Gos Prospectus Dec 2013final

GREAT ORMOND STREET AND ROYAL LONDON HOSPITALS
HIGHER TRAINING SCHEME IN CHILD AND ADOLESCENT

PSYCHIATRY
PROSPECTUS
OVERVIEW OF ROTATION
The Great Ormond Street/Royal London hospitals higher training scheme in Child and Adolescent
Psychiatry is the largest scheme in London and one of the largest in the UK, ith the e!"i#alent of $%
f"ll&time posts' (t offers a ide range of training opport"nities across Central, )orth and *ast London,
as ell as one post in +est London' There are a large n"m,er of -o,s a#aila,le in general CA./S,
adolescent mental health teams, paediatric liaison, inpatient "nits, as ell as a n"m,er of specialist
posts, incl"ding ne"rode#elopmental disorders and eating disorders' The training allos the
opport"nity to gain e0perience across all areas of the c"rric"l"m, incl"ding core conditions in child
and adolescent psychiatry, as ell as e0perience of psychopharmacology and a range of
psychological therapies' The scheme also co#ers an area ith an ethnically di#erse pop"lation,
alloing trainees to gain e0perience of or1ing ith children and families from a ide #ariety of social
and c"lt"ral ,ac1gro"nds'
To Training Programme 2irectors 3TP2s4, 2r 5on Goldin and 2r Rafi1 Refaat, o#ersee the scheme'
6o"r ed"cational s"per#isors s"pport them7 trainees are allocated to an ed"cational s"per#isor ho
o#ersees their training, meeting together on a termly ,asis' The ed"cational s"per#isors s"pport
trainees to identify and achie#e their learning o,-ecti#es, ens"re they meet the needs of the
c"rric"l"m ,y the end of their training, and de#elop their areas of interest ithin the field' (n addition,
each trainee ill ha#e a clinical s"per#isor for each post' There is also a Training Committee ho
meets on a monthly ,asis ith the TP2s, ed"cational s"per#isors and trainee reps to ens"re ongoing
high !"ality training across the rotation'
$
TEACHING
Teaching is acti#ely enco"raged across the scheme and all posts offer opport"nities to gain teaching
e0perience, incl"ding to medical st"dents on placement as ell as teaching seminars and lect"res to
a ide range of a"diences'
RESEARCH AND AUDIT
Pro#ision and training is made for all trainees to complete the re!"ired c"rric"l"m competency of a
literat"re re#ie of a p",lisha,le standard ithin their first year' 6olloing this, all trainees are
enco"raged to participate in a research pro-ect to de#elop their research interests and s1ills and are
alloed dedicated research time, "s"ally one day per ee1' All posts are s"ita,ly timeta,led to allo
for this altho"gh the choice of day ill ha#e to ,e made ith the trainee8s clinical s"per#isor' The
scheme has a Research Coordinator 32r Tr"die Rosso"4, ho ta1es an o#er#ie of all trainees9
research e0perience across their training' Trainees ill also ha#e a research s"per#isor for their
indi#id"al pro-ects' (n con-"nction ith their clinical s"per#isor and training programme directors
trainees may choose, after completion of their literat"re re#ie, to "tili:e allocated research time for
other str"ct"red clinical e0periences'
ONE DAY SPECIALIST PLACEMENT OPPORTUNITIES
The training committee has identified a n"m,er of opport"nities that trainees may li1e to "tili:e if they
choose not to p"rs"e f"rther research'
2r /elen ;r"ce, Toer /amlets CA./S
)e"rode#elopmental training
Teaching opport"nities
2r ;irgit +estphal, Royal London /ospital
Paediatric Liaison and/or )e"ropsychiatry
Sit in ith -oint )e"ropsychiatry Clinics 3ith one of the Cons"ltant Paediatric )e"rologists4,
Participate in ard ro"nds
Re#ie head in-"ry and )e"ro&Reha, patients
2epending on the SpR8s training needs, the day can incl"de additional Paediatric Liaison
cases ith other paediatric specialties
2r Rafi1 Refaat, Co,orn Adolescent (npatient Unit )eham
(npatient e0perience7 psychopharmacology, mental health act, clinic leadership and or1ing
ith netor1s
2r Tr"die Rosso", ;roo1side Adolescent Unit
<
;roo1side offers inpatient e0perience and the "s"al that it entails, e'g' ./A assessment, ris1
assessment and management etc', ,"t also e0perience in emerging P28s and in .;T as ell
as participation in the ;roo1side research st"dy
2r .argaret 2e5ong, Great Ormond Street
= month placement in CCCT 3Th"rsdays4 to complete a co"rt report and learn a,o"t child
protection
Assessment and Treatment Team 3T"esdays4 to de#elop competencies in assessment and
treatment of children ith a ,ac1gro"nd of early tra"ma, maltreatment and neglect
)eham C6CS can offer the folloing special interest days
L2 incl"ding Child 2e#elopment Clinic
AS2 incl"ding Child 2e#elopment Clinic
Adolescent e0perience incl"ding >o"th Offending Team
Perinatal Parent&(nfant .ental /ealth Ser#ice 3PP(./S4
A Tier ? mental health ser#ice in )*L6T in the @ ,oro"ghs of +altham 6orest, ;ar1ing A
2agenham, Red,ridge and /a#ering
+altham 6orest 6ast Trac1 Team
The 6ast Trac1 Team is a specialist ser#ice ithin the main +altham 6orest C6CS that
pro#ides specialist inp"t for Loo1ed After Children of the ;oro"gh of +altham 6orest' The
ser#ice is f"nded directly ,y the Local A"thority'
LEADERSHIP OPPORTUNITIES
Trainees are enco"raged to ta1e on increasing managerial responsi,ilities in preparation for their
f"t"re role as Cons"ltants, incl"ding chairing meetings and CPA re#ies, as ell as the opport"nity to
attend senior management meetings ithin indi#id"al Tr"sts and shado Cons"ltants' (t is orth
noting that in recent years trainees from o"r rotation ha#e ,een partic"larly s"ccessf"l in o,taining
some of the most so"ght after Cons"ltant posts once they ha#e o,tained their CCT'
ST@&=s are also enco"raged to ta1e on trainee representati#e roles d"ring their training' The c"rrent
str"ct"re incl"des a lead rep, #ice rep, academic rep, rota rep and social rep' These are elected ,y
the trainee gro"p on an ann"al ,asis' The rep roles incl"de liaison ,eteen the trainee gro"p and the
Training Programme 2irectors 3TP2s4 and Training committee, and in#ol#es attending monthly
Training Committee meetings'
ACADEMIC PROGRAMME
All trainees attend a ee1ly academic programme' This is organised on a termly ,asis ,y the
academic rep in liaison ith the Training Committee' The programme co#ers a f"ll range of topics in
accordance ith the national c"rric"l"m in child and adolescent psychiatry' The teaching ta1es place
on +ednesday afternoons, "s"ally at the (nstit"te of Child /ealth 3(C/4' The scheme has the ,enefit
?
