Peer support workers, adult and older people’s services

What is a peer support worker?

Peer support workers are people with lived experience of mental health challenges. Our expertise isn’t based on things we’ve been taught from books or university; it comes from our own personal experiences. You can choose whether you would like to work with us.

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. Together we can learn from our past experiences and look at how we can do things differently

What we do

Peer support workers provide one to one and group support.

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.

We work to the Trust’s co-produced peer support values which are:

We would be happy to talk with you about what these mean or you can find out more on our website:

Where do we work?

We are happy to try to do things differently and will agree with you where our meetings will take place. This will be at a location that works for both of us. This could be in a clinic, your home or somewhere more public like a café or park.

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: V2
Date last updated: 14/07/2020
Archive date: 14/07/2023


What is a speech and language therapist?

Speech and language therapists (SLTs) are allied health professionals (AHPs) who provide diagnosis, treatment, support and care for children and adults who have difficulties with communication, or with eating, drinking and swallowing.

Using specialist skills, SLTs work directly with clients and their carers and provide them with tailored support. They also work closely with other professionals in health, education and social care to develop individual treatment programmes.


SLTs work with people who have speech, language and communication difficulties.

Communication difficulties can happen to anybody at any time of their life and might include difficulties with: speech, fluency, voice, understanding language, expressing yourself and social communication.

SLTs might work with clients to help develop their communication skills, to look at other ways to communicate or to help carers to create environments that promote communication.

Eating, drinking and swallowing

Dysphagia is used to describe difficulty with swallowing caused by neurological or structural damage which interferes with the movement of food or fluid from the mouth to the stomach. SLTs are involved in the assessment, diagnosis and monitoring of eating, drinking and swallowing problems.

We provide recommendations regarding appropriate food and drink textures and education and advice to clients and carers.

We work closely with other health professional such as dieticians, physiotherapists and occupational therapists to support people to eat and drink safely and maximise independence and enjoyment at mealtimes.

Speech and language therapy at Tees, Esk and Wear Valleys NHS Foundation Trust

The Trust’s speech and language therapy team includes registered therapists, therapy assistants and associate practitioners who work across Teesside, North Yorkshire, York and Selby, County Durham and Darlington.

SLTs currently work in the following clinical areas:

SLTs are also involved in clinical research, Trust policy and pathway development, teaching and training. They also provide clinical placements and supervision for student speech and language therapists from local universities.

Making a referral to speech and language therapy

Anybody can make a referral to speech and language therapy.

You can contact a speech and language therapist yourself or you can ask someone to contact the speech and language therapist for you.

Your care co-ordinator, GP, carer or other professional may ask a speech and language therapist to come and see you.

Where do we work?

SLTs see people in a variety of settings including:

More information

For more information about speech and language therapy go to the:

Easy read version of this leaflet

An easy read version of this leaflet is available: L999E Speech and language therapy.

Leaflet reference: L1000
Version: V1
Date last updated: 30 / 04 / 2018
Archive date: 30 / 04 / 2021

Contact information

Please find contact information for the integrated community mental health team’s below:

Ward/service/team name Integrated community mental health team (West)
Address Colburn Medical Centre
Easton Way
Catterick Garrison
North Yorkshire
Telephone 01748 907030
Service opening hours Monday – Friday, 9am – 5pm


Ward/service/team name Integrated community mental health team (East)
Address Gibraltar House
Thurston Road
North Yorkshire
Telephone 01609 751850
Service opening hours Monday – Friday, 9am – 5pm


Lead contact name Joanne Fawcett


About us

Integrated community mental health teams provide personalised mental health assessment and treatment to adults living in Hambleton and Richmondshire.

We do our best to provide assessment and treatment as close to your home as possible. To do this we have two teams working from different bases, one in Hambleton (East) and one in Richmondshire (West). The team you will work with will depend on which GP you are registered with.

The teams are made up of different professionals who will work together to meet your needs. These include:

We also work alongside other services including the local authority and the voluntary sector.


