Meet the Team: Southwark CWP Team

Meet the Team: Southwark CWP Team

Meet the Team: Southwark CWP Team

The Children and young people’s Wellbeing Practioners (CWP) Programme spans across all the four community boroughs served by the South London and Maudsley Trust (Southwark, Lambeth, Lewisham, and Croydon).  The aims of the programme include providing a service to young people, parents and carers with close links to the local community, with focus on prevention and early intervention and to increase accessibility and see young people who might not meet the threshold for current CAMHS provision.

Felicia Oshin

Felicia Oshin

Children's Wellbeing Practitioner

Who are the Southwark CWP Team?

Children and young people’s Wellbeing Practitioners (CWP) for Southwark. We are an early intervention team who see parents of children and YP who might need some support with their mental health. Being an early intervention team, we aim to see young people and support them at an early stage to provide preventative support.

What interventions do the team offer?

We offer access to Guided self-help interventions which are eight sessions based on Cognitive Behavioural therapy principles, otherwise known as CBT. We do this by offering some education about what the difficulties are, introducing new ideas and arrange powerful coping strategies and also creating a staying well plan. These sessions will be collaborative between yourselves and your CWP, working together to help reduce the concerns. We hope to leave parents and young people with a toolbox of methods to help them.

Can CBT help with anxiety?

CBT sessions can be done on a 1-2-1 basis, but we can also offer workshops to support groups of parents or young people. Workshop topics cover areas such as how to deal with exam stress, managing anxiety relating to the pandemic, managing anxiety relating to transiting from primary school to secondary school, GCSES or A levels, and also a healthy self-esteem.

How can CWP support young people?

If you are aged between 12 to 18, the focus will be to meet with you rather than your parents. We can help with worries, or fears that are getting in the way of their day-to-day life, for example worries about academic performance, health, or social relationships.

We also see young people who are feeling low and unmotivated which may have had an impact on their sleep, activities, relationships or school and it may result in constant feelings of sadness.

Do you support parents too?

Yes! We see parents of children between the age of 5 and 11 years who’s fears or worries are starting to affect their daily lives. As well as parents with children aged between 5 and 8 years old who would like help on how to respond to their children’s behaviour such as temper tantrum or difficulties following rules.

What other workshops do you offer?

 Alongside support with managing anxiety, we offer.

      • Self-esteem // body image / social media (for secondary school aged children)
      • Transitions (For Year 6, Year 7 or Year 11/12)
      • Low mood (Secondary School age)
      • Emotional regulation (for parents) Exam stress (Any secondary school year but most helpful for those doing GCSEs or A levels)

 How can young people or parents access support?

 If you would like to access support from Southwark CWP Services, talk to your local Children’s centre, GP, a member of school or college or professional in the community. Let them know you would like to access support from the Southwark CWP services, they will then make a referral to our service. Once we have received the referral, we will be in touch. Or you can access the referral form from our website.

Remember everyone deserves to be the best version of themselves and it is okay to not feel like it sometimes. We really look forward to working with you and we hope we can work together to support you.

For more information on the Southwark CWP Service, visit https://slam.nhs.uk/southwark-cwp

 

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CAMHS Body Dysmorphic Disorder: How this unique service is supporting young people

CAMHS Body Dysmorphic Disorder: How this unique service is supporting young people

CAMHS Body Dysmorphic Disorder: How this unique service is supporting young people

Body Dysmorphic Disorder (BDD) is a condition which is common in children and young people. It is a mental health condition where people spend a lot of time worried and upset over their appearance and spend lots of time trying to fix it. BDD impacts around one or two people in every 100 people and can be treated.

For Mental Health Awareness Week, the team at the BDD Clinic explain who they are and how they’re supporting young people at a time when the need has never been greater.

a young girl holding a leaf

We are the Maudsley National and Specialist Obsessive Compulsive Disorder (OCD), Body Dysmorphic Disorder (BDD) and related disorders service for young people. It is the only specialist BDD clinic in the UK for those aged 5-18 years old. We offer highly specialist assessment and treatment, as well as teaching and training.

Our clinic is made up of a multi-disciplinary team of clinicians with decades of collective experience in assessing and treating BDD. This includes psychiatrists, clinical psychologists, and a parent peer support worker. We provide evidenced-based, NICE recommended psychological and pharmacological therapy including Cognitive-Behaviour Therapy (CBT) and Selective Serotonin Reuptake Inhibitors (SSRI) medication.

What is Body Dysmorphic Disorder (BDD)?

