Services

Brook Ward is a medium secure forensic unit in River House at Bethlem Royal Hospital. We provide treatment and care for men, aged 18-65, who have mental health problems and a history of offending, who are close to recovery and moving towards their independence.

A medium secure service provides inpatient care and treatment in a secure unit for people with offending behaviour. We support people through the final, managed stages of recovery. Our aim is to improve people's mental health and support their move to greater independence.

Our team of health and social care professionals includes a psychologist, a social worker, an occupational therapist and nurses. We work with people and their families and carers to develop care plans to help prevent relapses, and to help identify early warning signs so they know how to get help in a crisis.

This is a specialist service, available to people from across the UK. GPs, consultants, health professionals, referrers, commissioners and members of the public can learn more about our forensic services on our National Forensic Services page.

Overview

The purpose of our service is to ensure that mentally disordered offenders are assessed and treated effectively, in the least restrictive environment. We aim to manage the risk, reduce further offending and support recovery throughout the person's stay.

Our service is designed to support people on a pathway to recovery through a series of carefully managed stages. Each of the ward areas are associated with a specific stage, so that those people who have responded well to treatment and are close to being discharged will be cared for in a different area than those who are acutely unwell, and at the beginning of their journey. Where our admissions and intensive care ward offers enhanced physical and procedural security, our pre-discharge unit offers a high level of independence with a lower level of security, increased access to community programmes, and community outreach services fostering the development of living skills, before moving to independent settings in the community. We also offer time limited inpatient stays and community assessments.

Our service complies with the national standards set out in the Department of Health Best Practice Guidance: Specification for Adult Medium Secure Services (July 2007).

The Enhanced Treatment Service (ETS) is for young people aged 12-18 who are presenting with a serious mental illness which has resulted in a hospital stay. We offer an alternative pathway for young people who have been admitted for in-patient treatment.

Our service aims to reduce overall length of inpatient stay and improve the quality of care by offering intensive home treatment, hospital day care and case management to the young people who reside in Southwark, Lambeth Lewisham and Croydon as well as support cases nationally.

We offer the young people and their families a detailed assessment and evidence based individual, group and family treatment in the least restrictive environment minimising disruptions to education, family life and leisure.

We work in collaboration with a range of agencies to improve the quality of care. Our professionals lead research into new models of care both in the UK and internationally.

This is a specialist service, available to people from across the UK.

• Addressing quality-of-life issues and negative psychological impact of living with a long-term, or chronic physical illness.
• Addressing family and psycho-social factors that affect the course and management of physical illness in children, including compliance issues with medication.
• Providing psychiatric assessment for young people with neurological conditions.
• Providing robust mental health and neuropsychiatric support to the complex neurodevelopmental disability service (covering autism and other developmental conditions), Tics/ Tourette and neurodevelopmental movement disorders service (TANDeM) and national sleep medicine service at Evelina London Children's Hospital.
• Education and training to paediatric staff across Guy's and St. Thomas' (GSTT) including updates on identifying and managing mental health issues.
• Consultation to paediatric medical teams to support management of complex cases.

The Care Home Intervention Team (Lewisham) support people aged 65 and over, whose behaviour has become challenging in the context of a dementia or mental illness and currently attending a day care, living in a residential or nursing home setting.

Our aim is to provide a community in reach service 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 challenging behaviour as well as providing learning opportunities for care staff.

Where appropriate, we treat or make referrals and support the completion of end of life care planning (including advanced directives).

The service will reduce the prescribing of anti-psychotic medication by engaging care home staff in methods of personalised care planning including the deployment of non-pharmacological management strategies and opportunities for engagement in meaningful activities for behaviour that challenges.

We aim to complement other community health services and work collaboratively when appropriate with other agencies for the benefit of service users and their carers.

The Care Home Intervention Service (Croydon) support people aged 65 and over, whose behaviour has become challenging in the context of a dementia or mental illness and currently living in a residential or nursing home setting.

