Mental Health Services on the NHS
There has been an enormous increase in people seeking treatment for mental health issues and the NHS has responded by offering services. This includes:
The Long Term Plan has made the commitment to increase the amount of money spent on mental health services quicker than the NHS budget in general. This will include the work of a specialist in suicide prevention.
Get help
One in four of us will suffer from a mental health problem at some point in our lives. The good news is that there are a variety of ways to seek help, and most of us will be able to recover over time. It is important to know the types of help available and who can provide it.
You can get help from your physician, your local health center or a mental health team within your community. These teams are comprised of occupational therapists, nurses psychotherapists, psychotherapists, and speech and language therapists who collaborate with people who use the service. You may receive individual or group therapy depending on the kind of help you need.
Your GP will typically ask you to fill in the form to make a referral to a community mental health team. They will also ask you what you require in terms of support. You will be consulted by an individual from the mental team, such as a psychologist, psychiatrist or social worker. In some cases, your assessment and treatment will be performed by a specialist in clinical nursing. If you are experiencing crisis, call the NHS 111 helpline for urgent assistance. If you're already supported by mental health services it's a good idea contact your regular team first, unless it's outside of normal hours, on a weekend or a bank holiday.
The Five Year Forward View for Mental Health included plans to establish more multidisciplinary, community-based, place-based mental health teams, with connections to primary care networks. These will help to improve the quality of the care given to those suffering from a mental health crisis and offer assistance within their communities and homes rather than in hospitals.
The plan also aimed to provide crisis services to more people by reducing wait times and allowing more beds. It also proposes the introduction of mental health transport vehicles and ensure that all ambulances have a mental health liaison nurse in their control rooms to ensure that people who are having mental health issues are assisted in emergencies.
Treatment options
The NHS provides a wide range of treatment options for mental health conditions. Less severe disorders are often treated by GPs and more serious disorders require an expert team. These teams are spread across community and primary mental health services, as well as the psychiatric hospitals. You can also seek help in a secure space should you be in a state of crisis.
Talking therapies for depression and anxiety are one of the main kinds of treatment. These programs, formerly known as IAPT (Interactive Assessment and Psychotherapy) have seen their number of referrals increase every year since they were introduced in 2008. The NHS Long Term Plan has set the goal of expanding these services to 1.9 million people by 2023/2024.
Psychiatric drugs are a different component of treatment. They can help alleviate symptoms by altering the way the brain's chemicals work. They can be used to minimize the adverse effects of other treatments. Your doctor will prescribe the appropriate medication for you.
A variety of talk therapy options are available including group therapy and individual therapy. Some of these treatments are offered in person, while other can be performed online. Some patients prefer face to face treatment, but it's an individual choice. There are a variety of charities which offer classes and support groups, such as Mind. The site contains a wealth of information that is reliable but you should be aware of the fact that there are many false or misleading statements that are posted on the internet concerning mental health issues.
While the NHS is improving its mental health services but it's still struggling 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 group. They typically are located in a specific area however they can also be commissioned to offer national services.
A key issue is the insufficient resources to meet the growing demand. There are concerns over the quality of care and the shortage of nurses and psychiatrists. The NHS is trying to improve the quality of care by offering more training and introducing new methods of working. It also offers more efficient and safer methods to treat those who are in crisis. This includes mobile crisis teams, as well as safe space.
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Since the NHS was launched 70 years ago there have been a lot of positive changes for people with mental health issues. The treatment options have increased and social barriers have been taken down. But there is still more to do.
People who are suffering from mental health problems must be able to access the help they need quickly and easily. The NHS is working to improve its services to ensure that those in need are able to access them. We will ensure that no acute hospital is without a mental health liaison service in A&E departments and inpatient wards by 2020/21. 70% of these services will meet the 'core 24' standard by 2023/24. We will work towards 100% coverage thereafter.
We will also extend services for people who require them in the community, such as therapy for talking, which will give thousands of more people suffering from severe or common mental health conditions the assistance they require. We will continue to work on the national Improving Access to Psychological Therapies (IAPT) programme so that more people are treated by trained therapists more quickly.
The NHS offers free, confidential helplines to anyone who is struggling with mental health issues. These include the Samaritans, Mind and Rethink. These helplines are run by trained volunteers and provide the opportunity to talk with someone in a secure environment, or offer advice and information on how to tackle your mental health concerns.
There are also local organizations that can offer assistance and support to those who suffer from mental health issues. Self-help guides, coping techniques and activities can be included. Many of these organizations also provide support groups in person for those who prefer this option.
The University's Open Door Team offers a drop-in counseling service for students feeling down or stressed. Nightline is a student counseling service that offers private listening, support and information from experienced volunteers. Charities like Mind and Rethink are a excellent source of information. They can provide support in a variety of ways such as online and through 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 issues.
Referrals
Mental health services are under strain and GPs must make difficult choices regarding which specialist services they should refer their patients to. The doctor will take a patient's medical history into consideration and then refer them to a service they believe can assist. They may send a referral 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 satisfied with the referral, they will call the GP and explain why. They can also request the GP for more details or to change the referral.
The referral to a local Community Mental Health Team (CMHT) may be made via the NHS e-Referral Service (e-RS). The system permits GPs and other healthcare professionals to refer people to either a preliminary mental health clinical assessment or directly to an appointment with an outpatient. Not all CMHTs provide both options, and the system can't be used for all kinds of mental health referrals.
A GP might also decide to refer a person to an expert community mental health service (CMT). They are typically operated by a large local healthcare organization or hospital. CMTs are a great option for those who have to see a psychiatrist or psychologist, but do not require inpatient care. They can also provide an early intervention service in which psychiatrists work with a therapy therapist to assist a person overcome any crisis or improve the quality of their lives.
CMTs are faced with the task of making sure that all referrals are received within a reasonable time. Many referrals are considered urgent, even if they may not be. This can lead people who aren't in a crisis to be rushed and suffer delays.
To tackle this issue, some CMHTs have tried to establish more uniform standards for what constitutes a referral urgent. This is being achieved by using an established referral form that requires a referrer to determine if the case is urgent. The proforma includes a box for the referrer to check if they feel that the referral is urgent.