Healthcare NHS NHS Trust Positive about integrated healthcare

Local Services Division Pro s p e ctu s 2014 2 Local Services Division Prospectus 2014 3

Contents Introduction Directorate: Specialist Services 4 Child and Adolescent Mental Health to Local Our Services Services (CAMHS) 4 Intellectual and Developmental Disabilities (IDD) Service 7 Services Prescribed Services 13 Substance Misuse Services – Nottinghamshire County 14 Substance Misuse Services – Welcome to the Local Services Division prospectus. The prospectus City 17 provides you with a comprehensive explanation of our services, where Directorate: Mental Health Services for Older People (MHSOP) 20 they are delivered and useful contacts. Local Services is a large and complex Division of Nottinghamshire Healthcare and I hope you find Directorate: Improving Access to Psychological Therapies (IAPT) 24 this a useful guide to our services. Directorate: Adult Mental Health (AMH) 26 We provide a portfolio of community, Highbury Hospital, King’s Mill Hospital, outpatient, day and inpatient services for Ashfield Community Hospital and all ages of the population, including Bassetlaw Hospital. This is supported by a people with mental health problems, network of community teams that are intellectual and developmental disabilities located within the local communities. In and people who misuse substances. These the last calendar year Local Services has: can be summarised as follows: • Provided 511 inpatient beds across • Adult Mental Health (AMH); Nottinghamshire • Mental Health Services for Older • Registered 12,045 new patients People (MHSOP); • Saw 34,052 people in a community • Specialist Services (this includes: or outpatient setting Intellectual and Developmental Our aim is to focus on meeting the needs Disabilities Service (IDD); Substance of the local community at the earliest Misuse Services; Child and Adolescent point at which we can intervene, in an Mental Health Services (CAMHS) and integrated way – taking account of Prescribed Services); individuals mental and physical health • Improving Access to Psychological needs to promote long term health and Therapies (IAPT). wellbeing. Working towards improving outcomes for the people who use our Services are delivered from a number of services, their carers and families. sites including the Queen’s Medical Centre, Nottingham City Hospital, Recovery and responsive individualised care are principles which underpin our service delivery. Providing the right quality services, in the right place and at the right time is key for us all.

Simon P Smith Executive Director – Local Services 4 Local Services Division Prospectus 2014 5

Child and Adolescent Mental DIRECTORATE: SPECIALIST SERVICES Health Services (CAMHS)

Tier 3 Services – Specialist Referral mechanism: Single Point of Community CAMHS Access – All referrals received (with the exception of those to specialist teams Specialist Community CAMHS provides for targeted groups) will be screened at a service for the following referrals: Directorate: a single point of entry by the CAS team • Depression (moderate to severe) which will consist of representatives • Anxiety disorders and adjustment from each of the specialist teams. Specialist reactions • Obsessive Compulsive Disorder (OCD) Service Manager: Wayne Bradford Services • Post Traumatic Stress Disorder (PTSD) • Severe attachment, emotional and behavioural disorders associated with Self Harm Team child abuse and neglect • Eating disorders, such as anorexia The Self Harm Team provides • Neurodevelopmental Disorders, such comprehensive risk and needs assessments to all young people under The Directorate comprises of: as Attention Deficit Hyperactivity Disorder (ADHD), Autism Spectrum 16 years admitted to a general hospital • Child and Adolescent Mental Disorder (ASD), Tics and Tourettes, ward following an episode of Health Services (CAMHS) Psychiatric and neurodevelopmental self-harm and all those admitted to a Head2Head have paediatric ward (QMC Campus) • Intellectual Development disorders in children and young followed me through people with learning disabilities regardless of age and offers short-term Disabilities (IDD) follow-up of up to four sessions. my journey in care and • Prescribed Services • Acquired and organic brain disorders, such as epilepsy, requiring specialist Thorneywood Unit – 0115 844 0519 have always been there • Substance Misuse Services neuropsychological and Hours: 9am – 5pm Monday to Friday when I needed support. Core Services: Inpatient and neuropsychiatric assessment day services, out patient and Thorneywood Unit – 0115 841 5812 Referral mechanism: Single Point of community services. Child and Family Therapy: Access – All referrals received (with the – 01623 650921 exception of those to specialist teams for targeted groups) will be screened at The Directorate has worked hard to Newark – 01636 670633 ensure that there are good governance – 01909 733192 a single point of entry by the CAS team processes in place, to know that the Queen’s Medical Centre – which will consist of representatives basics of good quality care are delivered 0115 823 0269 from each of the specialist teams. at each and every encounter with a Hours: 9am – 5pm Monday to Friday Service Manager: Wayne Bradford service user. We have been concentrating on the three main areas of patient safety, Referral mechanism: Single Point of patient experience and clinical Access – All referrals received (with the Paediatric Liaison effectiveness. exception of those to specialist teams for targeted groups) will be screened at Effective early recognition, assessment During the next twelve months we want a single point of entry by the Clinical and treatment of co-existing mental to create a positive, vibrant and innovative Assessment Screening (CAS) team health problems in a paediatric hospital culture which enables us to have agility in which will consist of representatives setting, to reduce the number of challenging times so that we can from each of the specialist teams. unnecessary investigations and duration intelligently respond to the changing of inpatient stays, to improve environment we are now entering. Service Manager: Wayne Bradford adherence to treatment, to increase Everyone involved with the CAMHS team, was psychological adjustment and wellbeing marvelous. They understood, were patient and Top three priorities of children and families in a hospital helpful, not only to my son, but also to me. In CAMHS Clinical Psychology setting. time my son returned to the outgoing, fun 1. Ensure good quality buildings to Services loving person he had been. For all those carers deliver services from, especially new Queen’s Medical Centre – or parents out there with children, if you believe assessment and treatment unit for CAMHS clinical psychology operates as 0115 823 0269 people with learning disabilities an integrated provision across the your child is struggling and may need psychiatric Specialist CAMHS Teams. Access for Hours: 9am – 5pm Monday to Friday support, I believe you will get excellent help 2. Transform services to improve both direct working and consultation from the Nottinghamshire CAMHS team. service user experience and ensure Referral mechanism: Single Point of can be made via the CAMHS Single clinical and cost effectiveness Access – All referrals received (with the Point of Access (SPA). exception of those to specialist teams 3. Further develop pathways with for targeted groups) will be screened particular attention to provision of Thorneywood Unit – 0115 841 5812 at a single point of entry by the CAS integrated services Child and Family Therapy: Mansfield – 01623 650921 team which will consist of Newark – 01636 670633 representatives from each of the General Manager: Anne Wright Worksop – 01909 733192 specialist teams. Clinical Director: David Manley Richard Lansdale- Hours: 9am – 5pm Monday to Friday Service Manager: Wayne Bradford Welfare 6 Local Services Division Prospectus 2014 7

