The forensic outreach service and specialist community forensic teams are forensic community mental health teams.
They support the transition of care for service users moving out of secure settings. The teams engage with the service users and those involved with their care, before, during and after their move from inpatient services to the community. They continue to provide specialist mental health support on discharge, for as long the individual person needs it.
The teams include:
- Consultant forensic psychiatrists
- Clinical psychologists
- Forensic community psychiatric nurses
- Forensic social workers
- Occupational therapists
- Peer support workers
- Recovery workers
- Vocational workers.
The forensic outreach service and specialist community forensic teams work with service users to equip them for and support them with daily independent living. They work with housing providers and hostels, developing support plans which mitigate risk and support people with effective ongoing therapy - both group and individual – as they move to and live in a community setting.
The service works supportively with carers, taking their needs into account. We work with other partners to ensure an integrated and supportive transition for people leaving a secure setting.
Agencies and departments we work with include:
- The criminal justice system
- Other mental health services
- Social care
- The voluntary sector.
As part of the work to assess a person and their transition into a community setting - and ensuring they adapt, we:
- Assess and provide evidence as to whether there is any substance misuse
- Provide vocational educational and employment support
- Develop a specialist forensic risk assessment.
The forensic outreach service and specialist community forensic teams ensure that service users approaching discharge have a named Care Co-ordinator Consultant Psychiatrist (RC) from the respective team. A representative from both teams attends all discharge meetings on every rehabilitation ward in West London Forensic Services.
The teams also review patients who originate from the eight boroughs across North West London, but who are currently in secure hospitals out of the area.
The forensic outreach service is for service users who were discharged from secure care before April 2020 and who originate from Ealing, Brent and Hounslow. FOS also provide a service for service users leaving secure care from Hammersmith, Hillingdon and Harrow.
As from April 2020, the specialist community forensic team covers service users who are being discharged from secure care originating from Ealing, Brent and Hounslow.
The forensic community service (FoCuS) is provided by West London Forensic Services, working in partnership with Central and North West London NHS Foundation Trust (CNWL) for service users from Kensington, Chelsea and Westminster.
FoCuS supports the discharge of service users into the community and ensures their ongoing care needs and early discharge planning, to ensure a smooth discharge at the appropriate time.
The forensic outreach service, specialist forensic community teams and FoCuS teams all provide a link between inpatient and community services, and manage people who are deemed as high risk during the transition to local mental health services.
A care co-coordinator from SCFT, FOS and FoCuS is allocated to all service users in Butler House and on Tennyson ward.
The court diversion team at Westminster Magistrates' Court was the first service of its kind in the UK and was originally set up in 1989 at Horseferry Road Magistrates' Court as a Home Office pilot. It has been staffed and managed by West London NHS Trust ever since.
Defendants in custody are screened on a daily basis by the resident court liaison nurse. A psychiatrist is available twice a week to enable acutely mentally ill defendants to be diverted to hospital.
We welcome visitors and are also to be happy to come and talk about the service to other teams.
This service has been expanded in partnership with CNWL and Together for Mental Wellbeing.
It has been recognised for some time that people with a mental health problem don’t always get the support they need when they’re brought into a police station.
A team of 6 mental health nurses covers police custody suites in Hammersmith, Chiswick, Acton and Hounslow.
For further information or to discuss a referral, please contact team administration on 020 8483 2340.
This service ensures that the specialist needs of children and young people in custody or youth justice setting are met promptly. We also ensure that they have priority access to the systemwide specialist services they need.
Conducting mental health assessment and care planning for children and young people in these settings can be complicated. Issues relating to consent, capacity and legislation must be considered, as well as a range of clinical, safety and safeguarding risks.
Improving mental health outcomes and reducing youth offending
Our youth justice liaison and diversion (YJLD) workers are based in Hammersmith and Fulham, Hounslow and Ealing youth offending services. A specialist youth justice worker supports the YJLD in Ealing.
An initial assessment is only one element of this national service. Improving mental health outcomes and reducing offending is another key element. The YJLD workers also work in police stations and courts to ensure the young person is supported through the youth justice system.
The service provides a specialist tertiary referral service for child and adolescent mental health services (CAMHS) teams, youth offending team (YOT) link workers and neurodisability services for young people and other agencies.
- Hammersmith and Fulham
- Kensington and Chelsea
The teams are accessible to all agencies which may have contact with young people exhibiting high risk behaviours, including social services, YOTs, prisons, courts, solicitors, education, those commissioning health services. We work with the youth justice system about young people with possible mental health or neurodevelopmental difficulties, including learning disabilities and autism.
The services provide expert advice and consultation, specialist assessments and intervention work and offer support as children and young people make the transition into and out of secure services.
If you need more information about the service, please contact team administration on 0208 354 8002.