of a n"m,er of specialists ho are a,le to teach on 1ey topics' Once a month there is a facilitated
BReflecti#e Practice8 Gro"p, hich is attended ,y all SpRs'
ON-CALL RESPONSIBILITIES
Trainees co#er an on&call rota in Child and Adolescent Psychiatry co#ering a ide area and a range
of AA* departments across *ast London, incl"ding /omerton /ospital, Royal London /ospital,
)eham General /ospital and +hipps Cross /ospital' Co#er is also pro#ided to se#eral yo"ng
people9s inpatient "nits, incl"ding the Co,orn Centre 3)eham4, Simmons /o"se 3/ighgate4,
;roo1side 3Goodmayes4 and the .ildred Crea1 Unit 3Great Ormond Street /ospital4'
ST@&=s are non&resident and pro#ide <nd on&call co#er, offering ad#ice to CT$&?s on&call' A
Cons"ltant Child and Adolescent Psychiatrist is a#aila,le for ad#ice at all sites' (n addition, gro"p on&
call s"per#ision ta1es place on a monthly ,asis' Trainees are on&call on appro0imately a $7$C ,asis,
altho"gh this may #ary ,eteen $ in $D and $ in $%, and c"rrently recei#e $c ,anding 3<DE4 in all
posts, ith the e0ception of s"pern"merary posts'
(n addition, most posts ill incl"de co#er of a daytime d"ty rota, incl"ding management of psychiatric
emergencies and participation in a paediatric liaison ser#ice'
As a res"lt, trainees ill gain good e0perience of managing emergencies in child and adolescent
psychiatry thro"gho"t their training, ,oth directly and thro"gh offering ad#ice and s"per#ision to -"nior
trainees'
L(ST O6 POSTS O) T/* ROTAT(O)
GENERAL CAMHS & ADOLESCENT MENTAL HEALTH TEAM POSTS
Hackney
$4 +ood,erry 2on C6CS and City A /ac1ney Adolescent .ental /ealth Team 3A./T4
<4 /omerton Ro C6CS
@
Tower Hamlets
?4 CA./S *ast Team
@4 Paediatric Liaison Team 3PLT4 and CA./S +est Team
C4 Adolescent .ental /ealth Team 3A./T4
Newham
=4 )eham C6CS
%4 Adolescent .ental /ealth Team 3A./T4
Waltham Forest
F4 +altham 6orest C6CS
Havering
G4 /a#ering C6CS, Raphael /o"se
Ealing
$D4 Paediatric Liaison Team, +indmill Lodge and *aling CA./S
INPATIENT POSTS
$$4 ;roo1side Adolescent Unit, Goodmayes )orth *ast London 6o"ndation Tr"st
$<4 .ildred Crea1 Unit, Great Ormond Street /ospital
$?4Co,orn Adolescent (npatient Unit, )eham
$@4Simmons /o"se Adolescent Unit, +hittington /ealth )/S Tr"st
SPECIALIST POSTS, GREAT ORMOND STREET HOSPITAL
$C4 Social Comm"nication 2isorders Clinic 3SC2C4
$=4 6eeding 2isorders Team
$%4 *ating 2isorders Team 3*2T4
C
$F4 Child Care Cons"ltation Team 3CCCT4 Team A Assessment and Treatment Team 3ATT4
$G4 Psychological .edicine
2*SCR(PT(O) O6 ()2(H(2UAL POSTS
CHILD AND FAMILY CONSULTATION SERVICE (CFCS) AND
ADOLESCENT MENTAL HEALTH TEAM (AMHT) POSTS
HACKNEY
1) WOODBERRY DOWN CFCS AND CITY & HACKNEY
ADOLESCENT TEAM
Team Desri!tion"D#ties
A$$ress% 5ohn Scott Centre, Green Lanes, London )@ <)U Tel7 D<D FFDG CC%%
S#!ervisors% Glenda *ric1sen 3A./T4 and 5enny Par1er 3C6CS4
CFCS% Thro"gh assessment and management of children presenting ith a #ariety of presentations,
the post&holder can gain a ,road e0perience of the entire c"rric"l"m' (ndi#id"al clinicians manage
most cases, ,"t there is close m"lti&disciplinary s"pport thro"gh reg"lar team meetings ith
opport"nities for cons"ltation ,y professionals from other disciplines hen appropriate' The trainee
can gain e0tensi#e s1ills in the management of ne"ro&de#elopmental disorders 3e'g' A2/2, AS24,
,eha#io"ral diffic"lties in children "nder C, ne"rotic and affecti#e disorders and many others' There is
ample opport"nity to de#elop close lin1s ith colleag"es or1ing in schools and children8s social care
to ens"re that a m"lti&faceted and comprehensi#e approach is ta1en to the management of the child
and family'
A&HT% +or1ing ithin the Adolescent .ental /ealth Team affords the post&holder the opport"nity to
or1 in close cons"ltation ith many other colleag"es' .any of the yo"ng people managed ithin this
ser#ice ha#e care coordinators and so liaison ith them is important' The post&holder ill gain s1ills in
the psychiatric re#ie of adolescents ith ma-or mental illnesses, appropriate prescription and
monitoring of medication, psycho&ed"cation and management of ac"te crises' +ee1ly meetings
ens"re that yo"ng people8s care is properly tho"ght thro"gh and reg"lar peer s"per#ision in systemic
=
therapy, dynamic psychotherapy and C;T helps to pro#ide other insights' As part of their time ithin
the adolescent mental health team, the post&holder ill ha#e the opport"nity to or1 closely ith the
>o"th Offending Team and help in the assessment, diagnosis and management of yo"ng people ith
mental illness ho ha#e committed crimes'
Other D#ties%
+ee1ly participation in the emergency co#er / deli,erate self harm rota
Participation in "rgent allocation rota for cases that need to ,e seen ithin a ee1
O!!ort#nities 'or other linial e(!eriene%
C;T Case
(ndi#id"al psychotherapy case
6amily Therapy Clinic
Child 2e#elopment Clinics
L2 clinics
Researh"a#$it o!!ort#nities%
Acti#e a"dit programme
Attendance at local A"dit Gro"p meetings
+or1load appropriate to allo for research $ day/ee1
&anagement o!!ort#nities%
Leading team meetings
Attending management gro"p meetings
)oation"Travel%
Hery short al1 from .anor /o"se Station 3Piccadilly Line4
2) HOMERTON ROW CFCS
A$$ress% /omerton Ro >o"ng People8s Centre, /omerton Ro, London *G' Tel7 D<D? <<< C=DD
S#!ervisor% 2r .os"n 2org"'
Thro"gh assessment and management of children and adolescents presenting ith a #ariety of
presentations, the post&holder can gain e0perience across the spectr"m' Altho"gh indi#id"al clinicians
manage most cases, there is close m"lti&disciplinary s"pport thro"gh reg"lar team meetings ith
opport"nities for cons"ltation ,y professionals from other disciplines hen appropriate' The post&
holder can gain e0tensi#e s1ills in the management of ne"ro&de#elopmental disorders 3e'g' A2/2,
AS24, ,eha#io"ral diffic"lties, ne"rotic and affecti#e disorders and many others' (n partic"lar the post
%
entails e0pos"re to comple0 cases from di#erse ethnic ,ac1gro"nds' There is ample opport"nity to
de#elop close lin1s ith colleag"es or1ing in schools and children8s social care to ens"re that a
m"lti&agency and comprehensi#e approach is ta1en to the management of the child and the family'
