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

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Paediatric Liaison Service<br />

Location: King’s College Hospital <strong>and</strong><br />

St Thomas’ Hospital<br />

Mode: Outpatient<br />

We treat young people with medical conditions who also<br />

have psychological difficulties <strong>and</strong> psychiatric illnesses which<br />

are pre-existing, secondary to or co-morbid to their medical<br />

conditions. We often see young people who are undergoing<br />

transplant assessments, have difficulties taking medication or<br />

adhering to special diets, somatisation disorders, coping with<br />

pain, trauma following illness or injury, anxiety, depression,<br />

grief <strong>and</strong> bereavement, treatment after serious assault <strong>and</strong><br />

medically unexplained physical symptoms.<br />

Criteria<br />

Eligibility<br />

• Up to 18 years old<br />

• Male or female<br />

• Mental illness arising from the nature of the acute disorder being treated<br />

We also offer an emergency provision to acute hospitals.<br />

Reasons for emergency referral often include overdoses,<br />

deliberate self-harm, acute anxiety <strong>and</strong> dramatic <strong>and</strong><br />

unexplained changes in mood or behaviour.<br />

Our team specialises in mental health disorders related to<br />

acquired brain injury, epilepsy, oncology, <strong>and</strong> trauma.<br />

Interventions which may be provided<br />

• Comprehensive mental state assessment<br />

• Psychometric assessment<br />

• Psychological assessment <strong>and</strong> treatment<br />

• Medication review <strong>and</strong> prescribing<br />

• Treatment planning with the referring team<br />

• Expert medico-legal assessment<br />

• Family therapy<br />

Outcomes<br />

• Formulation <strong>and</strong> diagnosis<br />

• Improvement in well-being <strong>and</strong> quality of life for the young<br />

person <strong>and</strong> their family<br />

• Recommendations to acute services regarding care plans to<br />

treat symptoms <strong>and</strong> improve current <strong>and</strong> future functioning<br />

Care option Description Cost Unit Code<br />

Outpatient<br />

Basic assessment<br />

Enhanced<br />

assessment<br />

Complex<br />

assessment<br />

Treatment<br />

Assessment involves face-to-face meetings with young people<br />

<strong>and</strong> their families, leading to a formulation of diagnosis <strong>and</strong> a<br />

treatment plan.<br />

The extended <strong>and</strong> second opinion assessment involves a consultant<br />

psychiatrist <strong>and</strong> another member from our team <strong>and</strong> includes liaison<br />

with the young person’s school <strong>and</strong> any other professionals involved<br />

in their care. This assessment may extend over two sessions.<br />

This is a comprehensive assessment with two team members, the<br />

young person <strong>and</strong> their family, with additional team members<br />

behind a one-way screen, who contribute to the discussion,<br />

formulation <strong>and</strong> treatment planning. This assessment may also<br />

require additional structured assessments, e.g. psychometric testing,<br />

the autism diagnostic observation schedule (ADOS) <strong>and</strong> may require<br />

several meetings. It also includes discussions with the paediatricians<br />

<strong>and</strong> liaison with the school. We provide a diagnostic formulation <strong>and</strong><br />

treatment plan.<br />

Individual sessions are offered on a regular basis, in close liaison with<br />

the person’s paediatric team.<br />

£404 Per assessment 92700<br />

£805 Per assessment 92701<br />

£1,466 Per assessment 92687<br />

£292 Per session 92688<br />

Consultation<br />

Consultation is offered as a two-hour session for complex case<br />

discussions between the referring team <strong>and</strong> senior members of<br />

our team.<br />

£292 Per session 92702<br />

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

NHS consultant psychiatrists<br />

NHS consultant paediatricians<br />

King’s College Hospital<br />

Dr Teresa Lax-Pericall, Consultant Child <strong>and</strong><br />

Adolescent Psychiatrist<br />

Gill Savoury, Team Leader<br />

St Thomas’ Hospital<br />

Dr Peter Hindley, Consultant Child <strong>and</strong><br />

Adolescent Psychiatrist<br />

Claire Dempster, Team Leader<br />

Paediatric Liaison Service<br />

King’s College Hospital<br />

3rd Floor, Hambledon Wing<br />

Denmark Hill<br />

London SE5 9RS<br />

Tel: 020 3299 3219/3220<br />

Fax: 020 3299 3221<br />

Email: gill.savoury@slam.nhs.uk<br />

Paediatric Liaison<br />

St Thomas’ Hospital<br />

2nd Floor, Gassiot House<br />

Westminster Bridge Road<br />

London SE1 7EH<br />

Tel: 020 7188 9125<br />

Fax: 020 7188 9668<br />

Email: claire.dempster@slam.nhs.uk<br />

68 69

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