What we offer

We offer a range of brief interventions to help with mild to moderate mental health problems. More intensive interventions and treatment are available for more complex conditions.

Interventions may be delivered one-to-one or as part of a group.


Getting help

You can get help from the team via referral from your GP. Once these are received we will identify if support from the team is appropriate.

If we think you could benefit from our involvement we will offer you an assessment appointment. We will contact you by phone or in writing.

If involvement from the team is inappropriate, we will sign post you to a service better able to meet your needs.

What to expect

Your first appointment will take place at a community base , GP practice or via video call and will take about an hour. You will meet with a member of the team who will ask you about the difficulties you are experiencing, your current needs, coping strategies and personal strengths.

You may find it helpful to bring a family member or friend to this appointment.

If you have any additional needs, for example if you have mobility issues, please let us know before the appointment so we can make reasonable adjustments.

Following this assessment we will work with you to identify your needs.

If your needs would be better met by a different service we will signpost you to the relevant team for support, making any necessary referrals.

If there are interventions the team can provide to help improve your mental wellbeing, we will work with you to develop a care plan.

Together we will agree how often we will meet, where this will be and the timeframe for these interventions.


Help in a crisis

Sometimes you may need support between appointments. If your mental or emotional state gets worse quickly this may be described as a mental health emergency or crisis.

Everyone experiences a crisis differently, but you may feel like you’re unable to cope or experience thoughts of self-harm or suicide.

The crisis resolution home treatment team works alongside the integrated community mental health teams to provide assessments and support for people in crisis situations.

You can contact the team using the details below:

Ward/service/team name Crisis resolution home treatment team
Freephone 0800 0516 171
Service opening hours 24 hours a day, seven days a week

The team also accepts referrals from GPs, other health and social care professionals and A&E departments.

You can find out more about the support our crisis services provide on our website:

Information on what to do in a mental health emergency is also available:

Supporting your network

We recognise the importance of working effectively alongside those who support you. Although we will not share information about you without you consent we will give those who are important to you the opportunity to share their views and where possible will answer any questions they may have. We will also provide them with general information about conditions and offer emotional and practical support. We will also signpost identified carers to the carers resource centre who will be able to advise on the support available to them Tel. 01609 780872.


Leaflet reference: L1080
Version: V2
Date last updated: 03/08/2020
Archive date: 03/08/2023


Harrogate integrated community team

Valley Gardens Resource Centre

Windsor House

Cornwall Road

Harrogate, HG1 2PW

Tel: 01423 852000 (9am to 5pm, Monday to Friday)

About the service

The Harrogate integrated community team is base at Winsor House in Harrogate. Covering Harrogate, Wetherby and surrounding villages, it provides community mental health services for people aged over 18, who are registered with a local general practitioner (GP) and who have mental health issues; ranging from mild to moderate emotional difficulties to severe or enduring mental illness, including dual diagnosis. The service can also offer support and advice to individual family members or carers.

The aim of the service is to:

A care coordinator or lead professional will work with individuals to offer support and to help them access psychological and/or medical treatment in order to optimise their recovery. This may involve seeing more than one member of the team.

The team

The Harrogate integrated community team consists of:

How to access the service

Referrals to the service mainly come from GPs, however, referrals can come from a variety of sources including inpatient units, and other community services.

What is dual diagnosis?

People who misuse alcohol or drugs are at an increased risk of developing mental health problems. Similarly, mental health problems that go untreated can make substance abuse problems worse.

If you experience severe mental health difficulties and have an alcohol or drug dependency you may be given a ‘dual diagnosis’. This means that we recognise there are two significant factors impacting your wellbeing and day to day functioning.

Your local community mental health team will work with you to provide support that will help you to live the sort of life you want to lead.


Your first appointment

At your first appointment you will meet with your care coordinator (the person responsible for overseeing your care). They will give you a patient pack and will work with you to develop a personalised care plan. This plan will cover:

We will also ask you to sign a contract agreeing to attend appointments and manage your personal substance use to make sure you can engage and participate throughout your care.