Other D#ties%
+ee1ly participation in the emergency / deli,erate self harm rota co#ering the AA*
department and paediatric ard at /omerton /ospital
Participation in "rgent allocation rota for referrals that need to ,e seen ithin a ee1
C;T Case
Child 2e#elopment Clinics
Parent Training Programme I gro"p e0perience
L2 e0perience
Attendance at clinics ith the CA./S L2 team
Special interest a#aila,le at a Special School 3Se#ere and Profo"nd L2 I (c1,"rgh School4
Attendance at local A"dit Gro"p meetings
+or1load appropriate to allo for research $ day/ee1
Attending management team meetings
)oation"Travel%
*asily accessi,le from /omerton Station 3O#ergro"nd4
TOWER HA&)ETS
3) PAEDIATRIC LIAISON TEAM (PLT) !" CAMHS WEST
Team Desri!tion"D#ties Pae$iatri )iaison Team
A$$ress% )e ;"ild, Le#el =, Royal London /ospital, London *$ $;;' Tel7 D<D ?CG@ D@D%
S#!ervisor% 2r ;irgit +estphal
F
;art8s and The London Children8s /ospital treats more than @D,DDD yo"ng patients per year' Ser#ed
,y London8s air am,"lance, it is London8s leading tra"ma and emergency care centre' The Children8s
hospital pro#ides tertiary ser#ice consisting of << paediatric s",specialties'
The Paediatric Liaison Team 3PLT4 is located on le#el = ithin the Children8s /ospital and recei#es
appro0imately =CD referrals per year' The trainer, 2r' ;irgit +estphal, leads a team of % .2T
mem,ers, ho pro#ide a specialist CA./ Ser#ice for in& and o"t&patients "p to their $F
th
,irthday'
The team consists of7 a Cons"ltant Clinical Psychologist, a Clinical )e"ro&Psychologist, < Clinical
Psychologists, $ Clinical )"rse Specialists, a CA./S&Social or1er and a ;i&ling"al co&or1er'
."ltidisciplinary disc"ssions a,o"t patient management ta1e place in ee1ly meetings of the
respecti#e specialtiesJ partic"larly ell esta,lished are the )e"rology&, Gastroenterology&,
/aematology&, *ndocrinology& 32ia,etes clinic4, Oncology&, C6&, Retino,lastoma& and AA*&
Psychosocial meetings'
There are Tier @ specialist .2T clinics s"ch as the 6eeding Clinic 3ee1ly4, a )e"ro&Psychiatry Clinic
3fortnightly4 as ell as the Comple0 *pilepsy&, 2ia,etes, C6, Gastroenterology clinics'
The Paediatric Liaison post is a specialist placement s"ita,le for STC and ST=' The trainee ill gain
clinical as ell as managerial e0perience "nder reg"lar s"per#ision of the trainer' (t in#ol#es pro#iding
Senior 2"ty co#er for the PLT < days per ee1, pro#iding s"per#ision for the d"ty or1er, ad#ising on
ac"te ris1 management of highly comple0 cases' The trainee also ta1es part in the $ in C -"nior doctor
daytime on&call rota'
Team Desri!tion"D#ties *reatore( Street Chil$ren an$ Yo#ng Peo!le+s Centre ,West Setor-
A$$ress% Greatore0 Street Children and >o"ng People8s Centre, $F Greatore0 Street, London *$
C)6' Tel D<D %@<= <?%C
S#!ervisor% 2r R"ma ;ose
This post incl"des < sessions in one of the pathays of the Greatore0 Street Children and >o"ng
People8s Centre' The decision a,o"t hich pathay ill ,e ,ased on the training needs of the
indi#id"al trainee and the timeta,le ill ,e ad-"sted accordingly' 6le0i,ility ill ,e e0pected according
to clinical needs'
There is a special opport"nity to consolidate s1ills in )e"ro&2e#elopmental assessments and
ne"rological e0amination as the trainer has a ell&esta,lished or1ing relationship ith the )e"rology
team and ,oth teams s"pport e0change of s1ill training for their higher trainees'
G
The Royal London /ospital is a teaching hospital lin1ed ith K"een .ary Uni#ersity London and ith
close lin1s to the UCL academic "nit' There are opport"nities to participate in clinical research and
riting case reports'
The trainee in the Paediatric Liaison Team ill gain e0perience in management and treatment of
patients ith a ide #ariety of psychiatric presentations in the conte0t of medical illness as ell as
medically "ne0plained symptoms' 2"e to the trainer8s special interest, the trainee ill gain partic"lar
management e0perience of patients ith tra"matic and ac!"ired ,rain in-"ry at all stages of their
pathay from AA* to 3P4(CU, ac"te& and long term m"ltidisciplinary )e"ro&Reha,ilitation' This
incl"des ad#ising Paediatricians on Psychopharmacological .anagement'
The trainee ill gain s1ills in riting psychiatric assessment reports, "nder s"per#ision of the trainer'
Appro0imately CDE of referrals are from o"tside Toer /amlets and re!"ire a comprehensi#e report
ith clear management recommendation and sometimes f"rther cons"ltations to the local CA./&
ser#ices or to the long term )e"ro&reha,ilitation Unit in Tadorth'
There are a #ariety of f"rther managerial opport"nities s"ch as getting acti#ely in#ol#ed in ser#ice
de#elopment, ,"siness plan design and managing and e#al"ating !"ality A o"tcome meas"res' The
trainee ill gain an "nderstanding of principles of )/S managerial str"ct"res, generating f"nding,
commissioning str"ct"res' There is also the opport"nity to complete one of the reg"lar PLT a"dits'
Teahing o!!ort#nities%
Teaching .edical St"dents, .edical 5"nior 2octors 3partic"larly in AA*4, as ell as )"rsing Staff and
.2T mem,ers is a central part of this post'
#) TOWER HAMLETS CAMHS (EAST TEAM)
A$$ress% *man"el .iller Centre 3*.C4, $$ Gill St, *$@ F/K
S#!ervisor% 2r /elen ;r"ce 3additional Cons"ltant, 2r /anspeter 2orner /elp@U ser#ice4
The ST@&= post pro#ides ample opport"nity to co#er all of the generic, non&specialist CA./S clinical
competencies in this depri#ed and m"lti&c"lt"ral ,oro"gh of London' There is also e0perience in
emergency presentations gained thro"gh daytime d"ty rota co#ering Toer /amlets' The trainee ill
,e a,le to access a caseload rich in ne"rode#elopmental disorders, learning disa,ilities, s",stance
mis"se and "nder&C children' (n addition, there are timeta,led opport"nities to or1 ith specialist
$D
pathays7 /elp@U 3loo1ed&after children ser#ice4, A2OS clinic and family therapy clinic or1' The
trainee ill ,e ell s"pported to choose a caseload from the CDD referrals a year the clinic recei#es
that most s"its their training needs and learning o,-ecti#es' There are also ample opport"nities to gain
e0perience in Teaching, .anagement, A"dit and s"per#ised psychotherapy'
