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About the Advanced Interventions Service

The Dundee Advanced Interventions Service is a specialist service providing assessment and treatment for severe and chronic treatment-refractory depression (TRD) and obsessive-compulsive disorder (OCD).

We are a National Specialist Service, which means that we are one of over 70 national services in Scotland, receiving funding directly from the National Services Division (NSD) of NHS Scotland. Referrals (and some treatments, such as neurosurgery or intensive exposure and response prevention) are cost-free to NHS Boards in Scotland. This works because monies for specialist services are 'top sliced' from money given to NHS Boards by the Scottish Executive.

We are 'hosted' by NHS Tayside and whilst most of the staff are employed by NHS Tayside, many of the staff hold honorary contracts (or indeed, full contracts) with the University of Dundee.


 

Accessibility

This site should be accessible to the majority of readers and assistive technologies. It is based on Joomla which has its own accessibility statement. Essentially, the core Joomla system produces sites that are compliant with WCAG 1.0 Priority 2 and Section 508 requirement. However, templates, extensions, and plug-ins may not be compliant and we apologise if any content isn't accessible.

If you find any content which is not accessible, please notify us using the contact page.


 

The Assessment Process at Dundee Advanced Interventions Service

Introduction

What follows is an overview of the usual assessment process when you come to Dundee. We would usually expect patients to be accompanied by friends/ relatives/ partners/ etc. and we will seek your consent to get additional information from them.

Casenote Review

Before you are assessed we will have reviewed all available case notes so that we have as much information as possible on previous treatments. It also helps us to identify areas where there is uncertainty (e.g. diagnosis), and also issues that we should focus on (such as attitudes to treatment).

Psychiatric Review

In the morning, you will meet with one of the psychiatrists (Dr Christmas, Professor Keith Matthews, or Professor Douglas Steele) who will conduct a detailed psychiatric interview, focusing on current symptoms and impact of the illness upon your life. We will also spend time understanding more about you, your family, and your work. We routinely use rating scales in order to rate the severity of your illness.

Psychological Review

In the afternoon, you will meet one of our experienced psychological therapists who will take a slightly different approach to understanding your difficulties. This session focuses on the previous psychological therapies that you have received and looks at your experiences of these. It will also look at how 'psychologically minded' you may be so that we can offer advice on the likelihood that further psychological therapies (e.g. CBT) will be of benefit.

Being 'psychologically minded' refers to your general tendency to think about your emotions, your thoughts, your behaviours, and make connections between them. It also takes into account the extent to which you attribute symptoms to psychological processes ("it's my thoughts") rather than biological processes ("it's in my brain"). Not everyone is psychologically minded and a preference for one style doesn't imply that one style is better than another. Indeed, many people will vary between their approaches to their problems.

Feedback Session

In the afternoon, you will meet with all of the team that you have previously met over the course of the assessment. During this session we will offer feedback on what our views are and what treatment recommendations we are likely to make. This is an opportunity to ask questions and to clarify anything that hasn't been fully clear.

The purpose of this session is to come to a common understanding of your difficulties and to ensure that you go away with a sense of what happens next in terms of treatment options.

Reports

We would normally expect to send reports to the referring psychiatrist within 2-3 weeks of assessment. In almost all cases, we will offer you a copy of the report that we send. This will enable you to correct anything that you feel is wrong, understand the information on which we are making our recommendations, and to discuss the treatment plan with your psychiatrist.


 

How to get in touch with the service

Our mailing address is:

Advanced Interventions Service
Area 7, Level 6
South Block
Ninewells Hospital and Medical School
Dundee
DD1 9SY

Our main telephone number is:

+44 (0)1382 496233

Our fax number is:

+44 (0)1382 633865

We have a number of email addresses which will ensure that your query reaches the best person:

 

Use this address

For

This email address is being protected from spambots. You need JavaScript enabled to view it. Patient enquiries about the service. Note that we will not routinely give individual advice on treatment.
This email address is being protected from spambots. You need JavaScript enabled to view it. Clinicians wishing information about the referral process. You might find the information you need on the referrals page. Note that we do not accept referrals via email, and patient-identifiable information should not be sent.

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How to Refer to the Service

NHS organisations in Scotland who wish to make a referral can do so without having to apply for separate funding. NHS Trusts in England and Wales are required to obtain funding before patients can be seen.

Please see the table below to determine whether funding is required:

Patient from:

Assessment

NMD

VNS

Intensive ERP

Scotland

Funding not needed

Funding not needed

Funding required

Funding not needed

England / Wales / NI / Eire

Funding required

Funding required

Funding required

Funding required

Patients from Scotland can be assessed without additional funding. If they proceed to neurosurgery, this can be provided within the Service Level Agreement (SLA). If Vagus Nerve Stimulation (VNS) is requested and is clinically-appropriate, additional funding will be required even for Scottish patients as VNS is no longer funded as part of our SLA.


 

National Services Scotland

Advanced Interventions Service
Area 7, Level 6
South Block
Ninewells Hospital and Medical School
Dundee, DD1 9SY. UK.
Tel: +44 (0)1382 496233

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