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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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 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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Contact information

You can contact the memory service using the details provided below:

Address Huntington House

Jockey Lane



YO32 9XW

Telephone 01904 556741
Service opening hours Monday – Friday

9am – 5pm

Urgent out of hours support Care home and dementia team
01904 556748


First appointment

Our services are very busy and we will see you as soon as possible. There are times when we have to operate a waiting list so it may be up to six weeks before you hear from us.

At your first appointment you will see a nurse. They will talk to you about your memory concerns and will ask you to complete a memory test. The nurse will also ask for your consent to take a head scan. This will help a doctor to make a diagnosis.


Receiving a diagnosis

After your initial appointment you will be invited to a second appointment where you will see a doctor who specialises in memory problems. They will ask you some more questions. The doctor may be able to give you a diagnosis and if appropriate will prescribe you medication for your memory problems.

If you receive a diagnosis and start taking medication, a memory nurse will contact you by telephone four weeks after your consultant appointment. They will offer you a follow up appointment at a clinic eight weeks after your diagnosis.

The memory nurse will give you information about other agencies who can help you and your family or supporters.

You may then be discharged back to the care of your GP.


Where will I be seen?

Memory services operate from several locations, including:

You will be offered the first available appointment but if you would like an appointment closer to home we will offer you the next appointment in your area.

We do this to make sure the waiting list is the same in all areas.

If you are unable to attend an appointment please let us know so we can offer this to someone else and arrange a more convenient time with you.


Reference: L1016
Version: V3
Date last updated: 16/08/2019
Archive date: 15/08/2022



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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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What is recovery through activity

Recovery through activity promotes discussion and the practise of lifestyle choices that can better meet participants’ occupational and health needs.



Participation in the recovery through activity group will:


Examples of some of the ways in which the activities you may experience within the group could contribute to your recovery

Sharing…cooking and eating together, developing skills and leading a healthier lifestyle!


Discovery…creating identity, building friendships and socialising with others!


Opportunity… improving fitness, valuing activity, and increasing mobility!


Purpose… learning new skills and exploring opportunities!


Meaning…sharing ideas, expressing yourself and discovering identity!  


Who can take part in the group?

Any service user who is currently accessing relevant services, following assessment of their needs and abilities in relation to occupation and activity by an occupational therapist


How do I find out more or enrol in the group?

If you’re interested, please discuss with your care coordinator/lead professional or speak to a member of occupational therapy staff.


Quotes from service users involved in the co-production of this group

“Through group intervention we feel a sense of togetherness and belonging by doing activities and sharing ideas.” 

“By trying activities and overcoming barriers we feel a greater sense of personal self-worth, confidence, knowledge and have learnt new skills.”  

“By working as a group, we were able to try out different social environments and feel safe and secure whilst exploring individual meaning and purpose.”  

“Through the use of hands, as they are energized by mind and will, can influence the state of our own health.” 

A quote from Mary Reilly, one of the pioneers of occupational therapy, which highlights that by “doing” what we need to, have, and love to do, we can improve our lives. 


Leaflet reference: L1036
Version: V1
Date last updated: 24 / April / 2019
Archive date: 24 / April / 2022


Contact information

You can contact the community mental health team using the details provided below:






Vine House

Department of mental health

The Friarage Hospital


North Yorkshire

DL6 1JG.

Telephone 01609 751200
Service opening hours


Monday – Sunday

(8am – 8pm)

Lead contact name


Aliyah Akhtar, team manager

Chris Thwaites, advanced nurse practitioner

Out of hours contacts:


Crisis team (8pm – 8am)

Tel. 01609 763702


About the service 

The community mental health team provides support to people aged 65 and over, with severe or acute mental ill health, living in:

We support people primarily living with:

We also support individuals with other functional or organic conditions, who have complex needs and who require additional support and assessment from a secondary mental health team.

