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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Family Therapy for Anorexia Nervosa with Emerging Adults: Rethinking Transitions, Autonomy and Support in Eating Disorder Care

Family Therapy for Anorexia Nervosa with Emerging Adults: Rethinking Transitions, Autonomy and Support in Eating Disorder Care

Family Therapy for Anorexia Nervosa with Emerging Adults: Rethinking Transitions, Autonomy and Support in Eating Disorder Care

By Danilen Nursigadoo, Senior Systemic Psychotherapist, South London and Maudsley NHS Foundation Trust

At our April Eating Disorders Community of Practice hosted by the King’s Maudsley Partnership, we shared the early clinical and research learning from the use of Family Therapy for Anorexia Nervosa with Emerging Adults (FTAN-EA) within adult eating disorder services. The presentation sparked a wideranging discussion, bringing together clinicians and researchers across child, adolescent and adult services, and highlighting an area of growing consensus: emerging adulthood (18–25) requires a different clinical logic. 

Why focus on emerging adults? 

Emerging adulthood is a period marked by rapid transitions: legal adulthood, leaving school, entering higher education or employment, moving away from home, and developing intimate relationships. For emerging adults (EAs) with anorexia nervosa, these changes can significantly destabilise recovery. 

Ccurrent service structures often respond to these transitions with a hard boundary: turning 18 triggers a move from child and adolescent mental health services (CAMHS) to adult services. This shift is usually driven by age rather than clinical readiness, resulting in disrupted care and premature endings to effective treatments. 

The question posed was a simple but powerful one: rather than forcing young people and families to adapt to service thresholds, why not adapt evidence based treatments to the developmental needs of EAs? 

Why family therapy, beyond 18? 

Family Therapy for Anorexia Nervosa (FT-AN) has a strong evidence base in CAMHS. However, it is rarely offered once a young person reaches adulthood, often on the assumption that family involvement is no longer appropriate. 

We aim to challenge this assumption. In practice, many EAs remain closely connected to their families financially, practically and emotionally. Families often continue to play a key role in food provision, housing and daytoday support. Excluding them at 18 risks removing a critical recovery resource. 

FTAN-EA was therefore developed not as “CAMHS therapy done later”, but as a developmentally adapted model that retains family involvement while firmly placing the EA at the centre of decisions.  

How FTAN is adapted for emerging adults 

Our research highlighted several adaptations to the traditional family therapy model: 

  • Emerging adult–led engagement –  The EA is the central focus in therapy and actively chooses whether and how family members are involved. This reinforces agency and consent from the outset. Treatment adapts to their living situation and relational context.  
  • Developmentally appropriate monitoring – Physical health and weight monitoring are typically led by the EA, with decisions about what is shared with family members negotiated collaboratively. This is respectful of the EA’s independence, confidentiality and motivation. 
  • Flexible support –  Support with eating is tailored to realworld contexts, including EAs living away from home, studying at university, or relying on remote support from parents or partners. 
  • Returning responsibility to the emerging adult early on. – The right amount of support is offered flexibly by family, and once weight restoration is established, responsibility is returned to the EA quickly. This enables focus on motivation for recovery. 
  • Earlier and more in-depth work around Issues of Individual Development   This aspect of therapy begins earlier than in CAMHS and includes more individual sessions, creating space to explore identity, relationships, sexuality, gender and future aspirations, topics that many EAs benefit from discussing alone with a therapist. 
  • Intentional endings and relapse prevention Families are typically reinvited towards the end of therapy to reflect on progress, celebrate achievements and support relapse prevention, acknowledging ongoing uncertainty rather than promising certainty. 

What did the early data show?

 

The retrospective case series presented showed encouraging findings: 

  • Low dropout rates 
  • Weight restoration outcomes similar to CAMHS family therapy  
  • Outcomes compared favourably to FREED individual therapy data 
  • Very low inpatient admission rates 
  • High rates of discharge to GP care 

However, one of the most striking findings, and a key focus of the room discussion, related to EAs transitioning from CAMHS to adult services. For this group, treatment length in adult services often resembled a “restart”, suggesting that transitions themselves represent a significant therapeutic rupture. 

This strongly resonated with clinicians’ professional experience in the room. 

