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Child and Adolescent Mental Health (CAMHS)

Our Child and Adolescent Mental Health Services (CAMHS) help young people who are experiencing mental health issues.

Video with Dr Diana Cassell, Clinical Director CAMHS

Adolescent Outreach Team (AOT)

The Adolescent Outreach Team is a multidisciplinary community team, working across South West London, with the aim of helping young people to avoid inpatient mental health care by working more intensively with them in the community during a period of mental health crisis. Once the presentation has stabilised their care is transferred back to their local CAMHS team.

This service is for Young People aged 12-18 years who are experiencing an acute crisis in their mental health and who might be at risk of needing an inpatient admission owing to the severity of their illness or risk.

We have Specialist Nurses, Senior Support Workers, Consultant Psychiatrists, Clinical Psychologist, Occupational Therapist and Family Therapist.

A young person will have a key worker allocated and other staff will become involved according to the interventions/treatment required.

We see Young People at least once per week and this can be in their home, school, CAMHS clinic or other community venues. We also work with parents/carers to provide information, support and advice and to share risk management. We liaise with school and other services within the Young Person's support network, as appropriate. Owing to the nature of the presentations, we do not operate a waiting list and, if a referral is accepted, we will usually offer an assessment within a few days.

Referrals

Referrals are only accepted from Tier 3 CAMHS Services and need to be supported by a Child and Adolescent Consultant Psychiatrist.

Referrals are accepted on a 'Form 1' emailed to AOTAdmin@swlstg.nhs.uk

We are unable to accept self referrals.

Springfield University Hospital
1st Floor Newton Building, Building 3
61 Glenburnie Road
Tooting
London
SW17 7DJ

Telephone: 020 3513 5000
Email: AOTAdmin@swlstg.nhs.uk

Our opening hours

Monday - Friday: 8.00am - 8.00pm

Conditions we treat

We cover the following conditions:

Anxiety disorders in children https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/10

Bipolar disorder https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/12

Depression https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/18

Obsessive compulsive disorder https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/26

Post-traumatic stress disorder https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/31

Psychotic episodes https://www.swlstg.nhs.uk/our-services/conditions-a-z/syndicatedcondition/33

Children and Young People's Community Eating Disorder Service (CYP-CEDS)

Providing specialist Eating Disorder assessment and treatment for children, young people, and families living in the London Boroughs of Wandsworth, Sutton, Merton, Kingston, and Richmond.

 

Video with Dr Diana Cassell, Clinical Director CAMHS

Our team

We are a Child and Adolescent Mental Health Service (CAMHS) that specialises in treating children and young people who have an Eating Disorder. We are a community service based at Springfield Hospital and our service hours are Monday Friday, 9am-5pm.

Our service also works closely with the Paediatric ward at St George's Hospital, the Intensive Treatment Program (ITP) at the Maudsley Hospital and the specialist Eating Disorder inpatient unit, Wisteria, at Springfield Hospital.

We are a Multidisciplinary Team (MDT) which means we are made up of many different types of healthcare professionals. 

Child and Adolescent Psychiatrists
Paediatrician
Clinical Psychologists
Family Therapists
Clinical Nurse Specialists
Dietitian

As we work as an MDT, you will be unlikely to see all of these different professionals.  Everyone who is  seen by our service for treatment will be allocated a case manager, who will utilise the knowledge and expertise of these other healthcare professionals, even if they don't meet with themselves.   

As we are a teaching hospital, we also often have students and trainees working with our team.

What our service offers

We offer specialist assessment for young people who may have an Eating Disorder.  If a diagnosis of an Eating Disorder is made at assessment, we offer evidence-based clinical interventions that are delivered in line with the young person's needs and as agreed with the family through care planning.

Interventions are time limited, targeted, and goal-focussed. Treatment progress is reviewed regularly, and we aim to facilitate smooth transitions and discharge from the service.

Interventions that may form part of an individual care plan:

  • Assessment of Eating Disorder, diagnosis, formulation, and recommendations for treatment
  • Risk assessment and risk management plans to support safety and optimal functioning
  • Treatment, in-line with NICE recommendations, for children and young people with Eating Disorders. The primary evidence-based treatment for children and young people with Eating Disorders is Family Therapy
  • Psychoeducational parent's group, focussed on management of Eating Disorders
  • Parenting groups
  • Pharmacotherapy with advice and monitoring.
  • Ongoing physical health monitoring in conjunction with your GP.
  • Paediatric consultation.
  • Consultation and liaison with other professionals.