The team is a #i,rant, arm and highly e0perienced team of psychologists, psychotherapists,
psychiatrists, family therapists, n"rses, play therapists and social or1ers hich richly adds to the
training e0perience partic"larly in de#eloping the 1noledge and s1ills to or1 ith *d"cation,
Children Ser#ices and 5"stice system' There are opport"nities for line s"per#ision ith indi#id"al
disciplines as ell as -oining colleag"es on o"treach or1'
6ortnightly 6amily Therapy Clinic 3one&ay screen and #ideo4
C;T Case ith fortnightly s"per#ision
(ndi#id"al psychotherapy case ith s"per#ision
6ortnightly to sessions and family therapy or1shop ith Loo1ed After Children Team
3;ased in .ile *nd4
.onthly A2OS clinic
O"treach or1 in a #ariety of school settings, social ser#ices settings and Children8s and
Comm"nity Centres
Teahing%
This post is highly recommended for anyone 1een to p"rs"e a career in .edical *d"cation'
."ltiple opport"nities to teach from first year thro"gh to final year medical st"dents at ;art8s
and The London .edical School 3or1shops, lect"res, clinical s1ills, indi#id"al and gro"p4'
S"per#isor e0perienced in research and s"pporti#e of $ day/ee1 for research
S"per#ision in .anagement training and enco"ragement to ta1e on small pro-ects
Chairing team meetings
(n#ol#ement in de#eloping care pathays
Attending management and clinical go#ernance gro"p meetings
)oation"Travel%
5"st off Commercial Rd/*ast (ndia 2oc1 Road
C min"te al1 from 2LR station 3+estferry 2LR and Limeho"se 2LR4'
."ltiple ;"s lin1s to local t",e stations7 .ile *nd, ;ethnal Green, /ac1ney, Aldgate, Aldgate
*ast
$$
$) CAMHS WEST TEAM
A$$ress% Greatore0 Street Children and >o"ng People8s Centre, $=&$F Greatore0 Street, Toer
/amlets *$ C)6
Tel7 D<D %@<= <?%C
S#!ervisor% 2r Re,ecca Adams
The Greatore0 Street Children and >o"ng People8s Centre has a team of C psychiatric social or1ers,
? child psychotherapists, < child psychotherapist trainees, $ clinical psychologist, < family/systemic
therapists, < clinical n"rse specialists, a ,i&ling"al co&or1er, < cons"ltant child psychiatrists, a core
psychiatric trainee and a higher specialist trainee'
The clinic recei#es CDD referrals per year' (n addition to the assessment and treatment of children and
families from +hitechapel, Stepney and ;ethnal Green 3*$ and *<4, the centre pro#ides cons"ltation
and liaison ith a n"m,er of ser#ices in health, ed"cation and social care' The Centre has an
o"treach role, ith team mem,ers pro#iding cons"ltation in a #ariety of school settings, social care
settings and Children8s Centres' There are also opport"nities to or1 ith the >o"th Offending Team'
The ser#ice has recently ,een restr"ct"red into a n"m,er of care pathays hich are config"red
aro"nd distinct areas of clinical need and all of hich the ST@&= o"ld ha#e an opport"nity to ,e
in#ol#ed in' The trainer has a special interest in psychotic and ,ipolar disorders, and leads the
Psychosis and ;ipolar Care Pathay, and in forensic presentations ithin a CA./S setting'
Teahing%
Teaching in a #ariety of settings is central to the clinic' Opport"nities e0ist for teaching at the
medical school 3;art8s and the London4 and the ST @&= is enco"raged to ,ecome in#ol#ed in
the teaching programme'
.edicine in Society st"dents as ell as medical st"dents on special st"dy mod"les are
reg"larly ,ased in the clinic'
The ser#ice r"ns a CA./S 6o"ndation Co"rse pro#iding m"ltidisciplinary training for Tiers $
and <'
The centre ma1es "se of its to one&ay screen and #ideo facilities for postgrad"ate training,
"ndergrad"ate teaching and peer s"per#ision in assessment and family therapy' (n addition to
a fortnightly academic slot there is a fortnightly psychotherapy or1shop, fortnightly C;T
s"per#ision gro"p and a ee1ly family therapy or1shop' There is also a termly rolling Bthree
modalities8 programme that co#ers each therape"tic modality in t"rn'
$<
As ell as reg"lar s"per#ision ith his/her trainer, s"per#ision in indi#id"al psychotherapy,
cogniti#e ,eha#io"r therapy, family therapy and cons"ltation is a#aila,le' The specialist
registrar ill ha#e an opport"nity to or1 ith all mem,ers of the clinic team and to recei#e li#e
s"per#ision'
2"ring the placement at Greatore0 Street, the specialist trainee, core trainee and cons"ltant
assist the paediatric liaison team and self harm team at the Royal London /ospital in pro#iding
emergency co#er for the Accident and *mergency department'
There are opport"nities to o,ser#e A2OS assessments'
Research and a"dit opport"nities may ,e accessi,le if so"ght'
Opport"nity to ,e the rota representati#e'
Attendance at ,"siness meetings'
Ta1ing on a ser#ice de#elopment pro-ect'
)oation"Travel%
CA./S +est is sit"ated in the heart of the +hitechapel area, #ery close to central London' (t is a
#i,rant area pop"lated ,y mainly people of ;angladeshi origin' CA./S +est is ell ser#ed ,y local
transport' (t is half ay ,eteen Aldgate *ast Station and +hitechapel station' There is also a
sec"re "ndergro"nd car par1 ith a limited n"m,er of par1ing spaces' The local area has a great
n"m,er of shops and cafes many of hich cater for ."slim diets' The *ast London .os!"e is also a
fe min"te al1 from Greatore0 Street'
NEWHA&
*eneral in'ormation regar$ing Yor. Ho#se !osts/ Newham
)eham is 1non for its considera,le ethnic di#ersity 3at the most recent cens"s it as the second
most ethnically di#erse ,oro"gh in London4, high indices of social depri#ation and an "n"s"ally yo"ng
pop"lation' The posts pro#ide e0cellent training co#ering common presentations in child and
adolescent psychiatry and also alloing for e0perience in more specialist areas' ;oth posts are ,ased
in >or1 /o"se and pro#ide some common training opport"nities as descri,ed ,elo'
A$$ress% >or1 /o"se, @$$ ;ar1ing Road, Plaisto *$? FAL Tel7 D<D %DCC F@DD
Clinical psychology/C;T Case
$?
(ndi#id"al psychotherapy case s"per#ised ,y one of the child psychotherapists
Systemic therapy case ith organised teaching in a s"per#ised trainees family therapy clinic'
C6CS enco"rages o#ert consideration of systemic iss"es, ithin all therape"tic conte0ts'
Paediatric Liaison
Emergen0 wor.
