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Mental Health Services on the NHS The NHS has responded to the rising number of mental health problems by offering services. This includes: The Long Term Plan reaffirmed its commitment to increase investment in mental health services more quickly than overall NHS budget. This will include special suicide prevention services. Need help? One out of four of us will experience mental health issues at some moment in our lives. The good news is there are many ways to get help, and many of us will recover with time. However, it is important to know what help is available and who can provide it. You can seek help from a variety places, including your GP (primary medical doctor for primary care) or your local health center or a community mental health team. These teams are made up of occupational therapists, nurses, psychotherapists and speech and language therapists who work with the people who utilize the service. Depending on the type of help you require you could receive individual or group therapy. You will be asked to fill out a form by your doctor so that they can refer you to a mental health professional in the community. They will also talk to you about what kind of help you need. You will be seen by a member of a mental team which includes a psychologist, psychiatrist or social worker. In some cases, a clinical nurse specialist will perform your assessment and treatment. If you're experiencing an emergency, you can contact the NHS 111 helpline for immediate support. If you are already receiving support for your mental health, it is best 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 detailed plans to establish multidisciplinary mental health teams in the community that are linked to primary care networks. These teams will improve the quality of mental health care that is provided to those who are in a crisis, and will provide assistance to those within their communities and at home rather than in hospitals. The plan also aimed at provide crisis services to more people by reducing waiting times and allowing more beds. It also proposed to introduce mental health transport vehicles, and ensure that every ambulance has an official who is a mental health liaison in their control rooms to improve the way people suffering from a mental health crisis are supported in emergency situations. Treatment options The NHS offers a variety of treatment options to treat mental health problems. GPs typically have the ability to treat less severe conditions, but more severe issues will require an expert team. These teams work in community and primary healthcare facilities as well as psychiatric hospitals. There are also safe spaces where you can get help for those who are in a state of crisis. Talking therapies are among the most common types of treatment for depression and anxiety. Previously known as IAPT These programs have seen the number of people who seek them increase each year since they were introduced in 2008. The NHS Long Term Plan commits to expanding these services to ensure that 1.9 million people can access them by 2023/2024. Psychiatric medications are another crucial aspect of treatment. They can improve symptoms through altering the way that chemicals function in your brain. They can also be used to alleviate the side effects of other treatments. Your doctor will prescribe the best medication for you. A wide variety of talking therapy options are available which include group therapy as well as individual therapy. Some of them are offered in person, whereas others can be done online. Some patients prefer to receive treatment in person, but that is a personal decision. There are also a lot of charities which offer support groups and classes, such as Mind. The site is full of information that is trustworthy but you should be aware that there are numerous false or misleading statements on the internet concerning mental health issues. While the NHS is advancing its mental health care however, it is still struggling to meet the demands. In the UK, there are 54 mental trusts. The majority of them receive funding from the clinical commissioning groups. They usually are located in a particular region, but they can be contracted to provide national services. A key issue is the insufficient resources to meet rising demand. There are concerns about the quality and availability of nurses and psychiatrists. The NHS is striving to improve its services by introducing new ways of work and delivering more training. It also introduces more efficient and safer methods to treat people in crisis, such as mobile crisis teams and secure areas. Supporting you Since the NHS was first introduced 70 years ago there have been positive developments for those with mental health issues. The treatment options have gotten better and social barriers have been taken down. However, there is still much to be done. Patients who are experiencing mental health issues must be able to access the help they need quickly and easily. That's why the NHS is putting in the effort to improve the quality of services for those who require these services. We will ensure that every acute hospital does not have a mental health liaison in A&E departments and inpatient wards by 2020/21. 70% of these services will meet the 'core 24' standard by 2023/24. Then we will work towards 100% coverage thereafter. We will also extend services for people who require them in the community, including therapy for talking, which will give hundreds of thousands of people suffering from 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 problems can be seen more quickly by therapists who are qualified. The NHS offers free, confidential helplines to anyone who is struggling with a mental health issue. These include the Samaritans, Mind and Rethink. These helplines are run by volunteers who offer the opportunity to talk in a secure environment or provide advice and information about how to handle your mental health issues. In how to get mental health assessment to that, there are a lot of local organizations that provide assistance and support for those suffering from mental health issues. Self-help guides, coping techniques and other activities are all possible. Many of these organizations provide support groups in person to those who would prefer it. For students, there is the University's Open Door Team which offers an opportunity to consult with a counsellor at any time for those feeling depressed or stressed. There is also the Nightline student counselling service which offers confidential listening and support from experienced volunteers, or details on other services. Charities such as Mind and Rethink are a excellent source of information and can provide support in various forms, including online and through local groups. They also offer many classes and activities, ranging from mindfulness to art classes that could be beneficial for people suffering from mental health issues. Referrals With mental health services under pressure, doctors are forced to make difficult decisions about what specialist services they should refer patients to. The doctor will take into consideration the patient's medical background and refer them to services they believe will be able to assist. They can send a referral either to an NHS trust, or to an independent provider. A mental health professional will then assess the referral and decide whether it's appropriate or not. If the specialist doesn't like the referral, they'll call the GP and explain the reasons. They may also request the GP for more details or to alter the referral. The ability to refer patients to the local Community Mental Health Team can be made using the NHS e-Referral Service. The system allows GPs and other healthcare professionals to refer patients to either a mental health clinical assessment service or directly to an outpatient appointment. Not all CMHTs offer both options, and the system is not able to be used for all types of mental health referrals. A GP can also refer patients to a mental health specialist in the community service (CMT). These are usually operated by a large local healthcare organisation or a hospital. CMTs are an excellent option for those who require to see a psychiatrist or psychologist, but do not require inpatient treatment. They can also offer an early intervention service where psychiatrists work with a therapist in order to assist a person overcome any crisis or improve the quality of their lives. One of the challenges that a CMT is ensuring that all suitable referrals are assigned within the proper time frame. One of the challenges is that many referrals are deemed as 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, some CMHTs have tried to establish more uniform standards for what constitutes a referral urgent. This was achieved by using a standardised form which asks the referrer if the situation is urgent. The form has a checkbox that the referrer is able to tick to indicate if the request is urgent.