GP & Healthcare Professionals
The Steps to Wellbeing Service provides psychological interventions for people suffering from mild to moderate anxiety and depression based problems. Therefore we are not a crisis, emergency or urgent service, and are not able to respond to increases in risk prior to taking people into treatment. If you believe that there are significant risk issues for a patient then a referral should be made to the appropriate service e.g. secondary care mental health services.
If a patient’s risk increases and/or there is a serious deterioration in their mental health during the course of treatment then it may be that our service is no longer suitable to meet their needs, and more appropriate support is needed. In this event, we may well suggest to patients that they make an emergency appointment at their surgery to discuss medication and/or making a referral to secondary care services.
Patients showing high levels of risk should not be referred to IAPT, but directly to secondary care services
The Service is not able to provide treatment for patients who have the following presentations or diagnoses, if their main presenting problem is:
• Bipolar Disorder
• Significant / high risk of harm to self or others or self-neglect
• Those requiring care co-ordination under care programme approach (CPA)
• Psychotic symptoms
• Personality disorders
• Eating disorders which require specialist services
• Drug or alcohol problems which require specialist services
• Complex or atypical depression
If you are feeling very distressed, despairing or suicidal and need immediate help please contact your GP and request an emergency appointment, contact the Samaritans on 116 123, or go to your nearest Accident and Emergency Department.
If your GP surgery is not open, you can contact the NHS Out of Hours Medical Service on 111. NHS 111 is available 24 hours a day, 365 days a year. Calls are free from landlines and mobile phones. You should use the NHS 111 service if you urgently need medical help or advice but it's not a life-threatening situation. If you feel at harm to yourself or from other – go straight to your nearest Accident and Emergency.
If you are concerned that someone else is very distressed and might be considering suicide please encourage them to contact their GP and make an emergency appointment. Alternatively you might wish to encourage them to speak to the Samaritans on 116 123.
If you are concerned that someone is about to act on thoughts of hurting themselves you might wish help them attend the nearest Accident and Emergency Department. Alternatively, you may choose to contact the Police on 999.
Similarly, if you become concerned that someone is at risk of hurting somebody else
If you feel you need to talk to someone in confidence, the Samaritans are available 24 hours a day, 7 days a week on:
Tel: 116 123
(TEXT MESSAGE ONLY number available on 07725 909090)
There are also local Samaritans branches across Hampshire and Dorset.