)eham C6CS operates a d"ty psychiatry rota ,eteen the ho"rs of G to C, on hich yo" ill
,e placed, and in hich yo" ill ,e s"pported ,y the CA./S d"ty liaison clinician 32LC & a
non&medical mem,er of staff from C6CS4' This means a ee1ly on&call for C6CS clients, and
for those emergencies at near,y )eham General /ospital 3)G/4, hich the 2LC and
yo"rself agree, re!"ire psychiatric inp"t' >o" are also sometimes re!"ired to co#er deli,erate
self&harm in yo"ng people presenting at )G/ ,eteen G and C'
+or1load appropriate for ta1ing $ day/ee1 for research
Teahing%
C6CS has a lead for st"dent medical ed"cation' There are ample opport"nities to teach, in
small gro"p and lect"re ,ased conte0ts' Some teacher training may ,e a#aila,le'
)oation"Travel%
)eham is ell ser#ed ,y p",lic transport' 3Canning Ton I 5",ilee and 2LR, Plaisto I
/ammersmith and City and 2istrict Lines4' There is permit free on street par1ing a#aila,le
near,y ith limited car par1ing spaces on site' There are sec"re ,icycle par1ing and shoer
facilities a#aila,le'
%) NEWHAM CFCS
S#!ervisor% 2r Graeme Lam,
The -o, pro#ides an e0cellent opport"nity to co#er all of the generic, non&specialist CA./S clinical
competencies' There are ade!"ate opport"nities for assessing a ide range of emergency
presentations' (n addition, there are timeta,led opport"nities to cond"ct specialist A2/2 or1 and
or1 ith loo1ed after children'
$@
*eneri Assessment Team% +or1ing ithin a m"ltidisciplinary team of psychologists, psychiatrists,
ed"cational psychologists, family therapists, n"rses and social or1ers' Cond"cting generic
assessments of all age gro"ps' *0cellent generic CA./S e0perience in a ,"sy, m"ltic"lt"ral area'
One assessment/ee1'
S!eialist ADHD assessment an$ treatment team% The team consists of cons"ltant psychiatrist,
ST@&= psychiatrist, CT$&? psychiatrist, to family therapists and a paediatrician' Specialist
assessments are cond"cted alone and ith other mem,ers of the team and the trainee is enco"raged
to attend school #isits' The trainee ill also manage a caseload of patient ith A2/2'
)oo.e$ a'ter Chil$ren Team% +or1ing in an e0perienced m"ltidisciplinary team' $0 meeting a month
offering psychiatric cons"ltation and assessment to loo1ed after children ithin the ,oro"gh of
)eham'
)D"ASD Team% 2epending on training needs, there is an opport"nity to spend to sessions a ee1
ithin the L2/AS2 team' This time can ,e "sed to pro#ide ,oth s"per#ised treatment e0perience and
a"tism assessments'
&) NEWHAM AMHT
S#!ervisor% 2r Georgina /a1es
The Adolescent .ental /ealth Team 3A./T4 at )eham Child and 6amily Cons"ltation Ser#ices
3C6CS4 manages adolescents ho ha#e ,een diagnosed ith se#ere mental illness 3e'g' psychosis,
eating disorders4, or ho c"rrently present a significant ris1 to themsel#es or others 3e'g' rec"rrent
self&harm4' This necessitates comple0, m"ltidisciplinary and m"ltiagency approaches and inp"t' As
s"ch, all mem,ers of the team ill ,e e0pected to operate as Care&Coordinators, and to operate
ithin the frameor1 of the Care Programme Approach 3CPA4' The e0ception to this is the
psychiatric mem,ers the team, ho ill not ro"tinely Care&Coordinate' The composition of the team
reflects the intensity and comple0ity of the or1, in that all A./T mem,ers are e0perienced
practitioners of their respecti#e disciplines, ith some ha#ing e0perience in more than one rele#ant
discipline' Represented ithin A./T are clinical psychology, psychiatric n"rsing, family therapy,
child psychotherapy, s",stance mis"se, yo"th offending team and psychiatry'
The generic assessment team 3of hich yo" ill also ,e a part4 has a similar mi0 of disciplines to the
A./T 3ith the e0ception of yo"th offending, and the potential incl"sion of Art Therapy4' The
f"nction of these teams are to filter and triage referrals, "nderta1e initial assessments of accepted
$C
referrals, and direct the yo"ng person and/or family to ser#ices 3"s"ally ithin, ,"t sometimes o"tside
C6CS4 that can meet identified and agreed needs'
WA)THA& FOREST
') WALTHAM FOREST CFCS
A$$ress% Thorpe Coom,e /ospital, Shernall Street, +althamsto, London' *$% ?*ATel% DF@@ =DD
$<@% Sitch,oard7 DF@@ =DD $<DD 6a07 DF@@&@G?&D<%%
S#!ervisor% 2r .ary ."rphy&6ord
The -o, pro#ides an e0cellent opport"nity to gain e0perience in a ,"sy tier ? CA./S ser#ice' The
team ser#es ethnically di#erse comm"nities 3especially T"r1ish, Afghani , and a #ariety of ref"gee
comm"nities4' The ST@&= ithin the team ill participate acti#ely in the in&ho"se d"ty rota, s"pporting
the Triage Team, co#ering emergency/ "rgent cases, and ne referrals that may re!"ire medical
inp"t'
."ltidisciplinary )e"rode#elopmental assessment clinic
A2/2 clinic
Loo1ed After Children e0perience
Parent&infant mental health ser#ice 3P(./S4
Paediatric Liaison
Ps0hologial thera!0 e(!eriene%
Psychotherapy long case ith s"per#ision
Under C case
C;T
6amily therapy or1shop
Teahing o!!ort#nities%
.edical st"dents
Paediatric trainees at +hipps Cross
6oster carer training
S"pporting Core Trainees
$=
)oation"Travel%
The team is located $D&$C min"tes al1 aay from +althamsto Central Station 3London
o#ergro"nd or Hictoria T",e & Lone ?4' 6rom there yo" can get a n"m,er of ,"ses that ill
ta1e yo" slightly 3or m"ch closer4 incl"ding the <$< and+$< ,"s thro"gh +althamsto Hillage
3also goes to +hipps Cross4'
To GOS/7 Hictoria line to Kings Cross and al1 or change for Piccadilly line and one stop to
R"ssell S!"are'
HA1ER2N*
() HAVERING CFCS, RAPHAEL HOUSE
A$$ress7 Hictoria Centre, Petits Lane, Romford R.$ @/P Tel7 D?DD CCC$$<@
S#!ervisor7 2r .anas Sar1ar
This -o, allos opport"nity to co#er all of the generic non&specialist CA./S clinical competencies'
There is plenty of e0pos"re to assessment, diagnosis, treatment and management of a ide range of
conditions ,"t ne"rode#elopmental 3A2/2 and AS24 in partic"lar as ell as affecti#e and ne"rotic
conditions' There is some emergency or1 e0perience thro"gh the clinic d"ty rota hich more
commonly in#ol#es clinic re#ies ,"t at times co#ering self harm or ac"te presentations to A and * or
Paediatric ard at K"eens /ospital'
The medical team incl"des to f"ll&time cons"ltants, a core trainee and a staff grade in addition to the
ST@&= trainee' There are also < child psychotherapists, < clinical psychologist 3one ith an interest in
L2 and AS24, < family therapists, se#eral n"rse therapists and a Primary .ental /ealth Team on site
comprising of C f"rther clinicians' There is also a Loo1ed after Children Team meeting on a monthly
,asis that elcomes inp"t from the trainee'
This is a ell esta,lished, friendly team co#ering the /a#ering area hich has an increasingly mi0ed
ethnic and socioeconomic demographic ,"t the ma-ority of clients are still Ca"casian *nglish
spea1ing' The senior staff are #ery s"pporti#e and readily a#aila,le ith respect to clinical s"pport'
They are also #ery fle0i,le and ma1e e#ery possi,le effort to allo st"dy or ann"al lea#e hen
