Integrated community mental health teams, adults, Hambleton and Richmondshire.

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
Telephone 0300 0200 317
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: V1
Date last updated: 28/05/2020
Archive date: 28/05/2023



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 Hospital out of area service:

Monday-Friday, 9am – 5pm


Community service:

Monday to Friday, 8am – 6:30pm

Weekends and bank holidays, 9am – 5pm

Lead contact name Rebecca West, 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
Tel. 0300 0200 317

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: V2
Date last updated: 27/05/2020
Archive date: 27/05/2023




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


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.


Alternative treatment options

Other treatment options include medication, talking therapies and psychological treatments.


How does ECT work?

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.


Consent for ECT

Your doctor (or another doctor nominated to act on their behalf) will explain the procedure and the following to you:


Intended benefits of ECT

Improvement of depression and various psychiatric illnesses.


Serious or frequently occurring risks

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 [2013] , 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 [2010]. Biological Psychiatry 68, 568 – 577. In ECT handbook 3rd Edn [2013].  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).


How many treatments will I have?

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:


Transient side effects:

The risks and benefits of any alternative treatments (including no treatment)

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:


Where will I have the treatment?

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.


What the procedure is likely to involve?

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.


How do I know ECT is carried out in my local clinic?

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.


What if I really don’t want ECT?

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 ).

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.


Further information

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



Leaflet reference: L416
Version: V1
Date last updated: 11 / July / 2018
Archive date: 11 / July / 2021


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


TEWV research and development
Flatts Lane Centre
Flatts Lane

Tel: 01642 283501


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 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

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“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.

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


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. (Yorkshire) / (East Riding)


The Yorkshire Agricultural Society

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

Tel.01423 54 10 00


The Royal Agricultural Benevolent Institution

Offering financial support to farming people in hardship.

Tel. 0808 281 9490


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


Perennial Helpline

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:


The Samaritans

(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


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





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