Intellectual and Developmental DIRECTORATE: SPECIALIST SERVICES CAMHS Day Service (Intensive exception of those to specialist teams The team offers regular consultation Disabilities (IDD) Service Referral mechanism: • Requiring assessment and Treatment Team) for targeted groups) will be screened at sessions for all children looked after in a • Age: 18+ treatment in one or more of the a single point of entry by the CAS team range of venues. During these • Requiring assessment and following areas: challenging Delivery of specialist group therapy, which will consist of representatives consultations, action plans are developed treatment in one or more of the behaviour, mental health across all ages, linking with the inpatient From 2014 the Learning Disability Service from each of the specialist teams. and agreed which could include following areas: mental health, adolescent provision in preparation for is being renamed as the Intellectual and Service Manager: assessments, therapeutic work or physical health, challenging behaviour discharge. Individual therapy is delivered Service Manager: Angie Jackson Developmental Disabilities (IDD) Service. Shirley Lavender ongoing consultations. or anti-social behaviours in a variety of community settings, This is in line with the wider range of including the day unit itself and also Lichfield Lane, Mansfield – diagnoses now being included in this Service Manager: Shirley Lavender young people’s homes. CAMHS Head 2 Head 0115 956 0843 service. This change will be rolled out Short Break Services – Newlands throughout the service during the year. The Intensive Interaction Team is Providing mental health assessment and Hours: 9am – 5pm Monday to Friday Provision of Short Breaks run by Community Assessment and community facing, and has the ultimate intervention for young people who are Nottinghamshire County Council. Short Referral mechanism: Single Point of Treatment Teams aim of improving crisis by delivery of involved with the criminal justice Break Nurses also input into Adult Social Access – All referrals received (with the Locked Rehabilitation Unit – more home based intensive system, have emotional and mental Multidisciplinary teams that provide Care Short Break services. exception of those to specialist teams for Alexander House interventions. This will have the aim of health problems and who also misuse community assessment and treatment targeted groups) will be screened at a 1 North Drive, Fernwood, Newark – reducing inpatient admissions and will substances. Also early onset Alexander House is a step down facility to adults with IDD and complex single point of entry by the CAS 01636 613486 support earlier discharges. The service schizophrenia, bipolar disorder and from low secure provision, providing behavioural and/or mental health issues. team which will consist of representatives provides treatments and works with an affective psychoses and other rehabilitation of offending behaviours, Hours: 24 hours a day 7 days a week South – Highbury Hospital – extended age range, providing group psychoses. from each of the specialist teams. including individuals who have been presented to court. Index offences 0115 854 2233 Referral mechanism: and individual therapy for children and The service provides opiate Service Manager: include: Arson, sex offending, physical • Age: 18+ young people up to the age of 14. detoxification for young people who are County: Wayne Bradford North – 1 Lindsay Close, Mansfield – aggression or assault. Focus on • Level: Moderate to Severe IDD dependant upon heroin who live in the 01623 404614 Thorneywood Unit – 0115 844 0519 rehabilitation and reintegration into • Area: Newark only City of Nottingham and the south of Referral mechanism: • Mental health needs assessment Hours: 9am – 5pm Monday to Friday CAMHS Looked After Children – community settings. the County. • Age: 18+ • Admission via CLDT panel with some evening work City Alexander House, Mansfield The team offers mental health • Area: Community Hospital – 01623 404621 Service Manager: Michelle Handsaker Referral mechanism: Single Point of assessment and intervention for young The service works with children and South – Nottingham City, Broxtowe Access – All referrals received (with the people who sexually harm others. young people who are ‘looked after’ by Hours: 24 hours a day 7 days a week and Gedling exception of those to specialist teams Children’s Services. They may be living in North – Mansfield and for targeted groups) will be screened at Thorneywood Unit – 0115 841 5812 foster care, residential care, Referral mechanism: Ashfield, Bassetlaw and a single point of entry by the CAS team Lichfield Lane, Mansfield – independently or in pre/post adoptive • Adult males Newark which will consist of representatives 0115 956 0842 placements. • IDD - Clearly identifiable need for from each of the specialist teams. Hours: 9am – 5pm Monday to Friday The team consists of specialist social rehabilitation Service Manager: Wayne Bradford Referral mechanism: Single Point of workers, clinical psychologists, - Detained under the Mental Health Access – All referrals received (with the psychotherapists, psychiatrists, play Act 1983 exception of those to specialist teams therapists, an administrator and a Service Manager: Shirley Lavender CAMHS Adolescent Unit for targeted groups) will be screened at co-ordinator. The Adolescent Unit is a 12 bedded a single point of entry by the CAS team The team offer consultation, assessments which will consist of representatives inpatient facility for 12-18 year olds and therapeutic work in a variety of Orion Unit experiencing mental health problems. from each of the specialist teams. settings and work closely with the Short term admission to ascertain and The unit offers assessment and treatment Service Manager: Wayne Bradford Looked After Children (LAC) Health Team packages including individual work, to provide for the holistic needs of young develop an MDT Treatment Plan, which group work and family therapy work. people. would enable a swift return to either a CAMHS Children Looked After permanent long term residence or an Thorneywood Unit - 0115 844 0529 The team offers regular consultation and Adoption T agreed alternative environment to meet eam – County sessions for all children looked after in a Hours: 24 hours a day 7 days a week an individual’s changing needs. The service works with children and range of venues. During these Referral mechanism: Single Point of young people who are ‘looked after’ by consultations, action plans are developed Highbury Hospital – 0115 854 2251 Access – All referrals received (with the Children’s Services. They may be living and agreed which could include Hours: 24 hours a day 7 days a week in foster care, residential care, assessments, therapeutic work or independently or in pre/post adoptive ongoing consultations. placements. Thorneywood Unit – 0115 844 0529 The team consists of specialist social Hours: 9am – 5pm Monday to Friday I wish to express my gratitude to the workers, clinical psychologists, Community Assessment and Treatment team for psychotherapists, psychiatrists, play Referral mechanism: Single Point of the excellent service they provided to my son. therapists, an administrator and a Access – All referrals received (with the They were heavily involved with his move out of co-ordinator. exception of those to specialist teams for Highbury Hospital to his placement in the targeted groups) will be screened at a community which was specially designed The team offer consultation, single point of entry by the CAS team assessments and therapeutic work in a around his particular complex needs. The team which will consist of representatives from has done an excellent job in keeping him out of variety of settings and work closely with each of the specialist teams. the Children Looked After (CLA) Health hospital for 18 months, which in my opinion is a Team to provide for the holistic needs of Service Manager: huge achievement! I cannot praise them young people. City: Wayne Bradford enough – a huge help to our family…thank you. 8 Local Services Division Prospectus 2014 9 DIRECTORATE: SPECIALIST SERVICES

Short Break Services – Ashfield – 68 Portland Street, Kirkby House in Ashfield, Mansfield – 01623 785473 Short Breaks service for adults with an IDD Bassetlaw – 1st Floor, Worksop and associated behaviours and/or physical Library – 01909 535360 health needs; who cannot be supported anywhere other than a specialist health Gedling – Sir John Robinson Way, provision. Arnold – 0115 854 6230 (Admin) Highbury Hospital – 0115 854 2224 or Mansfield – Chadburn House, 0115 969 1300 ext: 12024 Mansfield – 01623 436640 Hours: 24 hours a day 7 days a week Newark – Byron House, Newark Hospital – 01636 685927 Referral mechanism: • Age: 18+ (access of the service by Broxtowe – Padge Road, Beeston – people 16-18 in exceptional 0115 917 5818 circumstances only) – House – • Level: Have an IDD and/or challenging 0115 878 3579 behaviour; and/or Autism • Area: Nottingham City, North, East and Nottingham City North – Mary Potter South Centre – 0115 883 8588 Service Manager: Michelle Handsaker Nottingham City South – Corner Day Services – Horizon Day Day Services – The Hub, Worksop Stone – 0115 878 6270 Centre, Highbury Hospital Library, Worksop Hours: 9am – 5pm Monday to Friday Day Services – Holly Lodge, Newark Horizon Day Centre is a specialist day Greenacres Day Centre provides a social service for adults with a moderate to care day service for people with an IDD, Referral mechanism: Day services for people with a range of severe IDD associated challenging offering assessment and treatment • Age: 18+ (With the exception of the challenging behaviour and complex needs. behaviour and/or associated mental intervention and educational advice for Transition Service) Provision is also available for those with health needs. clients and carers. • Level: Varying degrees of IDD additional physical disabilities. Day • Area: Living in the Ashfield Assessment and Treatment packages are It provides an assessment and Memorial Avenue, Worksop – Community provided along with Peripatetic service to treatment interventions for individuals 01909 476499 meet individual needs. for a six week period. It also provides Service Manager: Hours: 9am – 5pm Monday to Friday individualised support for service users Michelle Handsaker 77 Harcourt Street, Newark – who have complex needs and 01636 610727 Referral mechanism: behavioural challenges, who may find it • Age: 18+ Hours: 9am – 5pm Monday to Friday difficult to access other alternative main • Level: Varying degrees of IDD Professions Allied to Health – stream services. • Area: Bassetlaw Referral mechanism: Occupational Therapy • Age: 18+ Highbury Hospital – 0115 969 1300 Service Manager: Shirley Lavender Occupational therapists find out about • Area: Nottinghamshire ext 12022 their service users’ motivation to do • Assessed as having mental health issues Hours: 9am – 5pm Monday to Friday things of interest and value such as: and associated needs and behaviours County Community Learning • day to day responsibilities and their that challenge services Referral mechanism: Disability Teams (CLDTs) relationships with people • Age: 18+ • how the person manages day to day Service Manager: Shirley Lavender Joint health and social care team managed • Level: Varying degrees of IDD or weekly with the Local Authority responsible for • Area: Nottinghamshire • balance between productivity, leisure addressing social care needs. Day Services – • Assessed as having associated and self care Day Services Mansfield mental health needs and/or display The multi-disciplinary and multi-agency • abilities/skills they require to do tasks behaviours that challenge services teams support a range of professionals: Provides a specialist day therapy service for They also look at the physical and social Service Manager: Shirley Lavender Consultant Psychiatrists, Occupational people with an IDD and/or associated Therapists, Physiotherapists, Social environments so they can carry out mental health needs, offering assessment Workers, Welfare Rights occupations. and treatment intervention and educational Officers, Speech and Moorgreen House, Highbury advice for clients and carers. Language Therapists and Hospital – 0115 969 1300 ext 16262 Abbott Road, Mansfield – Clinical Psychologists. Hours: 9am – 5pm Monday to Friday 01623 626895 Transition service for Springfield’s Mansfield, The Forest – clients aged Referral mechanism: 01623 784909 16-18 available. • Age: 18+ • Level: Mild, moderate and severe IDD Hours: 9am – 5pm Monday to Friday • Area: Covers both County and City Referral mechanism: Service Manager: Michelle Handsaker • Age: 18+ • Level: Varying degrees of IDD • Area: Nottinghamshire • Assessed as having associated mental health needs and/or display behaviours that challenge services Service Manager: Shirley Lavender 10 Local Services Division Prospectus 2014 11 DIRECTORATE: SPECIALIST SERVICES

