help!your handy guide to mental healthfor people in Manchester 2010inside this guide:• your questions answered about mental health• what you can expect from services in Manchester
with thanks! your handy guide to mental health for people in Manchester 2010This is a general guide and not an authoritative Thanks go to:statement of medical fact or the law. Errors and The Manchester Public Health Development Service, who provided much of the informationomissions excepted. This guide cannot be assumed and for supporting this projectto endorse any organisations listed. Having a Voice, who provided the material on Recovery This guide was originally produced with the help and support of a group of members of Having A Voice, who drew on their experience as mental health service users and of recovery to decide on the size, presentation and content and who also took many of the photographs. Additional photographs by Vicky Barton and David Spencer Project management by Justin Larner Mind, who provided information from their leaflets on mental health Designed and produced by Andrassy Design 01484 434844 This guide was funded by Manchester Primary Care Trust
help! IN CRISIS? see page 109 P Concerned about your mental health? pages 7 – 25 Pyour handy guide to sources of supportfor people in Manchester 2010 How to look after your mental health pages 27 – 35 P Getting help from your GP pages 37 – 41 P NHS primary care mental health services pages 43 – 47 P NHS secondary care mental health services pages 49 –63 P Getting help from a voluntary organisation pages 65 – 73 P Services that meet your particular needs pages 75 – 101 P Web links pages 103 – 107 P4
Section 1“I’d like others to know there is light at the end of the Concerned about your tunnel. You can do it. Just ’cause you’ve got some kind mental health? of a mental health issue you can still live a normal existence. You can still carry on your life as normal.”
Alcohol and drugs Mental health problems are very common. Around six million people in Problem drug use is when a person Manchester for people who have both Concerned about your mental health? Britain have this diagnosis at any one time. They can be caused by physical, admits to having a problem with either drug (or alcohol) and mental health mental or social conditions, or any combination of these. A physical or prescribed (such as painkillers given to problems. Their families and carers can you by your doctor) or non prescribed also get help. You can refer yourself or mental illness, past experiences, difficult relationships and stresses such as drugs (such as cannabis or heroin). agencies you are working with can unemployment and drug or alcohol problems can all play a part. Many people take drugs because they refer you. make them feel good for a short time, For referrals, referral advice and The early signs of mental distress can include changes in mood (up or and sometimes people use drugs to self appointments phone the Single Point down), changes in sleep, unexplained symptoms such as headaches medicate. Continual use can lead to a of Accesss (SPA) on 0161 276 6155. dependency. Alcohol is often used to or stomach aches, lowered energy levels through to hearing and seeing help us relax and feel better, but things that other people do not. alcohol is actually a depressant and can Talk To Frank is a confidential 24 hour make conditions like depression worse. helpline and website where you can This section describes common mental health problems and gives contact get unbiased information about drugs Sometimes people have a mental in over 120 languages. details of a national organisation that can provide more information on health issue at the same time as a drug each issue. See the ‘Getting Help from Your GP’ (on page 37) and ‘Getting or alcohol problem. This is often known Talk To Frank Section 1 as having a dual diagnosis. Each 0800 77 66 00 Help from a Voluntary Organisation’ (on page 65) sections for help locally. textphone 0800 917 8765 problem can affect the other. firstname.lastname@example.org Dual Diagnosis clinics have been set www.talktofrank.com8 up in north, central and south
Anger Anger is an emotion which helps us deal anger, then it would be wise to seek help The Alternatives to Violence Project is a Concerned about your mental health? with challenges in our life. However, – from your doctor, your community national organisation with an office in how we use our anger is important. mental health nurse, from friends and Manchester that provides workshops in Some people tend to become angry family, from self-help groups etc. Talking managing anger and negotiating easily (a “short fuse”), and some have about where your anger is coming from peaceful relationships. problems controlling their anger. is also a good way of exploring negative Alternatives to Violence Project Suppressed feelings of anger, or anger emotions. Cognitive behavioural therapy 0161 832 3660 (Manchester office) turned inwards can lead to low mood, can also be effective in dealing with lack of assertiveness and self esteem, anger. www.avpbritain.org.uk and self harm. There are techniques you can use to manage anger better. Expressing your angry feelings assertively, not aggressively, is the best way to express anger. To do this, you have to learn how to make clear what your needs are, and how to get them Section 1 met, without hurting others. ‘Diverting’ it into physical or creative activities can be a way of using anger in a positive way. If you feel unable to control your10
Anxiety Autism and Asperger Syndrome Anxiety can be experienced by anyone, Anxiety UK offers support to people Autism is a lifelong developmental There is also a condition called Concerned about your mental health? for example before public speaking or a experiencing anxiety disorders which disability that affects the way a person Asperger Syndrome, which is a form of job interview. An anxiety disorder is includes obsessive compulsive disorder communicates and relates to people autism, used to describe people who when a person experiences the (OCD) and post traumatic stress around them. Children and adults with are usually at the higher functioning symptoms of anxiety to such an extent disorder (PTSD) autism have difficulties with everyday end of the autistic spectrum. that it interferes with their everyday Anxiety UK social interaction. Their ability to The National Autistic Society life. These symptoms can include 08444 775 774 develop friendships is generally limited 0845 070 4004 feeling overcome with panic, email@example.com as is their capacity to understand other www.nas.org.uk restlessness, breathlessness, excessive www.anxietyuk.org.uk people’s emotional expression. People worrying or being unable to control with autism can often have disturbing thoughts. These symptoms accompanying learning disabilities but can escalate into panic attacks, a everyone with the condition shares a sudden bout of intense terror which is difficulty in making sense of the world. not a natural response to real danger. Section 112
