Information Resource to Support Integrated Care ADULT

SCOTTISH BORDERS MENTAL HEALTH SERVICES information resource to support integrated care ADULT

The Community Planning Partnership is committed to improving the well-being of all children and young people across the Scottish Borders. We translate this commitment into action through the work of the Children and Young People’s Leadership Group which brings together partners from Scottish Borders Council, NHS Border CONTENTS SCOTTISH BORDERS MENTAL HEALTH SERVICES INTEGRATED CARE PATHWAY (ADULT)

1. INTRODUCTION 3

2. ACCESSING SUPPORTS AND SERVICES 5

TIERED CARE MODEL 6

TIER 1 7 GENERAL POPULATION (prevention)

TIER 2 9 FRONT LINE SERVICES (urgent or early intervention)

TIER 2/3 15 LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery)

TIER 3 22 SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery)

TIER 4 27 SPECIALIST SERVICES: IN-PATIENT / RESIDENTIAL (acute/complex care needs – treatment/recovery/self-management/secondary prevention)

2 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

SCOTTISH BORDERS MENTAL HEALTH SERVICES INTEGRATED CARE PATHWAY (ADULT)

1. INTRODUCTION

The ‘Mental Health Strategy: Scottish Borders’ (Scottish Borders Strategic priorities include: Health & Social Care Partnership 2017) sets out a framework for the delivery of activities and services designed to improve the mental • improving access to information and advice health and wellbeing for all ages groups in the local population. • support for self-management This strategy is part of a wider programme of integration across a • improved access to services. range of health and social care services, and describes a vision for mental health that aims to: This Integrated Care Pathway aims to support that work by mapping out what supports and services are available for adults and how to access them. • promote good mental health and wellbeing for all It is based on a ‘Tiered Care’ model that shows what is available for those • respect, protect and support people with mental health issues with different levels of need, including: and mental illness to live well • recognise, support and value families and carers • Tier 1: Self-help, prevention orientated services that enable people stay • promote partnership between services and the population they well; serve. • Tier 2: Front line services offering urgent help when problems start to develop (accessed through self-referral); • Tier 2/3: Help and support to help you managing your health (accessed through self-referral, mostly to the voluntary sector);

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 3 • Tiers 3: Community-based care and treatment for those with more severe problems (GP referral needed); • Tier 4: Hospital in-patient care and treatment for those with more acute, severe or complex care needs

Supports and services are grouped in two main categories - those specifically for individuals with mental health needs (including those around addiction or trauma) and some that might commonly be used around general health and well-being.

Some services and supports have been given a place in these tables but are cross-cutting and apply at all levels, including:

• health improvement (to prevent, delay or manage illness and support recovery) • suicide prevention training • housing and homelessness • financial/benefits advice • carer involvement • social connectedness • employability.

4 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

SCOTTISH BORDERS MENTAL HEALTH SERVICES INTEGRATED CARE PATHWAY (ADULT)

2. ACCESSING SUPPORTS AND SERVICES

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 5 JOINT MENTAL HEALTH SERVICES (Adults) PATHWAYS

TIER 4 Acute/complex care needs/treatment/recovery/ GLOSSARY SPECIALIST SERVICES: self-management/secondary prevention HOSPITAL AA/NA – Alcoholics Anonymous / HOSPITAL Narcotics Anonymous MENTAL BAS – Borders Addictions Service HEALTH WARDS BIAS – Borders Independent Advocacy Service JS – Justice Service TIER 3 MENTAL HEALTH SERVICES Assessment/ DAAS / DACS – Domestic Abuse SPECIALIST SERVICES: PSYCHOLOGY GRC diagnosis & treatment/recovery Support Services and Domestic GP OR SPECIALIST REFERRAL MATERNAL MENTAL HEALTH Abuse Community Support NEEDED DBI – Distress Brief Interventions PENUMBRA CARR GOMM JS GPs – General Practitioners GRC – Gala Resource Centre TIER 2/3 MH&WF LACT NEW HORIZONS ARTBEAT RB Managing your health and HH – Huntlyburn House CAN SELF-REFER improving your situation LACT – Local Area Co-ordinating WELLBEING COLLEGE BIAS BAS ADDACTION CHIMES Team MH&WF – Mental Health & Well- DAAS/DACS SUSOP RECONNECT MOMENTUM V1P AA/NA being Forum NHS24 /NHS Inform – Borders TIER 2 HELPLINES DBI (1st level) WELLBEING SERVICE Seeking further Emergency Care Service CAN SELF-REFER TRAINING BORDERS WOMEN’S AID RAPE CRISIS GP support now/ RB – Rediscover Borders SUSOP ongoing help – Surviors Unite Safe Oaks NHS24 /NHS INFORM ‘WHAT MATTERS’ HUBS CARERS CENTRE Project HOUSING SUPPORT EMPLOYMENT SUPPORT WELFARE BENEFITS SW – Social Work Duty Teams V1P – Veterans First Point TIER1 WELLBEING POINT ON-LINE APPS BOOK PRESCRIBING LIVE BORDERS Prevention - SELF-HELP staying well HEALTHY LIVING NETWORKS COMMUNITY LEARNING & DEVELOPMENT

