Liaison and diversion services

The liaison and diversion service offers assessment and advice for people who experience mental health problems or learning disabilities.

The professional you have seen is a registered mental health nurse or social worker. They will have given you the opportunity to talk about your concerns in a private setting, where health and safety permits.

All sensitive information will remain confidential, however, should risks to yourself or others be identified, or you disclose details of an offence, information may be shared with other agencies, including the police and social services.

Your GP will be informed of your meeting with the team.

The aim of the service is:

 

Leaflet reference: L593
Version: V5
Date last updated: 03 / 2017
Archive date: 03 / 2020

 

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A series of self-help guides are available to view and download, covering the following topics: 

Please visit our online bookshelf to access the self-help guides, which are available as downloadable leaflets.

 

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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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Harland Ward
Lanchester Road Hospital
Lanchester Road, Durham
DH1 5RD

Tel: 0191 44 15980

For more information on Lanchester Road Hospital click here.

About the service

Harland Ward is a longer term treatment ward for male patients over 18 years with learning disabilities and/or associated mental health problems.

The ward is part of the low secure forensic learning disability service.

The longer term gives more time for reassessment of risks, relapse prevention work and caters for those patients that require longer to complete their treatment.

The ward provides support to patients to help them through their treatment by adopting a holistic approach to care. The approach taken involves the implementation, planning and evaluation of care plans, risk assessments and nursing intervention planning to identify the best possible treatment for Harland patients. All treatment is based on the patient’s individual needs, while maintaining the safety of patients, staff and members of the public.

Harland offers a broad range of positive therapeutic treatments, including individualised programmes of occupational and domestic and leisure pursuits that help create a supportive community network, whilst promoting rights, independence, choice and inclusion for patients. It is also important to assess risk, alongside promoting wellbeing to help move patients from treatment to rehabilitation.

The ward and service aim to:

The Harland Ward team

Harland nursing staff provide care to the patients on the ward 24 hours a day. The ward team includes: a unit manager, deputy unit manager, registered nurses, nursing assistants, housekeeper and ward clerk/receptionist.

Each registered nurse will take on the role of primary nurse for patients. Nursing assistants will work with primary nurses to support and meet the needs of the patient.

How to access the service

Individuals are referred to the ward by doctors, courts, police or approved social workers.

The main method of referral is through consultants within the trust. Primarily patients are referred from treatment or acute areas, when it is felt that they need a longer time frame to complete the treatment required.

A nurse will carry out a comprehensive assessment and risk assessment. Both historical and present information is included. All the information is collated and taken to the multi-disciplinary team, where a decision is made about whether the service is appropriate for the individual.

About Harland Ward

Harland Ward has six bedrooms, all with an ensuite bathroom.

Other facilites on the ward include:

Visiting hours

There are no set visiting times on Harland Ward, but visitors are asked to avoid protected meal times.

The ward encourages patients to have visitors whilst in hospital eg parents, guardians, relatives and friends. However, the ward has a no child visiting policy, therefore do not allow children under the age of 18 years to visit the ward.

Visitors are not permitted to smoke on the ward and are not permitted to smoke in any trust building or grounds.

Meal times (protected)

Breakfast: 8.00am

Lunch: 12.00noon

Evening meal: 5.00pm

Supper: 8.15pm

Meal times are protected. These times can be flexible to patients requests or the need of the ward.

Yorkshire and Humber forensic CAMHS is a joint regional service between:

The service, commissioned by NHS England as part of the children and young people’s mental health transformation programme, works with children and adolescents up to the age of 18 years with:

AND

Our TEWV service is based at Lime Trees in York.

For further information please contact Michael Taylor, associate nurse consultant:

Tel. 01904 615300

Information for young people, their families and referrers is available here.

