We have worked in the NHS for many years and began to realise that families in crisis felt they had been passed to separate services, stayed on separate waiting lists (sometimes for long periods of time), and had very little joined up thinking around their situation.

When a child, young person or family is in crisis, our aim is to offer support to develop a shared understanding about their situation, so as to develop ideas for a brighter future.

Health Horizons offer a holistic and integrated multi-disciplinary assessment to children, young people, adults and their families, who might be dealing with a complex situation.

Within the context of their family and systemic relationships, we holistically assess the physical and mental health and development of a child or young person. This includes questions about attachment relationships, trauma, speech and language disorders and the possible diagnoses of autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD). We can also revisit previous diagnoses, to see if they still apply for a young person.

For a full list of the concerns Health Horizons may deal with please see the table below:

 

Health Horizons Limited take self-referrals from families, or referrals from GPs. We also welcome referrals from professionals requiring a second opinion, and from commissioners, solicitors and social workers.

We always feedback to GPs on completion of our work.

All our consultations can be done face to face or remotely using virtual media, depending on the needs of the individual and the COVID-19 guidelines at the time.

Health Horizons Limited Assessment Options

1. Initial Consultation
   1. We are able to respond to initial enquiries by email or a brief phone call. However if you have more extensive questions we would recommend an initial consultation. This can be a face to face consultation or by phone and takes place between the parent/carer over one hour by one professional from the Health Horizons' team. It is meant to explore the requirements of the parent /carer requesting support and assessment. In it the professional will be able to signpost to which assessment might be most appropriate to meet the young person's needs, or we could signpost you to a more appropriate service. We send you our terms and conditions and request that our consent form and referral form is completed and returned prior to this appointment. If we think that we can offer support we move to the next phase.
   2. Although very helpful the initial consultation is not always necessary. If the person requesting the assessment is certain of what specific assessment is required, they can proceed straight into the other assessment options.

Cost : £135

2. Attention Deficit Hyperactivity Disorder and Autism Assessment
   1. This is a multidisciplinary neurodevelopmental assessment performed by various professionals. Rather than committing to a full assessment from the outset, some people might prefer to first start with a basic assessment.
   2. Basic Assessment. This will include:
      • a developmental history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child.

      This involves two clinicians and takes up to two hours. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. This information will be shared with you and we will advise if it is appropriate to continue with the full assessment if we are concerned your child may have a diagnosis / diagnoses.

      Please note that by doing only the basic assessment, we will be unable to give a diagnosis of ADHD or ASD.

      Cost - £1050. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.

   3. Full Neurodevelopmental Assessment
      This is a complete neurodevelopmental assessment where we can explore the following potential conditions.
      • Autism/ ASD/ ASC/ Asperger's syndrome
      • Pathological demand avoidance (PDA)
      • Social communication disorder
      • ADHD/ ADD
      • Foetal Alcohol spectrum disorders (FASD)
      • Trauma, attachment and family functioning difficulties
      • Learning disability
      • Sensory processing difficulties

      A joint clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:

      • A developmental history (including questions about trauma and attachment)
      • A physical health assessment
      • A structured observation of the young person's levels of activity, sensory experiences, speech, language, communication and social interaction skills.
      • We will choose from a battery of standardised testing depending on your child/ young person's needs. These might include Autism Diagnostic Observation Schedule-2, Qb check, Clinical Evaluation Of Language Fundamentals- 5, Conners, Schedule of Growing Skills, Cognitive assessments etc
      • A school observation may be required
      • A sensory assessment may be needed
      • This involves 3-6 clinicians from a range of professional backgrounds
      • This assessment will take place over a number of sessions

      A multi-disciplinary meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. At this stage will we be able to decide whether a diagnosis or diagnoses is appropriate. The outcome is given to the family and any other professionals involved who can attend. A clinical report is also written to detail our findings. At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change.

      Cost: £5078 to £6760 depending on your requirements. Following a basic assessment this will be reduced to £4028 to £5710.

