Services

This service is for clients who live in Croydon Borough aged 18 to 65 who use SLaM community services. It is a voluntary option and clients must be able and willing to take part in activities. All clients will be screened for suitability to engage in activities.

Summary:

CORE staff are Working from Home and offer virtual meetings and calls. We look forward to supporting eligible Croydon clients. CORE co-work with CMHT and IAPT staff by offering their clients help and support on their journey towards Resilience and Recovery. We accept referral from clients who meet our criteria through the Community Mental Health Team or Relevant Advisor within Croydon.

CORE has two pathways:

1. The Reablement pathway is offered, as an alternative to care co-ordination. Staff will work with clients for a period of 6-12 weeks, with a view to helping them to develop resilience and/or reducing their dependence on mental health services. This Pathway does not include prescription of medication, so clients will need a GP to manage medical interventions. Reablement pathway will look at Activities of Daily Living (ADL) and at times refer to appropriate services.
2. The Vocational Pathway provide a service for clients who are able and willing to take part in activities this is not a mandatory option. As part of Vocational Pathway CORE staff will offer person centred support after referral and assessment, as either a one off piece of advice or continuing sessions up to one year. This Pathway is delivered on a co-working basis with CMHT staff. Vocational work is for clients who would like to explore social or community activities, such as training, education, volunteering and / or employment, as part of their recovery. To seek referral clients must talk with their CMHT.

Overview

On referral to either pathway, clients will be checked for eligibility, screened and then invited to an appointment for an assessment. The Assessment will focus on understanding the needs, interests of clients and then to co-produce goals/plans. This stage will then be followed up by ongoing support encouraging engagement, achieving positive outcomes and/or to build independence and support networks in the Community.

Services

Depending on your Pathway CORE staff offer variety of support options which could include:

• Help to find social activities and groups
• Exercise and relaxation opportunities and physical well being
• Gain experience and confidence to apply for and undertake volunteering
• Return to or prepare for education and training
• Support to find employment
• Help to retain current employment
• Careers advice and signposting
• Basic I.T. support
• Arrange Befriending
• Advice and guidance on the benefit system and Welfare reforms
• Advocacy support for Vocational Needs
• Referral to more appropriate services

**Removal of Barriers to Engagement is only as part of the Pathways.

This services is an integral aspect of our substance misuse We provide specialist assessment, treatment and care for people, aged over 18, who are referred through the courts and criminal justice system.

The service provides offenders with rapid access to drug and alcohol treatment programmes where their criminal behaviour is associated with drug or alcohol misuse. The aim of the service is to reduce alcohol and drug-related offending.

**Service currently suspended  to the current pandemic. It is now open in a different capacity, it is now a hub for staff to have a break and get support**

The Self-harm Outpatient Service is a national, specialist service based at the Maudsley Hospital. We provide outpatient assessment, treatment and care for people, aged 18 and over who repeatedly self-harm and that other services have found difficult to help.

National services are for people who live throughout the United Kingdom.

We care for people who self-harm and who also have mental health problems, including eating disorders, anxiety, depression, and alcohol or drug abuse.

Our treatment programme includes psychotherapy and cognitive analytical therapy (CAT). CAT is a talking treatment that helps people to see how early relationships and experiences have affected how they see themselves, other people and how they behave. It focuses on a problem that is important to the person.

Our aim is to reduce self-harm incidents and help to maintain people's health.

Tyson West 1 is part of Bethlem Royal Hospital. We offer services for men, aged 18-65, who have acute mental illness and require 24 hour hospital care. Acute illnesses start quickly and have distressing symptoms.

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

We offer psychiatric assessment, care and treatment in hospital, which helps to reduce the risk to self and others.

Our service brings together teams of health and social care professionals, including nurses, psychologists, OTs, social workers and psychiatrists.
 

The Croydon Personality Disorder Service is an adult specialist multidisciplinary psychotherapy service providing treatment for people with moderate to severe personality disorder across Tiers 1-3 of the mental health services in Croydon.

