Nhs Response

[Saria]

Oh okay, I see. It seems to me like you've done all the right things already, and I totally get the doubt regarding NHS and the assessment. I know nothing about it, but it seems like a pretty messed up system. Must be exhausting to deal with.

I still have doubts regarding dissociation myself from time to time, but that's apparently very normal. But I sure get how that can make this whole bureaucracy thing even harder. I hope the review goes your way.

 

[Sandstone]

The outcome of this is a referral for assessment to some blokey who does NLP and CAT. No mention of doing the SCID-d at all, which I had forgotten was even on the agenda till I looked back at the is thread

 

[Sandstone]

Gah!!! The NHS are unbelievably incapable of even the most basic administration. On 30th October they sent me a letter saying this referral was happening, but they didn't tell the psychologist! then on 1st November the "Care Co-ordinator" told me I should just wait for the appointment. I emailed today to chase a date, and got this back

"I am glad you contacted me as I have not yet had a referral or your personal details. I had one telephone conversation in August with xxxx regarding the possibility of an assessment and a one line letter from the Medical Director last week saying funding for assessment was approved."

When I worked for the NHS part of my job was to find patients who were "lost to the system". If I raised one, everyone was shocked and apologetic. In this organisation no-one is connected enough to know anything about it.

 

[Sandstone]

I had a phone chat with this chap. He said "Have you heard of the Pottergate Centre?"

Full circle.

 

[Sandstone]

The latest government report on NHS MH Trusts, the "Survey of people who use community mental health services 2016" has been published. The organisation that should be providing my care is in the bottom four of 58 across the country.

I continually have to remind myself that it is them, not me, and that it isn't personal.

 

[oasis2003]

Oh the nhs !!!???? And bureaucracy . I have been told that I have had all therapy available and I have to stay as I am unless I go in on Monday and disclose my trauma to my ex therapist and the clinical lead . I find it difficult to put my trauma into words. I am quite scared about the prospect. Does any one know what secondary care is in the U.K. ? As l am probably going to be referred to this . I was told by go to get in touch with therapists again then they donor se happy to deal with me ?! Any one ?

 

[digger]

Does any one know what secondary care is in the U.K. ?

Secondary care is generally the tier of services that you would be referred to for more specialist care, compared to primary services such as GP being more general.

I'm not sure who that will mean in your case, I would have thought therapy would already come under that category - possibly community mental health team? - who have you been receiving therapy from up til now?

 

[Sandstone]

Generally, primary MH services are the ones delivering IAPT (Improving Access to Psychological Therapies), and they are focussed on relatively brief interventions and nowadays mostly CBT. Secondary care, as digger says is usually Community Mental Health Teams for adults. They deal with more serious cases, covering the whole spectrum. Rethink has a summary at Link Removed and more detail from a pdf at Link Removedmental-health-teams-cmht

What do you want to get from a referral? It may be more important to be able to talk about the impact on your life than about the trauma that caused it. Would that be easier for you?

 

[oasis2003]

Thank you much for replying I think I probably need secondary care ? I was scared that they would wrap me in a white strapped coat and throw away the key . It has a daily detrimental effect on me daily

 

[oasis2003]

Been receiving therapy from IAPTS they say they cannot do any more for me . It would be easier not to talk about traumas on a one off but yes does affect mylife daily

 

[Sandstone]

The pressure on MH services is such that there often aren't enough beds available for people who desperately need them. It is incredibly unlikely they would admit you.

In fact it may be the other way round, they may say you aren't ill enough to need more therapy. It varies a lot from area to area, but in some places there are people whose needs are too great or too long term to benefit from IAPT but who get rejected by CMHT as being too well. That is why you need to be able to explain what are the effects on your life, and show them you are committed to doing the work.

I think it would be reasonable to tell them that you find it hard to talk about your trauma and explain how it affects you when you do. It is horribly hard to have to expose yourself to a stranger like that - I feel for you.

 

[Abstract]

Agreed totally with Sandstone.