Annual Report
Introduction
The Marlborough Family Service is an innovative service within the NHS, combining in the same multidisciplinary team, a Child and Adolescent Mental Health Service with an Adult Psychotherapy Service. It was pioneered by Dr. Alan Cooklin with a small staff team in 1976, replacing the Marlborough Day Hospital and has continued to develop the idea of making vital the connections between child, adolescent and adult mental health. Its aim is to provide services to the community, which are accessible, flexible and responsive to client needs.
It is located in a socially, racially and culturally diverse inner city area of London. This Report focuses on its activities over a period of 2 years from 2001-2002
1. Clinical Work
The MFS receives on average some 500 new referrals per year. In addition, there are many ongoing long-term cases, reflecting the high level of complexity many of the families and individuals present. It aims to work as a core service delivering mental health interventions to the local community.
a) Out-Patient Service
Whilst employing a systemic framework for all referrals, the MFS provides a range of different therapeutic approaches – including psychodynamic, behavioural, systemic family and couple work, as well as neuro-biological approaches. Clinical developments over the past 2 years have included
- a domestic violence clinic
- a cross-cultural clinic
- a court and assessment workshop
- a family therapy skills clinic workshop
- establishment of a substance misuse liaison post
- establishment of a primary school liaison primary mental health worker
- establishment of primary care liaison primary mental health worker
- establishment of a health visitors forum
b) Domestic Violence Clinic
We now run a weekly clinic offering consultation and direct work with families who are being affected by violence. This service is open to clinicians from the Marlborough Family Service and from outside agencies. The aim is to improve the institution’s response to domestic violence and to develop systemic interventions to challenge violence. The response to referrals involving domestic violence is audited.
c) Family and Parenting Assessment Service
This aspect of the Marlborough’s clinical work has grown considerably over the past 2 years and is now very much in demand. Approximately half of the assessments carried out are commissioned by Westminster Social Services, as part of the service level agreement between the CNWL Trust and Westminster City Council. Other work is provided from different Local Authorities and has been a significant source of income generation, allowing retention of staff, the development of new services, the support of research and training, as well as funding other initiatives. Approximately 50-60 cases per year are seen, some of them from as far away as Kent, Essex, Cambridgeshire, Buckinghamshire, Surrey and Sussex. Some of the assessments involve the Family Day Unit and the Education Unit, other assessments are carried out by members of the out-patient team. Due to the escalating demand for this type of service Jenny Summer was appointed to a newly created part-time post of ‘Family Assessment Therapist’ in January 2001. Her role is to undertake and co-ordinate (together with Eia Asen) parenting and family assessments. These assessments involve a considerable amount of expert witness work, usually in the High Court. The Marlborough’s Family and Parenting Assessment Service is highly regarded by many different judges and courts and has recently been commented on very positively by the President of the High Court, Lady Butler-Sloss. The DoH’s Social Services’ Inspectorate also paid us a visit and analysed files to inform their document on ‘best practice’.
d) The Asian Counselling Service
This service has continued to develop since it was converted from project status to part of mainstream provision. It provides clinical and consultation services both within the Marlborough Family Service and on an outreach basis. The service has bilingual workers from within the Chinese, Pakistani and Bangladeshi communities, and also provides culturally matched services for these communities. All the therapists in the service have continued to develop culturally appropriate clinical services and consultations to other therapists in the Trust. The service also provides a specialised service for Muslim clients, and Rabia Malik is presently undertaking a course in Islamic counselling. In recognition of the development of the service, a Team Co-ordinator post was created, and Raina Fateh was appointed to and continues to hold this post. Two therapists in the service, Farra Ali-Khan and Rabia Malik, have graduated from professional training (M.Sc. in Family Therapy), and two others are expected to graduate in 2003. Dr Manu Rahman has been appointed as a Family Clinician, who is now undertaking a qualification in family therapy: her training in paediatrics and long-term experience in the Bangladeshi community brings greater depth to the contributions of the service. The Chinese service has developed its outreach base with a weekly clinic in Soho, run by Marigold Lee and Cecilia Ko. A new Bangladeshi clinician post was created after a needs survey with mental health professionals within the Trust, which elicited the need for this community to have a further bilingual child and family worker. Rakhee Haque was appointed to this post.