COMMUNITY PHARMACIES NATURE PROJECTS

For further information go to the Wellbeing College website: www.wellbeingcollege.org.uk or email: [email protected] tel: 01896 807000 Information also available at the Wellbeing Point - www.nhsborders.scot.nhs.uk/six-ways-to-be-well and Scottish Borders Council - www.scotborders.gov.uk/info/20055/adults_and_older_people/370/mental_health/1

6 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 1 – GENERAL POPULATION (prevention) OUTCOMES: GOOD MENTAL HEALTH AND WELLBEING FOR ALL HEALTH PROMOTING COMMUNITIES SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Wellbeing Point NHS Borders webpage with links to Open access online. Borders-wide Wellbeing Point resources and useful information to help www.nhsborders.scot.nhs.uk/ people look after their mental health and wellbeingpoint wellbeing.

Includes access to “Six Ways to Be Well” “Six Ways to Be Well” – a local information campaign promoting Joint Health Improvement Team self-help guidance to improve mental Telephone: 01835 825970 health and well-being. [email protected]. nhs.uk Online health and fitness Apps: Various apps available online Open access, widely All apps, tools and information promoting self-help tools to improve available – many are free. mental health (e.g. meditation techniques and health and fitness in general). Book prescribing service: Provides access to a range of self-help Available in all information resources. libraries. GENERIC LIVE Borders Culture, sport and leisure facilities that Open access to a range of Main Borders Live Borders support healthier lifestyles. amenities. towns. Telephone: 01896 661166 www.liveborders.org.uk/ Exercise Referral Scheme: a partnership Referral by GP, with NHS Borders to deliver physical physiotherapist or relevant activity programmes that aim to improve health professional to free health and wellbeing. or subsidised physical activity support. Healthy Living Networks Targeted health improvement in deprived Open access for residents in Galashiels Joint Health Improvement Team (HLNs) communities that promotes healthier HLN area. (Langlee), Hawick Telephone: 01835 825970 lifestyles. Aims to improve knowledge and (Burnfoot) and [email protected]. understanding, develop skills, and make Eyemouth. nhs.uk connections.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 7 TIER 1 – GENERAL POPULATION (prevention) OUTCOMES: GOOD MENTAL HEALTH AND WELLBEING FOR ALL HEALTH PROMOTING COMMUNITIES SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD GENERIC Community Learning & A programme of community-based Access as a volunteer or client - Borders-wide based Community Learning & Development (CLD) opportunities including learning and open access for some activities, on high school Development skills development, promotion of health but some may be subject to catchment areas. Telephone: 01896 664160 and well-being, community safety and referral from partner agencies. [email protected] capacity building. Community Pharmacies Local pharmacies can offer information Open access for general advice All pharmacies Borders Alcohol & Drugs and advice on minor ailments and and prescriptions. across the Borders. Partnership prescriptions. www.nhsborders.scot.nhs.uk/badp Supervised consumption In addition, some pharmacies provide – accessed as part of services for those with addictions an agreement with GP, Only available in (e.g. smoking cessation; supervised pharmacist, and Borders certain pharmacies consumption of methadone; injecting Addictions Services. – refer to ADP equipment). Injecting equipment – open information. access, self-referral. Nature projects – e.g. Various community projects support Open access through contacting Various places Instinctively Wild community gardens, health, well-being and recovery from projects directly in each area. across the Borders – www.instinctivelywild.co.uk Instinctively Wild, Nature mental health problems through Can be accessed as a volunteer see specific projects Nature Unlimited Unlimited, Abundant physical activity, social contact and or as a client – see specific www.natureunlimited.scot Borders, ‘The Glebe’ connection with nature. projects for criteria. Abundant Borders (Peebles recovery garden) [email protected] ‘The Glebe’ (Peebles Recovery Project) You Can Cook [email protected]