Dementia Depression Dementia is a disorder which affects The Alzheimers Society is a Depression can happen to anyone as The Depression Alliance offers Concerned about your mental health? how the brain works. The term membership organisation which runs a part of a natural grieving process such information by phone, email and dementia describes a group of helpline and coordinates local support as at the end of a relationship. through their website, also links to symptoms that affect people in many groups. Depression becomes ‘clinical’ when local self-help groups. ways. Dementia affects all types of symptoms such as apathy, loss of National Information Line things such as memory, thinking, energy, suicidal thoughts, sleep or 0845 123 23 20 behaviour and personality, which can Alzheimers Society Helpline appetite changes persist or go beyond 0845 300 0336 firstname.lastname@example.org be a life changing experience. There are normal mood changes. Symptoms can www.depressionalliance.org lots of types of dementia which can be email@example.com also include headaches, stomach or difficult to recognise at first, as changes www.alzheimers.org.uk general pain even when the person can sometimes be small and gradual. does not complain of feeling depressed. Medication, talking therapies and One in twenty persons will suffer lifestyle changes can help in managing serious or clinical depression at some symptoms and adapting to life time in their lives. changes. People who are depressed may be seen by others as lazy or difficult but any Section 1 attempts to make them ‘snap out of it’ will fail. Depression responds well to counselling, Cognitive Behavioural Therapy (CBT), self-help or medication.14
Eating disorders Manic depression Eating disorders are serious conditions beat (Beating Eating Disorders) offers a This is often referred to as ‘Bipolar The Manic Depression Fellowship Concerned about your mental health? which can be potentially life helpline and access to local self-help Disorder’ and is where a person (MDF) can offer information, threatening. They consist of complex and support groups. alternates between a ‘high’ (manic) and membership and links to sources symptoms centred around food, body beat ‘low’ (depressive) mood. This can be of help. weight, body shape, and low self- 0845 634 1414 over as little as a week over a longer Manic Depression Fellowship esteem. Eating disorders affect people firstname.lastname@example.org timescale of up to several years. Manic 0845 434 9970 for enquiries of all ages but are more common in www.b-eat.co.uk Depression occurs in phases but it is email@example.com young women. Women suffer from possible to remain well for long www.mdf.org.uk these disorders 10 times as often as periods. men and they most often start in the teenage years. The most commonly recognised disorders are bulimia and anorexia but people often present with a variety of combinations of symptoms. Section 116
Obsessive Compulsive Disorder Personality disorder This is a condition where the individual OCD Action Personality disorder refers to when BPDWORLD Concerned about your mental health? suffers obsessive and persistent Help and information line on your beliefs and attitudes are different Helpline 0844 357 4567 thoughts or ritualistic behaviour such 0845 390 6232 from most other people’s who can find firstname.lastname@example.org as hand washing, hoarding and email@example.com this behaviour unusual, unexpected or www.bpdworld.org arranging objects. The person feels www.ocdaction.org.uk perhaps offensive. There are many unable to control the behaviour and different kinds of personality disorder, this can be distressing. OCD is including Antisocial Personality common, with one person in thirty Disorder, Paranoid, Schizoid, and suffering at any one time. It responds Borderline. well to treatment, including Cognitive BPDWORLD is a national organisation Behavioural Therapy or medication. that provides counselling, support and OCD Action is a national charity that online information on issues around provides information and support on personality disorders, particularly Obsessive Compulsive Disorder, Body Borderline Personality Disorder. Dysmorphic Disorder (BDD), Compulsive Skin Picking (CSP), Section 1 Trichotillomania (TTM) to both adults and children.20
Post Traumatic Stress Disorder Pre and Postnatal Depression Post-traumatic stress disorder (PTSD) emotional and physical reactions, and Pre and post-natal depression is a The Association for Post Natal Illness Concerned about your mental health? describes a range of psychological changes in behaviour, which may common and treatable condition, and provides a telephone helpline, symptoms people may experience include reliving aspects of the trauma, is different from the ‘baby blues’. information leaflets for sufferers and following a traumatic event, which is avoiding memories and being easily Post-natal Depression (PND) is what healthcare professionals as well as a outside the usual human experience. aroused, including irritability and happens when you become depressed network of volunteers, (telephone and The World Health Organisation has panic response to anything to do after having a baby. Sometimes, there postal), who have themselves defined it as: ‘A delayed or protracted with the trauma. may be an obvious reason, often there experienced postnatal illness. response to a stressful event or Help and treatment for post traumatic is none. It can be particularly Association for Post Natal Illness situation (either short or long-lasting) stress disorder can be offered by your GP. distressing when you have so looked 020 7386 0868 of an exceptionally threatening or long- forward to having your baby through www.apni.org lasting nature, which is likely to cause Combat Stress can offer advice, the months of pregnancy. You may feel pervasive distress in almost anyone.’ treatment and rehabilitation to people guilty for feeling like this, or even feel who have served in the Army or Navy. that you can’t cope with being a If you have faced a traumatic experience, you may simply feel Combat Stress mother. It can last for weeks or several emotionally numb to begin with, 01372 841600 months. Mild PND can be helped by and feelings of distress may not firstname.lastname@example.org better support from family and friends; Section 1 emerge straight away. But sooner or www.combatstress.org.uk more severe PND will need extra help later, you are likely to develop from your GP, health visitor or, in some cases, mental health professionals.22
Schizophrenia Self harm This is not the ‘Jekyll and Hyde’ split Rethink Self harm involves self-injury or National Self Harm Network supports Concerned about your mental health? personality of popular opinion, but a National Advice Service poisoning. It may be viewed by many survivors and people who self-harm. disorder where there is a disturbance 0207 840 3188 email@example.com professionals as a cry for help or They are available through the website, in a person’s thoughts and feelings, www.rethink.org manipulative behaviour but people use by email or in writing to P.O. Box 7264 with symptoms including a progressive self harm as a coping strategy to deal Nottingham NG1 6WJ withdrawal from reality, with their feelings and emotions. firstname.lastname@example.org hallucinations, delusions, apathy and Self harm can be an addictive-like www.nshn.co.uk emotional instability. Hearing voices behaviour and the frequency and can be a symptom, but many people severity may increase. Support and hear voices but do not otherwise help can be given to increase an display any symptoms. individual’s resilience and self-esteem Rethink offers advice, information and therefore making life easier to cope a range of local services for people with and reducing the need for affected by schizophrenia or other self-harm. “Keep on going” severe mental illness. Section 124
Section 2 How to look after your mental health “Depression doesn’t have a hold on me like it did before. I have control now, and although it’s something I have to deal with almost26 on a daily basis, it is no longer something I’m ashamed of.”
