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"Discharged with no warning, outpatient care poor"

About: Adult Mental Health Services - Community (City) / City Central Local Mental Health Team (LMHT) Community Forensic Services / Nottinghamshire MBT Service Highbury Hospital

(as a service user),

So after completing the long term DBT course (which was great, I couldn't fault it) I was still struggling and so was referred to MBT and told that my outpatient team had a meeting about me and decided to discharge me following the referral to MBT.

The whole of 2023 was the hardest year I have had in a long time. I spent the majority of it in crisis and asking for support from the outpatient team, support which never came. Because of how poor my mental health was, the MBT team decided I was in no fit state to continue with the therapy that they offered and agreed to talk to the outpatient team at Highbury to ask them to further support me. Once again, a CPA was held without my knowledge and decisions were made about my care without consulting me, my wife or my family on just how much I was struggling.

I had one appointment with a locum psychiatrist in which I broke down, sobbed and asked for help - their response was to up my medication to a dose that should not, in my opinion, exist (200mg of Sertraline) and send me on my way with a very weak statement that they would try and talk to my team about support (again).

I had seen my GP at this point and begged for help as I felt so alone and like I was being punished for being too ill to continue with therapy.

Once again a CPA meeting was held without my knowledge and without being asked where my mental state was, how I was coping or how my family were coping with supporting me (which was very badly) and I received a letter in the post saying that due to me being uncooperative with therapy, despite my decision to leave MBT being a joint one between myself and the team, I was being discharged immediately by the Highbury team.

So now I have no outpatient care, I have been discharged by the MBT team because they can't keep me on the books due to me not being well enough, no psychiatrist and I am left to deal with the aftermath of an incredibly hard year on my own.

Things have not been this bad with my mental health for a while and I am so upset with the way I was treated by the team at Highbury. It might be too late for me but I hope this post will make the team re-evaluate how they deal with people's cases going forward.

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Responses

Response from Joanne Halstead, Service Manager, City Local Mental Health Teams, (LMHT) East, Central, North and South., Nottinghamshire Healthcare NHS Trust 2 months ago
Joanne Halstead
Service Manager, City Local Mental Health Teams, (LMHT) East, Central, North and South.,
Nottinghamshire Healthcare NHS Trust

Service Manager, Adult Mental Health City Community, Safeguarding Link Professional

Submitted on 20/02/2024 at 11:52
Published on Care Opinion at 11:52


Dear frostzz76

Thankyou for sharing your story and I am very sorry to hear of the difficulties that you have described. If you would find it helpful that we look into this and make any remedy needed then you can contact our PALs and Complaints team on the email palsandcomplaints@nottshc.nhs.uk or telephone them on 01159934542. It is not possible to know your details from the information above but we would wish to review the situation if you are able to speak with PALs and Complaints. You can also make use of your GP if a re-referral is needed. I hope this will be some assistance and I would like to wish you all the best. Joanne

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Response from Louisa Hagan, Service Manager, Community Forensic Services, Nottinghamshire Healthcare NHS Foundation Trust 2 months ago
Louisa Hagan
Service Manager, Community Forensic Services,
Nottinghamshire Healthcare NHS Foundation Trust
Submitted on 20/02/2024 at 12:38
Published on Care Opinion at 12:38


Dear frostzz76,

Thank you for talking the time to post your comments on your experiences of contact with some of Nottinghamshire Healthcare Trust services. It certainly seems that there have been some difficulties in your pathway into treatment/services and I'd be keen to hear from you about these.

I am the Service Manager for Notts MBT and so would be interested to understand what happened before, during and after your contact with the service as this will help me get a better sense of what issues there may have been within the pathway that we need to review or address. I can be contacted on 0115 9529400 and would be great to speak to you.

Best wishes, Louisa

Louisa Hagan - Community Forensic Service Manager

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