Research

TEWV research and development
Flatts Lane Centre
Flatts Lane
Middlesbrough
TS6 0SZ

Tel: 01642 283501
Email: TEWV.ResearchandDevelopment@nhs.net

 

What is research?

Research is:

 

Why is research important?

 

Who is involved in research?

Anyone can be involved in research. We particularly encourage service users and carers to get involved.

Research can be carried out by healthcare professionals or researchers working in a University, or other health and social care organisations.

 

If I choose to participate, what is involved?

All research is voluntary. You have the right to withdraw at any time without reason.

All research is confidential, as it is with your care.

You will be given an information sheet about the research study. This will give in depth information about what is involved and you will have the opportunity to ask questions and discuss further with a member of the research team if you wish.

You will usually sign a consent form if you decide to take part in the study. This can be done with a researcher present in a clinic or in your own home.

 

Types of research

There are many types of research you could be involved in:

 

 “The research interviewer made us feel very comfortable throughout the process.”

Anonymous, patient research experience survey

 

“People should know that they can drop out of a study at any time. I would encourage everyone to consider taking part in research. A clinical trial might benefit you and if it doesn’t it could benefit someone else. If you get involved in wider research, like me, it keeps the brain going.”

Sue, patient and public involvement and engagement member

 

How can I get involved in research?

You can ask a member of your care team on how to get involved or contact the research team using the details provided at the top of this leaflet.

If you’d like to get involved or have an informal discussion about what is involved please contact TEWV.ResearchandDevelopment@nhs.net or call 01642 283501.

You can also follow what we do on Twitter @TEWVResearch

 

Leaflet reference: L1062
Version: V1
Date last updated: 24 July 2019
Archive date: 24 July 2022

Was this information useful? Please let us know by clicking here.

 

“There’s nowt wrong with me Doctor”

The pressures of rural life can impact your mental health. With levels of depression in the farming industry increasing and suicide rates in agricultural workers among the highest in any occupational group, it’s important that you look out for signs of mental ill health in yourself and others.

Who is at risk?

Mental health problems can affect anyone, with one in four people experiencing mental ill health each year in the UK. The remote nature of rural communities can leave people feeling cut off and lonely, increasing vulnerability to low mood, rumination and paranoid thinking.

Although farm life enables parents, children and extended family members to work side by side for a common goal, too much togetherness and not enough privacy can lead to tension and relationship difficulties.

‘Control of the farm’ issues can sometimes lead to serious problems including, feeling like you lack control, family conflicts, communication breakdowns, verbal and physical abuse and marital difficulties – all of which contribute to stress levels.

Increased stress levels in dangerous working environments such as farms can pose a real threat to your personal safety and increase the likelihood of farming accidents.

 

Am I stressed?

Stress is a key contributor to mental health problems.

The symptoms of stress differ from person to person but a good clue that you are stressed is if you have difficulty being flexible or adapting to changing circumstances. Planning, scheduling and multi-tasking can all become overwhelming and lead to feelings of being frozen or stuck; unable to cope with anything else – as if your brain has ‘seized up’. Other indicators may include:

 

What about my physical health

There may also be physical signs that you or someone you are close to are feeling stressed:

 

What can I do?

Making small improvements to your overall wellbeing can help. This could include:

 

What if I need more help?

Visit your GP

Your family doctor will be able to talk to you about the problems you are experiencing and can offer advice about things that might be helpful. This could include different therapies or medications.

Family support

Those closest to you are often the most likely to spot the early warning signs that you are feeling stressed. Family members are often able to help you to manage your stress before problems build up to unmanageable levels or start to impact the wider family. Sharing your problems with someone close to you can make the world of difference.

Mental health services

Mental health services have changed dramatically over the years with the majority of care and treatment now taking place in the community; often on-line or via the telephone. Most mental health services are accessed via referral from your GP.

You can also self-refer to talking therapies services provided by TEWV.

Self-help
Local book stores and libraries stock a range of self-help material that you may find useful. TEWV also host the ‘Recovery College Online’ where you can access a range of free online courses to help you manage your mental health.

 

Who else is here to help?

There are a number of organisations who can offer practical support during difficult times…

The Farming Community Network

Supports farmers and families with a variety of issues, including financial difficulties, animal disease, mental health and family disputes.

Tel. 03000 111 999
Email. www.fcn.org.uk

 

Federation of Young Farmers

Young farmers give young people the opportunity to meet lifelong friends, learn new skills and make a real difference to the local community.