re!"ested' (t is also orth mentioning admin staff are partic"larly good and s"pporti#e hich alays
ma1es life easier'
$%
The post is fle0i,le eno"gh to allo for the -o, plan to ,e tailored to the indi#id"al le#el of
e0perience/training needs of the post&holder'
O!!ort#nities 'or other linial E(!eriene%
6amily Therapy +or1shop & can hold on case "nder acti#e s"per#ision
Clinical psychology/ C;T Case
Lots of opport"nity for -oint or1ing of cases ith e0perienced .2T staff'
Teahing E(!eriene%
The ST@&= organises and pro#ides teaching for fo"r ;arts second year medical st"dents for
one afternoon per fortnight'
Acti#e tr"st a"dit programme
Attending local management meetings
Travel%
Clinic sit"ated in Romford $C min"tes al1 from the train station' The train ta1es <C min"tes
from Li#erpool St' There is free par1ing at the clinic, hich is -"st off the A$<'
EA)2N*
1)) PAEDIATRIC LIAISON TEAM AND EALING CAMHS
A$$ress7 $ Armstrong +ay, So"thall U;< @SA tel7 D<D F?C@ F$=D
S#!ervisor7 2r 5ohan Redelingh"ys
The paediatric Liaison Team 3PLT4 is ithin the CA./S ser#ices and is part of the +est London
.ental /ealth Ser#ices, *aling S2U' The team is closely lin1ed ith the *aling /ospital Paediatric
team'
*aling hospital is a ,"sy district general hospital pro#iding ac"te ser#ices for patients in the +est
London areas' *aling CA./S ser#e an ethnically di#erse comm"nity ith considera,le #ariation in
social and economic stat"s' @$E of local residents are from the ethnic minority gro"ps, mainly from
the (ndian s",&continent'
$F
The liaison team consists of cons"ltant child psychiatrist, psychiatry trainees 3CT$&? and ST@&=4,
mental health n"rse, family therapy and has admin s"pport'
Clinical d"ties7
Assessment and management of children and yo"ng people
+or1ing ith families, schools and Social ser#ices
+or1ing -ointly ith *aling Paediatric Teams
Training and s"pporting Paediatric Staff
+ee1ly -oint referrals ith case disc"ssions
5oint and indi#id"al case management
Teaching for 5"nior doctors, n"rses and medical st"dents
*mergency d"ty rota once/ee1
Researh"A#$it o!!ort#nities%
There are se#eral opport"nities a#aila,le for clinical a"dits'
A #ery s"pporti#e RA2 team is ,ased at the *aling .ental /ealth Tr"st /ead!"arters
3on site4'
INPATIENT POSTS
11) BROOKSIDE ADOLESCENT UNIT-GOODMAYES NELFT
A$$ress% ;roo1side Adolescent Unit, $D%a ;arley Lane, Goodmayes, *sse0 (G? FMK Tel7 D?DD
CCC$$C=
S#!ervisor% 2r Tr"die Rosso" 3Additional cons"ltant 2r Leon +ehnc1e4
;roo1side is a tier @ specialist inpatient "nit for adolescents' Referrals are normally from the greater
)orth&*ast London 6o"ndation Tr"st ,"t d"e to the facilities offered ,y a /igh 2ependency Unit and a
fast&de#eloping *ating disorder ser#ice, a lot of referrals are from o"t of area CA./S ser#ices' The
team is r"n on a m"ltidisciplinary model ith e0pertise and opport"nities from the f"ll complement of
disciplines ithin the team incl"dingJ Psychiatrists, )"rsing, *d"cation, Occ"pational therapy,
Psychology and 6amily Therapy'
$G
The post offers the opport"nity to ,e in#ol#ed in assessment and treatment of a ide #ariety of
presentations in a m"ltidisciplinary setting s"ch as AS2, L2, Psychosis, Personality disorders, .ood
disorders, Con#ersion disorders and *ating disorders
The team has e0pertise in the .;T 3mentalisation ,ased therapy4 model and offers the f"ll
therape"tic indi#id"al, gro"p and family inter#ention as one of its pathays'
The de#eloping inpatient and o"tpatient eating disorder ser#ice also offers an e0cellent opport"nity to
or1 ith these yo"ng people'
The "nit caters for yo"ng people ithin se#eral settings according to indi#id"al needs of the yo"ng
person
/igh dependency "nit
General inpatient "nit
2ay hospital
O"tpatient follo&"p
Other D#ties%
6acilitating gro"ps and therape"tic inter#entions
Liaison ith CA./S, schools, social ser#ices and other tier ? comm"nity ser#ices
Teaching programme for medical st"dents'
.entalisation ,ased therapy ,oth family and indi#id"al or1'
2"e to standardised assessment process of < ee1s the -o, offers a large data,ase for
possi,le research'
2r Rosso" is also a#aila,le for research s"per#ision'
Chairing CPA
2r Rosso", as medical director, can pro#ide e0cellent additional management e0perience'
)oation"Travel%
$D min ,"s ride from )e,"ry par1 t",e station3Central line :one @4
<D
C min ,"s ride/$D min al1 from Goodmayes o#erland rail station' Goodmayes is <D min"tes
on national rail from London Li#erpool street station and $< min"tes from Stratford
international t",e/rail station'
6ree safe sec"re par1ing'
12) SIMMONS HOUSE (*+,- A"./0120!, O3,402- T05)
A$$ress% Simmons /o"se (n&Patient Unit, +oodside A#en"e, London, )$D ?/U Tel7 D<D F<$G $FF?
S#!ervisor% 2r Lois Colling
The trainee ill or1 as one of = doctors in the "nit' < cons"ltants, < ST@&=s, < CT$&?s' >o"r
responsi,ilities incl"de day to day s"per#ision of CT$&? and re#ieing yo"r patients at least once a
ee1 depending on clinical need' >o" ill stand in for yo"r cons"ltant in meetings, ard ro"nds' >o"
ill also ,e the case manager for *mergency patients 3"s"ally one patient at a time4' This is a
demanding role that de#elops considera,le comm"nication s1ills managing comple0 patients as yo"
are the main point of contact for families and any other in#ol#ed agency'
A$olesent O#treah Team%
This gi#es e0cellent opport"nity for contin"ity of care across inpatient and comm"nity ser#ice as yo"
can or1 ith patients across ,oth sites'
Clinical psychology/C;T Case
Therape"tic inter#entions I gro"p therapies, staff s"pport gro"ps
Ample opport"nities for inpatient a"dit
(slington Li,rary r"ns free co"rses
Attending management gro"p meetings 3once a month4
)oation"Travel%
)orth London' /ighgate t",e' $D min"te al1 or < min"te ,"s ride 3@?,$?@4
<$
Other 3ene'its%
.eals are pro#ided on the ard' Staff ha#e access to the gym o"t of ho"rs'
13) COBORN ADOLESCENT INPATIENT UNIT
A$$ress7 Co,orn Adolescent (npatient Unit, Cherry Tree +ay, )eham' Tel7 D<D %C@D =%FG
S#!ervisor7 2r Rafi1 Refaat 3Additional Cons"ltant, 2r Cathy La#elle4
The Co,orn Adolescent (n&patient Unit is a Tier @ ser#ice offering assessment and treatment to
yo"ng people aged $< to $F years' (t pro#ides $< ac"te ,eds, ? P(CU ,eds and =&2ay places to the
*ast London )/S 6o"ndation Tr"st, incl"ding City and /ac1ney, )eham and Toer /amlets'
Referrals can also ,e accepted from other areas ,y agreement' The ser#ice ta1es "rgent referrals
and admits emergencies o"t of ho"rs' The m"ltidisciplinary team 3.2T4 pro#ides e0perience in the
assessment and treatment of a ide range of clinical disorders' Treatment incl"des
psychopharmacology, gro"p or1, family or1, ed"cation, indi#id"al psychological inter#entions and
creati#e therapies'
There is a large m"ltidisciplinary team consisting of7
< Cons"ltant Child and Adolescent Psychiatrists
ST@&= in Child and Adolescent Psychiatry
Clinical Ser#ice .anager 36"ll Time4'
