CONTENTS. Community Rehabilitation Team 2. Community Support & Recovery Team 2 Early Intervention Service 2. Common Mental Health Problems

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2 CONTENTS Psychosis Page Community Rehabilitation Team 2 Community Support & Recovery Team 2 Early Intervention Service 2 Common Mental Health Problems CAMHS (Children & Adolescent Mental health Services 3 IAPT-Improving Access to Psychological Therapy 4 NMUH-A &E Department 5 Sexual Health Psychology 6 Dementia & Cognitive Impairment Continuing Care for Older Adults 6 Older Adults Inpatient Service 7 Hawthorn Recovery 8 Avon Ward 9 Dorset Ward 10 Suffolk Ward 11 Sussex Ward 11 Crisis & Emergency Crisis Resolution Home Treatment Team 12 Recovery Houses 13 Triage Service 13 Avesbury House 14 Severe, Complex and Non-Psychotic SAFE (Service for Adolescents & Families in Enfield) 14 Complex Care Team 14 Eating Disorders 15 ARC Personality Disorder Service 16 MM November

3 Community Rehabilitation Team We offer treatment and support to people with a primary diagnosis of Psychosis. Park Avenue Resource Centre, 1st Floor, 65c Park Avenue, Bush Hill Park, EN1 2HL Tel: Manager: Lucy Omezi We work with patients to help them with their journey to recovery, including: Helping patients identify their needs and strengths Helping patients to set achievable goals Helping patients with coping and relationship skills to improve and maintain good health Addressing stigma, discrimination and social exclusion Service users who have a primary diagnosis of psychosis and receive 24 hour accommodation based support. Community Support & Recovery Team We offer treatment and support to people with schizophrenia, bi-polar affective disorder, psychotic depression and other psychiatric disorders. West Enfield Community Support and Recovery Team- Lucas House, Fore Street, Edmonton, Enfield, N9 0PD Tel: Manager: Sissi Mylona East Enfield Community Support and Recovery Team Silver Street, Enfield, EN1 3EP Tel: Manager: Avi Nundoo, Lucas and Silver We are a multi-skilled team providing services to help patients recover from severe mental health problems in the community We offer a range of treatment and intervention services including: Specialised medical psychiatric treatment Individual, group and family therapy Carer assessment and support Employment and education support with welfare advice Community care assessments Services will be offered to patients according to their needs Adults who are diagnosed with schizophrenia, bi-polar affective disorder, psychotic depression and other psychiatric disorders. Early Intervention Service We treat people aged between years of age, experiencing their first episode of psychosis, or those who are in the first three years of psychotic illness. 2

4 Lucas House, Fore Street, Edmonton, Enfield, N9 0PD Tel: Acting Manager: Simon Clark We are a team of multi-skilled professionals providing care to people experiencing their first episode of psychosis. The EIS offers treatment including: Administration of anti-psychotic medicines Cognitive behaviour therapy for psychosis and emotional problems, including depression and anxiety Family interventions Vocational recovery Relapse prevention A harm minimisation approach to substance misuse People aged between years of age, experiencing their first episode of psychosis, or those who are in the first three years of psychotic illness, living in Enfield. To be referred to these services please see your GP. Primary Mental Health Teams, Home Treatment Teams, Acute Mental Health Wards, CAMHS, Accident and Emergency Mental Health Liaison Service, Complex Mental Health Teams and Leaving Care Teams can also refer to this service. CAMHS-Children & Adolescent Mental Health Services We provide assessment, treatment and support of the mental health, behavioural and emotional well-being needs of children and young people aged from 0-18 years CAMHS North Team and CAMHS HEART Charles Babbage House, 1 Orton Grove, Enfield, EN1 4TU Tel: Manager: Alison Towndrow CAMHS South Team 265 Church Street, London, N9 9JA Tel: Manager: Rita McGrath We are a multi-disciplinary team of mental health professionals, and work closely with other children s services (schools, Social Care, youth centres, Youth Offending and Safeguarding teams and community groups) to support children and young people. Assessment of children and young people s mental health, behavioural and emotional well-being needs. 3

