Services

We provide a flexible and responsive psychology service to adults (18 years+) with complex needs in the Lambeth homeless hostel network. Such people may have severe mental health problems, histories of complex trauma and comorbid drug and alcohol use.

Our service is provided by psychologists based across three Thames Reach hostels which provide a ÔPsychologically Informed Environment' (PIE) for residents and staff.

The PIE aims to ensure that everything that takes place within the hostel holds individuals' psychological and emotional needs in mind. It provides individual and group psychological therapy; and staff training, supervision, consultation and reflective practice. By increasing clients' psychological stability this service also aims to help them sustain future independent living, engage with mainstream mental and physical health services and find meaningful occupation.

This service is provided in partnership with the London Borough of Lambeth and Thames Reach hostels.

We specialise in treating people with chronic and persistent sexual problems. Our service offers assessment and treatment for individuals and couples who are experiencing difficulties with their sexual functioning, where the primary cause is psychological, or where the psychosexual problem has developed as a result of physical pathology.

We have a longstanding history of treating people psychologically for persistent difficulties relating to sex and gender. We can treat people with significant distress including those suffering from co-morbid depression or anxiety.

Our aim is to assist people to improve their sexual wellbeing and overall quality of life. We have expertise in treating people with a range of sexual dysfunctions which includes:

• anorgasmia
• delayed or absent ejaculation
• erectile dysfunction
• genital pain disorders, such as dyspareunia, vaginismus and vulvodynia
• persistent genital arousal disorder
• premature ejaculation
• sexual aversion
• sexual desire disorders; low or excessive sexual drive
• Other sexual difficulties:
  • fetishism and other unusual sexual practices
  • female genital mutilation (FGM)
  • pornography or cybersex addiction
  • sexual addiction
  • sexual trauma
• Psychological support for people experiencing gender dysphoria

Our Psychosis Community Services provides care for adults, aged 18-65, who have a psychotic illness. This involves distorted perceptions of reality - thinking, feeling, hearing and seeing - often with symptoms of hallucinations and delusions.

We are available to people who live in the London Borough of Lewisham and already receive treatment for mental illness from one of our other therapy services.

People eligible for our service must be on the Care Programme Approach (CPA). The CPA is for patients who need to see several people or organisations for their mental health care and treatment.

We help people to continue with the improvements they have made with their illness, teaching them the skills to live independently in their community.

We work with a team of health and social care professionals including nurses, doctors, social workers, occupational therapist psychologists. We also work closely with the patients, their carers and GPs, Benefit workers , Social inclusion recovery service (SIRS), Lewisham AMHP service, local day care centres and housing associations and supported living placements as required.
Due to Covid most of our services are now being provided virtually
 

Our Psychosis Community Services provides care for adults, aged 18-65, who have a psychotic illness. This involves distorted perceptions of reality - thinking, feeling, hearing and seeing - often with symptoms of hallucinations and delusions.

We are available to people who live in the London Borough of Lewisham and already receive treatment for mental illness from one of our other therapy services.

People eligible for our service must be on the Care Programme Approach (CPA). The CPA is for patients who need to see several people or organisations for their mental health care and treatment.

We help people to continue with the improvements they have made with their illness, teaching them the skills to live independently in their community.

We work with a team of health and social care professionals including nurses, doctors, social workers, occupational therapist psychologists. We also work closely with the patients, their carers and GPs, Benefit workers , Social inclusion recovery service (SIRS), Lewisham AMHP service, local day care centres and housing associations and supported living placements as required.

Due to Covid most of our services are now been provided virtually
 

Our Psychosis Community Services provides care for adults, aged 18-65, who have a psychotic illness. This involves distorted perceptions of reality - thinking, feeling, hearing and seeing - often with symptoms of hallucinations and delusions.

We are available to people who live in the London Borough of Lewisham and already receive treatment for mental illness from one of our other therapy services.

People eligible for our service must be on the Care Programme Approach (CPA). The CPA is for patients who need to see several people or organisations for their mental health care and treatment.

We help people to continue with the improvements they have made with their illness, teaching them the skills to live independently in their community.

We work with a team of health and social care professionals including nurses, doctors, social workers, psychologists and benefits workers. We also work closely with the patients, their carers and GPs, local day care centres and housing associations as required.

Our Psychosis Community Services provides care for adults, aged 18-65, who have a psychotic illness. This involves distorted perceptions of reality - thinking, feeling, hearing and seeing - often with symptoms of hallucinations and delusions.

We are available to people who live in the London Borough of Lewisham and already receive treatment for mental illness from one of our other therapy services.

People eligible for our service must be on the Care Programme Approach (CPA). The CPA is for patients who need to see several people or organisations for their mental health care and treatment.

We help people to continue with the improvements they have made with their illness, teaching them the skills to live independently in their community.

We work with a team of health and social care professionals including nurses, doctors, social workers, psychologists and benefits workers. We also work closely with the patients, their carers and GPs, local day care centres and housing associations as required.

The Reablement Service- Southwark offers a skills development programme to support adult Southwark residents who are attending the adult community mental health teams and the Maudsley Inpatient Units, where health may restrict or inhibit daily living.

We offer skills development in the following Adult Social Care domains: Meal Preparation; Personal Hygiene; Managing Toileting Needs; Being Appropriately Clothed; Being Able to Make Use of your Home Safely; Maintaining a Habitable Home (including housework, laundry, shopping, correspondence and administering finances); Developing or Maintaining Family or Other Personal Relationships; Accessing and Engaging in Work, Training or Volunteering; Making Use of Necessary Facilities in the Local Community, including Public Transport and Recreational Facilities or Services; and Carrying Out any Caring Responsibilities for a Child/ Other Dependant.

