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Mental Health Services on the NHS The NHS has responded to the increase in mental health issues by providing services. This includes: The Long Term Plan has made the commitment to increase the investment in mental health services quicker than the NHS budget in general. This will include the work of a specialist in suicide prevention. Need help? One in four of us will suffer from mental health issues at some time in our lives. The good news is that there are many different ways to seek help, and most people recover after a while. But it's important to know what assistance is available, and who is able to provide it. You can get help from your GP or the local health center or mental health team in your community. These teams comprise of nurses, occupational and psychotherapists and speech therapists. They work with the patients who require their services. Depending on the type of assistance you require, you may be offered individual or group therapy. You will be asked to fill out a form by your GP so that they can refer you to a mental health service in the community. They will also talk with you about the kind of help you need. You will be assessed by an individual from an interdisciplinary team of mental health professionals, such as psychologist, psychiatrist or social worker. In some instances the clinical nurse specialist will conduct your assessment and treatment. If you are experiencing crisis, call the NHS 111 helpline for urgent assistance. If you're already being supported by mental health services it's a good idea call your usual team first unless it's out of the normal hours, a weekend or on a bank holiday. The Five Year Forward View for Mental Health set out 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 care that is delivered to people who are experiencing a mental health crisis and provide support in their homes and communities, rather than in hospital. The plan aims to make crisis services more accessible by decreasing wait times and opening up more beds. It would also include a mental transport vehicle and ensure that all ambulances are outfitted with a mental liaison nurse in the control room to make sure that patients who are suffering from mental illness are supported during emergency situations. Treatment options The NHS offers a variety of treatment options for mental health conditions. GPs typically have the ability to treat milder illnesses, however more serious conditions will require the assistance of a specialist team. These teams are located in both community and primary mental healthcare services and psychiatric hospitals. You can also seek help in a secure environment if you feel in crisis. Talking therapies for depression and anxiety are among the main kinds of treatment. Previously referred to as IAPT, these programs have seen the number of people who seek them increase every year since their introduction in 2008. The NHS Long Term Plan has set the goal of expanding these services to 1.9 million people by 2023/2024. Psychiatric medicines are another important part of treatment. They can improve symptoms by changing the way the brain's chemicals work. They can also be used to lessen the negative effects of other treatments. Your doctor will suggest the best medication for you. There are a variety of talk therapies, such as group therapy and individual therapy. Some of these are delivered in person, while others can be delivered remotely. Some patients prefer face to face treatment, but it's an individual choice. Mind is one of many charities that provide support groups and courses. Their website is full of trustworthy information, but you should be aware of the fact that there's a lot of false or misleading information available on the internet regarding mental health issues. The NHS is advancing the mental health system, but it is struggling to meet the demand. There are 54 mental health trusts across the UK, and most of them receive funding from clinical commissioning organizations to deliver their services. They typically are located in a particular region, but they can be contracted to provide national services. A key issue is the lack of resources to meet rising demand. There are concerns over the quality and shortage of nurses and psychiatrists. The NHS is working to improve these services by providing more training and introducing new methods of working. It also introduces more secure and efficient methods to treat people in crisis. This includes mobile crisis teams and secure space. We are here to help you Since the NHS was launched 70 years ago there have been a lot of positive changes for people with mental health problems. The treatment options have gotten better and social barriers have been smashed down. But there is much more to be done. People who are suffering from a mental crisis need to get the help they need quickly and easily. This is why the NHS is working hard to improve the services available to those who require them. We will ensure that every acute hospital does not have a mental health liaison service in A&E departments and wards for inpatients by 2020/21, and that 70 percent of these services will be in line with the “core 24” standard by 2023/24. Then we will work towards a 100% coverage rate after that. We will also expand community services, including talk therapy, in order to provide assistance to hundreds of thousands of people with mental health problems regardless of whether they are serious or common. We will continue to develop our national Improving Access to Psychological Therapies program (IAPT) in order to ensure that more people suffering from mental health problems can be seen quicker by qualified therapists. The NHS provides free, confidential helplines for anyone suffering from mental health issues. These include the Samaritans, Mind and Rethink. These helplines are run by volunteers who provide the opportunity to talk in a secure environment or provide advice and information on how to manage your mental health concerns. There are also local organizations that provide help and advice to those suffering from mental health issues. These include self-help guides, strategies for coping and activities to try. Many of these organisations offer face-toface support groups to those who would prefer it. For students, there is the University's Open Door Team which offers the opportunity to visit a counselling center for those who feel down or stressed. Nightline is a student counselling service that offers confidential listening as well as information and support from knowledgeable volunteers. Charities such as Mind and Rethink are a excellent source of information and offer support in many forms such as online and through local groups. They can also offer various classes and activities, from mindfulness to art groups, which may be useful for people who suffer from mental health problems. Making a referral Mental health services are under pressure and GPs must make difficult choices regarding which specialist services they should refer their patients to. The GP will look at the medical history of the patient and refer them to services they believe will be able aid. They may send a referral either to an NHS trust, or to an independent provider. A mental health specialist will then assess the referral and decide whether it's appropriate or not. If the specialist isn't happy with the referral, they will call the GP and explain the reasons. They could request the GP to change the referral or request more information. Requests for a local Community Mental Health Team (CMHT) may be made via the NHS e-Referral Service (e-RS). The system lets doctors and other healthcare professionals to refer patients to either a preliminary assessment for mental health or directly to an appointment. Not all CMHTs offer both options and the system is not able to be used for all types of mental health referrals. A doctor may also refer a patient to a mental health specialist in the community service (CMT). They are typically run by a large local healthcare organisation or a hospital. CMTs can be a good option for people who wish to see an experienced psychologist or psychiatrist but don't require inpatient care. initial mental health assessment provide an early intervention service in which a psychiatrist works with a therapy therapist to assist a person overcome a crisis or improve the quality of their lives. One of the major challenges faced by a CMT is ensuring that all suitable referrals are made within an appropriate time frame. One of the issues is that a lot of referrals are deemed as urgent, despite the fact that they may not be. This can lead to delays and over-working for people who aren't in need. To address this issue certain CMHTs are working to establish more uniform standards for what is an urgent referral. This has been achieved through the use of the standardised referral forma that requires a referrer to determine if the case is urgent. The proforma has a box that the referrer is able to tick when the request is urgent.