Key themes from the discussion 

Several areas of strong convergence emerged: 

  • Agebased transitions are clinically costly 
    Participants agreed that transitions driven by age rather than need undermine engagement, prolong treatment and increase anxiety for families and clinicians alike. 
  • Relationship matters more than model 
    Across FTAN-EA and individual therapies, the therapeutic alliance, trust, continuity and collaboration, were repeatedly identified as a key active ingredient for change. 
  • Family involvement needs reframing, not removal 
    Rather than “parental control” or sudden exclusion at 18, family involvement with EAs works best when it is chosen, flexible and negotiated with the EA. 
  • Identity work is central to recovery 
    Weight restoration alone is not enough. Supporting EAs to build a meaningful identity beyond the eating disorder is essential for sustainable recovery. 
  • Outcomes need to be broader than BMI 
    There was shared unease about narrow outcome measures that do not currently capture autonomy, functioning, identity development and relapse resilience. 

What does this mean for services? 

The discussion concluded with a clear message: 
The challenge is not a lack of effective clinical approaches, but a mismatch between developmental need and service architecture. 

Implications include: 

  • Designing emergingadult pathways that are developmentally appropriate and span traditional CAMHS–adult divides. 
  • Prioritising continuity of treatment over age thresholds. 
  • Supporting clinicians in adult services with training and supervision to engage flexibly with families and emerging adults. 
  • Implementing outcome frameworks to reflect what recovery looks like at this life stage, beyond weight restoration. 

Looking ahead 

FTAN-EA offers a compelling example of how services can respond intelligently to complex emerging adulthood needs by adapting family focused treatments. As Danilen’s presentation and the subsequent discussion made clear, adapting service delivery to context appropriate developmental needs is not just preferable, it is essential in improving outcomes for emerging adults with eating disorders. 

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

Learn more about Danilen Narsigadoo and his work. 

References: 

Dodge, E., Baudinet, J., Austin, A., Eisler, I., Le Grange, D., & Dimitropoulos, G. (2024). Family therapy for emerging adults with anorexia nervosa: Expert opinion on evidence, practice considerations, and future directions. European Eating Disorders Review, n/a(n/a). https://doi.org/10.1002/erv.3129 

Nursigadoo, D., Dodge, E., Allen, K., Schmidt, U., & Baudinet, J. (2026). Family Therapy for Anorexia Nervosa with Emerging Adults: A Retrospective Case Series in Routine Clinical Care. European Eating Disorders Review. https://doi.org/10.1002/erv.70107 

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Bringing together research and care: Three Research Champions on moving into the Pears Maudsley Centre

Bringing together research and care: Three Research Champions on moving into the Pears Maudsley Centre

Bringing together research and care: Three Research Champions on moving into the Pears Maudsley Centre

Across South London and Maudsley NHS Foundation Trust, more than 80 Research Champions are playing a role in connecting clinical teams with research, acting as the first point of contact for research-related activities in their teams. 

As the Pears Maudsley Centre opens, with the aim of bringing together clinical services and research together under one roof, Research Champions will help make this a reality. They embed research into everyday practice by sharing opportunities for service users to take part in studies, supporting staff training and development, and passing on the latest evidence about clinical practice. 

In this blog, we speak to three Research Champions who will be moving into the Pears Maudsley Centre. They reflect on how they bring research into their clinical work, why integrating research with care is important, and what they are looking forward to about being part of this innovative partnership. 

 

  • (Left) Caitlin Nichol, Assistant Psychologist, Lewisham CAMHS 
  • (Middle) Simone Fox, Consultant Clinical and Forensic Psychologist, Multisystemic Therapy (MST) team 
  • (Right) Jake Camp, Senior Clinical Psychologist, National & Specialist CAMHS, Dialectical Behaviour Therapy (DBT) Service   

What does the Research Champion role involve for you 

Jake: I carry out all the core Research Champion responsibilities: acting as a key contact for researchers recruiting to studies; answering research-related questions in our service, and disseminating available studies with our client group. 

Caitlin: As a Research Champion, I have been promoting many research projects recruiting across the service, through discussion, presentations, emails, and research posters in clinic areas. 

Simone: I have been taking the discussions and learning from the Research Champions’ meetings to my team within SLaM as well as our wider teams in the Multisystemic Therapy Network Partnership. I see my role as bridging the gap between research and clinical practice and ensuring what we are doing is embedded in the evidence base. We don’t work directly with patients in our service, so I’m not involved in study recruitment. 

Do you bring research into your work in other ways?  

Jake: I also have adjacent relevant roles that overlaps with the Research Champion role that are part of my role as research lead for my NHS service and my clinical academic fellow/senior lecturer role at King’s College London. This includes leading on research and service evaluation projects, applying for funding, consulting on projects, supervising clinicians and students to complete research projects, PPI, and dissemination work. 

Simone: I am the research lead for the Multisystemic Therapy (MST) Team. This involves overseeing the research that is being undertaken across the MST partnership nationally and in Ireland. I co-ordinate and supervise a number of doctoral theses together with Royal Holloway University of London. I also chair a European MST Research group and we organise an annual online conference. 