Understanding mental health Staying Mentally Healthy There are plenty of things that you can do to There are plenty of resources available that Self Help How to look after your mental health can help you to understand mental health There are plenty of things that you can contribute to your mental health and well-being. better. do to contribute to your mental health • All Manchester’s local libraries have a and well-being. “The biggest difference for me between now range of books, leaflets, audio tapes and • Eat well, what you eat affects how and then is that now I know these feelings resources about mental health and well- youre feeling, so eating food which is being at the ‘Health Information Point’. good for your body will be good for won’t last forever and that nothing is ever your mind too. Eat a proper, well- • Bookshops often have a well-being section really as bad as it seems.” which can include a range of mental balanced diet that includes fresh fruit health books that you might find useful. and vegetables. Bananas, turkey, oily fish such as tuna and mackerel are all • The Internet is a valuable source of good mood food. More information about mental health. A range polyunsaturated fats, vitamins and of self help information is available from minerals have been shown to help the Mental Health in Manchester website with depressive conditions, at www.mhim.org.uk, including leaflets schizophrenia, dementia and ADHD. It Section 2 and audio guides in various languages. is advisable to consult a doctor or See the Web links section on page 103 for health professional before making any recommended websites. major changes to your diet, especially if you are on any medication.28
Staying Mentally Healthy • Socialise, seeing friends and relatives or • Spiritual beliefs, many people who have • Sleep well. People can become very Reducing Stress How to look after your mental health getting involved in new activities is just spiritual beliefs find these help them to distressed when they feel they are not Worries about money, housing or as important as eating well. Your local cope with mental health problems and getting a good night’s sleep, which can employment can build up and add to library is a great source of information give purpose to their lives. Such beliefs make it harder to get off to sleep. your stress. Good advice, when you feel about activities and groups in your area. may be based on a particular religion or Having a regular schedule, not napping able to cope, may relieve some of your • Volunteering is a great way to meet on privately held views. If you hold such during the day and avoiding alcohol or anxiety. If you dont know who to ask, new people and gain new experiences. beliefs, you may find them a source of caffeine can all contribute to a better remember that your local Citizens It can boost one’s self esteem and inner strength. nights sleep. Advice Bureau (CAB) is a good source of confidence. It also gives people • Get out and about, being active might Self help groups free, independent and confidential something to focus on other than their involve something as simple as taking Self-help groups are available for a range advice. CAB workers are used to giving problems. See www.do-it.org.uk for lots the dog for a walk or going for a swim. of issues and life situations. information in a way that can be easily of information about volunteering. Physical activity of half an hour or more See the section Getting Help from a understood, on issues ranging from every day, such as going for a walk, swim Voluntary Organisation for more details. benefits and debts to legal problems and • Being creative can also help you to family and personal matters. See the relax. Art and creativity can help people or to the gym can improve mental well- These groups can help in creating a being as well as physical health. If this is support network for encouragement, section Services that meet your to find an outlet for their emotions. This particular needs for more details. could be through painting, drawing, undertaken in a park or countryside, it understanding, trust and acceptance, Section 2 photography, sculpture, carving, can also help with spiritual well-being. practical help, gentle guidance, respect Relaxation needlework and embroidery, creative You can even be referred for exercise on and empathy and fun. Relaxation is particularly important. It writing, poetry or crafts. prescription by your GP. See page 46 for enables the body to renew its energy more details. and the mind to feel calm and30
Staying Mentally Healthy Advance directives refreshed. Although underlying An advance directive is now recognised medicine you prefer to be given, but How to look after your mental health problems will remain, you will under the Mental Capacity Act 2005 as these will simply be a consideration probably feel more able to deal with a legally enforceable document. An and not legally enforceable. them. However, it is often very hard to advance directive (also known as an The Mental Capacity Act aims to relax when you are distressed. In this ‘advance statement’, ‘advance refusal’ protect people who are seen to lack the case, learning a relaxation technique or or ‘living will’) is a way of making a capacity to make their own decisions a therapy such as yoga may help. person’s views known if he or she about treatment. It makes law the The important thing is to find ways that should become mentally incapable of principle that if someone else has to “I just blurted it out one day to giving consent to treatment, or making work for you. There may be times when make a decision on your behalf, then you need support from other people, my GP and I was really surprised informed choices about treatment, at that decision must be in your best and it is important to seek help and not some future time. interests. All practical steps must have at just how serious he took it feel you have to struggle on alone. An advance directive must be in been taken to enable a person to make and the way I was supported. writing, signed and witnessed, and if it decisions before deciding that they lack I guess I was very lucky” applies to life-sustaining treatment capacity. there must be a statement that the decision stands even if life is at risk. An Section 2 advance decision is only legally enforceable in terms of refusing medical treatment. It can include statements such as the type of32
