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Dr Hamilton McBrien
Medical Director – Child and Adolescent Consultant Psychiatrist
Hamilton McBrien

Position at Priory

  • Medical Director, Priory Roehampton 2015-current
  • Consultant Child and Adolescent Psychiatrist, Priory Roehampton 2015-current
  • Medical Director, Priory North London  2010-2015
  • Consultant Child and Adolescent Psychiatrist, Priory North London  2010-2015

Training

Dr McBrien is currently the Medical Director and Consultant Child and Adolescent Psychiatrist at Priory Hospital Roehampton, in Barnes. At Roehampton, he also leads the Adolescent Mental Health inpatient unit, and worked with his senior management colleagues to support the site to become ‘Good’ across all services in its most recent Care Quality Commission (CQC) report, (June 2019); having always maintained a ‘Good’ rating for the CAMHS unit there throughout his time as its lead Consultant.

He began his medical training at Queen’s University, Belfast and after qualifying, worked for a couple of years as a physician at Belfast City Hospital.

He began his psychiatry training in Glasgow, at Hairmyers Hospital and then the Leverndale Hospital. He completed his psychiatric postgraduate training in Dublin under the auspices of Trinity College Dublin, working in St Patrick’s and St Loman’s hospitals before 18 months of child and adolescent psychiatry in inpatient and outpatient settings across Dublin. Having qualified in his postgraduate psychiatric exams, he completed his higher specialist training in child and adolescent psychiatry in London as part of the South London & Maudsley training scheme under Kings College, London. He undertook placements in Guys, and St Thomas’s as well as clinics in Southwark and Lambeth.

Dr McBrien was a Consultant first in the NHS, working for the Barnet, Enfield & Haringey NHS Mental Health Trust as the lead clinician for the Haringey Adolescent Outreach. This service provided crisis and urgent care to adolescents with severe mental health difficulties within seven days of referral to support them and also to reduce the risk of deterioration and admission to hospital. The team developed a flexible approach with young people and their families, meeting them wherever was comfortable and convenient, including at home and at school, and rarely in a clinic setting.

Dr McBrien then moved into a Consultant post in a medium secure unit for young people with mental health difficulties, where he also took up the post of Medical Director for Snowsfield hospital. This unit met the needs of young people presenting with complex and high risk mental health presentations, all detained under the Mental Health Act. Whilst there he undertook higher training in dialectical behaviour therapy (DBT).

In 2010, he become the Medical Director and Consultant Child and Adolescent Psychiatrist at Priory Hospital North London, in Southgate Here, he led the adolescent mental health inpatient unit, and supported the growth of that service from a 14-bedded to a 23-bedded service.

During his tenure there, he also held the position of Clinical Director for CAMHS for Priory, working alongside operational managers to oversee the clinical care provided by the seven CAMHS sites operated by Priory at that time. He also temporarily held the position of Medical Director for Priory Group for six months whilst the position was recruited to permanently.

He moved to Priory Hospital Roehampton as Medical Director in 2015.

Clinical articles and research papers:

I have been working in Child and Adolescent Psychiatry for over 20 years, and as a Consultant for over 15 years. My experience covers a wide range of outpatient services, specialist clinics, and inpatient services with various levels of severity. My work and advice is at the forefront of the best current evidence base and practice.

I take a young person centred approach, figuring out what is going on for them. This is not only in terms of their experience of mental health, but also how it relates to their family, school and social life.  I believe it is also essential that the views of parents or carers are also heard, in working out what is going on and the best way forward

A treatment plan is put together collaboratively with the young person and their family or carers. This is a model for success, which focuses on their goals for recovery and the pathway they want to take to achieve those goals. It also helps them to understand the rationale for treatments as they currently stand and advising on best options for them for now and in the future.

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