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

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Child Care Assessment Service<br />

Location: Maudsley Hospital<br />

Mode: Outpatient<br />

91% of lead solicitors rated the<br />

quality of our service as above<br />

average. Child Care Assessment Service<br />

Evaluation, 2009<br />

94% of guardians rated the quality<br />

of our service as above average.<br />

Child Care Assessment Service Evaluation, 2009<br />

We see children, young people <strong>and</strong> their families who are<br />

undergoing care proceedings in public or private courts.<br />

Our team also has agreements with some local authorities<br />

to undertake a set number of assessments per year,<br />

including consultation <strong>and</strong> pre-proceedings assessment.<br />

We provide assessments <strong>and</strong> court reports for children <strong>and</strong><br />

their parents or carers. We also include members of the<br />

extended family <strong>and</strong> foster carers, where appropriate.<br />

Criteria<br />

We provide detailed assessments of parenting, the quality<br />

of relationships <strong>and</strong> attachments within the family, the<br />

mental health or diagnosis of the children <strong>and</strong> mental health<br />

screening of adults to include personality disorder, substance<br />

misuse <strong>and</strong> forensic history.<br />

Our assessment is tailored to the questions raised by the<br />

court, <strong>and</strong> includes psychiatric, psychological <strong>and</strong> social<br />

work interviews. This may include individual child <strong>and</strong> parent<br />

interviews for couples, <strong>and</strong> siblings or family interviews.<br />

As well as interviews with foster carers <strong>and</strong> schools.<br />

Our team provides a comprehensive report for the court,<br />

with recommendations on placement needs, contact<br />

arrangements, education <strong>and</strong> treatment needs. The lead<br />

clinician writing the report attends court to give evidence<br />

upon request.<br />

Service level agreements are negotiated with local boroughs<br />

if required.<br />

Eligibility<br />

• Families with children up to 18 years old<br />

• Male or female, adults <strong>and</strong> children<br />

• Families undergoing public or private law proceedings<br />

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

• Local authorities requiring consultation on a particular case before commissioning an expert<br />

Care option Description Cost Unit<br />

Outpatient<br />

Assessment<br />

Court reports<br />

Professional<br />

meetings<br />

Court attendance<br />

Consultation<br />

Our assessments take place for one day per week over a three to four week<br />

period <strong>and</strong> involves the whole family. We regularly request information from<br />

schools <strong>and</strong> other professionals involved with the family. We provide a detailed<br />

formulation of each family member’s needs, including risk assessment <strong>and</strong> risk<br />

management plans. The assessment process involves interviews <strong>and</strong> questionnaires<br />

completed with family members <strong>and</strong> other professionals, detailed observations<br />

of contact, <strong>and</strong> a multidisciplinary case discussion.<br />

An average adult assessment takes approximately 35 hours <strong>and</strong> an average<br />

child or adolescent assessment is 25 hours.<br />

Comprehensive reports are provided, which address questions raised by the<br />

court. Our reports include recommendations on placement options, educational<br />

<strong>and</strong> treatment needs, <strong>and</strong> contact arrangements.<br />

Once our reports have been filed with the court, we hold professional meetings<br />

in order to assist with the care planning for the children. At these meetings we<br />

present our findings <strong>and</strong> formulations, including any risk management issues.<br />

We also provide advice on care planning.<br />

The lead clinician for each case is the person who attends court on behalf<br />

of the team.<br />

We provide consultation to local authorities in pre-proceeding cases. This is to<br />

help the referrer consider <strong>and</strong> formulate the case, <strong>and</strong> provide guidance for the<br />

next steps. This may include things like, whether or not a comprehensive<br />

assessment is required, whether safeguarding procedures need to be put<br />

in place <strong>and</strong> whether the adults require psychiatric assessments.<br />

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

Local authorities<br />

Solicitors<br />

Dr Nicola Cosgrave, Consultant Clinical Psychologist<br />

Margaret Jailler, Administrator<br />

£190 Per hour<br />

£190 Per hour<br />

£190 Per hour<br />

£1,000 Per day<br />

£190 Per hour<br />

Child Care Assessment Service<br />

Michael Rutter Centre<br />

Maudsley Hospital<br />

De Crespigny Park<br />

Denmark Hill<br />

London SE5 8AZ<br />

Tel: 020 3228 3474<br />

Fax: 020 3228 5011<br />

Email: margaret.jailler@slam.nhs.uk<br />

Interventions which may be provided<br />

• Multidisciplinary assessment<br />

• Cognitive <strong>and</strong> neuropsychological assessments<br />

• Autism <strong>and</strong> autistic spectrum diagnosis<br />

• Assessment of family relationships <strong>and</strong> attachments<br />

• Assessment of parenting capacity<br />

• Assessment of emotional, physical <strong>and</strong> sexually harmful<br />

behaviour, <strong>and</strong> neglect<br />

• Assessment of adult personality <strong>and</strong> mental health screening<br />

• Parental substance misuse<br />

• Diagnosis of child psychiatric disorder<br />

• Diagnosis of adult personality disorder<br />

• Risk assessment <strong>and</strong> management<br />

• Forensic risk assessment<br />

• Detailed observations of contact between family members<br />

• Comprehensive court report<br />

• Recommendations on placement, education, treatment needs<br />

<strong>and</strong> contact arrangements<br />

Outcomes<br />

• Recommendations that aim to improve the long-term<br />

outcomes for children, through advice about placement<br />

at home or elsewhere, contact <strong>and</strong> appropriate treatment<br />

” The judge really liked the report <strong>and</strong> relied<br />

on this evidence in court.” Solicitor<br />

38 39

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