Professions Allied to Health – Byron House, Newark Hospital – • Age: 18+ primary and secondary health service Professional Groups working Physiotherapy 01636 685927 • Level: Varying levels of IDD providers. The service contributes to care within the IDD Service – • Area: Across City and County; through pathways by providing high quality Music Therapy The service offers assistance and advice Hours: 9am – 5pm Monday to Friday the CLDTs interventions in areas such as dementia, with issues relating to movement, Music Therapy is a specialist form of Referral mechanism: anger management, anxiety, bereavement, mobility, balance and positioning to Service Manager: psychotherapy which uses music to • Age: 18+ nutrition, sexuality, challenging behaviour. help minimise the effects of physical Clinical Lead: Jennifer Clegg facilitate self-expression. Specialist • Level: IDD (moderate to profound, disabilities, where the primary source Nottingham City and County South – assessment, formulation and treatment and mild with complex needs) of these issues are related to the Highbury Hospital – 0115 854 2233 is provided for people who have specific • Area: Across City and County person’s IDD. Professional Groups working expressive and emotional needs. – Byron House, Service Manager: Della Money within the IDD Service – Physiotherapy services are provided Newark Hospital – 01636 685968 Other services provided include teaching, Psychiatry across the areas of the nine CLDTs, as student placements and consultation. Mansfield – Chadburn House – well as within ATU, CATT and Day Specialist assessment, diagnosis and Professional Groups working 01623 436627 Horizon Day Centre, Highbury Services as appropriate. treatment service for individuals with within the IDD Service – Hospital – 0115 969 1300 ext 12194 mental health problems and/or Ashfield – 68 Portland Street – Moorgreen House, Highbury Psychology challenging behaviour. Provides specialist 01623 785484 Hours: 9am – 5pm Monday to Friday Hospital – 0115 969 1300 ext 16261 The service provides psychological service for assessment, diagnosis, Bassetlaw, Worksop Library – Referral mechanism: Referrals are Hours: 9am – 5pm Monday to Friday services to adults with IDD, their initiation and stabilisation on treatment 01909 535363 accepted for adults with IDD who carers, support staff and MDTs. for ADHD and 24 hour cover. Referral mechanism: Professional Groups working experience complex psychological Services include psychological Hours: 9am – 5pm Monday to Friday • Age: 18+ Nottingham City and County South – within the IDD Service – problems and who would benefit from a assessments and interventions, advice, • Level: Varying levels of IDD Highbury Hospital – 0115 854 2280 Community Learning Referral mechanism: primarily non-verbal intervention. consultancy and teaching. Specialist • Area: City and County Disability Nursing • Age: 18+ • Age: 18+ psychological therapies include Newark and Sherwood – Byron House, • Level: Varying levels of IDD • Level: Varying levels of IDD Service Manager: Michelle Handsaker Cognitive Behavioural Therapy (CBT), Newark Hospital – 01636 685968 The Service provides individualised • Area: City and County • Area: Nottingham ATU and CATT; family therapy, Eye Movement specialist health interventions, clinical North Nottinghamshire ATU, CATT Desensitisation and Reprocessing Mansfield – Chadburn House – co-ordination and health facilitation with Service Manager: Shirley Lavender 01623 436627 and Alexander House Professions Allied to Health – Therapy (EMDR) and Cognitive Analytic Speech and Language Therapy (CAT). Specialist assessments Ashfield – 68 Portland Street – Service Manager: Shirley Lavender include complex risk and capacity 01623 785484 The service provides specialist assessments and formulation in the assessment, formulation, therapy, ATUs. The service also provides Bassetlaw, Worksop Library – support and advice for people with diagnostic assessments of autism, 01909 535363 speech, language, communication Asperger’s and Attention Deficit Hours: 9am – 5pm Monday to Friday needs or dysphagia and their carers, Hyperactivity Disorder (ADHD). support staff and MDTs. with 24 hour emergency on call Highbury Hospital, Nottingham – psychiatric service Also includes specialist learning and 0115 854 2206 development for others around safe Referral mechanism: eating, drinking and communication Hours: 9am – 5pm Monday to Friday • Age: 18+ techniques. • Level: Varying levels of IDD Referral mechanism: Accepts • Area: City and County Specialist assessments include referrals for adults with IDD who comprehension of language, especially encounter or experience complex Service Manager: in relation to capacity to understand psychological problems. Clinical Lead: Dr Richard Welfare information and Autistic Spectrum Disorder diagnostic assessments as part of specialist MDT. 12 Local Services Division Prospectus 2014 13 DIRECTORATE: SPECIALIST SERVICES

Professional Groups working Acute Liaison Nurses Various Bases within the IDD Service – Dietetics Collaboration with the acute hospital to Hours: 9am – 5pm Monday to Friday The nutrition and dietetic service enable open and easy access to Referral mechanism: provided to adults with IDD who have healthcare services for people with IDD. • Age: 18+ complex dietetic needs. This incorporates Room B 1832, South Block, Queen's • Level: All levels a wide range of complex health, Medical Centre – 0115 924 9924 • Area: County and City physical, social and/or psychological ext 62560 needs. Specialist dietetic assessment and Service Manager: Michelle Handsaker advice is provided for clients, carers, Hours: 9am – 5pm Monday to Friday support staff and MDTs. Referral mechanism: Adults with IDD, IDD and Autistic Spectrum Dieticians Office, Moorgreen House, using any clinics, theatres or inpatient Disorder or ADHD Service Highbury Hospital – 0115 956 0810 facilities at either the QMC or City Hospital site. Assessment, diagnosis and treatment Hours: 9am – 5pm Monday to Friday service for people with IDD and autism. Service Manager: Michelle Handsaker Referral mechanism: Also clinical psychology and psychiatry • Age: 18+ provide diagnostic assessments and • Level: Anyone under a Trust IDD management of ADHD. Professional Health Facilitators MDT service provided by Clinical • Area: Complex dietetic needs. Under Promote increased numbers and quality Psychology, Speech and Language nutrition, gastrostomy feeding and of annual health checks for people with Therapy and Psychiatry other special diets in City and South IDD with general practices. Obesity with BMI 45+ in North, City Hours: 9am – 5pm Monday to Friday and South Develop and promote Health Action Plans to support patients in the Referral mechanism: Service Manager: Michelle Handsaker community. • Age: 18+ • Level: Varying levels of IDD Support families and or paid carers to • Area: Across City and County; complete Health Action Plans. Epilepsy Specialist through the CLDTs Nursing Service Increase and support the availability of Service Manager: Shirley Lavender easy read medical information. Prescribed Services A comprehensive service for adults with epilepsy and IDD. The service takes a Provide disability awareness training to holistic approach to patients’ community staff. Nottinghamshire Eating neurological problems, diagnosing and Ensure staff are trained to make Disorders Service (NEDS) Perinatal Psychiatric Service treating epilepsy and associated health reasonable adjustments and promote conditions. The nurses provide an ways of implementing reasonable A specialist service offering assessment The Perinatal Psychiatric Service provides integrated service with the Neurology adjustments in healthcare. and interventions to adults who have a a specialist service to women whose Department at Nottingham University severe eating disorder. This includes pregnancy or post-natal period is Hospitals and Kings Mill Hospital people who have not responded to complicated by serious mental health providing weekly outpatient treatment in primary or secondary care. problems. The service provides both appointments and community visits community and inpatient care and a The interventions include Cognitive when necessary. maternity liaison service. Behaviour Therapy, Cognitive Analytic Highbury Hospital, Nottingham – Therapy, Interpersonal Therapy and The inpatient unit at the Queen’s 0115 854 2248 or 0115 969 1300 Supportive Psychotherapy. Close liaison Medical Centre (QMC) is a six bedded ext 12048 with inpatient services are maintained, ward for women who may need 24 hour when patients require specialised Hours: 9am – 5pm care, during late pregnancy or the early inpatient care, as well as physical Monday to Friday Nottingham City post natal period. inpatient care. Support and advice is Asperger Service Referral mechanism: also provided for carers. The community team is divided • Age: Children in Provides diagnostic assessments and between two bases, Millfield, Mandala Centre, Gregory transition and adults offers support to clients who have been Millbrook Mental Health Unit, Boulevard – 0115 960 6666 • Level: Anyone with diagnosed with Asperger Syndrome. This Mansfield, for the North of an IDD service is hosted within the IDD clinical Hours: 9am – 5pm Monday to Friday Nottinghamshire and Queen’s • Area: County stream but the clients it serves do not Medical Centre for City and South; Referral mechanism: To ensure and City have a learning disability. the inpatient Mother and Baby Unit smooth transitions, the service works is also on the QMC site. Service Manager: Highbury Hospital, Nottingham – with 17+, in conjunction with CAMHS, Michelle Handsaker 0115 854 2207 when appropriate. Hours: 9am – 5pm Monday to Friday Hours: 9am – 5pm Monday to Friday Anorexia nervosa patients, with a BMI Referral mechanism: Referrals received of 17.5 and below. from GP, Midwife, Health Visitor, Referral mechanism: Obstetrician or other health or social • Age: 18+ Bulimia nervosa patients who reach the care professional. • Level: No learning disability diagnostic criteria and who have failed • Area: City to respond to the treatment available in Service Manager: primary care. Judith Ring, Team Leader Service Manager: 01623 784836 Jackie Dziewanowska Service Manager: Ann Wright 14 Local Services Division Prospectus 2014 15

