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 increase investment in mental health services faster than the overall NHS budget. This will include specialist work in suicide prevention. Get help One in four of us will suffer from a mental health problem at some moment in our lives. The good news is that there are many different ways to seek help and most of us recover over time. But it's important to know what assistance is available, and who can provide it. You can seek assistance from a variety places, including your GP (primary care medical doctor) as well as your local health centre or a community mental health team. These teams comprise of nurses, occupational and psychotherapists and speech therapists. They work with the patients who require their services. Based on the kind of help you require you might be provided with individual or group therapy. Your GP will typically request you to fill out the form to make a referral to a community mental health team. They will also ask you to specify what you require in terms of support. You will be seen by an individual from a mental team, such as psychiatrist, psychologist or social worker. In some instances the clinical nurse specialist will conduct your assessment and treatment. You can call the NHS 111 helpline when you're in an emergency. If you are already receiving support for your mental health it is recommended to contact your regular team first, unless it's out of 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 will help to improve the quality of the care given to those suffering from a mental health crisis. They will also provide support within their communities and homes, rather than in hospital. The plan also aimed at help make crisis services more accessible by reducing waiting times and allowing more beds. It would also introduce the mental transport vehicle and ensure that all ambulances are stocked with an individual who is a mental liaison nurse in the control room to make sure that people experiencing a mental crisis are helped in times of crisis. Treatment options The NHS offers a wide array of treatment options for mental health conditions. Disorders that are less severe are usually treated by GPs and more severe conditions require a specialist team. These teams operate across primary and community mental health services and also psychiatric hospitals. You can also seek assistance in a secure space when you are in a crisis. Talking therapies are one of the most commonly used forms of treatment for depression and anxiety. Previously known as IAPT the programs have seen the number of people who seek them increase every year since their launch in 2008. The NHS Long Term Plan has set the goal of expanding these services to 1.9 million people by 2023/2024. Psychiatric medications are another crucial aspect of treatment. They can help alleviate symptoms by altering how chemicals in your brain work. They can also be used to alleviate the side effects of other treatments. Your doctor will suggest the right medication for you. A wide variety of talking therapy options are offered which include group therapy as well as individual therapy. Some of these therapies can be offered in person, while other can be performed via remote access. Some patients prefer to receive treatment in person, but that is a personal choice. Mind is one of many charities that provide support groups and classes. Their website is full of information that is reliable, however you should be aware that there is lots of inaccurate or misleading information on the internet about mental health issues. While the NHS is improving its mental health care but it's still struggling to cope with demand. In the UK, there are 54 mental trusts. The majority of them receive funding for their services from the clinical commissioning group. They typically are located in a specific region however, they can also be commissioned to deliver national services. The main issue 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 striving to improve its services by introducing new ways of work and delivering more training. It is also introducing safer and more effective ways to assist people in need, such as mobile crisis teams, as well as safe spaces. Supporting you Since the NHS was launched 70 years ago there are positive changes for those with mental health issues. Treatment options have expanded and social barriers are breaking down. However, there is much to be done. Patients who are experiencing a mental health crisis need to be able to access the help they need quickly and easily. The NHS is working to improve its services so that people in need are able to access assistance. We will ensure that every acute hospital does not have a mental health liaison in A&E departments and wards for patients by 2020/21. We will also ensure that 70% of these services will meet the "core 24" standard by 2023/24. Then we will work towards 100% coverage thereafter. We will also increase services for people who need them in the community, such as talking therapies, to give hundreds of thousands of people suffering from severe or common mental health conditions the assistance they need. We will continue to develop our national Improving Access to Psychological Therapies programme (IAPT), so that more people with mental health problems can be seen quicker by trained therapists. The NHS offers free, confidential helplines to anyone suffering from a mental health issue. mental health assessment online uk and Rethink are some of the helplines that are available. These helplines are run by volunteers who provide a safe place to talk or offer advice and guidance about how to handle your mental health concerns. Additionally, there are a number of local organizations that can offer support and guidance for those suffering from mental health issues. They can provide self-help guides, coping strategies and activities to try. A lot of these organizations provide support groups in person for those who would prefer this type of support. The University's Open Door Team offers a drop-in counseling service for students who are experiencing stress or depression. There is also the Nightline student counselling service that offers confidential listening and support from skilled volunteers, as well as information about other services. Charities such as Mind and Rethink can provide many sources of information and assistance, both online and in local groups. They offer a variety of activities and courses ranging including mindfulness classes to art classes, which are useful for people with mental health issues. Referrals Mental health services are under pressure and GPs are forced to make difficult choices about the best specialist services to refer their patients to. The doctor will take into consideration the medical history of the patient and recommend them to services they believe will be able assist. They may send a referral either to an NHS trust, or to an independent provider. A mental health specialist will review the referral to determine if the referral is appropriate or not. If the specialist isn't satisfied with the referral, they'll contact the GP to discuss their decision and explain the reasons. They may also ask the GP to change the referral or ask for more information. The ability to refer patients to a local Community Mental Health Team can be made using the NHS e-Referral Service. The system allows doctors and other healthcare professionals direct patients to an initial clinical assessment for mental health or directly to an appointment. Not all CMHTs provide both options, and the system can't be used for all kinds of mental health referrals. A GP may also decide to refer a patient to a specialist community mental health service (CMT). These are usually run by a large local healthcare organization or hospital. CMTs are a good choice for those who require to consult a psychologist or psychiatrist but don't require inpatient care. They can also provide an early intervention program where a psychiatrist works with a therapy therapist to assist someone in overcoming an issue or improve the quality of their life. One of the major challenges that CMTs CMT is ensuring that all referrals are allocated within the appropriate timeframe. One of the issues is that many referrals are considered urgent, despite the fact that they may not be. This can lead to delays and over-working for those who aren't in need. To tackle this issue, some CMHTs are trying to establish more uniform guidelines for what constitutes an urgent referral. This was achieved by using an established form that asks the referrer if they believe the case is urgent. The proforma includes a box that the referrer can tick when they believe that the referral is urgent.
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