e) Adult Psychotherapy Service
This service is headed by Heiner Schuff, providing a comprehensive psychotherapy service in line with the recommendations of the NHS Executive around integrating work with adult psychiatry and child & family services. Heiner is part of the MFS and of the adult psychiatric, clinical and management teams at Abbey Road CMHT and the Paterson Centre, working with rehabilitation, in-patient and substance misuse services, as well as with primary care services. Within the MFS, this service is involved in providing joint clinical work as well as contributing to parenting assessments and adult psychiatric court reports. Regular consultation is provided by members of the MFS to the Abbey Road Community Mental Health Team, including Pauline Askin’s family therapy workshop. Presently a multi-family approach to schizophrenia is being developed. Heiner Schuff is the psychotherapy tutor for the St Mary’s Rotational Training Scheme for junior doctors, and a succession of specialist registrars have chosen to be on placement with the service.
f) Child Psychotherapy
Child Psychotherapy has undergone major changes recently. After many years in post, Sandra Ramsden, Head of Service, has retired and her successor is Beverley Tydeman. Priscilla Green is in post part-time and we are soon to appoint a further member of staff on a part-time basis. We have been fortunate for the last four years in having an NHS Confederation fully funded trainee, Nick Midgley, who qualified in the summer of 2002. A second trainee, Annabel Kitson, who took up post in September 2002, will be with us for four years. The creation of a new Child Psychotherapy post within Westminster Social Services, with a special responsibility for Looked After Children is an important development in our co-operative working with Westminster Social Services, always a key aspect of MFS work.
The fully funded trainee post is a shared post with one of the training schools, the Anna Freud Centre, (AFC) and a close working relationship with the centre has developed around this post, which has extended also to some Child Psychotherapy involvement in a joint MFS / AFC research project.
The Child Psychotherapy substantive post holders are experienced clinicians and their work spans assessment, individual child psychotherapy treatment, co-work with colleagues and direct work with parents. Supervision is provided to other disciplines within the team and other professionals in the wider network, either on a regular basis or as single problem-focused consultations. Child Psychotherapists have been involved in training activities at MFS, for example, and co-leadership of a workshop for health visitors, child psychotherapists have done appropriate work with translators and have been able to provide a Japanese speaking service through their trainee. Child Psychotherapists provide specialist assessment of children or sibling groups for the courts.
At any time, Child Psychotherapists, together with the trainee, hold over 40 cases, of which up to half are regular long-term treatment cases of child or parent. Others are seen less frequently or in co-therapy with other team members.
Within the Marlborough Family Service Child Psychotherapy is quite a scarce resource, and as well as its generic child therapy function it also has a rather specialist role. Cases tend to be filtered through other disciplines and child psychotherapy at the Marlborough may be unusual in that in many cases family work has occurred or happens concurrently with individual work with a particular child.
g) The Family Day Unit (FDU)
The FDU has undergone a number of staff changes over the past year. We have been very fortunate to be able to increase the team from three to four members of staff. This has enabled us to be more diverse in our day to day (support response) work. It also makes it possible for us to have more time to undertake training and presentations of our work. We have had continued requests for training placements from students and professionals interested in the multi-family work undertaken by the unit. Some of these requests have taken the form of honorary placements from abroad, including, a trainee, and subsequently a qualified play therapist from Belgium. There have also been two individual three month placements for family therapy / psychology trainees from Denmark. We have also had many other trainees and students, including a trainee social worker on a nine month placement. Current and future projects include continued liaison and consultation various satellite units we have helped to set up in Italy, Germany and Scandinavia, as well as consulting to similar units being set up in France and Belgium. Many professionals from abroad have visited over the past 2 years. This unit is at present headed by Derek Taylor, assisted by Sara Sturgess who now has a part-time position. Two new full-time members of staff were appointed in spring 2002 – Gail Topping and Helen Wilde.