We provide consultation, assessment and Mentalization Based Treatment (MBT) programmes, for patients presenting with emotionally unstable personality disorder and other associated personality difficulties. The Tier 3, day hospital service is aimed at people who have frequent service contacts, previous unsuccessful treatment of their condition and need a high level of psychiatric and psychotherapy intervention.

We provide an in-reach service to Croydon inpatient wards and offer consultation, assessment and a pathway to accessing psychotherapeutic treatment for those it would benefit. We aim to help reduce the length of stay in hospital for those who are willing to engage in therapy. For people whose level of risk is too high for a community treatment we can complete assessments to screen for suitability for a Tier 4 personality disorder inpatient treatment.

For our patients, we work towards providing an alternative to hospital admission. We can also care co-ordinate the patients in the Tier 3 service and specifically focus on supporting the safe transition between services.
We offer consultation advice and support to staff working with patients with personality disorders across the pathways in Croydon.
In addition, we offer Tier 2 level treatments including an intensive outpatient programme and lower intensity outpatient treatment as well as an open access community based group known as the Sun Project (Tier 1).

The SUN Project is a self-referral, crisis and coping skills group in central Croydon that provides a three-times weekly online service that is readily accessible to those previously excluded from psychiatric services or conventional outpatient psychotherapy.

All tiers of our service aim to help people build a life worth living, promote recovery, improve social and interpersonal functioning, and increase the appropriate use of other statutory and voluntary sector services.

We also provide individual extended assessments and treatment for patients not ready or unable to join the MBT treatment programmes and also Structural Clinical Management (SCM) jointly working with Croydon Community Teams.

The Croydon CAMHS Child Wellbeing Practitioner Team provides a mental health service to young people who may not meet the threshold for Croydon Child and Adolescent Mental Health Service (CAMHS).

The team provides short-term, low intensity, evidence-based, guided self-help interventions for children, young people and their parents or carers for treatment of mild to moderate anxiety, low mood, or mild behavioural difficulties.

Young people and their parents or carers will be offered up to eight sessions of guided self-help which will involve of a mixture of face to face and phone, or Skype appointments. Sometimes we may ask parents or carers to attend on their own depending on the age of the young person.

In additional to individual sessions the team also run workshops to promote the emotional wellbeing of children and young people, for example, ÔExam Stress' or ÔSleep'.

Referrals
All referrals must be made by a professional associated with the child's care via the Croydon Single Point of Contact (SPOC) webpage .

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

The Croydon CAMHS Crisis Care Serviceis part of Croydon Child and Adolescent Mental Health Services (CAMHS). We work with children and young people who present to Croydon University Hospital in crisis. We also offer a brief intervention after their attendance within the community.

A mental health crisis explained
A mental health crisis means different things to different people.

You may feel like your mental health has been getting worse over time or that something has happened to make you feel this way.

You may have a good idea of what's caused you to feel this way or not at all. It can be overwhelming and you may feel unable to cope.

You might feel so distressed that you want to harm yourself or someone else. You might hear unpleasant voices, or feel that people are watching you or trying to hurt you.

Regardless of your situation, it could help to tell someone you trust or ask for support. We are here to help.

How we can help you
Being in A&E can be a difficult experience so we want to help you feel comfortable and safe while you wait to see someone from the Crisis Team.

What an assessment means
We talk to you about any difficulties you may be having and what led you to come to A&E.

We will often talk to your family as well and sometimes may talk to anyone else you would feel helpful. This may include your school and your GP (family doctor).

Sometimes we will refer people to the main CAMHS team, another service, or their GP so they can continue to receive help for a longer time.

Our team members
Our service is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include psychiatrists, clinical psychologists, clinical specialists, systemic family therapists, CAMHS practitioners, assistant psychologists, trainees and administrators.

