Durham and Darlington perinatal mental health service – information for partners and families

What is the perinatal mental health team?

The County Durham and Darlington perinatal community mental health team provides a community service to support women who are experiencing mental health difficulties during pregnancy or in the first year after they have had their baby.

 

Who we are

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

 

How we can help

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

 

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

 

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

 

This can include:

 

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

 

Out of hours support

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

 

Further support information

More information is available via the below websites:

 

Local

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

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

Durham Carers Infopoint – www.durhamcarers.info/

 

National

Carers – www.carersuk.org/

CarersTrust – https://carers.org/

MIND – www.mind.org.uk

Association for postnatal illness – www.apni.org

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

Pandas Foundation – www.pandasfoundation.org.uk

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

DadPad – www.thedadpad.co.uk

 

Leaflet reference: L1112
Version: V1
Date last updated: 17 / Nov / 2020
Archive date: 17 / Nov / 2023

Contact us

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

 

About us

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

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

 

Who we support

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

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

 

Who we are

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

 

What we do

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

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

 

Why we do it

We want to offer you an alternative to crisis services.

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

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

 

Helpful resources

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

 

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

 

What is a peer support worker?

Peer support workers are people with lived experience of mental health challenges. Our expertise isn’t based on things we’ve been taught from books or university; it comes from our own personal experiences. You can choose whether you would like to work with us.

What is the aim of peer support?

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. Together we can learn from our past experiences and look at how we can do things differently

What we do

Peer support workers provide one to one and group support.

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.

We work to the Trust’s co-produced peer support values which are:

We would be happy to talk with you about what these mean or you can find out more on our website: www.tewv.nhs.uk/get-involved/help-and-support/peer-support.

Where do we work?

We are happy to try to do things differently and will agree with you where our meetings will take place. This will be at a location that works for both of us. This could be in a clinic, your home or somewhere more public like a café or park.

Sharing information about 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.

 

 

Leaflet reference: L1061
Version: V2
Date last updated: 14/07/2020
Archive date: 14/07/2023

 

Rowan Lea contact details

Address Rowan Lea

Cross Lane Hospital

Cross Lane

Scarborough

YO12 6DN

Telephone 01723 384601
Reception opening hours Monday – Friday, 9am – 5.30pm
Lead contact name Karen Ashby, ward manager

 

About the ward

Rowan Lea Ward is a 20 bed assessment and treatment Unit for older men and women who are experiencing a wide range of mental health illnesses.

The ward is fully equipped with appropriate activity and therapeutic space to aid your recovery and safe discharge from the ward.

Meal times

Breakfast, 8.30am – 9.30am

Lunch, 12.30pm – 1.30pm

Evening meal, 4.30pm – 5.30pm

Meal times are protected times for the patient’s benefit.

Visiting times

Our visiting times are flexible to support the needs of our patients.  Please speak to staff on the ward for more details.

You can read more about staying on our wards in patient information ‘Your stay in hospital’ – L961.

 

 

 

Leaflet reference: L1108
Version: V1
Date last updated: 06/07/2020
Archive date: 06/07/2023

Contact details

Address Foss Park
Haxby Road
York
YO31 8TA
Telephone 01904 461130
Reception opening hours Monday – Sunday, 8am – 8pm
Lead contact name Lesley Brown

About the ward

Wold View is an 18 bed ward for older adults who need assessment and treatment for dementia. The ward is purpose built with appropriate activity and therapeutic space to support your assessment and enable you to be discharged back into the community.

Meal times

Breakfast – 8am – 9am

Lunch – 12 noon – 1pm

Evening meal – 5pm – 6pm

Visiting times

Usual visiting times will be between 10am and 10pm. Arrangements for visits outside of these times can be made with agreement of ward staff.

Staying in hospital

More information about staying in hospital is available in our welcome pack (patient and carer information reference L961). If you have not received a copy of this, please ask a member of ward staff who will be able to provide you with this.