8 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 2 – FRONT LINE SERVICES (urgent or early intervention) OUTCOMES: ACCESSIBLE INFORMATION & ADVICE HEALTH PROMOTING COMMUNITIES IMPROVED SUPPORT PATHWAYS FRONT LINE STAFF HAVE KNOWLEDGE, SKILLS & CONFIDENCE TO SUPPORT AND SIGNPOST SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Telephone Helplines There are many national mental health Breathing Space – National Breathing Space e.g. Breathing Space, helplines offering services for people Open access, as advertised. Telephone: 0800 83 85 87 Samaritans who may experience mental health Calls free from landlines and www.breathingspace.scot problems, their families, carers, and mobile networks. professionals. These offer information, Mon-Thurs 6pm – 2am Samaritans (24 hours) signposting, or support for specific Fri 6pm – Mon 6am Telephone: 116 123 issues. www.samaritans.org Distress Brief Intervention DBI is a pilot scheme which supports Criteria: Individuals (16+) Borders-wide www.dbi.scot/borders/ (DBI) – delivered by people presenting to emergency presenting to emergency or Scottish Association of services in distress. Leads to rapid front-line services in distress Mental Health (SAMH) referral (within 24 hours) to SAMH for but not in need of further assessment and short-term support emergency or acute services. (up to 14 days). Aims to help people develop self-management skills and Referrals from emergency and promote engagement with other relevant out-of-hours services including services. Police, Ambulance, A&E, out of hours GP and social work services (by staff who have undertaken the DBI Level 1 training).

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 9 TIER 2 – FRONT LINE SERVICES (urgent or early intervention) OUTCOMES: ACCESSIBLE INFORMATION & ADVICE HEALTH PROMOTING COMMUNITIES IMPROVED SUPPORT PATHWAYS FRONT LINE STAFF HAVE KNOWLEDGE, SKILLS & CONFIDENCE TO SUPPORT AND SIGNPOST SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Wellbeing Service* NHS Borders Wellbeing Service offers For people with mild to The service will Wellbeing Service support to people who are wishing to moderate mental health issues be available to all Directly via GPs or Practice Nurses * a newly integrated improve their health and wellbeing in (e.g. anxiety, panic, stress, practices (there in own practice. service from January 2019 one or more of the following areas: worry, depression, insomnia); may not be a General enquiry - • Mental health and wellbeing weight management problems, worker in each Telephone: 01896 824502 • Being more active and those wishing become practice so people [email protected] • Eating more healthily more physically active, or to may be seen in a • Quitting smoking stop smoking. different practice to Advisers offer support over 6-12 their normal one). sessions where they will use appropriate Referrals by any member of skills and tools to help people make GP/community staff teams. changes in their lifestyle.

‘Beating the Blues’ - online A computer-based programme that Referrals can be made by GPs Borders-wide Beating the Blues’ administrator: Cognitive Behavioural uses CBT to treat patients with mild to and Mental Health Service Adults 18+ Telephone: 01896 827168 Therapy (CBT) – a moderate depression and/or anxiety (8 professionals by email. (Tuesday, Thursday and Friday) psychological therapy weekly 1 hour sessions). https://www.nhsborders.scot.nhs. It is suitable for patients whether being Must be willing and able to use uk/staying-healthy/stress-busters/ treated with medication or not. a computer-based programme. beating-the-blues/ Training: A range of training opportunities are Information on courses is Borders-wide Joint Health Improvement Team Mental Health First Aid available to individuals who wish to available from the Joint Health [email protected]. develop their skills in supporting people Improvement Team or Borders nhs.uk or Targeted suicide experiencing poor mental health and Care Voice. prevention training suicidal thoughts. Borders Care Voice www.borderscarevoice.org.uk/ training-bcln

10 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

Scottish Borders Rape Rape Crisis Centre: Offers practical Open access – self-referral by Rape Crisis Crisis Centre and emotional support and information telephone. 01896 661070 to women and girls (12+) who have experienced rape or sexual violence. GENERIC GPs Local GP practices comprising medical, Open access in person or by Across the Borders www.nhsborders.scot.nhs.uk nursing and allied health professionals telephone generally in office hours. Some offer on-line access. NHS 24 National service providing urgent health Open access by telephone National (links to NHS 24 advice out of hours when GP and dental available 24 hours where urgent local out of hours Telephone: 111 surgeries are closed. Links with BECS care is required. GP service where www.nhs24.scot (Borders Emergency Care Services) necessary) where local out of hours GP assessment is required.

