Transitioning to Adult Services

Lincolnshire Partnership Foundation Trust (LPFT) has several Mental Health and Learning Disability services across Lincolnshire.

These include Steps2Change, Adult Eating Disorders, Adult Community Mental Health and Acute & Rehabilitation Inpatient services.  There’s loads of information about our services on our main Trust Website.

If you are aged 16 or over and feel you would like to access our adult mental health services, we will support you to have a joint assessment with the adult service that would be best suited to meet your needs.

If you are 17, already with CAMHS, and feel like you would like to access our mental health services beyond your 18th Birthday, we will support you through a transitioning process.

The transition process will start no later than 6 months before your 18th Birthday.  This will ensure your transition goes smoothly and you receive a seamless service.  You will have a named worker from the adult service who will work with your CAMHS Lead Professional to ensure your transition is successful and you know what to expect from the adult service that will be seeing you.

If you feel like you have achieved your goals and no longer require input from CAMHS, you will be discharged back to the care of your GP.

Please note unless otherwise stated, Mental Health Services are for anyone age 16 or over.

More information about our services can be found below. Generally, if you were requiring a transition into adult services we would aim to transition you into the appropriate Adult Community Mental Health team, although we also transition from child inpatient services to adult inpatient services as required.

Steps2Change

Steps2Change provides talking therapies for people with mild to moderate mental health conditions, such as depression, anxiety, post-traumatic stress disorder (PTSD), panic, phobia and obsessive compulsive disorder (OCD).

Steps2change accept referrals from people aged 16 or over, . There is no upper age limit.

The service consists of qualified Cognitive Behavioural Therapists, Counsellors, Interpersonal Therapists, Psychological Wellbeing Practitioners and Employment Advisors; all  employed by Lincolnshire Partnership NHS Foundation Trust, to provide psychological treatment.

They offer information and guidance in a variety of locations across the county. Their aim is to provide the help you need, in convenient locations, within easy reach of where you live and work.

Accessing their services is simple and easy. You can self-refer without the need of contacting your GP or another healthcare professional. However, if you prefer, you can speak to your GP and they will be able to refer on your behalf.

Because the service is for mild to moderate mental health problems, it important you realise it is not an emergency service.

If you need immediate help please contact your GP or their out of hours service.

The Service Leaflet is accessible on their website, it is printable and should print as a booklet.

Adult Community Mental Health Service

Our community mental health teams provide a diverse, fully integrated range of services.  They provide recovery-based interventions and support people with a mental health condition to live well within their community.  These services tend to see people who have, or may have, a moderate to severe or enduring mental health condition.

The integrated teams include the Recovery Team, Assertive Outreach Team and Early Intervention in Psychosis Team (this service sees people aged 14+ to provide an early intervention into the management of the onset of Psychosis).

As their name suggests, these services tend to see people in their own homes, or somewhere in the community, although some services provide specialist clinics.

The teams are made up of:

  • Administrative staff (they make sure processes are in place for the clinicians and keep your information up to date)
  • CPN’s – Community Psychiatric Nurses (CPNs are specialist mental health nurses working in the community)
  • Occupational Therapists (OT’s know how to use meaningful activity to aid recovery and promote wellbeing)
  • Psychiatrists (these are specialist doctors who understand a lot about mental health and how medicine can benefit people)
  • Psychologists (these are highly trained people who are interested in behaviours, thoughts and understanding)
  • Social Workers (they help people to be able to live well and live proactively in their community)
  • Support Workers (are highly skilled staff who provide day to day intervention and support to people with a mental health need)

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 & Home Treatment

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 can try and prevent this happening.

The team provide help and support (in the least restrictive environment) for people going through a serious mental health crisis.

Crisis resolution

This team is based in the community and act quickly to assess you if you feel 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 usual methods of coping are not working, and result in a rapid deterioration in your mental health.

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 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

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.