I also chair another research champions group, inspired by my role in the Trust, within the MST Network Partnership, bringing all the teams together with researchers. It was set up with representatives from each of the teams that we work with across England, Wales, Scotland and Ireland.

Why do you think it’s important or helpful for clinicians to be research aware and/or research active? Has being a Research Champion changed your own day to day work?  

Caitlin: I think it’s helpful for clinicians to be aware of current research studies ongoing across the partnership, to ensure local voices are heard in research. Clinicians being able to discuss ongoing research with young people and their families demystifies research and can support more inclusive research practices. The role has given me time to think about how we improve access to research and ensure it is at the centre of clinical discussions.  

Simone: It is vital that the work and interventions that are carried out by clinicians are guided by the evidence base – which is from the research. Research is important in improving practice and a better understanding of what works and what doesn’t. I am now more mindful of keeping research on the agenda with the team. 

Jake: It’s important because we know that healthcare organisations with a close relationship to research tend to be the organisations that perform better. We also know that it supports evidence-based practice and data-driven innovations in practice as the gold standard; and that it supports clinicians to understand and use research, as well as potentially contribute to clinically-relevant research. 

What are you looking forward to about moving into the Pears Maudsley Centre?  

Simone: I am looking forward to making more connections across teams and learning from others. 

Jake: I’m enthusiastic about the increased focus on clinical and academic partnership, and additional support structures of the King’s Maudsley Partnership. I have already built clinical academic links between South London and Maudsley and King’s College London, but expect it will be beneficial being under this umbrella in the longer-term. 

I think the partnership will have a broader impact on those who are situated in either clinical practice or academia, and hopefully bring those a little closer together. So much collaboration and learning happens in those corridor chats or when we intersect with people for other reasons, and so the Pears Maudsley Centre will hopefully increase the likelihood of this. 

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Clinical teams begin their move into the Pears Maudsley Centre

Clinical teams begin their move into the Pears Maudsley Centre

Clinical teams begin their move into the Pears Maudsley Centre

Clinical services from South London and Maudsley NHS Foundation Trust have started to transition into the new Pears Maudsley Centre for Children and Young People.

The first teams to move into the building include the Centre for Interventional Paediatric Psychopharmacology and Rare Diseases (CIPPRD), the Crisis Line and Response service, and the Bed Management team. Further CAMHS teams will continue to relocate throughout May.

The arrival of the first teams marks the beginning of a new chapter for the Pears Maudsley Centre, with a shared focus on delivering highquality care in an environment shaped around the needs of children, young people and their families. The building has designed to move away from traditional institutional settings to provide a more welcoming and calm experience for young people.

Reflecting on the importance of the new space, Dr Bruce Clark, Clinical Director of the King’s Maudsley Partnership, said:

“Very sadly, mental health services are often delivered from estates and settings that are just below par. We have a modern stateoftheart building that’s been designed with service user input, which had us focus on light and views of nature. It’s just a much more pleasant and destigmatising environment.”

 

 

Professor Philip Shaw, Director of the King’s Maudsley Partnership, shared what he is most looking forward to as the Centre opens its doors:

I’m really looking forward to the first time a young person comes into the building, spends time in a welcoming waiting area designed those with sensory sensitivities, and then meets a supportive clinical team. On the same day, they may also be introduced to a research team in an equally welcoming space, where they can take part in research and help us deepen our understanding of mental health. This ‘joined-up‘ experience from care to research is what I’m most looking forward to.

Alongside clinical services, research teams from the Institute of Psychiatry, Psychology & Neuroscience at King’s College London will also be moving into the Clinical Research Facility within the Centre later this year, supporting closer collaboration between clinical care and research.

Reflecting on what the move means for children, young people and families, Charlotte Laxton, CAMHS Senior Business Planning Manager, said:

It’s a stateoftheart building and it’s impressive when you look at it We’re looking forward to young people and their families coming in and seeing thecollaborate with our clinical and research teams.

 

The Centre has been made possible through a £10 million donation from Maudsley Charity, alongside the generous support of major donors, foundations and individual supporters.

It will also be home to the King’s Maudsley Partnership for Children and Young People, a collaboration between specialist clinicians at South London and Maudsley NHS Foundation Trust and leading academics at the Institute of Psychiatry, Psychology & Neuroscience at King’s College London. Supported by Maudsley Charity, the Partnership brings together clinical care and research with a shared aim of improving the lives of children and young people living with mental health conditions and neurodiversity.

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