Services

Luther King Ward is in Lambeth Hospital. We provide care for men with acute mental illness who live in the London Borough of Lambeth. Acute illnesses start quickly and have distressing symptoms.

We provide psychiatric assessment, treatment and care for men who require hospital treatment. We help to reduce the risk of harm to self and others.

We work with other community-based services to ensure that when a person leaves hospital they are well supported and that their health is maintained.

The Maudsley Centre for Child and Adolescent Eating Disorders (MCCAED) is renowned worldwide for the psychological treatments it offers to children and adolescents with eating and feeding disorders.

Our team combines a highly specialist knowledge in eating disorders with expertise in evidence-based treatments which support families to use their strengths and skills to support their child overcome an eating disorder.

Our services:

The Eating Disorders Clinic
The Eating Disorders Clinic serves children and teens who live locally, and are registered to a GP in Bexley, Bromley, Croydon, Greenwich, Lambeth, Lewisham or Southwark. It offers treatment for all eating disorders except ARFID and feeding disorders, which are treated in our other clinics.

Our outpatient service is accessible and responsive. If you think you need help you can simply make a self-referral , or if you are a family member you can refer a loved one . If you are a professional (e.g. school nurse or GP) please refer here . You can also call us during our office hours (Mon-Fri, 9am-5pm) on 020 3228 2545.

We aim to see all routine referrals within 28 days, urgent referrals within 7 days, and emergency referrals within 24 hours. If in doubt, please do not hesitate to refer.

Intensive Treatment Programme:
The Intensive Treatment Programme (ITP) is a day programme for young people who are already in treatment for an eating disorder, but need a bit of extra support.

At ITP, we see under 18s living in England who have an eating disorder and feel like their treatment is not progressing despite everyone's best efforts. ITP is a day programme so young people and family members need to be able to commute daily to ITP.

If you have not been treated for an eating disorder before, we always suggest contacting your local specialist service before even thinking about ITP. For most people, this is more than enough.

If you are already in treatment and still feel that you need more support, ITP might be for you. Just ask your practitioner to get in touch with us.

The ARFID Clinic
Avoidant Restrictive Food Intake Disorder, or ARFID, is very different from anorexia nervosa and other eating disorders. The ARFID and Related Disorders Clinic offers targeted treatment for ARFID and other feeding disorders. We provide detailed assessments and specialised therapy for children and teens with various avoidant or restrictive eating behaviours.

We know that different people struggle with their food intake for different reasons. At the ARFID clinic, we pay close attention to your individual situation, so that we can carefully select the treatments that will be most effective for you.

Croydon Medication Support Service- (CMSS) plays a key part in the Recovery Pathway and works in close collaboration with the Promoting Recovery Teams and Primary Care Mental Health Support Service within the Promoting Recovery Pathway.

Cohort Ð adults from 18-65

CMSS provides a Borough wide service to support individuals with severe and enduring mental illness with a primary diagnosis of psychosis who require professional support to manage their wellbeing. Service users fall into the cohort of people who are stable and at low risk of relapse. However, this group cannot move back to primary care because of the complexity of their medications.

Referrals to the service will be primarily via community teams within the Psychosis CAG or exceptionally, people with bipolar from the MAP CAG

Medication support/interventions includes:

• Recovery interventions, fostering independence and autonomy including interventions such as coaching, problem solving, motivational interview, etc.
• Early signs and symptoms recognition and management of symptoms
• Clozapine Initiation
• Psycho-education for Service Users and Carers
• Social support: working with service users to support them with accessing community resources, social and leisure activities
• Monitoring and ensuring physical health needs are addressed
• Appropriate Medication review and management
• Identifying substance use issues and signposting/liaising with relevant services/agencies
• Assistance/signposting to access suitable accommodation
• Signposting regarding information about Direct Payments or Advocacy Services
• Compulsory interventions using the Mental Health Act 1983
• Vocational support/signposting: assistance in accessing agencies that offer training and development opportunities such as college courses
• Carers Assessments if appropriate and support and advice for carers

**Offering remote assessments and consultations via video or phone call due to Covid**

The Croydon Memory Service is based in Heavers Resource Centre. We provide early assessment, treatment and care for people over the age of 18 who have memory problems that may be associated with dementia.

We help people with the first sign of memory problems to maintain their health and their independence.

The Southwark and Lambeth Integrated Memory Service (SLIMS) offers comprehensive assessment, treatment and support options to anyone over the age of 18 with mild to moderate memory problems likely to indicate dementia.

Our multidisciplinary team, work in collaboration with the Alzheimer's Society. We offer a comprehensive assessment package based on the principles of recovery and are committed to supporting carers of people with dementia.

Following assessment, we coordinate individualised care planning. This may include prescribing medication if appropriate, post diagnostic support and signposting, problem solving strategies, and individual or group therapy which is offered for both clients and carers. We can also organise for continuous follow up though our dementia advisors.

