Middlesbrough Community Mental Health Team

Woodside Resource Centre

Cavendish Road



Tel number: 01642 368930

About the service

The Middlesbrough community mental health team provides mental health assessments for older people living in the Middlesbrough locality who have memory problems or who have other mental health problems (eg anxiety, depression etc).

The service has a memory clinic that assesses and diagnoses people with dementia. They provide ongoing support to the patient and their carer's, prescribe medication if appropriate and monitor their mental health.

The team accepts people who are predominantly aged 65 and over. However if the patient is younger but it is felt that the service is best placed to meet their needs, the team will assess them.

Treatment and therapies offered

The service promotes the recovery model with its patients and offers some sessional group work, if appropriate, to support this. This promotes independence, building on strengths and assets of the individual within their preferred setting.

Group sessions for memory rehabilitation may be offered. For example, the cognitive stimulation therapy group, which is a series of sessions that assist in the maintenance of cognitive functioning for patients who have a diagnosis of dementia.

The service also offers individual therapies with the patient, and support and assistance for relatives and carers.

Examples of the treatments and therapies that may be offered include:

  • Cognitive stimulation therapy groups
  • A step to recovery group
  • Occupational therapy assessments
  • Social care assessments, which may result in the introduction of personal budgets to provide care for the patient to best meet their needs
  • Medical assessment and medication in co-operation with the GP.

The team

The Middlesbrough community mental health team includes:

  • Team manager
  • Social workers
  • Advance nurse practitioner
  • Community psychiatric nurses
  • Staff nurses
  • Occupational therapists
  • Community support workers
  • Consultant psychiatrists
  • Psychologist
  • Young onset dementia specialist
  • Medical secretaries
  • Administrative staff.

How to access the service

Referrals are taken from GP services and liaison teams at the general hospitals within the catchment area.

The team can encourage and give advice if someone rings with a worry about a relative or themselves and can provide support in liaising with the appropriate GP.

What can patients expect?

The patient referral is allocated to a worker at a daily meeting. If this is an urgent referral the duty worker for that day will make contact, visiting the patient that day if required.

At the first appointment a full history will be taken and questions asked around the referral details. Family member/carers are included, where available.

The clinician assessing the patient will provide information and leaflets if appropriate, and give a plan of action, which will include if any further tests may be necessary.

This verbal plan of action is then discussed further and referred, if necessary, by the clinician to other team members, such as a consultant psychiatrist if medication needs to be prescribed or a diagnosis made. A social worker may be allocated if a package of care is identified as a need.

All patients will receive a written individual care plan. A care plan will also be sent to the referring GP who will be kept updated with any change in treatment.

The patient's treatment and care will be regularly reviewed and if appropriate, discharge from the service will be facilitated. Otherwise ongoing follow up will be planned on an individual basis.

The community mental health team also has access to an intensive community liaison service.