Advance directives Advocacy You can make an advance decision to The Act created the Independent “Recovery is not the easy Advocacy is where a person represents How to look after your mental health refuse treatment, or register a Lasting Mental Capacity Advocate (IMCA) another’s interests as if they were their Power of Attorney with the Office of Service. The service can advocate for option. Recovery is a complex, own. An advocate is someone the Public Guardian. See those who lack capacity and who need difficult and exhilarating independent of mental health services www.publicguardian.gov.uk for more to make major decisions, e.g. moving who can help you to make sure that details. This is a legal document that accommodation, serious medical journey involving bad days your voice is heard by professionals. He names another person who can make interventions. IMCA advocates may and hard work. Hope has to or she can accompany you to meetings decisions on your behalf if you lack also attend care reviews and adult with professionals. They can help you capacity. protection meetings where live amongst this.” ask the questions you need to, and If you do not draw up an LPA, a Court of appropriate. In Manchester, the IMCA make sure that you get your message Protection can appoint a deputy who service is provided by Rethink, across. will make decisions in your best phone 0161 245 3251. See the section ‘Getting Help from a interests. Voluntary Organisation’ (on page 65) for details of organisations that provide advocacy in the community. Section 234
“My GP told me, assertively, to go and buy a bar of chocolate, sit in the park and look at the flowers, to appreciate the world and all its wonders. He also section 3 prescribed some medication. I thought he was mad, but I went and did it and now I am very grateful. The medication alone was only keeping Getting help from your GP me where I was.”36
Getting help from your GP If you think you have a problem with your To get more out of your appointment could do to help you feel better and with your GP think about the following recover. For mild to moderate mental well being and would like some help, questions before you go: depression and anxiety there are a the first step is usually to talk to your GP. number of things that can help which • How are you feeling, and what are You might think that mental health is not your symptoms? your GP may recommend: something that GPs are familiar with but in • How long have you been feeling • Exercise and social activities, such as going for a swim or seeing friends. Getting help from your GP fact 1 in 3 appointments concern patients’ like this? • Talking therapies to help you explore emotional well being including mild or • How is it affecting your life; is it preventing you doing normal your feelings and emotions. moderate depression and anxiety. If you are Counselling is a process where a activities or something you not registered with a GP simply go to your normally enjoy? person works in partnership with a counsellor on issues that may be local surgery with your medical details. • Are you looking after yourself .e.g. causing distress in their lives. See Find your local GP or health service on getting enough sleep, taking some Counselling provides an opportunity page 107 or phone NHS Direct on 0845 46 47 exercise, eating properly? for a person to talk about their problems and feelings, in an Section 3 The GP will firstly check if there are any physical causes to your illness, such as environment which is safe and a recent bout of flu, diabetes or heart confidential. disease and then suggest what you38
Getting help from your GP • Cognitive Behavioural Therapy (CBT) Medication than the doctor who prescribes them. You have the right, by law, to make an involves a therapist helping you Medication that may be prescribed by a They may be more aware of possible side informed decision about which understand what triggers your depression GP include effects, and also possible interactions treatment to have, and whether or not by identifying any harmful or unhelpful • antidepressants with other drugs (this is when a drug to accept the treatment a doctor thoughts which can make you depressed. • anti-anxiety drugs (also often prescribed changes the effect of other drugs you are suggests. To consent properly, you need The aim of CBT is to help you change how as sleeping tablets), which are often taking, makes them less effective, or to have enough information to you think and what you do in the future referred to as minor tranquillisers causes additional side effects). understand what the treatment is, how so you can break the cycle of depression. • lithium, which is prescribed for bipolar Pharmacists are usually very willing to it will affect you and what risks it holds. Getting help from your GP Computerised CBT programmes, such as disorder (manic depression) discuss drugs with patients, and some You should learn about its chance of ‘Beating the Blues’ (that you can work • antipsychotics high-street chemists have space set aside success, and if there are any alternatives through in your own time at your own If you are prescribed medication from where you can talk privately. to it. Generally, you can only receive pace) are now available from Self Help your GP, you should find with it an Many people would like to have the treatment that you have specifically Services (see their entry in the section information sheet called a patient information about their proposed agreed to. ‘Getting Help from a Voluntary information leaflet (PIL), in accordance treatment before they are given the The Mind website Organisation’ on page 65) and free with a European Union directive. This prescription for it, and not after they www.mind.org.uk websites listed in the ‘Web Links’ section gives more information on the drug and have got it from the pharmacist and has more information on medication (page 103). potential side effects. You should also taken it home. The following are issues with useful factsheets that can be read Section 3 • Referral to a Clinical Psychologist who is consider talking to your pharmacist. you might like to discuss with your on-line or ordered through Mind trained in psychological treatments. Pharmacists are drug specialists, and may doctor when she or he gives you a Publications. They will talk through problems and be more knowledgeable about your drugs prescription for a drug:40 find ways of solving them over a number of sessions.
