CURRICULUM VITAE Dr SASHA HVIDSTEN MB ChB MRCPCH MRCPsych PGCert (LLM)

PERSONAL DETAILS

Full Name: Sasha Jane Hvidsten.

Date of birth: 20th January 1973.

Nationality: British.

Address: Hobro Croft, Hobro Lane, Wolverley, Kidderminster DY115SZ

Telephone: 01562 852719 (Home) 0786680 7153 (mobile)

E mail: [email protected]

Section 12(2)

Approved Clinician

GMC: 4278818 Full Registration, 1997 Revalidated 2014 (Nov)

Registered for CPD: July 2010

Career Aims: Initially I trained as a paediatrician and then pursued a career in child psychiatry.

I am passionate about young people experiencing the highest quality care in every aspect of their patient journey, both physical and emotional. I am committed to multi-disciplinary and interagency working, take an active role psychiatric education and retain an interest in research. I am ambitious and motivated, enjoy setting myself challenges and spending time out of my comfort zone. QUALIFICATIONS AND EDUCATION

2015 PGCert (LLM) (part 1 of 3) of Masters degree in Mental Health Law - Northumbria university.

2005 MRCPsych (Royal College psychiatry - All Birmingham Rotation)

2000 MRCPCH (Royal College Paediatrics and Child health, Birmingham Children's Hospital Rotation)

1991-1996 Birmingham University Medical School MB ChB 1987-1991 The Grammar School, Ashby de-la Zouch, Leicestershire. (5 A levels)

Prizes Honours Achievements

Honours in Public Health and Epidemiology 1996

Honours in Pathology Birmingham 1996

Howard White Memorial Prize for Evidence Based Medicine - Queen Elizabeth 2002

EMPLOYMENT HISTORY

Date Speciality Consultant / Hospital July Consultant Child Mulberry and Rowan wards 2016 - and Adolescent Woodbourne Priory Hospital current Birmingham April - Consultant Crisis Crisis CAMHS Forward Thinking June CAMHS - Forward Birmingham. Based at Parkview clinic 2016 Thinking Birmingham Birmingham 0-25 service .

March - CAMHS - outpa- 1 month NHS locum. Regional autism di- April tient - regional ASD agnostic service. I provided psychiatric as- 2016 diagnostic service. sessments and risk assessments / manage- NHS ment plans for children as part of a wider MDT assessment. Children receive a speech and language assessment, an exami- nation by a paediatrician and an OT as- sessment. Feb CAMHS In patient - 1 month NHS locum, unit. 2016 - Eating disorders march unit. NHS 2016

April Specialised eating Consultant Psychiatrist and Lead Clinician 2014 - disorder unit. for the Eating disorders unit, Wedgwood Feb Substantive Consultant Unit, Huntercombe Hospital Stafford, 2016 and Lead Clinician. In- ST19 9QT. A 15 bed specialised eating dis- dependent provider. order unit (SEDU) that accepted national referrals. A mixed sex unit, with a high referral rate for male patients. I led on clinical governance processes for the hospital, supervised consultant col- leagues, chaired the drug and therapeutics committee and worked alongside the hos- pital manager to ensure we provided a service that was effective, well led and innovative. I was part of the senior leadership team for the wider CAMHS directorate and the se- nior management team for the hospital. I was the CAMHS medical representative for the care notes (electronic patient records) steering group, the CAMHS op- erations meeting and the CAMHS divi- sional clinical governance meetings. I also worked within the business devel- opment team, to work on partnership arrangements with NHS trusts nationally and develop new ways of delivering ser- vices. I led on a project to develop patient profiles, to inform the use of resources such as therapy and nursing time which was embedded into our data collection system to improve our directorate dash- board. I was also CAMHS Medical representative for the seclusion review working group. April 2013 Liaison and Liaison Psychiatry - April Emergency Consultant Birmingham Children's Hospi- 2014 Psychiatry. tal. (NHS) Psychiatric support to busy Substantive tertiary referral hospital. NHS post. Developed protocols for rapid tranquilli- sation in the paediatric setting, worked closely with senior nurse leads on safe holding and restraint techniques, educa- tion for paediatric colleagues and teach- ing staff on a variety of areas (consent / capacity / confidentiality / recognition of mental health issues / management of challenging behaviour). Honorary clini- cal lecturer at Warwick University. Developed referral and discharge pathways for CAMHS patients within the paediatric setting. Increased recognition of mental health issues amongst paediatric patients – joint clinics with neurology and paediatric col- leagues. Split post with additional duties as consultant for the Emergency Re- sponse team, a Birmingham City wide team. Emergency assessments provided for the wider Birmingham area, named consultant for s136 suite and all emergency depart- ments. Supervised team of 9 nurses. Close working with Home treatment team. November Consultant Child Japonica unit – NHS female adolescent 2013 – and Adolescent psy- HDU – Birmingham and Solihull Mental March 2014 chiatrist NHS Health Foundation Trust. Worked with a second consultant colleague to set up this new unit. Recruited all staff, developed protocols and policies, provided training and supervision. Developed high dependency area and im- proved links with local police and their s136 processes. March 2010 Substantive consul- Consultant post – Hartley unit, Hunter- – Oct tant - Psychiatric combe hospital Stafford. 2013 intensive care and 12 bed regional PICU unit. Turned around a challenging be- unit that was struggling in a number of ways. haviour PICU Reduced length of stay, reduced incidents Independent sector and staff injury rates / sickness rates. Led on development of DBT treatment programme and embedded this within the unit philoso- phy. Contributed to AIMS PICU for CAMHS units. Delivered lectures at national confer- ences on adolescent PICU issues. August 2009 Inpatient child Dr Linda Cullen, Ashfield unit, Parkview – psychiatry SpR + march Locum Consul- 2010 tant post 1/12 NHS May / June Assertive outreach / Dr Anne Jasper, Youth support clini- / July 2009 home treatment cal team, Birmingham team Locum consul- tant post Feb/ march / In patient Learn- Dr Pru Allington Smith, Brooklands Hospi- April 2009 ing disability SpR tal

