What is a care plan?

What is a care plan?

The Trust believes collaboration is essential to recovery focused care planning, therefore service users and their carers or family members are as important in this process as the mental health team that supports them.

A care plan is a jointly agreed, written plan between you and your care co-ordinator or lead professional which outlines your assessed needs, any risks to yourself or others, personal goals and progress towards your recovery.

Your care plan should:

Your involvement in your care plan:

 Your family members, carers and supporters:

 Staff:

Leaflet reference: L830
Version: V3
Date last updated: 16 / 03 / 21
Archive date: 16 / 03 / 2024

The name of the service York and Selby IAPT (improving access to psychological therapies) long term conditions wellbeing service
The address of the service Huntington House
Jockey Lane
Huntington
YO32 9XW
The telephone number 01904 556840
The email address TEWV.IaptYorkSelby@nhs.net
The service opening hours 9am – 5pm
(some appointments are available outside these hours)

How can talking therapies help me?

Looking after your wellbeing whilst coping with a physical long-term condition can be really difficult.

People with physical long-term conditions can also suffer from stress and low mood, anxiety and depression. If you are feeling this way, you are not alone.

The service which you have been referred to is a place for you to join up the physical with the emotional symptoms for the benefit of both.

The service provides talking therapies for people managing a physical long-term condition and experiencing other difficulties, including:

The service supports people to:

Who will be providing the service?

The service is provided by the York and Selby IAPT long-term conditions wellbeing service.

You can find out more at yorkandselbyiapt.co.uk.

This is a new service and it may not be available in all practices.

How does it work?

If you feel you need more support, talk to any healthcare professional at your GP surgery. They can book you in for a Wellbeing Review. This could be at your surgery, by telephone, or video call.

The Wellbeing Review is a chance for us to hear how things are for you, and ask you some questions so we can figure out together the best next steps. You are welcome to bring a carer or family member for support should you wish. You don’t have to do it alone.

What happens next?

Options will be discussed at the end of the Wellbeing Review. The team will offer a level of IAPT support matched to how you are feeling.

If you have any further questions, we’ll be happy to answer them at the Wellbeing Review.

Leaflet reference: L1123
Version: V1
Date last updated: 23 / 02 / 2021
Archive date: 23 / 02 / 2024

You are being discharged from our inpatient ward, please find below the details of your 72 hour follow up appointment.

Ward name:

___________________________________________________________________

Your care co-ordinator / lead professional is:

___________________________________________________________________

You can contact them on:

___________________________________________________________________

Your 72 hour follow up is:

Date: ­­__________________________ Time: ______________________________

Your GP’s contact details are:

___________________________________________________________________

Contact details post discharge from our inpatient ward

Between 9am to 5pm, Monday to Friday:

You can contact your care co-ordinator / lead professional or the duty worker listed above.

At any other time:

Please contact your GP, or contact NHS 111, or contact our 24 hour freephone crisis helpline – 0800 0516171.

In an emergency:

Please contact 999.

Your targets:

We have discussed together some targets you want to achieve. These are:

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

Our website

Our website has information about mental health conditions, treatments and local and national organisations offering support at. www.tewv.nhs.uk

Medication

We will give you an agreed supply of medication. Please make an appointment with your GP to arrange a further prescription. Your GP’s number is listed above. Find out more about your medication at www.tewv.nhs.uk or speak to your GP.


Leaflet reference:
L1119
Version: V1
Date last updated: 12 / 01 / 2021
Archive date: 12 / 01 / 2024

This information will be discussed with you and explained by the professional responsible for your care.

What do we mean by trauma?

A response to a discreet or prolonged circumstance; which at some point is perceived by the person to be an uncontrollable serious threat to physical or psychological integrity and which overwhelms emotional resources or a capacity to function.

Something that happened to you that still haunts you today. And if it doesn’t still haunt you, it sure did for a long time

(Beth Filson, Lived Experience).

We are giving you this leaflet about trauma because we know that it is a major factor in many people’s mental health and wellbeing.

Examples could be:

How are these things relevant to mental health?

We know that people can experience intrusive images and thoughts, fear, shame, anger, nightmares and avoidance after a traumatic event. If this does not resolve then this can develop into post-traumatic stress disorder.

