The Wellbeing Department offers a full range of assessment and treatment options. Our objective is to develop an all-embracing collaborative understanding of the individual or family group and offer personalised treatment packages in line with the identified needs. Our approach is both therapeutic and systemic, we consider the whole individual in the context of their own life and those who are a part of it. It is from in-depth assessment that we can determine which level of intervention is required, this being either at a Universal, Enhanced or Specialist Level
Our Assessment Offer
The Wellbeing Team works with the individual(s) to develop a detailed history of the presenting difficulties. The aim is to develop a shared understanding of complex situations to support all those invested in providing the best care for the individual and family. The assessment lasts up to 90 minutes and a full report with recommendations is provided within two weeks of the appointment. This assessment is for children and younger people where social, emotional and mental health factors have become barriers to achieving or engaging in education. It provides a functional understanding rather than a diagnosis, which is to enable treatment to be aimed at tackling the factors that cause distress.
A Child and Adolescent Psychiatrist works with the identified individual(s) to develop a thorough developmental and medical history with the aim of providing a diagnosis of mental health conditions that might be affecting the identified child or younger person. The assessment can last up to 90 minutes with a full diagnostic report with recommendations offered within two weeks of the appointment. There might also be medication prescribed, in which case follow up appointments can be scheduled to ensure the medication is well tolerated and effective. This assessment can also offer guidance on risk issues where the child or younger person is suspected of being at risk to themselves. This assessment is for children and younger people where mental health issues require a diagnosis and medical treatment. It is also for those who present as risky and the referrer requires some guidance on how to manage the risk factors.
Occupational – Physical and Sensory Assessment
An Occupational Therapist works with the identified individual(s) to develop a thorough understanding of their practical, sensory and emotional needs with the aim of providing a comprehensive report on how their condition might be affecting their ability to access their education or otherwise live their life to its full potential. The assessment can indicate a need for direct therapy – Specialist Level of Intervention or provide a full list of recommendations on how to develop the strength of the individual in the form of a Therapy Plan, helping others to work with complex issues such as sensory integration difficulties in a governed and supported way – Enhanced Level of Intervention.
This assessment is for children and younger people who have more practical barriers to accessing their education or living independently due to their condition ascertaining which level of intervention is required.
Psychological or psychiatric assessments can often identify the need for an occupational therapy assessment when a particular factor is impacting on the individual, such as sensory or mobility issues.
Speech, Language and Communication Assessment
A Speech and Language Therapist works with the identified child or younger person to develop a comprehensive understanding of their speech, language and communication needs. Where these issues are impacting on the individual’s mental health or wellbeing or complicating their access to education or social network, an assessment can identify specific issues that require a need for direct therapy – Specialist Level of Intervention or make recommendations developing these skills or abilities in the individuals support network through a Therapy Plan – Enhanced Level of Intervention.
This assessment is for children and younger people who might have an existing diagnosis of Autism, learning or SEMH difficulties and who need help in developing their speech, language, interaction and / or communication.
Specialist Assessments – Neurodevelopmental
Autism Spectrum Condition (ASC)
Our Wellbeing Department has access to a full multi-disciplinary team assessment of ASC where Clinical Psychologists, Speech and Language Therapists, Occupational Therapists, Paediatricians and Psychiatrists can be involved in a comprehensive package. The assessment model is fully compliant with NICE guidelines and assesses the child in all aspects of their life to provide a reliable diagnosis from a robust assessment. A full diagnostic report is provided as well as feedback to the family of the individual assessed. Further feedback to school can also be provided where appropriate.
Attention Deficit Hyperactivity Disorder (ADHD)
The Wellbeing Department has access to a thorough assessment of ADHD carried out by a Consultant Child and Adolescent Psychiatrist. This includes school observations, report from teachers and interview with parents/guardians. Where the condition is diagnosed, medication might be an option for treatment. Should this be the case, the assessing Psychiatrist is able to provide private prescriptions and/or refer into local NHS services.
Where significant sensory issues have been identified, an Occupational Therapist is able to provide a comprehensive assessment of these issues and offer a detailed understanding of how they might impact on the individual at home and school. This will also elicit specific intervention and adjustments that can help the individual to reach more of their potential in all aspects of their lives.
On-Site Psychological Functioning Assessment and Feedback
The Wellbeing Department has access to a full on-site assessment where a Clinical Psychologist will assess the child, interview teachers, parents/carers and any other professionals involved. An Assistant Psychologist will observe the child in class and in breaks and carry out a brief cognitive assessment where indicated. Once the full assessment is complete a full report offering a psychological understanding and recommendations will be provided. This can then seamlessly link to follow up treatments that can be provided on-site or within alternative locations.
Our Treatment Offer
The types of therapy we use within the Wellbeing Department include
Attachment Based, Systemic, Art, Drama, Play and Music Therapy. If a young person or their family is keen on receiving a specific type of therapy, the clinical team they work with will be able to advise of alternatives so that they can make a fully informed choice about what is best for them. The Wellbeing Team are also qualified in providing Therapeutic Life Story Work.
We often work one-to-one with young people on a range of presenting difficulties, both on a short and long term basis.
Our Wellbeing Department has access to a family therapy service, in which a Clinical Psychologist works with all members of the family at the same time.
This type of work moves away from the idea of a problem being located in a single person and instead looks at the family as a whole and how issues are raised and influenced by each member.
Any type of therapy can be adapted for children and younger people who present with a neurodevelopmental condition in order to ensure that it is possible for them to access in line with their own preferences.
Psychiatric / Medical Treatment
After a psychiatric assessment or assessment for ADHD it might be decided to start on a particular medication to help with mood or behaviour. The prescribing Psychiatrist can offer a private prescription and follow up appointments in accordance with NICE guidelines to ensure the medication is well tolerated and effective.
Occupational and Sensory Integration Therapy
Occupational therapy is very practical and works towards set goals that will enable the individual(s) to develop skills to manage their difficulties as identified within the completed assessment. This offer can be delivered through direct therapy – Specialist Level of Intervention, a block of five sessions post assessment, or as part of an integrated model through a Therapy Plan – Enhanced Level of Intervention.
Speech and Language Therapy
Speech and language therapy aims to work with children and younger people to increase their comprehension, interaction and communication through the supporting of speech, language and communication skills when it is impacted by their condition (e.g. Autism). This can have the benefit of reducing distress and increasing quality of life. This offer can be delivered through direct therapy – Specialist Level of Intervention, a block of five sessions post assessment, or as part of an integrated model through a Therapy Plan – Enhanced Level of Intervention.
When a child or younger person presents with complex difficulties, it can be very challenging for parents to cope. These sessions are aimed at engaging parents in a constructive dialogue about their child’s behaviour or recent diagnosis and its impact and look at how the whole family system can be adjusted to facilitate a reduction in distress. The focus is on the child but also on the parents’ wellbeing with guidance on how to work with the presenting difficulties but also on their own challenges they may face as a result. This work is carried out over four sessions on school site.