Child and adolescent mental health service – North East and North Cumbria

C/o The Kolvin Service
Northumberland, Tyne and Wear NHS Foundation Trust
St. Nicholas Hospital
Jubilee Road
Newcastle upon Tyne
NE3 3XT

Tel. 0191 245 6629

C/o Adolescent Forensic Outpatient Service
Tees, Esk and Wear Valleys NHS Foundation Trust
West Lane Hospital
Acklam Road
Middlesbrough
TS4 4EE
Direct Dial: 01642 529 650

The forensic child and adolescent mental health service (FCAMHS) is a joint partnership between the Trust and Northumberland, Tyne and Wear NHS Foundation Trust.

The service delivers forensic consultation, assessment and in some instances specialist intervention and treatment across the region for people under 18 years old with forensic mental health and complex non-forensic mental health need.

More information is available at www.ntw.nhs.uk/fcamhs

Patient and referrer information can be found here.

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…

Service users… did you know?

Family, carers and supporters….did you know?

Staff….did you know?

Care planning reflects the Trust values of:

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What is the care programme approach (CPA)

CPA supports people who have complex mental health needs, who often require the support of several services.

CPA describes the way mental health professionals work jointly with you, your family, carers and supporters to:

Who is a care co-ordinator?

A care co-ordinator is a named, registered professional who will support you, your family, carers and supporters in all aspects of CPA.

They will make sure everyone involved in supporting you or providing services understands your care plan and is working with you towards your recovery.

Your care plan

Is a jointly agreed plan between you and your care co-ordinator which outlines your assessed needs, any risks to you or others, personal goals, support available and progress towards recovery.

Your care plan should be written down and you can have a copy.

It may also include any Advanced Statements or Decisions you have written.

With your agreement your care plan can be shared with everyone involved in your care including your family, carers and supporters.

Family, carers and supporters

The CPA process recognises the importance and value of friends, family and carers in supporting you and they can be involved in developing your assessment, care plan and reviews with your agreement.

The views of your family, carers and supporters might be different to your own views so it is also important that they are considered separately including the impact of their support and caring role on their own health and wellbeing.

Care plan review

A review of your care plan will be carried out every 6 months or sooner at your request or anyone involved in providing support, including your family or carers.

A review is between you and your care co-ordinator and is important to consider all information from those involved in your care plan and recovery. You and your care co-ordinator may decide that a review meeting is the best way to do this.

Please feel welcome to read more information about the Care programme approach

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What is integrated psychological therapy?

Integrated psychological therapy is a time-limited, focused, talking therapy.  Using a range of psychological approaches, the therapist and client work together to identify and understand the problems they are experiencing, including:

Who is it for?

Integrated psychological therapy is safe and user friendly.  It is suitable for use in a variety of settings and in the treatment of many conditions and illnesses, for example:

What preparation is needed?

None – but it may help to think through what you feel your main difficulties are and what you hope to gain from therapy before you start. You also need to be able to make a commitment to attend regular weekly appointments.

What happens at the first appointment?

The therapist will talk with you about your reasons for seeking therapy and explain more about the integrated approach.  The initial assessment session allows you and your therapist to see if the approach is suitable for you, if you are happy to work together, and to answer any questions you may have about the therapy.

What does the therapy involve?

In the initial sessions the therapist will ask you questions about your past life and background. Although integrated psychological therapy concentrates on the here and now, at times you may need to talk about the past to understand how it is affecting you now.

You will then make collaborative goals that you wish to work on in the short, medium and long term.   Together you will develop a shared understanding of the identified problem.  You and the therapist will usually start each session by agreeing on what to discuss that day.  This will include highlighting any areas of difficulty you have encountered during the week and identifying useful strategies to challenge these in the future.

The strength of integrated psychological therapy is that you can continue to practise and develop your skills each week after the sessions have finished. This makes it less likely that your symptoms or problems will return.

How long does it last?

You will usually meet with a therapist for between five and 20 sessions.  These will usually be held on a weekly basis. Each session will last between 50 and 60 minutes.

What are the benefits?

Skills you learn in integrated psychological therapy are useful, practical and helpful strategies that can be incorporated into everyday life.  They will help you  to cope better with future stresses and difficulties, even after the treatment has finished.

What are the risks?