Substance Misuse Services – DIRECTORATE: SPECIALIST SERVICES Gender Dysphoria Service interested in trauma, its effects and Nottinghamshire County Alcohol and Drug Liaison Team – Criminal Justice Integrated therapy. The centre provides a Sherwood Forest Hospitals Team (CJIT) The Nottingham Gender Identity forum for practitioners and Disorder Service provides dedicated The service works across Sherwood Forest The team work in partnership with the Police researchers, working locally in the gender clinics and offers psychiatric Recovery Partnership Hospitals and operates a same day access and Probation Service and provides drug and NHS and the University to develop assessment and management of Nottinghamshire Alcohol Liaison Nurse Outpatient Clinic. The alcohol information, advice and treatment to research and effective evidence persons experiencing gender aim of the service is to ensure that people clients within the Criminal Justice System. based therapeutic methods. Recovery Partnership Nottinghamshire is dysphoria in line with national with alcohol or drug related problems a consortium of local services made up Crown House, Newcastle Avenue, guidelines. St Ann’s House, 114 receive the best possible standards of care of Nottinghamshire Healthcare, Double Worksop – 01909 531637 whilst in hospital. The team work closely Mandala Centre, Gregory Thorneywood Mount, Impact, Framework Housing, Hettys and with the Community Substance Misuse Boulevard – 0115 960 2820 Nottingham – 0115 844 0586 Mansfield Citizens Advice Bureau, Hours: 9am – 5pm Monday to Friday working together to provide a range of teams to maximise the effectiveness of care ext 13006 Hours: 9am – 5pm Referral mechanism: Referrals are taken for specialist services for individuals and/or and ensure good quality clinical outcomes. Monday to Friday clients aged 18+ who have substance misuse Hours: 9am – 5pm their families who are being affected by The service provides specialist alcohol and issues and are involved in the criminal justice Monday to Friday Service Manager: Angie Jackson alcohol or drug problems. drug education to hospital based workers. system. This includes up to two months after Referral mechanism: People prison or police custody release. Please see King’s Mill Hospital, Sutton-in-Ashfield – thought to be suffering from gender www.nottinghamshirehealthcare.nhs.uk for 01623 622515 Ext 3935 identity disorder may be referred to Physical Health Community Substance further details. the Gender Clinic by any general Psychology Services Misuse Teams Hours: 9am – 5pm Monday to Friday Service Manager: Suzy Lyon practitioner, mental health team or Provided to people with physical The Community Substance Misuse teams other specialist. Referral mechanism: Clients must be health problems. This service has work within a broader partnership – the aged 18 and over and currently in contact Service Manager: Angie Jackson contracts to work into King’s Mill Recovery Partnership Nottinghamshire. with the general hospital. Referrals are Hospital, Genito Urinary (GU) They provide specialist assessment and a usually, but not exclusively, made by Medicine and the Pain Clinic, the range of treatment options including hospital staff. The Centre for Trauma, John Eastwood Hospice and medically assisted stabilisation, Resilience and Growth (CTRG) Ashfield Community Hospital. withdrawal and relapse prevention from Service Manager: Suzy Lyon alcohol and opiates for individuals with The CTRG is a partnership between Millbrook Mental Health Unit, alcohol and drug problems. the Trust’s Trauma Service and the King's Mill Hospital – Research Group for the Study of 01623 784793/784702 Ashfield Recovery Centre, King Trauma, Resilience, and Growth at Street, Sutton-in-Ashfield – Hours: 9am – 5pm the Centre for Social Work, 01623 272002 Monday to Friday University of Nottingham. The Mansfield Recovery Centre, 1-5 Beech partnership is dedicated to therapy, Referral mechanism: Adults within Avenue, Mansfield – 01623 408432 consultancy, education and research medical healthcare, who would into trauma. benefit from specific psychological Newark and Sherwood Recovery interventions and are included in Centre, Newark – 01636 302023 The aim of the CTRG is to provide an the external contracts. interdisciplinary focus for Stapleford Care Centre, Church practitioners and researchers Service Manager: Angie Jackson Street, Stapleford – 0115 883 5221 Hours: 9am – 5pm Monday to Friday Referral mechanism: Aged 18 and over. Must be resident within Nottinghamshire County. Please see www.nottinghamshirehealthcare.nhs.uk for further details. Service Manager: Suzy Lyon 16 Local Services Division Prospectus 2014 17

Substance Misuse Services – DIRECTORATE: SPECIALIST SERVICES Harm Reduction Team Recovery Partnership of NRT for free if they do not pay for Nottingham City prescribing options are offered, which Alcohol and Drug Hospital Training Team their prescriptions. If clients do pay for The service provides needle and syringe include detoxification, stabilisation and Liaison Team their prescriptions one prescription harm minimisation. The services programmes from a variety of settings The team provides information, training, Provides advice and treatment for charge will need to be paid and then the Recovery in Nottingham compromises of nurses, social workers, across North Nottinghamshire. It aims to support and advice around drugs and clients who are admitted to acute rest of the 12 weeks will be free. doctors and substance misuse specialists. reduce the harms drug users experience alcohol issues. Recovery in Nottingham (RiN) is a new hospital wards with alcohol and/or as a consequence of their injecting Warsop Primary Care Centre – innovative consortium of local The service has strong links with all It also offers a wide range of free drug related problems. behaviours. The team supplies injecting 01623 848868 or 0800 389 7712 organisations; Nottinghamshire other drug and alcohol treatment training courses that will help develop equipment, collects used equipment and Healthcare, Framework Housing, services in Nottingham. Queen’s Medical Centre – the competence and confidence Hours: 9am – 5pm Monday to Friday provides information and advice on Double Impact and Bac-in that work to 0115 924 9924 ext. 61838 necessary to work with substance use. The Recovery Centre, 12 Broad injecting related issues, including viral Referral mechanism: Resident within deliver an integrated drug treatment Street, Nottingham – 0115 883 3842 Hours: 9am – 5pm Monday to Friday and bacterial infection, damage to the Laurel House, Ransom Wood Business Nottinghamshire County aged 12 and system and recovery pathway for or freephone 0300 300 2200 Referral mechanism: Referrals from circulatory system and overdose. Park, Mansfield – 01623 633510 over. Nottingham. It is a community based hospital staff including Emergency partnership, which offers a Hours: Mansfield Recovery Centre, 1-5 Beech Hours: 9am – 5pm Monday to Friday Service Manager: Suzy Lyon Department. comprehensive recovery and treatment Monday, Wednesday and Friday 9am – Avenue, Mansfield – 01623 408432 Referral mechanism: service for clients who have a drug 5pm, Tuesday and Thursday 9am – 7pm, Service Manager: Karen Fisher Hours: 9am – 5pm Monday to Friday Nottinghamshire County related problem. The service offers a Saturday 10am – 3pm Dual Diagnosis Team wide range of treatment options Referral mechanism: Aged 18 and Service Manager: Suzy Lyon Referral mechanism: Self-referral at our The team covers Nottinghamshire providing individualised care, each over. Must be resident within triage point 11-13 Heathcote Street, County and Nottingham City. The service service user having unique needs. All Nottinghamshire County. No referral Nottingham NG1 3AF Telephone 0115 offers consultancy liaison and direct individuals accessing the service are 883 3847 or through our website: required – drop in service. What About Me (WAM) support to service users and clinical allocated a recovery co-ordinator who www.recoveryinnottingham.co.uk Service Manager: Suzy Lyon WAM is a confidential support service teams, for people who have both mental will help navigate the individuals care Service Manager: Nick Coombs for children and young people aged health and substance misuse problems. from accessing the service all their way 5-19 that are affected by someone else’s The team work with a number of through to recovery and aftercare. substance misuse. This could be their provider agencies, both within the Recovery planning and a range of mum, dad, brother, sister, friend or just statutory and non-statutory setting, to anyone that they know or care about. ensure that clients receive a good quality mental health and substance misuse Laurel House, Ransom Wood Business service and to help identify appropriate Park, Mansfield – 01623 635330 resources to meet the individual’s needs. Hours: 9am – 5pm Monday to Friday Suite 20, Brunts Business Centre, Referral mechanism: Samuel Brunts Way, Mansfield – • Age: 5-19 years 01623 302023 • Area: Nottinghamshire County Oxford Corner, 3/3a Oxford Street, Service Manager: Suzy Lyon Nottingham – 0115 955 5435 Hours: 9am – 5pm Monday to Friday Referral mechanism: Aged 18 or over New Leaf resident in Nottinghamshire County or New leaf offers free stop smoking City under the care of a General support across Nottinghamshire and Psychiatrist with identified substance provides a variety of support options. misuse problem coexisting with a Nicotine Replacement Therapies (NRT) diagnosed mental illness. Written or are offered on the voucher scheme faxed referral to the team. which operates across the County, The voucher scheme offers clients 12 weeks Service Manager: Suzy Lyon 18 Local Services Division Prospectus 2014 19 DIRECTORATE: SPECIALIST SERVICES