 Tel. 01423 865 870 (Yorkshire) / 01377 256637 (East Riding)
Email. office@yfyfc.org.uk (Yorkshire) / office@eryfc.org (East Riding)

 

The Yorkshire Agricultural Society

Farming network providing advice, support and opportunities for those within the agricultural industry.

Tel.01423 54 10 00
www.yas.co.uk/farming

 

The Royal Agricultural Benevolent Institution

Offering financial support to farming people in hardship.

Tel. 0808 281 9490
www.rabi.org

 

Gamekeepers Welfare Trust

Supports gamekeepers and their dependants, past and present.

Tel. 01677 470180 / 0300 1233088.

 

The Addington Fund

Helping to provide housing for those leaving the industry.

Tel. 01926 620135
www.addingtonfund.org.uk

 

Perennial Helpline

The charity supporting people in horticulture.

Tel. 0800 093 8543
www.perennial.org.uk

 

Agrespect

The rural lesbian, gay, bisexual, trans plus (LGBTQ+) network.

www.agrespect.com

 

The following helplines have specially trained volunteers who will speak to you and offer mental health support:

 

The Samaritans

(24 hours a day, 365 days a year)
Tel. 116 123 

Mind

(Monday – Friday, 9am-5pm)
Tel. 0845 766 0163

SANEline

Tel. 0300 304 7000

Rethink

Tel. 0845 456 0455 / 0207 840 3188

Careline

Tel. 0845 122 8622

 

What to do in a mental health crisis…

If you no longer feel able to cope or in control of your situation you may be in mental health crisis. Advice on what to do is available here.

If you, or someone you know, are in immediate danger of serious harm go to your nearest accident and emergency department or call 999 for an ambulance immediately.

 

 

Leaflet reference: L1065
Version: V1
Date last updated: 19/06/2019
Archive date: 18/06/2022

 

 

 

 

Was this information useful? Please let us know by clicking here.

Ideal House

Allensway

Thornaby

Stockton on Tees

TS17 9HA

Tel. 01642 527556 (EIP team) /  01642 527556 (psychosis team)

Monday to Friday 9am-5pm

 

What is a peer support worker?

Peer support workers are people with lived experience of mental ill health. Our expertise isn’t based on things we’ve been taught from books or university; it comes from our own personal experiences.

 

What is the aim of peer support?

Sometimes it helps to know that you’re not alone and someone else has been through something similar.

We believe that nobody is more recovered or knowledgeable than the next person and hope to develop an equal and mutual relationship that will support your recovery.

 

What we do

We will meet with you to discuss the things that matter to you. This might be things:

Because we have first-hand experience of a mental health problem, we can understand many of the difficulties you may be facing and can share things that we have both found helpful.

Above all we are a friendly ear and aim to support you through your recovery journey.

Peer support workers provide one to one and group support.

 

Where do we work?

We mainly work from Ideal House. Following the initial appointment, and as we begin to feel more comfortable together, we can meet in a number of places. This may be a local coffee shop or park. We will agree this with you.

 

Sharing information about you

We try to adopt a “nothing about us, without us philosophy”. This means, if you’re not there, or haven’t given us permission, we won’t discuss you.

As with any member of NHS staff, we need to record when we have met for an appointment but, we will always work with you to co-produce notes from our meetings. If something is discussed that you don’t want including in your notes, we will not put this in.

However, sometimes you may share information that we are obligated to report, for example if there is a concern about safeguarding or duty of care. You can read more about this in patient and carer information L854 Common sense confidentiality

 

 

 

 

Leaflet reference: L1061
Version: V1
Date last updated: 17/06/2019
Archive date: 16/06/2022

 

 

Was this information useful? Please let us know by clicking here.

EMDR is recommended by NICE as an effective individual treatment for PTSD or as an adjunct to other recommended therapies and it has also been found to have really positive results for people who have:

Why has EMDR been suggested?

Our brains store memories in a similar way to how a librarian stores books.  They are catalogued and filed away in an appropriate place.

Some events, like an accident, disaster, violence or abuse, are so overwhelming that our memories are not stored properly; they remain unprocessed and are not filed away.  This means that they are easily accessible and more things can trigger the traumatic memory, causing it to ‘replay’.  This means that individuals keep reliving the distress the have experienced.

