REMEDY : BNSSG referral pathways

Neuropsychiatry

Checked: 07-09-2018 by vicky.ryan Next Review: 25-06-2019

Overview

Neuropsychiatry is the interface of Psychiatry and Neurology that deals with mental disorders, which in most cases can be shown to have their origin from an identifiable brain malfunction. The Neuropsychiatry team are based at the Rosa Burden centre, Southmead Hospital.

Please see the NBT website - Neuropsychiatry for Clinicians for further information on eligibility criteria including exclusions. Referrals are triaged and those that do not meet the eligibility critieria may be returned.

Sleep Disorders Clinic

There is a Sleep Disorders Clinic for patients with neuropsychiatric sleep disorders which offers:

  • Assessment by a sleep specialist clinician
  • Sleep investigations such as polysomnography and actigraphy where these are indicated
  • Diagnosis and recommendations for outpatient treatment.

Referral can be made by eReferral.

Appropriate referrals will be considered for:

  • Hypersomnias e.g. Narcolepsy, Idiopathic Hypersomnia, Klein Levine Syndrome
  • Parasomnias e.g. Sleep terrors, Sexsomnia, REM sleep behaviour disorder
  • Sleep related movement disorders e.g. Periodic Limb Movement Disorder
  • Circadian rhythm sleep-wake disorders e.g. delayed sleep-wake phase disorder

The clinic does not accept referrals for:

  • Insomnia
  • Sleep related breathing disorders (please refer to your local respiratory sleep centre)
  • Sleep problems due to a primary medical, psychiatric or substance use problem.

Referral

Referrals can now be directed via eReferral (Mental Health – Adults of all Ages’ and then clinic type ‘NOS’) via a RAS (Referral Assessment Service). Referrals are triaged by secondary care clinicians and if referral criteria are met then the patient will be contacted to arrange an outpatient assessment. If referral criteria are not met then the referrer will be given advice on eReferral

Exclusions - The Neuropsychatrists have advised that they do no routinely see patients whose primary diagnosis or presentation is:

  • Chronic Fatigue Syndrome
  • ADHD
  • Personality Disorder
  • Chronic Insomnia
  • Chronic pain/ Fibromyalgia
  • Complex behavioural problems
  • Non neurological somatoform conditions
  • Long term consequences of traumatic brain injury