h) The Education Unit
The Education Unit is now managed by the CNWL Trust which employs 3 teacher / therapists. Westminster Education and Leisure Department have 9 guaranteed places, which allows the possibility of a few places per year being ‘sold’ to other Education Departments. Each year there are approximately 40 new referrals, with 36 pupils and their parents being offered places. A new initiative, aimed at replicating the unit in Westminster, as well as training new staff, has led to a jointly funded project between the Trust and Westminster Council. One local teacher is now on placement in the Education Unit, and a second teacher is to follow. Multi-family groups, where teacher, children and parents participate in weekly workshops, are now being successfully piloted in two Westminster schools. The Education Unit has provided outreach consultation and training projects to a number of Westminster schools. Each year some 20 Head Teachers, Special Education Needs Co-ordinators and class teachers visit the Unit. The Unit is at present being replicated in two different sites in Denmark and one site in Norway, with Brenda McHugh and Neil Dawson consulting to these projects.
i) Primary Mental Health Worker’s Project in North Westminster
This new post was created in December 2000 with a special focus on primary care. The main objectives are to make a link between the two CAMHS services and the primary care. Rikie Salman was appointed to this post and she made links with the various health visitors’ teams and the larger GP surgeries. There are monthly meetings where Health Visitors can discuss families they are working with. There are also three monthly seminars for health visitors provided at the Marlborough Family Service. Rikie also started an early intervention ‘positive parenting clinic’ at Lisson Grove Health Centre for those families who were experiencing problems in dealing with their children. Rikie, Gail Topping and Eia Asen also started a new multi-family group – ‘Stepping into Parenting’ – which meets fortnightly for a few hours.
j) School Liaison Early Intervention Worker Project (EIW)
This post was set up two years ago and Joanne Early, Clinical Psychologist, was appointed in November 2000. It is funded by Westminster Education Action Zone and is applicable to all 22 primary schools in the zone (North Westminster). The post’s aims are to develop effective joint working between CNWL Mental Health Trust and schools in responding to the psychological needs of children. Liaison with school around cases that the EIW is supporting is greatly facilitated by seeing the families on school premises. There has also been ongoing liaison with the Inclusive Education Service around individual pupils and more general issues in schools, and with Social Services around specific children and families. Direct work with children and families in schools has accounted for approximately 75% of Jo’s time and is ongoing in school. Consultation and training for staff has also been provided on both a formal and informal basis, e.g. by providing training to whole staff groups on specific mental health issues, as well as by offering consultation to school staff on mental health issues in relation to individual children and families. An external evaluation report published in June 2002 concluded that “the role of the EIW, in allowing pupils and their parents to work through their emotional and behavioural barriers, has helped to improve pupils’ recognition and realisation of themselves as learners which encouraged them to make changes in their behaviour.” It stated that “Pupils and staff expressed overwhelming strong support for the continuation of the project.” One effect of the work highlighted by the evaluation was improved communication between parents and school.
k) Substance Misuse /Child and Adolescent Liaison Project
Freda Noonan-Taylor was appointed to this post in April 2001 and she has provided invaluable consultation, joint assessment and individual work with staff members, clients and their families. This has involved a number of parents of young people who have been referred to the service as individuals or families. In some cases substance misuse has been an identified (known) aspect of the families’ lifestyle. In other cases it became apparent following case discussion and consideration as to what might be impacting negatively on the development of the children within the families. Also the effect of substance misuse on the parents/carers ability to parent has been assessed. In other cases a professional has referred parents, or they have self-referred, due to their concerns around substance use in their son or daughter. Support was offered to parents to enable them to approach their son or daughter in a more engaging way. Information on drugs and alcohol and other services were given to the parents. Liaison was developed between the services which referred such cases e.g. Education welfare officers, school counsellors, Queens Park Family Service and other services.
l) Group Work
Dr. Florence Chambers, consultant child and adolescent psychiatrist, joined the service in April 2001 and she has been instrumental in developing group work at the Marlborough Family Service.