5 A range of treatment, from medication prescribing and monitoring to therapeutic support and counselling provided by a range of professionals, such as child psychotherapists, Family Therapists and Clinical Psychologists. Consultation, advice and support to professionals from a wide range of children s services, parents and carers. Specialist teams providing assessment, support and treatment to children and young people with combined mental health problems and learning disability. Specialist, borough based adolescent teams working with young people aged between 12 and 18 with severe and complex mental health difficulties. Support to hospital based paediatric services. The service is for children and young people aged from 0-18 years and their families. This may include babies, children and young people with a wide range of mental health problems, disorders and illnesses, who require the help of a multi-disciplinary mental health service. The types of problems we help with include: Emotional difficulties such as anxiety, depression, phobias, obsessive compulsive disorder and school refusal Behavioural problems such as aggression, delinquency, unmanageable behaviour and hyperactivity Eating and feeding disorders Severe psychiatric illness such as psychosis Self-harm or risk of self-harm (please note that all those who have taken overdoses should be taken to the local A& E department) Trauma including post-traumatic stress disorder (PTSD) and trauma following abuse Sleeping, feeding and behavioural difficulties in under 5's that result in severe disruption of family life and development Referrals are accepted from schools, social care services, youth centres, youth offending, GPs and other health and social care professionals. Enfield IAPT (Improving Access to Psychological Therapy We help people manage and overcome anxiety and depression through high quality psychological therapies. Refuge House, 2 nd Floor, 9-10 River Front, Enfield, EN1 3SZ Tel: Manager: Dr Helmi Van-Leur We are a service helping people manage and overcome anxiety and depression by providing high quality psychological therapies. On our team we have the following types of therapists: Psychological Wellbeing Practitioners (PWPs) who are skilled at helping people find practical ways to manage their difficulties. Methods used include guided self-help, stress management skills, computerised cognitive behavioural therapy and psycho-education groups CBT therapists who are trained to deliver individual and group cognitive behavioural therapy 4

6 Counsellors who are trained to provide an opportunity to talk about day to day difficulties as well as difficulties from the past. This mental health service is collaboration between Barnet, Enfield and Haringey Mental Health NHS Trust and Whittington Health. We offer high quality psychological therapies for people with mild problems of depression anxiety or chronic stress, to help them manage and overcome these problems in the local community. People aged 16 years or more who are experiencing common mental health problems such as depression, anxiety and stress living in Barnet. We also treat the following anxiety disorders: Generalised Anxiety Disorder Social Anxiety Panic Disorder Agoraphobia Specific Phobias Obsessive Compulsive Disorder Post-Traumatic Stress Disorder Health Anxiety Inclusion Criteria: GP based in Haringey, Edmonton or Barnet Depressive or Anxiety Disorder We are not able to work with: Primary drug or alcohol problems HAGA/DASH/BDAS Acute psychotic symptoms step 4 BEHMHT Significant risk of acting on suicidal thoughts step 4 BEHMHT Personality Disorders step 4 BEHMHT People can refer themselves directly. GP s, nurses, and other health and social care professionals can also refer to the service. If you are referring someone else, the patient must be aware of and in agreement with the referral. Please note, first assessments will be carried out by telephone. Key Contacts Referral contact details: lets-talk-enfield@nhs.net Telephone: Other contact information: Web: Facebook: North Mid Hospital- A&E We support the Accident and Emergency (A&E) department at North Middlesex Hospital treat patients suspected of having mental health problems. North Middlesex University Hospital, Sterling Way, Edmonton, N18 1QX 5