The Croydon CAMHS Getting Advice Team provides assessments of children and young people with moderate to severe mental health disorders, as well as those with complex and multiple learning disabilities and neurodevelopmental disorders.

We work with other statutory, voluntary and private agencies that work with these children and young people. This can include schools, local authority children with disability teams, child and adolescent health services and other CAMHS teams. Children and young people that need longer term input may also be referred to the Croydon CAMHS Getting Help Team .

We provide three-day psychoeducation groups for parents and carers of children and young people with a diagnosis of Autism Spectrum Disorder (ASD), and Attention Deficit Hyperactivity Disorder (ADHD).

We also provide urgent psychiatric assessments and follow up appointments to children and young people who present at Croydon University Hospital following an episode of deliberate self-harm, or other psychiatric emergency.

A duty and triage service is provided by this team.

Duty service
Staff members responsible for being Ôon duty' each day will answer telephone queries and concerns from parents/carers and professionals.

They will also screen all referrals made to CAMHS for possible risks. If we have any concerns about the immediate safety and wellbeing of a child or young person being referred, we will contact the parent or carer, and/or referrers to discuss this and to make a plan of care.

Triage service
In the triage service, the duty clinician will contact parents, carers and/or referrers in order to gather additional information which will assist in making a decision regarding the referral. Team members include psychiatrists, mental health nurses, clinical psychologists and trainees.

Referrals
All referrals must be made by a professional associated with the child's care via the Croydon Single Point of Contact (SPOC) webpage .

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

Our team members
Our service is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include psychiatrists, clinical psychologists, clinical specialists, systemic family therapists, CAMHS practitioners, assistant psychologists, trainees and administrators.

The Croydon CAMHS Getting Help Team provides a safe, effective, responsive service where staff involve and treat children, young people and their families with compassion, kindness, dignity and respect.

Our service is for children, young people and their families that have had an initial assessment with the Getting Advice Team and require further help.

During the assessment with the Getting Advice Team, the care pathway and treatment plan will be agreed with the family and recorded. If we feel that further help is needed after assessment, we will add the young person to the treatment waiting list for the Getting Help Team.

Treatment with us ranges from short to long term, and may involve face to face sessions, and indirect work with the parent, carer or professional from another agency. We may also refer you to another agency, specialist service, help you with access to another CAMHS service, or mental health promotion and mental health education service if needed.

We will always keep young person, their family, GP and the referrer informed of the outcome of the assessment, treatment and care plan. A closing summary will also be sent to all parties at the end of the spell of care.

Referrals
All referrals must be made by a professional associated with the child's care via the Croydon Single Point of Contact (SPOC) webpage .

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

Our team members

Our service is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include psychiatrists, clinical psychologists, clinical specialists, systemic family therapists, CAMHS practitioners, assistant psychologists, trainees and administrators.

The Croydon CAMHS Getting More Help Team (GMHT) work with children and young people up to the age of 18, who may have had previous treatments at Child and Adolescent Mental Health Services (CAMHS) or elsewhere.

Many of the children and young people that we see have more than one clinician involved in their care, and some may also have stayed in a mental health hospital, or been seen by one of our national and specialist services.

When you start treatment with us we will work with you to set clear goals so that we can develop a useful care plan to achieve them.

We work with children, young people and their families who may need treatment over a longer period of time, and those that may need two or more different types of treatment at the same time. This might be a combination of individual therapy, family therapy, or medication.

Referrals
All referrals must be made by a professional associated with the child's care via the Croydon Single Point of Contact (SPOC) webpage .

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

Our team members
Our service is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include psychiatrists, clinical psychologists, clinical specialists, systemic family therapists, CAMHS practitioners, assistant psychologists, trainees and administrators.

The Croydon CAMHS Getting Support with Risk team is a Tier 3 team in Croydon Child and Adolescent Mental Health Service (CAMHS).

Our service is for children and young people up to the age of 18 who are experiencing moderate to severe mental health problems. The people we see are typically those that have faced challenges accessing mental health services due to the level of complexity, a need for multi-agency input, and risk to the child.

