Services

Our Mental Health in Learning Disabilities (Croydon) is a specialist, community-based service based at Bethlem Royal Hospital. We provide outpatient and community assessment, inpatient liaison, advice and treatment for people, aged over 18, who have learning disabilities together with mental health problems. We provide care for people who live in the London Borough of Croydon.

We are psychiatrists employed by SLaM. We are part of the Behavioural and Developmental clinical academic group. We work locally as part of the Croydon Joint Community Learning Disabilities Team (JCDLT) which includes multidisciplinary health and social care professionals not employed by SLaM.

We provide mental health assessments and advice on services and treatment options to help people with learning disabilities and mental health problems maintain their health and independence.

How to make a referral to our service

Please complete the referral form and return this form via email to MHLDCroydon@slam.nhs.uk .

Or alternatively by post to:

Team Leader Croydon MHLD
1st Floor
Monks Orchard House
Bethlem Royal Hospital
Monks Orchard Road
Beckenham
BR3 3BX

Croydon Psychiatric Intensive Care Unit (PICU) is a 10 bedded unit that provides high quality care for men aged 18-65, who have severe and ongoing mental health problems. We also provide short-stay intensive assessment and treatment for people with acute mental illness with distressing symptoms who have been referred from other inpatient services. Our team is comprised of multi-professional staff including nurses, doctors, occupational therapist, psychologist, pharmacist etc.

We provide assessment, treatment and intensive nursing care. We work closely with other services both inside and outside of South London and Maudsley NHS Foundation Trust to ensure the best care outcome is achieved for every service user.

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

The Croydon, Lambeth and Lewisham Adult Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) Service is also known as the 3 borough service. This service launched in August 2020, and 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 Attention Deficit Hyperactivity Disorder (ADHD) and/or Autism Spectrum Disorder (ASD). Initiation and titration of ADHD medication and annual reviews for ADHD are also offered. Following a positive diagnosis from the service (ADHD and/or ASD), patients may be offered some brief post-diagnostic psychological support.

For more information and to obtain a referral form, please email 3Breferrals@slam.nhs.uk

13 October - ADHD medication supply disruptions: Advice for General Practitioners

On Friday 27th September 2023 the Department of Health and Social Care issued a National Patient Safety Alert regarding supply disruptions with many of the medication prescribed for ADHD (Equasym XL, Xaggatin XL, Concerta XL, Xenidate XL, Lisdexamfetamine, Guanfacine). This disruption has been attributed to a combination of manufacturing issues and increased global demand. Please see the 'more info' tab below for further information.

Who are we? We are a nurse led service of two Dementia Clinical Nurse Specialists (CNS) provided by South London & Maudsley NHS Foundation Trust.

We aim to:
Improve the experience and quality of life of people living with dementia and their carers to have better integrated and coordinated care after their diagnosis.

Improve access to appropriate care and support at the appropriate time.

Reducing premature placements of people with dementia into residential and nursing care homes.

Improving End of Life Care support such as Advance Care Planning opportunities.

Who can use the service?
We work with anyone aged 18 or over, with a confirmed diagnosis of dementia. They must live at home at the point of referral and be registered with a Lewisham GP. You can access our service through your GP, Social Care and other professionals (or you can self-refer).

What happens at the service?
We arrange to see the person with dementia, and anyone offering support, about how the memory issues are affecting their life. This is likely to be at home but we can see you in other places if you wish.

What support can the Dementia Clinical Nurse Specialists offer?

• Offer a holistic review of the person with dementia and their carers' needs.
• Offer advice about management of physical, psychological social and spiritual issues that may affect people living with dementia.
• Advise on Crisis management and interventions to prevent this.
• Help with care planning and consider Advance Care Planning if you wish to, with you and your carers.
• Refer you on to other teams like the dementia advisors or Community Mental Health Team (CMHT), if necessary.

CNS review to inform the Annual Dementia review in Primary Care.

The Drugs and Alcohol Consortium (Lambeth) is a consortium led by the Trust in partnership with We are With You (formerly Addaction), Humankind and Phoenix Futures.

We provide assessment, treatment and advice for people, aged over 18, who have substance misuse (drugs and/or alcohol) related problems. We care for people who live in the London Borough of Lambeth.

We provide a Tier 2 addictions assessment and brief intervention clinic, and a Tier 3 addictions assessment and treatment service.

Tier 2 services provide drug-related information, advice, assessment, referrals, interventions (including needle exchange) and aftercare.

Tier 3 services provide specialised drug assessments, treatment, care and referrals, delivered in the community or on hospital sites. They provide people with a care plan and a key worker. They are often delivered alongside Tier 2 services, in the same premises and by the same staff.

**Due to COVID treatment is being offered remotely where possible**

The Bexley Drug Interventions Programme (DIP) Service is part of the Addiction service based at Erith Health Centre. We provide specialist assessment, treatment and care for people, aged over 18, who misuse drugs.

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

We provide specialist assessment, treatment and care for people, aged over 18, who are referred through the courts on a DRR Order.

A DRR service provides offenders with fast access to drug treatment programmes where their criminal behaviour is associated with drug misuse. The aim of a DDR is to reduce drug-related offending.

We care for people who live in the London Borough of Bexley, and for people in the borough who are homeless, of no fixed abode, and claiming social care benefits.

