Service List

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  1. 3 Boroughs Adult ADHD and Autism Service

    The Croydon, Lambeth and Lewisham Adult Attention Deficit Hyperactivity Disorder (ADHD) and Autism Service is also known as the 3 Brough Service.

    This service is a local, specialist outpatient service for adults registered with a GP in Croydon, Lambeth and Lewisham. Referrals can be made by GPs or NHS secondary mental health teams.  
      
     The team offers diagnostic assessment for adults who have suspected a ttention d eficit h yperactivity d isorder (ADHD) and/or a utism. Initiation and titration of ADHD medication and reviews for ADHD are also offered. Following a positive diagnosis from our service (ADHD and/or a utism), patients may be offered some brief post-diagnostic psychoeducation. Appointments are available face to face or virtually via Microsoft Team s, offered based on patient preference and clinical need.  

    The service is non-urgent and does not case/risk manage. If you or someone you know is experiencing a mental health crisis, you can find helpful advice here; How to get help in a mental health crisis .

    The 3 Borough Service has experience unprecedented demand and are booking appointments for patients that have been waiting 4 years and 8 months [Updated November 2025 ] .  Please be assured that our organisation is actively implementing initiatives to reduce waiting times. We are hopeful that these efforts will lead to shorter waits in the near future. Thank you for your continued understanding and trust in our care. 

    Three Borough Service...

    Address: Administration office
    Bethlem Royal Hospital
    1st Floor
    Monks Orchard House
    Monks Orchard Road, Beckenham,  London, BR3 3BX

    Category: Adult Mental Health Services

  2. Adolescent At-risk and Forensic Service (AAFS)

    The Adolescent At-Risk & Forensic Service (AAFS) is a flexible and responsive service offering evidence-based assessment, consultation and treatment for young people who are engaged in, or present significant risk of offending behaviour. This can include, but is not limited to, serious violence, fire-setting, and sexually harmful behaviour.

    Young people who present significant risk of harm to self are also seen. For example, those exposed to harm through risk-taking behaviour or exploitation. Many of our clients will present with emerging personality and/or neurodevelopmental disorders.

    We often treat young people who have exhausted the resources of their local CAMHS and still need assistance. We accept referrals from within the Trust, Greater London boroughs and nationally.

    Address: The Michael Rutter Centre
    Maudsley Hospital
    De Crespigny Park, London, SE5 8AZ

    Category: Child and Adolescent Mental Health Services (National and Specialist)

  3. Alliance Rehabilitation Team (ART)

    ART provides nursing, residential and specialist care placements for people, aged 18-65, who have recently moved to independent living.

    We provide care co-ordination, specialist assessment and rehabilitation services for people who live in the Borough of Lambeth. Where necessary we also provide clinical care for non-Lambeth residents who have been placed within the borough, as well as social care for people who have moved to more independent, out of borough placements.

    Our team includes health and social care professions, including nurses, occupational therapists, psychologists, social workers, support workers and psychiatrists.

    We promote the recovery of people who require care and support in a residential setting.

    Address: Elmfield House
    5 Stockwell Mews
    Stockwell Road, Lambeth, SW9 9GX

    Category: Adult Mental Health Services (Local)

  4. Anxiety Disorders Residential Unit (ADRU)

    We aim to offer high quality CBT , working towards reducing symptoms of anxiety disorder s , ultimately improving functioning and quality of life. This would lead to a reduced need for local service provision.  
      
     The advantages of admission to a residential setting are the ability to deliver CBT in a more intensive format. Staff may assist in frequent exposure or behavioural experiments in a supportive environment , with more opportunities for modelling and positive reinforcement by others in the moment. There is increased flexibility in delivery of the therapy that can keep the momentum going. Sometimes there are advantages to removing a person from their home context.  
      
