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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 an unrepeatable commitment to increase investment in mental health services quicker than the NHS budget overall. This will include the work of a specialist in suicide prevention. Helping yourself One of four people will be affected by mental illness at some point during their lives. The good news is that there are a variety of different ways to get help, and most people recover after a while. However, it is important to know what assistance is available and who is able to provide it. You can seek assistance from your doctor or the local health center or mental health team within your local area. These teams are made up of occupational therapists, nurses, psychotherapists and speech and language therapists who work with those who utilize the service. Based on the type of help you require you could receive individual or group therapy. Your GP will typically request you to fill out the form so that they can 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 members of an interdisciplinary team of mental health professionals like psychiatrist, psychologist or social worker. In some instances the assessment and treatment will be carried out by a nurse specialist. You can call the NHS 111 helpline when you're in a crisis. If you are already receiving support for your mental health it is recommended to contact your primary 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 mental health teams in the community that are linked to primary care networks. These teams will increase the quality of mental health care provided to those in crisis, and provide support to those within their communities and at home rather than in hospitals. The plan aims to make crisis services accessible by decreasing waiting times and opening more beds. It would also include an ambulance for mental health and ensure that all ambulances are outfitted with a mental liaison nurse within the control room to make sure that those who are experiencing mental distress are helped in times of crisis. Treatment options The NHS offers a variety of treatment options for mental health conditions. Disorders that are less severe are usually treated by GPs however more severe conditions require specialists. These teams operate in both community and primary healthcare facilities, as well psychiatric hospital. There are also safe spaces where you can seek assistance if you are feeling in a state of crisis. Talking treatments for anxiety and depression are one of the main treatments. These programs, formerly known as IAPT (Interactive Assessment and Psychotherapy) have seen their numbers of clients increase every year since they were first introduced in 2008. The NHS Long Term Plan commits to expanding these programs so that 1.9 million people can access them in 2023/2024. Psychiatric medications are also an important part of treatment. They can alleviate symptoms by changing the way chemicals work in your brain. They can also be used to minimize the adverse effects of other treatments. Your doctor will recommend the best medication for you. There are many different types of talk therapy, including individual therapy and group therapy. Some of these can be delivered in person, whereas others can be delivered remotely. Some patients prefer face-to face treatment, but it is the choice of the patient. There are also a lot of charities that provide classes and support groups like Mind. The website contains a wealth of information that is reliable but you should be aware of the fact that there are numerous false or misleading claims on the internet regarding mental health issues. While the NHS is improving its mental health care, it still struggles to keep up with demand. In the UK there are 54 mental trusts. The majority of them receive funding for their services from clinical commissioning groups. They are usually located in a particular region however, they are also able to be commissioned to provide national services. The shortage of resources is a major issue. There are concerns over the quality of care and the shortage of psychiatrists and nurses. The NHS is working to improve the services by introducing new methods of work and providing more training. It also offers more secure and efficient ways to help people in crisis. These include mobile crisis teams, as well as safe space. Supporting you Since the NHS was established 70 years ago, there have been many positive changes for people with mental health issues. Treatment options have expanded and social barriers are being taken down. However, there is much to be done. People who are suffering from mental health problems must be able to get the help they require quickly and easily. That's why the NHS is striving to improve the services available to those who require these services. We will ensure that no acute hospital is without a mental health liaison in A&E departments and wards for patients by 2020/21. We will also ensure that 70 percent of these services will meet the "core 24" standard by 2023/24, working towards achieving 100% coverage afterward. We will also expand services for the community, such as talking therapy, to offer assistance to hundreds of thousands of individuals suffering from mental health problems regardless of whether they are severe or common. We will continue to develop the national Improving Access to Psychological Therapies (IAPT) program so that more people are seen by qualified therapists, faster. The NHS provides free, confidential helplines to anyone who is struggling with mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are operated entirely by volunteers who provide an environment where you can talk to someone in a safe manner or offer advice and guidance on how to deal your mental health concerns. There are also a number local organisations that can provide assistance and support to those with mental health issues. These include self-help guides, coping strategies and activities to try. Many of these organizations offer support groups that meet face-to-face to those who prefer it. For students, there is the University's Open Door Team which offers a drop-in counselling service for those who are feeling down or stressed. There is also the Nightline student counselling service that offers confidential listening and support from experienced volunteers, as well as information about other services. Charities like Mind and Rethink can provide an abundance of information and assistance, both on the internet and in local groups. They also offer a variety of classes and activities, ranging from mindfulness to art classes which can be helpful for people suffering from mental health problems. Making a referral Mental health services are under strain and GPs must make difficult decisions about which specialist services to refer their patients to. The doctor will take a patient's medical history into consideration and then refer them to a service they think will be able to help. They might send a referral to an NHS trust or an independent service. A mental health specialist will then assess the referral and decide if it's appropriate or not. If the specialist isn't satisfied with the referral they will contact the GP to discuss their decision and provide why. They may also request the GP for more information or to alter the referral. The ability to refer patients to the local Community Mental Health Team can be made through the NHS e-Referral Service. The system lets doctors and other healthcare professionals direct patients to a preliminary assessment for mental health or directly to an appointment. However there are private mental health . CMHTs offer both options and the system cannot be used for every kind of mental health referral. A GP may refer a patient to a community mental health specialist service (CMT). These are usually run either by an extensive hospital or a local healthcare organisation. CMTs are a great option for those who need to consult a psychologist or psychiatrist but do not require inpatient care. They can also provide an early intervention service, where a psychiatrist will work with a therapist to help a person overcome a crisis or improve their quality of life. CMTs face the challenge of making sure that all referrals are received within a reasonable amount of time. Many referrals are deemed urgent, even if they may not be. This can lead people who aren't experiencing a crisis to be overwhelmed and suffer delays. To address this issue, some CMHTs have attempted to establish more uniform standards for what constitutes an urgent referral. This was achieved through a standardised form which asks the referrer if they believe the situation is urgent. The proforma has a box that the referrer has to check to indicate if the request is urgent.
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