What Freud Can Teach Us About Mental Health Services NHS
What Freud Can Teach Us About Mental Health Services NHS
Blog Article
Mental Health Services on the NHS
There has been a massive rise in people seeking help for mental health issues and the NHS has responded by offering services. This includes:
The Long Term Plan has made a renewed commitment to grow the investment in mental health services more quickly than the NHS budget overall. This will include specialist suicide prevention work.
Get help
One of four people will be affected by mental illness at one point during their lives. The good news is that there are many different ways to seek help, and most people recover over time. It is important to know what assistance is available and who can offer it.
You can seek assistance from a variety places like your GP (primary medical doctor for primary care), your local health centre or a community mental health team. These teams are comprised of nurses, occupational and speech therapists, and psychotherapists. They collaborate with patients who require their services. Based on the type of assistance you require you could receive individual or group therapy.
You will be asked to fill out a form from your GP so they can refer you to a mental health team in the community. They will also ask you what you require in terms of support. Then, you will be viewed by a member of a mental health team, which may comprise a psychiatrist psychologist or social worker. In some cases the assessment and treatment will be performed by a specialist in clinical nursing. You can contact the NHS 111 helpline when you're in a crisis. If you are already receiving mental health support it is recommended to contact your primary team first, unless it is outside of hours, or on a weekend or a bank holiday.
The Five Year Forward View for Mental Health outlined plans to create more multidisciplinary, community-based, place-based mental health teams that have links to primary care networks. These teams will enhance the quality of mental health care delivered to people experiencing a crisis, and provide support to patients within their communities and at home rather than in hospitals.
The plan also aimed to help make crisis services more accessible by reducing wait times and opening more beds. It also proposes the introduction of mental health transport vehicles and ensure that every ambulance has an official who is a mental health liaison in their control rooms to ensure that those suffering from an illness of mental health are assisted in emergencies.
Treatment options
The NHS provides a variety of treatment options for mental health conditions. GPs typically have the ability to treat milder conditions, but more severe issues will require the assistance of a specialist team. These teams are spread across both community and primary mental health services and the 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 one of the main types of treatment. Previously referred to as IAPT the programs have seen referrals increase each 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 another important aspect of treatment. They can improve symptoms through changing the way chemicals work in your brain. They can also help alleviate the side effects of other treatments. Your doctor will suggest the best medication for you.
There are a variety of talk therapies, such as individual therapy and group therapy. Some of these can be delivered in person, but others can be done remotely. Some patients prefer face-to face treatment, but it is a matter of choice. Mind is one of many charities that offer support groups and classes. The site contains a wealth of information that is trustworthy however, be aware that there are a lot of false or misleading statements that are posted on the internet regarding mental health issues.
The NHS is advancing the mental health system, but it is struggling to meet demand. There are 54 mental health trusts across the UK, and most of are funded by clinical commissioning organizations to deliver their service. They typically are located in a specific region, but can be contracted to provide national services.
One of the main issues is the lack of resources to meet the growing demand. There are concerns about the quality and shortage of psychiatrists and nurses. The NHS is trying to improve the quality of care by providing more training and introducing new ways of working. It also introduces more efficient and safer methods to treat people in crisis, such as mobile crisis teams and secure spaces.
Supporting you
Since the NHS was launched 70 years ago there have been a lot of positive developments for those suffering from mental health issues. Treatment options have expanded and social barriers are breaking down. But there is still more to do.
People experiencing mental health problems need to be able to get the assistance they require quickly and easily. The NHS is working to improve its services to ensure that those in need receive assistance. By 2020/21 we will ensure that all acute hospitals have a mental-health liaison service, both in A&E and on inpatient wards and that 70% of them will meet the core 24 standard by 2023/24. We will then strive to achieve 100% coverage.
We will also increase services for people who need them in the community, including talking therapies, to give hundreds of thousands more people with common or severe mental health issues the help they require. We will continue to develop our national Improving Access here to Psychological Therapies programme (IAPT) to ensure that more people with mental health problems can be seen quicker by trained therapists.
The NHS offers free, confidential helplines to anyone suffering from mental health issues. Samaritans Mind and Rethink are some of the helplines that are available. These helplines are run by volunteers who offer a safe place to talk or offer advice and guidance on how to deal your mental health issues.
There are also local organisations that can provide assistance and support to those with mental health issues. Self-help guides, coping methods and other activities are all possible. Many of these organizations also provide support groups in person website for those who prefer this method.
The University's Open Door Team offers a drop-in counseling service for students struggling or stressed. Nightline is a student counseling service that provides confidential listening, support and information from knowledgeable volunteers. Charities such as Mind and Rethink are a excellent source of information. They can offer support in many forms, including online and through local groups. They also offer many courses and activities, from mindfulness to art groups that could be beneficial for those living with mental health problems.
Referrals
Mental health services are under strain and GPs have to make difficult choices about which specialist services to refer their patients to. The GP will consider the patient's medical background and refer them to services they believe will be able aid. They may refer a patient to an NHS trust or an independent provider.
A mental health specialist will then evaluate the referral and decide whether it's appropriate or not. If the specialist isn't happy with the referral they will contact the GP to discuss their decision and explain the reasons. They may also ask the GP for more details or to alter the referral.
Referrals to a local Community Mental Health Team (CMHT) may be made via the NHS e-Referral Service (e-RS). The system allows GPs as well as other healthcare professionals to refer patients to either a preliminary mental health assessment or directly to an outpatient appointment. Not all CMHTs offer both options, and the system cannot be used for all types of mental health referrals.
A GP may decide to refer a person to a specialist community mental health service (CMT). These are usually run either by an enormous hospital or a local health care organization. CMTs here are a great option for those who need to consult a psychologist or psychiatrist but don't require inpatient care. They also offer an early intervention service, where a psychiatrist works with a psychotherapist to help a patient overcome a crisis or increase their quality of life.
One of the biggest challenges faced by a CMT is how to ensure that all appropriate referrals are allocated within the appropriate timeframe. Many referrals are considered urgent, even though they might not be. This can lead people who aren't experiencing a crisis to be overwhelmed and suffer delays.
To tackle this issue, some CMHTs are trying to establish more consistent standards for what is an urgent referral. This has been achieved by using an established referral form that requires a click here referrer to decide if the situation is urgent. The form has a checkbox for the referrer to tick in the private mental health assessment event that they believe the referral is urgent.