New initiatives have included:
- Bereavement support for children aged 8-10 years old duration 4 Months
- Social Skills Groups based on the Susan Spence training, for pre-adolescent children, running for 3 month blocks
- Parents support group for parents with children attending the learning centre in a local school. This group was co-facilitated by the Head of the learning centres
- Support group for adolescent girls run in a local school.
m) Anger Management Therapeutic Work at a local School
Alice Sawyerr has been providing weekly anger management therapeutic sessions to a number of students at a local School who have been identified as having major difficulties controlling their anger and temper at school. The model used is a combination of behavioural, cognitive behavioural and systemic therapy.
2. Liaison / Consultation work
Some of the liaison and consultation work provided by the service was as follows:
· Home Office
· National Family and Parenting Institute
· Young abusers Project (NSPCC)
· Asian Women’s Refuge
· Anna Freud Centre, Parent Infant Project and child psychotherapy trainees
· Bishop Hall Centre (Ho Ming Wa)
· CNWL Trust Lead role in providing Trust Child Protection training
· Named CNWLTrust doctor for child protection: Eia Asen
· Chinese Community Centres, Soho, Lambeth, Camden, Hackney
· Chinese Healthy Living Centre, Soho
· Chinese Information and Advice Centre
· Confederation of Family Therapy Training Institutions
· Education Departments (Westminster, Barnet and Newham)
· Family Centres (Brunel, Portman, Soho)
· Health Centres (Paddington Green, Lisson Grove, Wright/Spiro practices)
· Marylebone Bangladeshi Society
· Medical Foundation for the Care of Victims of Torture
· North East Westminster ‘heavy users project’
· Queen’s Gardens Residential Mental Health Unit
· Queens Park Family Service Unit
· A Westminster Nursery
· Westminster Association of Mental Health
· Westminster Women’s Aid
· WALC (Westminster Accommodation & Leaving Care Team)
· Westminster SSD LAC Team (Looked After Children)
· Westminster Domestic Violence Prevention sub-committee
· Westminster Primary and secondary schools
· Westminster Race Equality Council/Health Forum
· Westminster SSD/ Practice Assessments
· Adult Substance Misuse Service
· Westminster Drug Project
· The Hungerford Project
· Paediatrics accident and emergency St. Mary’s Hospital Paddington.
· Gordon Hospital Family Therapy Workshop
· Paediatric & Developmental Psychologists group in the CNWL Trust
· Medical Foundation for the Care of Victims of Torture
· Building Bridges Liverpool
· Leicester NHS Psychology Department
· Bristol NHS Psychology Department
· Birmingham NHS Psychology Department
· Queen’s Park FSU
3. MacPherson Group
The MacPherson working party was set up in July 2001 as a result of an initiative by Alice Sawyerr. Her proposal was for the staff group to:
a) Explore how the Marlborough could challenge institutional racism;
b) Implement the recommendations of the MacPherson report into the death of Stephen Lawrence, in the multi-disciplinary team’s clinical practice and service provision;
c) Ensure that everyone receives a fair and competent service.
A group of staff representing most of the professional disciplines within the MFS has met monthly to explore the issues and has reported to the larger group quarterly. The group has now drawn up a detailed proposal to improve our services, which will be included in the Trust’s equality scheme for 2003. This will set targets for developing good practice guidelines for clinicians and a training strategy for the staff team and for other agencies. The group supports team members who have shown interest in developing initiatives to improve users’ involvement to the service, to set up an induction package for new staff, a resource and information file and to improve accessibility (leaflets in different languages, improving the waiting area). The group also endeavours to develop links with community groups and to review how assessment and clinical procedures integrate culture and ethnicity. The MacPherson group will continue to meet monthly to support and monitor developments towards eradicating institutional racism.
