South West London and St George’s Mental Health NHS Trust The Psychology and Psychotherapies Team The Deaf Enhanced Support Team (DEST) Adult Deaf Services National Deaf Services Designed by Causeway Communications 020 7255 5265 www.causewaycommunications.com What do we do? Where are we based? The Deaf Enhanced Support Team (DEST) We will also visit a Deaf person in a hearing hospital We are a team made up of adult We are based at Old Church in Balham, south is the only Deaf Assertive Outreach Team in London, to help assess their needs and to act as psychotherapists, an art psychotherapist, clinical west London. We see people in the clinic at Service in UK. The team is multi-disciplinary a resource for the ward staff. We help ward staff This leaflet explains the work of Adult Deaf Services and how psychologist, dance movement therapist and Clapham Common in south west London. We and has a catchment area of Greater London. understand Deaf issues and their relevance to people can be referred to the service. It is aimed at both people psychotherapeutic counsellor. We have also see people at other off-site clinics in the mental health assessment and treatment. specialist input from a consultant psychiatrist. south east of England. thinking of referring themselves and healthcare professionals What we do We will assess the client’s suitability for transfer considering referring a patient. We provide practical and emotional support to help We offer assessment and treatment through a Sometimes we are able to see people in to specialist Deaf in-patient services and will clients manage their illness and improve their quality range of modalities, including Cognitive GP surgeries. organise the move. of life. We aim to help them to live independently Behavioural Therapy (CBT) and psychodynamic and access services. Practical assistance is also psychotherapy. We provide treatments for a Who do we work with? provided, for instance with housing, benefits, work, Who can be referred to the team? range of problems including anxiety, depression, relationship problems, bereavement • We work with Deaf people from all college and daily living skills. Our referral criteria are that the person must be: backgrounds, across all sectors of care. and post traumatic stress disorder. We offer Most but not all of our service users are We support clients living in the community, • Deaf and over the age of 16 group and individual therapy. sign language users. Some service users are visiting them in their home or local area. • have a diagnosis of severe enduring Deaf/Blind. Some have a learning disability. However, if a client needs to stay in hospital we mental illness Our work also includes consultations for • When appropriate we work with a service can help arrange this and continue to support • have a history of hospital admission. professionals inside and outside the Trust, user’s family or carers. them via ‘in-reach’ service. teaching and training of clinicians and research and audit. • We work with the voluntary sector to People referred to us are hard-to-engage with and have a poor history of taking medication improve access to psychological therapies for Deaf people regularly, resulting in difficulty controlling their From time to time we have trainees on illness and their presentation as a major risk. Who do we work with? Areas we cover placement. We have specialist medical input What about confidentiality? Adult Deaf Services is a mental health service Adult Deaf Services is a mental health specialist from a consultant psychiatrist and links with the Deaf Family Therapy team. • We understand the Deaf community for Deaf people. All the people who use our services are Deaf or Deaf/Blind and use a service covering London and the southern third of England. We see people at our Old Church is small. We will always discuss the very important issue of confidentiality at the For further information about Adult Deaf Services or to request a referral variety of sign languages and other modes base, in their own home or at one of our first appointment and beforehand if form, contact: of communication. We also have in-house sign satellite clinics. necessary. Whenever possible, people language interpreters and Deaf interpreters. are given a choice of seeing a Deaf or The Adminstrator ¤ 020 8675 2100 We are not an emergency service. We cannot non-Deaf therapist. All therapists follow Adult Deaf Services Minicom: 020 8675 2200 Our aim provide urgent assessments either during the a strict code of ethics. Old Church Fax: 020 8675 2266 We aim to provide holistic assessment and day or out-of-hours. 