BDD is a common mental health condition and affects at least 1-2 per cent of young people. It is a psychological condition where a person becomes very preoccupied with one or more perceived flaws or defects in their physical appearance. These appearance concerns cause significant distress and lead to engagement in behaviours to try to ‘fix’ or hide the perceived flaw that are difficult to resist or control (e.g., frequently checking mirrors or seeking reassurance). BDD can seriously affect a person’s daily life, including school, social life, and relationships.

What other mental health conditions can commonly occur for young people with BDD?

Social Anxiety Disorder, Obsessive Compulsive Disorder, Eating Disorders, and Depression are some examples of commonly occurring mental health conditions. It is very common for people with BDD to feel anxious, depressed and suicidal and many sufferers experience low self-worth and low self-esteem.

How do young people with BDD experience anxiety? 

BDD involves a cycle of anxiety where young people experience preoccupying worries about their appearance which cause strong feelings of anxiety, shame or sometimes disgust. These difficult thoughts and feelings lead to repetitive behaviours such as mirror checking, seeking re-assurance, hiding under baggy clothing, or avoiding leaving the house. These behaviours are often an attempt to try to fix or hide their appearance. These thoughts, feelings and behaviours can result in significant disruptions to a young person’s relationships, school, and home life. For example, feeling too anxious to leave the house without spending a long time on their make up or checking their appearance in the mirror.

How does the King’s Maudsley Partnership support children with BDD through research and clinical work?

Alongside evidenced-based treatment to support young people in overcoming BDD, we deliver a national teaching programme to raise awareness of BDD by highlighting the key signs and symptoms and the available treatment approaches. As a team, we also conduct a number of research studies to learn more about BDD and improve the treatments we offer. For example, we are currently researching how we can best adapt CBT for BDD for those with Autism Spectrum Conditions and exploring the role of difficult life experiences such as bullying in the development of BDD.

Once open, the Pears Maudsley Centre will accelerate research and clinical advancements with the closer partnerships that will form between the clinical and research groups.

How can young people be referred to your service?

We accept referrals from local CAMHS teams across the country. If you think you or someone you know might have BDD and would like advice please contact the National and Specialist OCD, BDD and Related Disorders CAMHS on:

020 3228 5222

Please speak to your local CAMHS team if you would like to seek a referral to our service.

Are there any resources that can support parents and young people?

If you would like to find out more about BDD, we recommend the book ‘Appearance Anxiety’ by the National and Specialist OCD, BDD and related disorders service. Further information regarding our service can be found at: Service Detail – South London and Maudsley (slam.nhs.uk). You can also read more about BDD here: www.bddfoundation.org

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IoPPN researchers awarded Wellcome funding for mental health research

IoPPN researchers awarded Wellcome funding for mental health research
£2.45 million Wellcome funding has been awarded to research programmes at the Institute of Psychiatry, Psychology & Neuroscience (IoPPN) for children and young people’s mental health research.

The programme, led by IoPPN principal investigator Dr Daniel Michelson a received Wellcome Mental Health Award, alongside two other programmes at the IoPPN. The awards sit under the umbrella of Wellcome’s new Mental Health Challenge programme.

Dr Daniel Michelson has been awarded £2.45 million to undertake a ‘Mechanistic trial of problem-solving and behavioural activation for youth depression’ (METROPOLIS). This programme, which is part of the King’s Maudsley Partnership for Children and Young People, will investigate the effectiveness and mechanisms of brief, first-line psychotherapies to reduce symptoms of depression among disadvantaged university students in New Delhi, incorporating an innovative peer-to-peer counselling approach.

I’m delighted to receive this award on behalf of an outstanding international team. The funding will enable us to conduct one of the largest-ever mental health intervention trials for young people in India, which is home to 20% of all 18-24-year-olds worldwide. Scalable early interventions are urgently needed during this key developmental period when many mental health problems first occur. University settings pose unique challenges and stresses, especially for ‘first-generation’ learners who make up a significant part of the student population across India.

Dr Daniel Michelson

Clinical Senior Lecturer at the Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience (IoPPN)

Dr Michelson is a Clinical Senior Lecturer in the Department of Child and Adolescent Psychiatry at the IoPPN. The new Award builds on Dr Michelson’s experience as Clinical Academic Director for the ‘Premium for Adolescents’ school mental health programme in India, also funded by Wellcome (2016-22). Dr Michelson additionally works on developing and evaluating psychosocial interventions for under-served children, young people and families in the UK and is an Honorary Consultant Clinical Psychologist at South London and Maudsley NHS Foundation Trust.