4. Income Generation and Contracts
During both 2001 and 2002 the Marlborough has generated income in excess of meeting the required financial targets. The contract with Westminster Council Social Services Department was re-negotiated in summer 2002 and there has been a considerable increase in revenue to the MFS (more than 50%!), with a new service level agreement in place. The contract with Westminster Education and Leisure Department remains the same though there has been additional funding for new initiatives. The satisfaction rates of both purchasers with the MFS are very high. Court work, commissioned by agencies outside Westminster, has been a major income generator for the Marlborough and the Trust. Income has also been generated through placements, visitors and conferences.
5. Training and Research
a) In-Service Training
· weekly / fortnightly clinical meetings
· weekly Court workshop
· clinical consultation workshop (Elsa Jones, ended in 2001)
· fortnightly cross- cultural clinic
· Weekly Domestic Violence Clinic
· fortnightly seminars/workshop on working with clients’ spirituality and religious beliefs (Professor Archie Smith, ended in 2001)
· Weekly Family Skills Workshop (Jane Dutton and Eia Asen)
· EMDR Training
Staff members continue to participate in advanced training – four staff members are / were supported on MSc courses, and one on a PhD program.
b) Research and Audit
The following research and audit projects have been conducted or are still under way:
§ MFS is participating in a multi-centre study (Cassel, Tavistock, Marlborough, Maudsley), evaluating day and in-patient hospital treatment of children and families (with Professor P Fonagy)
§ Three centre project (with France and Italy) on Parenting Assessments and Court-Mandated Therapeutic Work
§ Acute Intervention Project for Teenagers: a group of clinicians from MFS (Eia Asen, Neil Dawson, Rabia Malik) jointly with Anna Freud Institute (J. Fabricius) and UCL (Prof Fonagy, Mary Target) are pioneering an innovative manualised treatment for 15 – 21 year olds, presenting with acute mental disorder
§ Parenting assessment outcomes (rehabilitation or removal from family of children) when recommendations were followed by the Court
§ Audit of the Domestic Violence Intervention Project
§ Audit of the Behaviour Improvement Pilot Project at a local secondary school
§ Audit of the Asian Service
§ Survey of Health Visitor’s and client’s views of the Primary Mental Health Worker’s role in North Westminster
§ Audit exploring the impact of the Early Intervention Worker Project on Pupils, Parents and Teachers
§ Audit of Westminster School referrals to Marlborough Family Outpatient Service
§ Two audit / research projects on evaluating service delivery and outcome of both the Family Day Unit and Education Unit were carried out by Rabia Malik and Reenee Singh
§ Study with Dartington Social Services Unit and DoH, developing cross cultural parenting assessment services (in preparation)
§ Research project in a local school.