The mind can often process daily emotional experiences and heal itself naturally during sleep, particularly during rapid eye movement (REM) sleep. Where a traumatic experience or event occurs this natural healing process may not always take place. EMDR offers a therapeutic way of dealing with feelings and emotions that we have held on to.

People who have completed EMDR often describe the memory/problem as less painful or intense.

How it works

You will have a thorough assessment to explore your individual needs before working with your therapist to build up some coping skills. You will then be asked to focus your attention on your memory or presenting problem. Whilst focussing on the problem the therapist will begin to apply what is known as ‘bilateral stimulation’ which means they will use a method such as following a therapist’s finger with your eyes, alternate sounds or tapping sensations, which is used to enhance memory processing.

What will I need to do?

There are a number of steps involved with EMDR therapy, but put simply, it can be divided into three main phases.

The preparation phase

Your therapist will assist you in developing a range of techniques aimed at stabilising your emotions and prepare you for the next phase of the therapy which is known as processing. This phase can be brief or can last for several weeks it depends on the level of preparation required and the complexity of the problem.

Memory assessment

You will be asked to

The processing phase

You will be asked to think of the image and the belief, while at the same time doing bilateral stimulation. You will be expected to “go with” whatever comes up.

People can often find this part quite strange as processing can occur in the mind or body, so people engaging in this part of EMDR are required to simply report whatever they notice, there is no right or wrong with your responses.

The therapist will guide you through this phase and the main focus will be on allowing whatever ‘comes up to come up’, whilst also keeping your attention on the memory or problem and in the present moment and to reach a point where the memory causes less distress. This can happen in one session, or may take several sessions.

Processing can often continue in between sessions and it may be wise to keep a diary of any insights, or dreams of thoughts/events that occur that you think may be associated with the work you are doing in session.

The therapist will review this at the beginning of every session to assess the progress made; this helps them to monitor progress and changes.

Further information

If you would like any further information or have any concerns about this therapy please browse the website for the EMDR association as detailed below; alternatively please speak with your care co-ordinator/therapist or team.

https://emdrassociation.org.uk

 

Was this information useful? Please let us know by clicking here.

 

What is recovery through activity

Recovery through activity promotes discussion and the practise of lifestyle choices that can better meet participants’ occupational and health needs.

 

Benefits

Participation in the recovery through activity group will:

 

Examples of some of the ways in which the activities you may experience within the group could contribute to your recovery

Sharing…cooking and eating together, developing skills and leading a healthier lifestyle!

 

Discovery…creating identity, building friendships and socialising with others!

 

Opportunity… improving fitness, valuing activity, and increasing mobility!

 

Purpose… learning new skills and exploring opportunities!

  

Meaning…sharing ideas, expressing yourself and discovering identity!  

 

Who can take part in the group?

Any service user who is currently accessing relevant services, following assessment of their needs and abilities in relation to occupation and activity by an occupational therapist

 

How do I find out more or enrol in the group?

If you’re interested, please discuss with your care coordinator/lead professional or speak to a member of occupational therapy staff.

 

Quotes from service users involved in the co-production of this group

“Through group intervention we feel a sense of togetherness and belonging by doing activities and sharing ideas.” 

“By trying activities and overcoming barriers we feel a greater sense of personal self-worth, confidence, knowledge and have learnt new skills.”  

“By working as a group, we were able to try out different social environments and feel safe and secure whilst exploring individual meaning and purpose.”  

“Through the use of hands, as they are energized by mind and will, can influence the state of our own health.” 

A quote from Mary Reilly, one of the pioneers of occupational therapy, which highlights that by “doing” what we need to, have, and love to do, we can improve our lives. 

 

Leaflet reference: L1036
Version: V1
Date last updated: 24 / April / 2019
Archive date: 24 / April / 2022

 

What is the DDT partnership?

The Durham, Darlington and Teesside NHS mental health and learning disability partnership is about working together to improve outcomes for people living with mental health and learning disability needs.

It brings together your local mental health and learning disability trust (Tees, Esk and Wear Valleys NHS Foundation Trust), clinical commissioning groups, local authorities and healthcare service providers from across the Durham, Darlington and Teesside areas.

This is helping to provide high quality care for service users, so people receive the support they need in the right way.

The partnership will make sure:

 

Who is it for?

The DDT partnership is for service users in the Durham, Darlington and Teesside area, who receive funding to access mental health and learning disability services.  This includes children and young people, adults and older people.