We provide support to vulnerable groups including:

• looked after children
• children with moderate to severe learning disabilities attending specialist education
• young people known to the Youth Offending Service

We also support children who may be hard to reach, and who struggle to engage with other CAMHS teams where there is a significant mental health risk. Many of the young people we help have experienced trauma including domestic violence, child exploitation, and neglect.

Our model involves engaging and working primarily with the network of carers and professionals around a child. This work may include our clinical staff attending network meetings, and sometimes providing one to one therapy for the young person as well.

Our main clinic is based at Christopher Wren House, but on occasion we may provide input at home or school. As part of our work we also provide consultation to other services, such as children's social services and schools for children with special educational needs. We also support multi-agency working on safeguarding children in the borough.

Our team uses variety of therapeutic interventions, including Cognitive-Behavioural Therapy (CBT), narrative and systemic therapy, attachment-informed practice, and behavioural interventions.

We also provide a targeted service to improve access to mental health assessment and treatment for looked after children and young offenders who are beginning to experience moderate mental health difficulties.

Referrals
All referrals must be made by a professional associated with the child's care via theCroydon Single Point of Contact (SPOC) webpage.

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

Our team members
Our service is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include social workers, psychiatrists, clinical psychologists, learning disability specialist, psychiatric nurses, and systemic therapists.

The Croydon CAMHS Learning Disability Team is a specialist team that works with children and young people, up to the age of 18 years, who have a learning disability. We also work provide support to their parents or carers.

We are passionate about supporting young people with a learning disability, and their families, whilst considering their special needs. The Croydon CAMHS Learning Disability Team provides support for families in the following ways:

1. We support children and young people with mild, moderate and severe learning disabilities without significant mental health problems who present with behaviours that may be challenging. Our team provides psychoeducation through personalised therapeutic interventions, parent groups, workshops, work within schools, and where appropriate, direct work with children, using adapted Cognitive Behavioural Therapy.

2. We provide assessment and treatment of severe and enduring mental health problems for children and young people with a moderate, severe or profound learning disability. This may involve the use of psychological therapies, or medication. The Learning Disabilities Team works closely with parents and carers, schools, social care and paediatricians to coordinate a multi-agency approach, which aims to promote better mental health and improve future outcomes for children and young people.

What to expect
This will depend on the how complex the presenting problem is. In some cases, parents or carers may be offered a place on one of our groups or workshops. When there are more complex mental health problems, we will conduct a clinical assessment of the child or young person.

We may also ask parents and professionals to complete questionnaires as well as conduct meetings with parents or carers, family members, schoolteachers and professionals associated with the young person's care.

This evidence gathering helps us understand the young person's difficulties and their unique needs. We will work with families and other professionals to develop a care plan that will best support the child or young person and their family.

We will seek consent from young people and their families to contact all professionals involved in their care before starting work with the family, except in extraordinary circumstances. An example of this may be when it is necessary to intervene quickly in order to protect the child, young person or family safe.

Referrals
All referrals must be made by a professional associated with the child's care via the Croydon Single Point of Contact (SPOC) webpage .

Referrals can be made by a GP, paediatrician, school teacher, or social worker. Our team is unable to accept referrals from parents, carers, or self-referrals by the child or young person.

When completing referrals, please make it clear that the young person has a learning disability, rather than a learning difficulty, in the referral along with any available evidence. Examples of appropriate evidence may be previous reports or assessments by other health or social care professionals. Please also ensure to state any other relevant diagnoses and details of the child's current school.

We run several workshops and courses. For more information about our groups and workshops, professionals associated with the child's care should email LDTeam@slam.nhs.uk

Our team members
Our team is made up of a number of professionals from different backgrounds who work together to provide multi-disciplinary care. This may include psychiatrists, nurses, clinical psychologists, clinical specialists, trainees, and administrators.