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Neuropsychiatry and Brain Injury: Inpatient Service

How our service can help you

Our Neuropsychiatry Service manages the psychiatric complications of neurological and neurosurgical disorders, including epilepsy, Parkinson’s, memory disorders, brain tumours and functional neurological disorders (FND) among others.

Maintaining close links with the Institute of Psychiatry, Psychology and Neuroscience, our experts offer specialist assessments and evidence-based, patient-centred treatment options in a wide array of settings: outpatient, day hospital, inpatient, general hospital (liaison).

For an overview of our Neuropsychiatry Services - please visit: https:// https://slam.nhs.uk/service-detail/service/neuropsychiatry-services-274

  • Service Type: Adult Mental Health Services (National) Service Borough Covers: National (Adult services) Treatment type: Inpatient

  • Contact the service

    Site Location: Bethlem Royal Hospital Email: slm-tr.neuropsychiatryreferralhub@nhs.net Phone Number: 020 3228 2132 Fax Number: 020 3228 2137
  • Disabled Access:

    Yes
  • Address: Denis Hill 1
    Bethlem Royal Hospital
    Monks Orchard Road
    Beckenham,
    London,
    BR3 3BX
  • Business Hours/Visiting Hours:

    OPENING TIMES: 24-hour

    VISITING TIMES: 2 p.m.-8 p.m.

     

    • Other essential information

  • Conditions: Addictions, Anxiety, Attention deficit hyperactivity disorder (ADHD), Autism, Bipolar disorder, Body dysmorphic disorder (BDD), Childhood degenerative disorders, Conduct disorder, Dementia, Depression, Dissociative disorders, Eating disorders, Learning disabilities, Neuropsychiatry, Obsessive compulsive disorder (OCD), Perinatal disorders, Persistent physical symptoms, Personality disorders, Post-traumatic stress disorder (PTSD), Psychosexual, Psychosis, Self-harm

Eligibility criteria

 

  • Age: although primarily an adult service (18 to 65), referrals are considered on an individual basis
  • Symptoms and disorders: any identified or suspected psychiatric symptom (affective, psychotic, cognitive and others) resulting from a neurological and/or neurosurgical disorder, including nervous system complications of systemic disorders (HIV, systemic lupus erythematosus (SLE), Sarcoidosis, metabolic disorders and others)
  • Pre-operative assessments: we offer comprehensive psychiatric assessments for patients wishing to undergo deep brain stimulation and epilepsy surgery 

If uncertain, please email us on slm-tr.neuropsychiatryreferralhub@nhs.net.

Care Options

The Lishman Unit is a 15-bedded inpatient ward located at the Bethlem Royal Hospital. This is a specialist neuropsychiatry inpatient unit offering multimodal assessment and treatment by a multidisciplinary team of experts. 

We also have significant experience in complex discharge planning for patients who require ongoing care and support after leaving hospital. 

This is a national service which accepts referrals from the whole of England. Once referrals have been accepted, the team carries out a pre-admission assessment to determine suitability for admission. 

We generally admit two types of patient: 

  • Patients with severe functional neurological disorder (FND): We are one of very few specialist inpatient units in the UK who admit patients with severe disabling FND. Please be aware that because there are only a small number of such units nationwide, this service receives a very high number of referrals and the waiting time for admission is lengthy. The inpatient treatment programme involves multidisciplinary therapy input from a team comprising physiotherapy, occupational therapy, clinical psychology, and speech and language therapy, in addition to medical and nursing input. Admissions typically last 12 weeks, though this can vary.
  • Patients with neurological disease or damage who require complex neuropsychiatric treatment and/or neurorehabilitation: Mostly these are patients who have sustained an acquired brain injury (ABI) but we also take patients with neurological conditions (for example, Parkinson’s disease, multiple sclerosis, post-encephalitis) when these conditions are associated with cognitive problems or other psychological issues. Many of these referrals come from other hospitals and we are usually able to admit these patients within two to three weeks. The unit does not usually admit patients with severe alcohol-related brain damage (ARBD) as these patients generally require slower-stream rehabilitation. 

We also occasionally admit unusual cases where diagnosis may be unclear. If you are unsure whether a particular patient is suitable for this unit, we are always happy to discuss cases. 

Locations and consultants

  • Bethlem Royal Hospital – Dr Nick Medford

Referrals

For Outpatient referrals, as well as enquiries for the Lishman Unit, please email slm-tr.neuropsychiatryreferralhub@nhs.net.

For general enquiries please call 020 3228 2437.

Our experts

Dr Alastair Santhouse:- Read more

Dr Biba Stanton:- Read more

Clare Grey: - Read more

Dr David Okai: - Read more

Dr Sotiris Posporelis: - Read more

Prof Laura Goldstein: - Read more

Dr Mary Summers:- Read more

Dr Nick Medford: - Read more

Paul Shotbolt: - Read more

Simon Harrison: - Read more

Dr Tim Nicholson: - Read more

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