AMH redesign EAST FINAL - Southern Health NHS Foundation Trust

Our
Adult Mental Health
Services
Information for referrers
Introduction
Southern Health Adult Mental Health Services
We provide a diverse range of
services for adults aged 18-65 with
a mental illness. We focus on
recovery and reablement - giving
people the support and treatment
they need to manage their illness
and enabling them to lead
independent and fulfilling lives
both in the community and in our
dedicated psychiatric hospitals.
Our services are based around a single
point of access - the Access &
Assessment Team - which is able to
build a comprehensive care plan and
www.southernhealth.nhs.uk/amh
provide short-term interventions
including psychological therapies.
that a bed is available as close as
possible to your patient’s community.
Our specialist teams are able to provide
support which is tailored to the needs
of your patient - and have the flexibility
to dynamically change depending on
your patient’s condition.
Southern Health was selected to pilot
the national ‘Implementing Recovery
through Organisational Change’
(ImROC) scheme - which means that
we embed the philosophy of recovery
in everything we do.
Although our services are designed to
keep your patient in their own home
wherever possible, we understand that
there are times when a short stay in an
inpatient unit is the best option. In
these circumstances we will make sure
This guide gives an overview of
our services and explains how
to get in touch and refer your
patients.
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Services in your area
(East Hampshire)
Overview
Southern Health Adult Mental Health Services
Forall
all
For
referrals
referrals
Longer-term
intervention
Acute crisis
Acute crisis
admission
Access &
Assessment
Team
• Your single point of access to refer a patient into our
services
• Thorough assessment of your patient’s needs
• Short-term interventions
Community
Treatment
Team
If your patient requires longer-term treatment, the Access &
Assessment Team will transfer them to their local Community
Treatment Team. CTTs offer a variety of interventions with differing
intensities depending on your patient’s needs, including early
intervention in psychosis and outreach services.
Hospital
at Home
Team
• Community-based support during crisis
• Close working with inpatient facilities to ensure timely
discharge
• High-intensity treatment to prevent admission where possible
Inpatient
Services
Occasionally, admission to an inpatient facility is required for
short periods of respite and intensive support. We focus on
recovery to ensure your patient can return to their home as
soon as possible.
How it works: an example
Southern Health Adult Mental Health Services
How you access
our services
You have a patient that you believe is in need of
additional support with their mental illness.
You contact your local
Access & Assessment Team (AAT).
www.southernhealth.nhs.uk/amh
How we support
your patient
How we communicate
with you
The AAT carries out a comprehensive assessment, creates
a detailed care plan and begins a 12 week programme
of psychological therapy.
We will contact you to inform you of
the results of the assessment and
the care plan that we have created.
After 12 weeks, your patient is transferred to their local
Community Treatment Team for longer term
intervention.
We will tell you which CTT your
patient has been registered with and
how to get in touch with them.
Six months later, your patient experiences a crisis.
The Community Treatment Team transfers your patient
to their local Acute Care Team for more intensive
support.
We will explain the high-intensity
support we are providing and tell
you how to contact the H@H team.
The Hospital at Home, part of the Acute Care Team, is
able to help your patient through their crisis without the
need for an admission. Your patient is returned to the
care of the Community Treatment Team.
We will tell you which CTT your
patient has been registered with and
how to get in touch with them.
Access & Assessment Teams
Southern Health Adult Mental Health Services
Access & Assessment Teams provide a single point of access, acting as the ‘front door’ for all
planned and unplanned referrals. They operate 24 hours a day, 365 days per year.
Access & Assessment Teams are multi-disciplinary teams including psychiatrists, clinical psychologists, nurse
practitioners, social work practitioners, OT practitioners, support workers/ support time recovery workers and
mental health practitioners.
The core function of the Access & Assessment Team is to conduct a comprehensive health and social care
assessment of your patient to the point that a care plan can be reached and follow-on treatment and support
identified if needed.
Services provided by the Access & Assessment Team
Where a brief intervention (less than 12 weeks) is required, this will be delivered within the Access & Assessment
Team itself. Mental Health Act assessments will be aligned to these teams. Access & Assessment Teams will also
provide additional crisis support to people under the care of a Community Treatment Teams when required.
Access & Assessment Teams
in Hampshire
www.southernhealth.nhs.uk/amh
Working with Community Treatment Teams
If a longer term intervention is required (more than 12 weeks) your patient will be transferred to the local
Community Treatment Team for delivery of the care plan.