We work closely with local GP practices to supplement and support the primary care team and aim to deliver high quality services that:

We offer support, treatment and therapies including:


The team

Our multi-disciplinary team offers a wide-range of support  and includes:

Each individual has a care co-ordinator or lead professional who works with them to help them access therapy/therapies and offer any support needed.

We offer clinic based appointments and home visits depending on individual needs.

We also provide advice to families and carers and work closely with GPs to make sure you receive the appropriate support.


What can patients expect?

At your first appointment a nurse will speak to you and take full details of your medical and mental health history. If appropriate (and with your consent) family members and carers can be involved in this initial assessment.

We will agree an action plan with you, including any further tests that may be needed.  We will give you information and leaflets about the community mental health team and discuss the range of treatments we can offer.

We may discuss this assessment with other professionals within the team to help co-ordinate your care and treatment.

We may also make a social worker referral if you need additional support.  This might include a package of care or carers assessment.

We will work together with you and your family (if appropriate) to develop an individual care plan.  We will give you a written copy of this and will send a copy to your GP who will be kept updated about any treatment provided by the mental health team.

Care and treatment will be regularly reviewed and we will plan any discharge from services with you and your family/carers when this is appropriate.


How to access the service

Referrals are accepted from GPs and liaison teams within general hospitals in the area.

Referrals are triaged by a duty worker into the following categories:

Emergency referrals
A duty worker will make contact with you on the same day the referral is received and if appropriate will visit you.

Urgent referrals
A member of the team will visit you within four working days of receiving the referral.

Routine referrals
We will see those referred to the service within 28 days but aim to do this within two weeks.



In order to meet your individual needs we may need to work with other agencies (for example the local authority).  We will ask your permission before we share your information with others agencies involved in your care.

In some circumstances we may need to pass on information to other people without your consent, for example if there is a risk to yourself or others, or in the event of a serious crime.  In such circumstances your care co-ordinator will aim to discuss this with you as soon as possible.


More information is available in “Common sense confidentiality” (L854)



Leaflet reference: L1040
Version: V2
Date last updated: 08/05/2019
Archive date: 07/05/2022




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What is the DDT partnership?

The Durham, Darlington and Teesside NHS mental health and learning disability partnership is about working together to improve outcomes for people living with mental health and learning disability needs.

It brings together your local mental health and learning disability trust (Tees, Esk and Wear Valleys NHS Foundation Trust), clinical commissioning groups, local authorities and healthcare service providers from across the Durham, Darlington and Teesside area.

This is helping to provide high quality care for service users, so people receive the support they need in the right way.

The partnership will make sure:


Who is it for?

The DDT partnership is for service users in the Durham, Darlington and Teesside area, who receive funding to access mental health and learning disability services.  This includes children and young people, adults and older people.

Your care package and the healthcare service providers who support you will be managed and monitored within the DDT partnership.


What does this mean for me?

We want to work with you to make sure you enjoy the best possible quality of life. You will be involved in the process of managing your own care package and support, and we won’t make any decisions without discussing them with you.

We will work with you and those important to you to consider:

We will talk to you about what you need for each of these areas, and make sure the best arrangements are in place to support you. As part of this, we will ask you about your long term goals, and consider the steps which need to be in place to help you work towards them.

We will also check to make sure you are safe. If you or anyone else has any concerns about the quality of your care or anything else, we will talk to you about this and see if there is anything extra that you need.

We will review your care package regularly (at least annually) to make sure it remains the right package for you.


Will I work with the same healthcare providers?

Healthcare service providers will continue to deliver the same services on behalf of the partnership, as long as they continue to deliver the best possible quality standards.

This means you will continue to receive support from the same organisations, unless it is agreed that a change would be better for you.



Leaflet reference: L1041
Version: V2
Date last updated: 23/08/2019
Archive date: 22/08/2022

Contact information

If you have any immediate questions or concerns about your assessment or any of the following information on assessing your memory and thinking skills, please contact your clinical psychologist using the details they have provided.


Why have I been referred for this assessment?