Daniel Stahl, Professor of Medical Statistics and Statistical Learning at the IoPPN, will work with Dr Michelson on the programme alongside co-investigators from Sangath, India’s leading mental health research non-governmental organisation; O.P. Jindal Global University, a top-ranked research-intensive university in New Delhi; Youth for Mental Health, a youth-led social enterprise focused on student mental health in India; and Brighton and Sussex Medical School. Dr Michelson’s team is supported by a wider group of international collaborators from the USA (Harvard Medical School, Loma Linda University & UCLA) and India (the National Institute of Mental Health and Neurosciences).

Young people with relevant lived experience will be front and centre in the leadership and delivery of the programme, including a variety of youth-led activities to engage students from marginalised groups.

Dr Daniel Michelson

Clinical Senior Lecturer at the Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology & Neuroscience (IoPPN)

The grant is funded under the Wellcome ’Looking Backwards, Moving Forward: understanding how interventions for anxiety, depression, and psychosis work’ grant scheme which is part of their new strategic focus on mental health as a key global health challenge. This call focuses on investigating the causal mechanisms underpinning the ‘active ingredients’ of effective interventions for anxiety, depression and psychosis. Active ingredients are those that drive resolution or reduction of symptoms, are well-defined and link to specific hypothesised mechanisms of action. Wellcome have awarded more than £47 million to research teams to investigate what makes interventions for anxiety, depression and psychosis effective.

For more information, please contact Amelia Remmington (Communications & Engagement Officer).

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Let’s Talk About It: Eating Disorders Awareness Week 2023

Let’s Talk About It: Eating Disorders Awareness Week 2023

Let’s talk about it: Eating Disorders Awareness Week 2023
Organised by the charity BEAT, National Eating Disorder Awareness Week highlighted the realities of living with an eating disorder. This year it took place on the 27th February – 5th March 2023.

Approximately 1.25 million people in the UK have an eating disorder. Throughout the week, we shared information and tips to support parents and carers on the many eating disorders affecting children and young people’s mental health.

What is an eating disorder?

Children’s mental health has never been so critical, this week offered a vital opportunity to reflect on how we can support young people.

Last year, NHS Digital found 12.9% of 11 to 16 year olds and 60.3% of 17 to 19 year olds had possible eating problems but what is an eating disorder?

An eating disorder is a mental health condition where you use the control of food to cope with feelings and other situations. Unhealthy eating behaviours may include eating too much or too little or worrying about your weight or body shape.

Anyone can get an eating disorder, but teenagers between 13 and 17 are mostly affected. Are you supporting a child with an eating disorder or need support yourself? Watch the videos below to see four ways you can support a child or young person with an eating disorder.

As part of the Mind of the Matter series, Professor Ulrike Schmidt from King’s College London, discussed how eating disorders have manifested in groups of people over the pandemic, exposed health inequalities and a disparity in access to treatment – you can find the full video below.

With treatment, most people can recover from an eating disorder. Cassius, an ex-service user, shared his story of recovery adding that “Recovery is more than possible. It happened, and it’s made me who I am today.”

What are the different types of eating disorders?

Anorexia Nervosa

Anorexia can cause severe physical problems because of the effects of starvation on the body. If you’re worried about a child or young person’s eating habits, weight or shape – the best way forward is to get help and support early.

 

Binge Eating Disorder (BED)

There are a number of ways that binge eating disorder can impact a young person’s life. Often (though not always) it can cause weight gain, and in terms of physical health, can be associated with high blood pressure, high cholesterol, type 2 diabetes and heart disease.

 

Bulimia

There are several reasons that someone might develop bulimia, and many factors that can contribute but know that just being there for them can also play a crucial role in helping them to get better. If you’re worried about someone you know, even if only some of the signs are present, you should still seek help immediately, as this gives the best chance of recovery.

What is EDIFY?

EDIFY (Eating Disorders: Delineating Illness and Recovery Trajectories to Inform Personalised Prevention and Early Intervention in Young People) is a four year project, led by researchers at the Institute of Psychiatry, Psychology & Neuroscience (IoPPN) at King’s which aims to revolutionise how eating disorders are perceived, prevented and treated in young people.

By combining the arts and science, researchers will build a detailed picture of why young people develop eating disorders, how they progress over time and what we can do to help.

The EDIFY project, involving over 1000 participants, ensures young people with lived experience of eating disorders are at the heart of the project, serving as advisors and co-producers throughout.

Through this work we will expand professional and public perceptions of eating disorders, share under-represented voices and encourage advances in policy and clinical practice.

In their PaperMate series, the EDIFY team speak to eating disorders researchers about recent projects, such as the experiences of men and the impact of COVID.

What is FREED?

FREED is the First episode Rapid Early intervention for Eating Disorders service for 16 to 25-year-olds who have had an eating disorder for three years or less.