However there are many reactions to trauma, particularly if the trauma was when young or was ongoing. Hearing voices is particularly triggered by loss or trauma, even in those people not distressed by them. Other reactions can include depression, self-harm, alcohol and drug misuse, psychosis, relationship difficulties, dissociation, forensic issues, eating problems, suicidality etc.

People who are most distressed and disabled over long periods of their lives are usually those with an accumulation of traumas.

We do appreciate that some people have found their difficult life experiences made them stronger. For some people, what services call a ‘symptom’ may have been a way of surviving the trauma.

What has this got to do with my care?

We will aim to take your life experiences, including trauma, into account when planning your care.

We will co-ordinate the appropriate help and services to meet your needs. This may include a crisis team for out of hours support or psychological therapy.

We will aim to support you in your distress around the trauma related issues which are relevant to you currently.

Relationships are often the source of hurt in people’s lives but they can also be the source of healing. We recognise the importance of safe and trusting relationships for people who have experienced trauma and adversity.

What treatment could this involve?

Sources of further information about trauma

 

Leaflet reference: L729
Version: v6
Date last updated: 29 / 12 / 2020
Archive date: 29 / 12 / 2023
Ward/service

/team name

North Yorkshire and York
perinatal mental health service
Tees, Durham and Darlington
perinatal mental health service
Address Huntington House
Jockey Lane
York
YO32 9XW
Lancaster House
Falcon Court
Preston Farm
Stockton
TS18 3TS
Telephone 01904 556 724  01642 368303
Email tewv.northyorksperinatal@nhs.net  tewv.teesperinataladmin@nhs.net
Service opening hours 9am – 5pm Monday to Friday  9am – 5pm Monday to Friday
Lead contact name Kerry Webb Dr Laura Pocklington

Mindful hypnobirthing classes

We offer mindful hypnobirthing classes to provide techniques to mums and birthing partners to minimise the fear-tension-pain cycle, resulting in shorter and more comfortable births.

Three two-hour classes are provided, currently online (via Microsoft Teams) due to Covid-19 restrictions but as soon as is safe to do so, we will offer the classes face-to-face at local venues (venues to be confirmed).

What is hypnobirthing?

Hypnobirthing is a combination of education, mindfulness, deep relaxation and self-hypnosis which helps achieve a more comfortable birth. We aim to give mums and their birth partners the tools they need to minimise the fear-tension-pain cycle, resulting in shorter and more comfortable births.

Hypnobirthing is about your mind-set and your birth partner’s mind-set. We focus our teaching on how your thoughts, and your birth partner’s thoughts and actions, can affect your body during pregnancy and labour.

By including practical hypnobirthing and mindfulness techniques as well as enhanced understanding of birth, we teach you both what you need to know to feel more prepared and informed for the birth of your baby.

We keep the birth partner in mind during the sessions. Everyone in the birthing room has an important role to play. The techniques you learn will have you working together as a team; encourage you to be calm, stay focused or to ask the questions you need to with a deep-seated confidence.

When all of this in place, baby can be born into a gentle, loving environment, with both parents (or a birth partner) connected in the experience through the preparation they have done.

We feel it’s important that you have access to information and that you are given the opportunity to understand how important it is to take time out to relax and let go of the day’s stresses and strains. Through our classes, you can learn quickly about hypnobirthing benefits for baby. This aims to support you to create spaces within your life, during your pregnancy to quickly de-stress and connect to your baby in a positive way. The mindful hypnobirthing techniques you learn in the classes can be used in the workplace as well as in everyday life to relax and calm you, not just at the birth.

About the classes

Teachers

Our classes are taught by two experienced practitioners who work within our perinatal mental health service. Both practitioners have been specifically trained to deliver mindful hypnobirthing.

Confidentiality

Everyone in a class will be working with our perinatal mental health service. Conversations about sensitivity and confidentiality will be had with everyone attending, prior to workshop starting.

Small classes

We keep our mindful hypnobirthing classes small so you will rarely find that a class has over three to four individuals or three to four pairs. This helps us to hold a nurturing space where you can relax and feel comfortable. During hypnobirthing sessions, we want to encourage you to be able to ask questions freely and to process any thoughts you have, and it’s much easier to do that in smaller group.