Your recovery…

It is important not to stop using drugs or alcohol immediately. You may develop withdrawl complications that can have serious health implications. Your recovery co-ordinator will offer advice and support on how to safely manage reducing your intake.

Things that can help…

Support from others

Family, friends and carers can play an important role in supporting you with your recovery. Inviting them to meetings or appointments might be helpful as they may be able to share different insights or can ask questions on your behalf. It may also be helpful for us to work in partnership with other services offering you support.

If your family member or the person you care for uses drugs you may feel worried, frustrated and alone. It’s important to recognise this and get the support you need to help them in their recovery. Contact details for some organisations offering support are listed further down this information.

Developing other interests

Engaging in meaningful activity is a key part of recovery. Keeping involved with, or developing new interests that are not alcohol or drug focused can help you to build an identity outside your diagnosis and connect with others.

Getting the right prescribed medication

Taking prescribed medication will stabilise your mental health and will support your long term recovery. It is important to take medication as prescribed and consult a medical professional or your care coordinator if there are any issues or side effects. Alcohol and drug use may reduce the effectiveness of your prescribed medication and may increase the risk of overdose.

Further information:

Darlington Recovery Wellbeing Service (NECA)
Darlington Recovery and Wellbeing Service offers a range of structured interventions to those seeking help for alcohol and drug misuse including, needle exchange, advice and information, psychosocial interventions, a prescribing service, structured group activities, peer mentoring, mutual aid services and harm reduction. The service also offer support for family and carers.
Tel. 01325 267230
Address. 158-166 John Dobbin Rd, Northgate, Darlington, DL1 1QU.

Humankind – (County Durham, Drug and Alcohol Services)
Open to clients at any stage of recovery offering structured group work (breakfast club, mutual aid/SMART groups, community support etc.) There are three recovery centres across County Durham:

Tel. 03000266666

Darlington Mind is a registered local charity that provides professional, confidential support and recovery services for people experiencing emotional or mental health problems and their careers.
Tel. 01325283169

Alcoholics Anonymous (AA) and Alcoholism
If you are having trouble with your drinking or your drinking worries you, Alcoholics Anonymous and the AA programme may be helpful. AA is concerned with your personal recovery from alcohol addiction and your continued sobriety.
Free phone: 0800 9177 650

Narcotics Anonymous
A fellowship or society of men and women with drug problems who wish to stop using. Recovering addicts meet regularly to help each other stay clean. This is a program of complete abstinence from all drugs.
Tel. 0300 9991212

Cocaine Anonymous
A fellowship of individuals who wish to stop using cocaine and other mind-altering substances and who wish to share their experience, strength and hope to help others beat their addiction.
Tel. 0800 6120225

Healthwatch Darlington
Healthwatch can help you and your family get the best out of health and social care services. They can provide you with information about the local services available to you , helping you to make the right choices.
Tel. 01325 380145 (Monday – Friday, 9am – 4.30pm)
Address. Jubilee House, 1 Chancery Lane, Darlington, DL1 5QP.

The ‘Talk to Frank’ service provides information about drugs and advice for drug users, parents and carers.
Tel.0300 123 66 00


Support for families

Families Anonymous
Families anonymous run local support groups for family and friends of people with drug problems.
Tel. 0845 1200 660

DrugFAM offers phone and email support to people affected by other people’s drug or alcohol misuse.
Tel. 0300 888 3853

Adfam has local groups for families affected by drugs and alcohol. It also has a range of information for the families of drug users.
Find a support group near you visit




Leaflet reference: L1088
Version: V1
Date last updated: 04/05/2020
Archive date: 03/05/2023


Temporary closure of adult learning disability respite and day services

We are committed to protecting the health of the people we serve.  To help stop the spread of coronavirus (COVID-19) we have taken the sensible precaution to temporarily close adult learning disability respite and day services. We are working with our partners to deliver alternative support during this challenging period and have contacted those who are affected. If you have any queries about your care or that of someone you support, please contact the service managers;, or ring 01642 283752 between the hours of 09:00 and 17:30 any day of the week. 