October Community Dr Slowik, The Elms, Cradley Heath 2007 CAMHS SpR -Jan 2009 April Forensic Child and Dr Hilary Grant, Ardenleigh Forensic Ser- 2007 - Adolescent Psychi- vice, B’Ham - medium secure service - 20 Sept atry SpR beds for adolescents 2007 Oct 2006- Community Child Dr Winkley, Oaklands centre, Raddlebarn April 2007 and adolescent Road, Selly oak, Bham. psychiatry SpR Sept 06 Speech and lan- Dr Sungum Palliwal, Parkview Hospital – Oct guage unit SpR Bham 2006 July 05 – Community Dr Thachil Heath Lane West Bromwich October Child Psychia- 2005 try Staff Grade May 2004 Child psychiatry Dr Prendergast, Birmingham Children’s – plus liaison SHO Hospital Aug 2005 May 2003 General Dr Nasr, QEPH, Birmingham - Adult Psy- may 2004 chiatry SHO

Aug Eating Disorders Dr Robertson, Reed Unit, QEPH, Birming- 02 – Unit SHO ham Oct 2002 Feb 02 - Adult Neuropsy- Dr Rickards, QEPH. Birmingham Aug 2002 chiatry SHO

Aug 2001- Adult Psychiatry Dr Mistry - Hallam Street Hospital, Feb 2002 SHO Sandwell Feb 01 - Old age Psychi- Dr Patel, Queen Elizabeth Psychiatric Hos- Aug 2001 atry SHO pital, Birmingham Aug 2000- Child Psychiatry Dr G Bates, Gulson Hospital, Coventry Feb 2001 SHO Feb 2000 - Paediatric A+E Dr K Berry, Miss L Simmonds Birmingham Aug 2000 SHO Children's Hospital Aug 1999- Paediatric Prof Mann, Dr Grundy, Dr Morland, Dr Feb 2000 Haematol- Williams, BCH ogy / oncol- ogy SHO

Feb 99 - Neonatology Dr Durbin, Dr Morgan, Dr Ewer, Dr Hock- Aug 1999 SHO ing, Birmingham Women's Hospital Aug 1998 Paediatric gastroen- Prof Booth, Dr Murphy, Dr Protheroe, Mr - terology, nephrology Buick, BCH Feb 1999 and hepatology plus paediatric surgery SHO

Feb 98 - Neonatology Dr Dison, Dr Kalra, Dr Kumararatne, Dr Aug 1998 SHO Anderson, Dr Raynor, Dr Ross Wolver- hampton New Cross Hospital Aug 1997- General Paedi- Dr Dison, Dr Kalra, Dr Kumararatne, Dr Feb 1998 atrics SHO Anderson, Dr Raynor, Dr Ross Wolver- hampton New Cross Hospital Feb -Aug General Surgery Mr Fraser, Mr Blacklay, Mr Harries, Mr 1997 House Officer Lewis, Warwick Hospital

