Richmond Adult ADHD
Who we are
The Richmond Adult ADHD Service is based at Barnes Hospital and is a service for adults aged eighteen or over, who are registered with a Richmond CCG GP and who do not have a learning disability. It is an ADHD specific, non-urgent, part time service which, due to high demand, operates with a significant waiting list. We offer specialist assessment and diagnosis of ADHD, ADHD medication initiation and titration, focussed psychological work for ADHD (group based for the majority) and specialist medical review for those with an established diagnosis who are taking medication for ADHD. If medication is appropriate, following initiation and titration, once the medication is stable, the service operates on a shared care basis with Primary Care, such that monitoring and prescribing takes place in Primary Care (by the GP) with annual specialist review in the Richmond Adult ADHD Clinic. We do not provide care co-ordination, general mental health support or crisis response.
Who is the service for
Adults, aged 18 or over, who are registered with a Richmond CCG GP and who do not have a learning disability.
Conditions we treat
We cover the following conditions:ADHD
Where to find us
South Worple Way
Telephone: 020 3513 5000
Our opening hours
Monday - Friday 09.00 - 17.00
Who you might see / our staff
- Team Manager: Kariba Amachree
- Team Administrator: Brendan Sullivan
- Highly Specialised Psychologist: Azra Pervaiz
- Consultant Psychiatrist: Dr Shahab Tamuri
- Consultant Psychiatrist (Clinical Lead): Dr Maria McLauchlan
What you can expect
- All referrals received are screened and the outcome of this screening communicated to the referrer.
- Where an appropriate referral is made for an individual for diagnostic assessment, the individual is sent questionnaires; these form an important part of the assessment and also serve as a means by which the individual confirms their wish to proceed. Questionnaires must be completed and returned within the stipulated timeframe; failure to do so, without contacting us, results in discharge.
- When completed questionnaires are received the individual is added to the waiting list for face to face assessment with a clinician.
- If a diagnosis is made, treatment options are discussed; these include medication and psychological input – an individual will be added to the wait list of the appropriate clinician depending on the agreed plan for treatment.
- Medication is prescribed by a Psychiatrist and monitored from clinic during the initiation and titration phase. When medication is stable, a shared care agreement is set up with the GP, such that prescribing and monitoring takes place in Primary Care, with annual specialist review in the ADHD clinic.
- Psychological work is offered in a time limited group setting for the majority of people and delivered by our Highly Specialised Psychologist.
- Where referral is made for an individual who already has a diagnosis of ADHD, evidence is required of previous robust assessment. Without this, full re-assessment is required
- Where there is evidence of previous robust diagnosis, an individual is offered medical review with a Psychiatrist in the ADHD clinic in the first instance, treatment options are then considered and progress through the treatment pathway is as above.
Referrals are made via Kingston and Richmond Assessment Team.