Kilton View is a day service in Brotton that offers day care for adults with severe learning disabilities.

Contact information

You can contact the York outreach recovery team (YORT) using the details below:

Address Huntington House

Jockey Lane


YO32 9XW

Telephone 01904 465101
Service opening hours 9am – 5pm
Lead contact name Sophie Varma, Team Manager


About us

We are part of York adult community mental health services. We work with individuals to support their mental health recovery and help them gain skills to live as independently as possible. The team provide support to those who struggle to maintain helpful links with other services and who may benefit from a more flexible approach.

We also work with people who are in hospital rehabilitation placements following the breakdown of their community living arrangements. These placements are usually outside the York area.

We do everything we can to support people in their own home/community setting before a hospital admission away from locality is considered.


What we do

Together we will work with you to develop a care plan. This may focus on:


How we do it

We understand that your needs may change and contact with the team can increase or decrease depending on the level of support you might need or want. Together we will decide with you how often we meet and where.

Your core team will work alongside other agencies to help make sure your needs are met. For example if you have a social care package we will work with your social care assessor or if you would like to improve your physical health we can refer you to a physical health advisor.

You and those who work most closely with you will review your progress. This will be done at least every six months at a Care Programme Approach (CPA) meeting. Your carers or family members are welcome to attend if you would like them to. We will review the work we have done together and the progress that has been made. We will also set goals for the next six months with you.

At least once a year you will be offered a review with a Psychiatrist. This is flexible and you can request an outpatient appointment at any time.

If you are currently in a hospital placement we will attend review meetings regularly and make sure the focus of the work in hospital is meeting your needs and that the admission is for the shortest time possible. The team will support discharge planning and work to identify a local placement. We will also offer you support while you are transitioning back to living in the community.


Meet the team

Lots of different professionals work in the team so we can meet the different needs of those in our care. These include:

You may not work with all of the team members.


Help for relatives, carers, friends and supporters

We will provide support and advice to those who are important to you. We encourage their involvement but will respect your confidentiality. Information will not be shared with relatives, carers and friends if you do not want it to be. However, we will still be in contact with them to offer carer support. This will not involve any of your information being shared if you do not give your consent.


What people who’ve used our service have said…

Most of the time people tell us their experience has been positive. They have told us we are efficient and respectful and that they have found our flexible support helpful in managing their difficulties. People have also reported increased confidence and that they have been able to explore new activities within the community.


Useful contacts

York and Selby crisis team
Providing out of hours urgent mental health intervention
Freephone. 0800 0516 171

Tel. 01904 655888

The Haven
(Out of hours mental health support)
Tel. 01904 553850

Tel. 01904 643364

City of York Council
Tel. 01904 551550

Citizens Advice Bureau
Tel. 03444 111 444

NHS non-emergency
Tel. 111

Police non-emergency
Tel. 101


Leaflet reference: L1079
Version: V3
Date last updated: 03/08/2020
Archive date: 03/08/2023



Group analytic psychotherapy is provided by our psychoanalytic psychotherapies service.


Locality Teesside
Address Wessex House

Falcon Court

Stockton on Tees

TS18 3TS

Telephone 01642 368582


Locality Durham
Address Lanchester Road Hospital

Lanchester Road



Telephone 0191 441 5750


What is group analytic psychotherapy?

Group analytic psychotherapy is a type of therapy which aims to help you make deep and lasting changes.


About the group

Analytic psychotherapy groups provide a nurturing environment where people can recover from traumatic life experiences.

Groups are facilitated by a group therapist and have up to eight members who meet once or twice per week for 90 minutes.

These groups are usually open: This means they are ongoing and members join or leave at different times.

Members usually attend the group for up to approximately two years and we ask people to make a long term commitment to the group. If there is a need, we can sometimes offer shorter term groups.


