{"id":29038,"date":"2026-07-17T12:11:33","date_gmt":"2026-07-17T11:11:33","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=29038"},"modified":"2026-07-20T08:01:42","modified_gmt":"2026-07-20T07:01:42","slug":"forensic-assessment-support-and-treatment-fast-team","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/forensic-assessment-support-and-treatment-fast-team\/","title":{"rendered":"Forensic Assessment Support and Treatment (FAST) Team"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">The FAST team is a multi-disciplinary team that provides assessment, treatment and consultancy for individuals with an intellectual disability and a history of offending and\/or risk of offending that may result in significant harm to themselves or others. The team is based at the Henderson Unit, Royal Edinburgh Hospital and operates Lothian wide.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The service is staffed by LD Nursing, Clinical Psychology, Occupational Therapy, Arts Therapies, Speech and Language Therapy, Psychiatry and a Mental Health Officer (covering Edinburgh only).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The team offers:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>case management, where FAST are the main providers of assessment, formulation and\/or treatment<\/li>\n\n\n\n<li>consultations where FAST will meet with professionals involved in an individual\u2019s care to provide input to support that team\u2019s assessment and\/or treatment<\/li>\n\n\n\n<li>in some cases, a period of joint working to provide a specific, time limited intervention.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Our aim is to reduce and manage the risk of harm through multi-disciplinary and multi-agency decision making.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Please see our <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/FAST-team-leaflet-2026.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">FAST leaflet for professionals<\/a> outlining the services and processes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>What will happen after a referral is made?<\/strong> <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Referrals are discussed at the team\u2019s weekly multi-disciplinary team meetings. After this discussion, the team may look to carry out an Initial Screening Assessment, where two professionals from the team will arrange to meet with the patient and gather more information to ascertain appropriateness. Alternatively, the referrer may be offered a consultation, at the stage of MDT discussion or following ISA, if the referral is not thought appropriate for FAST case management.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C.M &amp; E.P &#8211; 17-7-26<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who can refer?<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">As a tertiary service, we accept&nbsp;referrals from a variety of agencies working with ID offenders such as Health, Criminal Justice Social Work, The Police and Third sector organisations.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Self-referrals are not accepted.<\/em><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who to refer<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Adults<\/strong> with intellectual disabilities who have a, or are at risk of, engaging in acts or behaviours that would result in serious harm to others.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Serious harm is defined as: harmful behaviour of a violent or sexual nature which is life threatening and\/or traumatic, and from which recovery, whether physical or psychological, may reasonably be expected to be difficult or impossible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Patients referred should have clear indications of potential risk to others and the need for formalised risk assessment and specialised forensic interventions. We encourage an initial discussion with us in complex or unusual cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><span style=\"text-decoration: underline\">Patients must meet <em>all six<\/em> referral criteria:<\/span><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Confirmed diagnosis of learning\/intellectual disability<\/li>\n\n\n\n<li>Over eighteen years of age.<\/li>\n\n\n\n<li>Normally resident in Lothian.<\/li>\n\n\n\n<li>A history of significant violence, sexual violence, or stalking where there is a significant concern about risk of future serious harm to others (see above)<\/li>\n\n\n\n<li>Clear indications of potential risk to others and the need for formalised risk assessment and specialised forensic interventions<\/li>\n\n\n\n<li>It should be clear that referred patients cannot safely be managed by the referring service.<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Patients:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Under 18<\/li>\n\n\n\n<li>Not resident in Lothian<\/li>\n\n\n\n<li>No formal intellectual\/learning disability diagnosis<\/li>\n\n\n\n<li>Presentation of challenging behaviour without police\/criminal justice involvement<\/li>\n\n\n\n<li>Appropriate interventions can be delivered by CLDT<\/li>\n\n\n\n<li>Does not meet serious harm threshold.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">However, please note that exceptions can be made on a case-by-case basis. Please discuss with the FAST team prior to submitting referral.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Referrals should be sent via a completed <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/REFERRAL-FORM-FAST-July-2026.docx\" data-type=\"attachment\" data-id=\"29046\" target=\"_blank\" rel=\"noreferrer noopener\">FAST referral form<\/a>. Completed forms can be emailed or posted:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Jamie Kirkland, Team Lead, Consultant Psychologist<br>Ellie Pike, Consultant Forensic Psychiatrist<br>FAST Team<br>Henderson Unit<br>Royal Edinburgh Hospital<br>Morningside Place<br>EH10 5HF<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Telephone: <\/strong>0131 446 4472<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Email: <\/strong><a href=\"mailto:loth.FASTadmin@nhs.scot\">loth.FASTadmin@nhs.scot<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and LInks<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/REFERRAL-FORM-FAST-July-2026.docx\" data-type=\"attachment\" data-id=\"29046\" target=\"_blank\" rel=\"noreferrer noopener\">Referral Form FAST<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/FAST-team-leaflet-2026.pdf\" data-type=\"attachment\" data-id=\"29047\" target=\"_blank\" rel=\"noreferrer noopener\">Team leaflet &#8211; for professionals only<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When considering a referral, it may be appropriate to direct the individual to some of these non-NHS resources for additional support:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sexual offending against children: Lucy Faithful Foundation <a href=\"https:\/\/www.lucyfaithfull.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.lucyfaithfull.org.uk\/<\/a> &nbsp;&nbsp;<\/li>\n\n\n\n<li>Supporting Offenders with Learning Disabilities (SOLD) Network<br>Easy read guides for criminal justice process <a href=\"https:\/\/arcscotland.org.uk\/resource\/sold-easy-read-guides\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/arcscotland.org.uk\/resource\/sold-easy-read-guides\/<\/a>.<\/li>\n<\/ul>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The FAST team is a multi-disciplinary team that provides assessment, treatment and consultancy for individuals with an intellectual disability and a history of offending and\/or risk of offending that may result in significant harm to themselves or others. The team is based at the Henderson Unit, Royal Edinburgh Hospital and operates Lothian wide. The service<\/p>\n","protected":false},"author":20,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[1418,326],"class_list":["post-29038","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-forensic-assessment-support-and-treatment-fast-team","category-forensicpsychiatryadult"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"mariamazoysaavedra","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/mariamazoysaavedra\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthadult\/forensicpsychiatryadult\/https-apps-nhslothian-scot-refhelp-forensic-assessment-support-and-treatment-fast-team\/\" rel=\"tag\">Forensic Assessment Support and Treatment (FAST) Team<\/a><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthadult\/forensicpsychiatryadult\/\" rel=\"tag\">Forensic Psychiatry (Adult)<\/a>","rttpg_excerpt":"The FAST team is a multi-disciplinary team that provides assessment, treatment and consultancy for individuals with an intellectual disability and a history of offending and\/or risk of offending that may result in significant harm to themselves or others. The team is based at the Henderson Unit, Royal Edinburgh Hospital and operates Lothian wide. The service","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/29038","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/20"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=29038"}],"version-history":[{"count":6,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/29038\/revisions"}],"predecessor-version":[{"id":29060,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/29038\/revisions\/29060"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=29038"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=29038"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}