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No plans for Wales I see..  ::)

For these proposals to work they need to actually fund mental health services adequately which I doubt that Tories are inclined to do. Plus, they need to fund extra training for a better understanding of mental illness amongst health staff in general, particularly GPs who are usually the first place people go when they start having mental health issues. Perhaps all GP surgeries, need a counselling service because that's often all people need when going through a difficult time thus ensuring greater availability of CMHT services for those with the more severe/complex/long term problems. Implementation of targets like this aren't going to solve the issues of severe underfunding, poor organisation and inadequate training of staff.

Just saying.  :angel:
Survivor Room / Emergency MH pts to get faster help proposed - Guardian newspaper
« Last post by Rob on July 22, 2021, 01:59:11 PM »
Emergency mental health patients to get help within hour under NHS England plan  ----   Guardian Newspaper
Denis Campbell Health policy editor 22/07/2021

People arriving at A&E suffering a mental health crisis will receive urgent help within an hour under a new plan to bring in treatment targets for those with psychological and psychiatric problems.

NHS England wants to introduce five new waiting time standards specifying how long those in need should have to wait for care, in a drive to reduce what are often long delays.

These new waiting times standards are another key milestone in the journey to putting mental health on an equal footing with physical health, so-called ‘parity of esteem’,” said Sir Simon Stevens, NHS England’s chief executive.

Those set to benefit from a one-hour response include those suffering an exacerbation of schizophrenia, psychosis, extreme anxiety or depression, or having suicidal thoughts, which has led to a breakdown in their mental state.

Under the plans, which are subject to the outcome of a public consultation, the five new targets will mean that:

• People who end up in A&E in a mental health crisis will receive face-to-face care within an hour.

• Anyone referred urgently to community-based mental health services because their psychological health has worsened will help within 24 hours.

• ”Very urgent” referrals should get specialist help within four hours.

• Under-18s and their relatives or carers who seek help from community services should have their first appointment within four weeks.

• Adults referred to the same services will undergo their first “therapeutic intervention” or “a social intervention” or agree a care plan within the same four weeks.

The planned creation of the five targets is intended to give people in England who need mental health care maximum waiting times that closely resemble those which patients accessing physical health help have been covered by for many years, such as a four-hour wait in A&E.

However, experts raised questions over whether existing NHS services can deliver the new waiting times given staff shortages and the explosion in demand for mental health care due to Covid-19.

Mental health charities welcomed the move. “With increasing numbers of people reaching crisis point, it is critical that they get the right mental health support quickly, which these standards would help to achieve”, said Paul Farmer, the chief executive of Mind.

Mark Winstanley, the chief executive of Rethink Mental Illness, said the standards would “act as building blocks on which we can build a potentially first-class model of mental health care”. But he added that delivering them “will depend on the right staff being in post”.

Stevens has made improving access to mental health care a key priority during his more than seven-year tenure as NHS boss, which ends this week, for example through improved help for mothers suffering problems linked to giving birth and also those with an eating disorder.

In the UK, Samaritans can be contacted on 116 123 or email [email protected]
You can contact the mental health charity Mind by calling 0300 123 3393 or visiting
The Samaritans offer support and advice to people feeling suicidal or vulnerable 24 hours a day, 365 days a year. Their website is, email address [email protected] or call free on 116 123

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Survivor Room / Re: Progress.
« Last post by so sad on June 29, 2021, 11:51:51 AM »
Hi Terri

Happy Birthday  :bdayhappy_balloons:

Your post sounds incredibly positive. A lot going on, things you probably didn't dream were options not that long ago.

Uni - very brave, very exciting and a huge step in the direction you want to go. How many hours a week is it? You've got the right attitude as well, if it works, it works, if it doesn't, then you tried and you will still have gained from trying. What course is it again?

DBT - 2 rounds of DBT is a huge achievement and apparently not very common. Can you stay in some sort of contact with the group? Just after I left, someone set up a messenger group which we all dip in and out of every now and again but I know they are there if I need them. I really struggled with losing my 1-2-1 therapist. I get very attached and I knew that would be all part of the journey and the battle. I need to make a huge effort to practice the skills - I didn't do too well when I first finished but that was because I didn't make the effort to use the skills. I learnt the hard way!

Self compassion work will be very challenging but you've obviously identified the need for it and have sought it out rather it being forced on you. I did a self-compassion group after DBT but because it was a group it was a bit too generic for me but I do try to use the principles as much as possible. Good luck.

I came off a high dose of venflaxine a few years ago - I took it incredibly slowly and did it over a long period of time - I didn't find it as bad as I had feared.

Good luck with everything Terri - you have made so much progress, battled all the way and I know you find it hard to hear, but I am SUPER proud of you  :yahoo:.