We work with the memory clinics at St Thomas, King's College and Guy's hospitals to provide high quality specialist care.

The Lewisham Memory Service offers comprehensive assessment, treatment and support options to anyone over the age of 18 with memory problems likely to indicate dementia. The aim of the service is to assess dementia early and provide a timely diagnosis, so people with dementia and their carers can understand the condition, learn of treatment options and opportunities to participate in research, and connect with appropriate support resources to facilitate living well.

Our multidisciplinary team works in collaboration with the memory clinics at University Hospital Lewisham to provide high quality specialist care. The service is unable to directly support those with serious behavioural and psychological symptoms of dementia but can refer on to other community mental health teams for such support.

Following assessment, staff will coordinate individualised care planning. This may include prescribing medication if appropriate, post diagnostic support and signposting, problem solving strategies and referrals to relevant support services such as the Lewisham Dementia Support Hub.

The Mental Health Care Home Intervention Team (Lambeth and Southwark) supports people aged 65 and over, whose behaviour has become challenging in the context of a dementia or mental illness and currently living in a day care, residential or nursing home setting and extra care sheltered.

Our aim is to provide a community in reach programme for older adults.

We work on the understanding that community providers have a responsibility to deliver the level of care necessary to meet the needs of people who challenge services. We provide a structured and collaborative assessment and formulation of the behaviour as well as providing learning opportunities for care staff.

The service supports care home staff in care planning including the deployment of non-pharmacological management strategies and opportunities for engagement in meaningful activities. We also provide process consultation and advice on organisational development for care staff and managers if appropriate.

We aim to complement other community health services and work collaboratively with other agencies for the benefit of service users and their carer and to avoid any unnecessary hospital admissions.

The Behavioural and Developmental Psychiatry Clinical Academic Group, is committed to meeting the mental health care needs of people with a learning disability.



1. Service Description
The provision of Mental Health Learning Disability (MHLD) is an essential part of services provided by SLAM. MHLD teams are largely community based and support mainstream inpatient and community mental health services and social care teams to ensure the best clinical outcomes for adults with learning disabilities and mental health problems by bringing together specialist skills in psychiatry, psychology and nursing. Working within the agreed service level agreements the teams provide:

The Mental Health in Learning Disability Service aims to provide evidence-based services to people with learning disabilities and additional health needs who are registered with General Practitioners affiliated to the Lambeth, Lewisham Croydon and Southwark Clinical Commissioning Groups.

The Estia Centre is an education & training and research and development team that works alongside MHLD to support its functions.

Services encapsulated under Mental Health of Learning Disabilities (MHLD) are those that respond to aspects of a person which are affected when their mental wellbeing has deteriorated into:

• Mental illness
• Psychological disorders (same as mainstream psychological services)
• Significant challenging behaviour

The trust provides specialist multidisciplinary mental health services to adults with learning disabilities who present with these difficulties and whose needs cannot be adequately met by Adult Mental Health Services (with support from MHLD). These services are delivered via partnerships with Guys & St Thomas' NHS Trust, Social Services and the four CCGs, and other agencies to enable people to remain in their local communities.

2. Purpose
The B&D CAG aims to ensure that high quality evidence based care is available and accessible to people with a learning disability that have mental health problems and that best possible clinical outcomes are available. We aim to develop and provide a specialist service in line with the draft service model for commissioners of health and social care services 'Supporting people with a learning disability and / or autism who have a mental health condition or display behaviour that challenges' July 2015

Service focus:

• To work with those with the most complex needs who need a specialist MHLD service, and doing this in partnership with the wider MDT, the person and their support network
• Working with other services to make reasonable adjustments by sharing our expertise through consultation, training and education
• Focus on prevention and helping people to stay well in their local community
• Being responsive at times of crisis

3. Responsibilities
Within the wider trust services, the provision of mental health care for people with a learning disability who have a mental illness is a responsibility of all professionals, not the sole responsibility of specialist MHLD teams (Greenlight Toolkit GLTK).

• Service Directors
• Operational Leads
• Professional Groups
• Clinical Teams

The Mental Health Liaison Service (Croydon University Hospital) provides psychiatric assessments for people, aged 18 and above to determine if they need mental health care and treatment.

We care for people who live in the London Borough of Croydon.

Our aim is to ensure that people get the expertise they need to address their mental health problems.

We are a team of mental health professionals based at King's College Hospital (KCH) Emergency Department. We assess people to determine if they need mental health care and treatment.

We provide a 24-hour service to assess and treat emergencies in the Emergency Department and inpatient wards who have mental health problems.

We work closely with community-based mental health and substance misuse services, the police, and local statutory and voluntary agencies to provide mental health care and treatment.