 

 

Leaflet reference: L1098
Version: V1
Date last updated: 14/05/2020
Archive date: 13/05/2023

 

 

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

MIND
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
Email: help@aamail.org

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.
Email. info@healthwatchdarlington.co.uk

FRANK
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
DrugFAM offers phone and email support to people affected by other people’s drug or alcohol misuse.
Tel. 0300 888 3853

Adfam
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 http://www.adfam.org.uk

 

 

 

Leaflet reference: L1088
Version: V1
Date last updated: 04/05/2020
Archive date: 03/05/2023

 

Group analytic psychotherapy is provided by our psychoanalytic psychotherapies service.

Contact:

Locality Teesside
Address Wessex House

Falcon Court

Stockton on Tees

TS18 3TS

Telephone 01642 368582

 

Locality Durham
Address Lanchester Road Hospital

Lanchester Road

Durham

DH1 5RD

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

 

TEWV research and development
Flatts Lane Centre
Flatts Lane
Middlesbrough
TS6 0SZ

Tel: 01642 283501
Email: TEWV.ResearchandDevelopment@nhs.net

 

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 TEWV.ResearchandDevelopment@nhs.net 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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What is dialectics?

Dialectics means trying to balance seemingly opposing positions and look at how they go together. For example, trying to balance accepting yourself as you are whilst making positive changes in your life.

 

What is dialectical behaviour therapy?

Dialectical behaviour therapy or DBT is a psychological treatment to help:

For some people life can feel unbearable at times. This type of therapy is based on the assumption that people can ‘build a life worth living’.

DBT helps people to develop specific skills to ease their emotional suffering and make positive changes.

 

Is DBT for me?

You may find this therapy helpful if you experience:

You will be offered an individual assessment with a therapist where we can talk about the difficulties you may be experiencing. Together we will decide if DBT may be helpful.

 

What are the benefits?

Evidence shows that DBT it is effective in reducing self-harm and self-destructive behaviours. You may also benefit in other ways as we address issues that have been causing you difficulties in your life.

 

What are the risks?

As with other therapies, DBT is not without risk.  Your condition may get worse as you begin to address some difficult issues raised within therapy. There is a very good support network in place to help you deal with this if needed. Your therapist will discuss this with you.

 

What does DBT cover?

The therapy focuses on four key areas:

Mindfulness
Mindfulness helps you to become more aware of your body, thoughts and feelings.  It helps you to pay attention to what is happening in the present moment rather than being preoccupied with things that have happened in the past or may happen in the future.

Interpersonal effectiveness
Exploring ways to effectively communicate and cope with conflict.

Emotional regulation
Identifying and naming emotions to help you recognise and understand how you are feeling. It also supports you to develop skills to help you manage difficult and intense emotions.

Distress tolerance
Developing techniques to help you accept and move on from difficult and painful events that cannot be changed. Skills include distracting, self-soothing, and improving the moment.

 

How is DBT delivered?

DBT is generally delivered as part of a group. In some cases patients may also be offered individual sessions. We will discuss this with you and agree together which DBT pathway would be best suited to your needs.

Skills group
Skills groups are held weekly and last approximately two hours.  Groups will have between eight and 12 members and are delivered by trained DBT therapists. You will be expected to commit for the duration of the programme.

Full programme
Those on the ‘full programme’ will have regular one-to-one sessions with a therapist as well as weekly skills group sessions. You will be asked to practice what you learn in the groups and complete diaries. Your care co-ordinator will continue to be involved in your care.

 

How long does DBT take?

The duration of therapy would depend on the DBT care pathway but will take between six and 12 months.

 

What we ask of you:

We ask individuals to:

We realise that there may be unforeseen events that stop you from attending.  We ask that you please let us know if you are unable to attend before the session starts.

If you miss four consecutive sessions of either group or individual therapy then you will be discharged from the DBT programme.

 

Is therapy confidential?

We have a duty to keep your information about you confidential. If your therapist is concerned that you are a risk to yourself or others, they will inform you that they will need to seek help or support from another professional/team.

 

 

 

Leaflet reference: L1067
Version: V1
Date last updated: 17/07/2019
Archive date: 16/07/2022

 

 

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