“There is no guarantee that tomorrow all your issues will disappear so be prepared for a long journey. Try to remember some parts of journeys can be tough and hard going but you always meet some great section 4 characters that can make parts of the journey enjoyable” . NHS Primary Care Mental Health Services
NHS Primary Care Mental Health Services Manchester Primary Care Mental Health Services offer The service provides talking therapies Primary Care Mental Health Team using a range of approaches including (North Districts) short term therapeutic interventions to residents, counselling, cognitive behavioural 0161 231 0017 aged 16 and older, who are registered with a therapy, problem solving, and guided Manchester GP and who have common mental health self help. (However, please note that Primary Care Mental Health Team currently the Central Districts team (Central Districts) problems such as depression, anxiety, panic attacks, does not provide a counselling service). 0161 861 2343 obsessions, compulsions and stress related problems. Also, mental health advice and information, and signposting or Primary Care Mental Health Team referring to other services as required. (South Districts) The aim is to work in partnership with 0161 946 8260 service users who wish to take an active role in making changes to For more information about services improve and maintain their mental offered by these teams visit the health. Manchester Primary Care Trust website www.manchesterpct.nhs.uk There are three Primary Care Mental Section 4 Health Teams in Manchester, who can accept referrals from GP’s, other Mental health pages are in the Health professionals, as well as self referrals. Information section. See page 77 for44 details of the African and Caribbean Primary Care Mental Health Team.
Other NHS services that can support mental health NHS Primary Care Mental Health Services Community Health Trainers Exercise on Referral schemes Condition Management Programme Patient Advice and Liason Service A free service offering one to one Activity and exercise can boost our (CMP) (PALS) support for a healthier life. A health mood. A moderate amount of exercise This is a 13 week programme aimed at PALS is a confidential service (we don’t trainer will offer practical support and has been found to be beneficial in helping clients to better understand share information without your guidance, for example in becoming treating mild depression as medication. and manage their health condition, to permission) that can listen to your more active, eating healthily, managing There are exercise referral schemes improve their quality of life and regain concerns and suggestions, provide on stress, sleeping soundly, stopping (sometimes known as ‘exercise on control. It is available to people who the spot information about NHS smoking. Phone 0161 861 2548 and a prescription’) across Manchester. live in Manchester, Salford and Trafford services, help sort out problems quickly Health Trainer will contact you. If you live in North Manchester contact and in receipt of Incapacity Benefit or on your behalf, help you contact other Expert Patient Programme PACE on 0161 681 0940, Central Employment Support Allowance. organisations and record any feedback The Expert Patient’s Programme is a Manchester contact ALFA on Attendance on the programme does or comments. The service can advise free 6 week course that helps people 0161 833 4434 or South Manchester not affect benefits in any way. Clients and support patients, their families or find ways of managing their health contact SMILE on 0161 946 9438. who attend CMP are seen by qualified carers. condition more positively. For more health professionals from a range of To contact PALS please phone: information and to find a course near backgrounds and are offered: 0161 219 9451 you phone 0161 219 9424. individual interventions; group work to Section 4 look at managing anxiety/depression and or pain; along with a computer aided self help programme, Beating the Blues. Further information can be46 obtained by phoning 0161 219 9424.
section 5“you have to keep going no matter what, NHS Secondary Care don’t ever give up” Mental Health Services
NHS Secondary Care Mental Health Services NHS Secondary Care Mental Health Services Secondary Care services help people who are Referrals to services provided by the Trust would, in most cases, be through the Single Point of diagnosed with a severe or enduring mental illness Access (SPA). Phone 0161 276 6155 under a Care Plan, through the Community Mental Fax 0161 276 6154. Health Teams, Community Living services, hospital or specialist services. Secondary care is provided by Manchester Social Care services can be accessed Manchester Mental Health and Social Care Trust through the Manchester Contact Service for Social Care on 0161 255 8250. Outside office hours, the who can be contacted on 0161 882 1000 or see number is staffed by the Emergency Duty Social www.mhsc.nhs.uk. Work Service. You can refer yourself or someone else. This number can also be used if you are concerned about the mistreatment of a child or a vulnerable adult, or to report a hate crime. The Trust operates a Patients Advice and Liaison section 5 Service which aims to help and advise patients, their families and carers. Phone the PALS Coordinator, Park House, North Manchester50 General Hospital, Crumpsall, Manchester M8 5RB on 0161 918 4047 or 07815 284660.
NHS Secondary Care Mental Health Services The Care Programme Approach The Care Programme Approach • Appointment of a care co-ordinator, includes:- who will normally be a Community • An assessment of health and social Psychiatric Nurse, a Mental Health care needs. Social Worker, or an Occupational Therapist. • Formation of a Care Plan which identifies the health and social care • Regular care plan review meetings required from the NHS, voluntary or every 3-6 months, which involve the private organisations or through care co-ordinator, psychiatrist and Direct Payments. The care plan could any other workers, carers or family members who are giving care or include medication, risks support. “I was volunteering full time, that’s when management and arrangements for physical care also any actions needed I knew I was ready to go back to work. for housing, domestic support, income or benefits, occupation, I am now in full time employment” . training or employment and cultural or faith needs. section 552
NHS Secondary Care Mental Health Services Community Services Community Mental Health Teams Early Intervention in Psychosis Community Living Services • Benchmark Furniture Design & Build Community Mental Health Teams The Early Intervention in Psychosis The Community Living services help offers opportunities for people with (CMHTs), provide treatment and Service works with people aged people on a Care Plan to learn new severe and enduring mental health support under a Care Plan. The teams between 14 and 35 who are currently skills, regain self-confidence, and to needs to gain skills and experience. work closely with primary care, undergoing, or who have undergone, remain independent whilst living in Phone 0161 283 5826. voluntary organisations together with their first psychotic episode. The their own homes, helping to reduce • Start in Manchester is an Arts and user and carer groups, to provide an service works to a person centred, readmission to hospital and enabling Mental Health Project for Adults, assessment service for new patients recovery focused social inclusion service users to move on to the future providing art and gardening courses. and provide long term care for patients model. Phone 0161 277 6830 or email of their choice. Referral to Community Phone 0161 257 0675. in the community. email@example.com. Living Services is by GP or Community Mental Health Team worker. • Mainway Enterprises is a service Direct Payments offering work activity, skills training Direct Payments are made to • The 3 Day Centres provide and confidence building. individuals who have been assessed as opportunities for people to meet Phone 0161 720 2330. needing social care services so that others and engage in activities that they can make their own can contribute to wellbeing within a arrangements. These payments can be supported environment. Phone: section 5 made on a regular, occasional or one- Hall Lane 0161 945 7609, off basis. Contact Direct Payments on Harpurhey 0161 205 0118 and 0161 255 8250 (the Contact Service Victoria Park 0161 224 1308. number).54