Oxford Corner, Alcohol Team Rapid Access Team The Health Shop The team offers individual treatment for Facilitates a rapid access into treatment The Health Shop is a drop-in and problem drinkers, aged 18 and over, for drug using offenders. appointment based service for anyone from a central base in Nottingham City requiring advice or support around a Castle Gate House – 0115 915 1431 and other locality clinics. The service wide range of issues regarding substance targets those individuals who have Hours: 9am – 5pm Monday to Friday use and sexual health. moderate and severe alcohol Needle exchange and a wide range of dependence problems or other complex Referral mechanism: Referrals from sexual health and blood borne screening problems associated with excessive the Criminal Justice Services including and immunisation are provided. drinking. prisons. 11-13 Heathcoat Street, Hockley, Oxford Corner, Nottingham – Service Manager: Nick Coombs Nottingham – 0115 947 5414 0115 948 5505 Hours: 9am – 5pm Monday to Friday Hours: 9am – 5pm Monday to Friday some evening and weekend sessions Referral mechanism: All Referrals to go Referral mechanism: The service is free, via Last Orders Single Point of Contact, confidential and open to anyone 79a Upper Parliament Street regardless of age, gender, ethnicity, NG1 6LD – 0115 883 1994 sexuality, etc. Referrals can be made by Service Manager: Karen Fisher an individual or via a third party. Service Manager: Lou Wilkins

Oxford Corner changed my life so much for the better. My stay at The Woodlands has helped me to Inpatient Services have a second chance in life, and make a A 15 bedded dedicated in-patient fresh start. The facilities there are first class facility, with gender specific sleeping and provide a warm and friendly accommodation, nine male and six environment. The staff are fantastic and female beds in the building known as looked after me very well, I felt so much at Great Oaks. Offering detoxification, home that I didn’t want to leave. You all do a stabilisation and also assessment of great job and I thank you all so much for the mental and physical health problems. help and the support that I have been given. All clients referred for in-patient treatment must have an identified community key worker with whom the client and the ward staff have agreed a treatment package prior to admission, and which also includes a discharge plan. Tall Trees accommodates admin and management offices as well as our own dedicated Recovery Programme space. My stay at The Woodlands and The Woodlands, Highbury with the detox have help me to Hospital – 0115 969 1300 ext 10850 move on to better life. I would Hours: 24 hours a day 7 days a week. recommend this to anyone who Referral mechanism: Please phone needs support with drug 0115 969 1300 ext. 10850 for further addiction. Thank you Woodlands details. Staff for your help. Service Manager: Michelle Handsaker 20 Local Services Division Prospectus 2014 21

Working Age Dementia Community Services – Community City North, West and Hucknall CMHT Mental Health Teams – St Francis Unit, City Hospital The specialist working age dementia Directorate: (WAD) service, comprises of a multi- Community Mental Health Teams Gedling CMHT – St Francis Unit, disciplinary diagnostic clinic led by an (CMHT) for older people are specialist City Hospital occupational therapist consultant, a teams that provide community based Mental Health Rushcliffe CMHT – Lings Bar Hospital, consultant psychiatrist, a consultant assessment and treatment for people of Gamston, Nottingham neurologist, and neuro-psychologist. The any age suffering from dementia Services for clinic provides advanced diagnostic (organic) and those people over the age City South, East CMHT – St Francis imaging with specialist scans as well as of 65 years who are experiencing Unit, City Hospital Older People comprehensive neuro-psychological mental health problems (functional). assessment to aid in diagnosis. Specialist Dementia Outreach Team Each team has a multi-disciplinary mix (City) – St Francis Unit, City Hospital (MHSOP) The priority for this service is maintaining of staff including psychiatric nurses, individuals in the community with occupational therapists, consultant Referral mechanism: Each team has a community based services as its focal psychiatrists, social workers, single point of access for referrals. point. physiotherapists, cognitive behavioural Service Manager: psychotherapists and psychologists. Nottingham City North West, City South, Barchester Hospital, Mansfield (MHSOP) FOR OLDER PEOPLE DIRECTORATE: MENTAL HEALTH SERVICES The teams offer a comprehensive Rushcliffe – Rita Hobbs – 0115 854 2288 Staff are also integrated within MHSOP is the major provider service to people in their own homes existing Community Mental Health Gedling and Hucknall; and Broxtowe – of mental health services to and act as gate keepers to other Teams (CMHT) Paul Carruthers – 0115 854 2288 older people to the services which assist people to maximise populations served by the Specialist WAD day care provider, their quality of life in the community. Mansfield and Ashfield, Bassetlaw, Mabon House, The Meadows, Newark and Sherwood – clinical commissioning Groups Mansfield and Ashfield CMHT – Nottingham Angela Foster – 01623 785432 in Nottingham and Heather House, Kirkby in Ashfield Referral mechanism: Any referral to Nottinghamshire. Newark and Sherwood CMHT – our service for someone with a cognitive Byron House, Newark Hospital Community Services – Mental There are two types of service within impairment below the age of 65 years Health Intermediate Care Team the Directorate: will automatically go to this specialist Bassetlaw CMHT – James Hince team who will provide a comprehensive Court, Worksop and Bassetlaw Mental Health Intermediate Care team • Organic Services predominantly assessment. Hospital (MHICT) is a specialist multi-disciplinary focus on organic brain diseases such service working with older persons over as dementia. These services are for Service Manager: Broxtowe CMHT – Sheila Gibson the age of 65 with a functional mental people of all ages with dementia. Tracey Wilkinson – 01623 415707 Unit, Stapleford health problem and people of any age with a diagnosis of dementia. It offers a • Functional Services focus on those 12 week assessment and support common mental illnesses which package to people in their own homes affect people of any age; with moderate to severe mental health predominantly depression, various I would like to thank all those who looked issues. It aims to prevent avoidable anxiety disorders and psychosis. The after me on Ward B50. You all add up to hospital admissions, short or long term service sees people over the age of a fantastic professional team, you have care and to help facilitate early discharge 65 years. my admiration. I feel that I am now on the from hospital. slow road to full recovery. Once again, Services are provided on a community, Mansfield and Ashfield MHICT – day and inpatient basis. many thanks for all your help. Keep up the good work. 76 Portland St, Kirkby-in-Ashfield In addition, MHSOP also host Rapid • Inpatient – 150 beds are based at Bassetlaw MHICT – Hospital Millbrook Mental Health Unit, Response Liaison Psychiatry teams at Bassetlaw General Hospital, Queen’s QMC and King’s Mill Hospital on Gedling MHICT – Park House, Medical Centre (QMC), Nottingham behalf of the Local Services Division. Nottingham City Hospital and Highbury Hospital. Rushcliffe MHICT – Lings Bar Hospital, • Community – Mental Health Teams Nottingham provide community based Top three priorities Broxtowe MHICT – The Sheila Gibson assessment and treatment for 1. Service redesign of MHSOP Unit, Stapleford Care Centre people of any age suffering from services, incorporating a review of dementia and those people over the inpatient services, community and Referral mechanism: Open referral age of 65 years who are day services procedure for the service. experiencing functional mental Service Manager: health problems. These services also 2. Early and faster diagnosis of Rushcliffe – Rita Hobbs – 0115 854 2288 comprise working age dementia, dementia via the Memory Assessment Services within the 12 mental health intermediate care Gedling and Hucknall; and Broxtowe – week target and dementia outreach into Paul Carruthers – 0115 854 2288 nursing homes. 3. Fewer admissions to inpatient Mansfield and Ashfield, Bassetlaw, units, utilising intermediate care • Day Services – based at the Newark and Sherwood – teams for crisis management Millbrook Mental Health Unit, Angela Foster – 01623 785432 Byron House, Mabon House, Lings Bar Hospital, Stapleford Care Centre General Manager: Andrea Ward and Nottingham City Hospital. Clinical Director: Dr Ola Junaid 22 Local Services Division Prospectus 2014 23

