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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 offering services. This includes: The Long Term Plan reaffirmed its commitment to boost investment in mental healthcare services faster than the overall NHS budget. This will include specialist suicide prevention work. Get help One in four people will be affected by mental illness at one point during their lives. The good news is that there are many avenues to seek help, and many of us will be able to recover over time. However, it is important to know what assistance is available and who is able to provide it. You can seek assistance from your physician, your local health center or mental health team within your area. These teams consist of occupational and nurse psychotherapists, as well as speech therapists. They work with the patients who require their services. You may receive individual or group therapy depending on the kind of help you require. Your GP 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 speak to you about what kind of assistance you require. You will then be examined by a member of the mental health team, which could include a psychiatrist, social worker or psychologist. In certain instances a clinical nurse specialist will conduct your assessment and treatment. You can call the NHS 111 helpline when you're in an emergency. If you're already being supported by mental health services it's best to contact your regular team first, unless it's outside of the normal hours, a weekend or a bank holiday. The Five Year Forward View for Mental Health set out plans to establish more place-based, multidisciplinary community mental health teams with links to primary care networks. These teams will improve the quality of the mental health services delivered to people experiencing a crisis, and offer support to those in their own homes and communities instead of in hospitals. The plan also aimed at make crisis services more accessible by reducing waiting times and allowing more beds. It also proposed to introduce mental health transport vehicles, and ensure that all ambulances have an official who is a mental health liaison in their control rooms to improve the way people suffering from an illness of mental health are supported in emergency situations. Treatment options The NHS offers a variety of treatment options for people suffering from mental health problems. GPs are often able to treat minor illnesses, however more serious illnesses will require the assistance of a specialist team. These teams operate in primary and community mental healthcare services, as well psychiatric hospital. There are also safe spaces where you can seek assistance if you are feeling in crisis. Talking therapies are one of the most popular forms of treatment for anxiety and depression. Previously known as IAPT the programs have seen the number of people who seek them increase each year since their introduction in 2008. The NHS Long Term Plan commits to expanding these programs so that 1.9 million people will be able to use them in 2023/2024. Psychiatric drugs are a different aspect of treatment. They can help alleviate symptoms by altering the way the brain's chemicals work. They can be used to minimize the adverse effects of other treatments. Your doctor will prescribe the appropriate medication for you. A wide range of talking therapy options are available including group therapy and individual therapy. Some of these therapies are delivered in person, while others can be performed via remote access. Some patients prefer receiving treatment in person, but this is a personal decision. There are also a lot of charities which offer classes and support groups like Mind. Iam Psychiatry is full of reliable information, but you should be aware that there is lots of inaccurate or misleading information available on the internet regarding mental health issues. While the NHS is advancing its mental health care but it's still struggling to keep up with demand. In the UK, there are 54 mental trusts. They receive the majority of funding from the clinical commissioning group. They are usually located in a particular region however, they can also be commissioned to provide national services. The lack of resources is a major issue. There are concerns over the quality and availability of psychiatrists and nurses. The NHS is trying to improve these services by providing more training and introducing new methods of working. It also introduces more secure and efficient methods to help people in crisis including mobile crisis teams, as well as safe spaces. Supporting you Since the NHS was established 70 years ago there are positive changes for people suffering from mental health issues. Treatment options have gotten more diverse and social barriers are being broken down. But there's still a lot to be done. People who are suffering from mental illness need to receive the assistance they require quickly and easily. The NHS is working to improve its services so that people in need can get assistance. We will ensure that every acute hospital does not have the mental health liaison service in A&E departments and inpatient wards by 2020/21, and that 70 percent of these services will be in line with the 'core 24' standard by 2023/24. We will work towards achieving 100% coverage afterward. We will also expand community services, including talking therapy, to offer support for hundreds of thousands of individuals suffering from mental health conditions regardless of whether they are severe or common. We will continue to work on our national Improving Access to Psychological Therapies program (IAPT) to ensure that more people suffering from mental health issues can be seen quicker by qualified therapists. The NHS offers confidential, no-cost assistance to anyone suffering from mental health issues. They include the Samaritans, Mind and Rethink. These helplines are operated by trained volunteers and provide the opportunity to talk with someone in a secure environment or provide advice and information on how to manage your mental health issues. Additionally to that, there are a lot of local organisations which can offer support and guidance for those with mental health issues. Self-help guides, coping techniques and activities can be included. Many of these organizations offer face-toface support groups to those who would prefer it. The University's Open Door Team offers a drop-in counseling service for students feeling down or stressed. Nightline is a student counseling service that provides confidential listening, support and information from experienced volunteers. Charities like Mind and Rethink are a great source of information. They can provide support in various forms, including online and through local groups. They can provide a variety of courses and activities including mindfulness classes 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 which specialist services they can refer patients to. The doctor will take a patient's medical history into account and then refer them to a specialist they believe will be able to help. They can send a referral either to an NHS trust or an independent provider. A mental health specialist will then review the referral and decide whether it's appropriate or not. If the specialist doesn't like the referral, they will contact the GP and explain their reasons. They may also request the GP for more information or to alter the referral. The ability to refer patients to a local Community Mental Health Team can be made using the NHS e-Referral Service. The system lets doctors and other healthcare professionals send patients to either an initial clinical assessment for mental health or directly to an appointment. However not all CMHTs offer both options and the system isn't able to be used for every type of mental health referral. A GP may also refer a patient to a mental health specialist in the community service (CMT). They are typically operated by a large local health organization or a hospital. CMTs can be a good option for those who want to see an experienced psychiatrist or psychologist but do not require inpatient treatment. They can also provide an early intervention service, where a psychiatrist works with the counselor to help someone overcome a problem or improve their quality of life. CMTs have the responsibility of making sure that all referrals are made within a reasonable amount of time. Many referrals are considered urgent, even if they may not be. This can cause people who aren't in crisis to be overwhelmed and suffer delays. To combat this problem, a few CMHTs have tried to establish more uniform standards for what constitutes a referral urgent. This has been achieved through the use of a standardised referral proforma that requires a referrer to decide if the situation is urgent. The form includes a box for the referrer to check if they feel the referral is urgent.