Mental Health

North Bradford Referral Pathways

Mental Health

In House

Pam Parker (DN) - severe enduring mental health

Simon Long - assessment of complex mental health patients

GPwSI

Name	Location	Tel	Referral Criteria	How to refer
Primary Care Mental Health Team	New Mill	01274 200168	►Assessment of common mental health problems ►Not for CPN or social work ►mainly a therapy service eg counselling full criteria here	●Use common referral form ●Direct Booking

Support Services:

Name	Location	Tel	Referral Criteria	How to refer
Volunteer befriending service	First Floor, The Tradeforce building, Cornwall Place Bradford BD8 7JT	01274 770 118	aims to support people who: ►have become lonely through mental illness OR ►who have become ill through social isolation	●individuals or health professionals can refer ●patients seen once they fill in a short questionnaire ●important that people are not coerced into support they do not want more details here
Self-Help Clinics			►a CBT approach ►mild to moderate depression/anxiety ONLY ►are motivated to make changes click here for complete referral criteria	●give patient information about the approach ●encourage patient to make the appt

Specialised Outreach Clinics

Name	Location	Tel	Referral Criteria	How to refer
Somerset House	Somerset House		►Locality Psychiatry Clinic	●referral letter
Drop in clinic (walk in) M 1.30-3.30 T 1.30-3.30 W 12.30-2.30 T 1.30-3.30 F 1.30-3.30	Somerset House Manor Lane Shipley Bradford BD18 3BP	01274 531 536 Fax 01274 770 779	►those who need a CPA review (those on a CPA should get one every 6m) ►needing active medical Mx eg further assessment, treatment review, going through a period of high risk ►people who require psychiatric consultation but not in regular contact with a psychiatrist - new referrals, previous but not current contact (re-referrals), current CMHT but no medical contact (within team referrals)	●fax referral letter ●will take bookings for the surgery until 12noon for that day ●after this period, they get booked into next day's surgery ●50% of the appts are bookable, the rest are walk in ●8 appts per session
Crisis Resolution Service/Home Treatment Service Lynfield Mt	Lynfield Mt Daisy Bank, 109 Duckworth Lane, Bradford, BD9 6RL Tel: 363 704 staffed by psychiatrists, community mental health nurses, community mental health assistants and an approved social worker	9-5 phone 01274 414 007 somerset go through duty worker there, they will refer to Lynfield if needed team operates 24/7 ONLY FOR CLIENTS WHO REQUIRE HOSPITAL ADMISSION SHOULD BE REFERRED TO THIS TEAM	►acute psychiatric illness ►high risk ►psychosis ►suicidal risk, ►where you might consider admission provides an alternative to inpatient hospital admission by providing intensive home support for usually around 2-4 weeks service is happy to offer advice and support for difficult cases	●OOH - phone crisis team at lynfied mount hospital 01274 494 194 can call on this number and ask them to bleep the crisis resolution/home treatment on call nurse if urgent; give the name of the client ●send a referral letter too ●all patients must have been seen by the doctor within 24h prior to the referral being made
Post Traumatic Stress Disorder PTSD services	BNPCT - primary care mental heath team Ty Gwyn Ex-Army Personnel Treatment Unit, Llandudno, Run by a Dr Alun Jones, c/o Rhianfa, Talwrn, Ynys Món, LL77 7TB, NHS provider code 8WE31 01248n723164 Ty Gwyn Ex-Service Treatment unit Audley Court in Shropshire. Run by military for ex -services personnel. Ring their welfare support team on 01952 820335 or fax 01952 814882 to ask for your patient to be assessed. They will do a domiciliary at home to assess their needs etc.' http://www.dafydd.co.uk http://www.combatstress.co.uk http://www.combatstress.co.uk http://www.eshra.com
ISIS centre for women	The Isis Centre, The Old School, Fairfield Road, Shipley Bradford BD18 4QP	01274 532 858	►complimentary therapies for female pts experiencing mental health problems ►for those who: can't sleep, can't cope, exhausted, children won't sleep, feeling isolated and alone ►with creche facilities ►provides space for the mothers themselves and time to reflect on issues around mothering	●self referral also available: complimentary therapies - click here to see a list

Consultants

Name	Location	Tel	Special Interest	How to refer
Dr Hopker			mainly inpatient work
Dr Mennon			mainly outpatient work
Dr Dale			half time with crisis team half time outpatient

NOTES ON REFERRING
(from WHO Mental Health)

Adults

A main objective of the WHO Guide to Mental Health in Primary Care is to extend the expertise of the primary care clinician and improve the cooperation and communication between primary care and secondary mental health services. With this understanding, the following guidelines have been prepared.

Referral to secondary mental health services should be considered in the following circumstances:

	where the patient is displaying signs of suicidal intent or if there seems to be a risk of harm to others
	where the patient is so disabled by their mental disorder that he/she is unable to leave his/her home, look after his/her children or fulfil other activities of daily living
	where the GP requires the expertise of secondary care to confirm a diagnosis or implement specialist treatment
	where the GP feels that the therapeutic relationship with the patient has broken down
	where primary care interventions and voluntary/non-statutory options have been exhausted
	where there is severe physical deterioration of the patient
	where particular psychotropic medication is required (eg clozapine, lithium or donezepil)
	if the patient requests a referral.

When making a referral to secondary mental health services, Social Services or voluntary/non-statutory organizations, the GP should:

	have access to a local resource directory
	consider coordination issues around the referral (eg Care Programme approach, care manager)
	consider implications for the continuing care of the physical health of the patient.

All referral criteria constitute part of the guideline for that particular disorder and assume that, as far as possible, the guideline for diagnosis and management has been followed.

Referral letters

	Patient's name, hospital number (if known), date of birth, address and telephone number
	Presenting complaint
	Reason for referral, including whether for advice only for GP to manage, or for psychiatrist to manage
	Past psychiatric history
	Background
	Current mental state
	Current medication, details of any medication tried in the past few weeks
	Drugs and alcohol history
	Details of carers and significant others.

Please send ammendments to Ramesh Mehay ramesh@theflumps.net