Community Services – Specialist social care, continuing healthcare and St Francis Day Unit – City Hospital, Psychological Therapies – Liaison Psychiatry Service Dementia Outreach Teams direct from care home managers to the Nottingham Clinical Psychology relevant sector CMHT. Liaison Psychiatry is a newly developed Specialist Dementia Outreach teams Referral mechanism: Each team has a Clinical psychologists are part of service based primarily on two acute (DOT) visit nursing and residential homes City DOT – Referrals only from GP, single point of access for referrals. community mental health teams and hospital sites in Nottinghamshire – to provide education, support and MHSOP in-patient wards for follow up or provide detailed assessment of memory, Queens Medical Centre in Nottingham Service Manager: treatment to the care home staff and the Continuing Care team. concentration and behaviour, as well as and Kings Mill Hospital in Mansfield. The Nottingham City North West, residents within the home who are the provision of individual and group service also provides specialist input at Service Manager: City South and Rushcliffe – suffering from dementia. psychotherapy. Nottingham City Hospital, Mansfield Nottingham City North West, Rita Hobbs – 0115 854 2288 Community Hospital and Newark Integrated into community mental City South and Rushcliffe – Clinical psychologists work closely with Gedling and Hucknall; and Broxtowe – Hospital. health teams, the countywide DOT Rita Hobbs – 0115 854 2288 other professions, however, they do not Paul Carruthers – 0115 854 2288 service provides skilled, specialist staff to use medication and essentially work with Liaison Psychiatry is an overarching Gedling and Hucknall; and Broxtowe – support older people with dementia and Mansfield and Ashfield, Bassetlaw, the 'talking' treatments and through service comprising three highly specialist Paul Carruthers – 0115 854 2288 their carers in residential or nursing Newark and Sherwood – groups of staff and carers. clinical areas: MHSOP, Adult Mental homes during times of crisis or difficulty. Mansfield and Ashfield, Bassetlaw, Angela Foster – 01623 785432 Health and Substance Misuse. The aim The service supports placements from Some case focussed training is also Newark and Sherwood – of the service is to work closely with doctoral level courses in the local area. provided. Angela Foster – 01623 785432 acute providers of care to reduce the Inpatient Services For further information contact Dr number of inappropriate admissions to (MHSOP) FOR OLDER PEOPLE DIRECTORATE: MENTAL HEALTH SERVICES The City DOT service provides skilled Memory Assessment Service David Connelly, Consultant Clinical hospital, reduce lengths of stay for those specialist staff to support older people Specialist inpatient services provide Daycare Services Memory clinics are staffed by specialist Psychologist, Highbury Hospital who are admitted and to improve health with dementia and their carers in assessment, treatment and therapy to practitioners and offer a comprehensive 0115 977 0000 or 07824 820093 outcomes of individual patients as a residential or nursing homes during Daycare services are provided those people who require an inpatient assessment of memory impairment to result of timely assessments and times of crisis or difficulty. It also throughout Nottinghamshire, ensuring admission and who are suffering from enable a prompt and accurate diagnosis. interventions by highly skilled provides training packages to staff in people have access to assessment and dementia (organic services) regardless of Memory clinics can also offer Psychological Therapies – Cognitive practitioners. care homes to develop skills, expertise treatment in a daycare environment. It age, or presenting with mental health pharmaceutical and therapeutic Behavioural Psychotherapy (CBP) and knowledge in caring for people with provides an opportunity to offer a problems who are over the age of 65 treatments for dementia that can act to Kings Mill Hospital, Mansfield dementia. comprehensive assessment of need and years (functional services). Clients and therapists work together to improve symptoms and offer a temporary Queens medical Centre, Nottingham structured treatment options to identify and understand the problems in The team manages all patients within These services are needs led, person- period of stability for sufferers. individuals. terms of the relationship between Referral mechanism: Acute Hospital. the City in receipt of fully funded centred specialist services for older Mansfield – Millbrook Mental Health thoughts (cognitions), feelings (emotion), continuing NHS healthcare. The Lawrence Unit – Millbrook people which aim to maximise the Unit, Kings Mill Hospital behaviour and bodily sensations. Service Manager: Mental Health Unit, Mansfield and individual’s quality of life and promote a County DOT – St Francis Unit, Sally-Anne Redhead – 01623 785431 Bassetlaw Hospital mentally healthy older population. Ashfield – Heather House, Portland The approach usually focuses on current Nottingham City Hospital Street, Kirkby in Ashfield problems and difficulties and relies on Orchard Day Unit – Byron House, Inpatient wards are based at: City DOT – St Francis Unit, the therapist and client developing a Newark Hospital Bassetlaw – Bassetlaw Hospital, Nottingham City Hospital Amber Ward – Millbrook Mental Worksop shared view of the individual’s problems. Mabon House – The Meadows, Health Unit, Mansfield This then leads to the identification of Referral mechanism: Nottingham Newark – Byron House, Newark goals and strategies designed to County DOT – County only referrals are Kingsley Ward – Millbrook Mental Hospital overcome the problem. accepted from GPs, colleagues in adult Parkside Day Unit – Lings Bar Health Unit, Mansfield Hospital, Gamston, Nottingham Gedling – St Francis Unit, City CBP requires commitment and most of Ward B1 – Bassetlaw General Hospital, Nottingham the work takes place outside of the Stapleford Care Centre – Stapleford, Hospital, Worksop therapy session. The approach requires City North – St Francis Unit, City Nottingham people to be prepared to face their Ward A23 – Queens Medical Centre, Hospital, Nottingham Nottingham problems. It can therefore cause, in the City South – St Francis Unit, City short term, increased psychological Bestwood and Daybrook Wards – Hospital, Nottingham and Clifton discomfort, for longer term gains. City Hospital, Nottingham Rushcliffe – Lings Bar Hospital, Referral mechanism: Referred to Silver Birch – Highbury Hospital, Gamston, Nottingham Improving Access Psychological Nottingham Therapies (IAPT) services or MHSOP Broxtowe –Stapleford Care Centre, by a GP. Cherry Ward – Highbury Stapleford, Nottingham Hospital, Nottingham Service Manager: Referral mechanism: See Newark and Sherwood – Referral mechanism: www.nottinghamhealthcare.nhs.uk for Grainne Sheridan Inpatient admission. more information 01636 685985 Service Manager: Service Manager: Veronica Smith 0115 854 2257 Nottingham City North West, Sharon Howe 0115 854 2257 City South and Rushcliffe – Rita Hobbs – 0115 854 2288 You have helped both me and my Gedling and Hucknall; and Broxtowe – Mum to come to terms with her Paul Carruthers – 0115 854 2288 illness, both emotionally and Mansfield and Ashfield, Bassetlaw, physically. I have nothing but Newark and Sherwood – Angela Foster – 01623 785432 praise for your work; you both have done an exceptional job. 24 Local Services Division Prospectus 2014 25

