Adult Deaf Services by nyut545e2


									                                                                                                                                                                                                                                                                                                                                                            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
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                                                                                                             treatment to the Deaf person in their own
                                                                                                            Balham                                                                                                                                                                                             language. We focus on empowering our clients
                                                                                                                                                                                                                                                                                                                                                                  We have four teams:
                                                                                                            London SW12 9HW                                                                                                                                                  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.

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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