|Treatment, standard||The first phase is a full assessment of current physical and mental state in the context of past history and treatment response. We then collaborate with physician colleagues if needed to assess risk and create evidence-based treatment packages. These include bespoke psychopharmacological and psychological interventions and assertive management of co-morbid physical and mental health conditions. We use our experience and ethos to start and maintain clozapine in patients where it has not been possible to do so before with excellent results. We have developed particular expertise in clozapine (re-)challenge in people with various medical complications including 'red lights' or cardiac problems. Where clozapine is not an option, we work with the Maudsley Pharmacy to apply the latest evidence in devising effective and tolerable medication strategies.||OBD|
|Treatment, secure facility||This option may be offered in one of our more secure facilities, when a higher level of security or physical health monitoring is required. The patient’s treatment and care will be managed by the Psychosis Service in conjunction with the team from the secure facility. The person will have the same level of psychopharmacological and psychological interventions as they would on the Psychosis Service. This option is reviewed regularly, and the person may be transferred back to the Psychosis Service when their condition is stabilised and they can be treated on an open unit. The price listed is for a low-secure challenging behaviour unit, however it may vary for other units.||OBD|
|Treatment, one-to-one nursing||This care option is used when a person’s mental state is disturbed to such an extent that one-to-one care is needed 24-hours a day. Clinical interventions are as per the standard treatment care option, however the person may present with problems that require additional care. They may have clear plans to self-harm or periods of aggressive behaviour, as detected by risk assessment, or increased physical dependence needs relating to current mental or physical conditions. This is not a long-term option, but it can be used during the acute time required.||OBD|
|Treatment, two-to-one nursing||Suitable when a person’s mental state is disturbed to such an extent that two-to-one nursing is required 24 hours a day. As per standard treatment, however the person may present with problems that require additional care. They may have clear plans to self-harm or periods of aggressive behaviour, as detected in the risk assessment, or increased physical dependence issues relating to their current mental or pre-existing physical illness. This is not a long-term option, however it can be used during the acute time required.||OBD|
|Patient escort||Two nurses escort a patient from the Bethlem Royal Hospital inpatient unit to another hospital.||Per trip|
|Assessment||Assessment can last for up to four hours, including an interview with the person and their carers, and a discussion with our expert team, which includes consultant psychiatrists, academics specialising
in psychosis research, a pharmacist and a psychologist. A report is provided including recommendations for treatment. This option is also available via telephone or video-conferencing.
|Assessment, residential||The person is admitted to our unit the night prior to their outpatient appointment. As per the standard assessment, but is enhanced by observation from clinicians on the unit. This option includes provision
of local accommodation for up to two accompanying staff or family members.
|Assessment and treatment, family work||This option is suitable for families of people with psychosis. There are four assessment sessions which take place at different time points (at referral, prior to starting therapy, mid-therapy and at the end of
therapy), using a range of standardised psychological outcome measures. Therapy sessions last approximately one hour, with patients and their families seen weekly or fortnightly for around six months. Therapy is delivered by family work therapists specialising in psychosis.
|Cognition clinic||This clinic is for people with stable symptoms who have functional impairment. Assessment includes a full medical assessment, a brief cognitive assessment by our research team, scoring and interpretation of results and on occasion, additional testing. The person is discussed by our expert multidisciplinary panel, and a report is prepared advising on how to optimise their cognitive function. For people who can attend sessions at the hospital, cognitive remediation
herapy may be available. This clinic is research funded.
|Independent prescribing review||An expert pharmacist provides an independent medication review service for referred patients. This includes a review of the complete drug history provided, with advice to referrers on potential future medication options.||Per review|
|Bipolar clinic||Assessment and treatment for those with bipolar disorder.||Per assessment|
|Voices clinic||A four-hour assessment with a full report, including recommendations. Treatment sessions are for people experiencing persistent auditory hallucinations, particularly those who are difficult to evaluate or are resistant to conventional treatments.||Per assessment|
|Assessment||Assessment by a doctor at the person’s location, regarding their suitability for transfer to the inpatient unit.||Per assessment|