Mental Health News
It looks as though the powers that be at SLAM are reviving the concept of a Maudsley Emergency Clinic - primarily to relieve congestion/cross infection at the 2 Lambeth Accident and Emergency departments as far as I can see.
From 1st April the new Chair of SLAM
Sir Norman Lamb came into post. He had a profile as an advocate of improved mental health services whilst a junior health minister in the latter end of the coalition government, Be interesting to see if Sir Norman makes any difference. Presumably he cannot be blamed for the proposal to knock down the Lambeth Hospital in Landor Road and thereby increase patient density at the Maudsley site.
Anyway here are the internal guidelines for access to SLAM treatment right now:
External Coronavirus Update 6th April 2020
Crisis and emergencies
For those in crisis and needing immediate hospital admission the Crisis Outreach and Home
Treatment services are still running but with some reduced capacity due to illness.
Our Mental Health Liaison Service at Guys and St Thomas’s temporarily moved to a new
Mental Health Emergency Department (ED) at the Maudsley Hospital on 6th April. A mental
health triage function will remain at St Thomas’ hospital and will divert people away from the
ED to the Maudsley – providing they need an assessment of their mental health and have no
physical health issues. The Maudsley Mental Health ED will also divert people from Kings
College ED. Those who have both a mental and physical health issue will be seen, as usual,
in St Thomas’s and Kings and will be transferred to the Maudsley ED as soon as possible,
providing ongoing mental health support is needed.
We will be writing to all service users asking them not to attend ED, unless they are
experiencing an emergency physical health issue, but to call an extended Crisis Line service
number (0800 731 2864) where they will be directed to the most appropriate service. We are
increasing capacity on this crisis line to manage this.
If someone you know is in a crisis you can call:
• SLaM 24/7 mental health crisis line on 0800 731 284
• Solidarity in a Crisis on 0300 123 1922 (Mon-Fri 6pm-12am / Sat-Sun 12pm – 12am).
This is an out-of-hours phone and in-person support service run by people who know
what it’s like to be where you are now. They also have a community crisis team, which
is currently operating by Skype, social media or telephone.
• Evening Sanctuary – although this is currently unable to accept referrals for people to
access the service in person, it can provide telephone support for people in crisis. If
you know someone who could benefit from this telephone support please refer to the
sanctuary:
Sanctuary : Mosaic Clubhouse or call 0207 924 9657.
New referrals
The Single Point of Access (SPA) will continue to receive new referrals, though it is
operating at reduced capacity and will focus on urgent cases in the first instance - email:
lambethspa@slam.nhs.uk, Tel: 0800 090 2456 (Monday to Friday 9am to 5pm). Please do
not contact the SPA unless it is urgent as this takes time away from dealing with crisis and
urgent assessments.
People already receiving support from community services
We are currently operating out of two Living Well Centres; North (332 Brixton Rd) and South
(380 Streatham High Road).
We are doing all we can to maintain cover, whilst also social distancing. We are currently
operating on a shift system, with a duty rota focusing on urgent cases, necessary home visits
and medication management (depots, clozapine and olanzepine). Staff working from home
are engaging with clients and their families to provide support and assurance via video and
phone contact.
We are reviewing our caseloads and categorising users as red, amber or green. We are
prioritising our support for people identified in red and amber groups defined as:
• RED: In crisis and requiring Home Treatment Team / hospital admission
• AMBER:
• Likely to present high demands on emergency and inpatient services whom we
believe we can intervene with in order to reduce this risk.
• Those who live alone and are socially isolated AND are at high risk of adverse
response to coronavirus or vulnerable to self-neglect and poor ADLs.
• In need of critical treatment delivered e.g. clozapine and depot without which likely to
lead to serious deterioration and risk if they are not delivered by our service.
• Those at serious risk to self and others in whom we feel our intervention will mitigate
this risk.
Social Care
Social workers are currently only focusing on Mental Health Act assessments, safeguarding
and welfare in a central team based at Lambeth Civic Centre. They can be contacted on:
0207 926 5555.
Talking Therapies
Lambeth Talking Therapies (IAPT) is business as usual and is providing treatment via
secure Skype, telephone and online, with some exceptions where clinically this is not
feasible. We are also asking patients to refer themselves via
https://slamiapt.
nhs.uk/lambeth. The direct link to refer is here.
In-patient beds
For those in in-patient beds, support will continue as normal though we are asking visitors to
contact their loved ones by phone or video call instead.