Education at the Pears Maudsley Centre for Children and Young People

Education at the Pears Maudsley Centre for Children and Young People

Education at the Pears Maudsley Centre for Children and Young People

For our patients, education is provided from ages 4 to 19 at the Maudsley and Bethlem Hospital School focusing on maintaining continuity in education and supporting a return to learning beyond a period of illness.

Following the opening of the Pears Maudsley Centre for Children and Young People, the school has now relocated into the new building, while provision at the Bethlem site continues.

Pupils are now attending lessons in the purposedesigned environment, allowing education to take place alongside inpatient care in a dedicated learning space. 

How does the Centre create a learning environment that feels different from a ward?

 

In many hospital settings, education has traditionally taken place in spaces closely aligned with clinical environments, making it difficult to distinguish between treatment and learning.

At the Pears Maudsley Centre, learning spaces are separate from clinical areas and reflect familiar classroom environments. The design includes calm, nonclinical interiors and personalised teaching areas that respond to pupils’ individual needs. The Maudsley and Bethlem Hospital School is an Ofsted-rated Outstanding  academy within The Goldfinch Trust which helps pupils engage in familiar education settings.  

How do children and young people stay connected to nature and activity during care? 

 

The Centre includes two dedicated outdoor learning spaces including the Education terrace and Rooftop terrace, providing over 600 square meters of outdoor space for learning, movement and relexation. 

In addition, the Centre includes a double height gym, allowing pupils to take part in structured physical education. Activities include team sports, dance, yoga and tennis sessions, supported in part through partnerships such as the Tim Henman Foundation. 

 

As Maarten Crommelin, Headteacher of Maudsley and Bethlem Hospital School and CEO of The Goldfinch Trust, explains:

The new school spaces within the Pears Maudsley Centre send a clear message to our young people that their education matters. From the science laboratory and teaching kitchen to the art studio, music room and rooftop terraces, each space has been designed to support learning, curiosity and recovery. The emphasis on natural light, outdoor space and views of nature helps create a calm setting that supports engagement with education and confidence in returning to learning.

How does the Centre support transitions and long-term outcomes?

For many young people, admission to inpatient care follows a period of disruption to their education. Some may have been out of school for extended periods due to the severity of their mental health needs.

Teaching at the Maudsley and Bethlem Hospital School is structured to support continuity in learning, with clear pathways towards returning to education, training or employment after discharge.

As Headteacher Maarten Crommelin explains:

The Pears Maudsley Centre enables us to maintain a strong focus on educational outcomes and future destinations. As a recognised examinations centre, we support students to continue working towards GCSEs and A Levels, often sitting examinations shortly after admission. At the same time, we work closely with mainstream schools and colleges to ensure continuity of learning and successful reintegration. The new facilities provide an environment where young people can continue to see themselves as students first and foremost.

This approach reflects a shared commitment across the King’s Maudsley Partnership and its partners to support children and young people to continue their education, maintain progress and plan for what comes next. 

 

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A beacon of hope for children and young people’s mental health

A beacon of hope for children and young people’s mental health

A beacon of hope for children and young people’s mental health

By Sarah Holloway – CEO, Maudsley Charity

On the evening of June 9th I had the privilege of standing with our partners in the King’s Maudsley Partnership for Children and Young People to officially open the doors of its flagship Pears Maudsley Centre. The opening represents the culmination of a dream shared across the partnership when then Maudsley Charity CEO Rebecca Gray stood shoulder to shoulder with our partners to break ground on this site five years ago this month.   

We made our largest ever single donation to date of £10m to the building of the Centre and have committed ourselves to ongoing support of the King’s Maudsley Partnership because we so strongly believe in its vision – bringing together some of the best clinical and research minds in the country to better understand and treat the mental health challenges being increasingly faced by our children and young people.  

It could not have come at a better time. One in five children and young people aged eight to 25 is dealing with a probable mental health condition.1  And as highlighted by the recent Milburn review, of the 957,000 16- to 24-year-olds classified by the government as NEET (not in education, employment or training), 76% say their mental wellbeing directly affects their ability to look for work.2 

A joined-up approach is the only way to address this growing demand. Along with our support for this unique collaboration, we are also funding partnerships between South London and Maudsley NHS Foundation Trust, researchers and trusted community organisations in South London through our Building Brighter Futures programme. They are delivering early, evidence-based interventions that keep children from becoming really unwell.  