146a Bedford Hill u firstname.lastname@example.org treatment to the Deaf person in their own Balham language. We focus on empowering our clients We have four teams: London SW12 9HW www.swlstg-tr.nhs.uk/nds and promoting their recovery and inclusion into society. • Inpatient Team • Community and Outpatient Team • Psychology and Psychotherapies Team If you would like this information in another language, • Deaf Enhanced Support Team (DEST). Braille, easy-read, large print or audio, call 020 8772 5532 Produced by Adult Deaf Services, March 2008, SU004 The Inpatient Team The Community and Outpatients Team How do people get referred to our Confidentiality Who are we? What do we do? We cover London and the south of service? A strict code of confidentiality is followed by all The Inpatient Team is a multidisciplinary We provide a unique Deaf inpatient England. We work with local Community Our Team is made up of the following People get referred to our service in a number our staff. Personal information is only disclosed team of Deaf and hearing staff including environment for assessing and treating Mental Health Teams (CMHTs) and other staff: of ways including: to staff who have a right and need to know. psychiatrists, nurses with both mental health mentally ill Deaf people. We emphasise agencies to provide an individually-tailored Wherever possible and appropriate, if people and learning disability qualifications and an assessing and meeting users’ communication package of care in the clients’ local area. • consultant psychiatrist request we will see them off site and away occupational therapist. We have specialist input needs to ensure user participation and • team manager • self referral – the person approaches us from our Old Church base. from a speech and language therapist and the engagement as well as accurate diagnosis • community psychiatric nurses directly Our specialist service for Deaf clients – Psychology and Psychotherapies Team. and appropriate treatment. • social workers • referrals from others – this includes not only predominantly sign language users – takes new • occupational therapist community mental health teams, GPs, nurses Complaints referrals either direct from clients themselves and other professionals but also people such We have a complaints procedure that all clients Where are we based? We work closely with other our colleagues or from GPs, CMHTs or other agencies. We work • speech and language therapist as friends and family members can access if they are not happy with the We are a 16-bedded inpatient unit situated in the National Deaf Service and with voluntary not only with CMHTs but also with social • support workers. organisations. Our focus is on recovery in • referrals from services such as forensic and service. We can provide clients with a Deaf in Old Church in Balham. collaboration with users and carers. We work services, sensory teams and Deaf organisations. We also have access to specialist input low or high level secure units in order to advocate and access to the Patient Advice from the psychology and psychotherapies support the person’s rehabilitation Liaison Service (PALS). closely with local services throughout the time We offer: Who do we work with? team. and recovery. a user is an inpatient offering advice and We work with people with severe to Communication profound hearing loss who have mental support so that local services can meet the user’s needs on discharge. • generic assessments with a Deaf perspective Who pays for a person’s assessment Staff are expected to achieve at least British health needs. Most but not all of our users for patients with mental health issues Sign Language level 2 within the first two years communicate through sign language. We work Where do we work? and treatment? • We have a contract with the London of employment. Interpreters are provided for with Deaf/Blind people, adults with learning • specialist assessments with psychiatrists, The outpatient clinic is based at Old Church, staff who cannot sign. disability and pervasive developmental psychologists, speech and language Balham in London. Consortium for people who live in London. disorders as well as more general mental therapists, social workers, nurses and • If someone from outside London refers health problems. We can admit patients occupational therapists In liaison with local CMHTs, we have set up themselves to us we will contact their local Travelling to appointments under the Mental Health Act. We do, satellite clinics across south-east England. Our Primary Care Trust (PCT) to discuss funding. All our clinics are near train and tube stops. When appropriate we can arrange to see with discussion, accept emergency as well • treatment and follow-up for an agreed staff maintain contact with the local teams as routine admissions. period of time with the Community and offering advice and support. Partnership working people in their homes. Outpatient Team based on the Our service actively works in partnership with multidisciplinary team model We also, where appropriate, do home visits. other Deaf organisations across southern England. We provide advice, support and networking and our team can provide mental • advisory support and specialist input to local teams regarding Deaf clients. health awareness training to locally-based staff. Research As part of our service we carry out formal medical research into Deafness and mental health which forms part of training for medical students. We have an Ethics Committee that validates and authorises all the research we do. We actively welcome partnership working in research and researchers carrying out observations.
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