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 challenging behaviour as well as providing learning opportunities for care staff.

The service will reduce the prescribing of anti-psychotic medication by engaging care home staff in methods of personalised care planning including the deployment of non-pharmacological management strategies and opportunities for engagement in meaningful activities for behavioural disorder.

We aim to complement other community health services and work collaboratively when appropriate with other agencies for the benefit of service users and their carers

CASCAID is a multi-professional team of HIV Mental Health Specialists. Our aim is to increase the capacity for mainstream mental health and HIV services to support people living with HIV, who also have a significant mental health problem.

We provide advice, training and liaison work to a wide range of statutory and non-statutory mental and physical health care services in the Boroughs of Lambeth, Southwark and Lewisham.

We embrace diversity and difference and endeavour to reduce the marginalisation of people living with HIV.

*Please note we do not care co-ordinate patients, and will be co-working clients alongside other professionals that are involved.

Services we provide:

• Psychiatric Liaison, assessment and support for clients referred by the HIV Clinics and medical inpatient wards
• Psychiatric Liaison, second opinions, support and advice, to SLaM's inpatient wards, mental health community teams & Addiction Services
• Screening, cognitive assessment and onward referral for HIV related cognitive impairment
• Psychiatric Liaison, assessment and support for patients with HIV related neurocognitive problems in specialist nursing homes
• Assessment, formulation, short term work and onward referral for complex psychological problems
• Liaison work with Primary Care and other HIV organisations
• Health Promotion and Prevention, education and training
• Pre and post test counselling for HIV testing
• A clinical psychology service to children and young people who attend paediatric HIV clinics

The Centre for Anxiety Disorders and Trauma (CADAT) is an outpatient psychological therapy service. CADAT provides assessment and cognitive behaviour therapy (CBT) locally and nationally for specific anxiety disorders and depersonalisation disorder. We offer both online and face to face treatment. We will take specific requests into consideration for online treatment only but do recommend face to face treatment for some presenting problems. We will review each case on a case by case basis and discuss at assessment.

Treatment with CADAT – online video calls and face to face

We are pleased at CADAT to be able to offer clients the choice of whether they attend treatment (and assessment) sessions as online video calls (Microsoft Teams), or as face to face sessions or as a combination of the two.

There are some types of anxiety where meeting in person is an important component of treatment, and in these cases we will request that you attend some or all of your therapy sessions in person. This may include agoraphobia where leaving the house will be an important treatment goal, or other conditions where in-person contact is important. The therapist for your assessment or treatment can discuss this with you. You are welcome to call us and discuss this with us prior to your assessment if this would be helpful, or if you have concerns about your ability to do this.

For online video call sessions, we ask clients to have their camera on for all assessment and treatment sessions. We know that treatment is most effective where both the therapist and client can fully interact to most closely mimic face to face. We are aware that for some people this may be initially difficult to manage, in particular where conditions such as body dysmorphic disorder or social anxiety are the main problems. In treatment for these conditions, active use of the camera and being able to see our clients is important, so this is a requirement of treatment. Where this would be difficult to manage, you may wish to request face to face sessions through our service instead, or we can discuss how to access alternative services in your local area. If you have any questions about this please do call us prior to your assessment, or discuss with your assessing or treating therapist.

Our service spans across primary, secondary, tertiary and highly specialist (Tier 4) care.We are unable to accept direct referrals from GPs registered within Lambeth, Southwark and Lewisham. We are also unable to accept direct referrals from other SLaM services with the exception of referrals to our Highly Specialised Services for severe OCD and BDD (see below). CADAT forms a small part of each of Lambeth, Southwark and Lewisham’s Talking Therapy Services (aka IAPT) but referrals should be made direct to them for primary care. Secondary care referrals should be made direct to the appropriate CCG’s Funding Panel. GPs registered within Greenwich, Bexley and Bromley can refer direct and we will seek funding from your CCG. We are unable to accept direct referrals from Croydon and they should be referred to the Croydon Talking Therapies. GPs from outside our catchment area can also make referrals to our clinic directly using Patient Choice, with the exception of Depersonalisation referrals. Depersonalisation referrals can only be made via our National service stream and we always have to seek funding from the appropriate Clinical Commissioning Group in advance of being able to add the patient’s name to our assessment waiting list.