And we will continually share evidence generated by all our work with children and young people to ensure that the most effective solutions are implemented, not just in South London, but across the country.   

These are reasons for genuine optimism.  

I’ve already seen hope etched on the faces of the first set of families visiting the Centre. A few weeks ago, I encountered a mother in our café at Ortus, the charity’s headquarters, fresh from her first appointment next door. After a lengthy spell on the NHS waiting list, she had nothing but praise for how she and her child were dealt with by the clinicians and researchers she saw there.  

She also remarked that she had never been in a setting like it on an NHS site and that the building itself made her feel cared for. This is a testament to the investment of time in consulting young people and families on both the design of the building and in the commissioning of the artwork still being installed into and around it.  

We want families like hers to feel reassured that with the work to come from the committed teams at the King’s Maudsley Partnership, a happy and healthy future for their children remains within reach.   

Learn more about the Pears Maudsley Centre.

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Welcoming you to the Pears Maudsley Centre and into our research

Welcoming you to the Pears Maudsley Centre and into our research

Welcoming you to the Pears Maudsley Centre and into our research

Professor Philip Shaw, Director of the King’s Maudsley Partnership shares some insights into the partnership, and the research and clinical work happening at the Pears Maudsley Centre.   

Why create the King’s Maudsley Partnership?

The King’s Maudsley Partnership takes the excellent clinical care that is available in our national and specialist services and in the local Child and Adolescent Mental Health Services (CAMHS) teams, and folds this into research. We know that being research aware and active in research improves care for everyone – for children and young people, for families and the clinicians providing care.   

In children’s mental health in particular there is a great need for new discoveries that can really move the dial and help us develop new offers of care. That is the huge advantage of the King’s Maudsley Partnership, and the Pears Maudsley Centre. Here, we’re putting clinicians side by side with researchers, which will accelerate the process of translating the discoveries we make into ways of helping children and families in the real world.  

What’s unique about the Pears Maudsley Centre?  

All the technology in the Clinical Research Facility, which will be opening its doors later this year, has been chosen because it is child friendly. Each piece of equipment is designed to allow all children to participate in research.  

This is important because the techniques we use currently are great, but not always ideal for children. Think of an MRI scanner – it’s loud, requires kids to lie perfectly still for ages and can be intimidating. It’s not always great for children who are sensitive to noise, are very active or very anxious. Instead, at the new CRF we will look at the brain using a range of technologies that mostly use lightweight caps that children wear with tiny sensors in them. Children can move around whilst wearing them, and they aren’t too noisy or restrictive. These collect information on brain structure and function in a more accessible way, which allows us to include children who otherwise may not have been part of research.  

Another important part of the Pears Maudsley Centre is its location. We’re based here at Denmark Hill in the heart of South London – one of the most diverse places in the world. Being embedded within such a diverse community is important because we know that science and research can sometimes leave out certain populations. This can mean people from certain ancestral or ethnic groups, people of certain gender or sexual identities, or individuals with intellectual differences may not be fully represented in research. We want to ensure these children and young people are involved in our research. We will bring research and science to them in an engaging and accessible way.    

How can you change our understanding and care for children and young people 

We want you to get involved! We want you to help us think of the best research questions to ask; help us find the best ways to answer these questions and then make sure our findings help improve care for all children and young people.   

You might want to be involved as a participant in research, work alongside our researchers or becoming a researcher yourself.  Look out for more details on how to get involved from the partnership soon or look at the Take Part in Research page from the South London & Maudsley NHS Foundation Trust.  

What’s next for the King’s Maudsley Partnership?

 

I was in clinic on the day after the building opened and it was just great to be able to welcome a family into such a beautiful setting. The building tells children and families how much we value them; and gives our teams of clinicians a wonderful setting in which to work.  

Our next step is to bring our research teams into the building and open our Clinical Research Facility. Once this happens, we hope to invite all families and children to be part of research: we want a culture where research is for all.  We want children to get the best care and participate in the best research, all in the same building.  When clinicians, academics, children and families work together, we can change the future of mental health. That is what makes this partnership and centre so special. It’s exciting to think of the future we can build together.   

Learn more about the Pears Maudsley Centre and Professor Philip Shaw here.

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The Pears Maudsley Centre celebrates opening its doors

The Pears Maudsley Centre celebrates opening its doors

The Pears Maudsley Centre celebrates opening its doors 

The new Pears Maudsley Centre for Children and Young People has celebrated it’s landmark Opening Door Ceremony with a brilliant showcase of work from across the King’s Maudsley Partnership.  