7 Tel: Manager: Debbie Morgan and Justin Shute, Psychiatry Consultant A nurse led team supporting the Accident and Emergency (A&E) department with patients suspected of having mental health problems. A psychiatry team also work with inpatients on the wards. Medical advice input to wards at North Middlesex Hospital A&E Liaison (not 24 hours): Initial Nurse-led Mental Health assessment for adults referred by A&E at North Middlesex following triage. Referral on to trust-based services, or signposting as required Inpatient Liaison Psychiatry: psychiatric assessment and treatment for all inpatients over the age of 16 at North Middlesex Hospital together with a consultation service All Accident & Emergency attendees and/or inpatients over the age of 16 at North Middlesex University Hospital. Clinical staff at North Middlesex University Hospital can refer patients or ask for consultation. Sexual Health Psychology We offer treatment and support to patients with HIV, other sexually transmitted diseases and psychosexual problems. Sexual Health, St Ann's Hospital, St Ann's Road, Tottenham, Haringey, N15 3TH Tel: Manager: Liz Shaw Assessment and psychological therapy for patients with HIV, other sexually transmitted diseases and psychosexual problems. We also offer consultation, staff support, supervision, and training. Patients with HIV, other sexually transmitted diseases and psychosexual problems Referrals are from HIV and sexual health staff only for HIV and STD problems and GPs for psychosexual problems that are not affected by other mental health issues. Continuing Care for Older Adults We provide rehabilitation care to older adults with severe and enduring mental health needs in a residential setting. Bay Tree House Christ Church Close, Enfield, EN2 6NZ Tel: Manager: Fred Asa Cornwall Villa Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL 6

8 Tel: / 5091 Manager: Mounir Benbassou Silver Birches Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: Manager: Edna Eziefula We are a team of multi-skilled mental health professionals including nursing Staff, medical Staff, Occupational Therapists and Psychologists, providing care and support to older adults. We provide short, medium and long-term rehabilitation care to older adults with severe and enduring mental health needs in a residential setting. We also offer support for other care needs including physical and social. We also provide physical health checks as well as assessment and diagnosis of dementia for early or complex presentations of mild memory problems on admission. We work with service users and their carers to provide an appropriate treatment plan to address individual care needs. Older people who are diagnosed as suffering from mental illnesses therefore requiring specialist services GPs, general hospital wards, carers/relatives, Community Psychiatric Nurses can refer through using the details below: Contact details for INTAKE in Enfield & Haringey INTAKE referral form Tel: Fax: (safe haven fax machine) Intakeenfield@beh-mht.nhs.uk Intakeharingey@beh-mht.nhs.uk Address: INTAKE, PO BOX 64133, London, N15 9BQ Older Adults Inpatient Service We offer inpatient mental health care to older adults aged 65 and over. The Oaks Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: / 5151 Manager: Ade Ojerinola Visiting Hours: Monday Friday: 15.00hrs 20.00hrs Weekends & Bank Holidays: 10.00hrs 20.00hrs We are a team of multi-skilled mental health professionals including nursing Staff, medical Staff, Occupational Therapists and Psychologists, providing care and support to older adults. 7

9 We respect the rights of individuals to dignity, choice, privacy and independence. We provide a high standard of assessment and compassionate care in a safe and therapeutic setting. We offer a range of therapeutic, culturally sensitive and person centred care to support recovery and a return to the community as soon as possible. Older adults aged 65 and over with mental health problems such as dementia, depression and psychotic illnesses who cannot be treated and supported appropriately at home or in an alternative setting. What are the next stages to recovery Following discharge from the ward patients could return home with an individualised care package if required, a period of Day Hospital attendance, follow up by the old age consultant in the Outpatient Clinic and/or involvement of the Community Mental Health Team or Dementia Home Treatment Team. For patients who are not able to return to their own home, assistance is offered prior to discharge to identify suitable alternative accommodation. GPs, general hospital wards, carers/relatives, Community Psychiatric Nurses can refer to this service through our INTAKE team using the details below: INTAKE referral form Contact details for INTAKE in Enfield & Haringey Tel: Fax: (safe haven fax machine) Intakeenfield@beh-mht.nhs.uk Intakeharingey@beh-mht.nhs.uk Address: INTAKE, PO BOX 64133, London N15 9BQ Contact details for referrals in Barnet Tel: Fax: (safe haven fax machine) Address: Springwell Centre, 2 nd Floor, Barnet Hospital, Wellhouse Lane, Barnet, Herts, EN5 3DJ no address for referrals in Barnet Key Contacts The Oaks nursing office: /1405 Ward Manager Ade Ojerinola: /1405 Hawthorn Recovery Unit We offer a day programme of activities for older people experiencing dementia and cognitive impairment and for those experiencing depression or psychotic illness. Contact details Hawthorn Recovery Unit, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: Fax: Manager: Gwennie Oakley We are a team of multi-skilled mental health professionals including nursing Staff, medical Staff, Occupational Therapists and Psychologists, providing care and support to older adults. 8

