26 Shore Road,
Hackney , London E9 7TA


0208 510 4940

Changing Lanes - Intensive Intervention and Risk Management Service

Who we are

"Changing Lanes” is a community-based specialist Intensive Intervention and Risk Management Service (IIRMS). This team is a collaboration between NHS England and Her Majesty’s Prison and Probation Service (HMPPS), and we work with offenders with severe personality difficulties.

The service accepts referrals from the following boroughs: Hackney, Tower Hamlets, Haringey, Newham, Redbridge, Waltham Forest, Barking, Dagenham, and Havering.

Formal Referrals are routinely made by Probation Officers (community and custody).

For an informal discussion regarding a potential referral, please contact Dr Clare Wellington, Lead Psychologist, or Neville Green, Team Manager, on 0208 510 4940.

To make a referral, please fill out our referral form on the right hand side of this text, and return it to our secure email address to: 



Changing Lanes is a psychologically informed multi-disciplinary service. We do not offer care-coordination or crisis care. We work in partnership with  National Probation Service.

All prospective referrals must be screened into the Offender Personality Disorder (OPD) Pathway and managed by the National Probation Service (NPS). We accept referrals for both male and female adult service users. Service users do not require a formal diagnosis of Personality Disorder to be referred to the service.

Whilst we do accept referrals for service users with comorbid personality difficulties and mental illness, the mental illness cannot be the primary diagnosis and it must be managed by an appropriate service (e.g. CMHT) or intervention (e.g. medication, therapy). We do not accept referrals with moderate to severe learning disabilities.

The  aim of the service is to work collaboratively with offender managers to support risk management and reduce the likelihood of serious re-offending.

We offer a comprehensive psychological assessment followed by a period of 12 months of case management and psychologically informed interventions. The assessment includes a clinical interview, structured static and dynamic assessments of risk, and standardised personality assessments. Such assessments allow for the development of a formulation of the person’s difficulties and identification of their areas of need as well as the development of a risk formulation. This risk formulation is used to make risk management recommendations, which include interpersonal strategies for working with the client (e.g. their likely response to restrictions and suggestions), environmental planning (i.e. external risk and protective factors), victim safety, and treatment options. 



Personality disorder

Clinical speciality:

Forensic Services

Information Leaflets