Let’s Talk Wellbeing – City Let’s Talk Wellbeing – Bassetlaw, Let’s Talk Wellbeing – Derby and in partnership with Rethink Derbyshire Let’s Talk Wellbeing – City is a service that Directorate: provides brief psychological interventions, Let’s Talk Wellbeing – Bassetlaw is a Let’s Talk Wellbeing – Derby and predominantly CBT, but also counselling service that provides brief psychological Derbyshire is a service that provides and interpersonal psychotherapy, to interventions, predominantly CBT, but brief Psychological Interventions, Improving Access patients presenting with a mild to also counselling and interpersonal predominantly CBT, but also moderate common mental health problem psychotherapy, to patients presenting Counselling and Interpersonal to Psychological within the Nottingham City boundaries. with a mild to moderate common Psychotherapy, to patients presenting mental health problem within the with a mild to moderate common It provides an evidence based Stepped . mental health problem, clinics are Therapies Care model in line with NICE available in Nottinghamshire and recommendations for the specific The service also provides a range of Nottingham predominately. (IAPT) diagnosis. groups which include stress control, Mindfulness and sleep workshops. 600 Wells Road, Mapperley, It provides an evidence based Stepped Nottingham – 0115 956 0888 It provides an evidence based Stepped Care model in line with NICE Care model in line with NICE recommendations for the specific Hours: recommendations for the specific diagnosis. Monday to Thursday 8am – 7pm diagnosis. Friday 9am – 5pm 600 Wells Road, Mapperley, Let’s Talk – Wellbeing provides a Administration available between 9am – 48 Watson Road, Worksop – Nottingham – 0115 956 0888 range of talking therapies for 5pm. Some evening appointments and 01909 512351 Hours: group sessions offered. Telephone people experiencing common Hours: Monday – Thursday 8am – 8pm Monday to Thursday 8am – 7pm assessments are available until 6pm Friday 8am – 5pm Friday 9am – 5pm difficulties such as feeling low, Monday to Thursday. anxious or stressed. 1 Saturday a month 9am – 1pm Administration available between Referral mechanism: Referral is made 9am – 5pm. Some evening Referral mechanism: Referral is made via self referral, GP or Allied Health appointments and group sessions Trained psychological therapists work via GP or Allied Health Professional, Professional using the service referral offered. with patients using a range of ‘talking using the service referral document and document, by phone or the Let’s Talk therapies’ to help them towards recovery. faxed to 01909 500145 or posted to Referral mechanism: Referral is made Wellbeing website A range of different approaches is used, the above address. Patients can also self via self referral, GP or Allied Health including stress control courses, group Service Manager: Helen Morris re-refer by contacting the service, if Professional using the service referral workshops, one to one appointments, self they have previously been in treatment document or by phone or the Let’s Talk help books, leaflets or computer packages or referred. Wellbeing website and telephone appointments. Let’s Talk Wellbeing – County Service Manager: Service Manager: Provided by Nottinghamshire Healthcare,

Let’s Talk Wellbeing – County is a service Helen Simpson Helen Morris PSYCHOLOGICAL (IAPT) THERAPIES DIRECTORATE: IMPROVING ACCESS TO Let’s Talk – Wellbeing provides services in: that provides brief psychological interventions, predominantly CBT, but • Nottinghamshire County also counselling and interpersonal • Bassetlaw, in partnership with Rethink psychotherapy, to patients presenting • Nottingham City with a mild to moderate common mental • Derby and Derbyshire health problem within the The Let’s Talk – Wellbeing services are part Support In Work (Notts Fit For Work) Nottinghamshire County boundaries. of the national Improving Access to The service also provides a range of Psychological Therapies (IAPT) programme. The service supports people with information can be found about groups which include Stress control and For more information visit www.iapt.nhs.uk physical or mental health difficulties the service at to stay in their job. For people www.nottsfitforwork.org.uk Mindfulness. whose health makes their job Top three priorities: 600 Wells Road, Mapperley, difficult, or their job makes their Duncan Macmillan House, Nottingham – 0115 956 0888 1. Mental health and wellbeing care health worse. People who will find Porchester Road, Mapperley, pathway – To provide a timely service for this service most helpful are those Nottingham Hours: those with mild to moderate who have recently gone off sick Clients are usually seen at clinics Monday to Thursday 8am – 7pm psychological difficulties and reduce the from work and have a GP Fit Note. across Nottinghamshire County Friday 9am – 5pm pressure on secondary care. Administration available between 9am – The Support Into Work team and Nottingham City. 5pm. Some evening appointments and 2. Helping people to stay in and/or return provide both individual case Hours: Usual hours 9am – 5pm group sessions offered. Telephone to work – To improve early access to management and group based Monday to Friday but some evening assessments are available until 6pm psychological therapies and help people workshops called ‘Work Survival’. appointments and group Monday to Thursday. with anxiety or depression to stay in, or The team are all specialist workshops offered. return to work. occupational therapists and they Referral mechanism: Referral is made will do work based assessments, Referral mechanism: City or via self referral, GP or Allied Health 3. Improving the management of long- including talking to GPs, employers Ashfield and Mansfield GPs can Professional using the service referral term conditions – To extend access to IAPT and occupational health staff to refer to the service. Also any document or by phone or the Let’s Talk to people with long-term conditions and find a solution. specialist health worker. Self referral Wellbeing website to improve outcomes for these patients. accepted by calling 0115 956 0890 Support In Work is part of the Service Manager: National Fit For Work Pilot. More Helen Morris General Manager: Claire Thompson Service Manager: Rachael Barratt Clinical Director: Dr Maureen Tomeny 26 Local Services Division Prospectus 2014 27

The service serves a population of • Community Services include a approximately 1,000,000 people. We range of community teams work closely with colleagues in the across AMH County including: All of the staff really Adult Social Care and Health Team - Crisis Resolution Home listened to me and calmed Directorate: of Nottinghamshire County Council Treatment (CRHT) – work and . me down when I was closely with the acute wards, frightened. I don’t know Adult Mental AMH provides a broad range of gate-keep admissions and services for adults of working age. facilitate timely discharge what I would have done Health These include: - Early Intervention in Psychosis (EIP) without you! (AMH) • Acute inpatient facilities - Assertive Outreach (AO) • Inpatient rehabilitation - Community Mental Health Teams (CMHTs) • Specialist functions are also - Community Assessment and provided within a number of the Treatment inpatient facilities. These include: - Recovery Teams - Specialist Deaf Services Inpatient Services - Psychiatric Intensive Care Unit - Section 136 Assessment Unit These teams offer full multi Patients are admitted to the AMH acute wards following a gate keeping Nottinghamshire Healthcare is - Electro Convulsive Therapy disciplinary health and social care assessments and interventions assessment by the CRHT services. There Crisis Resolution Residential Rehabilitation the major provider of AMH Suite (ECT) - Physical Healthcare Clinic delivering holistic evidence based are nine acute wards and two PICU’s Home Treatment (CRHT) Service services for the populations across AMH. Inpatient services have - Medication clinics care within a recovery philosophy. This multi-disciplinary team is committed The service provides care and treatment multi disciplinary teams to assist people served by Nottingham City and - Group and Occupational to providing an appropriate professional for service users who are recovering in their recovery. They work closely with Nottinghamshire County which Therapy Work rapid response to individuals from enduring mental health conditions General Manager: Nick Daibell patient’s families and carers, all statutory comprise: Rushcliffe, Broxtowe - Mental Health Liaison experiencing acute mental illness, until but not yet ready to return home. Clinical Directors: Dr Bert Park community mental health teams, social - Complimentary Therapies Dr Hazel Johnson their mental health improves and other and Hucknall, Gedling, care and third sector providers to ensure - Peer Support support systems are in place. The service aims to work directly with Mansfield and Ashfield, - Wellbeing and Social Inclusion patients are supported appropriately service users to assist them in reaching Newark and Sherwood and - Perinatal (motherhood and post discharge. Where individuals require inpatient care, their maximum potential and to prepare they will be supported towards a timely Bassetlaw areas. mental health) Services Nottingham City and South: them for their return to community - Carers Support Services discharge from hospital. CRHT work living. - Family Intervention A43 Assessment Ward, Queen's alongside individuals to promote Medical Centre recovery and independence. The different services offer a range of functions, also including prevention of A42 Treatment and Therapy Ward, Emphasis is placed on community based admission to hospital and focused Queen's Medical Centre care, working in partnership with other recovery interventions on an individual services to encourage people to fully Redwood 1 Treatment and Therapy and group basis. participate in activities in the society in Ward, Highbury Hospital which they live (social inclusion). The Mansfield Community Rehabilitation Redwood 2 Treatment and Therapy team ensures that individuals Unit, Heather Close, Mansfield Ward, Highbury Hospital experiencing acute severe mental health Bracken House, Locked difficulties are treated in the least Rowan 1 Treatment and Therapy Rehabilitation Unit, Mansfield restrictive environment, preferably within Ward, Highbury Hospital their own home whenever possible. Newark Community Rehabilitation Rowan 2 Treatment and Therapy Unit, Enright Close, Newark Nottingham City and County South – Ward, Highbury Hospital Highbury Hospital 145 Thorneywood Mount, Willows Mental Health Intensive Thorneywood, Nottingham Mansfield and Ashfield (County Care Unit, Highbury Hospital North) – Millbrook Mental Health 106 Thorneywood Mount, Nottingham North: Unit, Mansfield Thorneywood, Nottingham Meden Ward, Millbrook Mental Newark and Sherwood (County Broomhill House, Gedling, Health Unit, King’s Mill Hospital North) – 65 Northgate, Newark Nottingham

