Transition to Adult Services – What happens next – Moving on.

As well as CAMHS, Lincolnshire Partnership Foundation Trust (LPFT) has several other mental health and Learning Disability services across Lincolnshire including; Steps to Change (Psychological Therapies), Early Intervention (STEP) team, Adult Eating Disorders Team, Adult community and Acute and Rehabilitation Inpatient services. (Click on the link to see the services LPFT offer) – www.lpft.nhs.uk/our-services

If you are referred to mental health services aged 16 or over we will look to offer you an assessment appointment with the best service for your needs at that time.

If you are 17, already with CAMHS, and are likely to need mental health services beyond your 18th Birthday, you will be transferred to the appropriate Adult Service. Your Care Coordinator will start the transfer process no later than 6 months before your 18th Birthday to make sure that the right service is ready to take over your care when you reach 18. You will be introduced to a named worker from the adult service and both services will work together to ensure that your transition is problem free and you know what to expect from your treatment in your new care plan.

If your treatment has come to an end with CAMHS services you will be discharged back to the care of your GP.

Please click on the LPFT service name for more information about that particular LPFT Adult Mental Health Service. Please note unless otherwise stated Mental Health Services are for anyone age 16 or over.

Steps2change

The Steps2change service deliver evidence based talking therapies for people who suffer from mild to moderate mental health problems such as depression, anxiety, post-traumatic reaction, panic, phobia and obsessive compulsive disorder (OCD).

Steps2change accept referrals from anyone age 16 or over. There is no upper age limit.

Website address is http://www.lpft.nhs.uk/steps2change to self-refer or talk to your healthcare professional/GP and ask to be referred.

Community mental health service

Our community mental health teams provide recovery-based interventions and support people to live with a mental health condition.  You may be referred to this service if you have, or may have a severe or long-term mental illness. The integrated teams incorporate the Recovery Team, Assertive Outreach Team and Early Intervention in Psychosis Team (age 14+)

We offer you support in your own home and the community and our teams are staffed with:

  • administrative support staff
  • community psychiatric nurses (CPNs)
  • occupational therapists
  • psychiatrists
  • psychologists
  • social workers
  • support workers

How it will help me

We offer time limited supporting using the Care Programme Approach (CPA) to help you to achieve planned goals that we will work with you to develop.

Discharge is an integral part of the recovery process and where appropriate we provide a Fast Track programme, to support your continued recovery.

All our teams work closely with other local mental health services such as the Crisis Resolution and Home Treatment teams, as well as the SHINE and Lincolnshire’s Managed Care Networks of voluntary and community organisations.

We will also work closely with your referrer whilst you are involved with our services.

What the service offers

Each person’s medical, social and personal recovery is supported by:

  • cognitive behavioural therapy-based clinical and family work, both individually and in therapy groups
  • risk assessment and management
  • medication initiation and management
  • physical health and wellbeing support
  • relapse prevention
  • wellness recovery action planning (WRAP)

Where required we can help you to access personal budgets, employment and education support, social activities and community integration and carer support and education.

Hours of operation

Our core hours are Monday to Friday from 9am to 5pm.

If you need support outside of these times, our staff do work flexibly within the community to meet individual needs.

Referrals

To access the service you will need to be referred by your GP.

Recovery College

At the Recovery College we use an educational based approach to help people recognise and develop their personal resourcefulness and awareness in order to become experts in their self-care, make informed choices and do the things they want to in life.

We aim to:

  • Enable you to take back control of your life
  • Use our courses as a route to recovery
  • Improve your overall experience of mental health services
  • Share your recovery journey with you giving you hope that you can move on
  • Show you that you can have a fulfilling life, with or without on-going symptoms
  • Open up opportunities which you may have thought were unavailable to you
  • Educate supporters of people who access mental health and social care services in Lincolnshire on recovery principles

All our courses are co-designed and co-delivered by experts with lived experience of mental ill health, peer trainers and expert health professionals.

Courses are open to anyone over the age of 16.

