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Mental Health Services on the NHS There has been an enormous rise in people seeking help for mental health issues, and the NHS has responded by providing services. This includes: The Long Term Plan reaffirmed its commitment to invest more in mental health services faster than overall NHS budget. This will include the work of a specialist in suicide prevention. Helping yourself One in four people will be affected by mental illness at some time in their lives. The good news is there are many ways to get help, and many of us will recover with time. But it's important to know what help is available, and who is able to provide it. You can seek assistance from your GP, your local health center or a mental health team in your local area. These teams are comprised of nurses, occupational therapists psychotherapists, psychotherapists and speech and language therapists who work together with people who use the service. You may receive individual or group therapy depending on the kind of help you need. Your doctor will typically request you to fill out a form so that they can send you a referral to a local mental health team. They will also speak to you about the type of help you require. You will then be examined by a member of the mental health team that could include a psychiatrist, social worker or psychologist. In certain instances a clinical nurse specialist will conduct your assessment and treatment. If you're experiencing crisis, call the NHS 111 helpline for urgent support. If you're already being assisted 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 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 will help to improve the quality of care that is delivered to people who are experiencing a mental health crisis. They will also provide support in their homes and communities rather than in hospitals. The plan also aims to make crisis services accessible by reducing wait times and opening up more beds. It would also introduce mental health transport vehicles and make sure that every ambulance has an official who is a mental health liaison in their control rooms to improve the way that those suffering from mental health issues are supported in emergency situations. 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, while more severe conditions require a specialist team. These teams operate in primary and community healthcare facilities, as well psychiatric hospital. You can also seek assistance in a secure environment should you be in a state of crisis. Talking treatments for anxiety and depression are among the main treatments. Previously known as IAPT, these programs have seen referrals increase every year since their launch in 2008. The NHS Long Term Plan commits to expanding these programs to ensure that 1.9 million people will be able to access them by 2023/2024. The use of psychiatric medication is also a crucial element of treatment. They can improve symptoms by changing the way chemicals in your brain work. They can also help ease side effects of other treatments. Your doctor will suggest a medicine that is right for you. There are a variety of talk therapies, such as group therapy and individual therapy. Some of these therapies are delivered in person, while others can be done remotely. Some patients prefer to receive treatment in person, but that is a personal preference. There are also a lot of charities which offer support groups and classes, such as Mind. The website contains a wealth of reliable information but you should be aware that there are a lot of false or misleading statements that are posted on the internet about mental health issues. While the NHS is advancing its mental health services, it still struggles to meet the demands. In the UK, there are 54 mental trusts. The majority of them receive funding from the clinical commissioning group. They typically are located in a specific area however, they are also able to be contracted to provide national services. The lack of resources is a major problem. There are also concerns about the quality of care and a shortage of nurses and psychiatrists. The NHS is working to improve the services by introducing new ways of working and offering more training. It is also introducing more efficient and safer methods to assist people in need including mobile crisis teams and secure spaces. We are here to help you Since the NHS was launched 70 years ago, there have been many positive changes for people with mental health problems. Treatment options have expanded and social barriers are breaking down. But there is still more to be done. People who are in mental health issues should receive the help they require quickly and easily. The NHS is striving to improve the quality of services to ensure that those who need them can get assistance. We will ensure that no acute hospital is without a mental health liaison service in A&E departments and wards for inpatients 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 expand services for those who require them in the community, including therapy for talking, which will give hundreds of thousands more patients with severe or common mental health conditions the assistance they need. We will continue to develop our national Improving Access to Psychological Therapies programme (IAPT) in order to ensure that more people suffering from mental health problems are seen faster by therapists who are qualified. The NHS offers confidential, no-cost helplines to anyone struggling with mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are run entirely by volunteers who offer the opportunity to talk in a secure environment or provide advice and information on how to deal your mental health concerns. There are also a number local organizations that can offer help and advice to those suffering from mental health issues. These can include self-help guides, coping strategies, and activities to try. Many of these organisations offer face-toface support groups to those who prefer it. For students, there's the University's Open Door Team which offers an opportunity to consult with a counsellor at any time for those feeling low or stressed. Nightline is a student counselling service that offers confidential listening assistance, information and support from experienced volunteers. Charities like Mind and Rethink are a great source of information and provide support in various forms that include online and through local groups. They also provide many classes and activities, ranging from mindfulness to art groups that could be beneficial for people suffering from mental health problems. Referrals With mental health services under pressure, GPs have to make difficult decisions regarding the services they will refer patients to. The GP will look at the patient's medical background and recommend them to services they believe will be able assist. They may send a referral either to an NHS trust or an independent provider. A mental health specialist will assess the referral to determine if the referral is appropriate or not. If the specialist isn't happy with the referral, they will contact the GP and explain why. They could also ask the GP to modify the referral or ask for more information. Referrals to the local Community Mental Health Team can be made through the NHS e-Referral Service. what do you think mental health assessments allows GPs as well as other healthcare professionals to refer people to either a mental health clinical assessment or directly to an appointment with an outpatient. However, not all CMHTs offer both options and the system isn't able to be used for every type of mental health referral. A doctor may decide to refer a person to an expert community mental health service (CMT). These are usually run by a major local health organization or hospital. CMTs are an excellent option for those who require to consult a psychologist or psychiatrist but do not require inpatient care. They also provide an early intervention service in which psychiatrists work with a psychotherapist to assist someone in overcoming any crisis or improve the quality of their life. One of the major challenges that a CMT is how to ensure that all suitable referrals are assigned within the appropriate timeframe. Many referrals are deemed urgent even though they may not be. This can result in delays and over-working for those who aren't in need. To address this issue certain CMHTs are working to establish more consistent guidelines for what is considered an urgent referral. This is being achieved through the use of a standardised referral proforma that requires the referrer to decide if the situation is urgent. The form includes a box that the referrer is able to tick when the referral is urgent.