      In some circumstances at the outset we may become aware that your situation is more complex than the standard full neurodevelopmental assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £135.00 per hour. Travel is charged at a rate of £135.00 per hour travel time and 0.45p a mile.

3. Attention Deficit Hyperactivity Disorder (ADHD) Assessment and Management in under 18 year olds
   1. This will consist of a neurodevelopmental assessment performed by one clinician. This will include:
      • a full neurodevelopmental history (including questions about trauma and attachment)
      • a physical health assessment
      • a structured observation and interaction with your child /young person
      • standardised testing depending on your child/young person's needs
      • information from school, college or other educational setting

      Following the assessment, we will we be able to decide whether a diagnosis of ADHD is appropriate. The outcome is given to the young person, their family and any other professionals involved who can attend. A clinical report is also written to detail our findings.

      At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change.

      Cost for online assessment without Qb check standardised test - £960
      Cost for online assessment and Qb check standardised test - £1230
      Cost for face-to-face assessment including Qb check standardised test - £1330
      Please note that the Qb Check Assessment is done face to face
      On request we can also provide ADHD training courses for parents and carers.

4. Assessment of challenging behaviour and emotional or mental health problems, family functioning and/or trauma
   1. This will include:
      • a developmental history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child.

      This can involve a Clinical Psychologist alone, and/or another clinician alongside the Clinical Psychologist e.g. a paediatrician, family therapist and specialist nurse. If two clinicians are involved a meeting will need to take place between the clinicians in order to develop a shared understanding/formulation and come to an agreement about how to advise you as a family.

      Cost - £1131 one clinician; £1367.25 two clinicians.

5. Attachment style interview for adoption and fostering
   1. This is an evidence based adult support assessment tool for adoption and fostering practice. It aids the understanding of the parent/carer's current supportive network including the quality of their partner's and other close supportive relationships. It measures their ability to make and maintain relationships and their overall attachment style.
   2. Some people may want this assessment to understand and support their family functioning.
   3. It can also be used for appropriate matching in fostering and adoption.
   4. This will involve one clinician and will take up to two hours face to face for each individual assessed.
   5. It will include a full written report with advice.

Cost : £990

6. Paediatric Health and Developmental assessment
   1. This will include:
      • a developmental and medical health history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child
      • physical examination of the child/ young person
      • in children up to the age of 5 years, it will also include standardised developmental assessment.
   2. This assessment can also be used as an initial health assessment for children looked after
   3. This will involve one clinician, usually a paediatrician.
   4. It will take up to two hours to complete.
   5. It will include a full written report with advice.

Cost : £920 for under 5 year olds, £795 for over 5 year olds

7. Psychiatric assessment (online)
   1. This will include a developmental and psychiatric history and a basic interaction and observation of the child/young person/ adult
      • This is completed by a psychiatrist
      • The assessment and feedback will take place over a virtual platform
      • It will include a full written report with advice.

Cost for online assessment: £720. Face to face assessment will incur an extra charge.

8. Speech and language therapy assessment
   1. This will include :
      • a developmental history.
      • a basic screening using interaction with and observation of your child.
      • Assessment of understanding and use of language and effective communication.
   2. This will involve one clinician, a speech and language therapist.
   3. It will take up to two hours to complete.
   4. It will include a full written report with advice.

Cost : £505

9. Continence assessment
   1. This is offered for children above the age of 5 years
   2. The assessment will include:
      • a developmental and medical health history (including questions about trauma and attachment)
      • a basic screening using interaction with and observation of your child
      • physical examination of the child/ young person
   3. This will involve two clinicians, usually a paediatrician and a specialist nurse.
   4. It will take up to two hours to complete.
   5. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider as clear an understanding as possible of the situation. We will provide you with support and/or advice. If appropriate, we would recommend further assessments
   6. Cost – £790. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.
10. Assessment of unexplained physical symptoms
    1. This will include :
       • a developmental history (including questions about trauma and attachment)
       • a basic screening using interaction with and observation of your child.
       • physical examination of your child/ young person
    2. This involves two clinicians and will take up to two hours. This will include a clinical psychology and paediatric assessment.
    3. A meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider as clear an understanding as possible of the situation. We will provide you with recommendations for further assessment, support and/or advice.
    4. Cost – £1050. This includes a basic A4 summary report to your GP. A full report will be at an additional cost.
11. Adult ASD Assessment
    1. A joint clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:
       • A developmental history (including questions about trauma and attachment)
       • A structured observation of the person's levels of activity, sensory experiences, speech, language, communication and social interaction skills
       • We will choose from a battery of standardised testing depending on your needs. These might include Autism Diagnostic Observation Schedule-2, Language assessment, Cognitive assessment, sensory assessment etc
       • This involves 2 clinicians from a range of professional backgrounds
       • This assessment will take place over a number of sessions.