section 5NHS Secondary Care Mental Health Services
NHS Secondary Care Mental Health Services Specialist Services The Manchester Assertive Outreach Emergency Mental Health Services Crisis Resolution Service Psychological Services service is a partnership between HARP The PEARL (Psychiatric Emergency, The Crisis Resolution Home Treatment Psychology and Psychiatry services, and Manchester Mental Health and Assessment, and Referral & Liaison) service works across the city through including clinical psychology and Social Care Trust, aiming to engage team is a multidisciplinary emergency three teams working in North, Central psychotherapy are provided at with people with severe and enduring response team operating 24 hours a and South Manchester covering the Chorlton House, Gaskell House, mental health needs who are not being day, seven days a week. Referral by needs of the Manchester residents. Macartney House, North Manchester reached by mainstream mental heath mental health professionals only. These services offer an alternative to General Hospital and Laureate House services. The service takes referrals from Phone 0161 901 1477 or 0161 901 1478. inpatient care with intensive support (Wythenshawe Hospital). These include any source, including self-referrals. in the home environment for up to 6 psychosexual services at the Rawnsley Phone 0845 0068 999 (8am-8pm, 7 days) The SAFE Team months. Referral to these teams is your Building, offering mainly cognitive and or email firstname.lastname@example.org. The SAFE Team (Self-Harm, GP, Primary Care worker or any mental behavioural therapies for sexual Assessment, Follow-up and health professional. Phone dysfunctions. The Homeless Team will directly help Engagement) works with people people with severe or enduring mental 0161 720 2045 for the North Team, Eating Disorders admitted from Accident and 0161 276 5368 for Central and health needs who are homeless, have a Emergency who have self harmed Eating Disorders Service, which is a city Manchester connection and are not 0161 882 1140 or 0161 882 1029 for wide specialist adult assessment and including follow-up in the community. South. currently seeing a psychiatrist or other Phone 0161 276 8865. psychotherapy service to patients with section 5 mental health service, concentrating eating disorders including: Anorexia on short-term intervention. nervosa, Bulimia Nervosa, Binge Eating Phone 0161 273 6908. Disorder and other forms of eating disorder.58
NHS Secondary Care Mental Health Services Specialist Services Hospital Treatment PRAMMBS (Psychiatric Referral, Alcohol & Drugs Older people Many people receive specialist mental Assessment and Management of Alcohol and Drug Assessment and Care Older Adult inpatient and outpatient health care and treatment in the Mothers and Babies Service) Northwest Management Teams assess needs hospital services are provided at community. However, some people can is a regional service for women with under community care legislation and Manchester Royal Infirmary, North experience severe mental health babies who have moderate to severe can arrange support for anyone aged Manchester General Hospital and problems that require admission to mental health problems including 18 to 64 with alcohol or drug problems. Wythenshawe Hospital hospital for assessment and treatment. post-natal depression. They also undertake carers Inpatient and outpatient hospital assessments. The Brian Hore Unit can services are provided at the three main offer counselling and an intensive 5 Trust sites at Manchester Royal week patient detox programme with Infirmary, North Manchester General specialist psychiatry service. There is a Hospital and Wythenshawe Hospital. Dual Diagnosis Day Centre for clients These include short term services to open 7 days a week. help people through a crisis. See (page Phone 0161 217 4166. 114) What to do in a crisis for addresses. section 5 .60
NHS Secondary Care Mental Health Services Hospital Treatment The Mental Health Act process if there are concerns about The patient can appeal against their Hospital Advocacy Admissions to the acute mental health keeping you and others safe. detention to the hospital managers or If you need someone to speak on your ward in the hospital can be voluntary, Approved Mental Health Practitioners the Mental Health Review Tribunal. behalf in the hospital, patients of on the advice of a GP or other health are specially trained in both mental Hospital staff have a duty to provide Manchester Mental Health and Social professional, or compulsorily under a health and the law relating to it. They information to the patient in writing of Care Trust acute wards and Monet section of the Mental Health Act. People are appointed by local authorities to their rights when they are admitted. The House, can use Rethink Manchester can only be detained if the strict criteria interview and assess people and can Mental Health Review Tribunal has the Mental Health Advocacy Service. They laid down in the Act are met. make an application for admission power to discharge the order or agree to can be contacted either on the ward or Under the 2007 Mental Health Act, an where they consider that detention is continued detention. The nearest on 0161 245 3268. application for assessment or the most appropriate way of providing relative, as defined by the act, will also appropriate medical treatment must be care and treatment. be informed in writing of their right to made by an Approved Mental Health request discharge of the patient. The The most common civil sections of the nearest relative has a number of rights Practitioner (AMHP) and be supported in Act under which patients are writing by two registered medical and powers, including requesting that an compulsorily admitted to a hospital are: AMHP investigate the persons situation practitioners. The recommendation must include a statement about why an • section 2 admission to hospital for up if they believe the person needs to be in section 5 assessment and/or treatment is to 28 days for assessment hospital, the right to be informed of any necessary, and why other methods of • section 3 admission to hospital for up detention and to request discharge from dealing with the patient are not to six months for treatment a section. Patients have the right to appropriate. The police may assist in the • section 4 admission on an emergency make an application to displace their62 basis for up to 72 hours Nearest Relative.