How to Join– Go to the web link below and complete the registration form on the right hand side and follow the instructions.

http://www.lpft.nhs.uk/our-services/adult-services/recovery-college#.WDbwg2Dcsdk

What’s on offer

Adult Clinical Psychology service

  • The Adult Clinical Psychology service is a secondary mental health care service that works alongside steps2change and the Community Mental Health Teams.  In the main referrals are taken from teams within the Trust.  Service users are referred because of the complex and enduring nature of their mental health difficulties.
  • The service provides county-wide psychological assessments and interventions at a range of different locations. The team comprises of clinical psychologists, a cognitive behaviour specialist and a cognitive analytical therapist. Their aim is to provide evidence-based interventions to service users who will benefit from them.  Therapeutic approaches offered include extended cognitive behavioural therapy (CBT), eye movement desensitisation and reprocessing (EMDR).
  • The service is as inclusive as possible, and service users have a wide range of difficulties, including anxiety disorders, severe and enduring depression, and trauma which can result in deeply held, dysfunctional beliefs about themselves, the world and other people, which have severely impacted upon their daily lives.  Such beliefs develop as a reaction to adverse life events, are pervasive in nature and lead to significant emotional distress.
  • Unfortunately the service is not able to provide a service for people whose difficulties are due to an organic or developmental disorder, or from pain. We are also not commissioned to provide a service to people whose difficulties stem from sexual dysfunction.

Crisis resolution and home treatment team

If you or someone you know is experiencing a mental health crisis and is at risk of having to go to hospital because of it, our crisis resolution and home treatment team will generally become involved to try and prevent this happening.

The team provide our service users going through a serious mental health crisis help and support in the least restrictive environment.

Crisis resolution

This team is based in the community and provide quick access to assess you if you are experiencing a mental health crisis. Following the assessment we will stay involved until the care you need has been sorted.

A crisis is considered to be when your normal methods of coping are not working, and result in a rapid deterioration in your mental health and a need for psychiatric professional involvement.

Home treatment

To try and avoid you being admitted into hospital, the home treatment team can provide intensive home support for approximately six weeks. This will support any care that you may already be receiving from care coordinator or key worker.

Your treatment will involve an assessment, plan of care and any other interventions which we may be able to prevent you needing to go into hospital.

If you are already an inpatient in one of our units, we will work with you to try and ensure an early discharge and support you when you leave hospital.

Who works in the team?

The teams are made up of several members of staff including: nurses, social workers, occupational therapists, psychologists, psychiatrists and community support workers.

We are part of the overall acute care service and are able to visit you at your home on any day of the week, including weekends and bank holidays.

We focus on a number of areas including problem solving techniques, coping strategies, medication management, how to prevent a relapse and identifying early warning signs

How can I be referred to the team?

Crisis referrals

If you have a care coordinator or key worker and you are experiencing a mental health crisis during the day time (9am-5pm) you should contact them and they may refer you to our service.

If you cannot reach your care coordinator, someone within their team will be able to contact our service in their absence, if appropriate.

Out of hours (5pm–9am) please refer to the need help button (to the left) for advice or refer to your crisis and contingency plan given to you by your care coordinator.

If you have not been seen by our mental health service before, you must be seen by your GP first, who can refer you to us, if appropriate.

Home treatment referrals         

Your care coordinator or any other individual involved in your care can refer you to our home treatment service. During your involvement with the teams you will be given details on how to contact the service directly.

