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

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Kent <strong>and</strong> Medway Adolescent Unit<br />

Location: Staplehurst, Tonbridge, Kent<br />

Mode: Inpatient<br />

Beds: Ash Ward – 12, Oak Ward – 12<br />

We are an open adolescent unit, offering mental health care<br />

for adolescents with a serious mental illness who require<br />

hospital admission. We work alongside our sister units that<br />

have developed national <strong>and</strong> international reputations for<br />

innovation, including the introduction of a comprehensive,<br />

all hours emergency admission service.<br />

We are able to admit both planned <strong>and</strong> emergency admissions.<br />

Admissions are accepted 24-hours a day, 365 days a year,<br />

<strong>and</strong> can be accepted under the Mental Health Act.<br />

Some young people who are admitted to our unit may<br />

have an eating disorder, others may have problems relating<br />

to their mood, often posing a risk to themselves. We are<br />

also able to admit young people with a variety of other<br />

psychiatric or neurodevelopmental disorders, or where<br />

there is diagnostic uncertainty.<br />

As we are an open unit, we are unable to admit young people<br />

who pose a level of risk that is not consistent with being cared<br />

for in such an environment. This judgement is always based<br />

on individual risk assessment rather than applying absolute<br />

exclusion criteria, <strong>and</strong> is reviewed regularly. People requiring<br />

care in a more secure setting can be admitted to the unit<br />

if the risk has altered.<br />

We provide a broad range of interventions, which are<br />

delivered by a team of psychiatrists, psychologists, nurses,<br />

teachers, occupational therapists, social workers, family<br />

therapists <strong>and</strong> other therapists.<br />

Our unit is located in a rural part of Kent, with 27 acres of<br />

gardens <strong>and</strong> grounds. Our patients have access to facilities<br />

that include a fully-equipped gym, dance studio, patient<br />

kitchen, games room, garden, woodl<strong>and</strong> walks <strong>and</strong><br />

bicycles. This enables us to offer a wide range of therapies<br />

in different environments.<br />

Our average length of stay is 43 days;<br />

comparing favourably with both published<br />

data <strong>and</strong> our other adolescent units.<br />

Criteria<br />

Eligibility<br />

• Adolescents (12 years), up to 18 years old<br />

• Male or female<br />

• Mental illness or suspected mental illness that cannot be safely<br />

managed by outpatient services<br />

Interventions which may be provided<br />

• Comprehensive mental state assessment<br />

• Psychological assessment <strong>and</strong> treatment<br />

• Access to physical health assessment <strong>and</strong> appropriate<br />

treatment <strong>and</strong> advice<br />

• Risk assessment<br />

• Occupational therapy<br />

• Activity programme, including social <strong>and</strong> recreational<br />

activities, as well as therapeutic groups<br />

• Education provided on site by professional teaching staff<br />

• Family work <strong>and</strong> psychoeducational support for families<br />

• Care planning, including working with the young person’s<br />

family <strong>and</strong> carers<br />

• Medication review <strong>and</strong> prescribing<br />

• Relapse prevention planning<br />

• Social work support, including assistance with benefits<br />

<strong>and</strong> housing<br />

Exclusion<br />

• Young people requiring a more secure environment<br />

Outcomes<br />

• Formulation <strong>and</strong> diagnosis<br />

• Stabilisation or resolution of mental health crisis<br />

• Readiness for re-integration into education,<br />

or plans for alternative training <strong>and</strong> development<br />

• Readiness to resume outpatient psychiatric care<br />

• Relapse prevention strategies<br />

• Improved general well-being<br />

• Comprehensive admission, care plan approach<br />

<strong>and</strong> discharge summaries<br />

Care option Description Cost Unit Code<br />

Inpatient<br />

Assessment <strong>and</strong><br />

treatment<br />

A multidisciplinary assessment is undertaken to create an individual<br />

treatment plan, which is reviewed regularly throughout the stay.<br />

Psychiatric reviews, nursing supervision, routine physical health<br />

monitoring <strong>and</strong> access to ward-based educational, recreational<br />

<strong>and</strong> therapeutic groups are provided for all patients.<br />

Close links are maintained with referring teams to ensure a smooth<br />

transition from inpatient care to the community. Discharge planning<br />

is undertaken using the care programme approach.<br />

Referrals are accepted from: Contacts: Address:<br />

£566 OBD 92686<br />

Consultant psychiatrists<br />

GP consortia<br />

Consultant paediatricians<br />

Mental health professionals<br />

Ash Ward<br />

Dr John Watts, Consultant Child <strong>and</strong><br />

Adolescent Psychiatrist<br />

Oak Ward<br />

Dr Helen Garrett, Consultant Child <strong>and</strong><br />

Adolescent Psychiatrist<br />

Kent <strong>and</strong> Medway Adolescent Unit<br />

Cranbrook Rd<br />

Staplehurst<br />

Tonbridge<br />

Kent TN12 0ER<br />

Tel: 020 3228 3200<br />

Fax: 020 3228 3202<br />

Email: rajendra.padayachee@slam.nhs.uk<br />

20<br />

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