised behaviour Adoption and Fostering Service 28 

Simple phobias Anxiety Service 30 

Social services liaison Conduct Problems Service 44 

Stress-related disorders Acorn Lodge Children’s Unit 16 

Suicidal ideation Dialectical Behaviour Therapy Service 46 





18 

20 

22 

Supervision Eating Disorders Training Programme 78 

Tic disorders 



16 

64 

Tourette syndrome Obsessive Compulsive Disorder Service 64 

Trauma Child Traumatic Stress Service 40 

Trichotillomania Obsessive Compulsive Disorder Service 64 

Tuberous sclerosis complex Autism and Related Disorders Service 32 

Unstable placements Multidimensional Treatment Foster Care Service 80 

Velo-cardio-facial syndrome Neuropsychiatry Service 60 

86 87

Index 

Notes 

Very early-onset bipolar disorder Acorn Lodge Children’s Unit 16 

Very early-onset psychotic disorders Acorn Lodge Children’s Unit 16 

Violence Forensic Mental Health Service 52 

Williams syndrome Autism and Related Disorders Service 32 

88 89

Notes 

90

CAMHS National and 

Specialist Services 





T: 020 3228 3381 

www.national.slam.nhs.uk/camhs

CAMHS National and Specialist Services Directory - SLaM National ...

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