  • Rehabilitation services
  • Forensic Inpatient Services
  • Armed Forces Veterans’ mental health services

Sexual Assault Referral Centre

  • Spring Lodge is Lincolnshire’s Sexual Assault Referral Centre (SARC) dedicated to providing a comprehensive service to both men and women who have been raped or sexually assaulted.
  • Who we are
  • Based in Lincoln, not far from the Lincoln County Hospital site we offer a safe, welcoming and comfortable environment, which focuses on your needs
  • Our services are currently open to all adults, and adolescents aged 14 to 17 years of age, who do not require the specialist services of a clinical pediatrician.
  • With Independent Sexual Violence Advisors (ISVA’s) now located under our service we can offer help for anyone who has experienced sexual abuse at any point in their lives looking to understand what help and options are open to them, or to understand and navigate the legal system.
  • You may not wish to inform the police but still require help, advice and support.
  • You can choose to contact us direct, or have someone call on your behalf if you prefer.
  • Throughout your time with the service you will have dedicated one to one support from one of our specialist staff at the centre. They will be able to talk to you about the options available and offer you the time and space you need to make the right choices for you.
  • What we do
  • Services include having a forensic medical examination, which can be done with or without police involvement if this is relevant.  If something has happened to you recently and you do know that you wish to engage with a police investigation you can call the police on 999 or 101 and they will bring you to Spring Lodge where support will be provided and consideration given for a forensic medical examination with your consent.  If you do not wish to engage with the police or are unsure how to proceed then you can call us directly and we can make an appointment for you wherein doctors can consider if a medical is relevant and we can offer you someone to talk to and some breathing space to make decisions which are right for you.
  • Should you choose to have no police involvement at this stage, consideration can be also given to providing anonymous intelligence to the police to help prevent further incidences.
  • With Independent Sexual Violence Advisors (ISVA’s) now located under our service too, we can offer help for anyone who has experienced sexual abuse at any point in their lives looking to understand what help and options are open to them, or to understand and navigate the legal system.
  • Unfortunately there is no counselling service at the SARC, however we can help signpost you to appropriate emotional support services.
  • More information
  • If you would like more information about the service please visit our website or give us a call, we are here to help.
  • During normal working hours tel: 01522 524402
    Out of hours tel: 01371 812686
  • Email: info@springlodge.org
  • springlodge.org

Eating Disorder service

Our team provides a county-wide service for both men and women over the age of 16, who need help, support and treatment for an eating disorder such as Anorexia Nervosa and Bulimia Nervosa.

We offer assessment and treatment in a variety of community bases across Lincolnshire.  The team is led by dedicated health professionals, who can help explore relationships with food and understand the best way we can help you tackle your individual problems.

There is no one size fits all approach and whilst we use guidelines set out by the National Institute for Health and Clinical Excellence (NICE), what we offer as support and treatment is down to what will best suit individual circumstances. Everyone is different and we are committed to spending the time to discuss and understand your needs.

Getting help early

Getting help early when suffering from an eating disorder is important. If you have concerns about food and weight and these are starting to have an impact on your everyday life, we encourage you to make contact, have a chat and then make a decision about whether you want to work with us.

You can contact our team anytime if you have any questions, but we encourage you to see your GP if you would like a referral to the service. Contact details to the right of this page.

By involving your GP early in treatment, we can both help look after your mental health and physical health needs together with you.

Once we have received a referral from your GP, we will contact you to make an initial appointment, where we can discuss your needs and agree what help and support we can offer. These appointments will be offered as close to your home as possible and may be in a Trust community clinic, local GP surgery, hospital or health clinic.

For anyone under the age of 16 who needs help with an eating disorder, a referral should be made to the Trust’s Child and Adolescent Mental Health Service.

How do we help?

There is a wide variety of ways we can help you manage an eating disorder, these can include any combination of the following, but we will discuss all of the options and how these might help in your first few assessment appointments:

  • Initial advice
  • One-to-one sessions with an eating disorder specialist who can use a tailored range of different psychological therapies such as Cognitive Behavioural Therapy (CBT), Solution Focused Therapy and Interpersonal Psychotherapy (IPT)
  • CBT Recovery Groups
  • EMDR (Eye Movement De-sensitisation and Reprocessing)
  • Nutritional advice
  • Self-help materials
  • Body image workshops
  • Community Support
  • Housing and benefits advice
  • Carer’s assessments
  • Educational awareness in local schools, colleges
  • Drop-in clinics at the University in Lincoln.
  • Weekly day programme for suffers with high level of need

Information for families/carers

Eating disorders do not just impact on the person suffering with the illness. Families and carers can also experience profound emotional and social consequences. Watching someone you care for experience the symptoms associated with an eating disorder can cause feelings of fear, anxiety and frustration. Interactions around food can increasingly dominate family life and affect the carer’s social life, and cause hostile confrontations.