CADAT 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 clinical commissioning groups (CCGs).

The Survivors of Terrorism Support Service (SoTSS)

Dr Blake Stobie, Caroline Harrison & Dr Tom Parsloe are working in partnership with 3 charities (Victim Support, Cruse Bereavement Care and The Peace Foundation) on a Home Office commissioned project aimed at supporting individuals affected by terrorism in the UK. SoTSS offers screening, psychological assessment and onward referral for evidence based psychological treatment at local services. It also offers training to professionals from other services or organisations who may be required to support survivors of terrorism in the course of their work.

Telephone: 020 3228 2101

E-mail: SurvivorsOfTerrorism@slam.nhs.uk

Website: The Survivors of Terrorism Support Service

The Centre of Interventional Paediatric Psychopharmacology and Rare Diseases (CIPPRD) provides whole-person medicine and integrated mental and physical health care for children and young people with complex, severe, and treatment-resistant co-occurring neuropsychiatric disorders and medical conditions including rare diseases.

We offer a service for children and young people aged 2-18 years with treatment resistant neuropsychiatric disorders. We also see children and young people aged 2 to 25 years old with neuropsychiatric symptoms arising as a result of rare diseases such as Rett syndrome.

We provide a service for children and young people with a variety of neuropsychiatric disorders, in the context of neuroinflammatory, metabolic, genetic or neurodegenerative disorders and acquired brain injury; psychotropic-induced side-effects and neuropsychiatric aspects in children with terminal illness.

We have specific programs for those with emotional behavioural autonomic dysregulation (EBAD), Rett syndrome, Mucopolysaccharidoses, and other rare disorders.

The team at the Centre for Parent and Child Support (CPCS) are committed to innovating, developing, disseminating, and evaluating training and interventions that make a difference to lives of children and families. Our team leads the national and international dissemination of the following evidence-based approaches:

• Empowering Parents Empowering Communities.
• Family Partnership Model.
• Antenatal/Postnatal Promotional Guide System
• Helping Families Programme.

The CPCS provides tailored training, development, consultation and supervision packages within a workforce development context to help organisations reach their service goals for children, young people and families.

We work closely with our colleagues at the CAMHS Research Unit to produce and disseminate research evidence aimed at improving Ôreal-world' clinical services for families affected by mental health difficulties.

Our clinical team, the Family Wellbeing team has been established to improve the outcomes and protection of families in which parents are affected by mental health difficulties.

We recommend you contact us directly to discuss any queries so that we can ensure you are provided with the most tailored and up-to-date information for your needs.

You can also send us an enquiry using our online enquiry form: http://www.cpcs.org.uk/index.php?page=enquiry-form

Chaffinch Ward is a 19-bed low secure pre-discharge ward. We provide inpatient treatment and care for men, aged 18-65, who have mental health problems and a history of offending.

The purpose of our service is to ensure that mentally disordered offenders are assessed and treated effectively, in the least restrictive environment. We aim to manage the risk, reduce further offending and support recovery throughout the person's stay.

Our service is designed to support people on a pathway to recovery through a series of carefully managed stages. Each of the ward areas are associated with a specific stage, so that those people who have responded well to treatment and are close to being discharged will be cared for in a different area than those who are acutely unwell, and at the beginning of their journey. Where our admissions and intensive care ward offers enhanced physical and procedural security, our pre-discharge unit offers a high level of independence with a lower level of security, increased access to community programmes, and community outreach services fostering the development of living skills, before moving to independent settings in the community. We also offer time limited inpatient stays and community assessments.

Our service complies with the national standards set out in the Department of Health Best Practice Guidance: Specification for Adult Medium Secure Services (July 2007).