Your care package and the healthcare service providers who support you will be managed and monitored within the DDT partnership.

 

What does this mean for me?

We want to work with you to make sure you enjoy the best possible quality of life. You will be involved in the process of managing your own care package and support, and we won’t make any decisions without discussing them with you.

We will work with you and your carer to consider:

We will talk to you about what you need for each of these areas, and make sure the best arrangements are in place to support you. As part of this, we will ask you about your long term goals, and consider the steps which need to be in place to help you work towards them.

We will also check to make sure you are safe. If you or anyone else has any concerns about the quality of your care or anything else, we will talk to you about this and see if there is anything extra that you need.

We will review your care package regularly (usually every six months) to make sure it remains the right package for you.

 

Will I work with the same healthcare providers?

 Healthcare service providers will continue to deliver the same services on behalf of the partnership, as long as they continue to deliver the best possible quality standards.

This means you will continue to receive support from the same organisations, unless it is agreed that a change would be better for you.

 

 

Leaflet reference: L1041
Version: V1
Date last updated: 01/03/2019
Archive date: 28/02/2022

 

 

Was this information useful? Please let us know by clicking here.

Huntington House

Jockey Lane

Huntington

York

YO32 9XW

 

Telephone: 01904 556 724

Email: tewv.northyorksperinatal@nhs.net

 

What is the perinatal mental health team?

The perinatal community mental health team provides a community service to support women who are experiencing mental health difficulties during pregnancy or in the first year after they have had their baby.

Why do we need a perinatal mental health team?

Mental illnesses affect more than one in ten women during pregnancy and the first year after childbirth.1

During pregnancy and after birth, women can be affected by a range of mental health problems including anxiety disorders, depression and postnatal psychotic disorders.

Some women are at increased risk of experiencing mental illness in the perinatal period, particularly those who have suffered from a severe perinatal mental illness such as postpartum psychosis, severed depression and those with bipolar disorder. 2

 

Who works in the team?

The team is made up of specialist community psychiatric nurses, a consultant psychiatrist a psychologist, an occupational therapist and a specialist nursery nurse as well as our team medical secretary.

 

Who does the team see?

The team supports women living in North Yorkshire and York who are either pregnant or up to one year post-natal and who have been suffering with significant mental health difficulties, that requires specialist support from mental health services.

 

Who can refer me?

You can be referred by your GP, health visitor, midwife or another professional who works with you.

 

What will happen when I am referred?

You will be contacted by a member of the team to arrange a convenient appointment for your assessment. If we are unable to reach you by telephone we may send you an appointment by post. If you do not feel you need this appointment it would be helpful to let us know. Your initial appointment can last up to an hour and is an opportunity for you to discuss your current difficulties. You are welcome to bring a friend, family member or other professional to this appointment if you would find this helpful.

 

How can the team help me?

If we decide that the perinatal service is the best service to support you, you will be allocated to one of the clinicians within the team. They will then work with you to agree a care plan to help meet your individual needs and find solutions to support you on your road to recovery.

 

Will everything I say be kept confidential?

Everything you say, and the information about you will be kept confidential within the perinatal team. The only instance in which we would need to break your confidentially is if it was felt there was a risk to yourself or others, but we would speak to you about this.

Can my family and friends who care for me get help?

If you have an identified carer, we are able to offer them a carer’s assessment.

 

Out of hours support

If you need help outside of the perinatal team’s normal working hours, you can contact the crisis team in your area on the numbers below:

Harrogate: 01423 553778

Northallerton: 01609 763702

Scarborough: 01723 384645

York: 01904 526582

 

References

  1. Prevention in Mind. All Babies Count: Spotlight on Perinatal Mental Health. Sally Hogg, NSPCC 2013
  2. Antenatal and postnatal mental health: clinical management and service guidance (December 2014) NICE guideline 192. National Institute for Clinical Excellence.

 

Leaflet reference: L1038
Version: V1
Date last updated: 07 / February / 2019
Archive date: 07 / February / 2022

The Trust has perinatal services in:

County Durham and Darlington

Teesside

North Yorkshire and York 

Please click on the above links for information about each service.

 

Craglea,
Lanchester Road Hospital,
Lanchester Road,
Durham
DH1 5RD

Tel: 0191 451 0400

What is the perinatal mental health team?