There is a toolkit for carers, written by Janet Treasure that describes some of the common reactions of family/carers. It encourages them to reflect upon their emotional responses and experiment with trying to change them to assist in any recovery process.

Carers assessments are also available through the Lincolnshire County Council Carer’s Support Team on 01522 782224, carers_team@lincolnshire.gov.uk

Acute inpatient care

Acute care deals with people who are experiencing a severe, short term episode of mental illness. You will only be admitted onto an inpatient ward if you are experiencing serious mental distress which can’t be dealt with by a community service.

We aim to make sure that you receive the treatment in the best setting, to suit your needs and wishes. A very small proportion of people seen by our teams need to be treated in inpatient units, however, a stay in an inpatient ward is usually short-term.

Inpatient wards

We have three inpatient wards in the county in Boston and Lincoln. These wards cover the whole of the county. If you have been assessed by the crisis resolution and home treatment team and it is felt that the crisis you are experiencing cannot be dealt with in the community, with your agreement we will seek to admit you on a short term basis for care on one of our four wards.

This will generally only be done if you are a risk to yourself and others or you have major stressors at home or in the community which may prevent your recovery.

You will be consulted about admission and treatment options throughout the whole process.
Throughout your time on the unit you will be assessed on a regular basis, work with staff to arrange a medication regime and helped to understand more about your condition and what you can do to help it.

Once it is felt you are ready for discharge, the team will work with you and your carer(s) to devise a relapse prevention plan and carers will be offered any help and advice they may need to help support you. The relapse plan will include signs and triggers which may cause or help you recognise if you start to deteriorate.

Visiting hours

Carer(s), family and friends will be allowed to visit you whilst on the wards, and visiting hours are:

Conolly and Charlesworth ward (Peter Hodgkinson Centre)
Evenings: 6pm to 8.30pm
Weekends: 2pm to 4pm and 6pm to 8.30pm

Ward 12 (Pilgrim Hospital)
Evenings: 6pm to 8.30pm
Weekends: 2pm to 4pm and 6pm to 8.30pm

If this is not convenient please speak to a member of staff on the ward, to see if alternative arrangements can be made.

What will I do whilst in an inpatient unit?

Whilst you are on the ward there will a number of structured therapeutic day activities available to take part in. The occupational therapy aims to help you gain confidence in all activities related to daily living and may also include therapeutic activities such as pottery, craft, gardening and relaxation. These activities can be a valuable aid in your recovery and treatment whilst in hospital.

Community Learning Disability Services

The service will work with adults over 18 who have a diagnosis of learning disability and associated physical and/or mental health needs who are registered with a Lincolnshire GP.

The teams provide specialist interventions to people with a learning disability in order to:

  • Ensure access to mainstream health services to have their physical and/or mental health needs assessed and treated.
  • Provide specialist interventions where physical and/or mental health needs cannot be met by mainstream health services.
  • Provide specialist assessment and interventions following an increase in behaviours of concern (this may include self harm, placing themselves at risk, harming others, damage to property, disruptive behaviours that are impacting on the wellbeing of other people.

For people with Autism the service provides a liaison service to support access to mainstream health services to ensure services are making Reasonable Adjustments.

The service also provides an Autism diagnosis pathway.

Things we don’t provide are:

  • a diagnostic service for assessment of learning disabilities.
  • Support with learning difficulties i.e. dyspraxia, dyslexia.
  • Specialist health interventions for people with autism or ADHD who do not have a diagnosis of learning disabilities

There is flexibility in regards to the age criteria for young people already known to services who are in the process of transitioning to adult services. This can be discussed with the team.