What can I expect from treatment

The main treatment offered within our service is Family Therapy for Anorexia Nervosa (FT-AN) / Family Therapy for Bulimia Nervosa (FT-BN) which is the first line of treatment recommended by the National Institute for Health and Care Excellence (NICE) in their guidelines.

FT-AN / FT-BN initially involves weekly appointments with the whole family; we encourage siblings to attend as well. Sometimes clinicians may suggest separate sessions with parents only or with the young person.  This will always be managed within the context of family working.

Alongside family sessions, additional interventions may be offered, such as a psychoeducational parent's group.  Recent research has shown improved outcomes for young people with Anorexia Nervosa whose parents have attended parent's group.

Referrals

Referrals to CYP-CEDS are currently accepted from professionals such as GPs, teachers, social workers, school nurses, or any other health or educational professional if they think there is a need for this service. Referrals can either be made directly to CYP-CEDS or via the Single Point of Access (SPA) team in each of the five boroughs that we serve.

If you are unsure about whether to make a referral to our service, please contact our duty clinician who will be able to advise.

Once a referral has been received the referrals team will screen the referral and may need to contact you for further information in order to decide about whether CYP-CEDS may be the most appropriate service. You will then be informed of the outcome of whether we are able to offer an appointment for an assessment.

Related Resources

NICE Guidelines

Eating Disorders: anorexia nervosa, bulimia nervosa and other related eating disorders.

Understanding NICE guidance: a guide for people with eating disorders, their advocates and carers and the public. Eating disorders | Topic | NICE.

 

BEAT

BEAT is the UK's eating disorder charity which provides detailed information and support for people with eating disorders and their families. www.beateatingdisorders.org.uk

 

Recommended reading

  • Anorexia and other Eating Disorders: how to help your Child to eat well and be well: Practical solutions, compassionate communication tools and emotional support for parents of children and Teenagers - By Eva Musby, APRICA (2014).
  • Help Your Teenager Beat an Eating Disorder - By James Lock and Daniel, Le Grange The Guildford Press (2005)
  • Anorexia nervosa: A Recovery guide sufferers, Families and Friends By Janet Treasure, 2nd Edition, Routledge (March 2013)

 

 

National Deaf Child and Adolescent Mental Health Services (Deaf CAMHS)

London, Kent and Cambridge

Our Child and Adolescent Mental Health Services (CAMHS) help Deaf Children and Young People who are experiencing mental health needs.

ND CAMHS London, Cambridge and Kent video

How we help

These services are provided in community locations as well as in our inpatient ward (Corner House) based at Springfield Hospital. The Community Services are part of the Deaf Children, Young People and Family Community Services whose remit is to provide highly specialised mental health care to Deaf Children and Young People (aged 0 to 18 years) and their families, and hearing Children and Young People of Deaf Adults in the community.

We work with specialist professionals and teams (such as those listed below) to provide you with the highest possible quality of care in British Sign Language so that you can achieve the best outcomes from the treatments we offer.

Neuro-development Team
Adolescent Outreach Team (AOT)
Learning Disabilities CAMHS
Crisis Emergency Care Services (CECS)
Dialectical behavioural Therapy
National Deaf CAMHS
Eating Disorders

National Deaf CAMHS services

National Deaf Services provides a range of comprehensive mental health services for Deaf Children, Young People and their families.

We are committed to:

  • the employment of Deaf Service Users and Carer involvement in all aspects of care
  • respect and promotion of Deaf culture and British Sign Language
ND CAMHS London, Cambridge and Kent video
ND CAMHS Multidisciplinary roles video
ND CAMHS Corner House London video
Welcome to Corner House video

National Deaf CAMHS Outpatient (London, Kent and Cambridge)

This service provides highly specialised mental health care to Deaf Children and Young People (aged up to 18 years) and their families and to hearing Children of Deaf Adults (CODA) in the community. We also provide advice and consultation to local services that work with Deaf Children. We cover the Greater London region within the M25 and some parts of Surrey.