Benefits of attending mindful hypnobirthing classes

Your birthing partner

It can be daunting to prepare for the birth as a partner; however many classes you take you may still not know what to expect or you might think you know what to expect based on TV or films, or what you’ve heard from friends.

The truth is, even a birthing partner’s preconceptions of birth can influence how a woman births; it can change the type of support and also the direction a birth takes. For a birth partner, understanding what your own fears and worries are, and why they can impact your partner’s labour, and learning what you can do about it, is some of the best preparation you can do.

This mindful hypnobirthing classes really benefit the birth partner, whether it’s your mother, a friend, partner, your husband or your wife. We strongly believe that when the birthing partner feels comfortable, know what to expect and how they can help during the birth it makes an immense difference to the mother and baby.

Importantly it gives the birthing partner a quiet confidence that is picked up on by the mother who feels supported and is able to let go and really go within and focus on the birth.

 

Leaflet reference: L1121
Version: V2
Date last updated: 05 / 01 / 2021
Archive date: 05 / 01 / 2024

 

Service name Mental health rehabilitation service
Address Willow Ward (inpatient)
West Park Hospital
Darlington
DL2 2TS
Primrose Lodge (inpatient)
Durham Road
Chester-le-Street
DH3 3JX
Primrose Lodge
(community)
Durham Road
Chester-le-Street
DH3 3JX
Telephone 01325 552089

01325 552087

 0191 3333711  0191 3870090
Service opening hours 24 hours, seven days a week  24 hours, seven
days a week
 8am – 6pm, seven days   a week
Lead contact name Gemma Readman  Darren Barker  Darren Barker

What is mental health rehabilitation?

A team approach to recover from mental ill health which maximises an individual’s quality of life and social inclusion by encouraging their skills, promoting independence and autonomy in order to give them hope for the future which leads to successful community living through appropriate support.

Why do we need adult mental health rehabilitation teams?

Some people with complex mental health needs will require specialist rehabilitation to optimise their functioning, reduce the need for future admissions and to work towards successful community living.

Our teams

Inpatient wards
Willow ward is a 15 bed mixed sex inpatient rehabilitation ward in West Park Hospital, Darlington. We care for people with severe and enduring mental health problems that require high level support. The maximum stay on this ward is two years.

Primrose Lodge is a 15 bed mixed sex inpatient rehabilitation ward in Chester-le-Street. The ward supports service users with complex mental health needs who cannot be discharged directly from hospital due to high level of need. The team works with people in their care to develop opportunities for future independence and step down into community living. The maximum stay on this ward is nine months.

Both inpatient wards offer a will work with you to recovery from mental ill health which maximises quality of life, social skills, independence, hope for the future and community living.

Community service
The community rehabilitation service at Primrose Lodge in Chester-le-Street supports people across County Durham and Darlington to achieve the highest level of independent living as possible. The average length of time that the service works with an individual is around 12 weeks. The team works with people who have complex needs who have been identified by their care team as having significantly reduced ability to function within their home and community.

What can you expected from the rehabilitation services?

Your team will design a rehabilitation programme following an assessment. Regular meetings will be held with you and your team to discuss your progress and establish goals. We welcome and value the input of your family and friends whilst planning and delivering your care.

Who works in the team?

The team is made up of psychiatric nurses, student nurses, a consultant psychiatrist, medics, psychologists, health care assistants, occupational therapists, physiotherapists, activity coordinators, physical health practitioners, pharmacy, volunteers, chaplaincy, administrative staff and housekeepers.

Other specialists and agencies can being involved in your care as required, such as community mental health teams, GPs, housing advisors, Citizens Advice Group, benefits advisers, patient advocacy and a gym instructor.

Who can refer me?

You can be referred from a community mental health team or your current inpatient ward.

What will happen when I am referred?

Your team will discuss your referral to the mental rehabilitation service with you and you will be offered an assessment.  The assessment will identify your need for rehabilitation services and goals for your recovery. If the assessment indicates a rehabilitation referral, a transition plan will be developed for you, this may include visits to the ward to meet the staff and familiarise yourself with the environment.

As part of the assessment process we may contact your family and / or carers and your community mental health team to get an idea of your needs. We would discuss this with you to ensure you are in agreement for this to happen.

