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How to refer to national deaf CAMHS

National Deaf CAMHS - Inpatient Service (Corner House)

Corner House is a six-bed national specialist assessment and treatment unit for deaf children and adolescents aged between 8 and 18, with severe complex emotional and psychological problems.

Referrals can be made by a range of services including CAMHS, paediatricians, audiologists, social services, schools, GP's and national deaf outreach service.

We encourage telephone contact to discuss potential referrals. Following this a referral form is completed and sent via post / fax or secure e-mail to the unit.

The unit is commissioned by NHS England and referrals are accepted from within the UK. For referrals outside England funding will need to be agreed with the local team prior to admission.

National Deaf CAMHS - Community and outpatient service (London)

Children can be referred by anyone in  contact with the child, such as a teacher, social worker, GP or the parents themselves.

However, a referral can only be made if the parent or guardian is fully aware of the referral and has given their consent.

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.

National Deaf CAMHS - Community and outpatient service (Cambridge/East of England)

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

However, a referral can only be made if the parent or guardian is fully aware of the referral and has given their consent.

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

National Deaf CAMHS - Community and outpatient service (Kent)

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

However, a referral can only be made if the parent or guardian is fully aware of the referral and has given their consent.

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

performance and governance

What are OCD and BDD?

Obsessive Compulsive Disorder (OCD) and Body Dymorphic Disorder (BDD) are conditions that effect about a million children and adults.  They can cause great distress for both sufferers and their family and friends. Although they are often linked together they are in fact different conditions.

What is Obsessive Compulsive Disorder?

OCD causes a person to have irrational thoughts known as ‘obsessions’.  These are often triggered by stress and depression. To try and deal with the anxiety associated with the obsession, repetitive actions or ‘compulsions’ are performed. Some people only suffer from obsessions, whilst others suffer from a mixture of both obsessions and compulsions. Whilst many people have minor obsessions which form part of their personality, there are severe forms of the condition.

Actions associated with OCD are a response to obsessional fears, so for example the compulsive rituals (washing hands etc) help people have ‘safe’ thoughts and in the short-term reduce anxiety.

Obsessional fears don't always lead to compulsive rituals; instead they can cause intense fear of an outcome. Obsessions may be about violence, contamination, sexuality or accidental injury.

Obsessions are irrational and not reflective of usual behaviour or values. Normal thinking is affected which can be very upsetting and obsessive thoughts can be overpowering, taking up hours of time. Such thought patterns are hard to break and it is not uncommon to seek regular assurances.

Different diagnosis and treatment options

OCD treatment often involves cognitive behavioural therapy (CBT) and OCD medication. A structured programme tailored to the specific problem will be designed after a consultant psychiatrist and trained therapist have carried out an assessment. Treatment depends on the seriousness of the condition.

What is BDD?

Body Dysmorphic Disorder (BDD) describes a disabling preoccupation where a person becomes overly concerned with perceived defects or flaws in appearance.

It is recognized as a hidden disorder as many people with BDD are too ashamed to reveal their main problem. Surveys put BDD at about 2% of the population. It is more common in adolescents and young people. We know very little about cultural influences in BDD – for example, it may be more common in cultures that put an emphasis on the importance of appearance. In the West, it is equally common in men and women although milder BDD may be more common in women.

Books and self-help guides

Dr Lynne Drummond has published a number of books for healthcare professionals on OCD and BDD. Her most recent publication, Obsessive Compulsive Disorder All You Want to Know about OCD for People Living with OCD, Carers, and Clinicians was published by Cambridge Press/Royal College of Psychiatrists in August 2018.www.cambridge.org/drummond-ocd

The OCD workbook: your guide to breaking free from obsessive compulsive disorder, Hyman, B and Pedrick, C (2005),  New Harbinger Publications, Oakland CA. (A guide through exposure response prevention for adults and adolescent patients and advice for families.)

Overcoming obsessive compulsive disorder, Veale, D and Wilson, R (2005), Constable and Robinson, London

(A self-help guide using cognitive behavioural techniques.)

 

Mental Health Concern’s rehabilitation and recovery nursing services have no specific exclusion criteria, as each referral is assessed on its own merit. The inclusion criteria states that the referred person must:

  • have a complex mental health problem
  • have potential to engage in a recovery-focused rehabilitation programme
  • require 24 hour specialist mental health nursing care
  • be over 18 years of age
  • be a resident of the service’s local CCG (unless agreed with locality CCG commissioning manager)

As long as these criteria are met, any co-existing issues such as substance misuse or learning disability will not exclude the person from the service.

Through clinical assessment and MDT liaison, a decision is made as to whether the service can meet the person’s identified needs, and whether this level of specialist 24-hour care is required.

 

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