10 We respect the rights of individuals to dignity, choice, privacy and independence. The day services offer assessment, treatment and rehabilitation based on individual needs supporting recovery. Flexible packages of attendance are available including full days, mornings or afternoon sessions. An outreach service is also available. Group programmes at the Hawthorn Centre support recovery by providing opportunities to: Express thoughts and feelings Learn coping strategies Regain confidence to achieve everyday activities Raise energy levels and motivation Improve physical well being Gain emotional support People aged 65 and over with a primary diagnosis of a functional mental illness such as depression or schizophrenia who could have social and behavioural difficulties and be in need of regular supervision, but who do not need admission to an inpatient ward. What are the next stages to recovery Following discharge from the Day Service, patients may continue to attend community based Day Services. Follow up can also be offered by the old age consultant in the Outpatient Clinic and/or involvement of the Community Mental Health Team. Any professional within community mental health teams can refer to Day Services. Additional Information Service users referred are expected to attend an initial assessment to judge suitability for the programme. Avon Ward Avon ward is an intensive care unit and provides 16 male beds for patients who need more complex care. Dennis Scott Unit, Edgware Community Hospital, Burnt Oak Broadway, Edgware, HA8 0AD Tel: Fax: Acting Ward Manager: Ade Adebare Consultant Psychiatrist: Dr Meena Naguib This team is made up of Doctors, Community Psychiatric Nurses, Social Workers (Approved Social Workers), Psychologists, Occupational Therapists. Avon ward is an intensive care unit and provides 16 male beds for patients who need more complex care. Avon ward provides PICU (Psychiatric Intensive Care Unit) facilities for any patients in Barnet, Enfield and Haringey. 9

11 Patients whose behaviour may be too challenging for an acute ward. Service users on Avon will move back to the acute wards as their mental health improves. What are the next stages to recovery When an inpatient no longer requires PICU they will be transferred back to acute wards. Staff will then work with patients to facilitate discharge at the earliest opportunity. Home treatment teams will provide additional support to patients after discharge, alongside the care coordinator. All in patient wards and judicial system can refer to PICU. Dorset Ward We provide care to adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community The Chase Building, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: /5031 Manager: Paula McKevitt Visiting Hours: Monday to Friday: 16:00 to 20:00 Weekends & Bank Holidays: 09:00 to 20:00 This team is made up of Doctors, Community Psychiatric Nurses, Social Workers (Approved Social Workers), Psychologists, Occupational Therapists. Our team provides care and support to help patients become well enough to be discharged and where necessary receive care in their homes or in the community. Services include: Diagnosis, an appropriate care plan and treatment A physical health check on admission Support to access advocacy services We also offer support for physical and social needs. Adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community. What are the next stages to recovery When an inpatient is ready for discharge this will often be supported by the home treatment team for a period providing additional support whilst working alongside the care coordinator. GPs, A&E Doctors, Police Doctors, Care Programme Approach Care Co-coordinators, Service Users, voluntary sector and Carers can refer to the service. Suffolk Ward We provide care and support to help adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community. 10