This is a specialist service, available to people from across the UK. GPs, consultants, health professionals, referrers, commissioners and members of the public can learn more about our forensic services on our National Forensic Services page.

Chelsham House is part of Bethlem Royal Hospital. We provide inpatient assessment, treatment and care for people aged over 65 with acute mental illness or under 65 for people who have dementia.

We care for older adults who are admitted to hospital in a crisis. We support them back into the community.

**Due to Covid this service is now primarily delivered remotely**

The clinic is an NHS service run by Lambeth Drug and Alcohol team. The team is made up of doctors, nurses, psychologists, social workers, drug workers and counsellors.

All staff have experience and an interest in working with gay/msm using party drugs/chems.

The service is open to anyone living in the London Borough of Lambeth.

Who we work with:
The clinic offers treatment to all Lambeth residents aged 18yrs or over. We provide assessments to those:

• Wanting to review and explore their drug/chem use
• Wanting to stop using chems and abstain
• Wanting to cut down and gain more control around chem use and chemsex
• Wanting to gain an understanding around using safer and reducing risks.

*our needle exchange is open to everyone.

Treatment we offer:
An initial appointment is always offered to assess individual needs, this will take up to 2 hours. You will be assessed by one of the clinic nurses or social workers.

Sometimes people require a medical or psychiatric assessment on this day too.

Once assessed you will be allocated a keyworker who will work in partnership with you to facilitate treatment, through 1:1 key work sessions. Treatment may include:

• Motivational work
• Relapse Prevention
• Preparation for detoxification
• Community detox (GBL)
• Residential detox
• Group work
• Recreational activities (i.e. art group)
• Mindfulness
• Referrals for day programmes
• Referrals for residential rehabilitation

Sexual health screens:
Our nurses can offer a sexual health screen on assessment and on Fridays we offer appointments with a Sexual Health Dr (Consultant). A 60 second finger prick HIV test is available.

Needle exchange:
Operates on a drop in basis 9 - 4:30pm Monday - Friday offering needles, syringes, sterets and sharp boxes. A return service for sealed sharp boxes. Assessment of injecting sites Ð advice and information Ð harm minimisation.

How to access treatment:
We offer assessments every morning Monday Ð Friday at our Brixton site (Lorraine Hewitt House). We are able to see the first four people who present at 9am.

We can also offer a limited amount of appointments at other times which can be arranged by clicking here to email us.

We provide a specialist service for children and young people who are fostered or adopted and who are experiencing difficulties.

Adopted children and children who are in, or have been in, the care system can have a wide range of mental health problem as well as difficulties in school, at home and with peers. We offer a highly specialist assessment of a child or young person's mental health and well-being across all these aspects of functioning, and then make recommendations.

These difficulties may relate to issues that are specific to adopted children (attachment, trauma, life story, placement difficulties, degree of contact with siblings or birth family, permanency planning), as well as other aspects of mental health, including neurodevelopmental disorders, mood disorders, behavioural problems. We always consider a child or young person's particular circumstances of being adopted, fostered or under Special Guardianship Orders.

Our services:

• Individual assessment of attachments and identity in the context of the child's life story
• Specialist neuropsychological and neurodevelopmental assessments
• Personalised assessment of any other mental health issues such as trauma, mood, etc
• Individual psychometric assessment of abilities and emotional profile
• Educational attainment assessment and current school functioning by talking to teachers
• Parenting support: Personalised Individual Parent Training (PIPT)
• Individual Therapy
• Group work
• Medication
• Consultation for local Authorities, private adoption and fostering organizations, Residential Home and Therapeutic Communities.
• Training for parents and professionals

We accept referrals from:

• Social Care professionals: Social Workers, Regional Adoption Agencies, private and voluntary agencies.
• Parentsand Special Guardians via their Social Workers
• Health professionals:GPs, any CAMHS professionals, Consultant Psychiatrists, Consultant Paediatricians
• Education professionals:Educational Psychologists, Teachers, SENCOs, etc