You, or someone close to you, has noticed that you are having some difficulties with your memory, concentration or another aspect of your thinking. Your doctor has suggested that you have this assessment to measure some of your current skills and abilities.


Who will carry out the assessment?

A clinical psychologist will arrange an appointment with you to conduct the assessment. Clinical psychologists have been trained to perform these assessments and make sense of the results.


What does the assessment involve?

The clinical psychologist will ask you to answer some questions and to complete a number of puzzles and tasks. Each of these is designed to measure how different parts of your brain are working. They will also ask you about your life in general and any difficulties you have noticed.

You can have a close family member or friend accompany you to the appointment if this would help you feel more comfortable or confident. They may also be able to share helpful information with us.


How will the assessment help?

Information gathered from the assessment can be useful in a number of ways. It can help your doctor understand what problems you are experiencing and why this might be. This enables them to provide appropriate support and assistance.

Assessments can be repeated in the future to see if your problems have got better, worse or stayed the same.


How long will the assessment take?

The assessment is usually completed over two or three appointments, lasting roughly 90 minutes each.


Where will the assessment take place?

The assessment will usually take place in the clinical psychologist’s office at the hospital. Sometimes part of the assessment may take place in your home.


Is there anything I need to take to the assessment?

If you wear glasses or use a hearing aid you will need to bring these to the assessment to help you.


Will I find out the results of the assessment?

The clinical psychologist or doctor will arrange to meet with you after the assessment to talk about the results. Some people prefer more detailed feedback than others. You can discuss this with your clinical psychologist.


Will anyone else be told the results of the assessment?

The clinical psychologist will write to the doctor who referred you to let them know the results of the assessment. You may wish to have a written report of the results of the assessment.


What if I drive a vehicle?

If the professionals involved in your care tell you they have any concerns about your ability to drive, you have a legal obligation to inform the Driver and Vehicle Licensing Agency (DVLA). It is also best to inform your insurance company. This does not mean that you will automatically be stopped from driving.

Medical advisors at the DVLA may want to contact the professionals who have been involved in your assessment for more information about your difficulties. This information could include the results of this assessment.




Leaflet reference: L1033
Version: V1
Date last updated: 12/02/2019
Archive date: 12/02/2022



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Contact information

If you have any queries about using text messages to communicate please contact your care team.



We are committed to providing high quality services. Part of this is making sure we communicate with you in the best way to meet your needs and manage risks. Often this is by telephone or in person.

Verbal communications help us to find out what is happening, assess your level of distress and provide appropriate support.

Text conversations can lack the depth of information we need to respond safely.

Messages that are sent out of office hours may not be responded to in a safe or timely manner. Frequent texts that staff are unable to respond to due to other clinical commitments can also leave you feeling neglected and our staff overwhelmed.

We have developed the following guidance on using text messages based upon work we have done with service users and their experiences.



We will discuss any difficulties you may have engaging with services with you.

Please make sure your care team has your mobile telephone number accurately recorded.

We will not assume that because you have given us your mobile phone number that you are consenting to receive text messages.

We will ask your specific consent to use text messages to communicate with you. You can give or withdraw your consent at any time.


If you have given consent…

Staff members will text from their work mobile telephone to:


Staff members won’t text to:


Communicating with us…

Do text:

If you do not receive a response to a text message, please contact your care team via telephone on the number provided at the start of this information.

Don’t text:


Changing numbers

If your mobile phone number changes please let your worker know so that they can update the records held by the team.

If your worker changes their mobile number they will let you know their new details.


Your care record

We will record whether you have consented to receive text messages on your clinical record.

All text communication will be transcribed onto your care record including:

Once the information has been transcribed the message will be deleted from the worker’s mobile phone.



Leaflet reference: L1032
Version: V1
Date last updated: 17/01/2019
Archive date: 16/01/2022



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Due to server maintenance these guides will not be available for approximately one hour from 6am on Tuesday 14 May.


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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