12 Contact details The Chase Building, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: / 5041 Manager: Sean Edwards Visiting Hours: Monday to Friday: 16:00 to 20:00 Weekends & Bank Holidays: 09:00 to 20:00 This team is made up of Doctors, Community Psychiatric Nurses, Social Workers (Approved Social Workers), Psychologists, Occupational Therapists. Our team provides care and support to help patients become well enough to be discharged and where necessary receive care in their homes or in the community. Services include: Diagnosis, an appropriate care plan and treatment A physical health check on admission Support to access advocacy services We also offer support for physical and social needs. Adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community. What are the next stages to recovery When an inpatient is ready for discharge this will often be supported by the home treatment team for a period providing additional support whilst working alongside the care coordinator. GPs, A&E Doctors, Police Doctors, Care Programme Approach Care Co-ordinators, Service Users, voluntary sector and Carers can refer to the service Sussex ward We provide care to adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community. Contact details The Chase Building, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: / 5051 Manager: Rey Bermudez Visiting Hours: Monday to Friday: 16:00 to 20:00 Weekends & Bank Holidays: 13:00 to 20:00 This team is made up of Doctors, Community Psychiatric Nurses, Social Workers (Approved Social Workers), Psychologists, Occupational Therapists. Our team provides care and support to help patients become well enough to be discharged and where necessary receive care in their homes or in the community. Services include: 11

13 Diagnosis, an appropriate care plan and treatment A physical health check on admission Support to access advocacy services We also offer support for physical and social needs. Adults aged from years who have been diagnosed as having acute and/or enduring mental health problems who cannot be cared for at home or in the community. What are the next stages to recovery When an inpatient is ready for discharge this will often be supported by the home treatment team for a period providing additional support whilst working alongside the care coordinator. GPs, A&E Doctors, Police Doctors, Care Programme Approach Care Co-ordinators, Service Users, voluntary sector and Carers can refer to the service Enfield Crisis Resolution Home Treatment Team- Enfield We provide intensive mental health care in people s homes. Enfield Home Treatment Team Ivy House, Chase Farm Hospital, 127 The Ridgeway, Enfield, EN2 8JL Tel No: Team Manager: Tracey Keyes Interim Deputy Team Manager: Michael Salfrais We are a multi-skilled team of mental health professionals providing intensive care and support in patients homes as an alternative to acute inpatient admission. The home treatment team will carry out an assessment and wherever appropriate will provide intensive support for a limited period within the service user s home. They will work closely with care coordinators to ensure that care is offered within the least restrictive environment. If the clinical risks indicate that admission is required then home treatment teams are the gatekeepers of the inpatient beds and will arrange an admission within either one of the assessment wards or in the case of service users well known to services that already have a clear treatment plan, one of the acute wards. People in acute mental health crisis living in Barnet, Enfield or Haringey aged 16 and over The service line accepts referrals from the community teams, from the primary care mental health teams and from the intake service when it is indicated that someone is in an acute mental health crisis and may need admission to an acute bed. Recovery Houses We offer short-term support to people in crisis living on Barnet, Enfield and Haringey. Enfield 12

14 Green Lanes, Palmers Green, London N13 4BS Telephone: /7374 Service Manager: Anne-Marie Holliday The recovery houses in Barnet Enfield and Haringey are run by the Trust in partnership with the charity Rethink Mental Illness. What we do We support people who need short-term support for mental health problems, by providing a therapeutic and person centred approach to support recovery. The Recovery Houses provide a home from home environment, with communal kitchens and lounges as well as quiet rooms and small gardens. How to access the service Access to the recovery houses are given to people who live in Barnet Enfield and Haringey who have been referred through the mental health Home Treatment Team. We are open 24 hours, 7 days a week, 52 weeks of the year. Barnet Home Treatment Team Enfield Home Treatment Team Haringey Home Treatment Team Enfield Triage Service Enfield Triage Service Crown Lane Clinic, 25 Crown Lane, Southgate, N14 5SH Tel No: option 2 Trustwide Triage Manager: Osvaldo Soetsane Acting Enfield Deputy Triage Manager: Angela Hague Enfield Local Authority AMHP Manager: Debbie Morgan About the service The aim is to provide service users with a timely initial assessment of their needs and refer them onto services which will then be able to meet those needs. This could include referral within the Trust for interventions such as psychological therapy, medication management or referral to local statutory or charitable agencies. People with mental health problems living in Enfield aged 16 and over. People are mostly referred by their GP, although referrals can be made by outside agencies such as social services, housing or other support services. Service users cannot refer themselves directly, however if a service user or their carer/relative believes they require the service, they can arrange to discuss it with their GP who will then forward a referral to the service. Avesbury House Is part of the North London Forensic Service, provides care and rehabilitation for patients who have been in conditions of security, progressing into the community, but continue to require 24 hour nursing care. 13

