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

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Forensic Psychology Service<br />

Care option Description Cost Unit Code<br />

Outpatient<br />

Assessment,<br />

diagnostic <strong>and</strong><br />

cognitive<br />

This assessment may include an IQ assessment, assessment <strong>and</strong><br />

formulation of risk, a diagnostic assessment for ADHD or autism <strong>and</strong><br />

a complex case formulation.<br />

£888 Per assessment 92799<br />

Location: Maudsley Hospital<br />

Mode: Outpatient<br />

Our flexible <strong>and</strong> responsive service offers evidence-based<br />

assessment <strong>and</strong> interventions for young people who are<br />

engaged in, or present significant risk of serious violence,<br />

fire-setting <strong>and</strong>/or sexually inappropriate behaviour. Young<br />

people who present with an emerging anti-social or<br />

borderline personality disorder alongside their offending<br />

behaviour are also seen by our service. We often treat<br />

young people who have exhausted the resources of their<br />

local <strong>CAMHS</strong> <strong>and</strong> still need assistance.<br />

There is a high prevalence of<br />

complex <strong>and</strong> persistent mental<br />

health <strong>and</strong> social care needs among<br />

children <strong>and</strong> young people in<br />

contact with the youth justice<br />

system (Youth Justice Board, 2011).<br />

An estimated 25 to 81% of these<br />

children <strong>and</strong> young people have<br />

mental health needs (The Mental<br />

Health Foundation, 2002), which are<br />

often undiagnosed <strong>and</strong> untreated.<br />

Harrington & Bailey, 2006; Fazel et al, 2008<br />

Assessment,<br />

comprehensive<br />

Assessment,<br />

complex<br />

Complex court<br />

assessment<br />

Treatment<br />

This assessment is for high risk cases, <strong>and</strong> includes a combination of<br />

st<strong>and</strong>ardised cognitive assessments that examine neuropsychological<br />

profiles, diagnostic assessments for relevant mental health problems<br />

(e.g. autism), <strong>and</strong> a comprehensive risk assessment <strong>and</strong> formulation.<br />

This assessment includes any combination of the above assessments<br />

plus in-depth clinical interviews with the young person <strong>and</strong> their<br />

parents or carers <strong>and</strong> thorough review of background documentation.<br />

Court reports are charged at an hourly rate <strong>and</strong> assessments will vary<br />

according to individual requirements.<br />

Individually tailored treatment sessions are delivered on a weekly basis<br />

with additional telephone support available during office hours.<br />

Treatment options include offence-focused CBT, dialectical behaviour<br />

therapy, acceptance <strong>and</strong> commitment therapy <strong>and</strong> group sessions.<br />

£1,500 Per assessment 92855<br />

£2072<br />

to<br />

£4145<br />

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

POA<br />

Per assessment 92804<br />

Per hour<br />

£1,858 Per month 92800<br />

Criteria<br />

Eligibility<br />

• 10 to 17 years old<br />

• Male or female<br />

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

Interventions which may be provided<br />

Outcomes<br />

Youth offending teams<br />

Solicitors<br />

Courts<br />

Consultant psychiatrists<br />

Clinical psychologists<br />

Mental health professionals<br />

Social workers<br />

Dr Troy Tranah, Consultant Clinical Psychologist<br />

Dr Kate Johnston, Clinical Psychologist<br />

Forensic Psychology Service<br />

Michael Rutter Centre<br />

Maudsley Hospital<br />

De Crespigny Park<br />

Denmark Hill<br />

London SE5 8AZ<br />

Tel: 020 3228 2749 / 3381 / 2865<br />

Fax: 020 3228 5011<br />

Email: kate.johnston@slam.nhs.uk<br />

• Assessment <strong>and</strong> formulation of offending behaviour<br />

• Assessment of ability to effectively participate within<br />

court proceedings<br />

• Cognitive/intellectual functioning assessment<br />

• Diagnostic assessment (e.g. autism spectrum disorders, ADHD)<br />

• Structured risk assessment<br />

• Offence-focused cognitive behavioural therapy (CBT)<br />

• Dialectical behaviour therapy (DBT)<br />

• Acceptance <strong>and</strong> commitment therapy (ACT)<br />

• Treatment groups<br />

• Family work, including individual parent management training<br />

• Telephone support during office hours for young people <strong>and</strong><br />

their parents/carers<br />

• Consultation/supervision/training packages for other services<br />

• Comprehensive risk assessment <strong>and</strong> risk management planning<br />

• Identification of risk factors <strong>and</strong> whether mental health issues<br />

might be viewed as mitigating factors in relation to the offence<br />

(e.g. ADHD or learning disability)<br />

• Identification <strong>and</strong> improved underst<strong>and</strong>ing of diagnosis <strong>and</strong><br />

relationship to offending<br />

• Effective participation in court proceedings<br />

• Advice regarding sentencing <strong>and</strong> treatment needs<br />

• Reduction in severity <strong>and</strong> frequency of re-offending<br />

• Reduction in mental health problems<br />

• Improved parenting <strong>and</strong> family functioning<br />

“ Diversion of these young people into<br />

mental health services can reduce the risk<br />

of re-offending, promote a range of other<br />

positive outcomes <strong>and</strong> save costs across a<br />

range of public services.” Sainsbury Centre, 2009<br />

54 55

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