M x
Survivor Room / Re: Progress.
« Last post by Terri on June 29, 2021, 12:54:34 AM »
Hey. Thank you for being so kind and encouraging. :hug2:

I'm doing alright, you know? It's my 34th birthday and I've had a lovely 3 days of celebrations. So many people telling me they're proud of me and what a lovely person I am. It feels weird, the praise. It's not that I don't usually get praise from other people - I'm lucky enough that I do - but it doesn't sit right. I'm really,  really trying to accept the positivity coming in my direction. It's certainly taking practice.

I start university in just over two months. I'm excited and nervous, which I think is pretty 'normal' when it comes to new adventures. I'm trying to go in with the attitude of 'I'm going to give it a go and if it doesn't work out, that's ok - it'll have taken courage to have even tried.' I think that if I can keep reminding myself of that, it'll take the pressure off and I'll be far less stressed about the whole thing. I'm going to try really hard to accept that what will be will be.

I've got 9 weeks of DBT left. 8 weeks after tomorrow's session. I'm a little anxious about finishing. It'll feel sad to leave the group and I'll miss my 1:1 therapist. We've been working together a long time (she was my CC before she was my therapist and before that she knew me from the local psych ward.) I'm not too terrible at endings, as I know they are part of life and have to happen. They're still painful though, you know? I know that I'll cope ok and that finishing this piece of work is a positive thing. I've only nearly gone and done it. Two rounds of DBT!

I think, post-DBT, I'm due to try doing some self compassion work with my SCM practitioner. I'm a bit apprehensive about it, and also a little sceptical, but I'll give it a shot. We're also going to work on reducing medication with the view to coming off it completely. It's going to be done slowly, under the guidance of my consultant psychiatrist. It's the venlafaxine I'm most concerned about coming off of. I've been on a reasonably high dose for about 13 years and it's notoriously awful to stop. A day at a time with that one, for sure! It'll be nice to be med free. It'll be the first time in about 20 years (I was put on fluoxetine when I was 15.)

At some point, I will need to think about whether or not to do the trauma work I've been offered. I am leaning towards doing it with the MH team initially, if I can crack the self-compassion stuff. I think if I launch into trauma work without working on the way I view myself, I could really struggle. Something to talk about with my SCM person when I next see her.

I'm hopeful. :)
Survivor Room / Re: CAT therapy
« Last post by janeb on June 23, 2021, 02:44:46 PM »
I know this was posted a while ago but I thought I would respond to see if it could help anyone who might look at this. I had never heard of it until now. I believe that it is similar to CBT except that with CAT there is more looking at past events and experiences where as with CBT there is a greater emphasis on the here and now. On the counselling directory website there is an article about Cognitive Analytic Therapy (CAT) and other therapeutic approaches as well. I hope you have found the therapy to be useful for you!
Hi Lorien & Vermilion,

Thank you for your thoughtful responses, you both raised some really important points and helped me reflect on the implications of the terms. I appreciate the difficulties re. the term 'expert', and like you say Lorien it can at times exaggerate or maintain power imbalances. Due to the design of the project (and the inclusion of people who are not technically patients or service users) I have decided to opt for the term 'expert by experience' but will make sure to check with each participant how they choose to identify (e.g. patient. service users etc.).

Thanks again for your contributions.
Survivor Room / CAT therapy
« Last post by Turtle on May 19, 2021, 07:21:36 PM »
Does anyone have experience with CAT therapy?

I'm undergoing assessments at the moment, and the therapist mentioned they're keen to try this. I'd never heard of it and can't find loads online, so just wondered if anyone had positive experiences.

I'm really just grateful for being given a bit of a plan and a way forward, but it would be good to know a bit more about what's coming.
Survivor Room / Re: Family and self harm *may trig sh*
« Last post by pixie girl on April 26, 2021, 10:55:07 PM »
I am familiar with the kind of over bearing worry your parents are putting on you as my mum would do the same thing to me. I went out and i found printed literature on self harm explaining it in great detail - a booklet i got from the mental health team at the time. It didn't sink in right away but I believe it eased some of my mum's worries. She is smothering you because she is worried and because she loves you. Inside your parents head they are still on worse case scenario mode and a little bit of education and time for their worries to ease might help here.

It isn't easy to be patient with other people but they have feelings too. You obviously can't feel you can talk to your parents which i can relate too. I am glad you have someone you can talk to and they seem to be the best person to help you.
Survivor Room / Re: Progress.
« Last post by so sad on April 13, 2021, 03:09:29 PM »
What a great post to read - I am so proud of you. You have worked incredibly hard to get to this point - enjoy it and please keep us updated.

Survivor Room / Re: Progress.
« Last post by Lorien on April 13, 2021, 03:30:51 AM »
 :hug1: So glad to hear that all your hard work is paying off. You definitely deserve it.
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