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"Mental Health Crisis"

About: Borders Community Services / Borders Crisis Team Borders General Hospital / Mental Health for Older Adults (Lindean Ward) NHS 24 / NHS 24 (111 service)

(as a service user),

I recently had to be seen by the local mental health crisis team. I was already feeling I was at my limit for coping due to a number of life and environmental issues, so was already feeling way overloaded and was struggling with this. I received some really bad news and this just pushed me beyond that limit. I fell into a deeply suicidal state and began hurting myself. This is not something I usually do and was aware my thoughts and feelings had changed and this was confusing me and scaring me.

I rang NHS24 (who were also very good) and was seen at hospital a short time later following a telephone call from a Doctor. It was through this I was referred to the crisis team after being assessed at the hospital (who were also very good too, but that was exceptionally difficult for me to do) I saw the crisis team one and a half days later.

I thought the nurse I saw was pretty exceptional in the way she communicated with me because I find communication at the best of times very anxiety provoking and even more difficult in situations like these. She also helped me to understand and identify the difference between suicidal thoughts and ‘intent’ which meant I could better explain and understand how I was feeling which was really helpful.

I then saw another nurse from the team 2 days later and he too communicated well and spoke to me about some difficulties and also helped me understand a few things too which was really helpful. I was talking about some very personal difficult issues and I felt I was not judged which was good. 

At the end of our meeting I was told I’d be ‘discharged’ from the crisis team and referred back to the mental health team. He mentioned he thought an appointment had been arranged for me with the mental health team for the following week and would check and let me know, but I never heard anything, so that is my only suggestion for improvement, to let service users know for sure as wondering and not knowing is difficult and it would have helped even more to know I had someone to see the following week to see how I was coping and if things were continuing to settle down.

Both nurses were able to identify problem areas for me which I think has already been fed back to the mental health team to look at areas needing addressed/or where other interventions might be needed for the longer term to help me cope better and address some other issues.

I leave this feedback because I have been helped by the crisis team before and I just think they are exceptional people in the skills they have when helping you and to say thank you for helping me through another crisis again, your help is very much appreciated.

Please keep doing what you’re doing, because it works in lots of ways.

Seeing the whole me

Seeing the whole me

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Responses

Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 5 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 18/04/2019 at 15:09
Published on Care Opinion on 19/04/2019 at 17:47


picture of Shona Lawrence

Dear Heather 18

Thanks so much for sharing your experience so candidly on Care Opinion. I am pleased you got help when you needed it. Thanks also for your suggestion for improvement in relation to follow up appointments and communication following discharge. I am sure my colleagues within NHS Borders will welcome your feedback on this.

The Care Opinion Team has kindly shared your story with NHS 24 as you mentioned contact with our service. Thanks for your positive feedback about your call to 111.

For your info, we have a range of services of mental health support available. The Breathing Space Service is available between 6pm-2am weekdays and at weekends. Breathing Space is primarily a listening service, however Advisors can signpost callers to other agencies for support. We also have our Living Life Cognitive Behaviour Therapy Service. In addition to this, NHS 24 has embarked on a review and redesign of the way in which we support callers with mental health issues.

The new NHS 24 Mental Health Hub brings staff teams working across our mental health services together, with the aim of providing people with mental health needs a compassionate and expert response, delivering the right care at the right time.

This brings together Psychological Well-being Practitioners (PWP's), Mental Health Nurses and Mental Health Senior Charge Nurses. The Mental Health Hub is operational between 6pm - 2am, Fri, Sat and Sunday. When calling 111 at this time, Option 3 should be selected.

If you wish any more info on any of the services we can offer, please contact me by phone or email on 0141 337 4582 or at patientaffairs@nhs24.scot.nhs.uk

Thanks again for sharing your experience and I do wish you well.

Shona

Shona Lawrence

NHS 24 Patient Affairs Manager

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Response from Kate Crawford, Team Manager, Mental Health Crisis, Huntlyburn 5 years ago
Kate Crawford
Team Manager, Mental Health Crisis,
Huntlyburn
Submitted on 18/04/2019 at 16:48
Published on Care Opinion on 19/04/2019 at 17:48


Dear Heather 18

Thank you so much for taking the time to provide feedback on the service you have received during this challenging time in life. The Borders Crisis Team are so appreciative of feedback because it helps us to keep doing the things we do well and seek to improve in areas where we could be better.

I am so glad that the time spent with nurses in the team was helpful.

I am sorry to hear that we did not communicate the time of your next appointment with the team you were moving onto as we had promised to do. This was unhelpful and left you feeling anxious which I am sorry about.

As a team we will review how this happened and seek to improve.

I wish you all the best for your recovery and thank you again for taking the time to use Care Opinion.

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