Working with Acute Care Teams
If your patient is so acutely unwell that they may need admission to hospital, they will transfer the individual to
the Acute Care Team, which will treat/support the person in their own home whenever possible or arrange for
admission to hospital if necessary.
Access & Assessment Teams
Southern Health Adult Mental Health Services
AAT
AAT
Church Square Resource Centre
49 Church Square
Basingstoke
RG21 7SN
Osborn Centre
Osborn Road
Fareham
PO16 7ES
Tel: 01256 346616
Fax: 01256 345859
Tel: 01329 288331
Fax: 01329 825519
AAT
AAT
Old School House
Southampton Road
Cadnam
SO40 2NF
College Keep
4 - 12 Terminus Terrace
Southampton
SO14 3DT
Tel: 023 8081 6650
Fax: 023 8081 6659
Tel: 023 8071 7204
Fax: 023 8071 7208
North
West
East
Southampton
Community Treatment Teams
Southern Health Adult Mental Health Services
Community Treatment Teams provide a range of community-based mental health services
to individuals who need support and treatment for periods of more than 12 weeks.
Community Treatment Teams are multi-disciplinary teams staffed by psychiatrists, clinical psychologists, nurse
practitioners, social work practitioners, OT practitioners, carer support workers, and support workers /
support time recovery workers.
The core function of Community Treatment Teams is to deliver the care and treatment as determined by the
individual’s assessment and care plan.
Community Treatment Teams provide:
• Personalised, recovery-focused care
• Medical interventions and medicine management
• Psychological interventions
• Support for carers
• Occupational therapy
• Assertive outreach
• Early intervention in psychosis
Access to Community Treatment Teams
If required, we will transfer your patient to their local CTT following assessment and initial intervention from
the Access & Assessment Team. You will be notified if your patient is transferred.
Community Treatment Teams
in Hampshire
www.southernhealth.nhs.uk/amh
Working with Acute Care Teams
If your patient becomes acutely unwell whilst under the care of the Community Treatment Team, they may
be transferred to the Acute Care Team, which will treat and support the person in their own home
whenever possible or arrange for admission to hospital if necessary.
Community Treatment Teams
Southern Health Adult Mental Health Services
North
East
North CTT
Mulfords Hill Centre, Tadley
Bridge Centre, Basingstoke
Elizabeth Dibben Centre, Bordon
Havant and Petersfield CTT
Petersfield Community Hospital, Petersfield
Parkway Centre, Havant
Fareham and Gosport CTT
Hewatt Centre, Gosport War Memorial Hospital
West
Southampton
Winchester and Andover CTT
68b Junction Road, Andover
Connaught House, Winchester
Southampton CTT
College Keep, Terminus Terrace
Cannon House, Shirley
Hawthorn Lodge, Moorgreen
Eastleigh and Romsey CTT
Horsefair Mews, Romsey
Desborough House, Eastleigh
New Forest CTT
Waterford House, New Milton
Anchor House, Totton
Hospital at Home Teams
Southern Health Adult Mental Health Services
Hospital at Home (H@H) teams are part of our Acute Care teams. They operate 24
hours a day, 365 days per year providing support and treatment to people who are
acutely unwell as determined by the Access and Assessment Team.
Hospital at Home Teams are multi-disciplinary teams staffed by psychiatrists, clinical psychologists,
nurse practitioners, occupational therapists, support workers/ support time recovery workers and
administration staff.
The core function of Hospital at Home Teams is to provide intensive treatment and support to
individuals in their own homes in order to prevent unnecessary hospital admission and/or to facilitate
earlier hospital discharge.
Hospital at Home Teams provide:
• Intensive home treatment and support
• Support to families of individuals who are acutely unwell
• Crisis beds
• Intensive support
• Short admissions to hospital when required
Hospital at Home Teams in Hampshire
www.southernhealth.nhs.uk/amh
Access to Hospital at Home Teams
If required, we will transfer your patient to their local H@H team following assessment and initial
intervention from the AAT. You will be notified if your patient is transferred.
Working with our inpatient services
If your patient becomes acutely unwell whilst under the care of the Community Treatment Team, they
may be transferred to the Hospital at Home team, which will treat and support the person in their
own home whenever possible or arrange for admission to hospital if necessary.