As with any talking therapy, focusing on your problems may make you feel worse before you feel better.  Talking therapy can sometimes affect your relationships with your friends and family in negative as well as positive ways, especially if you are making changes that others do not like.

The Department of Health booklet, “Choosing Talking Therapies?” gives a useful guide to talking therapies and the risks involved.

What are the alternatives?

There is a range of alternative psychological therapies which include:

It may be useful to read the information leaflets available to help you decide which approach may be best suited to your needs.

How to be referred

You can discuss possible referral for integrated psychological therapy with your care coordinator, mental health worker or doctor.

Copies of letters and reports

Recent Department of Health guidance states that you have a right to receive copies of letters and reports sent by us to your referrer and your GP.

If you wish to receive these, please let us know when you come for your first appointment or at any subsequent time.

What is cognitive behavioural therapy (CBT)?

CBT is a brief psychological therapy that can help you understand the way you think about:

CBT can help you to change:

These changes can help you to feel better. Unlike some other talking treatments, it focuses on problems or difficulties you are experiencing “here and now” rather than past symptoms or causes of distress.   It can help you to make sense of overwhelming problems by breaking them down into smaller parts; linking your thoughts, feelings and behaviours.

Who is it for?

CBT is one of the National Institute for Clinical Excellence’s (NICE) treatment of choice.  It has been recommended for a number of mental health difficulties including anxiety, depression, panic, agoraphobia, social phobia, bulimia, obsessive compulsive disorder, post-traumatic stress disorder and schizophrenia.

What preparation is needed?

None – but it may help to think through what you feel your main difficulties are and what you hope to gain from therapy before you start. You also need to be able to make a commitment to attend regular weekly appointments.

What happens at the first appointment?

The clinical psychologist or CBT therapist will talk with you about your reasons for seeking therapy and explain more about the CBT approach.  The initial assessment session allows you and your therapist to see if CBT is suitable for you, if you are happy to work together, and to answer any questions you may have about the therapy.

What does the therapy involve?

In the initial sessions the therapist will ask you questions about your past life and background. Although CBT concentrates on the here and now, at times you may need to talk about the past to understand how it is affecting you now. You will then agree short, medium and longer term goals.

Together with your therapist, you will develop a shared understanding of the links between your thoughts feelings and behaviours.

You and the therapist will usually start each session by agreeing on what to discuss that day.  This will include highlighting areas of difficulty you have encountered during the week and identifying useful strategies to challenge these difficulties in the future.

The strength of CBT is that you can continue to practise and develop your skills each week after the sessions have finished. This makes it less likely that your symptoms or problems will return.

How long does it last?

You will usually meet with a therapist for between five and 20 sessions, usually held on a weekly basis. Each session will last between 50 and 60 minutes.

What are the benefits?

Skills you learn in CBT are useful, practical and helpful strategies that can be incorporated into everyday life to help you cope better with future stresses and difficulties, even after the treatment has finished.

What are the risks?

As with any talking therapy, focusing on your problems may make you feel worse before you feel better.  Talking therapy can sometimes affect your relationships with your friends and family in negative as well as positive ways especially if you are making changes that others do not like.

The Department of Health booklet, “Choosing Talking Therapies?” gives a useful guide to talking therapies and the risks involved.

What are the alternatives?

There is a range of alternative psychological therapies which include, among others, interpersonal therapy, cognitive analytic therapy, psychodynamic and psychoanalytic therapy.  It may be useful to read the information leaflets available to help you decide which approach may be best suited to your needs.

Your care co-ordinator or mental health worker, psychologist or doctor may be able to discuss this with you.

Where can I find more information or support?

British Association for Behavioural and Cognitive Psychotherapies http://www.babcp.com/

How to be referred

You can discuss possible referral for CBT with your care coordinator, mental health worker or medic.

Copies of letters and reports

Recent Department of Health guidance states that you have a right to receive copies of letters and reports sent by us to your referrer and your GP.

If you wish to receive these, please let us know when you come for your first appointment or at any subsequent time.

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