Training Placement - Adolescents with Intellectual Disability requiring secure care

The adolescent service has a large purpose-built 40 bedded unit consisting of 4 wards that cater for young people with Intellectual Disability and mental disorder who require treatment in a secure setting. It forms a large part of the adolescent service and would be an excellent training opportunity for anyone interested in working in the area of Intellectual Disability Psychiatry.

You will gain experience in:

  • assessing patients with challenging or offending behaviour in a variety of settings including the community, hospital and criminal justice settings
  • managing severely challenging and offending  behaviour in a secure setting
  • undertaking risk assessments via structured professional judgement tools
  • facilitating directed family interventions
  • the criminal justice system via liaison with solicitors and supervised court work
  • understanding and participating in intellectual disability specific group-based therapies for offending behaviour
  • Part III of the Mental Health Act
  • taking part in Manager’s Hearings and Tribunals and attending court where appropriate
  • liaising with local authorities when placements are sought and at discharge, formally via Care Programme Assessments (CPAs) and informally via professionals’ meetings and other liaison
  • research, audit and service development activities
  • child protection work and liaison with the police and other Multi Agency Public Protection Arrangements (MAPPA) organisations
  • liaising with transitional services for young adults including 18 to 25 services, and adult wards wishing to admit teenagers
  • the use of standard assessment tools (such as HONOSCa, SAVRY, HCR-20 where appropriate, START, ADOS, ADIR, PCL-YV, WISC/WAIS, the Recovery Star (adapted for adolescents: ‘TeenStar’) and HONOS-Secure)
  • working with a wide variety of psychopathology (diagnosis and psychiatric treatment)
  • specific psychotherapeutic group work to include Hot Topics (relating to fire-setting), drug and alcohol groups, art psychotherapy, ASOTG (the Adapted Sex Offenders’ Treatment Group) and various others
  • psychosocial therapies (such as psychology, occupational therapy, art therapy, drama therapy) tailored for a mentally disordered young offender population.

The structure of the 12 month placement can be adapted to suit individual educational needs and may include 6 month or 4 month rotations through different areas of the adolescent service.

There are 7 consultants in the adolescent division with a variety of supervisory capacities including child and adolescent psychiatry and forensic psychiatry.