Young people getting help for their eating disorder through FREED are given rapid access to specialised treatment which gives special attention to challenges we know young people face during these years of their life, and in the early stages of an eating disorder.

Originally developed at South London and Maudsley NHS Trust and King’s IoPPN, the Health Innovation Network and Academic Health Science Network have since supported Mental Health Trusts across the country to adopt FREED. More than 2,000 young people nationally have benefitted from the service since 2020, with an initial evaluation suggesting FREED can reduce waiting times by 32% for assessment and 41% for treatment

Most recently, in her BBC documentary Zara McDermott: Disordered Eating, Zara met with our experts and service users at FREED to explore disordered eating. Filming took place at Maudsley Hospital in Summer 2022.

The new FREED-Mobile study, which is now recruiting, is exploring whether online resources could help young people in their decision to seek support for eating difficulties to help facilitate early intervention.

We want to encourage everyone who thinks they may have an eating disorder to seek help, as it is possible to get better. Wherever someone may be on their journey, there is hope and help out there.  Thank you to Zara for coming to visit us and spending time with people who have used our services.

Giulia Di Clemente and Charmaine Kilonzo

Senior Psychologist and Psychology Practitioner, Eating Disorders Service

External Support:

Beat – Eating Disorders: https://www.beateatingdisorders.org.uk/

 

Kooth: https://www.kooth.com/

 

First Steps: https://firststepsed.co.uk/

 

 

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New Executive Dean of the IoPPN

New Executive Dean of the IoPPN

New Executive Dean of the IoPPN

Professor Matthew Hotopf CBE has been appointed as Executive Dean of the Institute of Psychiatry, Psychology and Neuroscience (IoPPN) from 1 September 2023.

a young girl holding a leaf

Professor Hotopf is a Professor of General Hospital Psychiatry, a consultant liaison psychiatrist, and Director of The National Institute for Health and Care Research (NIHR) Maudsley Biomedical Research Centre (BRC).

As an alumnus of King’s College London, Professor Hotopf has a rich history with the university as a student and a valued member of staff. Matthew joined King’s as a Senior Lecturer in Psychiatry at Guy’s King’s and St Thomas’ School of Medicine in 1998, establishing an eminent career which includes roles within King’s Health Partners (KHP) and at the IoPPN. He has held his current role of Vice Dean of Research at the IoPPN, since 2017 and led the IoPPN’s return to the Research Excellence Framework (REF) 2021.

“Matthew has demonstrated outstanding leadership and successful delivery of critical projects for King’s, such as REF2021 for the IoPPN and the Directorship and renewal of the NIHR Maudsley Biomedical Research Centre. He is an exemplar at managing complex partnerships across research, healthcare services, policy, industry, funding and clinical care. Matthew is a great motivator, encouraging both staff and students to fulfil their potential. I am looking forward to Matthew leading the IoPPN into its next chapter.” – Professor Shitij Kapur, President & Principal of King’s College London.

David Bradley, Chief Executive of South London and Maudsley NHS Foundation Trust, said:  “I am delighted that Professor Matthew Hotopf, CBE, has been appointed as Executive Dean of IoPPN. Matthew is bringing a wealth of experience across research, leadership, and educational skills. I know his experience will help us improve our services at South London and Maudsley and his leadership at IoPPN will make a hugely positive contribution to our work.” 

Matthew trained in epidemiology at the London School of Hygiene and Tropical Medicine and in Psychiatry at the Maudsley. He has broad research interests including using epidemiological and novel mobile health methods to interrogate the relationship between mental and physical health. He has a national research profile as a member of the REF and inaugural chair of the NIHR’s Translational Research Collaboration in Mental Health.

“It is a huge honour to be appointed as Executive Dean of IoPPN. There are many great opportunities ahead for us to advance neuroscience and mental health, and inspire the next generation through our education, training and research.” – Professor Matthew Hotopf CBE, Vice Dean of Research, Institute of Psychiatry, Psychology & Neuroscience (IoPPN)

Matthew’s awards include a CBE for services to Psychiatric Research in June 2018 and the Academy of Psychosomatic Medicine’s 2016 Wayne Katon Research Award. He is also a NIHR Senior Investigator and Fellow of the Academy of Medical Sciences.

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We need more than ambulances to help kids’ mental health in the UK

We need more than ambulances to help kids’ mental health in the UK

We need more than ambulances to help kids’ mental health in the UK

Children’s mental heath has never been so critical, in the next five years, 1.5 million childlren will need new support with their mental health.

a young girl holding a leaf

Our Interim Partnership Director, Professor Emily Simonoff, discusses how clinicians and academics will work together to deliver effective, timely and inclusive mental health care for those who need it most in the new Pears Maudsley Centre when it opens in 2024.

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