       A multi-disciplinary meeting is held by the professionals involved to discuss the evidence gathered and to jointly consider an understanding of the situation. At this stage will we be able to decide whether a diagnosis is appropriate. The outcome is shared in a feedback appointment. A clinical report is also written to detail our findings. We can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change if required.

       Cost – £1735

       In some circumstances at the outset we may become aware that your situation is more complex than the standard ASD assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £135.00 per hour. Travel is charged at a rate of £135.00 per hour travel time and 0.45p a mile.

12. Adult ADHD Assessment
    1. A clinical assessment takes place using clinical interviews, observations and standardised tests. Every assessment includes:
       • A full developmental and psychiatric history
       • A structured observation of the person's levels of activity, sensory experiences, speech, language, communication and social interaction skills. This can be done face to face or via Zoom virtual platform.
       • We will choose from a battery of standardised testing depending on your needs. These might include Conner's questionnaires, Qb Check etc
       • The ADHD DSM-5 criteria are used to fully assess and provide you with the appropriate diagnosis. Conditions that might share similar symptoms to ADHD are also considered
       • A Zoom feedback appointment to discuss the outcome of the assessment. At this point we can give you advice and recommendations for the future, sign post you to free services if appropriate, and consider offering further interventions through our service to help achieve change.
       • A clinical report is also written to detail our findings.

       This assessment involves 1 or 2 clinicians from a range of professional backgrounds.
       These assessments can be done over a virtual platform or face to face.

       Cost for online assessment without Qb check standardised test - £960. This includes a full report.
       Cost for face-to-face assessment including Qb check standardised test - £1330. This includes a full report
       Please note that a Qb Check Standardised Assessment is done face to face and there is an additional cost of £270 if done on its own
       

       In some circumstances at the outset we may become aware that your situation is more complex than the standard ADHD assessment would cover (e.g. in some legal cases). In this case we will provide an individual estimate. Extra hours of clinical work are charged at £185.00 per hour.

       Travel is charged at a rate of £135.00 per hour travel time and 0.45p a mile.

 

Please note that if required extra hours of clinical work are charged at £135.00 per hour. Travel to venues away from our premises is charged at a rate of £135.00 per hour travel time and 0.45p a mile. This will always be discussed and agreed at the outset.

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Health Horizons Limited services offered

These are the interventions currently offered by our team of professionals. Prices are dependent on the service required. We can also provide other services that are not listed on request. Please contact us for further information.

1. Attention Deficit Hyperactivity Disorder management and support
2. Specialist sleep services
3. Life story work
4. Trauma therapies for example Eye Movement Desensitization and Reprocessing (EMDR)
5. Psychological therapies for example Cognitive Behaviour Therapy (CBT)
6. Play therapy approaches
7. Family therapy
8. Specialist parenting behaviour support
9. Family based and individual therapies for eating disorder
10. Specialist continence interventions
11. Communication focussed programmes

 

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Contacts and Referrals

Please feel free to contact us about any concerns you may have. We prefer to be initially contacted by email.

Email: info@healthhorizons.org.uk

If you wish to make a referral, please download and complete the appropriate referral form and return it to us:
Email: info@healthhorizons.org.uk

Adult Referral Letter (Word doc)
Adult Referral Letter (PDF)

Children and Young People Referral Letter (Word doc)
Children and Young People Referral Letter (PDF)