6. Other Activities
a) Publications
Eia Asen
2001 Scholz,M. & Asen,E.: 'Multiple family therapy with eating disordered adolescents: concepts and preliminary results'. European Eating Disorders Review 9: 33 - 42
2001 Book: (with N.Dawson and B.McHugh ): 'Multiple Family Therapy — the Marlborough model and its wider applications'. Karnac, New York and London
2001 Familienbegutachtung und —therapie bei schwerer körperlicher und seelischer Kindesmisshandlung. Kindesmisshandlung und vernachlässigung 3: 95- 105
2001 Intensive interventions with multi-Problem families. In: Parenting: Applications in clinical practice. ACPP Publ. London
2001 L'evoluzione della terapia multifamiliare. Connessioni 9: 135 — 142
2002 Scholz,M., Asen,E. Gantchev,K., Schell,B. and Süß,U.:Familientagesklinik in der Kinderpsychiatrie.Das Dresdner Modell -Konzept und erste Erfahrungen. Psychiatrische Praxis
2002 Multiple family therapy: an overview. Journal of Family Therapy 24: 3 – 16
2002 Working with ageing families. In: Jacoby,R. & Oppenheimer,C. (eds.) Psychiatry in the Elderly. Oxford University Press
2002 Outcome research in family therapy. Advances in Psychiatric Treatment 8: 230 -238
2002 Intensive interventions in multi-problem families. In: ACPP Occasional Papers Series, pp 25 - 37
2002 Integrative therapy from a systemic perspective. In: Holmes,J. & Bateman.A. (eds.): Integrative Psychotherapy. Oxford University Press
2002 The difficult patient — a systemic approach. In: Holmes,J. & Elder,A.(eds): New Developments in General Practice. Oxford University Press
2002 (with N.Dawson and B.McHugh): La famiglia in classe. In: Andolfi,M. & Manicardi, P.F. (eds.): Adolescenti tra scuola e famiglia. Raffaello Cortina Editore, Milano
2002 Selig,D, Schell,B., Scholz,M. & Asen,E.: Systemische Ressourcenarbeit mit Familien im ergotherapeutischen Kontext der Kinder- und Jugendpsychiatrie. Ergotherapie & Rehabilitation 41: 7 - 13
Neil Dawson and Brenda McHugh
2001 Book: (with E.Asen): 'Multiple Family Therapy — the Marlborough model and its wider applications'. Karnac, New York and London
2002 (with E.Asen): La famiglia in classe. In: Andolfi,M. & Manicardi, P.F. (eds.): Adolescenti tra scuola e famiglia. Raffaello Cortina Editore, Milano
Jane Dutton
2002 Dutton, J: Family Work Commentaries in Martyn H.and Hogan M. (eds) Developing Reflective Practice. London. Policy Press.
Green Priscilla
Green, P. The poet and the superego. Klein, Blake and the Book of the Prophet Ezekiel Journal of Child Psychotherapy. Vol. 28, No. 2 pp 235-252 (2002)
Rabia Malik
2000 ‘Culture and Emotions: Depression among Pakistanis’. in C Squire(ed): Culture in Psychology. London: Routledge.
Nick Midgley
Midgley, N: ‘Child dissociation and its “roots” in adulthood’, in V. Sinason (ed.) Attachment, Trauma and Multiplicity. Working with Dissociative Identity Disorder. Routledge. 2002
Midgley, N: ‘Projective identification: a clinical exploration of the concept from a contemporary Freudian perspective’, runner-up in the British Journal of Psychotherapy’s Student Essay Prize 2002. To be published in the British Journal of Psychotherapy, Vol. 19, Part 4, Summer 2003.
Ann Miller
Miller A C with Patel N et al (eds) (2000)* Clinical Psychology Race and Culture: A Training Manual London. BPS Books
* SPECIAL AWARD In 2001 this book won First Prize in the British Medical Association Book Awards (Category of Psychiatry)
Miller A (2002) ‘Changing the Face of the Organisation: Addressing the challenges of work in a multi-ethnic Society’ in Journal of Family Therapy Vol 24 No 1 72-84
Gill Morton
Morton,G. (2000) Working with stories in groups.In N.Barwick (ed.): Clinical Counselling in Schools. Routledge
Morton,G. (2002): The educational therapy contribution to a family systems approach. Psychodynamic Practice Vol. 8 No. 3
Alice Sawyerr
Mason, B & Sawyerr, A. (eds) (2002) Exploring the unsaid: Creativity, risks and dilemmas in working cross-culturally. London. Karnac Books.
