You can contact the York outreach recovery team (YORT) using the details below:
|Service opening hours||Hospital out of area service:
Monday-Friday, 9am – 5pm
Monday to Friday, 8am – 6:30pm
Weekends and bank holidays, 9am – 5pm
|Lead contact name||Rebecca West, Team Manager|
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.
Together we will work with you to develop a care plan. This may focus on:
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.
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.
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.
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.
York and Selby crisis team
Providing out of hours urgent mental health intervention
Tel. 01904 526582
Tel. 01904 655888
(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
|Date last updated:||26/02/2020|
Group analytic psychotherapy is provided by our psychoanalytic psychotherapies service.
Stockton on Tees
|Address||Lanchester Road Hospital
|Telephone||0191 441 5750|
Group analytic psychotherapy is a type of therapy which aims to help you make deep and lasting changes.
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.
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.
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.
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.
|Date last updated:||30/01/2020|
If appropriate this infromation will be discussed with you, your carers or advocates before you begin ECT treatment. It should be read with the anaesthesia for ECT Trust information leaflet (L374).
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.
Your doctor may recommend you be given ECT treatment if you have responded well in the past to this treatment.
Other treatment options include medication, talking therapies and psychological treatments.
ECT is a carefully controlled electric current passed briefly through the brain, via electrodes applied to the head. This current produces a seizure, which affects the whole brain (bilateral) or just one side (unilateral), including the centres which control thinking, mood, appetite and sleep.
Repeated treatments can alter chemical messages in the brain and bring them back to normal. This may help you recover from your illness.
Your doctor (or another doctor nominated to act on their behalf) will explain the procedure and the following to you:
Improvement of depression and various psychiatric illnesses.
ECT is one of the safest procedures performed under general anaesthesia: the risk of death or serious injury with ECT is slight about 1in 50,000 (reference; Susan M Benbow and Jonathan Waite, R C Psych ECT Handbook 3rd Edn  , Ch 7, p 71-72 )
Your doctor may ask another doctor for advice if there are concerns about your physical health prior to starting a course of treatment.
Memory loss following ECT is common. Memory impairment can be associated with severe depression/psychiatric illness and can be marked even when patients have not had ECT. Short-term memory loss around the course of ECT and the few weeks afterwards is very common (60-70% of patients (reference; Semkovska M and McLoughlin D M . Biological Psychiatry 68, 568 – 577. In ECT handbook 3rd Edn . Past memories can also be affected.
Once you have received the above information and have had time to ask any questions, obtain further information and discuss the proposed treatment with your family, carers or advocate you will be asked to sign a consent form.
You can withdraw your consent at any time and will be asked before each treatment if you want to continue.
Please see the separate Trust leaflet on anaesthesia for electro convulsive therapy, which describes the treatment process for you (leaflet reference: L374).
This normally ranges between six and 12 sessions during a course of ECT.
ECT treatment will be stopped:
ECT is usually given, twice a week. Your doctor will review you between treatments. No more than two treatments will be prescribed at a time.
It is difficult to know how much of this is caused by ECT and how much by severe depression.
Memory impairment due to ECT recovers gradually over the six months following treatment, some patients, only very slowly recover their past memories and some have permanent gaps in their memory for some past events.
Your doctor will discuss the laterality (bi-lateral or unilateral) of treatment with you.It is still not clear which type of ECT is best:
ECT is never the only alternative, although the doctor prescribing it may feel it represents the best chance of recovery.
If someone with severe depression declines ECT there are a number of possibilities:
Usually a combination of all three of these will be tried:
Your doctor (or another doctor nominated to act on his behalf) will explain the procedure and the following to you:
ECT is given at the Ryedale Suite at Roseberry Park, Middlesbrough. Treatment sessions are on a Tuesday and Friday morning. If you are receiving maintenance treatment this will take place on a Wednesday morning.
We will always aim to ensure your treatment is given close to where you live however on occasion this might not be possible due the nature treatment of treatment or its availability.
If you wish to visit the ECT suites prior to starting your course of treatment, this can be arranged by nursing staff. Staff in the ECT suites will be happy to answer any further questions and show you round.
A senior anaesthetist will give you a general anaesthetic and this puts you to sleep. The anaesthetist will administer a muscle relaxant to relax the muscles in your body. Once the anaesthetist is satisfied that you are deeply unconscious, your treatment will begin.
ECT clinics can apply for accreditation with the Royal College of Psychiatrists ECTAS.
ECTAS applies very high standards for how ECT is given, and visits all sites that are signed up for it. The Ryedale suite is accredited by the Royal College of Psychiatrists. The suite complies with relevant guidelines from the Royal College of Anaesthetists and the Association of Anaesthetists of Great Britain and Ireland.