How can the team help me?

If mental rehabilitation is beneficial to your recovery, we will work with you and your care team to arrange a transfer into one of the services. You will be allocated named professionals who will develop a recovery plan with you. This will include a personalised activity plan, therapeutic groups, one to one sessions and skill building exercises.

Will everything I say be kept confidential?

Everything you say, and the information about you will be kept confidential within your care 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.

What have patients said about our services?

“A special thank you for all you did…our family will be forever grateful”

Carer feedback

“We cannot thank you enough for the fantastic job you have done”

Carer feedback

“You might think you are alone, with guidance and strength you never walk along”

Service user feedback

 

Leaflet reference: L1120
Version: V1
Date last updated: 02 / 12 / 2020
Archive date: 01 / 12 / 2023

What is the perinatal mental health team?

The County Durham and Darlington 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.

 

Who we are

The team is made up of specialist community psychiatric nurses, psychiatrists, psychologists, occupational therapists, specialist community nursery nurses, support workers, team manager and administrative staff.

 

How we can help

We understand that it can be very challenging if a loved one experiences mental health difficulties, particularly during pregnancy and after having a new baby and this can be difficult for partners and families to deal with.

 

This is where our service can help, as well as us providing support to your partner or family member, we can also support you. We can refer you for a carers assessment, which will explore your individual needs and support you to get the help that you need.

 

If we decide that the perinatal service is the best service to support your partner or family member, they will be allocated to one of the clinicians within the team. The team will then work with your partner or family member to agree a care plan to help meet their individual needs and find solutions to support them on their road to recovery.

 

This can include:

 

We are happy for you to be involved in all of this, with you partners or family member’s permission. You can contact us at any time if you are concerned about your partner or family member and baby. Tel: 0191 451 0400 between 9am and 5pm.

 

Out of hours support

If you or your partner need help outside of the perinatal team’s normal working hours, you can contact the crisis team on 0800 0516 171.

 

Further support information

More information is available via the below websites:

 

Local

Durham County Carers Support – www.dccarers.org/county-durham.html

Darlington Carers Support – www.dccarers.org/darlington.html

Durham Carers Infopoint – www.durhamcarers.info/

 

National

Carers – www.carersuk.org/

CarersTrust – https://carers.org/

MIND – www.mind.org.uk

Association for postnatal illness – www.apni.org

Action on postpartum psychosis – www.app-network.org

Pandas Foundation – www.pandasfoundation.org.uk

The Royal College of Psychiatrists – www.rcpsych.ac.uk

DadPad – www.thedadpad.co.uk

 

Leaflet reference: L1112
Version: V1
Date last updated: 17 / Nov / 2020
Archive date: 17 / Nov / 2023
Service name  Individual placement and support (IPS)
Email tewv.ips@nhs.net
Mobile 07880 460509
Service opening hours 9am – 5.30pm, Monday to Friday
Lead contact name Mark Fryett

 

 What is Individual Placement Support (IPS)?

Our Individual Placement and Support (IPS) service supports adults who have severe mental health difficulties and who are receiving care from our community teams and who want to work, to move into paid employment.

IPS provides people with the right support to develop employability skills including looking at how to apply for jobs, how to create a CV, interview techniques and with work-related area including benefit calculations and budgeting.

The service also involves intensive, individual support, and rapid job search support followed by placement into paid employment followed up by unlimited in-work support for both the individual and their employer.

The IPS team

We have 15 employment advisors, three team leaders and one service lead spread across our Trust area.

The team has a wealth of experience of liaising with employers to help people experiencing mental health conditions or with other needs find suitable work opportunities.

The IPS team achieves twice the rate of job outcomes for people with severe mental illness versus traditional employment support.

People who find paid work through the IPS service have reduced relapse rates, spend fewer days in hospital, keep their jobs for longer and earn more per hour, versus traditional employment support*.

The National Institute for health and care excellence (NICE) recommends mental health services provide IPS to their patients.

For more information and to get support from our IPS service

If you receive care from one of our community mental health teams, and experience severe mental health difficulties, and want to find paid employment, contact our IPS team to find out more about the service. You can also refer yourself to the service.

Email the team on tewv.ips@nhs.net or contact your community mental health team.

