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Mental Health Services on the NHS The NHS has responded to the rise in mental health issues by providing services. This includes: The Long Term Plan has made a renewed commitment to grow the amount of money spent on mental health services more quickly than the NHS budget in general. This includes special suicide prevention services. Helping yourself One of four people will suffer from a mental illness at some point during their lives. The good news is that there are a variety of ways to seek help, and most of us will improve with time. However, it is important to know what assistance is available, and who can provide it. You can get help from your doctor, your local health center or a mental health service in your community. These teams consist of occupational and nurse psychotherapists, as well as speech therapists. They work with the patients who require their services. Based on the kind of assistance you require, you may be offered individual or group therapy. Your doctor will typically request you to fill out an application form so that they can refer you to a community mental health team. They will also ask you what kind of support you need. You will be assessed by members of a mental team which includes psychiatrist, psychologist or social worker. In certain instances the clinical nurse specialist will carry out your assessment and treatment. If you are experiencing an emergency, you can call the NHS 111 helpline for urgent support. If you're already supported by mental health services it's a good idea call your usual team first, unless it's out of normal hours, on a weekend or a bank holiday. The Five Year Forward View for Mental Health detailed plans to establish multidisciplinary mental health teams in the community which are connected 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 within their communities and at home instead of in hospitals. The plan also aimed at help make crisis services more accessible by reducing waiting times and opening more beds. It would also introduce a mental transport vehicle and ensure that all ambulances are stocked with an individual who is a mental liaison nurse in the control room to ensure that people experiencing a mental crisis are assisted in emergency situations. Treatment options The NHS offers a variety of treatment options for mental health issues. Disorders that are less severe are usually treated by GPs, while more serious conditions require an expert team. These teams are spread across primary and community mental health services as well as mental health hospitals. There are also safe places where you can get help for those who are in crisis. Talking therapies for depression and anxiety are one of the main treatments. These programs, formerly known as IAPT (Interactive Assessment and Psychotherapy), have seen their referral numbers increase every year since they were introduced in 2008. The NHS Long Term Plan has committed to expanding these programs to 1.9 million people by 2023/2024. Psychiatric medicines are also a crucial component of treatment. They can alleviate symptoms by changing the way chemicals work in your brain. They can also be used to reduce the side effects of other treatments. Your doctor will prescribe the right medication for you. There are many kinds of talking therapies, including group therapy and individual therapy. Some of these are delivered in person, while others can be done via a remote device. Some patients prefer face to face treatment, but it's an individual choice. There are also a lot of charities which offer support groups and classes, such as Mind. The website contains a wealth of information that is trustworthy however, be aware 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 meet the demands. There are 54 mental health trusts in the UK and the majority of they receive funding from clinical commissioning groups to deliver their service. They typically are located in a specific area however, they are also able to be contracted to provide national services. The shortage of resources is a major issue. There are concerns about the quality of care and the shortage of psychiatrists and nurses. The NHS is working to improve the quality of care by providing more training and introducing new ways of working. It is also introducing more secure and efficient methods to help people in crisis including mobile crisis teams, as well as safe areas. Helping you Since the NHS launched 70 years ago, there have been many positive developments for people suffering from mental health issues. mental health assessments for adults have increased and social barriers have been taken down. But there is much more to be done. People experiencing a mental health crisis require the ability to get the help they require quickly and easily. That's why the NHS is putting in the effort to improve the services available to those who need them. We will ensure that every acute hospital is without the mental health liaison service in A&E departments and wards for patients by 2020/21. We will also ensure that 70% of these services will meet the “core 24” standard by 2023/24. We will work towards achieving 100% coverage afterward. We will also increase services for those who require them in the community, such as psychotherapy, in order to provide hundreds of thousands of patients with severe or common mental health issues the help they require. We will continue to develop our national Improving Access to Psychological Therapies program (IAPT), so that more people with mental health conditions can be seen quicker by qualified therapists. The NHS offers confidential, no-cost assistance to anyone suffering from mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are operated entirely by volunteers who offer the opportunity to talk in a secure environment or offer advice and guidance on how to deal your mental health issues. In addition to that, there are a lot of local organizations that provide assistance and support for people with mental health problems. These include self-help guides, coping strategies, and activities to try. Many of these organisations offer support groups that meet face-to-face to those who prefer it. The University's Open Door Team offers a drop-in counseling service for students who are feeling down or stressed. There is also the Nightline student counselling service, which provides confidential listening and support from knowledgeable volunteers, as well as information about other services. Charities such as Mind and Rethink can provide many sources of information and support both online and in local groups. They also offer various courses and activities, from mindfulness to art classes, which may be useful for those living with mental health problems. Referrals With mental health services under pressure, GPs are having to make difficult decisions regarding what specialist services they should refer patients to. The doctor will take the patient's medical history into account and then recommend them to a service they believe will be able to help. They may send a referral to an NHS trust or an independent provider. A mental health specialist will then assess the referral and decide if it's appropriate or not. If the specialist isn't happy with the referral, they'll call the GP and explain their reasons. They can also ask the GP to provide more information or to modify the referral. Referrals to the local Community Mental Health Team can be made via the NHS e-Referral Service. The system permits GPs and other healthcare professionals to refer people to either a preliminary mental health clinical assessment or directly to an outpatient appointment. Not all CMHTs offer both options and the system can't be used for all kinds of mental health referrals. A doctor may also refer a patient to a mental health specialist in the community service (CMT). They are usually managed by a large hospital or local healthcare organisation. CMTs are a good choice for those who have to visit a psychologist or psychiatrist but do not require inpatient care. They also offer an early intervention service, where a psychiatrist collaborates with the counselor to help someone overcome a crisis or increase their quality of life. One of the challenges faced by a CMT is how to ensure that all referrals are allocated within the appropriate timeframe. Many referrals are considered urgent even though they may not be. This can cause patients who aren't in crisis to be overworked and experience delays. To address this issue, certain CMHTs are working to establish more uniform standards for what constitutes an urgent referral. This was achieved through an established form that asks the referrer to indicate if the case is urgent. The proforma includes a box for the referrer to tick when they believe that the referral is urgent.