The AIS response to COVID-19

Despite COVID-19, we continue to function and although we cannot do all the things we did before, we are committed to providing as full a service as possible to patients and referring clinicians. Currently, this is what we can provide...

Referrals

We have never closed to referrals and these will be reviewed, as usual, in our weekly team meetings. If you have any questions about a referral, or would like to discuss something, please get in touch.

Assessments

Although we are not currently assessing people face-to-face, we are able to conduct the assessment via videoconference (Zoom, Skype, etc.). This means that people can be assessed in the comfort of their own homes and do not have to travel. We are flexibly adapting our assessment process which means that it can take place over multiple days and people should not expect a full-day assessment (as previously). We are confident that this allows a comprehensive review of the patient's condition so that treatment recommendations can be made.

Intensive Treatment for OCD

We cannot provide therapist-guided exposure-and-response prevention at the current time due to the pandemic and we are not able to admit people to hospital for such treatment. For those individuals who would be receiving such treatment, we are shifting to delivery of treatment via videoconference.

The therapy we have selected is a cognitive-based approached called Inference-Based Therapy. You can read more about inference-based therapy (IBT) here.

The team has experience in a range of treatments that can effectively be delivered online. When things return to something more closely resembling 'normal', if someone still needs intensive/ inpatient treatment, this will be offered.

Neurosurgical treatment

It remains possible for people to travel to London for surgery. We are in close contact with neurosurgical colleagues in London who perform the surgery so that we can make sure that arrangements suit each person, whilst keeping risks as low as possible. At the current time, it is highly likely that people will be asked to self-isolate *before* travelling to London and they may need to self-isolate in London (depending on circumstances).

Outpatient/ Follow-up reviews

For people who would normally be reviewed in Dundee because they have previously had neurosurgical treatment or received intensive treatment, we will be getting in touch to discuss options for conducting the clinical part of the review via videoconference. We are minimising non-essential travel and hospital contact so we are postponing the neuropsychological assessment and/or MRI scans until it is safer to do these. However, we hope that the clinical reviews will allow us to discuss relevant treatment options with the individuals and their local teams.