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Mental Health of Learning Disability Service
A stream of the Developmental Neuropsychiatry and Neuropsychology Service
Criteria
Eligibility
• Up to 18 years old
• Male or female
• Recognised as having global development delay
Exclusion
• High functioning autism or Asperger’s syndrome. Please see
the Autism and Related Disorders Service (page 30)
Location: Maudsley Hospital
Mode: Outpatient
We are one of the leading CAMHS
outpatient services for young people
with a learning disability in the
United Kingdom. We provide service
development support and expertise
to CAMHS services across London.
We provide assessment and management for young people
with a learning disability and behavioural or mental health
problems. Our service assesses young people with
recognised learning disabilities (global developmental delay),
and associated behavioural or mental health problems,
including autism, ADHD, obsessive compulsive disorder,
psychosis, depression, feeding disorders, offending
behaviours and sleep disorders.
We have expertise in the assessment and management of a
range of genetic disorders, including Prader -Willi syndrome,
Down’s syndrome, Fragile X, sex chromosome abnormalities
and Rett syndrome.
We offer advice on medication, neuropsychological
functioning, behaviour management, educational placements
and risk assessment, all in relation to learning disabilities.
Interventions which may be provided
• Multidisciplinary assessment of mental and behavioural problems
• Medico-legal assessment
• Attendance at multi-professional meetings as part of assessment
• Attendance at child protection meetings as part of assessment
• Cognitive neuro-psychometric assessment using a range of tools
• Functional analysis
• Haematological and bio-chemical investigations, where appropriate
• Laboratory investigations; bio-chemistry, genetic analysis,
EEGs and neuroimaging procedures
• School and home observations
• Specialist CBT
• Initiating medication in conjunction with local service
• Family work
• Training for schools, parents or carers
• Recommendations about educational placement
• Co-working with local services
Outcomes
• Formulation and diagnosis
• Comprehensive written report with recommendations
• Reduction of behavioural disturbance
• Optimised quality of life for the young person and family
Developmental Neuropsychiatry and Neuropsychology Service
Our Developmental Neuropsychiatry and Neuropsychology Service
(DNN) includes the following services:
• Acquired Brain Injury Service
• Autism and Related Disorders Service
• Challenging Behaviour Service
• Mental Health of Learning Disability Service
• Neuropsychiatry Service
• Neuropsychology Service
We assess capacity as well as fitness to plead and offer
specialist assessment of parenting ability in patients with a
learning disability.
We provide a range of training programmes, including halfday
workshops, one-day master classes and short courses.
The DNN sees young people who have, or might have,
neurodevelopmental disorders like autism, attention deficit
hyperactivity disorder or learning disability with additional mental
health or behaviour problems, as well as young people with
psychological problems associated with head injury, physical
disability or genetic conditions. Our teams work together and
refer between services as necessary.
Care option Description Cost Unit Code
Outpatient
Assessment
Treatment
This includes a detailed assessment of the young person’s mental
health or behavioural problem. The young person is seen with their
family in the clinic setting and at home. School observations are also
carried out, if needed. A mental state assessment, neuropsychometric
assessment and function analysis of the young person’s behaviour
is undertaken. The case is then formulated with a differential
diagnosis being reached and recommendations made for intervention
and treatment. A written report is provided.
Some assessments may require a school or home visit, or additional
psychometric tests which will incur additional charges of £296 per
appointment, up to a maximum of £888.
Sessions are offered on a regular basis, both at home and in the
outpatient setting. A young person usually requires between eight
and 12 sessions. Regular reviews are provided and there is close
liaison with the young person’s referrers, their school and others
involved with their management.
£1,466 Per assessment 56051
£292 Per session 56052
Consultation
Consultation is offered as a two-hour session for complex case
discussions between the referring team and senior members of the
learning disability team
£292 Per session 90272
“ You have turned my child’s life around. He can
now sit in class and has even been invited to
a birthday party – the first in 10 years!” Parent
Medico-legal
service
We offer a medico-legal service and provide court reports as
required, which offers assessment of parenting ability in parents with
a learning disability, assessments of needs and capacity assessments.
Referrals are accepted from: Contacts: Address:
Consultant psychiatrists
Consultant paediatricians
Solicitors
GP consortia
Mental health professionals
Dr Sarah Bernard, Consultant Child and
Adolescent Psychiatrist
Rowland Wells, Administrator
£190 Per hour
Mental Health of Learning
Disability Service
Michael Rutter Centre
Maudsley Hospital
De Crespigny Park
Denmark Hill
London SE5 8AZ
Tel: 020 3228 2570
Fax: 020 3228 5011
Email: sarah.bernard@slam.nhs.uk
56 57