Care options

Care option Description Code Unit
Inpatient
Assessment for treatment Assessment involves completion of self-report questionnaires and a three-hour interview with a senior
therapist or psychiatrist to assess suitability for treatment as either an outpatient or on the residential
unit. The assessor will consult with the clinical team and provide a report with full recommendations.
NHSE commissioned for people who fulfil the NHS England specified criteria.
56781 Per assessment
Treatment, OCD, BDD, severe anxiety disorders, 12 weeks A residential unit programme and follow-up package, where people stay in a house within Bethlem
Royal Hospital, and undertake therapy with a cognitive behaviour therapist. Service users stay on
average for 16 weeks. Initially, therapy is daily and is reduced as progress is made. Home leave is integrated to ensure
generalization of improvements. People are also provided with an individually tailored occupational
therapy programme, life skills sessions and compassionate mind groups within a therapeutic community.
Three follow-ups are offered at 1, 2 and 3 months post discharge.
NHSE commissioned for people who fulfil the NHS England specified criteria.
57770 OBD
56770 Per session
Persistent hoarding option This is the same as for the residential unit programme but focuses on persistent hoarding problems.
This package includes 30 individual therapy sessions, 20 of which take place in the person’s home,
alongside other group and therapeutic interventions. Initially, therapy is daily and then is reduced as
progress is made. Home leave is integrated to ensure generalisation of improvements. People are also
provided with an individually tailored occupational therapy programme, life skills sessions and carer’s
groups. This care option is only suitable for people who can easily travel to the Bethlem Royal Hospital.
92674 Per session
Team assessment Team assessments are for referrers who are seeking expert guidance about assessment and further
treatment options for their service users. People may have complex problems like failing to respond to
previous treatments, a problem that is severe, extensive co-morbidity, or where the diagnosis is
unclear. Either two members of staff or a senior team member reviews all of the background
information, and undertakes a detailed assessment lasting several hours. A member of the referring
team may also be present. The assessment results are discussed with the entire team, and a thorough
report, including recommendations and review of the diagnosis and formulation is provided. There
will be further discussion with the referring team regards future management.
53431 Per assessment
Care option Description Code Unit
Outpatient
Assessment for treatment Assessment involves completion of self-report questionnaires and a three hour interview with a senior
therapist or psychiatrist to assess suitability for treatment. The assessor will consult with the clinical
team and provide a report with full recommendations.
NHSE commissioned for people who fulfil the NHS England specified criteria.
56781 Per assessment
ADRU Outpatient assessment Assessment for suitability for Cognitive Behaviour Therapy (CBT) on an outpatient basis. This assessment would be suitable for people with habit disorders, Trichotillomania, compulsive skin picking (excoriation disorder), tics and Tourette’s Syndrome. Assessment involves completion of self-report questionnaires and a 2 hour interview with a senior therapist. All assessments will include a psychiatrist, providing advice on medication. The assessor will provide a written report with full recommendations. 93194 Per assessment
ADRU Outpatient treatment Treatment will average between 10 and up to 15 weekly sessions of 60 minutes each of specialist cognitive behaviour therapy (CBT) and habit reversal therapy within a clinic setting. Clinic sessions may be recorded for patients and for supervision purposes, and regular self-report questionnaires are completed to monitor progress. This care option would be suitable for people with habit disorders, Trichotillomania, compulsive skin picking (excoriation disorder), tics and Tourette’s Syndrome. 93195 Per session
Care option Description Code Unit
Outreach
Assessment This assessment is suitable for people with severe anxiety disorders who are housebound and unable
to travel to the centre or have problems with hoarding. Assessment involves completion of self-report
questionnaires and a three-hour interview with a senior therapist or psychiatrist to assess suitability
for treatment as either an outpatient or on the residential unit. The assessor will consult with the
clinical team and provide a report with full recommendations. A junior member of staff would
accompany the assessor or a local member of staff should be present at the assessment either in the
person’s home or local facility.
59611 Per assessment