Gloucester House Outreach Service (GHOR), part of the Tavistock and Portman NHS Foundation Trust, is a stand-alone service that can be commissioned by local authorities or schools. Our integrated team of clinical and education specialists provides a unique NHS-led provision, combining direct work with children and systemic support for the networks around them.

We specialise in supporting children and young people with Social, Emotional and Mental Health (SEMH) needs, including Emotionally Based School Avoidance (EBSA), trauma, and neurodivergence — some of the most pressing challenges facing education today.

Our aim is to help children remain in mainstream schools wherever possible, stay engaged in education through bespoke direct teaching, or make effective transitions into appropriate provisions. Alongside this, we provide consultation and training for staff, and support wider professional networks such as schools, CAMHS and children’s services.

What GHOR offers

  • Multi-disciplinary assessment of mental health and educational need.
  • Bespoke education, teaching and clinical interventions for children, schools, families and networks.
  • Specialist staff training and consultation.
  • Coordination of complex systems to achieve coherent and effective care plans.
  • Liaison across education, health and social care to strengthen collaboration and outcomes.

Strengths of the model

As an external and objective service, GHOR provides fresh perspective and systemic consultation across the whole network, drawing on specialist expertise in both child mental health and education.

Schools benefit from access to highly skilled staff with extensive experience supporting children with complex SEMH needs, increasing confidence and capacity across the workforce.

Our approach prevents placement breakdowns, supports reintegration, and provides a cost-effective alternative to exclusion or out-of-area provision.

Impact that lasts

  • 100% of pupils supported by GHOR (as of May 2025) remain engaged in education.
  • 60% have successfully transitioned into sustainable placements, while the remaining 40% continue progressing with education.

All outcomes are rooted in a child-led, strengths-based approach.

What people say about us

  • Parents and carers describe GHOR as “deeply caring” and “extremely responsive.”
  • Schools and SENDCOs value our “personalised approach” and say they feel “better equipped to manage behaviour in a therapeutically informed way.”
  • Families have shared: “The impact GHOR had on our family was enormous – thank you.”
  • Children and Young People told us: “The teacher listened to me, and I could tell him everything.”
  • Training participants reflected: “Brilliant training with really useful strategies… I left reassured, better informed, and ready to act.”

Training & CPD Opportunities

GHOR offers specialist, relationally delivered CPD training for schools, mental health professionals, parents, carers, and local authority staff. Our courses provide practical tools grounded in systemic, trauma-informed approaches.

Current Courses: (3 hour live online)

Relational approaches to emotional regulation and behaviour

Participant Feedback

Brilliant training to build on current EBSA knowledge as well as gaining practical strategies.

Great to connect with like-minded professionals – really useful practical advice.

I left the course reassured, better informed, and ready to act.

Areas of expertise

We specialise in supporting:

  • Emotionally Based School Avoidance (EBSA)
  • Neurodivergence, including Autism Spectrum Condition (ASC) and demand-avoidant profiles (PDA)
  • Trauma, anxiety and dysregulation
  • Attachment and relational challenges

Our team has extensive experience with children presenting with complex and overlapping needs, including demand-avoidant profiles, enabling us to provide flexible and effective support tailored to each child.

Next steps / How to refer

If you would like to learn more or discuss a potential referral, you are welcome to complete a GHOR Referral Form or get in touch for an informal conversation about how we can help.

Or contact us directly for a free initial conversation.

Email: ghoutreach@tavi-port.nhs.uk
Tel: 020 8938 2916 | Mobile: 07872 828 319