As well working with our patients, we offer psychological care for families of people with mental illness.Ó

We specialise in the treatment of antenatal and postnatal illnesses. Our service is for women who develop a mental illness or have a relapse of serious mental illness during pregnancy, and women who have developed postnatal depression, post partum psychosis or have had a relapse of serious mental illness following the birth of their baby.

We support the mother in developing a relationship with her infant in order to reduce the impact of the mother's illness on the child. We offer a holistic treatment programme, and encourage the involvement of fathers or partners in the process. We admit with babies where it is the wish of the mother and it is clinically safe to do so. We are also able to take mothers without their babies, and offer a programme of gradual reintroduction to the mother on the ward. We also have an inpatient parenting assessment service, providing a unique and highly specialised service to local and national authorities across the United Kingdom. We undertake assessment of women or couples and their infant, where there is potential risk or safeguarding issues arising from the parents' mental health problems.

Our team is committed to providing cost-effective, evidence based treatments that reduce risk, establish a relationship between mother and baby, and prepares them for a lasting return to the community. We work closely with the Institute of Psychiatry, where there is a perinatal section headed by a world renowned expert psychiatrist, who leads many of our staff in carrying out research of international significance.
 

• Local authority Children's Social Care departments and partner agencies.
• Clinical Commissioning groups and NHS Trusts
• Children's Trusts
• Voluntary organisations
• Health Boards (N Ireland)

Our outcomes include:

• Successful partnership work with over 30 local authorities, voluntary organisations, and health providers since 2008
• Provision of high-quality training and consultation in the UK
• Promoting stability for children and young people with over 90% of children able to remain safely at home.
• Improved parenting skills and mental health for parents
• Reduced offending and at-risk behaviours by young people

The Affective Disorders Outpatient Service is a national, specialist outpatient service at Maudsley Hospital. We provide assessment, treatment and care for people aged over 18 who have complex or treatment-resistant mood disorders, including depression and bipolar disorder. Our experts are internationally recognised senior clinicians and researchers in this speciality with many years of experience.

The service welcomes referrals from general practitioners and secondary care services supported by evidence of on-going Community Mental Health Team (CMHT) involvement and agreement for this to continue were the patient to be seen in the National Affective Disorders Outpatient Department. The Service provides advice about diagnosis and treatment and may suggest treatment strategies to be implemented by the local secondary team.

Referrals must be approved by the local integrated care board.  

We are a national service specialising in the assessment and treatment of severe emotion dysregulation and related problems including self-harm and suicidal behaviours/ideation.

Our primary intervention is a comprehensive Dialectical Behaviour Therapy (DBT) programme, which is based on the evidence-based model as adapted for working with young people and their families and carers.

The National Autism Unit (NAU) is a specialist inpatient service that provides assessment and treatment to men with autism spectrum disorder (ASD) as well as:

• Comorbid mental illness associated with severe functional impairment​ 
• Levels of complexity and/or risk that necessitate an inpatient environment​ 
• Our multidisciplinary team has expertise in adapting evidence-based treatments to attend to the needs of individuals on the Autism spectrum.
• Providing expert care and treatment to individuals with complex presentations
• Treatment interventions are based upon a comprehensive multidisciplinary assessment involving diagnosis and formulation of developmental and mental health conditions and assessment of need. This includes consideration of sensory and information processing factors associated with neurodiversity.
• Psychological interventions are formulation-based and tailored to the needs of the individual. All patients have access to individual psychological input delivered by Health and Care Professions Council (HCPC), British Psychological Society (BPS) registered psychologists and United Kingdom Council of Psychotherapy (UKCP) registered psychotherapists.
• Amongst a range of evidence based psychological approaches, where clinically indicated, we provide Cognitive Behavioural Therapy (CBT) for mental health difficulties commonly associated with ASD, as recommended by NICE.
• We have a well resourced Nursing team comprised of Learning Disability and Mental Health Nurses. These skill sets complement each other, while bespoke training ensures that our expert Nursing staff are able to meet a range of complex needs of autistic individuals in a person centred way. 
• Due to the expertise required to support the individuals who access the service the NAU employs Senior Supports workers to deliver high standards or care and treatment.
• Our medical team is expert in psychopharmacological management of mental disorders co-morbid with ASD. Our medical team and patients have access to a dedicated pharmacist that gets to know the patients well & adapts treatments to the patients’ needs.
• We provide person-centred evidence-based treatments including a range of skill-building packages to develop life skills and promote independence.
• Our flexible approach to assessment and intervention means Autistic Individuals really do get a bespoke, needs based treatment package which balances evidence-based practice with creativity and adaptations to suit each individual.
• We are responsive to the Transforming Care process, working collaboratively with Community Mental Health Services, Commissioners and families to identify less restrictive opportunities and develop discharge pathways and aftercare packages within the community.
• The NAU is partnered with the ESTIA centre to ensure our expert clinicians are involved in training and development. We support the sharing of evidence based best practice to other services as well as translating research into practice.