Modern day treatments.

The story of modern psychiatric care is relatively well documented. Modern mental health policy could be said to have started with the introduction of legislation to control the governance of lunatic asylums in early Victorian times and has evolved from there. The central pieces of legislation were the 1845 Lunacy Act and County Asylums Act, which made compulsory the provision of public asylums for all pauper lunatics by local authorities. A few decades later, the 1890 Lunacy Act gave asylums a wider role, and patients with means began to be admitted. The emergence of the Victorian asylum in England was paralleled in most, if not all, developed countries to a greater or lesser extent, including France, Italy, the United States and the countries of the former Soviet Union.

  • Talking treatments -If you have a mental health condition, you may need support in the community.  This section sets out how you can access ‘social care’ services from your local authority.  This factsheet applies to people over the age of 18.
    • Social services are under a legal duty to assess you, if may be in need of social care services.
    • Your needs could include housing, employment, support at home and social needs.
    • If your needs are high enough to meet your local authority’s ‘eligibility criteria’ then you will have ‘eligible needs’.
    • If your eligible needs are not already being met in some way (e.g. by a carer) then your needs must be met by the social services department.
    • You should be involved in deciding how your needs are met.
  • Electroconvulsive therapy
  • Complementary and alternative treatments
  • GP Appointments -Usually, the first step to getting help if you feel you are having problems with your mental health is visiting your general practitioners’ (GP) surgery. A GP is a doctor who can give you treatment and care for your physical and mental health. This section gives information on what to expect from a GP appointment and what your GP can do for you.
    • GPs can provide treatment for mental health problems and offer ongoing care and support.
    • Sometimes it is worth asking whether there is a particular GP at your surgery who has an interest or speciality in mental health problems.
    • Before an appointment, it can be helpful to write down a list of things you’d like to ask or discuss with the GP. This could be writing down a list of symptoms or perhaps side effects from medication.
  • Early Intervention Teams
  • CMHTs
  • Assertive Outreach
  • Crisis Teams -Crisis teams can give urgent help to people who have a mental health problem. This factsheet explains what a crisis team can do and how to get help from them.
    • Crisis teams can support you if are having a mental health crisis in the community (for example, in your own home).
    • Staff from the crisis team will help you get better and try to make sure you don’t have to go into hospital.
    • If you are not currently in touch with the crisis team, a professional such as your GP will normally need to pass your details to them (which is called making a referral).
    • Crisis team is a general term. You may hear them being called something else where you live.
    • There should be a crisis team in your area available 24 hours a day, seven days a week.
  • Hospital
  • CPA
  • What am I entitled to if I’m not on CPA?
  • Social care
  • Charging for social care
  • Charging for residential care
    • Talking therapy involves talking about problems with a trained professional. These problems are usually linked to your mental and emotional health.
    • Talking therapies try to figure out what may have caused your problems in the first place and learn ways of managing them.
    • There are different types of talking therapy. Finding the right therapy will depend on your problem, what is available in your area and what you want.
    • Cognitive behavioural therapy (CBT) is widely available on the NHS. CBT focusses on the “here and now”. CBT looks at how automatic thoughts can affect how you feel and aims to change these.
    • Psychotherapy is another type of talking therapy. Psychotherapy focuses on your early relationships and experiences and how they impact on current relationships.

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