Tips on managing reactions to a major incident

In the immediate aftermath of a major incident our body’s automatic survival reactions will take over and may react in unexpected ways, e.g. we may freeze, run away, push past others, urinate, have an out of body experience.

Sometimes being nearby, knowing someone there, seeing news images, hearing stories about it or being part of the emergency response is enough to trigger a response in us.

In the first few weeks it may be common to:


What can help


How to know if you need a GP referral for more specialist help, support or therapy

You may want to approach your GP and seek specialist help and support if you experience any of the below:



How to support someone you know

Connect: The person may need time to be alone but keep trying to connect with them on everyday activities.

Listen: to their feelings but don’t ask for details of what happened and don’t offer advice.

Ask: Don’t assume what they need, it might be different from what we think.

Practical: Make them a meal, offer them a lift. They may also need some flexibility at work.


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The Darlington community team is based at the Mulberry Centre:

Mulberry Centre

Rowan Building

Darlington Memorial Hospital

Darlington, DL3 6HX

Tel: 01325 736350

About the service

The Darlington CAMHS team provides a service for children and young people up to the age of 18 who may be experiencing a mental health problem, including ADHD. The team also:

A wide range of treatments and therapies may be offered, including:

The team

The Darlington CAMHS team includes psychiatrists, psychologists, nurses, social workers and occupational therapists, working alongside an administrative team.

How to access the service

The child and adolescent mental health services (CAMHS) across County Durham and Darlington has a single point of access for referrals and self-referrals to CAMHS services. To contact the team please email or call 0300 1239296.

Most children and young people are referred to the service by GPs but referrals are accepted from other health professionals, health visitors, school nurses/counsellors, social services, voluntary services or other services working with children and young people.

When a referral is received, an appointment with the team will be sent out and in some circumstances a member of the team may telephone prior to an appointment being made.

The team aims to see the patient as soon as possible, however the wait should be no more than four weeks for an initial appointment.

This service provides specialist mental health services (including an ADHD service) for children and adolescents, and support, information and advice for parents and carers, living in the south Durham area.

The Acley Centre

Carers Way

Off Burn Way, Newton Aycliffe,

County Durham, DL5 4PE

Tel number: 01325 529520

The main functions of the team are:


The child and adolescent mental health services (CAMHS) across County Durham and Darlington has a single point of access for referrals and self-referrals to CAMHS services. To contact the team please email or call 0300 1239296.

Staff at the Acley Centre include:

Following an individual assessment, we offer a range of generic and specialist interventions including:

We can also access other services such as:

Group work

Currently in process of development.

The type of intervention is agreed following the assessment and the length of treatment is determined by the complexity and severity of the problem.

Getting to the Acley Centre

View the location and get directions on Google Maps

Car parking

There is limited, free car parking adjacent to the Acley Centre.

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Hambleton and Richmondshire West Sector Community Mental Health Team
Colburn GP Surgery
Easton Way
Tel number: 01748 834581

About the service

Community mental health teams provide a wide range of help, support and advice for people aged between 18 and 65 years with serious mental health problems.

The west sector community mental health team work together to provide a range of treatment and support based around their patients’ needs. This may include providing information on treatments and conditions, access to therapies, one-to-one sessions or support at home.

Every service user will have a named care coordinator or lead professional who is the main point of contact and support for a person who is getting care from the team.

The care coordinator will work with the service user to develop a care plan. A care plan explains the support, therapy or treatment provided by any of the professionals involved in the service user’s care and when this treatment should be provided. The care plan will also include what to do in a crisis or to prevent relapse.

The team

The team includes a number of different professionals working together, who have experience of helping people with mental health problems. The team is an integrated service which works closely with its partners in health and social care.

The team includes:

How to access the service

The team accepts referrals from GPs and other mental health professionals.

The first appointment usually takes place at one of the team’s offices which is convenient to the service user. The service user will be asked questions about themself, the difficulties they are having and what sort of help they think they might need. This meeting usually lasts for about an hour and is called an assessment.

The information given will be shared with the team. The team share the information so that service users are offered a choice of available care options.

If the service user has someone who supports them, they will also be offered an opportunity to discuss their needs and have a carers’ assessment. They can be with the service user throughout their assessment.

Redcar and Cleveland community intervention team (affective disorders)

Adult services – Teesside

Redcar and Cleveland community intervention team (affective disorders)

Foxrush House

Kirkleatham Business Park

Green Square

Redcar, TS10 5RS

Tel number: 01642 838333

About the service

The community intervention team provides a service for adults in the Redcar and Cleveland locality suffering from serious mental health problems.The referred person must have a moderate to severe mental health problem of an acute or remitting nature, requiring specialist mental health services.

The team are able to provide effective, evidence based treatments in line with the National Institute of Clinical Excellence (NICE). They also assist clients in accessing support to reduce distress and maximise personal development.

