Waterview Centre personality disorder service - referrals

The Waterview Centre aims to help people who have long-standing emotional and interpersonal problems resulting from personality disorder. People may have been given a formal diagnosis of personality disorder, or have no clear diagnosis but significant problems related to their personality.

The service is specifically designed for people with self-harming behaviour and chaotic or unstable relationships, especially those who have a history of using A&E or inpatient mental health services at times of crisis (people in cluster 6, 7 or 8). We do not work with people with a primary diagnosis of schizophrenia or bipolar I, but do work with people with anxiety and depression and other non-psychotic mental illnesses. We do not work with people who are dependent on alcohol or other drugs, but do work with people who have harmful use of alcohol and drugs.

Treatment programme

We offer an 18-month group-based treatment programme, which includes individual sessions and group-based therapy. All people who use the programme have a key worker who (depending on the client's needs) will also be the CPA care-coordinator or their lead professional. Our group programme includes mentalisation based treatment and skills-based groups. People may be offered one or two groups a week depending on their needs. Group work aims to give service users the opportunity to consider relationships with others, explore perceptions and misunderstandings and transfer these skills into their daily life.

Referral process

We are contracted to provide treatment for service users registered with a GP in Kensington & Chelsea and Westminster. Unfortunately, we are currently unable to take out-of-area referrals. We accept referrals from any registered mental health professional but not those from primary care. There is no standard referral form required from CNWL services to the Waterview Centre, but when you refer please include the following information:
  • An up-to-date risk assessment
  • An indication of why treatment from the Waterview Centre could be helpful
  • MHCT clustering tool (in most instances the client will be in cluster 6, 7 or 8)
  • Information about any other services the client been referred to
  • Details of current alcohol and substance misuse
  • Is the service user aware of the referral?

Assessment process

Group-based treatment can be challenging but can also help people realise that they are not alone and that other people with long-term problems can and do recover. There is also good evidence that group-based treatment combined with individual support is an effective approach to helping people who have personality disorder. Nonetheless, many people still find the idea of group-based treatment difficult. We therefore set up a 10-week series of introductory groups called the Group Awareness Programme (GAP). This group enables us to further assess those service users who have never engaged in a group, or who have expressed ambivalence around group work. It also gives people a chance to find out what it is like to be in a group without having to make a commitment to longer term treatment. Not all service users will need to access the GAP, and some service users that do access the GAP may decide not to engage in the Waterview treatment programme and access other appropriate services. Because we ask most people to try attending the GAP, the assessment process is lengthy. It includes one-to-one meetings and an assessment group. During the assessment period the Waterview Centre does not hold care coordination responsibility. Once accepted onto the treatment programme and the service user has begun to engage we arrange a CPA/LPC transfer meeting within six weeks, when care coordination/LPC would be formally taken on, and the consultant psychiatrist at the Waterview Centre becomes the responsible clinician.

More information

Contact Jacqui Buckley or Oliver Turner on 020 7266 9550 with any questions regarding a referral for the personality disorder service.