Hospital at Home Teams
Southern Health Adult Mental Health Services
H@H
H@H
Parklands Hospital, Basingstoke
Elmleigh Hospital, Havant
H@H
H@H
Melbury Lodge, Winchester
Antelope House, Brintons Terrace (RSH)
North
West
East
Southampton
Inpatient Services
Southern Health Adult Mental Health Services
Inpatient services provide treatment and care for people who have severe mental illness,
and who need their care to be delivered in an inpatient setting.
Our inpatient services are staffed by psychiatrists, clinical psychologists, nurse practitioners, mental
health nurses, occupational therapists, support workers and support time recovery workers. We also
provide psychiatric intensive care units (PICU) within our hospitals for patients who need treatment in a
safer or more restricted environment.
Inpatient units in Hampshire
www.southernhealth.nhs.uk/amh
Referral into inpatient services
Where possible your patient will be cared for by the Hospital at Home Team but when necessary they
will be referred onto an inpatient ward which will be suited to their needs.
Although we are focussed on caring for people in their homes or the community wherever possible,
there will always be beds available for those that need them.
Inpatient Services
Southern Health Adult Mental Health Services
North
East
Parklands Hospital, Basingstoke
24 Beds
PICU
Section 136 place of safety
Elmleigh, Havant
20 Beds
PICU
Section 136 place of safety
Hollybank, Havant
14 High Dependency Beds
West
Southampton
Melbury Lodge, Winchester
23 Beds
Section 136 place of safety
Antelope House
40 Acute Beds
10 High Dependency Beds
PICU
Section 136 place of safety
Specialist Services
Southern Health Adult Mental Health Services
In addition to the services described above, we offer a range of highly
specialised services for people with mental illness. Referrals to these services should be
made directly to the service. Please contact the service by the telephone number provided
for more information.
Specialist services in Hampshire
www.southernhealth.nhs.uk/amh
Mother & Baby (Perinatal) Services (Melbury Lodge) 01962 825507
We provide services for mothers experiencing mental illness who have babies up to one year old. We
specialise in keeping mother and baby together and offer support in the community and in dedicated
inpatient facilities.
Eating Disorders Services (April House) 023 8081 9000
Our Southampton-based eating disorders unit offers assessment and treatment for people aged 18 and
upwards from across Hampshire with a primary diagnosis of anorexia nervosa, bulimia nervosa or
atypical forms of these disorders. The clinical team includes nurses, clinical psychologists, eating disorder
therapists, a dietitian and healthcare support staff.
Substance Misuse Services (Southampton area only) 023 8071 7171
We provide ‘tier three’ services for people aged 18-64 who require help with their problematic drug or
alcohol use. We work in partnership with other local substance misuse organisations within the
Southampton City area. The clinical team includes specialist substance misuse nurses, social workers,
psychiatrists and healthcare support staff.
Chronic Fatigue Services (Fairways House) 023 8024 1348
We provide occupational therapy based services to those suffering from mild to moderate chronic
fatigue across the whole area for those age 18 years upwards.
Excellence in our services
Southern Health Adult Mental Health Services
ImROC
Research & Development
italk
WRAP
Southern Health was selected to pilot the national Implementing Recovery
through Organisational Change (ImROC) scheme which works towards ten
indicators to embed recovery into everything we do. The scheme promotes
recovery through changing the nature of day to day interactions and the quality
of experience of those who use our services. A comprehensive service user led
education and training programme is being used to educate staff and the Trust is
establishing a recovery education centre to drive the programme forward.
italk is Southern Health’s IAPT (improving access to psychological therapies)
service, a partnership between Solent Mind and Southern Health. italk helps
people with common mental health problems including depression and anxiety.
The service is open to anyone aged 16 and over who is registered with a GP in
the seven localities of Eastleigh, Fareham, Gosport, Havant, New Forest, Test
Valley and Winchester. Referrals can be made through GPs or by self referral.
www.southernhealth.nhs.uk/amh
As well as providing a wide range of clinical care, the Trust also supports ongoing
research activity to improve and innovate the services we offer. We also work closely with
the University of Southampton as well as other academic centres to research and develop
the services and treatments we offer. The Trust currenty host the South Coast Dementias
and Neurodegenerative Diseases Research Network (DeNDRoN) and the Memory
Assessment Research Centre (MARC).
The Wellness Recovery Action Plan (WRAP) is an exciting and effective self management
tool originally used in the self management of long term conditions such as depression
and MS. WRAP has been successfully used locally in secondary adult mental health
services for six years and is now used throughout adult services, within physical disability,
learning disability, older people and with carers. WRAP is supported by all-new
government initiatives that promote personalised care.