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

Forensic Mental Health Service
Criteria
Eligibility
• Up to 18 years old
• Male or female
• Engaged in or at risk of offending behaviour
Location: Maudsley Hospital
Mode: Outpatient
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.
Interventions which may be provided
• 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
Care option Description Cost Unit Code
Outpatient
Standard
assessment
Forensic diagnostic assessment includes risk formulation and
intervention, and a care plan involving a consultant forensic psychiatrist.
£2,641 Per assessment 56001
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.
£3,961 Per assessment 56031
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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.
Referrals are accepted from: Contacts: Address:
Consultant psychiatrists
Consultant paediatricians
GPs
Youth justice
Dr Peter Misch, Consultant Child and
Adolescent Psychiatrist
Dr Yolanda Devine, Consultant Child and
Adolescent Psychiatrist
£190 Per hour
Forensic Mental Health Service
Michael Rutter Centre
Maudsley Hospital
De Crespigny Park
Denmark Hill
London SE5 8AZ
Social services
Solicitors
Law courts
Tel: 020 3228 3841
Fax: 020 3228 5011
Email: peter.misch@slam.nhs.uk
GP consortia
Mental health professionals
52 53