Referrals to the Tic Disorder Service

The Tic Disorder Service provides a specialist (tertiary and quaternary) service for the assessment, diagnosis and treatment of children with moderate to severe Tic Disorders, who are already under the care of a community Child and Adolescent Mental Health Service (CAMHS)/Emotional Wellbeing and Mental Health Service (EWMHS).

The assessment we offer provides a mental health opinion, which may lead to specific investigations and/or treatments. We provide services that cannot ordinarily be delivered by a district hospital or community CAMHS because of their unusual, complex or specialised nature.

We are currently only able to accept referrals which meet the three following criteria:

  • The patient must be open to and the referral made by the patient’s local Child and Mental Health Service (CAMHS), and it must be sent by a CAMHS Consultant Child Psychiatrist, Consultant Clinical Psychologist or a Consultant Community Paediatrician.
  • The patient must be presenting with tics in the moderate-to-severe range of severity. We require a detailed description of how the child’s tics impact their life socially, physically, educationally and / or emotionally.
  • If the patient has a co-occurring mental health condition then we request that they are referred by local CAMHS and that the referring team is available to join the initial assessment with the Tic Disorder service. We are able to offer these initial assessments via telemedicine.

The Tic Disorder Service is not currently accepting referrals for patients with a primary diagnosis of persistent physical symptoms (e.g. functional neurological disorder) in the absence of tic disorder.

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.

Who we accept referrals from

Currently, all children who attend GOSH must be referred by a local mental health specialist (CAMHS/EWMHS). We do not accept referrals from GPs. However, if another professional such as a consultant community paediatrician seeks to make a referral and the young person does not present with mental health challenges , we would be happy to consider it.

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, and telemedicine.

The child’s GP must also be informed of the referral.

Guidelines for making a referral

In order to process a referral, 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 (e.g. cognitive assessments, speech and language assessments)

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

To make a referral to the Tic Disorder Service please complete the below referral form and write to:

Tic Disorder Service
Department of Child and Adolescent Mental Health
Level 4, Frontage Building
Great Ormond Street Hospital
Great Ormond Street
London
WC1N 3JH

Alternatively please email CAMHSSecretaries@gosh.nhs.uk or telephone 020 7405 9200 ext 5778 or 020 7829 8679

Referral Form (249.9 KB)