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Subject:

Experiences of UK NHS Adult Mental Health Services?

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  • 19/05/2008 @ 21:32 sappy16 said:
    sappy16
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    Hi everyone,

    on the advice of UnionMaid, I have created this TA to ask you all:

     

    Does anybody have any experience (good or bad) of the adult mental health services in the UK (NHS)? I have only ever had experience of the child/adolescent services, and am trying to find out a bit about how different the two are, how hard access is to the adult services, waiting times, etc, but more importantly, the services themselves: in your experience, how are the mental professionals working in the service? do they understand your problems? have you found that they have been compassionate? have they helped you? etc. any experiences welcome!

     

    thanks in advance 

  • 19/05/2008 @ 22:55 Swon said:
    Swon
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    Hi Sappy16 and welcome.

     

    I can't speak of recent NHS services but about 15 years ago, following severe bouts of depression, I had almost two years of group psychotherapy at a quite renowned psychiatric hospital in Richmond, Surrey.

     

    In a nutshell, 12 of us started it and at the end only 5 were left. We would gather each week in the waiting room and all talk, and smoke, like mad, then the therapist would call us in to the group room where we would sit around in a circle saying sod all for a good 15 minutes.

    Eventually, someone would break the silence and we'd chat intermittently for the rest of the time.

     

    Afterwards we would all get together in the pub and talk, drink and smoke like mad again.

     

    Did it do me any good?  No idea, but it was an experience.

     

    Would I do it again?  No way, one to one therapy or nothing at all is what I would recommend.

     

    A slightly jaundiced view I admit but an honest one based one first-hand experience, hope it helps.

  • 20/05/2008 @ 14:20 roze said:
    roze
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    I have not had personal experiences but I know friends who have. Lengthy referral processes and waiting times i am led to believe. In one case, this had an absolutely tragic result. As for quality, it very much depends on who you get and how you work together. And unlike paying for those services privately you do not get to choose. Can i ask what you are particularly looking for sappy? Rx

  • 20/05/2008 @ 16:54 007wmkt2 said:
    007wmkt2
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    I have been in an acute psychiatric ward in Cambridge due to depression. I don't actually think it was most suitable for me, the only reason I was admitted was due to suicide attempts, but I wasn't psychotic. the other people I met had more severe mental health conditions. I think the most useful thing was 2 sessions with a clinical psychologist. I have seen psychiatrists in Cambridge and North London and, like individuals, they vary in their helpfulness. Psychiatrists primarily will give you medication, whereas if you need therapy you have to see a counsellor/psychologist/psychotherapist. If your problems are related to mild to moderate anxiety/depression/addiction and you have a relatively ok functioning in everyday life (can still work, have friends, family etc) often private hospitals are better suited as they offer more CBT, therapy etc. Ideally if I get very ill again I would like to go to a private hospital like the Priory but I can't afford it. I think inpatient is about £5000/week!!

  • 21/05/2008 @ 00:42 sappy16 said:
    sappy16
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    hi all, thank you very much for the replies, they have been hugely informative.

     

    i found the child/adolescent services to be mainly good (obviously, not perfect, but overall not bad), and that the professionals i had contact with, in general, to be kind, patient and compassionate. i asked the question about the adult services mainly because i am now too old to use the child and adolescent services, and wanted to know a bit about the adult ones just in case i ever have to use them.

     

    like i said, very interesting and useful replies, thanks to all

    xx 

  • 21/05/2008 @ 07:36 Swon said:
    Swon
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    Hi Sappy,

    I do hope you don't need to use them but if you need an alternative you can always come here.

    Think of it as a global therapy group.

     

    Take care

  • 21/05/2008 @ 08:14 unionmaid said:
    unionmaid
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    I have started wondering about the nature of these services that Sappy16 has been wondering about.  I found the NHS website but it was all very much a magazine style with videos and leaflets and so I am struggling to try to understand the system.  I was operating on the assumption that NHS was rather a lot like our system here - but now I am not so sure.

     

    What does the NHS offer in terms of assistance for people in need of support for depression and anxiety?

     

    Here we have a process of going to a GP - who can medicate but generally you would want a GP who has undertaken special training in this area - they can provide a referral through to a hospital based counsellor - often over worked and stressed themselves.  This is the safety net.

     

    The private system has the bulk of psychologists.  These can be accessed on a limited basis via the public system by an assessment by a GP and this will give someone - like me - a batch of 10 sessions pa largely funded by our medicare system.

     I think our gap is about $40 which is so much cheaper that $150 for the hour.  

     

    So maybe someone could contrast the NHSA system for me?

     

    Thanks  UMxx 

  • 22/05/2008 @ 17:07 unionmaid said:
    unionmaid
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    Oh and another question - I assume that all systems ensure patient confidentiality.  This is important so that unqualified people don;t leap to assumptions.

     

    Are people as patients or clients protected in this way or can it have repercussions on individuals employment?

     

    UM x 

  • 22/05/2008 @ 17:21 Swon said:
    Swon
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    Hi UM,

    Good point, as I said, I can only comment on the way things were 15 or so years ago and with the way the world is now I would think confidentiality will have increased.

     

    I found both the GP and the therapist were very tight with information. Once I lost the note I made of a changed time for a therapy session so I called the hospital and asked when it was. They would not acknowledge over the phone that they even knew who I was but agreed to check their records and, should they find me, send an appointment letter to my home address, I thought that was pretty good, if annoying at the time. I would assume that today there would be some password or validation question set up.

     

    As it happened I was never secretive about what I was going through - as you know I tend to be up front about most things.

    For the most part I found people were very understanding and supportive, especially at work but maybe I was lucky. That said, there were few who became a bit distant, I think depression is hard for anyone to understand, all the more so if they've never been there themselves.

  • 22/05/2008 @ 17:45 sappy16 said:
    sappy16
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    with regards to the employment thing, i've had a number of jobs (most of them temporary holiday/summer jobs) where i've been working with children (i am perfectly capable of doing so, and my psych problems do not impact on my ability to carry out these jobs in any way), and in the majority of cases, i have had to fill in a job application form on which there is a question phrased something along the lines of:

     

    "have you ever suffered from/sought treatment for any emotional or psychological problems?" 

     

    the inclusion of the phrase 'emotional problems' in there i suppose is to try and encompass all (even minor) problems in that realm. i always thought it was quite irrelevant, and in many ways unnecessarily intrusive to ask this question. i understand that the protection of children comes first, but at the same time, i KNOW i pose no danger to children, and in fact consider myself to be good at working with children. 

     

    anyway, that was what i meant about the whole employment thing in my question

     

    xx 

  • 26/05/2008 @ 22:02 Crowsister said:
    Crowsister
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    My last experience with the NHS Adult Mental Health system was over 10 years ago, in a small town in Yorkshire.  They were closing down Psychiatric Hospitals wholescale, and people were being turned out to live in the community who were totally incapable of doing so after years of institutionalisation, let alone their mental health problem.

    For myself, I was mis-diagnosed again, but that is par for the course for DID; but I did get a great deal of help from the NHS Psychiatrist, and also the Community Psychiatric Nurse that was assigned to me.  I did not have to wait, nor was I treated badly at all - and the confidientiality was very good.

Related tags

  1. counselling
  2. counsellor
  3. health
  4. mental
  5. nhs
  6. psychiatrist
  7. psychologist
  8. services
  9. therapist
  10. therapy
  11. uk
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