Challenging Behaviour Service

Location: Maudsley Hospital
Mode: Outpatient
Referrals are accepted from: Consultant psychiatrists, consultant psychologists, consultant paediatricians, GPs, GP consortia, mental health professionals

Key areas: Aggression, challenging behaviour, destructive behaviour, neurodevelopmental disorder, non-compliance


Our service is for young people with neurodevelopmental disorders and intellectual disability where challenging behaviour is a primary concern. Challenging behaviour includes aggression directed at themselves or others, severe non-compliance and significant destructive behaviour.

We see young people across the intellectual ability spectrum. A systematic assessment of causes of challenging behaviour includes consideration of learnt behaviour, co-morbid psychiatric disorders, predisposing neurocognitive characteristics and physical problems.

We work closely with referrers to identify the most suitable care package and recommended management strategies, which involve behavioural interventions, environmental change, medication and treatment of co-morbid medical problems.

Developmental Neuropsychiatry and Neuropsychology Service (DNN)

The Acquired Brain Injury Service is a stream of our CAMHS DNN Service. The DNN sees young people who have, or might have, neurodevelopmental disorders like autism, attention deficit hyperactivity disorder or learning disability with additional mental health or behaviour problems, as well as young people with psychological problems associated with head injury, physical disability or genetic conditions. Our teams work together and refer between services as necessary. The DNN includes the following service streams:

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