How our service can help you
We offer assessment, interventions, consultation and second opinions
about neuropsychiatric disorders. We have close links with other teams
within the Trust and the Institute of Psychiatry, and have clinical and
research expertise at an international level.
- Service Type: Child and Adolescent Mental Health Services (National and Specialist) Service Borough Covers: National (Child and Adolescent services) Treatment type: Outpatient
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Contact the service
Site Location: Maudsley Hospital Fax Number: 020 3228 2547 -
Disabled Access:
- Wheelchair accessible building
- Ground floor therapy rooms
- Accessible toilets on all levels
- Lift access to the 1stfloor.
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Address:
Michael Rutter Centre
Maudsley Hospital
De Crespigny Park,London, SE5 8AZ - Business Hours/Visiting Hours: Monday to Friday, 9am to 5pm
- Conditions: Attention deficit hyperactivity disorder (ADHD), Childhood degenerative disorders, Conduct disorder, Neuropsychiatry, Persistent physical symptoms, Self-harm
Other essential information
More Info
Neuropsychiatry is a specialty dealing with conditions that have neurological and psychiatric component. This multidisciplinary service is a neuropsychiatry service for young people (up to 18 years old) and our experience is mostly with young people who have (or may have) complex neurodevelopmental or psychiatric difficulties associated with neurological conditions.
Our team puts multi-disciplinary perspectives at the core of our work. We offer multi-disciplinary assessment, interventions, consultation and second opinions about psychiatric and neurodevelopmental disorders in children and young people. Our service includes the following disciplines:
- Child and adolescent psychiatry
- Clinical Psychology
- Specialist occupational therapy
- Speech and language therapy
- Specialist teacher
Our service does not include paediatrics or paediatric neurology. We have close links with other teams within the Trust, King’s Health Partners and the Institute of Psychiatry Psychology and Neuroscience (IoPPN), and have clinical and research expertise at an international level.
Our team specialises in disorders of attention, including ADHD, challenging behaviours (severe aggression, defiant behaviour and self-injury) in the context of a neurodevelopmental or associated complex psychiatric disorder. This includes psychiatric complications of neurological conditions and genetic disorders.
We provide advice on psychotropic medication use in neuro-developmental or neuro-psychiatric conditions, cognitive and neuropsychology functioning, adapted psychological interventions, occupational therapy, behaviour management and developing skills in young people with neurodevelopmental and neurological conditions, as well as educational advice.
If this was not what you were looking for:
The Neuropsychiatry team works together with SCAAND to see young people who have, or might have, neurodevelopmental disorders like autism, attention deficit hyperactivity disorder or intellectual disability with additional mental health or behaviour problems, as well as young people with psychological problems associated with head injury, functional conditions or genetic conditions. Our teams work together and refer between services as necessary.
This page relates to the specialist Neuropsychiatry and Challenging Behaviour team, which provides a specialist service funded for by local areas (clinical commissioning group (CCG) funded). Alternatively, for details of other CCG funded specialist teams for young people with other neurodevelopmental presentations, please see:
For information on the NHS England funded pathway for young people with complex autism presentations or with intellectual disability at risk of admission to hospital, please see:
Interventions
Our interventions include:
- Diagnostic and standardised assessments of developmental domains including cognitive abilities, attention, social communication, mental health and functional skills
- Psychiatric formulation and diagnosis
- Cognitive and neuropsychological assessment
- Motor, sensory and adaptive skills assessment
- Social communication and language assessment
- Physical examination with an emphasis on neurological examination
Individually tailored care planning and interventions:
- Psychoeducation for parents and the young person
- Behavioural management
- Medication management and advice in collaboration with local prescriber
- Cognitive behavioural therapy (CBT) adapted for neurodevelopmental differences.
- Sensory Integration recommendations and intervention
- Specialised speech and language intervention
- Educational advice and consultation
- Individualised emotional literacy
- Care planning and liaison with local services
Eligibility criteria
- Children and young people below 18 years of age
- Male or female
- Subject to whether local service pathways have been exhausted, as appropriate, different assessment pathways within the service may be followed
- Known to the local child and adolescent mental health services (CAMHS) or paediatrics service (as appropriate) who agree with the referral to a specialist team and can advise on local risk management procedures
Known or possible diagnosis of a neuropsychiatric disorder, including:
- Attention deficit hyperactivity disorder (ADHD)
- Challenging behaviours
- Psychiatric complications of brain disorders
- Neuropsychiatric disorders with epilepsy
- Genetic disorders
Exclusion
- The presence of another psychiatric disorder or problem requiring more urgent assessment or treatment
- Child, young person or parent self-referral or primary care referral without the knowledge and agreement of local CAMHS or child health service
- 18 years or older, or the young person is unable to be seen until they are 18 years or older
- Inpatient assessment and management is not provided by this service
Outcomes
Our outcomes include:
- Better understanding of diagnoses, transdiagnostic traits and behaviours
- Reduced challenging behaviours including aggression, self-harm or inappropriate behaviours
- Greater parental confident in behaviour support and strategy use
- Better emotional literacy and regulation skills, leading to fewer emotional outbursts
- Improved understanding of sensory processing behaviours and needs
- Better participation at a developmentally appropriate level (in education or the community)
- Increased functioning where feasible including optimised academic attainment and adaptive skills
- Improved wellbeing and quality of life
Care Options
Our experts
Prof Emily Simonoff, Professor of Child and Adolescent Psychiatry
Dr Iris Rathwell, Consultant Psychiatrist
Dr Matthew Hollocks, Clinical Psychologist
Tina Bang-Andersen, Specialist Occupational Therapist
Dr Nicoletta Adamo, Consultant Child and Adolescent Psychiatrist
Dr Kevin Tierney, Principal Clinical Psychologist
Gillian Davies, Specialist Speech and Language Therapist
Dr Laura Wilby, NAS Specialist Autism Education Lead
Victoria Johnstone, Occupational Therapist
