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Mental Health Services on the NHS There has been a huge 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 investment in mental health services faster than the NHS budget overall. This will include specialist work in suicide prevention. Helping yourself One out of four of us will suffer from a mental health problem at some point in our lives. The good news is there are many ways to get help, and most of us will be able to recover over time. It's important to understand what help is available and who can offer it. You can seek help from a variety of sources such as your doctor (primary medical doctor who treats patients) as well as your local health centre or a community mental health team. These teams comprise of nurses, occupational and speech therapists, and psychotherapists. They work with patients who require their services. Based on the type of help you require, you may be offered individual or group therapy. Your GP will usually ask you to fill in the form to refer you to a community mental health team. They will also ask you to specify what kind of support you need. You will be seen by an individual from a mental team, such as psychiatrist, psychologist or social worker. In some cases, a clinical nurse specialist will conduct your assessment and treatment. You can contact the NHS 111 helpline for assistance if you're in crisis. If you are already receiving mental health services It is recommended to contact your regular team first, unless outside of hours, or on a weekend or a bank holiday. The Five Year Forward View for Mental Health detailed plans to establish multidisciplinary, community-based mental health teams that are linked to primary care networks. These teams will improve the quality of the care provided to those in crisis, and will provide assistance to them within their communities and at home instead of in hospitals. The plan also aims at making emergency services available by reducing wait times and opening up more beds. It also proposed to introduce mental health transport vehicles, and ensure that every ambulance has a mental health liaison nurse in their control rooms to improve the way people suffering from a mental health crisis are helped in times of crisis. Treatment options The NHS offers a range of treatment options for mental health conditions. GPs are usually able to treat milder illnesses, however more serious conditions will require an expert team. These teams work in primary and community mental healthcare services and psychiatric hospitals. You can also seek help in a secure environment should you be in a state of crisis. Talking treatments for anxiety and depression are among the main kinds of treatment. These programs, previously known as IAPT (Interactive Assessment and Psychotherapy), have seen their referral numbers increase every year since they were first introduced in 2008. The NHS Long Term Plan commits to expanding these services to ensure that 1.9 million people will be able to access them in 2023/2024. Psychiatric medicines are also a vital part of treatment. They can help alleviate symptoms by altering how the brain's chemicals work. They can also be used to reduce the side effects of other treatments. Your doctor will prescribe the right medication for you. A variety of talk therapy treatments are available, including group therapy and individual therapy. Some of these are delivered in person, while others can be delivered remotely. Some patients prefer to receive treatment in person, but this is a personal decision. Mind is one of the organizations that offer support groups and classes. read this has a lot of trustworthy information, but you must be aware of the fact that there's a lot of false or misleading information on the internet about mental health issues. While the NHS is advancing its mental health care, 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 groups. They typically are located in a particular region however, they can also be commissioned to provide national services. The shortage of resources is a major problem. There are concerns over the quality and shortage of psychiatrists and nurses. The NHS is working to improve these services by delivering more training and developing new ways of working. It also introduces safer and more effective ways to treat people in crisis, such as mobile crisis teams and safe places. Supporting you Since the NHS was established 70 years ago there are positive changes for those suffering from mental health issues. Treatment options have increased and social barriers are breaking down. But there is much more to be done. People who are experiencing mental health issues should get 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 assistance. In 2020/21, we will ensure that all acute hospitals have a mental health liaison service both in A&E as well as on wards for patients and that 70% of them will be in compliance with the core 24 standard by 2023/24. We will then strive to achieve 100 percent coverage. We will also expand community services, including talking therapy, in order to provide support for hundreds of thousands of individuals suffering from mental health conditions regardless of whether they are common or severe. We will continue to work on our national Improving Access to Psychological Therapies programme (IAPT) to ensure that more people with mental health conditions can be seen quicker by qualified therapists. The NHS provides free, confidential helplines for anyone struggling with mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are run by volunteers who provide a safe place to talk or give advice and information on how to deal your mental health concerns. Additionally, there are a number of local organizations that can offer support and guidance for people with mental health problems. Self-help guides, coping techniques and activities can be included. Many of these organisations also provide support groups in person for those who would prefer this type of support. For students, there is the University's Open Door Team which offers the opportunity to visit a counselling center for those feeling low or stressed. Nightline is a student counselling service that offers confidential listening assistance, information and support from knowledgeable volunteers. Charities like Mind and Rethink can provide a wealth of information and assistance, both online and in local groups. They can provide a variety of activities and courses ranging from mindfulness to art classes, which can be beneficial for those suffering from mental health issues. Making a referral With mental health services under pressure, GPs are having to make difficult decisions regarding the services they will refer patients to. The GP will take a patient's medical history into account and then refer them to a service they believe will be able to help. They can send a referral to an NHS trust or an independent provider. A mental health professional will then assess the referral and decide if it's appropriate or not. If the specialist isn't satisfied with the referral, they'll contact the GP to discuss their decision and provide why. They could also ask the GP to alter the referral or ask for more details. agree with this to refer patients to a local Community Mental Health Team can be made using the NHS e-Referral Service. The system allows doctors and other healthcare professionals to refer patients to either an initial clinical assessment for mental health or directly to an appointment. Not all CMHTs provide both options, and the system cannot be used for all kinds of mental health referrals. A GP may decide to refer a patient to a specialized community mental health service (CMT). They are typically run by a large hospital or local health care organization. CMTs are an excellent option for those who have to consult a psychologist or psychiatrist, but do not require inpatient care. They can also offer an early intervention program where psychiatrists work with a psychotherapist to assist someone in overcoming a crisis or improve the quality of their life. One of the challenges that a CMT is how to ensure that all appropriate referrals are allocated within the appropriate timeframe. Many referrals are considered urgent, even if they may not be. This can lead people who aren't experiencing a crisis to be overwhelmed and suffer delays. To combat this problem, some CMHTs have tried to establish more uniform guidelines for what constitutes an urgent referral. This was accomplished by using a standardised form that asks the referrer if the situation is urgent. The form has a checkbox for the referrer to check when they believe the referral is urgent.