( Cons"ltant Clinical Psychologists 36"ll Time4 and < psychologists 3f"ll time4'
? 5"nior 2octors7 c"rrently < CT$&? and $ 6><
Social +or1er 36"ll Time4'
)"rsing Staff 3+or1ing a @7@7? Shift Pattern4'
Teacher and Learning .entor
Occ"pational Therapist
Assistant Occ"pational Therapist
6amily Therapist
."sic Therapist 3part&time4
<<
Responsi,ilities and training opport"nities of the ST@&= incl"de the folloing7
To participate in assessment of referrals and decisions a,o"t s"ita,ility for admission'
Participating in assessment and treatment of adolescents ith se#ere mental illness, comple0
cases and co&mor,idity and managing ac"tely dist"r,ed patients in P(CU
To co&ordinate management of partic"lar cases'
To liaise ith and gi#e cons"ltation to other agencies 3e'g' comm"nity adolescent teams, other
specialist inpatient "nits4 hen appropriate in partic"lar cases'
Chairing rele#ant meetings, incl"ding ard ro"nd and CPA meetings, especially in the
a,sence of the Cons"ltant'
Assess and initiate applications for Sections < and ? of the .ental /ealth Act 3$GF?4 as
appropriate'
Attend .ental /ealth Act .anager8s Re#ie .eetings and Tri,"nal Re#ies as appropriate
Teaching e0perience7 Participate in organi:ation and deli#ery of teaching of .edicine in
Society medical st"dents from ;art8s and the London medical school, as ell as clinical
medical st"dents on placement' This incl"des assessment of these st"dents' The ST@&= is
responsi,le for organising the ee1ly academic programme in the "nit'
(nformal s"per#ision and s"pport to -"nior medical colleag"es'
Organisation of the Co,orn8s ee1ly academic programme for the .2T, incl"ding pro#iding
some teaching sessions
*0perience in psychological therapies7 There is a reg"lar ee1ly C;T s"per#ision gro"p'
There is also opport"nity to get e0perience in family therapy and .entalisation ,ased therapy'
Attendance at the daily "nit hando#er meetings ith the .2T
.anagement *0perience7 Attendance at ee1ly Operational .anagement Gro"p' There ill
also ,e opport"nities to shado the "nit8s Cons"ltants in #ario"s managerial d"ties in order to
gain e0perience of management'
Participation in the "nit8s programme of acti#ities, incl"ding ee1ly comm"nity meeting, case
disc"ssion gro"p, and mini&team meetings for more in&depth disc"ssion of comple0 cases
)oation"Travel%
)eham is ell ser#ed ,y p",lic transport' 3Canning Ton I 5",ilee and 2LR, Plaisto I
/ammersmith and City and 2istrict Lines4' A ,"s is re!"ired to get to the Co,orn Unit' There is a
good par1ing facility, hich is free'
<?
1#) MILDRED CREAK UNIT, GOSH
A$$ress% 6rontage ;"ilding, Great Ormond Street /ospital, Great Ormond Street, London +C$)
$5/
Tel7 D<D %@DC G<DD e0 FF?=
S#!ervisor% 2r 5on Goldin
The .ildred Crea1 Unit is a )ational Children8s8 (npatient Unit' (t has "p to $D children aged %&$C
years old' (t specialises in se#ere psychosomatic pro,lems and eating disorders ,"t also ta1es
children ith a ide range of other se#ere emotional/,eha#io"ral disorders and psychiatric conditions'
(t "ses a therape"tic milie" approach' The team incl"des7 a Cons"ltant Child Psychiatrist, a /igher
Trainee in Child and Adolescent Psychiatrist, a Core Trainee in Psychiatry, )"rses and Therape"tic
Care +or1ers, a Cons"ltant Child Psychotherapist, a Cons"ltant 6amily Therapist, a Senior 6amily
Therapist, a Clinical Psychologist, a Social +or1er, a Physiotherapist and a 2ietician'
The trainee normally or1s C sessions/ee1 on the .ildred Crea1 Unit and < sessions/ee1 in the
*ating 2isorder Ser#ice 3see specialist GOS/ posts information4 or % sessions/ee1 on the .ildred
Crea1 Unit, ith the option to spend time ith other teams in the department depending on training
needs'
As a Great Ormond Street /ospital post, yo" ha#e access to the opport"nities a#aila,le to all trainees
or1ing at GOS/ 3see specialist GOS/ posts information4'
(ndi#id"al psychotherapy case ith S"per#ision from Cons"ltant Child Psychotherapist
6amily therapy case, 6amily therapy or1shop and S"per#ision ith Cons"ltant 6amily
Therapist
C;T ith S"per#ision from e0perienced Clinical Psychologist
Case .anagement/Core team manager role of to cases at a time
<@
Participation in referral meetings and in#ol#ement in decisions aro"nd admission
Pre&admission assessments, incl"ding home #isits
Post discharge follo "p clinical or1/liaison ith professional netor1
Paediatric Liaison
A"dit opport"nities are a#aila,le
Chairing ard ro"nd/re#ie meetings hen Cons"ltant is on lea#e and at other times as
appropriate
SPECIALIST POSTS, GREAT ORMOND STREET HOSPITAL
*reat Ormon$ Street Hos!ital overview%
A$$ress% Great Ormond Street /ospital, Great Ormond Street, London +C$) $5/
(n addition to the .ildred Crea1 Unit, there are fi#e specialist teams at Great Ormond Street' There is
also a paediatric liaison ser#ice that all trainees ill pro#ide emergency co#er for'
All placements in#ol#e or1ing in more than one of the clinical teams' Altho"gh the e0act str"ct"re of
the placements on offer #aries from year to year according to clinical need, an indicati#e ,rea1don
of the placements is gi#en ,elo' (nformation regarding the indi#id"al teams is gi#en separately'
$' .ildred Crea1 Unit 3C sessions4/*ating 2isorders Team 3< sessions4
<' Social Comm"nication 2isorders Team 3C sessions4/6eeding 2isorders Team 3< sessions4
?' Psychological .edicine/Liaison 3C sessions4/CCC and ATT 3< sessions4
@' CCCT and ATT 3@ sessions4/*ating 2isorders Team 3? sessions4
Clinial O!!ort#nities availa3le to all !osts%
Paediatric Liaison7 Trainees co#er a rota pro#iding a liaison ser#ice to Great Ormond Street
hospital'
To"rette Clinic7 once a month 3$/< day4' Key competencies gained thro"gh this post
2e#eloping s1ills in ta1ing paediatric ne"rode#elopmental history
*0perience a range of ne"ropsychiatric disorders in childhood 3s"ch as A2/2, Tic
2isorders, and OC24
Ac!"isition of s1ills in the diagnosis and management of To"rette8s Syndrome and
other co&mor,id conditionsJ OC2, A2/2, an0iety disorders and O22
<C
Physical e0amination g"ided ,y the Pediatric )e"rologist
Co"rt reports7 There are opport"nities to gain e0perience of carrying o"t assessments and
riting a co"rt report "nder the s"per#ision of 2r .argaret 2e5ong'
Attending 2epartmental Senior .anagement .eeting
Attending cons"ltant and ST@&= meetings once a month thro"gho"t the year
Attending departmental moderni:ation meetings once a month
Great Ormond Street 2ocReps Committee
Organising the ee1ly m"ltidisciplinary academic programme
There are ample opport"nities for a"dit ith the department of child and adolescent mental
health and the rest of the hospital
All posts are str"ct"red to allo for one day/ee1 research
The posts are research acti#e and there are close lin1s ,eteen the clinical ser#ice and the
research "nit at the (nstit"te of Child /ealth
Other 3ene'its%
Great Ormond Street staff ha#e access to a s",sidised massage ser#ice' There is a ell s"pported
