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Mental Health Services on the NHS
The NHS has responded to the rising number of mental health issues by providing services. This includes:
The Long Term Plan reaffirmed its commitment to boost investment in mental health services more quickly than the overall NHS budget. This will include specialist work in suicide prevention.
Helping yourself
One out of four people will be affected by a mental illness at some time in their lives. The good news is that there are many ways to get help, and most of us will be able to recover over time. It is important to know what help is available and who can offer it.
You can seek help from a variety of sources, including your doctor (primary care medical doctor), your local health centre, or a community mental health team. These teams consist of nurses, occupational therapists, psychotherapists and speech and language therapists who collaborate with the people who utilize the service. You may receive individual or group therapy, based on the type of assistance you need.
Your GP will typically request you to fill out a form to refer you to a community mental health team. They will also ask you what you require in terms of support. You will then be seen by a member of the mental health team, which could include a psychiatrist, social worker or psychologist. In certain instances, a clinical nurse specialist will conduct your assessment and treatment. You can contact the NHS 111 helpline when you're in a crisis. If you are already receiving mental health services it is recommended to contact your primary team first, unless it is out of office hours, on a weekend, or a bank holiday.
The Five Year Forward View for Mental Health included plans to establish more multidisciplinary, place-based community mental health teams that have links to primary care networks. These teams will improve the quality of mental health care delivered to people experiencing a crisis, and provide support to them in their homes and community rather than in hospitals.
The plan also aims to make emergency services available by reducing waiting times and opening more beds. It also proposed to introduce mental health transport vehicles and make sure that all ambulances have a mental health liaison nurse in their control rooms to ensure that people who are having a mental health crisis are helped in times of crisis.
Treatment options
The NHS offers a range of treatment options for mental health problems. GPs are usually able to treat milder illnesses, however more serious issues will require the assistance of a specialist team. These teams work in both community and primary healthcare facilities, as well psychiatric hospital. You can also seek help in a secure space if you feel in crisis.
Talking therapies for depression and anxiety are one of the main kinds of treatment. These programs, previously known as IAPT (Interactive Assessment and Psychotherapy) have seen their numbers of clients increase every year since they were launched in 2008. The NHS Long Term Plan commits to expanding these services so that 1.9 million people can access them by 2023/2024.
Psychiatric medications are also a vital part of treatment. They can alleviate symptoms by altering the way the brain's chemicals work. They can be used to reduce the 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. mental health evaluation of these can be delivered in person, whereas others can be delivered remotely. Some patients prefer receiving treatment in person, but that is a personal decision. Mind is one of the charities that offer support groups and courses. The site contains a wealth of information that is reliable but you should be aware that there are many false or misleading statements on the internet concerning mental health issues.
The NHS is improving mental health care but it's struggling to meet demand. There are 54 mental health trusts in the UK and the majority of them receive funding from clinical commissioning groups to deliver their service. They typically are located in a particular region however, they may be contracted to provide national services.
One of the main issues is the insufficient resources to meet the demands of the rising population. There are concerns about the quality and shortage of nurses and psychiatrists. The NHS is trying to improve these services by delivering more training and introducing new ways of working. It also introduces more secure and efficient ways to help people in crisis. These include mobile crisis teams and safe space.
Supporting you
Since the NHS was launched 70 years ago, there have been many positive developments for people suffering from mental health problems. Treatment options have gotten more diverse and social barriers are breaking down. But there is much more to be done.
People who are suffering from mental health issues must be able to access the help they need quickly and easily. That's why the NHS is working hard to improve the services available to those who need these services. 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 core 24 standard by 2023/24. We will then work towards 100 percent coverage.
We will also increase services for the community, such as talking therapy, in order to provide support for hundreds of thousands of people with mental health issues regardless of whether they are serious or common. We will continue to develop our national Improving Access to Psychological Therapies programme (IAPT), so that more people with mental health conditions are seen faster by trained therapists.
The NHS provides confidential, free helplines to anyone struggling with mental health issues. Samaritans Mind and Rethink are some of the helplines available. These helplines are operated by trained volunteers. They provide a safe space to talk or give guidance and information on how to tackle your mental health issues.
Additionally, there are a number of local organizations that can provide support and guidance to those suffering from mental health issues. Self-help guides, coping techniques and activities can be included. Many of these organizations offer support groups that meet face-to-face for those who prefer it.
The University's Open Door Team offers a drop-in counseling service for students struggling or stressed. There is also the Nightline student counselling service, which offers confidential listening and support from experienced volunteers, or details about other services. Charities like Mind and Rethink are a excellent source of information and provide support in various forms such as online and through local groups. They offer a variety of courses and activities including mindfulness classes to art classes, which are beneficial for those with mental health issues.
Referring someone to you
With mental health services under pressure, GPs are having to make difficult decisions about the services they will refer patients to. The doctor will take the patient's medical history into consideration and then refer them to a service they believe will be able to help. They can refer a patient either to an NHS trust or an independent provider.
A mental health professional will then evaluate the referral and decide if it's appropriate or not. If the specialist isn't satisfied with the referral they will call the GP to discuss their decision and explain the reason. They may also request the GP for more details or to change the referral.
The ability to refer patients to a local Community Mental Health Team can be made using the NHS e-Referral Service. The system permits GPs and other healthcare professionals to refer patients to either a preliminary mental health clinical assessment or directly to an outpatient appointment. However not all CMHTs provide both options, and the system can't be used for every type of mental health referral.
A doctor may also refer a patient to a community mental health specialist service (CMT). They are typically operated by a large local healthcare organisation or hospital. CMTs are an excellent option for those who have to visit a psychologist or psychiatrist, but do not require inpatient treatment. They can also provide an early intervention service, where a psychiatrist will work with the therapist to help a person overcome a crisis or improve their life quality.
One of the challenges faced by a CMT is ensuring that all appropriate referrals are assigned within the proper time frame. Many referrals are considered urgent, even if they may not be. This can result in delays and over-working for people who aren't in a crisis.
To combat this problem, some CMHTs have attempted to establish more uniform guidelines for what constitutes an urgent referral. This was achieved by using a standardised form which asks the referrer if the case is urgent. The proforma includes a box for the referrer to check in the event that they believe the referral is urgent.
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