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Mental Health Services on the NHS
The NHS has responded to the rise in mental health problems by offering services. This includes:
The Long Term Plan reaffirmed its commitment to boost investment in mental healthcare services faster than the overall NHS budget. This will include the work of a specialist in suicide prevention.
Need help?
One of four of us will experience a mental health problem at some time in our lives. The good news is there are many avenues to seek help, and most of us will recover over time. But it's important to know what assistance is available, and who can provide it.
You can seek help from your GP or the local health center or mental health service in your community. These teams consist of occupational therapists, nurses psychotherapists, psychotherapists, and speech and language therapists who work together with people who use the service. Based on the type of help you require, you may be offered individual or group therapy.
Your GP will usually require you to fill out a form so that they can send you a referral to a local mental health team. They will also ask you to specify what kind of support you need. You will be assessed by an individual from an interdisciplinary team of mental health professionals like psychiatrist, psychologist or social worker. In some cases, a clinical nurse specialist will perform your assessment and treatment. You can call the NHS 111 helpline if you are in a crisis. If you already receive mental health support it is recommended to call your usual team first, unless it is outside of hours, or on a weekend, or a bank holiday.
The Five Year Forward View for Mental Health detailed plans to create multidisciplinary, community-based mental health teams that are connected to primary care networks. These will help to improve the quality of the care provided to those experiencing an illness of mental health and offer support in their homes and communities rather than in hospitals.
The plan aims to make crisis services accessible by reducing wait times and allowing more beds. It would also include the mental transport vehicle and ensure that all ambulances are equipped with a mental liaison nurse in the control room to improve how people experiencing a mental crisis are supported during emergency situations.
Treatment options
The NHS provides a variety of treatment options for mental health conditions. GPs are usually able to treat milder conditions, but more severe issues will require an expert team. These teams operate across both community and primary mental health services, as well as the psychiatric hospitals. You can also seek help in a safe space should you be in a state of crisis.
Talking therapies are one of the most common types of treatment for anxiety and depression. Previously known as IAPT the programs have seen referral numbers increase every year since their launch in 2008. The NHS Long Term Plan commits to expanding these services so that 1.9 million people can access them in 2023/2024.
Psychiatric medicines are also a crucial component of treatment. They can help alleviate symptoms by altering the way chemicals work in your brain. They can also be used to ease side effects of other treatments. Your doctor will suggest the best medication for you.
There are many kinds of talk therapies, such as group therapy and individual therapy. Some of these treatments are delivered in person, while others are available online. Some patients prefer receiving treatment in person, but this is a personal preference. There are also a number of charities that offer support groups and courses, such as Mind. The site is full of information that is trustworthy but you should be aware that there are numerous false or misleading statements on the internet about mental health issues.
The NHS is improving mental health care but it is struggling to meet the demand. In the UK, there are 54 mental trusts. The majority of them receive funding from the clinical commissioning groups. They are usually located in a particular region however, they are also able to be commissioned to deliver national services.
The shortage of resources is a major issue. There are concerns about the quality of care and the shortage of psychiatrists and nurses. The NHS is trying to improve these services by offering more training and introducing new ways of working. It also introduces safer and more effective ways to treat people in crisis including mobile crisis teams and secure spaces.
Supporting you
Since the NHS was established 70 years ago there have been a lot of positive developments for those suffering from mental health issues. The treatment options have gotten better and social barriers have been taken down. But there is next to be done.
Patients who are experiencing a mental health crisis must be able to access the help they need quickly and easily. That's why the NHS is striving to improve the quality of services for those who need them. By 2020/21, we will make sure that all acute hospitals have a mental-health liaison service both in A&E and on inpatient wards and that 70% of these will meet the standard of 24 by 2023/24. We will then strive for 100 percent coverage.
We will also extend services for people who require them in the community, such as psychotherapy, in order to provide thousands of more patients with severe or common mental health conditions the assistance they require. We will continue to develop the national Improving Access to Psychological Therapies (IAPT) program so that more people can be treated by trained therapists more quickly.
The NHS provides free, confidential helplines to anyone struggling with mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are run by trained volunteers. They offer a safe space to talk, or offer advice and information on how to manage your mental health concerns.
Additionally there are click through the next article of local organisations which can provide support and guidance to those with mental health issues. Self-help guides, coping methods and other activities are all possible. Many of these organisations also provide support groups in person for those who prefer this method.
For students, there is the University's Open Door Team which offers an opportunity to consult with a counsellor at any time for those who are feeling depressed or stressed. Nightline is a student counseling service that offers confidential listening assistance, information and support from knowledgeable volunteers. Charities such as Mind and Rethink are a excellent source of information and can offer support in many forms such as online and through local groups. They also offer many courses and activities, from mindfulness to art classes which can be helpful for those living with mental health issues.
Referrals
With mental health services under pressure, doctors are forced to make difficult decisions regarding which specialist services they can refer patients to. The GP will consider the medical history of the patient and recommend them to services they believe will be able assist. They can send a referral to an NHS trust, or an independent provider.
A mental health professional will then review the referral and decide whether it's appropriate or not. If the specialist isn't satisfied with the referral they will contact the GP to discuss their decision and explain the reasons. They might request the GP to change the referral or ask for more details.
The ability to refer patients to a local Community Mental Health Team can be made using the NHS e-Referral Service. The system allows GPs and other healthcare professionals to refer patients to either a preliminary mental health clinical assessment service or directly to an outpatient appointment. However there are some exceptions. CMHTs provide both options, and the system isn't able to be used for every kind of mental health referral.
A doctor may decide to refer a person to an expert community mental health service (CMT). These are usually run either by an enormous hospital or a local healthcare organization. CMTs can be a good option for people who wish to consult with a seasoned psychologist or psychiatrist, but don't need inpatient treatment. They can also provide an early intervention service in which psychiatrists work with a therapist in order to help someone overcome a crisis or improve the quality of their lives.
One of the biggest challenges that CMTs CMT is to ensure that all referrals are allocated within an appropriate time frame. One of the problems is that a lot of referrals are deemed urgent, despite the fact that they might not be. This can result in over-working and delays for people who aren't in need.
To address this issue certain CMHTs are working to establish more uniform standards for what is considered an urgent referral. This has been achieved by using the standardised referral forma that requires a referrer to decide if the situation is urgent. The form has a checkbox for the referrer to check when they believe the referral is urgent.
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