The New Mental Health Acute
Response Service (MHARS)
The New
(a)
MHARS Service Structure
Between 08:00-22:00 (Daytime)
(b)
Between 22:00-08:00 (Overnight)
Referral
Source
MHARS
Referral
Source
Countywide Urgent
Response Team (URT)
MHARS
24/7 Initial Contact Service,
handling all urgent referrals and
calls including sign posting, advice,
assessment and treatment where
required
24/7 Initial Contact Service,
handling all urgent referrals and
calls including sign posting and
advice
Cheltenham Area Rapid
Assessment and Home
Treatment Team (RAHTT)
Assessment, home treatment
Gloucester Area Rapid
Assessment and Home
Treatment Team (RAHTT)
Assessment, home treatment, 136
suite coordination
136 Suite
Stroud Area Rapid
Assessment and Home
Treatment Team (RAHTT)
Assessment, home treatment
Outcomes
Countywide Urgent
Response Team (URT)
10pm-8am
Mental
Health Liaison
136 Suite
Outcomes
General
Practitioner
Self
The New
MHARS Model
Emergency
Department
Carer
Police
SWASFT
Signposting
Non-Stat
Agencies
111
Social
Services
Emergency Duty
Team (EDT)
Mental Health Acute Response Service (MHARS)
See Page 5 for MHARS Service Structure
10pm-8am
Mental
Health Liaison
136 Suite
Assessment within an hour if required
Recovery Teams
Substance Misuse
ICT Teams
CAB
GRIP
Rethink
CYPS
Mind
OOPS
Samaritans
GP
Young Carers
Social Services
AA
A&E
NA
Police
Carers Glos
County
Community
Projects
Independence
Trust
Outcomes
Ambulance
Hospital Admission
Signposting
Home Treatment
Advice Only
Mental Health Act
Assessment
Proposed Key changes
• Development of the Urgent Response Team
(URT)
• Self-referral
• Providing triage for referral
• Advice and signposting, Crisis Prevention
• Onward referral
• Co-location
• URT based in Waterwells with the police and EDT
Proposed Key changes
• AGE
• Rapid Assessment and Home Treatment team will be
working with those aged 16 and up or 14 and up for those
already known to the GRIP team
• Response
• Assessment if needed within one hour
• Greater capacity for home treatment
• Treating people in least restrictive environment
• Ensuring the right service is received at the right time by
the right person
• Emergency Department Liaison Function 10.pm-8 am aged
16 and up
Benefits
• Increased service user/carer/referrer
satisfaction
• Reduction in 136 detentions
• Reduction in ED admissions
• Better communication
• No bounced referrals