HNY Policy and Pathway Repository - Humber

The NHS Hull Talking Therapies (Formerly IAPT Improving Access to Psychological Therapies  ) are a Depression and Anxiety Service  led by City Health Care Partnership CIC and provides a range of specialist evidence based talking therapies offered by organisations which include; Cruse Bereavement Care, Space to be Heard, Focus Counselling Services, Good Day Therapy Services, House of Light Counselling, Let's Talk Psychological Wellbeing Services, Let's Talk Introduction to CBT seminars, Hull and East Yorkshire Mind and Temenos.

The Let’s Talk service supports people with common mental health problems such as mild to moderate stress, anxiety, depression and bereavement in an IAPT stepped care model of delivery at Step 2 and Step 3. NHS talking therapy treatment is short term and goal focused primary care mental health treatment using NICE guidance evidence based talking therapies such as cognitive behavioural Therapy (CBT) and Eye movement desensitisation reprocessing (EMDR)

We are not commissioned to diagnose mental health disorders or neurodevelopmental disorders such as ADHD or Autism.

Humber Teaching NHS Foundation Trust offer more complex secondary care services.

If someone has taken an overdose or self-harmed and need urgent medical treatment refer to A&E or call 999. 

If a patient has urgent/crisis mental health problems contact Humber Teaching NHS Foundation Trust’s Secondary Mental Health service on 0800 138 0990 or email: hnf-tr.mentalhealthresponseservice@nhs.net
If someone has taken an overdose or self-harmed and need urgent medical treatment refer to A&E or call 999. 

If a patient has a complex or chronic and enduring mental health problems contact Humber Teaching NHS Foundation Trust’s Secondary Mental Health service on 0800 138 0990 or email: hnf-tr.mentalhealthresponseservice@nhs.net

If a patient has difficulties in caring for themselves or dependants, or are in need of urgent social support contact Hull City Council on 01482 300300. In cases outside of normal office hours please contact the Emergency Duty Team on 01482 788080.

Samaritans who will help patients to talk things through in a confidential manner. They are available 24 hours a day for 365 days per year. The local Hull number is
01482 323456 and their national number is 08457 909090. Samaritans services are free to access but call charges apply.

Exclude Red Flag Symptoms

Exclusions would be patients presenting in crisis with immediate risk or patient presenting in treatment with secondary mental health problems.

Patients wanting therapy focused outside of a primary care mental health remit (e.g. therapy focused on addiction).

Other reasons would be;

• Unable to keep self-safe and at risk of attempting suicide
• Severe deliberate self-harm requiring medical assistance
• Hearing voices or hallucinating
• High level of paranoia difficulty in challenging beliefs
• Memory loss needing further investigation
• Symptoms of Mania
• Relapse of Bipolar symptoms

Engaging in talking therapy can be very beneficial. It can support people to learn how to address difficulties, develop coping strategies and resilience.  It can also support individuals to explore their thoughts, feelings, behaviours, and relationships to consider if the patterns they have developed are healthy and beneficial and if required to support them in developing healthier patterns.

NHS talking therapy treatment is short term and goal focused primary care mental health treatment using NICE guidance evidence based talking therapies which are time limited, depending on the patients current circumstances and difficulties it may not be the right time to access talking therapy especially if there are a lot of practical problems in their life such as financial issues, housing difficulties, addiction problems, these often take priority and therefore it can be difficult to focus fully on behaviour and emotional changes when there are more immediate needs.

Samaritans

Hull City Council 

We at Let’s Talk do not provide treatment to people who are under 18, don’t have a Hull GP or are seeking help with the following;

• Diagnosis
• Medication reviews or medication management
• Crisis intervention
• Psychosis or delusions and paranoia
• Bipolar disorder
• Autism, ADHD or Tourette’s disorder
• Eating disorders
• Addiction: alcohol, drug, sex, pornography, gambling etc
• Anger management or emotional regulation
• Psychosexual counselling
• Relationship guidance counselling

Referral Criteria

Referrals to the Let’s Talk service are accepted from 18+ years of age and must be registered with a Hull GP. 

Referrals

People will be able to self-refer in two ways:-

Refer yourself online via our referral form https://www.letstalkhull.co.uk/pages/make-a-referral
Call Let's Talk 01482 247111 to book an assessment

The booking team manage calls Monday - Friday 08.00-17.00

Humber NHS Secondary Care Mental Health Services can be contacted on 0800 138 0990

Let’s Talk website

Let’s Talk would like to confirm the therapies offered within our service as listed below;

• Low and High Intensity CBT
• Introduction to CBT psychoeducation course focused on anxiety and depression, usually followed by one-to-one course of treatment
• Interpersonal Therapy
• Counselling for depression
• EMDR
• Couple counselling for depression (when one or both partners are depressed, and this is affecting the relationship, not relationship guidance counselling)
• MBCT – Mindfulness-based cognitive therapy
• Employment advice service for patients who meet criteria for the NHS Talking therapies.

We promote self-referral as much as possible and would encourage your patients to complete our online self-referral form via our website https://www.letstalkhull.co.uk/pages/make-a-referral

Alternatively patients can call and book an assessment via 01482 247111