Consultant Child and Adolescent Psychiatrist (Community CAMHS)
NDT To assess and manage children presenting with neurodevelopmental disorders +/- psychiatric comorbidity To provide leadership and senior psychiatric input to the neurodevelopmental team To participate in the development of specialist clinical services for children and adolescents with neurodevelopmental difficulties plus associated psychiatric comorbidity and often high risk across Harrow CAMHS To take Consultant responsibility for assessment and treatment, development of care plans and the management of pharmacological treatments To prioritize cases requiring urgent psychiatric input To work collaboratively with clinical colleagues To be available to clinicians within CAMHS to discuss and support the management of cases To be available for consultation to partners in Education, Social care and Paediatrics.
To be involved with the transition of cases to Adult Services. To offer expert advice on risk assessment and management, including direct assessment where indicated Liaison with NHS England, Commissioners and Tier 4 services when referral to Tier 4 is indicated.Liaison with Tier 4 services and contribution to CRAFT and CPA meetings. To work collaboratively with other CAMHS services, schools, paediatricians, Childrens Services and 3rd sector organisations To provide clinical supervision to the two clinical nurse specialists in the team and the specialty doctor LD To provide psychiatric assessments and reviews and oversee pharmacological treatment within the LD team.
To join the LD referrals meeting and to participate in the assessment of cases where a psychiatric assessment is required due to the complexity of mental health presentation or risk or where there is a request to consider medication as part of a management plan or in order to provide ongoing medication monitoring.
Support case managers in assessing and managing risk. Liaison with paediatric colleagues when further physical assessment is required or to devise joint treatment plans where appropriate. Participation in the ongoing development of New Models of Service to improve delivery and outcome, considering the views of commissioners and evidence of best practice e.g. Care, Education and Treatment Reviews (CETRs), Dynamic Support Register (DSR).
Assessment and treatment of psychiatric disorders will be in accordance with NICE guidelines and the research evidence base for treatment of psychiatric disorders in young people with intellectual disability. While the majority of referrals for challenging behaviour within the LD team do not require medication, there will be a number of cases where there is aggressive or self-injurious behaviour requiring short term use of medication as part of a wider Positive Behaviour Support strategy.