NHS Inform An on-line resource that aims to provide Open access online National NHS Inform website the people in Scotland with accurate www.nhsinform.scot and relevant information to help them make informed decisions about their own health and the health of the people they care for.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 11 TIER 2 – FRONT LINE SERVICES (urgent or early intervention) OUTCOMES: ACCESSIBLE INFORMATION & ADVICE HEALTH PROMOTING COMMUNITIES IMPROVED SUPPORT PATHWAYS FRONT LINE STAFF HAVE KNOWLEDGE, SKILLS & CONFIDENCE TO SUPPORT AND SIGNPOST SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD GENERIC ‘What Matters’ Hubs What Matters Hubs: First point of contact Open access via Council Customer Hubs are present Customer Advice and Support offering assessment and signposting Advice and Support and drop in in each on the Service to range of agencies and resources. sessions held in Peebles, Hawick, five Scottish Telephone: 0300 100 1800 Aims to improve responses for those Duns, Galashiels, Eyemouth and Borders Localities: www.scotborders.gov.uk/ with lower levels of need and support Kelso Teviot, Eildon, communityhubs appropriate referrals to social care and Tweeddale, Cheviot, health. Berwickshire

Agencies include: Red Cross, Local Area Co-ordination, Carers Centre, CAB, Fire Scotland, Chest Heart Stroke, Alzheimer Scotland, Encompass, Police, RBS, Food Train, Home Energy Scotland, and Trading Standards.

Out-of-hours emergency social work Emergency out of office hours services are available evenings and Telephone: 01896 752111 weekend. Borders Carers Centre Offers information and advice, Referrals come from a range of Borders-wide Borders Carers Centre assessment of carers’ needs support sources including self-referral, GP, Brewerybrig, Low plans, support groups and training. health or social care services. Buckholmside, Galashiels TD1 1RT Cost: Free Telephone: 01896 752431 www.borderscarerscentre. Waiting times: Referrals from co.uk within hospital will be seen within 1 week; community-based referrals will be seen within 3 weeks.

12 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 2 – FRONT LINE SERVICES (urgent or early intervention) OUTCOMES: ACCESSIBLE INFORMATION & ADVICE HEALTH PROMOTING COMMUNITIES IMPROVED SUPPORT PATHWAYS FRONT LINE STAFF HAVE KNOWLEDGE, SKILLS & CONFIDENCE TO SUPPORT AND SIGNPOST SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD GENERIC Housing support & Housing, advice and adaptations for Access via housing associations Homeless Housing Support & Homelessness services those in greatest need (including those and Homelessness referral routes. accommodation: Homelessness services with mental health problems). Aims Maxmill Park, Emergency out of office to help people stay at home for longer, Kelso hours: 01896 752111 prevent homelessness, and support Trinity House, FREEPHONE: 0800 376 1138 independent living. Hawick and Albert Telephone: 01896 661385 N.B. see Penumbra Supported Living Place, Galashiels. Galashiels Area Office Service (Tier 2/3) (young people). Paton Street Galashiels TD1 3AS www.scotborders.gov.uk/ housing Employment Support Support those with additional needs Referrals from various sources Borders-wide. Employment Support Service Service (ESS) (including adults recovering from mental including Gala Resource Centre, Telephone: 01835 824000 health problems) to access and sustain SW Depts., Community Mental www.scotborders.gov.uk/ paid work (not voluntary work) by Health Teams, Dept. Work & employmentsupport overcoming barriers to employment. Pensions, family, employers, schools, and some self-referrals. Services provided: profile building, job searches, compiling CVs, job applications, work placements and job coaching.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 13 TIER 2 – FRONT LINE SERVICES (urgent or early intervention) OUTCOMES: ACCESSIBLE INFORMATION & ADVICE HEALTH PROMOTING COMMUNITIES IMPROVED SUPPORT PATHWAYS FRONT LINE STAFF HAVE KNOWLEDGE, SKILLS & CONFIDENCE TO SUPPORT AND SIGNPOST SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD GENERIC Welfare benefit enquires: For general enquiries, CAB provides free CAB Services can be provided by Borders-wide Citizens Advice Scotland and confidential advice and information. telephone, online and face-to-face (offices in Telephone: 03454 04 05 06 Citizens Advice Bureaux Can negotiate on behalf of clients, and Galashiels, https://www.cas.org.uk/ – (CAB) represent them formally, such as at Jedburgh, Peebles access online to find local tribunal hearings. and Kelso) bureau Housing association Welfare Benefits / Housing association officers can provide Scottish Borders Housing Financial Inclusion Officers welfare benefits advice to help maintain Association tenancies. Can check entitlement to Telephone: 01750 724444 benefits and help people to apply. www.sbha.org.uk/contact-us/

