Many professionals.
One coherent direction.

Connect the care.
Keep responsibility clear.

A good psychiatrist, therapist or treatment programme can provide excellent care within their own setting. The difficulty often lies between those settings: different recommendations, unclear handovers, changing locations and practical arrangements that nobody is holding together.

ARCSENA coordinates the agreed parts of that wider picture. Bilgehan Bulut, Clinical Care Director, oversees care coordination and handovers, with clinical leadership from Dr. Sarah Boss. The aim is a workable direction, understood by the relevant professionals and the individual, with clear responsibility for clinical decisions.

Attention to
the spaces between.

1. 01

   Assessment and specialist input

   Help identify the professional expertise needed to answer the current question and arrange suitable consultations.

2. 02

   Authorised communication

   Support relevant professionals in exchanging agreed information, with individual permissions and appropriate channels.

3. 03

   Treatment transitions

   Plan practical continuity before, during and after outpatient, hospital or residential care.

4. 04

   International arrangements

   Consider local clinical access, travel, registration requirements and handover needs before a move or extended stay.

5. 05

   Follow-through

   Track the coordination actions the Office has agreed to handle and revisit the plan when new information changes priorities.

Begin with the
relationships you already trust.

The Office can work alongside existing clinicians where appropriate and authorised. New providers are considered when a different expertise, location or setting is needed, rather than as a default first step.

Provider selection accounts for suitability, professional credentials, availability, language, practical fit and your preferences. For sport and performing arts, relevant experience of that working environment is part of the assessment. Connections to THE BALANCE Group and relevant conflicts of interest are disclosed and managed when a group service is considered.

International coordination does not make treatment universally available. Each clinician’s registration, insurance, local practice requirements and ability to see you where you are physically located must be checked, including for remote sessions.

Find the expertise for the concern in front of you.

The question may involve anxiety or mood, trauma, substance use and recovery, relationship concerns, attention or cognitive change. It may also be a request to understand conflicting advice or decide what type of assessment to seek. The Office helps identify the expertise needed; the appropriate clinician assesses the concern and recommends care.

A diagnosis is not required for an introductory discussion. We can start with what has changed, what support is already in place and which decision feels difficult. The scope is agreed around that need, including when another service is better placed to help.

Plan the return while care is still in place.

The end of a residential stay or hospital admission is a transition to prepare for. With the treating team and the individual’s permission, the Office can help confirm local follow-up, the next appointments, practical arrangements at home and who will respond to outstanding questions.

A useful handover identifies the receiving professionals, relevant information, review needs and each person’s responsibility. Clinical follow-up, including any medication review, remains with the treating providers. Family or adviser involvement is agreed separately.