The service aims to help maximise a fulfilling and productive life, with a particular focus on helping the individual to return to or maintain independent living and integration into the local community.

The team aim to work with clients towards a model of recovery and discharge from services.

In addition they can provide support and advice to carers and families.

Treatment and therapies

The team is able to offer a range of psychological interventions which include:

  • Eye movement desensitisation reprocessing (EMDR for trauma)
  • Cognitive behavioural therapy (CBT)
  • Dialectical behavioural therapy (DBT)
  • Cognitive analytical therapy (CAT)
  • Mindfulness and compassion focused therapy
  • Psychological assessment and formulation
  • Positive psychology.

The team is also able to offer:

  • Social services self assessment questionnaires, to identify if clients would benefit/would be eligible to receive an individual budget/social care package
  • Occupational therapy assessment and treatment interventions
  • Behavioural activation
  • Coping skills and problem solving
  • Medication treatment and interventions
  • Signposting to other agencies that are able to help with other significant problems.

The team

The community intervention team includes:

  • Consultant psychiatrist
  • Specialist associate medical practitioner
  • Approved mental health worker
  • Social worker
  • Occupational therapist
  • Occupational therapy assistant
  • Community psychiatric nurse
  • Community staff nurse
  • Community support nurse
  • Advanced practitioner.

How to access the service

Individuals are referred to the service via a variety of sources. This can include the local access and assessment team (accessed via the client’s GP), the primary care mental health team, liaison services and custody diversion etc.

The service also accept transfers from other secondary care mental health teams for clients moving into the Redcar and Cleveland locality.

The community resource (affective) team and access team are part of the Hartlepool integrated mental health service. They can be contacted at:

About the service

The access service receives referrals primarily from the person’s GP, but also from other professionals and offer a comprehensive assessment of mental health and social care needs and risks. They then signpost the person either to an appropriate team within the mental health trust (including the affective team), or to another external support which can meet their needs.

The affective team, also known as the community resource team, offer individuals support with a wide range of mental health difficulties, including severe depression, anxiety, personality disorders, OCD, eating disorders and several other non-psychotic conditions.

The approach seeks to improve the person’s functioning and mental health to the optimum possible, supporting carers and enabling clients to regain any skills diminished by their condition.

The team are able to offer several psychological therapies, including cognitive analytical therapy, cognitive behavioural therapy and also inform the person’s care within these frameworks, where direct therapy is not possible for the person themselves.

The teams

The resource team and access team include:

How to access the service

Clients are referred to the teams from a variety of sources, including the access service, crisis team, inpatients and other professionals.

Clients are normally referred to the access service via their GP.

A full assessment of a person’s mental health and social care needs is provided from the referring service and once allocated to the community resource (affective) team this assessment is reviewed to inform an up-to-date plan of care, which is agreed with the client (and their carer, where appropriate).

Clients may be allocated a care coordinator and a co-worker, depending upon their assessed needs and may be offered a further assessment regarding their social care needs, which can provide a degree of self directed support if they meet the criteria.

The care plan is regularly reviewed to ensure needs are identified and addressed by the most appropriate person/service, both within the team and from external resources.

Information about what will happen at your first appointment can be found here.

Harrogate community alcohol team is based at:

Valley Gardens Resource Centre

Windsor House

Cornwall Road

Harrogate, HG1 2PW

Tel: 01423 852000

About the service

The community alcohol service is a team of specialist workers offering community interventions for adults with issues or concerns regarding the misuse of alcohol.

Interventions are time limited and have ‘recovery’ as an integral theme within the programmes.

These interventions include:

The team do some specific work with North Yorkshire Probation service and also have a recovery group which is co-facilitated by service users.

Interventions are mainly delivered at the service user’s home or the hospital site.

The service operates 9am to 5pm, Monday to Friday. The team do not work weekends or public holidays and are not an emergency service.

The team

The community alcohol team includes a consultant psychiatrist (with special interest in addiction), specialist registrar, senior house officer, nurse team manager, community nurses, social worker, community alcohol workers and a team secretary.

How to access the service

All new referrals must come through a GP or a qualified worker who is working with the person (such as a nurse, social worker).

When a referral is made it will have included a dependency questionnaire, which helps the team give priority to referrals and helps them to match the assessor to the service user.

The assessment usually takes about one hour and is an interview with a member of staff. During this interview the assessor will collect some historical information, personal information, arrange for some further investigations (blood tests), detail some treatments that may be available, give the person some indication of what they feel is the best way forward and together with the client draw up an initial treatment plan.

If the assessor feels the team can’t help they will either refer on to another service or direct the person towards another service.

The assessor will inform the referrer (usually GP) of the outcome of the assessment in writing.

The service user will have confidentiality explained to them from the onset and they will be required to sign a statement confirming this.