Berwickshire Housing BHA also provides assistance with Berwickshire Housing Associtaion more complex benefit issues and Association representation at Tribunals. www.berwickshirehousing.org. uk/your-home/money-advice/

Eildon Housing customer Services Telephone: 03000 200 217 Customer Advice & People with more complex benefit www.eildon.org.uk/ Support Service (CASS) needs, or anyone needing help with challenging or appealing a DWP or Waverly HMRC decision can be referred to the General enquiries: 01450 364200 CASS Financial Inclusion Team. www.waverley-housing.co.uk/

Customer Advice and Support Service Telephone: 0300 100 1800 CustomerAdvice@scotborders. gov.uk

14 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 2/3 – LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery) OUTCOMES: ACCESSIBLE SERVICES AND IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Mental Health and Well- An open forum which aims to give a voice Open access by telephone or Borders-wide. Borders Care Voice Being Forum (Borders Care to people with lived experience, carers online. 3rd Floor, Triest House, Bridge Voice) and third sector providers of mental Street, Galashiels, TD1 1SW health services - provides opportunities Telephone: 01896 757290 for networking, raising issues and [email protected] participating in service improvements. www.borderscarevoice.org.uk LACT The LACT is a service for adults with The service is available to: Borders-wide in Telephone: 01896 664 155 (Local Area Co-ordinators): a learning disability, older adults and • Adults aged 18 years and over. localities [email protected] Learning Disability adults with a physical disability or long- • Acknowledged mental health & Mental Health term condition as well as for individuals difficulties that are affecting A Health and Social Care who experience mental health issues or quality of life. service mental illness. • A willingness and ability to engage with the service is The service encourages and enables required. individuals to live an active, more connected and purposeful life in their Anyone can refer. We also accept community. It uses a capacity building self-referrals. We welcome approach that promotes recovery in discussions should you be individuals with lower levels of need, and considering making a referral to helps to divert people from specialist the service. and statutory services. Waiting times: Minimal – check directly with service. New Horizons Borders Peer support groups and 1-1 emotional Self- referrals or referrals from Groups in New Horizons Borders support to help people learn how other professionals. Galashiels, Hawick, 6b Island Street, Galashiels to manage their illness and provide Eyemouth, TD1 1NU opportunities for social contact and Cost: Free Kelso, Selkirk, Telephone: 01896 755510 recovery. Peebles, Duns [email protected]

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 15 TIER 2/3 – LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery) OUTCOMES: ACCESSIBLE SERVICES AND IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Artbeat Artbeat offers a range of creative Referrals from a mental health It is based in Artbeat therapies through 1-1 and/or group or learning disabilities will need a Hawick and accepts Telephone: 01450 379547 work. social work assessment to assess referrals from [email protected] eligibility for a subsidised place. across Borders but Self-referrals can be made for typically come from paying clients. within a 20 mile radius. Cost: £2 per session for subsidised clients. £10/session for those paying full fees.

Waiting time: None - new referrals are offered sessions suitable to their needs following a visit and taster session. Re:discover Borders Provides a mix of 1:1 and telephone Referrals from a mental health or Borders-wide. Health in Mind befriending for people with mental voluntary sector professional, GP, Telephone: 01896 807000 health problems as well as volunteering or self-referral. opportunities as befrienders. Cost: Free

Waiting times: None, but once someone is accepted onto the service the process of matching someone with a suitable volunteer takes 1-2 months.