Beverley Tydeman
Tydeman, B. (Guest Editor) Infant Observation: The International Journal of Infant Observation and its Applications. Vol 5, No. 3 (Winter 2002)
Other Publications
The Family Therapy Distance Learning Package (DLP), initially produced some 10 years ago, has been re-edited and updated during 2002 by Madeleine Oakley and is due to be re-launched as Marlborough Family Therapy Basics in June 2003. It is now a family therapy course, aimed at being used by family therapy institutions, systemic practitioners working in groups in various settings, as well as interested individuals. The package contains a long video, CD ROM, manual, glossary and exercises.
b) Conferences
During 2001 – 2002 we have held five major one-day conferences:
§ Dr. Danya Glaser, Consultant Child and Adolescent Psychiatrist, Great Ormond Street Hospital
“Emotional Abuse: Issues of Definition, Recognition and Treatment”
§ Dr. Begum Maitra, Consultant Child & Adolescent Psychiatrist
“Presenting Culture in Court: Interrogating Difference”
§ Imelda McCarthy, Lecturer in Social Work ant Systemic Therapy at University College Dublin
“Diamonds are a Therapist’s Best Friends: Child Protection, Systems and Assessment”
§ Dr. Wai-Yung Lee, PhD, University of Hong Kong
“One Therapist, Four Cultures: Working with Families in Greater China”
§ Peter Lang, Co-Director of Kensington Consultation Centre
“Words, Feelings and Future Talk”
c) Courses
2001/2002 and 2002/2003 two 9 months courses in systemic practice for Specialist Registrars from The Tavistock Clinic, Great Ormond Street and London Hospital rotations, led by Judy Hildebrand.
d) Placements /Visitors
The MFS is providing supervised placements as part of recognised professional training from child psychotherapy, clinical psychology, family therapy, general practice, psychiatry and social work.
The MFS is well known abroad and has had approximately 100 visitors from Sweden, Denmark, Norway, Bulgaria, Slovenia, Germany, Italy, Thailand, Malaysia, Singapore, Japan, India, Pakistan, and Afghanistan. The length of these visits has ranged from specially tailored day events to placements for a week or several months.
The Marlborough Family Service has also benefited from longer-term attachments such as those provided by Professor Archie Smith on Sabbatical Leave from the USA, who has been conducting an innovative workshop with staff on spirituality and religious belief in therapy.
New and old staff news
Staff who left over the past 2 years:
Sue Fyvel, Family Therapist, Social Work Manager
Sandra Ramsden, Head Child Psychotherapist
Britt Krause, Family Therapist
Kathy Brooks, Locum Consultant Child Psychiatrist
Staff who joined us over the past 2 years:
Jane Dutton, Family Therapist, Social Work Manager
Freda Noonan-Taylor, Substance Misuse CAMHS Liaison Clinical Specialist
Helen Wilde, Clinical Specialist, Family Day Unit
Gail Topping, Clinical Specialist, Family Day Unit
Yoko Totsuka, Family Therapist
Mercy Ackah, Receptionist/Secretary
Holly Busby. Secretary
Specialist Registrars:Dasha Nicholls, Dickon Bevington, Ilan Joffe
Eia Asen was elected a Fellow of the Royal College of Psychiatrists in 2001.
d) Public Presentations
Members of the Marlborough staff have contributed as lecturers, keynote speakers, master class presenters, conference speakers and workshop presenters at the following:
Association of Child Psychology and Psychiatry, Association of Family Therapy, Army Welfare, BBC, Brent Family Service, British Association of Psychotherapists, British Psychological Society, Child Line Merseyside, Department of Education Conference Coventry, Education Departments (Westminster, Newham, Barnet), Enfield Family Therapy Conference, Institute of Family Therapy, Imperial College, Institute of Psychiatry, Kensington Consultation Centre, Maudsley Hospital Psychotherapy Unit, Middlesex University, North West Anglia NHS Trust, Psychology Department University College London, Royal College of Psychiatrists, Society of Analytical Psychology, Tavistock Clinic.
e) International Initiatives
Over the past 2 years members of staff have taught in Scotland, Ireland, Denmark, Spain, Poland Germany, Italy, Sweden, Norway, Netherlands, Greece, India, Singapore and Senegal.
MFS Activity Report 2001-2002