Highly Specialist Clinical Psychologist

The Community CAMHS Directorate is located within South West London and St Georges Mental Health NHS Trust. The Trust is responsible for the provision of mental health services to the population of Wandsworth, Merton, Sutton, Kingston and Richmond as well as providing a range of specialist services to a set of wider, regionaland national catchment areas. Since a major reorganisation of CAMHS services in 2014, the CAMHS directorate has existed as locality Tier 3 teams based in each borough, and dedicated services for Eating Disorders, Neurodevelopmental Assessment, Complex Learning Difficulties, Multi-Systemic Therapy and Emergency Care. Teams are multi-disciplinary, with an evolving skill set. Skills evolution is led by expressed patient need, focusing on patient value, and developed via analysis of clinical outcomes. An electronic clinical record and information system (CYP IAPTUS) is in use. CYP CEDS provides out-patient and consultation services to children and adolescents experiencing an eating disorder and the associated range of mental health and developmental problems for all five CCGs that commission our services. CYP CEDS is a multi-disciplinary, integrated service with appointments-based outpatient treatment as well as additional more intensive interventions. The MDT comprises consultant and trainee psychiatrists, clinical nurse specialists, clinical psychologists, a counselling psychologist, family therapists, a creative therapist, a dietitian, and aconsultant paediatrician. The parameters of the service are defined by the 2015 Access and Waiting Time guidance, and the 2016 QNCC-ED standards, providing quick access to evidence-based therapies for all young people with an eating disorder in our catchment area. There are several additional interventions for Intensive Community Care that continue to be developed, to supplement the core pathways for those who most need it. These include brief paediatric admission mainly to St Georges Hospital with close liaison support, crisis or assessment-focussed home outreach, and Tier 4 in-reach.