and f"nded, doctors9 mess that arranges reg"lar e#enings at pop"lar resta"rants, ,ars, cl",s and
holds ann"al ,alls and Christmas parties' (n addition the Post Grad"ate .edical *d"cation
2epartment r"n an e0cellent series of training sessions on teaching, management and leadership'
)oation"Travel% Great Ormond Street /ospital is located near to the centre of London' (t is ell
located for transport I the Piccadilly Line 3R"ssell S!"are4, .etropolitan, /ammersmith and City and
2istrict Line 3King8s Cross St Pancras4 and Central line 3/ol,orn4 and #ario"s ,"s ro"tes' (t is close to
good resta"rants and p",s'
1$) SOCIAL COMMUNICATION DISORDERS CLINIC (SCDC)
S#!ervisor% Prof 2a#id S1"se
The Social Comm"nication 2isorders Clinic is a national assessment ser#ice for children and
adolescents ith a"tism spectr"m disorders 3AS2s4' The team specialises in high f"nctioning a"tism
and sees children ith comple0 ne"rode#elopmental disorders' The ST@&= carries o"t ?2i
assessments, hich is a standardised instr"ment for assessment of AS2s that as de#eloped ithin
the clinic' (n addition, children ho attend the clinic ill ,e offered an A2OS and cogniti#e
<=
assessment' The team offer a cons"ltation ser#ice to local ser#ices and schools and also pro#ide a
treatment ser#ice ta1ing a psycho&ed"cation, cons"ltation and psychological therapy approach' The
team incl"des a n"m,er of disciplines7 a Cons"ltant Child and Adolescent Psychiatrist, a higher
trainee in Child and Adolescent Psychiatry, specialist Clinical Psychologists, Speech and Lang"age
Therapy, Social +or1ers Assistant Psychologist, psychology trainees and ill ,e appointing a
psychiatric n"rse' The trainee normally spends C sessions per ee1 ith this team and ill ha#e the
opport"nity to attend training co"rses in ?2i and A2OS assessments' There are opport"nities to
deli#er psychological treatment of comor,id conditions and o,ser#e and cond"ct ne"ropsychological
assessments' The trainee is also enco"raged to participate in teaching of medical st"dents at UCL
.edical School'
1%) FEEDING DISORDERS TEAM
S#!ervisor% 2r Rachel ;ryant&+a"gh 3Cons"ltant Clinical Psychologist4
This is a national referral ser#ice that speciali:es in the assessment and treatment of children ith
,eha#io"ral feeding pro,lems in the conte0t of chronic illness/medical pro,lemsJ selecti#e eatersJ and
infant feeding pro,lems and fail"re to thri#e' .any of the patients are "nder fi#e so this post pro#ides
e0cellent opport"nity to assess infants'
The team also offers cons"ltation to local ser#ices' The team incl"des7 a Cons"ltant Clinical
Psychologist and < other Clinical Psychologists, a part&time /igher Trainee in Child and Adolescent
Psychiatry, a 6amily Therapist, a )"rse Specialist, dietitian, speech and lang"age therapist,
occ"pational therapist and play specialist' The trainee carries o"t detailed assessments of children8s
feeding pro,lems ith their parents, gi#es inp"t to the m"ltidisciplinary team disc"ssion and pro#ides
feed,ac1 to parents folloing a team disc"ssion that generates a form"lation and management plan'
As the only psychiatrist in the team, the trainee ill also ,e as1ed to pro#ide psychiatric assessment if
necessary and this may also in#ol#e ,rief assessment of parental psychopathology' As many patients
ha#e comple0 physical co&mor,idities there are many opport"nities for liaison or1 ith paediatric
teams' There are also opport"nities to o,ser#e and deli#er cogniti#e and ,eha#io"ral treatments and
or1 systemically ith families ith the family therapist'
1&) EATING DISORDERS TEAM (EDT)
S#!ervisor% 2r 2asha )icholls
<%
The *ating 2isorders team is a national ser#ice that pro#ides an assessment, treatment and
cons"ltation ser#ice' 2isciplines represented in the team incl"de psychiatry, n"rsing, psychotherapy,
family therapy, psychology, dietetics and paediatrics' Assessments are cond"cted ,y the hole team
pro#iding an e0cellent opport"nity for or1ing ith and learning from other disciplines' Training is
pro#ided in the *ating 2isorder *0amination'
Key competencies gained thro"gh this post7
Assessment and management of *ating 2isorders 3of different types4 in childhood and
adolescence' 3A), ;), *2)OS, 6A*2 and selecti#e eaters4
Assessment of physical ris1 in children ith eating disorders
2eciding the appropriateness of inpatient admission
Understand the effects of eating disorders on dist"r,ing physiology and of star#ation
(dentify appropriate physical in#estigations
Learn management strategies for cases of eating disorder and possi,le treatment
inter#entions
Ac!"ire c"rrent 1noledge of e#idence ,ase for treatment of eating disorders in children and
yo"ng people and their co&mor,idity
.onitoring physical ris1
Applying psychological therapies in *ating 2isorders "nder s"per#ision
R"nning the Parents Gro"p
C;T, 6amily Therapy and (ndi#id"al Psychotherapy
1') CHILD CARE CONSULTATION TEAM (CCCT) & ASSESSMENT
AND TREATMENT TEAM (ATT)
S#!ervisor% 2r .argaret 2e5ong
+or1ing ithin the Parent and Child ser#ice pro#ides e0perience in the child care cons"ltation and
assessment and treatment team' There are e0cellent opport"nities to gain e0perience in C;T,
psychotherapy, family therapy and parent/child interaction or1' (n addition there are opport"nities to
or1 in paediatric liaison ith 2r 2e5ong' As a specialist paediatric hospital, Great Ormond Street
offers a ealth of psychiatry liaison across many different specialties'
Chil$ Care Cons#ltation Team ,CCCT-%
<F
(dentifying signs of maltreatment/neglect
Reha,ilitating children ho ha#e ,een a,"sed and/or neglected 3assessment of family
f"nction and ris14
+or1 ith family and professional netor1 to clarify and manage safeg"arding
Prepare reports for the 6amily Co"rts
Attend co"rt and present e#idence
+or1 ith 1ey agencies
Assessment an$ Treatment Team ,ATT-%
(dentifying signs of maltreatment/neglect
Assessment and treatment of tra"ma symptoms
/istory ta1ing and inter#ieing "sing a de#elopmental approach'
Use of appropriate rating scales/!"estionnaires
See1ing information from a#aila,le o"tside so"rces
2e#elop cons"ltation s1ills in or1 ith 1ey agencies 3Social Ser#ice8s, *d"cation, >OT4
1() PSYCHOLOGICAL MEDICINE
S#!ervisor% 2r (so,el /eyman
This is a ne ser#ice that started in )o#em,er <D$<' (t ill ha#e a strong liaison role ithin the
hospital, ith close lin1s to the epilepsy, ne"ros"rgery and ne"rology ser#ices' (t r"ns a national
To"rette Syndrome ser#ice' There ill ,e an emphasis in this team on detection and treatment of
mental health diffic"lties in children ith physical illness' Treatments ill ,e ,ased on c"rrent ,est
e#idence&,ased practice, ith o"tcome e#al"ation' There are research opport"nities'
<G

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GREAT ORMOND STREET AND ROYAL LONDON HOSPITALS

HIGHER TRAINING SCHEME IN CHILD AND ADOLESCENT

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