     We integrate occupational therapy into the therapy . We also encourage residents to assist in our GUTS caf e to confront their anxiet ies and to help prepare them for life after discharge . Living in a residential unit increases responsibility that may not occur on an inpatient unit with nursing staff as well as the support and reinforcement from other residents. Lastly the unit can monitor any medication changes or adherence.  
      
     For patients with obsessive compulsive disorder (OCD) and b od y dysmorphic disorder (BDD), we operate at the highest level of stepped care in the National Institute for Health and Care Excellence (NICE) guidelines. We do this by providing intensive CBT for the treatment of severe OCD and BDD.  
      
     For patients with other anxiety disorders (post-traumatic stress disorder (PTSD), social phobia, agoraphobia/panic, specific phobias, generalised anxiety disorder) the service also operates at the highest level of stepped care in the respective NICE guidelines. We do this by providing intensive CBT and optimisation of medication for the relevant anxiety disorder. The service is for those who have severe symptoms and who have failed treatment locally .  

    Philosophy of Care at the Anxiety Disorders Residential Unit (ADRU)  

    Our programme is tailored to our residents’ individual needs. We do not ask anything we would not expect of ourselves. All of our staff are honest, respectful and open throughout the programme. We focus on the development of alternative ways of thinking, behaving  and learning about problems. We provide a safe, caring, supportive and compassionate environment to support long-term change by:

    • Prioritising the client’s recovery and wellbeing 
    • Delivering personalised, evidence-based care 
    • Believing in the client's potential to overcome their difficulties, no matter how complex, or their previous experiences of therapy
    • Promoting a supportive environment where people can learn, support and encourage each other
    • Working collaboratively to enable people to overcome their difficulties, identify and achieve their goals 

    King’s Health Partners  

    Our service is part of the Psychological Medicine and Older Adult Academic Group . SLAM has joined with King’s College London, Guy’s and St Thomas’ NHS Foundation Trust and King’s College NHS Foundation Trust to establish King’s Health Partners, an Academic Health Sciences Centre . King’s Health Partners involves bringing clinical care, research and education much more closely together . Our aim is to reduce the time it takes for research discoveries and medical breakthroughs to become routine clinical practice . This will lead to better care and treatment for patients.  

    Visit www.kingshealthpartners.org for more information.  

    Highly Specialised Service for severe OCD and BDD  

    ADRU holds a highly specialised service (HSS) contract, which is centrally funded by NHS England to provide treatment for people with OCD and BDD for whom numerous previous treatments have been unsuccessful. This particular contract is at no additional cost to Integrated Care Boards (ICBs).   

    ADRU Building at Bethlem

    Address: Dower House
    Bethlem Royal Hospital
    Monks Orchard Road, Beckenham, BR3 3BX

    Category: Adult Mental Health Services (National)

  5. Assertive Outreach Rehabilitation Team (AORT)

    The Assertive Outreach Rehabilitation Team (AORT) offers a model that utilises a whole systems approach to rehabilitation from mental illness. The tripartite model consists of two rehabilitation branches and an assertive outreach branch, utilising a shared care approach across the team with the aims of recovery and move-on at the forefront. The Assertive Outreach (AO) branch aims to provide a more enhanced service for people diagnosed with serious mental illness and to deliver evidence-based interventions and care whilst increasing service user and carer satisfaction. AO adopts an assertive and proactive way of working, utilising a whole-team approach to provide continuity of care and encourage creativity in engagement and positive risk taking. The AO multidisciplinary team provides most interventions from within the team and delivers care wherever is required and most appropriate. The rehabilitation branches aim to provide an enhanced service for service users with diagnosed serious mental health conditions that require supported or residential accommodation, embodying evidence based practice to promote rehabilitation, social inclusion and increased independence. The rehabilitation branches aim to use the FACT approach to team work, operating shared care across a proportion of the team caseload. The whole team approach embodies independence and recovery from treatment resistant mental ill health.

    Address: Marina House 1st Floor 63-65 Denmark Hill, London, SE5 8RS

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