16 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 2/3 – LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery) OUTCOMES: ACCESSIBLE SERVICES AND IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH Wellbeing College Delivers courses that bring people Self-referrals - do not need to Borders-wide Wellbeing College (new service) together to explore resilience and be referred or have a diagnosed 16 and over ‘Health in Mind’ positive mental health in the Scottish mental health problem. The Hive, Low Buckholmside, Borders. People can learn more about Cost: All learning opportunities are Galashiels, their mental health and wellbeing; free. TD1 1RT develop coping skills and skills for their Telephone: 01896 807 000 personal development. Waiting time: None. Students can wellbeing.college@health-in- register for courses as they appear mind.org.uk on the website. The hub is open www.wellbeingcollege.org.uk on Tuesdays and Thursdays for students’ use. Borders Independent BIAS offers a free and confidential Open access by telephone or email. Borders-wide BIAS Advocacy Service (BIAS) service for those with mental health Telephone: 01896 752200 problems in receipt of health or social Cost: Free [email protected] care services. BIAS can help and support individuals to have their voices Waiting times: Referrals made heard, raise concerns, challenge under the Mental Health Act will be decisions and safeguard their rights. responded to within 3 days. BIAS aims to respond to other referrals within 2-3 weeks.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 17 TIER 2/3 – LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery) OUTCOMES: ACCESSIBLE SERVICES AND IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD ADDICTIONS AND TRAUMA RELATED SERVICES Borders Addiction Services BAS is a specialist, community-based Referrals can be made by GPs, Borders-wide BAS (BAS) treatment service for those with drug or agencies using a joint Addaction/BAS Telephone: 01896 664430 An NHS Borders service alcohol addictions who require substitute referral form, or as a self – referral. prescribing. Borders Alcohol & Drugs Accepts referrals from BAS, Partnership Addaction, or Action for Children www.nhsborders.scot.nhs. Addictions Psychological for those with mental health and uk/badp Therapies Team (APTT) substance misuse issues. Also assesses individuals with suspected Alcohol Related Brain Damage (ARBD).

Cost: Free

Waiting times: Has a 3 week government target. The service has been consistently meeting this target Addaction Borders Addaction Borders provides a service Referrals can be made by agencies Borders-wide Addaction for individuals who are concerned about using a joint Addaction/Borders 16 yrs plus 125 High Street their alcohol or drug use or are affected Addiction Services (BAS*) referral Galashiels by someone else’s. form, by phone or email, or as a self TD1 1RZ – referral (e.g. by phone or attending Telephone: 01896 757843 Support is offered on a 1:1, ‘Mutual office/drop-ins). www.addaction.org.uk/ Aid’ or other group basis, as well as a *BAS – see Tier 3 services/addaction-borders ‘Webchat’ service for those preferring ‘virtual’ support. Cost: Free

Waiting times: Maximum of 3 weeks

18 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

Waiting times: These vary depending on number of referrals coming in at any one time but average between 4-6 weeks. Domestic Abuse Support DAAS: Supports high risk victims of Referrals by telephone from various Borders-wide DAAS Services (DAAS) domestic abuse to identify and reduce sources including self-referral. Telephone: 01835 825024 risks through assessments, safety [email protected]. planning. Cost: Free gov.uk