Everyone who uses our service first receives an initial assessment of their mental health needs, a communication profile and a plan of the care and support they will receive. This may include direct work with our service or signposting to other agencies for support. Young people and families receiving care from our service will have one named person who will coordinate their care and support. This person will be their main point of contact to discuss how their treatment is progressing. Treatment may take place in the clinic, at home, in schools or in another community location.

The service will work closely with families and all other professional involved in the Young Persons' life, as appropriate. The service has both Deaf and hearing staff. All staff have Deaf awareness and study British Sign Language (BSL). BSL interpreters are always available where required.

We cover the following conditions:

 

Referrals

Children can be referred by anyone who has contact with the child (where the parent has given consent), such as a teacher, social worker, GP or the parents themselves.

We encourage telephone contact to discuss potential referrals.

Following this a referral form is completed and sent to the address at the top of the form.

 https://www.swlstg.nhs.uk/documents/related-documents/our-services/560-deaf-services-community-referral-form

National Deaf CAMHS London

Springfield Hospital,
61 Glenburnie Road,
London SW17 7DJ

Tel: 0203 513 6925

Text: 020 3513 6950

Fax: 020 3513 6461

SMS: 07879 420 453

Email: ndcamhs@swlstg.nhs.uk

 

National Deaf CAMHS Kent

South East Outreach Clinic
South West London and St George's Mental Health NHS Trust
The Heathside Centre
Heath Road
Coxheath
Maidstone
Kent  ME17 4AH

T: 01622 741881  Office Mobile: 07912 072078

 

National Deaf CAMHS Cambridge

South West London & St Georges NHS Trust
Tunbridge Lane (Next door to Bottisham GP Practice)
Bottisham
Cambridge CB25 9DU

Tel: 0203 513 5317

 

CAMHS Dialectical Behavioural Therapy (DBT) Service

Our CAMHS DBT service offers an intensive therapy for young people and their carers.

We provide intensive therapy for individuals struggling with emotion dysregulation and unhelpful ways of thinking and behaving. We cover all of the SWLSTG boroughs (Wandsworth, Merton, Sutton, Richmond and Kingston) and are based at Birches House, in Mitcham.

What is DBT video
 

How we help

We work with a multi-disciplinary team of DBT Therapists, made up of Nurses, Psychologists and a Consultant Psychiatrist, to provide you with the highest possible quality of care, so that you can achieve the best outcomes from the treatment we offer.

 

  • Weekly 1:1 therapy
  • Access to phone coaching from a therapist, Mon-Fri 9-5, for both young people and carers
  • Weekly multi-family skills group for young people and their carers
  • Weekly therapist consult meeting to discuss the care and progress of young people and their carers, and to support a joined-up approach 
  • Possible trauma informed therapy
  • Medication management  

CAMHS Dialectical Behavioural Therapy

The CAMHS Dialectical Behavioural Therapy Service (DBT) is a team of therapists who provide an intensive, therapeutic service for young people up to 18 years who are experiencing emotional dysregulation and engaging in unhelpful thinking patterns or behaviours. We work with Young People and their carers to address harmful behaviours and increase skillful behaviours in order to improve their lives.

We work with Young People and their carers for 8-12 months. During this time we will regularly review the care plan with the Young Person and their network in the form of Care Plan Approach (CPA) meetings.

 
 
 
 
 

How to make a referral

We only accept referrals from Tier 3 CAMHS teams and inpatient units. We ask referrers to get in touch with the team in the first instance at DBTCAMHS@swlstg.nhs.uk. This service does not accept self-referrals from young people, parents or carers. 

Assessment/Consultation Process

Once we have received a referral, a young person will be placed on the waitlist for an initial consultation with the DBT team. At this consultation we will spend time with both the young person and their carers separately, to see whether we feel DBT could be a helpful fit at this time. If it is decided that DBT could be helpful, we will offer 4-6 sessions of pre-treatment, where the young person gets to know their therapist and the DBT model, and then decide whether or not they want to sign up to the full 8-12 months of treatment. If a Young Person decides to go ahead with treatment, they would enter the full treatment programme at that point or be discharged back to the referrer. 

 

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