Address Valley Gardens Resource Centre

Floor 2 Windsor House

Cornwall Road



Telephone 01423 852000


 What is Harrogate and Ripon community mental health service?

We are a group of mental health professionals (doctors, nurses, occupational therapists, psychologists, social workers and support workers).  We work together to provide a specialist mental health service for people in the Harrogate, Wetherby and Ripon area.

Most people with mental health problems get help through their general practitioner (family doctor), but sometimes extra help is needed, and this is when you might get asked to meet us.

What will happen at my first appointment?

One or two professionals from our team will talk with you, to assess your problems and the type of help you might need.  We will ask questions about you, your health, life and problems.

You will also be able to ask us any questions you have.

The appointment is likely to last between 30 minutes and one hour.

At the end of the assessment, we will give you advice about what sort of help we can provide, and we will talk about what will happen next.

I find it difficult to talk about my problems.

Lots of people feel like this.  We know it can be hard to talk about your life and problems, but knowing about you will help us work out how best to help you.

 Can I bring someone with me?

Some people want to bring a family member or friend with them.  Do bring someone if you wish.  You may want them to stay for some or all of the appointment but usually we ask to see you alone for some of the assessment.

What information should I bring to the assessment?

Some people write down what they want to say or ask and bring this with them.

How to get here

If we have asked you to come to one of our buildings, we will send you a leaflet with a map, public transport and parking information.

I may need extra help at my appointment

If you need an interpreter, wider access or a hearing loop, please tell us.  You can telephone us on 01423 852000, or write to us at Harrogate and Ripon Community Mental Health Service, Valley Gardens Resource Centre, Floor 2 Windsor House, Cornwall Road, Harrogate, HG1 2PW.

Reference: L723_NY
Version: V2
Date last updated: 12/10/2016
Archive date: 12/10/2019

Harrogate and Wetherby community mental health team is based at:

Valley Gardens Resource Centre

Windsor House

Cornwall Road

Harrogate, HG1 2PW

Tel: 01423 852000

About the service

The Harrogate and Wetherby community mental health team provide community mental health services for people aged 18 to 65 years, who are registered with a local general practitioner (GP) and who have a severe or enduring mental illness, which cannot be managed in primary care.  The service also offers support to individual family members or carers.

The aim of the service is to:

The care coordinator/lead professional will work with individuals to help them access treatment and offer support, to enable individuals to optimise their recovery. This may involve seeing more than one member of the team.

The team

The Harrogate and Wetherby community mental health team is made up 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, transfers from other areas and accident and emergency departments (A&E).

Where to find us

9-11 Imperial Avenue, Norton, Stockton-on-Tees, TS20 2EW

Tel number: 01642 550863

Fax number: 01642 732020

About the service

The main focus of our service is directed at the treatment of anorexia nervosa and severe episodes, although we also work with patients who have bulimia who are complex in presentation and need physical health interventions and support.

We also offer:

The treatment and support we offer is based as closely as possible to the 2004 NICE published guidelines for the treatment of eating disorders.

We work across County Durham and the Tees Valley.

About the team

The team includes:

Members of the team also provide training to other health professionals and services in how to care for people with eating disorders. Family, carers and supporters are encouraged and signposted to seek support from carer agencies and relevant voluntary organisations.


We will work with you, and your carers, to promote recovery and manage the risk to your physical and mental health.

You may need appointments with various team members and additional agencies or therapists.

A care co-ordinator/lead professional will be allocated to you and he/she will liaise with everyone involved and arrange for regular review of your treatment and care plan.

The team must keep details of your care and treatment confidential. However, we also have a duty to share information with other health professionals involved in your care and treatment. We will not do this without talking to you first. All information will be shared on a need to know basis.

It can be helpful to involve your family or carer in your care and treatment and we will talk to you about how we involve them and share information with them.

We work closely with the trust’s carers support group who meet on a monthly basis.

Treatments include:

We also offer the opportunity for carers to have an assessment, join a supportive group and undertake skills training.

How to access the service

You may be referred to the eating disorders team because your GP or other health worker is concerned that you may have a serious eating disorder.

Your local mental health team (affective team) will be asked to carry out a full assessment of your mental health needs to identify the nature of your eating problem and any additional difficulties that you may need help with.

A member of the affective team will discuss the assessment with you and appropriate treatment options will be explained. Following this you will be referred to the eating disorders team if the referral criteria is met.

What happens at an assessment?

You will be offered an assessment, which will usually take place over one or two sessions. Each session is approximately an hour and a half long.

You will be asked about:

Your height and weight will be checked, as well as other physical health checks including checking your blood pressure and temperature.

You will also be asked to complete a number of specialist assessment forms.

Before your first appointment you will be asked to visit your GPs surgery for some blood tests .

All assessments are written up and will be shared with you and the other team members. This will help us to assess your condition and needs.

What are eating disorders?

Community mental health services are provided via our locality bases.

Services provided include:

These services provide:

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