Although ADHD is a major focus of Kheir Care, the service also provides Consultant-led psychiatric assessment and treatment for selected child and adolescent mental-health presentations suitable for specialist outpatient care.
Assessment is provided face-to-face by Dr Alamin Kheir, Consultant Child & Adolescent Psychiatrist, with time to explore the young person’s difficulties in depth and understand them within the context of their development, family, education, relationships and wider circumstances.
The aim is not simply to identify symptoms, but to develop a clear clinical formulation, consider relevant diagnoses and contributing factors, and provide individualised recommendations for treatment and next steps.
Depending on the individual referral, these may include:
Each referral is clinically reviewed before an appointment is offered to ensure that Kheir Care is an appropriate service for the young person.
The assessment is tailored to the individual presentation and includes consideration of the following, as relevant:
The information gathered is brought together to develop an individual clinical formulation, with diagnostic clarification where possible and recommendations based on the young person’s needs.
Following the assessment, the findings are discussed with the young person and family, including the clinical formulation, any relevant diagnosis or diagnostic considerations, and recommendations for treatment or further assessment where required.
A comprehensive written assessment report, including the assessment findings, clinical formulation, diagnostic conclusions or considerations, and individualised recommendations, is provided following completion of the assessment.
Recommendations may include psychoeducation, psychological or behavioural approaches, practical or educational supports, liaison with other professionals, further specialist assessment, or medication where clinically appropriate.
Continuity of care after assessment
Ongoing treatment and follow-up are separate from the initial psychiatric assessment.
Where ongoing care through Kheir Care is clinically appropriate, Dr Kheir can continue to provide face-to-face treatment and review following the assessment. This provides continuity of care with the same Consultant who completed the assessment and developed the clinical formulation and recommendations.
Ongoing care may include:
Following each follow-up or treatment review, a written clinical update will be provided to the referring GP/doctor, subject to the usual requirements regarding consent and confidentiality.
The frequency of follow-up is determined by the individual clinical needs of the young person.
Kheir Care provides planned specialist outpatient care for selected presentations. Referrals are accepted where the young person’s needs can be safely and appropriately assessed and managed within this setting.
Kheir Care is not an emergency or crisis mental-health service and does not provide urgent or out-of-hours care. Young people requiring emergency assessment, intensive psychiatric intervention or inpatient care should access the appropriate emergency or specialist services.
Referrals are accepted from GPs and appropriately qualified medical professionals and are clinically reviewed before an appointment is offered.