15 Contact details Avesbury House, 85 Tanners End Lane, off Silver Street, Edmonton, N18 1PQ Tel: /0827 Fax: The North London Forensic Service provides three full multidisciplinary teams to care for the 24 patients placed at Avesbury House, located in Edmonton. This specialist resource is an independent hospital functioning as a low secure unit run by Care UK in partnership with North London Forensic Service. The 24 bedrooms are arranged as five flats. Avesbury House is to provide care and rehabilitation for patients who have been in conditions of security who are consolidating their progress as they move towards the community, but continue to require 24 hour nursing care SAFE- Service for Adolescents & Families in Enfield We provide treatment and support to young people aged between 12 and 18 with mental health, behavioural and emotional well-being needs. Contact details 2nd Floor, St. Andrew's Court, 1-4 River Front, Enfield, EN1 3SY Tel: Manager: Julia Bowley Assessment of children and young people s mental health, behavioural and emotional well-being needs. A range of treatment, from medication prescribing and monitoring to therapeutic support and counselling provided by a range of professionals, such as child psychotherapists, Family Therapists and Clinical Psychologists. Consultation, advice and support to professionals from a wide range of children s services, parents and Carers. Specialist teams providing assessment, support and treatment to children and young people with combined mental health problems and learning disability. Specialist, borough based adolescent teams working with young people aged between 12 and 18 with severe and complex mental health difficulties. Support to hospital based paediatric services. Referrals to SAFE can be made by Accident and Emergency (A&E) or by the CAMHS North and South Teams. Complex Care Team We provide treatment and support to people with complex mental health problems on CPA who do not have a diagnosis of psychosis (schizophrenia, bi-polar disorder, psychotic depression and other psychiatric disorders). The Chase Building, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL Tel: Manager: Dawn Ram The Complex Care Team provides treatment and support to help patients recover from complex mental health conditions. The services is provided by a varied team including psychiatrists, psychologists, psychotherapists, psychological therapists, nurses, social workers, occupational therapists and associate mental health workers. 14

16 The Complex Care Teams provide out-patient psychological therapy, as well as comprehensive integrated care packages for patients with complex problems on CPA without a diagnosis of psychosis. The service is comprised of three Complex Needs Teams with one in each of the three Trust boroughs. We offer treatment through medication, psychological therapy and or support with day-to-day life. Treatments we offer include: Individual Therapy including Cognitive Behavioural Therapy (CBT) and Cognitive Analytic Therapy (CAT) and psychotherapy If you need extra support and are under CPA, we offer care coordination to identify and support your psychological and social needs. You will be allocated a care coordinator who is a qualified community mental health nurse or social worker. Specialist Treatment including Cognitive Behavioural therapy and group therapy for people with complex Post Traumatic Stress Disorder and Obsessive Compulsive Disorder Group therapy ranging from 6-10 weekly sessions Other elements of the service include support to facilitate appropriate access to social services care where needed, including community care assessments, and carer assessment and support. Patients with complex problems on CPA without a diagnosis of psychosis (schizophrenia, bi-polar disorder, psychotic depression and other psychiatric disorders) Patients are referred into the Complex Care Team through the Intake service. Once a referral is received, a full assessment will take place to decide on the treatment that is most appropriate. Eating Disorder Service We are a National Specialist Eating Disorders Service based in North London. We provide specialist care and treatment to people aged 18 years and above suffering with a primary diagnosis of an eating disorder: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Atypical Eating Disorder and psychological treatment for obesity. St Ann's Hospital, ST Ann's Road, Tottenham, London, N15 3TH Tel: (Phoenix Wing)/ 6250 (Phoenix 2) / 6260 (Russell Unit) Fax: Service Manager: Alison Mahraj, Clinical Lead: Dr Eric Johnson-Sabine Opening hours: Monday to Friday 9.00am-5.00pm The Phoenix Wing St Ann's Eating Disorders Service provides a comprehensive, specialist service to the North, Central and North East London Sectors and surrounding counties of North Essex and South Essex. The service is also a national provider of specialist eating disorder inpatient treatment. The Phoenix Wing and Russell Unit at St Ann's hospital, which provides: Out-patient and specialist in-patient care, including rehabilitation, day care and community liaison service. 15