What happens at the group?

The relationships in the psychotherapeutic group are exceptionally close and confidential.

Together we will explore issues that are personal to group members, building an environment of trust.  Your personal journey in the group will at times bring difficult feelings to the surface.  The group will help you work through this together but it might not always feel easy.

Your developing relationships within the group will help you to see yourself through the eyes of others. They will help you to understand patterns of behaviour that may have caused you difficulties in the past and that may hinder your current relationships or block growth.

You will also participate in the therapy of other group members, providing valuable insight and support.


Things to consider

It is important that you attend the group regularly. Missing sessions impacts your progress and that of others in the group.

Members are asked not to meet outside the group as personal relationships can impact therapy and make the group space feel less safe for others and therefore less effective.


Leaving the group

We will work with you to plan and agree your departure from the group. This usually happens over three months. This is because relationships within the group are central to its effectiveness and leaving suddenly could have a negative impact on your recovery and the recovery of others.

Sometimes a group member needs to leave the group due to unexpected circumstances. Where this happens we ask that members give at least one month’s notice so we can address any issues ending therapy has for you and the rest of the group.




Leaflet reference: L1068
Version: V1
Date last updated: 30/01/2020
Archive date: 29/01/2023


Electro-convulsive therapy, also known as ECT may be prescribed for a variety of psychiatric illnesses. It is used to achieve rapid and short-term improvement for the severe symptoms of your illness after a trial of other treatment options have proven ineffective and when the condition is considered to be potentially life threatening.

National information is now available via the Royal College of Psychologists in relation to electro- convulsive therapy. It can be viewed here.  It should be read with the anaesthesia for ECT Trust information leaflet (L374).


About cognitive behavioural therapy

Cognitive behavioural therapy (CBT) is a talking therapy that can help people who experience mental health difficulties. National guidelines recommend that CBT should be offered to people with:

Research shows it may also be helpful with other difficulties like:

CBT is based on the theory that your thoughts, feelings, actions and bodily sensations are all connected. The idea is that if you have a problem in one area, it can impact another.

By looking at how these influence each other and trying out different strategies to understand and change what you think and do, you can improve your wellbeing.


CBT starts by focusing on the here and now. However it can be helpful to look at your past. Exploring things that have happened to you can help you to understand why you think, feel and behave in certain ways.

CBT is not about ‘thinking positively’ or learning that your thinking is wrong. Your therapist will not be ‘analysing you’ behind the scenes. They will not tell you to think or feel differently, although this may happen as a result of the new information you learn during therapy.


What to expect

Sometimes CBT is delivered as part of a group but it is usually delivered in person, on a one-to-one basis. Sessions usually last for an hour and take place weekly or fortnightly. The exact schedule will be worked out between you and your therapist. The number of sessions you will be offered varies.

Therapy usually happens in a community setting where you feel safe and comfortable. Sometimes in the course of therapy you and your therapist may go outside to try some things out but only if you feel okay with this.


Your first session

At your first session your therapist will give you an opportunity to ask questions. This will help you decide if CBT would be helpful to you at this time.

Your therapist will help you to work out what you want to achieve during therapy. This will set the plan for the work you will do together. Together, you will develop a shared understanding of the problem you want to change and some ideas about what might be keeping it going.

CBT is an active therapy and helps you to discover and test coping strategies that may work for you. You can do this with your therapist during sessions and on your own at other times.


How can I get CBT?

If you are receiving treatment from a TEWV service then you can ask your care co-ordinator or lead professional about how to access CBT. Getting CBT will not affect other care you receive. If you are not currently involved with TEWV services then please ask your GP.


Where can I find more information?

You can find more information about CBT online at

The Department of Health also have a useful guide about talking therapies for mental health difficulties called ‘Choosing Talking Therapies’.



Leaflet reference: L951
Version: V2
Date last updated: 08/11/2019
Archive date: 07/11/2022


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