Lucy Wade Unit, Millbrook, King’s Bassetlaw – Bassetlaw Hospital, Dovecote Lane, Beeston, DIRECTORATE: ADULT MENTAL HEALTH (AMH) Mill Hospital Worksop Nottingham Section 136 Assessment Suite, Referral mechanism: The team accepts Referral mechanism: Patients are Millbrook, King’s Mill Hospital referral from GPs and other mental referred either via the Care Pathway health professionals. They also accept Panel or directly. B2, Bassetlaw Hospital, Worksop self referrals for anyone who has been in Service Manager: Referral mechanism: All patients are receipt of services within the last six Michelle Malone (County) referred to in-patient units via CRHT months. If a referral is not accepted, Jane Marlow (City) team. If patient is detained under the then wherever possible CRHT will mental health act, CRHT are informed to identify a more appropriate service to allocate bed. meet the individual’s needs. Service Manager: Jo Horsley Service Manager: Jo Horsley 28 Local Services Division Prospectus 2014 29

Assertive Outreach Team Step 4 Psychological Therapies The team offers support to service users Provides specialist treatment provision who experience symptoms of psychosis for clients using Adult Mental Health and who find it difficult to engage with Services across the Trust. Therapy is services. This may be because they are delivered through both individual and homeless, have drug and alcohol group work, being short or long term, difficulties, have been involved with the tailored to meet the needs of the criminal justice system or have complex individual. Therapies include: difficulties. • Clinical Psychology Service users referred will usually have • Cognitive Analytical Therapy had a history of admissions to hospital, • Cognitive Behavioural Therapy possibly detained under the Mental • Gestalt Psychotherapy Health Act and often encountered • Psychodynamic Psychotherapy problems with medication treatments. Specialist Psychological Therapeutic Aims of the service: Services, 74 Portland Street, Kirkby-in-Ashfield – 01623 785444 • To work creatively to improve engagement Hours: 9am – 5pm Monday to Friday • To reduce relapse by working collaboratively with service users by Referral mechanism: The service We would like to express our gratitude for the great care providing service user focused typically sees clients with longer term, our daughter received during her stay on Rowan 2 this year. packages of care more complex reactive difficulties, • To reduce likelihood and duration of where psychological therapy is indicated When she arrived, she was severely ill and all members of admission to hospital such as: anxiety, depression, personality the team - the nursing staff, the healthcare assistants, the • To improve social functioning disorders, bereavement. doctors, the domestic staff, the occupational therapists, the • To promote stability in the lives of Service Manager: Ann Wright clinical psychologist and anybody else I have failed to service users and their families mention - have provided extremely professional and high • To work in an integrated manner with quality care for our daughter. You have also been very other locally based services both compassionate to us, her parents, during a very difficult statutory and non-statutory time for us. Nottingham East and West – The Stonebridge Centre, Carlton Nottingham South County – 93 Musters Road, West Bridgford, STAR Team – Stonebridge Centre, Early Intervention in Psychosis Community Mental Nottingham Health Service Nottingham Mansfield and Ashfield – Millfields This service is for people aged 18-35 County Community Mental Health Service users will receive interventions if Centre, Millbrook Mental Health Unit experiencing their first onset of Teams: psychosis. Once accepted service users they are experiencing moderate to severe Bassetlaw – Bassetlaw Hospital, can remain with the team for three to mental health problems including anxiety Broxtowe and Hucknall – The Hope Worksop five years. disorders, depressive illness and disorders Centre, Beeston, Nottingham of personality. Interventions are offered on Newark and Sherwood – The aims of this service include: Gedling – Manor Road, Carlton, a one-to-one and/or group therapy basis. 65 Northgate, Newark Gedling, Nottingham • Early detection, assessment and Service users with major mental health Referral mechanism: Referrals treatment of symptoms Rushcliffe – 93 Musters Road, West problems, which can include psychosis and to these teams are made via • Optimistic views about recovery Bridgford, Nottingham non psychosis, can receive a Single Point of Access. focused interventions comprehensive recovery focused care Mansfield and Ashfield – Millfields • Provide a wide range of psycho- package. This can include help to manage Service Manager: Centre, Millbrook Mental Health social interventions and support mental health symptoms, including Michelle Malone (County) Unit, Mansfield • Provide support and intervention for medication management, relapse Jane Marlow (City) family and carers prevention, coping strategies, help with Newark and Sherwood –

• To work in partnership with a range daily living skills and occupation of time 65 Northgate, Newark DIRECTORATE: ADULT MENTAL HEALTH (AMH) of statutory and non-statutory including education and employment. Bassetlaw – Bassetlaw Hospital, services We work in collaboration with service Worksop City EIP Service and County South users and their families in order to develop Referral mechanism: Each locality has a EIP Service, 600 Wells Road, plans that can help meet the needs Single Point of Access for all referrals Nottingham identified and work towards the fulfilment into secondary mental health services of identified aims and objectives. These Millfields Centre, Millbrook Mental Point of Access meeting in each area. requiring health and social care plans will be reviewed regularly by the Health Unit, Sutton in Ashfield Referrals can also be picked up assessment and interventions (non crisis). multidisciplinary team in conjunction with following acute crisis. Referrals are received from GPs and also Bassetlaw Hospital, Worksop service users and families. via acute mental health services. Service Manager: 65 Northgate, Newark City Community Teams: Jane Marlow (City and County South) Service Manager: Referral mechanism: Referrals to this Michelle Malone (County North and Recovery Team – The Stonebridge Michelle Malone (County) team are usually via a GP into a Single Bassetlaw) Centre, Carlton Jane Marlow (City) 30 Local Services Division Prospectus 2014 31

Social Inclusion and • To enhance hope, independence, Recovery Education College The courses are designed to put people Wellbeing Service self esteem and quality of life back in control of their life, helping each The Recovery Education College provides through activities person to identify goals and ambitions The service supports service users in a range of courses to help people to • To reduce stigma and promote social whilst giving the confidence, skills and finding sustainable opportunities in develop their skills and understanding, inclusion support to access opportunities. They are occupation, education, volunteering and identify their goals and ambitions and • To maintain optimism for individual open to adults who: give them the confidence and support to employment. The team provide growth and recovery occupational assessment and treatment access opportunities. • Have personal experience of mental Vocational Services (Span), Foster health challenges and employment and volunteering The Recovery Education College aims to: within an individual placement support Drive, Mansfield Road, Nottingham • Care about people with mental health model. • Provide a base for recovery resources challenges Community Arts and Wellbeing • Promote an educational and coaching • Are a member of staff in mental Aims of the service: Service, Stonebridge Centre, model in supporting people to become health services Nottingham • To provide a comprehensive service to experts in self care on their recovery The Recovery Education College also has individuals to retain or gain access to Referral mechanism: Referrals to the journey a library of varied recovery resources employment or volunteering service are made via the Care • Break down barriers between ‘us’ and including books, DVDs, leaflets and opportunities of their choice Co-ordinator or Consultant from ‘them’ by offering training sessions run internet access. • To equip individuals with skills and Nottingham City Services, Broxtowe, for and by people with experience of experience for work Gedling and Rushcliffe boroughs. mental health challenges and people Duncan Macmillan House, • To meet the occupational needs of with professional experience. Nottingham. Courses are also Service Manager: Jane Marlow people who are not ready to work in provided at various venues across the ways which demonstrate their The college brings together two sets of County. contribution to an inclusive society expertise – professional and experience – in a non-stigmatising college environment Referral mechanism: A copy of the with the same systems as other latest prospectus, student handbook and educational establishments. All of the booking form is available on the Trust website at courses provided at the college are www.nottinghamshirehealthcare.nhs.uk designed to contribute towards wellbeing The centre can be contacted on and recovery. People who share 0115 956 0827 experiences of mental health challenges teach on the courses with the intention of Service Manager: Julie Repper inspiring hope and embodying principles of recovery. Other services Some of our other Adult Mental Health Services include: • Perinatal Psychiatry (motherhood and mental health) • Supported Employment Services • Outpatient Clinics • Psychology Services • Clinical Nurse Therapists • Practice Development Units • Traumatic Stress Service

Specialist Services who work across sectors and the County include: • Cognitive Behavioural and Dynamic Psychotherapy DIRECTORATE: ADULT MENTAL HEALTH (AMH) • Services for The Deaf • Services for The Homeless • A Gender Service • An Eating Disorders Team • A Neuropsychiatry Service This document is available in other languages and formats on request.

P O SI T IV E

Local Services Division Nottinghamshire Healthcare NHS Trust Duncan Macmillan House, Porchester Road Nottingham, NG3 6AA Tel: 0115 969 1300

For more information visit: www.nottinghamshirehealthcare.nhs.uk

January 2014