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Mental Health Services on the NHS There has been an enormous increase in people seeking help for mental health issues and the NHS has responded by providing services. This includes: The Long Term Plan has made a renewed commitment to grow the investment in mental health services quicker than the NHS budget overall. This includes specialist work in suicide prevention. Need help? One out of four people will be affected by mental illness at some time in their lives. The good news is there are a variety of ways to seek help, and most of us will be able to recover over time. But it's important to know what help is available and who can provide it. You can seek help from a variety of sources, including your GP (primary medical doctor for primary care), your local health centre or a community mental health team. These teams consist of occupational and nurse speech therapists, and psychotherapists. They work with the people who use their services. You may receive individual or group therapy, based on the type of assistance you require. Your GP will usually ask you to fill in a form so that they can make a referral to a local mental health team. They will also talk with you about what kind of assistance you require. You will then be examined by a member of the mental health team that could include a psychiatrist, psychologist or social worker. In some cases, a clinical nurse specialist will conduct your assessment and treatment. If you're in an emergency, you can call the NHS 111 helpline for urgent support. If you are already receiving mental health services it is recommended to call your usual team first, unless it is out of office hours, on a weekend, or a bank holiday. The Five Year Forward View for Mental Health outlined plans to create more multidisciplinary, place-based community mental health teams, with connections to primary care networks. These teams will enhance the quality of the care that is provided to those who are in a crisis, and will provide assistance to patients in their homes and community rather than in hospitals. The plan also aimed at help make crisis services more accessible by reducing wait times and opening more beds. It would also introduce a mental transport vehicle and ensure that all ambulances are equipped with a mental liaison nurse in the control room to ensure that patients who are suffering from mental illness are supported during emergency situations. Treatment options The NHS provides a wide range of treatment options for mental health conditions. Less severe disorders are often treated by GPs, while more severe conditions require a specialist team. These teams are located in both community and primary healthcare facilities as well as psychiatric hospitals. There are also safe places where you can seek help if you are feeling in crisis. Talking therapies are one of the most commonly used forms of treatment for depression and anxiety. Previously referred to as IAPT the programs have seen referrals increase each year since their launch in 2008. The NHS Long Term Plan has committed to expanding these programs to 1.9 million people by 2023/2024. Psychiatric drugs are a different aspect of treatment. They can improve symptoms by changing the way chemicals in your brain work. They can also be used to reduce the side effects of other treatments. Your doctor will suggest a medicine that is right for you. There are many kinds of talk therapy, including individual therapy and group therapy. Some of these therapies are delivered in person, while others can be performed via remote access. Some patients prefer treatment in person, but that is a personal decision. Mind is one of many charities that offer support groups and classes. The website contains a wealth of reliable information, but be aware of the fact that there are many false or misleading statements on the internet about mental health issues. While the NHS is advancing its mental health services however, it is still struggling to cope 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 can also be commissioned to provide national services. The absence of resources is a major issue. There are also concerns about the quality of care, and there is a shortage of psychiatrists and nurses. The NHS is trying to improve the quality of care by delivering more training and developing new ways of working. It is also introducing safer and more effective ways to assist people in need, such as mobile crisis teams and safe places. We are here to help you Since the NHS was established 70 years ago there have been positive developments for those with mental health issues. The treatment options have increased and social barriers have been taken down. However, there is much to do. People who are suffering from a mental health crisis need to be able to access the assistance they require quickly and easily. That's why the NHS is working hard to improve the services available to those who require them. In 2020/21, we will ensure that all acute hospitals offer a mental health liaison service both in A&E as well as on wards for patients, and that 70% will be in compliance with the core 24 standard by 2023/24. Then we will work towards 100% coverage. We will also expand services for those who require them in the community, including psychotherapy, in order to provide thousands of more people with common or severe mental health conditions the support they require. We will continue to develop our national Improving Access to Psychological Therapies program (IAPT) to ensure that more people with mental health issues can be seen quicker by trained therapists. The NHS offers free, confidential helplines for anyone suffering from a mental health issue. Samaritans Mind and Rethink are some of the helplines available. These helplines are run by volunteers who provide an environment where you can talk to someone in a safe manner or offer advice and guidance about how to handle your mental health issues. Additionally, there are a number of local organizations that can provide assistance and support for those with mental health issues. These include self-help guides, coping strategies, and activities to try. Many of these organisations offer face-toface support groups to those who prefer it. The University's Open Door Team offers a drop-in counseling service for students who are experiencing stress or depression. Nightline is a student counseling service that provides confidential listening assistance, information and support from experienced volunteers. Charities such as Mind and Rethink can provide many sources of information and support both online and in local groups. They also offer various classes and activities, from mindfulness to art groups that could be beneficial for people who suffer from mental health issues. Referrals Mental health services are under strain and GPs are forced to make difficult decisions about which specialist services they should refer their patients to. The doctor will take a patient's medical history into consideration and then recommend them to a service they think could be able to assist. They can send a referral either to an NHS trust or an independent provider. A mental health specialist will review the referral to determine if it's appropriate or not. If the specialist isn't happy with the referral, they'll contact the GP and explain their reasons. They might also ask the GP to alter the referral or request additional details. Referrals to 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 send patients to either an initial clinical assessment for mental health or directly to an appointment. However there are some exceptions. CMHTs offer both options and the system cannot be used for every type of mental health referral. A GP may also decide to refer a patient to an expert community mental health service (CMT). These are usually run by a major local healthcare organization or a hospital. CMTs are a great option for people who wish to see an experienced psychologist or psychiatrist but don't require inpatient care. They can also provide an early intervention service where a psychiatrist works with a therapist to help a person overcome a crisis or increase their life quality. One of the biggest challenges faced by CMTs CMT is to ensure that all suitable referrals are made within an appropriate time frame. enquiry are considered urgent even though they may not be. This can lead to delays and over-working for people who are not in crisis. To address this issue, a few CMHTs have tried to establish more uniform standards for what constitutes a referral urgent. This has been accomplished through the use of an established referral form that requires a referrer decide if the situation is urgent. The proforma has a box that the referrer has to check when the request is urgent.
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