Photography: Ben McDade

Yesterday evening, clinicians and researchers from across the King’s Maudsley Partnership attended a milestone celebratory event marking the initial opening of the Pears Maudsley Centre. They were joined by many of the donors who helped to fund the creation of the Centre, as well as the young people who have guided its design. 

Based at the heart of the world leading Maudsley Hospital site in South London, the pioneering new Centre has brought together clinical and scientific expertise with the aim of transforming the mental health of children and young people for generations to come. 

Professor Philip Shaw, Director of the King’s Maudsley Partnership said, “I have an immense feeling of pride at the sight of the Pears Maudsley Centre opening its doors.  It is the home of the Partnership, created to revolutionise how we understand and help children and young people living with mental health conditions.  It’s exciting to think of what we achieve by bringing clinicians and academics together under one roof, alongside children, young people and families.

“I’d like to share my sincere thanks to everyone who has contributed to getting us to this stage.” 

Guests were treated to a showcase of the work already taking place within the Partnership, including a demonstration of Functional Near-Infrared Spectroscopy – designed to non-invasively capture images of brain activity – as well as a VR headset which helps young people learn how to manage emotional dysregulation. 

The evening also included a series of activities for guests of all ages to take part in, including learning how close up magic can help to improve communication skills, arts therapy, and a visual artist capturing the events of the night. 

Photography: Ben McDade

Dr Bruce Clark, Clinical Director of the King’s Maudsley Partnership said, “The challenges facing young people’s mental health today are numerous and it’s vital that we, as clinicians and researchers, are as well-equipped as we can be to meet them head on.  

“This ceremony represents the culmination of years of collaboration not only with colleagues from across medicine, research, and charity, but also with the many donors who have donated time and resources to make this a reality. Perhaps most important of all are the many young people who have guided the development of this Centre.” 

Senior leaders from across the Partnership shared speeches before a drinks reception on the third floor garden terrace – an area designed to promote good mental health in a natural space. 

Photography: Ben McDade

Sarah Holloway, Chief Executive of Maudsley Charity said, “The opening of the Pears Maudsley Centre is a watershed moment for children and young people’s mental health and a major milestone for us at Maudsley Charity. We have given £10m – our largest ever grant to date – towards the creation of this building but more importantly, as a proud member of the King’s Maudsley Partnership, we are excited by what will happen inside these walls.  

 

“This is the place where the best minds will collaborate on much-needed innovations in treatment and care, and where many young people and their families will find once again be given hope for the happy, healthy futures we all want for our young people.” 

Ade Odunlade, Interim CEO South London and Maudsley NHS Trust said, “The Pears Maudsley Centre represents a symbol of change, hope for the future and a commitment that we are putting children’s mental health on top of the agenda. It is setting the standard for and will influence healthcare settings around the world. I am so pleased to see our colleagues move in as we open this new chapter for the Trust, the King’s Maudsley Partnership, and the children and young people we support.”

Professor Shitij Kapur, Vice-Chancellor & President of King’s College London said, “This Pears Maudsley Centre reflects the very best of what we can achieve when universities, health services, charities and philanthropists work together in service of society. I am immensely proud of everyone who has helped bring this vision to life, and of the difference it will make to children, young people and their families for years to come.” 

 

Professor Matthew Hotopf CBE, Executive Dean of the Institute of Psychiatry, Psychology & Nueroscience at king’s College London said, “This is a hugely significant moment, marking the crucial next steps of the King’s Maudsley Partnership.

 

“With IoPPN colleagues joining later this year, and as the new Clinical Research Facility (designed with children and young people in mind) begins operation, this is an exciting time for the partnership and our collaborative work on groundbreaking mental health research and care for children and young people.”

The event is the first in a series of celebrations, culminating in a ribbon cutting ceremony once the Centre becomes fully operational in early 2027. 

For more information, please contact Patrick O’Brien (Senior Communications and Engagement Manager) 

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When Young People Disappear from View: What Our Community of Practice Taught Us About Hikikomori

When Young People Disappear from View: What Our Community of Practice Taught Us About Hikikomori

When Young People Disappear from View: What Our Community of Practice Taught Us About Hikikomori 

What happens when a young person slowly retreats from the world? 