Aug 1996 General adult medi- Dr Chesner Heartlands Hospital Birming- - cine and gastroen- ham Feb 1997 terology House Offi- cer

MEMBERSHIP OF PROFESSIONAL SOCIETIES

Association for child and Adolescent Mental Health ACAMH British Paediatric Neurology Association BPNA General Medical Council GMC Royal College of Paediatrics and Child Health MRCPCH Royal College of MRCPsych British Medical Association BMA Medical Defence Union MDDUS QNIC accredited reviewer QNIC West midlands paediatric psychopharmacology special interest group WMPPG

PROFESSIONAL EXPERIENCE

Neonatal Medicine

During my paediatric training I spent 1 year on neonatal intensive care. Whilst my prac- tice now would be out of date, I feel this experience built my confidence to manage ex- tremely sick neonates, to perform well under pressure and to communicate clearly with highly distressed families.

Paediatric Medicine.

I have over 4 years experience in general paediatrics which gives me the confidence to manage most paediatric emergencies. I have performed many developmental and neu- ropsychiatric assessments and have managed chronic illnesses such as childhood asthma, diabetes, Crohn's disease and arthritis. My paediatric experience has been invaluable as a psychiatrist. It has been especially use- ful with regards to effective monitoring and treatment of medication side effects, confident management of physical co-morbidities and assessment and treatment of somatisation, in- terpreting ECGs and with the management of low BMI states for patients with anorexia. Paediatric Surgery

I have experienced the postoperative management of many surgical conditions both in the neonate and older child. I have gained valuable experience in care of postoperative neurosurgical patients and those with head injuries. I also have first hand experience in the management of major trauma. Whilst I would not expect to manage post operative patients in my psychiatric role, I think it has been helpful to have this experience. It has facilitated relationships with fami- lies and their children when I have been able demonstrate such knowledge and experi- ence. It has also been very helpful when communicating with paediatric colleagues when requesting support and assessment.

Psychiatry experience • I have worked within a variety of different service models from community mental health team CMHT to home treatment team and tertiary referral centre and locked PICU. • I am confident in the comprehensive assessment and management of a full range of psychiatric disorders using a bio-psycho-social approach. • I have been trained to use Electro-convulsive therapy safely according to Royal Col- lege Guidelines (adults) • I have provided liaison cover to general and specialised paediatric wards (birming- ham children’s hospital) – including the assessment of mood disorders, unexplained medical symptoms, epilepsy syndromes and chronic fatigue. • Assessment of children after intentional overdose and self harm. • Writing forensic court reports, knowledge and implementation of the Mental health act (1983) , reports for managers' hearings and tribunals. • Medico-legal reports for civil cases. • Safe and evidence based use of psychotropic medication in childhood and ado- lescence • Detailed physical examination , including neuro - developmental assessment and ap- propriate investigation of young people • Family therapy as part of a Family Therapy Team – reflective practice team, fronted families, family therapist training (level 1) • Cognitive behavioural therapy with young people and their families • Habit reversal training – HRT – for tics and Tourette's syndrome • Group work and individual therapy – DBT skills (dialectical behaviour therapy - Linehan) • Engagement of families in the assessment, pre-admission, treatment, discharge, reha- bilitation and post-discharge process • Multi-disciplinary work within inpatient and outpatient setting • Consultation with other agencies, for example Health, Social Services, Education, and Child Protection Teams • Psycho-education and early warning signs work • Ability to engage hard to reach teenagers • Experience of managing inpatients who are subject to Home Office restrictions • Experience in assessment, management and communication of risk • Trained to use SAVRY (structured assessment of violence risk young people (Borum and Bartel) PUBLICATIONS - PRESENTATIONS - RESEARCH I have written many ward based protocols and patient information leaflets – some examples include : -

Proforma developed for the management of Sudden infant death syndrome. Birmingham Women's Hospital - A management protocol for dermatological problems in the neonate. Elms centre – Patient and professional information leaflets Observation policy Emergency department – Birmingham Children's Hospital Restraint / seclusion policy – Emergency department – Birmingham Children's Hospital As- sisted in development of care pathways for young people presenting with depression and with deliberate self harm – Emergency department – BCH Patient information leaflets – Emerging borderline personality disorder, , de- pression, eating disorders and self harm – Hartley unit

Teaching / training I have delivered many presentations both locally and nationally. Honorary clinical lecturer at Warwick university medical school. I regularly speak at the All Birmingham training scheme, to paediatricians, emergency de- partment staff and neurology colleagues.