Domestic Abuse DACS: Longer term, practical and Waiting times: Community Support emotional support for those at lower DAAS – no waiting times. Police (DACS) Service risk who need help to recover from their referrals will be seen within 24 hours; experiences. Can include help with agency referrals within 2 working days DACS Service housing, legal matters, welfare benefits, DACS – does have waiting lists for adult Telephone: 01750 22892 and emotional support. and children referrals. These vary and will be prioritised according to risks and National Domestic needs. Abuse helpline Telephone: 0800 010302 Children experiencing CEDAR: A 12 week group-work CEDAR: Families should be living in a domestic abuse recovery programme for mums and children to safe place. Any agency or school can (CEDAR): support recovery from domestic abuse. make a referral to CEDAR and self- referrals are also accepted.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 19 TIER 2/3 – LINKS BETWEEN FRONT LINE AND SPECIALIST SERVICES IN THE COMMUNITY (focused work, self-management, recovery) OUTCOMES: ACCESSIBLE SERVICES AND IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD ADDICTIONS AND TRAUMA RELATED SERVICES Survivors Unite Safe Provides Counselling, 1:1 Peer Support Referrals come from several sources Open to all of Survivors Unite Oaks Project and 1-1 peer and a Facilitated Peer Support Group but the majority are self-referrals. Borders but groups Telephone: 07921 058675 support (weekly group Friday am. Ongoing). based in Selkirk but [email protected] Cost: Free some flexibility in holding groups in Waiting times: None other areas. Momentum: Assists adults with a brain injury to Open access (self or family referrals, Borders-wide, with Momentum Skills Brain Injuries Service live independently. Services include health and social care professionals support groups in Enterprise House assessment, rehabilitation, activities and in primary or secondary care, other Berwickshire and Galabank Business Park support groups and access to education services). central Borders. Galashiels and vocational opportunities. TD1 1PR Cost: Free Telephone: 01896 754517 www.momentumskills.org. Waiting times: None. A Community uk/our-services/service/ Rehabilitation Worker will go out for borders-brain-injury- an initial meeting within 1 week. Input service from the Clinical Neuropsychologist depends on clinic times but is usually within one month. Information is sent out to possible referrals or discussed over the telephone. Veterans 1st Point (V1P) First point of contact and a gateway Open to any veterans in the south of Borders-wide Veterans 1st Point Borders to sources of support for a range of Scotland. Accepts referrals from any Centre problems, including mental health and source including self-referrals. Telephone: 01896 668551 addictions. [email protected] Cost: Free www.veteransfirstpoint.org. uk/drop-center/veterans- Waiting times: None f1rst-point-borders

20 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

The Service runs from the ‘Women’s Hub’ in Wood Street Galashiels.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 21 TIER 3 – SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery) OUTCOMES: IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH AND ADDICTIONS Mental Health Service Joint Mental Health services provide Referral from a GP or other health or Borders-wide. Crisis Team Teams a range of integrated health and social care professional (not self- Telephone: 01896 827320 social care services in the community referrals). delivered by multi-disciplinary teams. Community Teams Staff include Nurses, Psychiatrists, Waiting times: These will vary across Can be contacted via Psychologists, Support Workers, Social teams – contact the service directly for Borders General Hospital Workers, Occupational Therapists and up-to-date details. switchboard: Mental Health Officers: Telephone: 01896 826000 By telephone Crisis Team – Assessment, emotional General MHO enquiry line and practical help, support pre and post Telephone: 01896 752111 discharge from psychiatric hospital

Community Mental Health Teams (CMHTs) – Assesses and treats those suffering from mental illness.

Community Rehabilitation Team (CRT) - reviews treatment and supports independent living for those with severe and longer-term mental illness.

Mental Health for Older Adults Service (MHOAS) – Assessments and treatments for people with memory or mood problems.

22 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 3 – SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery) OUTCOMES: IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH AND ADDICTIONS Psychology Department Psychological services Referral from a GP or other health or social care Borders-wide. Borders General Day Services – offer assessment, professional (not self-referrals). Hospital counselling and therapies for a range switchboard: of mental health problems. Waiting times: These will vary across teams – Telephone: contact the service directly for up-to-date details. 01896 826000 Eating Disorders service – new – will By telephone provide assessment and treatment, plus advice, support and training for professionals. Gala Resource Centre Gala Resource Centre – supports Referral from a GP or other health or social care Borders-wide. Gala Resource mental health and emotional professional (not self-referrals). Centre recovery through activities, and Telephone: developing knowledge and skills. Waiting times: These will vary across teams – 01896 750349 contact the service directly for up-to-date details. By telephone

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 23 TIER 3 – SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery) OUTCOMES: IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH AND ADDICTIONS Penumbra Supported Penumbra’s Supported Living Service offers Referrals can be made by health Borders-wide. Penumbra Living Service mental health and housing support to eligible and social care professionals or 47 Ladhope Vale, people throughout the Scottish Borders. It self-referral. All referrals must Galashiels, TD1 1BW provides practical, social and emotional help be considered by Scottish Borders Telephone: to people living in their own homes. Council to ensure they meet the 01896 751177 borders@ Council’s eligibility criteria. penumbra.org.uk www.penumbra.org.uk Cost: The service is provided to people who meet the Social Work eligibility criteria for critical or substantial need. Clients undertake a financial assessment and contribute to their service on the basis of this.

Waiting times: No waiting list. New referrals will normally be assessed within 2 weeks and, provided they meet service criteria, will be able to access support depending on level of need and service capacity in each locality.