*The EQOLISE project compared IPS with other vocational / rehabilitation services in six european countries, and concluded that: “IPS clients were twice as likely to gain employment (55% v. 28%) and worked for significantly longer. Individuals who gained employment had reduced hospitalisation.

 

Leaflet reference: L1116
Version: V1
Date last updated: 13 / 11 / 2020
Archive date: 12 / 11 / 2023

Contact us

Ward/service name

 

Mental health support team, adults, County Durham and Darlington
Address Auckland Park Hospital

Bishop Auckland

DL14 6AE

Telephone 0800 0516 171 (Option 1, then option 3)
Service opening hours 24 hours a day, seven days a week
Lead contact name Emma Burke, crisis service manager

 

About the service

We provide a listening, support and signposting service for adults living in County Durham and Darlington who are in mental or emotional distress.

We also support professionals working with individuals experiencing mental health difficulties.

The service is not suitable for those who require urgent crisis assessment.

What we do

Part of the Trust’s urgent care offering, our staff are on hand to talk to you about the things that are causing you problems; providing empathic, validating and non- judgemental support.

We can also signpost you to other services and organisations which may be able to help with the difficulties you are experiencing.

Who we are

The team includes qualified mental health clinicians and triage support workers.

Getting help in an emergency

In a mental health emergency, for example if you have experienced a sudden deterioration in your mental wellbeing and need a mental health assessment, please contact your current care team or local crisis service.

If you or someone else is at immediate risk of harm please call 999 or visit your nearest accident and emergency department.

More advice is available on our website www/tewv.nhs.uk/crisisadvice.

Useful contacts

If you are struggling with your mental wellbeing you may find the following resources helpful.

Man health

Man Health provides support to men experiencing mental health issues

Tel. 01388 320 023

Web. https://www.manhealth.org.uk

Samaritans

Samaritans provides emotional support to anyone in emotional distress, who is struggling to cope or who is at risk of suicide.

Tel. 116 123

Talking Changes

Talking changes is a self-help, counselling and talking therapies service for people in County Durham and Darlington who are experiencing difficulties including stress, anxiety or depression.

Tel. 0191 516 3500

Cruse Bereavement Care

Cruse offers face-to-face, group, telephone, email and website support to people after someone close to them has died.

Tel. 0808 8081677

Calmharm App

Calm Harm is an award- winning app designed to support young people resist the urge to self-harm by providing tasks that are based on the basic principles of Dialectical Behaviour Therapy (DBT).

https://www.nhs.uk/apps-library/calm-harm

 Leaflet reference: L1113

Version: V1

Date last updated: 06 / 10 / 2020

Archive date: 06 / 10 / 2023

Contact us

Ward/service/team name Teesside listening service
Telephone 0800 0516 171 option 3 then 3
Service opening hours 24 hours a day, seven days a week
Lead contact name Jane O’Neil

 

About us

The listening service in Teesside provides emotional support for local people in mental distress. .

The service is a space for you to talk about whatever is troubling you. Calls can be made anonymously and are not time limited.

 

Who we support

Anyone who lives in Teesside can call us. It doesn’t matter how old you are, or whether you receive trust services. The phone line is for everyone.

We also offer support to those who maybe struggling to care for someone with mental health needs.

 

Who we are

Your calls will be answered by trained mental health support workers in Teesside. If you need more immediate mental health care attention we will forward your call to a clinical nurse.

 

What we do

We will listen to what you say and offer empathic, validating and non-judgemental support.

If you would like us to, we can put you in contact with other local services who may be able to help you, for example organisations offering support with housing, finances or substance misuse.

 

Why we do it

We want to offer you an alternative to crisis services.

Often talking to someone is enough to help people feel better able to cope during periods of distress and further input is not needed.

We also want to help you address some of the underlying issues which may be impacting your wellbeing. Our knowledge of local services enables us to put you in contact with the right people to help you solve other problems you might be having in your life.

 

Helpful resources

The trust’s Recovery College Online have a wealth of information, resources and free online courses which can support your recovery. Visit https://www.recoverycollegeonline.co.uk/.

 

Leaflet reference: L1114
Version: V1
Date last updated: 30/09/2020
Archive date: 30/09/2023

 

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