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

Conduct Problems Service
Care option Description Cost Unit Code
Outpatient
Assessment
Assessments are undertaken by a psychiatrist, psychologist, and
professionals with a social work background.
£1,466 Per assessment 55941
Location: Maudsley Hospital
Mode: Outpatient
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.
Referrals are accepted from: Contacts: Address:
£268 Per session 55942
£268 Per consultation 90242
(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
• Male or female
• Children with disruptive, difficult, or antisocial behaviour, who persistently behave in an aggressive or defiant way
Consultant psychiatrists
Consultant paediatricians
GPs and other mental health
professionals
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
Adolescent Psychiatrist
Dr Matthew Woolgar, Consultant Clinical Psychologist
Toni Cole, Administrator
Conduct Problems Service
Michael Rutter Centre
Maudsley Hospital
De Crespigny Park
Denmark Hill
London SE5 8AZ
Tel: 020 3228 2546
Fax: 020 3228 5011
Email: toni.cole@slam.nhs.uk
Interventions which may be provided
• Formulation and diagnosis
• 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
• Improved general well-being
• A combination of clinic and patient-led outcomes allows us to
capture change at the personal and global level
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