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Mental Health Services on the NHS The NHS has responded to the increase in mental health issues by providing services. This includes: The Long Term Plan reaffirmed its commitment to invest more in mental health services faster than overall NHS budget. This will include specialist work in suicide prevention. Getting help One in four of us will suffer from mental health issues at some moment in our lives. The good news is that there are many avenues to seek help, and many of us will improve over time. It is important to know what help is available and who can offer it. You can seek help from a variety places like your GP (primary medical doctor who treats patients), your local health center or a community mental health team. These teams comprise of occupational and nurse psychotherapists and speech therapists. They work with the people who use their services. You can receive individual or group therapy based on the type of help you need. Your doctor will typically request you to fill out a form to send you a referral to a local mental health team. They will also talk with you about what kind of assistance you require. You will then be seen by a member of a mental health team that could include a psychiatrist, social worker or psychologist. In some instances your evaluation and treatment will be conducted by a clinical nurse specialist. You can contact the NHS 111 helpline if you are in a crisis. If you're already supported by mental health services it's best to try and contact your usual team first, unless it's outside of normal hours, on a weekend or on a bank holiday. super fast reply for Mental Health detailed plans to establish multidisciplinary team of mental health professionals in the community which are connected to primary care networks. They will improve the quality of care that is delivered to people who are experiencing a mental health crisis and offer assistance in their homes and communities, rather than in hospital. The plan also aims to make crisis services accessible by reducing wait times and opening up 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 improve the way that those suffering from an illness of mental health are assisted in emergencies. Treatment options The NHS provides a variety of treatment options to treat mental health issues. GPs typically have the ability to treat milder conditions, but more severe conditions will require an expert team. These teams are located in both community and primary healthcare facilities and psychiatric hospitals. You can also seek help in a secure environment when you are in a crisis. Talking therapies for depression and anxiety are among the most popular types of treatment. Formerly known as IAPT the programs have seen the number of people who seek them increase every 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 medicines are also a vital component of treatment. They can improve symptoms by altering the way the brain's chemicals function. They can also help ease side effects of other treatments. Your doctor will suggest a medicine that is right for you. There are many different types of talking therapies, including group therapy and individual therapy. Some of them are offered in person, whereas others are available via a remote device. Some patients prefer face-to face treatment, but it's an individual choice. There are also a lot of charities that offer support groups and classes, such as Mind. Their website contains a wealth of reliable information, but you must be aware of the fact that there's lots of false or misleading information available on the internet regarding mental health issues. While the NHS is advancing its mental health services, it still struggles to keep up with demand. In the UK there are 54 mental trusts. They receive the majority of funding for their services from the clinical commissioning group. They are typically located in a specific region, but can be contracted to provide national services. The absence of resources is a major problem. There are concerns about the quality and shortage of nurses and psychiatrists. The NHS is trying to improve these services by providing more training and developing new ways of working. It also introduces more efficient and safer methods to help people in crisis, such as mobile crisis teams, as well as safe areas. Helping you Since the NHS was launched 70 years ago, there have been many positive developments for those suffering from mental health problems. Treatment options have gotten more diverse and social barriers are being taken down. But there is still more to be done. People who are suffering from a mental crisis need to receive 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 these services. We will ensure that no acute hospital is without a mental health liaison in A&E departments and wards for inpatients by 2020/21. We will also ensure that 70 percent of these services will be in line with the 'core 24' standard by 2023/24. We will work towards 100% coverage thereafter. We will also enhance community services, including talk therapy, to offer assistance to hundreds of thousands of individuals suffering from mental health problems, whether they are common or severe. We will continue to work on our national Improving Access to Psychological Therapies program (IAPT), so that more people suffering from mental health conditions can be seen more quickly by trained therapists. The NHS offers confidential, no-cost helplines to anyone struggling with mental health issues. These include the Samaritans and Mind and Rethink. These helplines are operated entirely by volunteers who provide a safe place to talk or offer advice and guidance on how to deal your mental health concerns. There are a variety of local organizations that provide help and advice to those with mental health issues. They can provide self-help guides, strategies for coping and activities to try. Many of these organisations offer face-toface support groups for those who prefer it. For students, there's the University's Open Door Team which offers a drop-in counselling service for those who are feeling low or stressed. Nightline is a student counselling service that offers confidential listening assistance, information and support from experienced volunteers. Charities like Mind and Rethink can provide a wealth of information and support both online and in local groups. They can provide a variety of courses and activities including mindfulness classes to art classes that are useful for people with 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 GP will take a patient's medical history into consideration and then refer them to a specialist they think can assist. They can send a referral to an NHS trust, or an independent provider. A mental health specialist will examine the referral to determine if it is appropriate or not. If the specialist isn't satisfied with the referral, they'll call the GP and explain the reasons. They could request the GP to alter the referral or request additional information. The referral to a local Community Mental Health Team (CMHT) can be made through the NHS e-Referral Service (e-RS). The system lets doctors and other healthcare professionals refer patients to either a preliminary assessment for mental health or directly to an appointment. However there are some exceptions. CMHTs provide both options, and the system can't be used for every kind of mental health referral. A doctor may also refer a patient to a mental health specialist in the community service (CMT). They are typically run by a large hospital or local healthcare organisation. CMTs are a great option for those who require to consult a psychologist or psychiatrist but do not require inpatient treatment. They can also provide an early intervention program where psychiatrists work with a therapist in order to help someone overcome an issue or improve the quality of their lives. One of the major challenges faced by CMTs CMT is to ensure that all referrals are made within the appropriate timeframe. One of the problems is that a large number of referrals are deemed urgent, even though they may not be. This can lead to delays and over-working for people who aren't in a crisis. To address this issue, a few CMHTs have tried to establish more uniform standards for what constitutes a referral urgent. This was accomplished by using a standardised form which asks the referrer if they believe the case is urgent. The proforma includes a box that the referrer can tick if they feel that the referral is urgent.