Referrals: Via Community Mental Health Teams and Maudsley Inpatient Units when eligibility to Adult Social Care has been assessed, and where those teams are not providing the Adult Social Care Support.

Our service provides intensive community-based rehabilitation, care and support for people, aged 18-65, or aged over 65 if they have been treated by the Croydon Mental Health Service. R&R is for people with severe and long-term mental illness who live in the London Borough of Croydon in a 24 hour funded placement such as Supported Housing, Supported Living, Residential Care Home or Nursing Home.

Our team includes people from a range of health and social care professions. We help people to maintain their health and their move towards greater independence in their communities.

The Complex Rehabilitation Service provides 24-hour, rehabilitation, nursing care and accommodation, for up to 34 adults with long-term mental illness and challenging behaviour. We provide care for people who live in the London Borough of Lewisham.

Our accommodation ranges from shared accommodation for people who require a high level of staff support, to self-contained flats for people who can live in the community relatively independently.

We aim to support people's recovery and their move towards greater independence in the community.

Our team includes health and social care staff from a range of professions.

Richmond Community Drug and Alcohol Service (RCDAS) is a community drug and alcohol service for anyone over the age of 18 living in the London Borough of Richmond. The team comprises a core service in Twickenham, satellite services across the borough, and is supported by specialist psychology, criminal justice, outreach, ETE and housing staff, as well as a day programme for Richmond and Wandsworth residents. We offer addictions related prescribing alongside psycho-social interventions and access to a range of groups. Psychology and counselling services are available to those accessing all pathways. Recovery and peer mentoring services are also available to all service users, as well as volunteering opportunities.

Our core site in Twickenham also offers needle exchange, blood testing, hep B vaccinations, medical and nurse assessments, smoking cessation, legal advice, Hep C treatment plus access to detox, day programme and residential rehab options. Our Recovery Hub in Wandsworth (accessible to RCDAS service users, key workers can refer) offers employability programmes, access to courses, skills training, social events, activities such as yoga, music and art- available at any point in a person's treatment journey.

The service is a Consortium with our Trust being the clinical lead in partnership with We Are With You, St Mungo's and CDARS. Staff are therefore employed from medical, psychology, nursing, recovery worker, outreach and ETE backgrounds and volunteers support across the pathways. The service works closely with local hospitals and GPs, Richmond Council services, other local partner agencies and service user representatives. The over-arching aim of the service is to support service users in reducing or stopping their substance use and associated harm, and working towards sustainable and meaningful recovery in the community.

Ruskin Ward is a ward for women, aged 16-65, who have severe mental illness. We provide care for women who live in the London Borough of Southwark.

At Ruskin we offer psychiatric assessment, care and treatment in hospital, which reduces the risk to self and others.

The Self-Harm Outpatient Service (SHOPs) is a specialist and national self-harm service. We provide two years of intensive longer-term psychotherapy for adults experiencing complex and enduring problems relating to self-harm or other forms of self-destructiveness. These behaviours are understood and worked with in the context of difficulties in relationships, early adversity and experiences that may include trauma. We work with people to help them understand how turning to self-destructiveness can serve as a way of coping with underlying problems. We provide a setting that can help people bear intense and disturbing experiences.

We are involved in outcome research in psychotherapy and our clinical work is undertaken by senior and experienced psychotherapists, and supervised mental health practitioners.

Individuals appropriate to this service often make frequent use of emergency services or multiple care agencies. Many have been diagnosed as having a personality disorder, and may also have suffered from eating disorders, depression, complex trauma or alcohol and substance misuse. For many, their emotional problems and difficulties in forming mutually satisfying relationships can be linked to adverse experiences in early life and contribute to longer term complex problems.

SCAAND (The Service for Complex Autism and Associated Neurodevelopmental Disorders, including Intellectual Disability) is a Specialist CAMHS (Tier 4 Child and Adolescent Mental Health Service) and recognised as a leading UK centre in MH care for children and young people with neurodevelopmental needs. Referrals are accepted from community clinicians only.

We provide an outpatient mental health service for young people with a wide range of neurodevelopmental, neurological and genetic conditions, and we have different clinical pathways to address different referral needs. Young people seen by SCAAND typically have not responded to community interventions or there have been challenges in understanding the reasons difficulties have developed or persisted; and this is often due to young people having varied and severe needs.  Examples of our clinical pathways include specialist opinions on differential diagnosis and support for emotional and behaviour difficulties in the context of Autism Spectrum Disorder (autism), Intellectual Disability (ID), ADHD, Language Disorder, brain injury, epilepsy. We offer specialist assessment and interventions. SCAAND consists of a multi-disciplinary team of CAMHS clinicians and an education specialist. We have close links with other teams within the Trust, King’s Health Partners and the Institute of Psychiatry Psychology and Neuroscience (IoPPN) at Kings College London, and have clinical and research expertise at an international level.

Referrals to SCAAND must be made by community CAMHS or community Paediatrics with reference to the local pathway. More specifically:

• referrals from Paediatrics will be accepted where the appropriate local pathway sits with Paediatrics
• where the referral question relates to a CAMHS pathway, referrals must be made by community CAMHS or paediatric referral must be made with the knowledge and agreement of local CAMHS.

The Lambeth Single Point of Access (SPA) helps adults aged 18 to 65 years to get the right mental health support first time. People can contact them direct if they are worried about their mental health and need more support than their GP can provide.

They have a team of mental health professionals, support workers and social workers who can help people access:

• One of three Living Well Centres. These offer short and longer term support from teams of clinicians, social workers people with lived experience and support workers.
• If appropriate, a team that can visit you if you require mental health support within 24 hours.
  other services and community groups who can support you.