17 People aged 18 years and above suffering with a primary diagnosis of an eating disorder: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, Atypical Eating Disorder. We accept referrals of patients who have a primary diagnosis of an eating disorder: Anorexia nervosa Bulimia nervosa Binge Eating Disorder EDNOS (atypical eating disorder) Comprehensive Assessment of and recommendations for treatment of obesity. (the service will assess for a diagnosis of Binge Eating Disorder if this is not present the patient is discharged back to the referrer) Referrals can be sent to: Dr E. Johnson-Sabine - Lead Consultant Psychiatrist, Eating Disorder Service Dr L. Richards - Consultant Psychiatrist Eating Disorder Service Alison Mahraj - Service Manager St Ann's Hospital, ST Ann's Road, Tottenham, London, N15 3TH Tel: / 6188 Fax: Service Manager: Alison Mahraj, Clinical Lead: Dr Eric Johnson-Sabine Opening hours: Monday to Friday 9.00am-5.00pm ARC Personality Disorder Services We provide comprehensive assessment and treatment for people between the ages of 18-65, with complex personality difficulties. The Chase Building, Chase Farm Hospital, The Ridgeway, Enfield, EN2 8JL (ARC entrance) Tel: / 5021 / 5023 Fax: Manager: Consultant Psychiatrist, Dr. Spyros Karvounis We are a multi-skilled team of nurses, doctors and psychological therapists, who all work together, to help understand individual psychological needs. The service provides comprehensive assessment and treatment programmes for service users between the ages of 18 and 65, with complex personality difficulties. The Service has teams based in the boroughs of Haringey and Enfield, which provide: a comprehensive assessment service for personality disorder a twelve-week psycho-educational group treatment programme an intensive outpatient programme of group and individual psychotherapy plus psychiatric review, for a period of 18 months Individualised follow-up programmes for patients treated within the unit In addition, the service in Haringey includes: a day unit offering a 5-day-per week programme of group and individual psychotherapy, plus psychiatric review, for a period of up to 2 years, for patients across the boroughs who are most severely and chronically impaired by their symptoms; 16

18 an outpatient programme of weekly group and monthly individual psychotherapy, plus psychiatric review, for individuals with a diagnosis of Antisocial Personality Disorder, for a period of up to 1 year; This service is for people between the ages of 18 and 65, with complex personality difficulties living in the boroughs of Enfield and Haringey. The service can help individuals who have difficulty in understanding their emotional responses to situations, and whose moods fluctuate readily and seemingly without explanation. We can also help those who have difficulty in reading other people s responses towards them, and are often mistrustful, feeling people are mainly motivated by bad intent. What are the next stages to recovery Before the end of the programmes, therapists work with service users to review their progress and their care needs. Follow-on care and treatment is then planned carefully and organised on an individualised basis. Referrals can be made by any health professional working with the service user, including GP's, inpatient and home treatment teams and non-medical clinicians such as nurses and Occupational Therapists and probation officers. Referrals can be made through Intake, or through the Personality Disorder Liaison Service that works directly with the Inpatient and Home Treatment Teams. 17