“I seriously wanted to die, so I rang the section 6 Samaritans. A kind lady listened to me for over three hours. That was 10 years ago” Getting help from a voluntary organisation
Getting help from a voluntary organisation Some useful organisations to contact There are many charities and voluntary organisations Ann Lee Centre Crisis Point 0845 120 3711 0161 225 9500 in Manchester providing mental health services. They email@example.com 24 Albert Road, Levenshulme M19 2FP can range in size from a few volunteers to large www.theannleecentre.org.uk Mental health crisis support centre organisations providing a range of services. They have 12 Hilton St M1 1JF where people can manage or resolve in common the fact that they are governed by A membership project that aims to their crisis and develop strategies to prevent or better manage such crises in volunteers and volunteers generally provide their provide and strengthen community connections for people who have the future. The service can work with services supported by paid staff. people with complex needs and anyone experienced severe and enduring mental health issues. Once an can make a referral, including self Voluntary organisations are independent from the referrals. Services including individual has been referred to the NHS, so if you go for counselling from a voluntary service and accepted by the current accommodation (offering stays of up to organisation they will not share this information with members, they can choose a personal 10 nights), advice and information, and worker who will help them realise their non-residential one-to-one sessions for your doctor. Generally their services work on a up to 6 sessions for people unable or goals in life. ‘self referral’ basis where you go directly to them to unwilling to use the accommodation section 6 access the service. service.66
Getting help from a voluntary organisation Some useful organisations to contact Cruse Bereavement Care Gaddum Centre Advice and HARP Hearing Voices Network (Manchester Branch) Information Service (Health Advocacy Resource Project) 0845 122 8641 0161 236 8103 0161 839 0421 0161 226 9907 (Enquiries and Information) firstname.lastname@example.org email@example.com firstname.lastname@example.org email@example.com www.crusebereavementcare.org.uk www.gaddumcentre.co.uk www.harp-project.org www.hearing-voices.org Central Hall, Oldham Street M1 1JN Gaddum House, 6 Great Jackson St, Zion Community Resource Centre, 79 Lever Street, Manchester M1 1FL Promotes the well-being of bereaved Manchester M15 4AX 339 Stretford Road, Hulme M15 4ZY Information, support and people and enables anyone bereaved Answers questions about social and A range of services and projects for understanding to people who hear by death to understand their grief and health care needs, peoples rights under people with mental health needs. voices and those who support them. cope with their loss. Provides Community Care, Disability and These include advice, information, Helpline 0845 122 8642 for voice counselling, support, information and Childrens legislation with access to a advocacy and support, welfare rights hearers only Tuesday 1:00 - 4:00pm. advice also education and training large and complex database. Staff can and financial issues and housing The Network also offers a quarterly services. identify a wide range of resources advice. Supported training takes place newsletter for members, training and Day by Day Helpline available which could be practical, in the Harp Cafe and the Zion garden conferences for people who hear 0844 477 9400 advisory, emotional or financial. and elsewhere. voices, carers, workers, students and section 6 Young persons freephone helpline anyone interested in finding out more 0808 808 1677 about hearing voices.68
“Try to learn to appreciate the small things, no matter Getting help from a voluntary organisation Some useful organisations to contact how small. For example, if St Luke’s Drop-in The Art project has a resident 0161 273 1538 community artist who works with someone says hello or groups and individuals in a well- firstname.lastname@example.org smiles at you, try to smile equipped drop-in arts studio. St Lukes Neighbourhood Centre, Phone Alison on 0161 273 1492. or say hello. They may be Stockport Road, Longsight M13 9AB (corner of Stockport road and feeling just like you” . Devonshire St South) Mental health drop-ins, including a variety of activities and a woman- friendly atmosphere. Tea, coffee and soft drinks are available. Activities include TV and games. Complementary therapy is available in the Treatment Rooms. Counselling available. Advice sessions on housing related legal section 6 advice, welfare rights and benefits, debt and asylum related issues. Women only services available. Please phone for details of all these services.70
Getting help from a voluntary organisation Some useful organisations to contact Mood Swings Network Relate Self Help Services Therapy programme Beating the Blues 0845 123 6050 (Greater Manchester South) 0844 477 9971 by GP or self referral. email@example.com 0161 872 0303 firstname.lastname@example.org 23 New Mount Street, email@example.com www.selfhelpservices.org.uk City Centre M4 4DE www.relategms.co.uk Zion Community Resource Centre, 339 Support for people, also their families 346 Chester Rd, Cornbrook M16 9EZ Stretford Road, Hulme M15 4ZY. and friends, who are affected by mood Counselling service for adults Self Help Services facilitate support disorders, for example, bi-polar (manic experiencing problems with their groups that provide a free space for depression), depression, schizophrenia. personal relationships. Relate will help people to discuss life experiences and Young Persons’ Support Group meets you whether you are married or not to exchange advice/coping strategies. 3rd Thursday every month, 6-9pm. and whatever your age, race, personal Essentially the self-help groups help to Services include Drop in Tuesday 1-4pm beliefs, sexual orientation or social break isolation and provide people each week. Carers Support Group and background. Services for families, with the opportunity to take control of Carers Pamper Day, 2nd Thursday every young people as well as counselling their own lives and manage their own month, 1-4pm, and treatments by and skills therapy for adults. Services problems. section 6 appointment only. are charged for on a sliding scale Check the website for a full list of according to income but grants are groups and new developments. available. Self Help Services also offer the Computerised Cognitive Behavioural72
