Debra Reine

Dedicated specialist nurse with over 20 years experience and over 5 years experience in neurodevelopmental diagnostics and conducting comprehensive ADHD assessments for adults and CYP in full alignment with NICE Guideline NG87. Proven track record in delivering high-quality diagnostic reports taking lead roles in multidisciplinary team (MDT) discussions. Experienced in both face-to-face and remote clinical environments, ensuring patient-centered care and diagnostic clarity.

Clinical Lead and Assessor at POSSIBILITIES (2016-10 – Present)

Providing training, assessments, support and consultancy. Undertaking specialist assessments for neurodiverse adults; children and young people; diagnosing; developing and implementing personalised plans based on NICE guidelines and evidence based practice; providing treatment and psychosocial interventions (groups for individuals or their families). Collaborating with MDT teams and other professionals. Managing a staff team to provide consistent high quality care, treatments and support.

• Conduct weekly specialist ADHD / Autism assessments for Adults/CYP using structured diagnostic interviews.
• Synthesize complex information from developmental histories, observer reports, and medical records to achieve diagnostic clarity.
• Facilitate psychoeducation and medication titration support under consultant supervision.
• Consistently achieved 100% compliance with service-level clinical audit standards.
• Managing a complex caseload providing assessment and treatment planning.
• Managing a staff team.
• Attending MDT case reviews and ensuring ethical, shared decision-making.
• Mentoring junior clinicians and provided consultation on neurodevelopmental pathways.

Director, Registered Individual (RI), Registered Manager at INTERACT CARE (2004-03 – 2016-10)

Providing a range of community-based services registered with CQC (adult) and registered with Ofsted (children & young people) - neurodiversity support services, and LD services. Achieved consistently good and outstanding ratings for over 12 years.

Area Manager, Registered Individual at THE OAKLEA TRUST (2002-11 – 2004-03)

Developing and providing community-based services registered with CQC for young neurodiverse adults and individuals with a Learning Disability. Achieved consistent good and outstanding ratings for over 2 years.

RI and NI - Area Manager, Integrated Community Services at MILBURY (1999-07 – 2002-11)

Advanced Clinical Practitioner CAHMS, Neurodiverse Services Development Team at NHS (1996-04 – 1999-07)

Registered Manager, Integrated Community Services at CIC (1992-08 – 1996-04)

Staff Nurse Grade F at NHS (1990-07 – 1992-08)

RNLD at NHS (1987-03 – 1990-07)