The perinatal community mental health team provides a community service to support women who are experiencing mental health difficulties during pregnancy or in the first year after they have had their baby.

Why do we need a perinatal mental health team?

Mental illnesses affect more than one in ten women during pregnancy and the first year after childbirth. 1

During pregnancy and after birth, women can be affected by a range of mental health problems including anxiety disorders, depression and postnatal psychotic disorders.

Some women are at increased risk of experiencing mental illness in the perinatal period, particularly those who have suffered from a severe perinatal mental illness such as post-partum psychosis, severe depression and those with bipolar disorder.

Who works in the team?

The team is made up of specialist community psychiatric nurses, a consultant psychiatrist, a psychologist, an occupational therapist, a specialist nursery nurse, a peer support worker and administrative staff.

Who does the team see?

The team supports women living in County Durham and Darlington who are either pregnant or up to one year post-natal and who have been suffering with significant mental health difficulties, that requires specialist support from mental health services.

Who can refer me?

You can be referred by your GP, health visitor, midwife or another professional who works with you.

What will happen when I am referred?

You will be contacted by a member of the team to arrange a convenient appointment for your assessment. If we are unable to reach you by telephone we may send you an appointment by post. If you do not feel you need this appointment it would be helpful to let us know.

Your initial appointment can last up to an hour and is an opportunity for you to discuss your current difficulties. You are welcome to bring a friend, family member or other professional to this appointment if you would find this helpful.

How can the team help me?

If we decide that the perinatal service is the best service to support you, you will be allocated to one of the clinicians within the team. They will then work with you to agree a care plan to help meet your individual needs and find solutions to support you on your road to recovery.

Will everything I say be kept confidential?

Everything you say, and the information you provide will be kept confidential within the perinatal team. The only instance in which we would need to break your confidentiality is if it was felt there was a risk to yourself or others, but we would speak to you about this.

Can my family and friends who care for me get help?

If you have an identified carer, we are able to offer them a carer’s assessment.

Out of hours support

If you need help outside of the perinatal team’s normal working hours, you can self-present at the crisis assessment suite at Lanchester Road Hospital, Durham at any time. You can also contact the crisis team on the numbers below:

References

  1. Prevention in Mind. All Babies Count:Spotlight on Perinatal Mental Health. Sally Hogg, NSPCC 2013
  2. Antenatal and post-natal mental health: clinical management and service guidance (December 2014) Nice guideline 192. National Institute for Clinical Excellence

 

Leaflet reference: L1035
Version: V3
Date last updated: 08 / Feb / 2019
Archive date: 08 / Feb / 2022

 

 

 

 

Contact information

If you have any queries about using text messages to communicate please contact your care team.

 

Introduction 

We are committed to providing high quality services. Part of this is making sure we communicate with you in the best way to meet your needs and manage risks. Often this is by telephone or in person.

Verbal communications help us to find out what is happening, assess your level of distress and provide appropriate support.

Text conversations can lack the depth of information we need to respond safely.

Messages that are sent out of office hours may not be responded to in a safe or timely manner. Frequent texts that staff are unable to respond to due to other clinical commitments can also leave you feeling neglected and our staff overwhelmed.

We have developed the following guidance on using text messages based upon work we have done with service users and their experiences.

 

Guidelines

We will discuss any difficulties you may have engaging with services with you.

Please make sure your care team has your mobile telephone number accurately recorded.

We will not assume that because you have given us your mobile phone number that you are consenting to receive text messages.

We will ask your specific consent to use text messages to communicate with you. You can give or withdraw your consent at any time.

 

If you have given consent…

Staff members will text from their work mobile telephone to:

 

Staff members won’t text to:

 

Communicating with us…

Do text:

If you do not receive a response to a text message, please contact your care team via telephone on the number provided at the start of this information.

Don’t text:

 

Changing numbers

If your mobile phone number changes please let your worker know so that they can update the records held by the team.

If your worker changes their mobile number they will let you know their new details.

 

Your care record

We will record whether you have consented to receive text messages on your clinical record.

All text communication will be transcribed onto your care record including:

Once the information has been transcribed the message will be deleted from the worker’s mobile phone.

 

 

Leaflet reference: L1032
Version: V1
Date last updated: 29/01/2019
Archive date: 28/01/2022

 

 

Was this information useful? Please let us know by clicking here.

© Copyright 2019 Tees Esk and Wear Valleys NHS Foundation Trust Lovingly crafted by Mixd