They stop attending school. They rarely leave their room. Appointments go unanswered. Professionals worry; families struggle; systems feel stuck. Yet no single diagnosis quite captures what is happening. 

At our April Affective Disorders Community of Practice (CoP), clinicians, researchers and system leaders from across the King’s Maudsley Partnership came together to explore a growing but underdefined phenomenon often referred to as hikikomori—a term first used in Japan to describe severe and prolonged social withdrawal, but increasingly recognised far beyond cultural boundaries. 

What emerged from the discussion was not a call for a new diagnostic label, but something more grounded — and more urgent. 

Not just a Diagnosis; a Daily Clinical Reality 

Across services, clinicians described encountering young people who are profoundly socially withdrawn, often for months or years at a time. While some meet thresholds for recognised conditions such as depression, anxiety, autism or psychosis, others may not. Individuals often present with comorbidity –a complex mix of symptoms, not fully satisfying any single diagnostic category.  

The group was clear: hikikomori is best understood as a transdiagnostic presentation, rather than a disorder in its own right. 

It can be: 

  • An endpoint of multiple conditions 
  • A response to accumulated stress, adversity or unmet needs 
  • A rejection of societal pressures in favour of a retreat seen as protective  
  • A deeply distressing experience of loneliness 

What unites these young people is not diagnosis, but functional impact: disengagement from education, limited community presence, and increasing invisibility within systems designed around attendance and engagement. 

 Engagement Is the Key Challenge 

One of the most consistent themes was the difficulty of engagement. 

Many socially withdrawn young people: 

  • Do not attend clinics 
  • Are unreachable by phone or email 
  • Do not respond to standard interventions 

Even intensive efforts such as home visits may result in little or no direct contact. This leaves clinicians holding significant concern, but with limited tools or authority to act — a situation that creates both ethical tension and medicolegal anxiety. 

Participants noted that current service models often assume that the young person will eventually come through the door. For this group, that assumption frequently does not hold. 

 

Families, Systems, and the Wider Context Matter 

The discussion repeatedly moved beyond the individual to consider maintenance factors: 

  • The role of family dynamics and parental mental health 
  • How staying at home can become unintentionally reinforced 
  • The shift from inperson to online social worlds 
  • The impact of reduced community and youth resources 

Importantly, participants emphasised that many socially withdrawn young people are not completely disconnected. Some are deeply engaged in online gaming, forums or digital communities — raising questions about how we define “isolation” in a digitally mediated world. 

Is withdrawal always distressing? 
Or can it sometimes feel safer than the alternatives available? 
If so, what can mental health services do to help make the outside world seem less threatening? 

Understanding these nuances was widely seen as essential for meaningful engagement. 

 

What Clinicians Are Asking For: Pathways, Not Labels 

Rather than debating whether hikikomori deserves its own diagnostic category, the CoP focused on a more practical question: 

What would help clinicians and services respond better to such presentations? 

Several priorities emerged: 

  • A shared working definition to support consistency 
  • Clear care pathways for nonengagement 
  • Guidance on risk management and escalation 
  • Stronger multiagency alignment across health, education and social care 

Participants highlighted the need for tools that are defensible, flexible and grounded in clinical reality, rather than idealised research settings. 

 

Research – But Embedded in Practice 

There was strong enthusiasm for research — if it is done with services, not to them. 

The group favoured: 

  • Clinically-focused methodology to determine what is actually happening in practice 
  • Qualitative approaches that capture lived experience 
  • Longitudinal perspectives to understand trajectories and recovery 
  • Implementationfocused work that tests what actually fits within busy CAMHS teams 

Crucially, clinicians emphasised the need for protected time, practical support, and coproduction with young people and families — without adding unsustainable burden to already stretched teams. 

Looking Ahead: From Conversation to Change 

This Community of Practice reinforced something powerful: when clinicians, researchers and system leaders think together, complex problems become clearer — even if solutions are not yet simple. 

Severe social withdrawal challenges many of our assumptions about access, engagement and responsibility in mental health services. Addressing it will require shared language, better pathways, and serviceembedded innovation. 

At King’s Maudsley Partnership, we see Communities of Practice as spaces where emerging challenges can be named, examined and shaped into meaningful action. This conversation on hikikomori is only the beginning — but it is a vital one. 

If you want to learn more about Hikikomori and our work in this area please contact us on KMPCYP@slam.nhs.uk. Learn more about the Pears Maudsley Centre. 

Learn more about Dr Marcus Tan and his work. 

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