Referrals to the Psychological Medicine Service & National Tourette Syndrome Clinic

We are happy to receive internal or external referrals from professionals, where there are concerns about the mental health of a child with physical illness/symptoms. Other members of the department may be involved in the assessment and treatment of children and families depending on individual needs. Psychological Medicine Team Referral Criteria for Outpatient appointments.

Professor Isobel Heyman and Dr Holan Liang, 
Neuropsychiatry, medically unexplained symptoms, functional symptom disorders/ persistent physical symptoms, mental ill health in the context of physical illness, neurodevelopmental disorders and physical illness, epilepsy and mental health, tics and Tourette syndrome

The Psychological Medicine team provides a specialist (tertiary and quaternary) service for the assessment, diagnosis and treatment of children with mental health problems in the context of physical health difficulties, who are already under the care of a child and adolescent psychiatrist, paediatrician or other child specialist. We also run a national Tourette syndrome service.

The review provides a mental health opinion, which may lead to specific investigations (for example neuropsychological assessment) and/or treatments. We provide services that cannot ordinarily be delivered by a district hospital or community Child Mental Health Service (CAMHS) because of their unusual, complex or specialised nature.

The service is provided in partnership with the locally based CAMHS and paediatric services and all children remain under the continuing care of their local services and only continue to be followed up at GOSH for as long as they require specialist mental health services or outcome monitoring.

To make a referral to the Psychological Medicine team and Intervention Service please write to:

Psychological Medicine Team
Department of Child and Adolescent Mental Health

Level 4, Frontage Building
Great Ormond Street Hospital
Great Ormond Street

Alternatively please email or telephone 020 7405 9200 ext 5778 or 020 7829 8679

Guidelines for making a referral

In order to process a referral to the Psychological Medicine team at GOSH, we require the following minimum information:

Patient details:

  1. name and details of patient including NHS number (if applicable), current GP and local lead medical consultant
  2. whether an interpreter for the child/or family is required
  3. please include, if relevant, details about social services involvement and parental responsibility 

Clinical questions:

  1. reason for referral such as diagnostic, second opinion or referral for treatment
  2. details of previous child mental health opinions and treatments
  3. referral letter with current information and referral question 

Results of investigations:

  1. Any relevant test results, including MRI, EEG, blood, urine, CSF and genetics
  2. Other relevant assessments eg cognitive assessments, speech and language assessments

Referrals will not be processed until other relevant assessments and investigations have been received.

Who do we accept referrals from

All children who attend GOSH must be referred by a local child and adolescent psychiatrist or other mental health specialist (CAMHS), hospital consultants, community paediatricians. We do not accept referrals from GPs. In specific cases we may only accept referrals from CAMHS not from paediatricians – we will discuss with the referrer as needed.

Referrals from community specialist clinicians (CAMHS/paediatrics)

We accept referrals of children from all over the UK. If a child lives a long-distance away in the UK, and requires specialist mental health treatment we will recommend local treatment. We are able to consider flexible packages of shared-care depending on the needs of the child and family and the local services, including consultation, joint working, telemedicine.

Referrals from other GOSH specialists

  • All children must have a local specialist service (CAMHS and/or paediatrician) who must be informed of the decision to refer and be in agreement. The child’s GP must also be informed.
  • We are happy to discuss liaison cases where the child has been seen by paediatric psychology if a psychiatric opinion or mental health treatment is needed.