Our treatment programmes include rehabilitation, counselling and prescribing alternatives to drugs. We also provide advice and support on housing, relationships, employment and education.

We work with other teams in health and social care to help people to maintain their health and their independence.

The Lambeth Early Onset (LEO) Community Team is a service that supports people aged 18-65 who are experiencing a First Episode of Psychosis. We provide care for people who live in the London Borough of Lambeth.

We offer psychological, medical and social support to those experiencing psychosis for the first time.

We work together with people who use our service, as well as other organisations, to help them recover and work towards their goals.

Our service provides intensive community-based early intervention, 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.

We treat a range of eating disorders alongside co-morbidities from first presentation to severe and intractable, including those patients who are diagnosed late in the development of the condition. We offer assessment, treatment and management of people with anorexia nervosa, bulimia nervosa, and mixed eating disorder symptoms (eating disorder not otherwise specified / other specified feeding or eating disorder) in an outpatient and day care service providing a range of evidence-based care packages tailored to the needs of patients and their carers. We are able to send self-help resources to individuals with binge eating disorder and avoidant restrictive food intake disorder.

We identify the most appropriate treatment pathway for the patient and provide advice/treatment in the most appropriate setting. At all times the service will effectively and appropriately liaise with families or carers and other outside agencies. The service will provide psychological, emotional, social and physical interventions to the client group.

Our unit is internationally renowned for its research and is at the forefront of treatment development, having generated much of the evidence underpinning contemporary eating disorder treatments.

For more information on referrals, please email slm-tr.eatingdisorders@nhs.net

We offer assessment, treatment and management of people with anorexia nervosa, bulimia nervosa, binge eating disorder or mixed eating disorder symptoms (eating disorder not otherwise specified), providing a range of evidence-based care packages tailored to the needs of patients and their carers.

Our service is internationally renowned for its research and at the forefront of treatment development, having generated much of the evidence underpinning contemporary eating disorder treatments. If you would like to know more about our research, or for clinical information, please visit: Eating Disorders Research Group

Our aim is to stabilise eating and impulsive behaviour, to provide therapy and support for people and their families, to provide rehabilitation and to help people maintain their health. Our treatment programme is offered alongside the use of self-help books and workbooks.

For more information on referrals, please email slm-tr.eatingdisorders@nhs.net

We offer assessment, treatment and management of people with anorexia nervosa, bulimia nervosa, binge eating disorder or mixed eating disorder symptoms (eating disorder not otherwise specified), providing a range of evidence-based care packages tailored to the needs of patients and their carers.

Our unit is internationally renowned for its research and at the forefront of treatment development, having generated much of the evidence underpinning contemporary eating disorder treatments. If you would like to know more about our research, or for clinical information, please visit www.eatingresearch.com

Read our guide to help address your concerns about body image, eating disorders and mental health here

For more information on referrals, please email slm-tr.eatingdisorders@nhs.net

Eden Ward Psychiatric Intensive Care Unit (PICU) is in Lambeth Hospital. We provide low secure, psychiatric hospital care for men, aged 18-65, who have severe and ongoing mental health problems. We care for people who live in the London Borough of Lambeth.

Our team includes health and social care staff from a range of professions. We provide assessments, treatment and intensive nursing care.

A small number of people are brought to hospital under Section 136 of the Mental Health Act. This is a power that police officers can use if someone is in a public place and the police have concerns about them. We have a separate, designated place of safety, a Ô136 Suite' (Place of Safety), where they can be admitted, assessed and cared for. The police also have powers under the Mental Capacity Act to take someone, either from a public place or their home, to a place of safety - normally this would be to an Emergency Department.

Effra Ward is a 16 bedded ward for male patients located in the River House Medium Secure Unit, based at the Bethlem Royal Hospital. Effra provides a service for male forensic patients aged 18 years and over, detained under the MHA (1983) amended 2007, and is a Tier 2 ward located in the River House Medium Secure Unit, based at the Bethlem Royal Hospital.

Both Brook and Effra wards are classified as Tier 2 wards within River House and admit patients from the Tier 1 Admission wards, Norbury and Thames.

Effra Ward operates within the framework of recovery oriented practice, using My Shared Pathway (MSP). Brook encourages service user led involvement at all stages of their recovery and care pathway.

Effra ward takes patients from Lambeth, Southwark and Croydon and sometimes Lewisham. Their placements are funded by NHS England.

The expected length of stay in this ward will be approximately 6 to 18 months.

Eileen Skellern 1 (ES1) is a psychiatric intensive care ward (PICU) at the Maudsley Hospital. We offer care for women, aged 16-65, who live in the London Borough of Southwark.

Our team includes health and social care staff from a range of professions. We provide secure psychiatric and intensive hospital care for people who have severe and ongoing mental illnesses whose behaviour makes them unsafe, either to themselves or others, and who cannot be treated in an open ward.

We provide assessment, treatment and intensive nursing care.

A small number of people are brought to hospital under Section 136 of the Mental Health Act. This is a power that police officers can use if someone is in a public place and the police have concerns about them. We have a separate, designated place of safety, a ÔÔ136 Suite'', where they can be admitted, assessed and cared for. The police also have powers under the Mental Capacity Act to take someone, either from a public place or their home, to a place of safety - normally this would be to an Emergency Department.