section 7Services that meetyour particular needs
Black and ethnic minority communities Services that meet your particular needs “Being out in the countryside, African and Caribbean and tribunals, counselling, Mental Health Services employment, education and training especially when I am on top of a 0161 226 9562 advice and support to prisoners in hill, clears my head and helps me admin@acmhs- Manchester. Drop-ins and support blackmentalhealth.org.uk groups are also provided for service put things in perspective” users and carers. Windrush Millennium Centre, 70 Alexandra Road, Moss Side The organisation also has a Primary Manchester M16 7WD Care Mental Health Team working with people 16-65 years of age, living African and Caribbean Mental Health in Manchester and who have common Services (ACMHS) is a local mental health problems including organisation providing support to stress. African and African Caribbean people who are 18-65 years of age suffering from mental ill health. Services provided include support, section 7 casework, advocacy including welfare rights, benefits, attending ward rounds76
Black and ethnic minority communities Services that meet your particular needs Irish Community Care Manchester LMCP Carelink Manchester Advice Linkworker Service The Linkworker service provides female 0161 205 9105 0161 226 4632 and male advice workers who speak a firstname.lastname@example.org email@example.com African Caribbeans 0161 245 7055 range of different languages spoken www.irishcommunitycare.com Arabic 0161 245 7070 within minority ethnic communities 95a Princess Road, Moss Side M14 4TH within Manchester. They can give 289 Cheetham Hill Road, The project aims to enable older Asian Bangla/Sylheti 0161 245 7056 people advice and information in their Cheetham, M19 3PZ people and their carers to access Bosnian 0161 245 7068 first language as well as in English. Advice, information and support for religiously and culturally sensitive Advice can be offered on benefits, Chinese 0161 245 7058 housing, tax credits, debt, consumer Irish and wider community in services. It provides information and Manchester. Projects for Irish Travellers, support for older Asian people and Gujarati/Kutchi 0161 245 7065 problems, Council services, basic young people, elderly. Advice and their carers. Services include drop-ins immigration problems (but not Somali 0161 245 7059 casework on welfare benefits, housing, with activities such as aerobics, English asylum), health services, legal services ID, health issues, training, and classes, craftwork, painting, sewing, Urdu/Punjabi 0161 234 5601 and access to education and training. returning to live in Ireland. Men’s over yoga, and gym. Languages spoken Vietnamese 0161 245 7067 40s group. Over 50s Social and Craft include Gujarati, Urdu, Punjabi, Hindi group. Outreach sessions in and Bengali. section 7 Levenshulme.78
Black and ethnic minority communities Services that meet your particular needs Manchester Mental Health Pakistani Resource Centre The Roby Wai Yin - Kwan Wai Project Linkwork Scheme 0161 237 1125 0161 257 2653 0161 237 5908 0161 276 5259 firstname.lastname@example.org email@example.com firstname.lastname@example.org email@example.com www.pakistani-resource.org.uk www.theroby.org.uk www.waiyin.org.uk Rawnsley Building, Manchester Royal 1 Great Marlborough Street M1 5NJ 307 Dickenson Road, Woolwich House, 61 Mosley St, Infirmary, Oxford Road M13 9WL Counselling, emotional and practical Longsight, M13 0NG Manchester, M2 3HZ Provides an interpreter service support to Asian individuals Drop-ins and other mental health The Kwan Wai (Mental Health) Project between mental health professionals experiencing mental ill health, their support services and activities, supports clients who have a range of and service users, carers and families carers and families. This includes including South Asian mens and mental health difficulties. We offer with little or no English. The service is advocacy on behalf of our clients and womens groups, parent and toddlers one to one support and advice, provide available in 44 languages ranging from appear in the courts, tribunals and group and a counselling service for a drop-in on Fridays, assist people to Albanian to Yoruba. The Linkwork D.S.S. hearings in order to ensure our people living in the Longsight area. access all levels of mental health care Scheme can also provide translations of clients gain equal access to services, and work closely in partnership with written material and hold cultural also work with prisoners and their statutory and non-statutory awareness sessions. families in conjunction with the organisations. Wai Yin provides section 7 National Probation Service in specialist services for the Chinese Greater Manchester. community, although their services are open to all communities.80
Carers Children and young people Services that meet your particular needs Carers Advocacy Service Manchester Carer’s Centre 42nd Street Brook Advisory Centre 0161 214 3933 0161 835 2995 0161 832 0169 0161 237 3001 firstname.lastname@example.org Minicom 0161 831 7616 email@example.com www.gaddumcentre.co.uk Gaddum House, 6 Great Jackson Street www.carers.org/local/north- firstname.lastname@example.org www.brook.org.uk M15 4AX west/manchester www.fortysecondstreet.org.uk Commonwealth House, Advice, information and advocacy Beswick House, Beswick Row M4 4PR 2nd Floor, Swan Buildings, 20 Swan 81 Lever Street (near Great Ancoats service for anyone who is concerned Provides a range of information, advice, Street, Manchester M4 5JW Street), Manchester, M1 1FL about care for their relatives. This is a advocacy, emotional support and Supports young people under stress Free confidential counselling, sex free and confidential service for anyone practical support services for carers in aged 14-25 in a safe environment, advice, contraception (including who has concerns about the care being Manchester. These include Carers including counselling and various emergency contraception), and testing provided to people in residential or Breaks Service which supports carers to groups, including groups for young for STIs for young people up to the age nursing care. The service will also help be able to take a break and enjoy some men and women. Offers activities, e.g. of 19. Counselling around any issue, you to question the decisions being leisure time and Carers Drop in on drama, art, relaxation and trips out not just sex and relationships. made in respect of your relative. Thursday mornings. locally. Carersline 0161 835 4090 offers section 7 telephone advice, information and support.82