Courses and Conferences Attended.

I am registered for CPD with the Royal College of Psychiatrists and am in good standing. I participate in a PDP group. I have had a successful appraisal in November 2015 and have recently been revalidated by the GMC. I received positive comments in my 360 appraisal.

RESEARCH AND PUBLICATIONS

I am interested in unusual presentations and the management of complex cases.

Original research

Grahnquist L, Chapman SC, Hvidsten S, Murphy MS Evaluation of 99mTc-HMPAO leu- kocyte scintigraphy in the investigation of paediatric inflammatory bowel disease. J Pediatr. 2003 Jul;143(1):48-53.

Taylor C, Hvidsten S, Ortin M, Darbyshire P. Case report of a child with chronic granulo- matous disease and active fungal infection who received a haplo-identical bone marrow transplant. (Abstract) Bone Marrow Transplantation 2000, Supplement 1, S

(Chapter) Hvidsten S. ‘Electrical injuries and burns’. Chapter - reflex anoxic seizures. A Pae- diatric Vade-mecum. Fourteenth Edition (2003). Edited by V. Diwaker, T. Barrett , A. Lander Arnold,

Pseudonarcolepsy in an 11 year old boy. Hvidsten S, Bates GDL. Clinical child psychology and psychiatry. Vol 13 (4): 585-591 (Case report) 2008

MS Society – patient information leaflet – ‘Childhood MS’ Hvidsten S – 2008

MS society – Patient information leaflet – ‘MS, memory and thinking’ Hvidsten S – 2008

Posters Oral / poster presentation - Reflex Anoxic seizures-epidemiology and impact on the family - results of a pilot parental questionnaire. Lobban T, Hvidsten S, Bates G, Whitehouse W. British Neuropsychiatry Association. Institute Child health London 2001

Poster – an international cross sectional survey of child and adolescent mental health services. IACAPAP Istanbul 2008 and Royal College Psychiatrists annual meeting – 2008 Hvidsten S, Pemmaraju V.

Poster – Educational Supervision in child psychiatry – a survey of trainees and trainers views - Royal College Psychiatrists annual meeting – 2008 – Hvidsten S, Handy S.

Poster – an audit of emergency department presentations of older children to 3 Birmingham hospitals – regional audit substance abuse presentations – RCPsych annual meeting – Dublin 2009 Hvidsten S, Atkinson E, Pemmaraju V.

Poster – Phenylketonuria and Gilles de la Tourette’s syndrome – case report and management. BNPA 2008 Hvidsten S, Rickards H, Cavanna A.

Poster – increased prescribing is the norm – or is it? Royal College Psychiatrists annual meet- ing – 2008 Hvidsten S.

Book reviews

Neurological and Psychiatric disorders – from bench to bedside. Cognitive neuropsychiatry 2008, 00 (00) 1-3 Hvidsten S.

Facilitating young people’s development – International perspectives in person centred theory and practice. Cognitive neuropsychiatry Hvidsten S. Child and adolescent mental health 15(1):64-64 (2010) Textbook of clinical neuropsychiatry. Moore P. Cognitive neuropsychiatry 13(6):520-1 (2008)

Handbook Depression in adolescents – Susan Nolen – Hoeksema and Lori Hilt. Hvidsten S. Accepted Cognitive Neuropsychiatry – citation awaited

Increasing Awareness of Child and Adolescent Mental Health - edited by M. Elena Garralda and Jean-Philippe Raynaud Lanham - Child and Adolescent Mental Health vol 16, issue 3, page 172, September 2011

Letters

Letter – Perplexed trainees – what do you follow the NICE guidelines or clinical wisdom? Hvidsten S, Pemmaraju V. Psychiatr Bull. April 2008 : 32 :156

Additional Skills.

I have good IT skills and am able to use Outlook, Word, Powerpoint and Excel software. Pro- ficient in the use of Medline and the Internet for literature searches.

Hobbies and Interests.

I enjoy playing the violin in a local amateur orchestra. I am married to a local Consultant Haematologist and we have 3 children. I like spending time at home with my family, being cre- ative and cross country running with my dogs.

References available on request