Outpatients – where an individual attends for treatment from their home and will be directly discharged back home to the ongoing care of a responsible adult.
Maintenance- although not NICE recommended there is evidence that support that you may benefit from maintenance ECT.
In both cases further information can be requested from your consultant/care co-ordinator.
Before you can be given ECT, the doctor in charge of your treatment must have your consent. If you do not want to this, you must tell the doctor who must make sure that you are able to fully understand all of the information about the ECT treatment and the consequences of not having it. If the doctor confirms that you are able to understand the information and that your refusal to accept the treatment is valid, you cannot be given it.
If you have made a valid advanced decision that you do not want ECT, you cannot be given it. If you have an attorney acting on your behalf and they refuse ECT, you cannot be given it nor can you be given ECT if the Court of Protection has decided you should not have it. These rules apply even if you are detained under the Mental Health Act (MHA) 1983 www.gov.uk/government/publications/code-of-practice-mental-health-act-1983 ).
If you are detained under the Mental Health Act, and your doctor confirms that you do not have the capacity to consent, ECT can only be given to you with the agreement of a second opinion by another doctor in all but extreme emergencies.
If you are not detained under the Mental Health Act 1983 and your doctor confirms that you do not have the capacity to consent, they may, in consultation with others, decided to proceed with the treatment in your best interests, under the Mental Capacity Act 2005. When you regain your capacity you will have the option and choice to refuse or continue with further treatments.
There are wide differences in how much information people want and some of the explanations may be complicated, so if you want further information please ask. The ECT suites carry a number of information leaflets including:
Royal College of Psychiatrists information leaflet
ECT in Scotland: Mental Health (Care and Treatment) (Scotland) Act 2003
Guidance on the use of electroconvulsive therapy
|Date last updated:||11 / July / 2018|
|Archive date:||11 / July / 2021|
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.
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.
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.
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.
You can find more information about CBT online at https://www.babcp.com.
The Department of Health also have a useful guide about talking therapies for mental health difficulties called ‘Choosing Talking Therapies’.
|Date last updated:||08/11/2019|
TEWV research and development
Flatts Lane Centre
Tel: 01642 283501
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.
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.
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
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
|Date last updated:||24 July 2019|
|Archive date:||24 July 2022|
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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.
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.
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:
There may also be physical signs that you or someone you are close to are feeling stressed:
Making small improvements to your overall wellbeing can help. This could include:
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.
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.
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.
There are a number of organisations who can offer practical support during difficult times…
Supports farmers and families with a variety of issues, including financial difficulties, animal disease, mental health and family disputes.
Tel. 03000 111 999
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. email@example.com (Yorkshire) / firstname.lastname@example.org (East Riding)
Farming network providing advice, support and opportunities for those within the agricultural industry.
Tel.01423 54 10 00
Offering financial support to farming people in hardship.
Tel. 0808 281 9490
Supports gamekeepers and their dependants, past and present.
Tel. 01677 470180 / 0300 1233088.
Helping to provide housing for those leaving the industry.
Tel. 01926 620135
The charity supporting people in horticulture.
Tel. 0800 093 8543
The rural lesbian, gay, bisexual, trans plus (LGBTQ+) network.
The following helplines have specially trained volunteers who will speak to you and offer mental health support:
(24 hours a day, 365 days a year)
Tel. 116 123
(Monday – Friday, 9am-5pm)
Tel. 0845 766 0163
Tel. 0300 304 7000
Tel. 0845 456 0455 / 0207 840 3188
Tel. 0845 122 8622
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.
|Date last updated:||19/06/2019|
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Stockton on Tees
Tel. 01642 527556 (EIP team) / 01642 527556 (psychosis team)
Monday to Friday 9am-5pm
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.
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.
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.
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.
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
|Date last updated:||17/06/2019|
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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:
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.
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.
There are a number of steps involved with EMDR therapy, but put simply, it can be divided into three main phases.
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.
You will be asked to
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.
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.
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Recovery through activity promotes discussion and the practise of lifestyle choices that can better meet participants’ occupational and health needs.
Participation in the recovery through activity group will:
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!
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
If you’re interested, please discuss with your care coordinator/lead professional or speak to a member of occupational therapy staff.
“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.
|Date last updated:||24 / April / 2019|
|Archive date:||24 / April / 2022|
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 area.
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:
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.
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 those important to you 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 (at least annually) to make sure it remains the right package for you.
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.
|Date last updated:||23/08/2019|
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