24 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 3 – SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery) OUTCOMES: IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH AND ADDICTIONS Carr Gomm Carr Gomm provides two rehabilitation Referrals from mental health Flats: Central Carr Gomm (Borders) services for those with severe and enduring services via Community Mental Galashiels. Telephone: 01896 668276 mental ill health: Health Teams. www.carrgomm.org/ our-services/scottish- Flats (long-term lets): Supports independent Cost: Will be in relation to SDS: Hawick, borders living with practical help and support and assessed needs and personal Selkirk, St connecting with local community. budgets. Boswells, and Gala

Self-Directed Support (SDS): For more Waiting times: Not always a independent clients who need lower levels of waiting list, but where there is, support (I visit daily). waits may be for approximately 2 months. Maternal mental health Offering professional mental health support Referrals welcome from Health Based in East Telephone: 01896 751609 to families across the Borders. Professionals (including Health Lodge, Elm Row, [email protected] Visitors, General Practitioners, and Galashiels. Provision of a range of specialist services to Community Mental Health Teams, Referrals accepted parents with children under the age of two. Family Nurse Partnership and from across the These include Individual Counselling/Therapy, Community Midwives). Referral Scottish Borders. Art Therapy, Group Therapy, Infant Massage, guidelines and referral forms Parent/Child Support, Support for Fathers/ available from info@pndborders. Partners and a Crèche facility. PND Borders org.uk. is a member of the Perinatal Mental Health Network.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 25 TIER 3 – SPECIALIST SERVICES: COMMUNITY BASED (assessment, diagnosis and treatment, recovery) OUTCOMES: IMPROVED SUPPORT PATHWAYS INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD GENERIC Justice Service (JS) Service aims to reduce and prevent re- Referrals from the courts, Procurator Borders-wide. Scottish Borders offending by providing: Fiscal, or Scottish Prison Service. A Council • court reports new Arrest Referral service is about Tel : 01835 824000 • managing community disposals to be set up which will also generate www.scotborders. • manages individuals released from custody some referrals. gov.uk/info/20037/ on parole criminal_justice • early intervention measures (community Offenders with mental health problems justice) must be referred via their GP.

26 | SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) INTRODUCTION | ACCESSING SUPPORTS AND SERVICES

TIER 4 – SPECIALIST SERVICES: IN-PATIENT / RESIDENTIAL (acute/complex care needs – treatment/recovery/self-management/ secondary prevention) OUTCOMES: INDIVIDUALS HAVE AN INCREASED UNDERSTANDING AND ARE SUPPORTED TO MANAGE THEIR ILLNESS RECOVERY ORIENTATED CARE AND SUPPORT CARERS & FAMILIES ARE VALUED, SUPPORTED & INVOLVED REDUCED BARREIRS TO CARE & SUPPORT FOR THOSE WITH DUAL DIAGNOSIS SERVICES & RESOURCES SERVICE DESCRIPTION ACCESS AREAS COVERED LEAD MENTAL HEALTH AND ADDICTIONS Hospital Mental Health NHS Borders has five Mental Health Referral from a GP or other health or Service accepts General MHO enquiry Wards Wards for adults who require treatment social care professional (not self- referrals from line in hospital: referrals). across the Borders. Telephone: 01896 752111 • Huntlyburn Ward: For the acutely In-patient units are unwell who require intensive Waiting times: These will vary based within the treatment; detoxification (18 and 69 depending upon bed availability - Borders General yrs) contact the service directly for up-to- Hospital, Melrose; • East Brig: A rehabilitation ward for date details. East Brig is in those with severe and enduring Galashiels mental illness (18-69 yrs) • Lindean: For acutely unwell older adults who require intensive treatment (70 yrs plus) • Cauldshiels: A specialist Dementia assessment ward (70 yrs plus) • Melburn Lodge: Specialist dementia care for those with complex care needs (70 yrs plus). Private sector residential The private sector may be accessed Information may be available directly Borders-wide. Borders Alcohol & Drugs detox/rehab facilities e.g. for those who require residential online, or via the statutory addictions Partnership Castle Craig, Phoenix detoxification and/or rehabilitation. services locally. www.nhsborders.scot. House Some also provide support groups nhs.uk/badp (Narcotics Anonymous; Alcoholics Cost: Contact organisations directly for Anonymous). details.

Waiting times: Contact organisations directly for details.

SCOTTISH BORDERS MENTAL HEALTH SERVICES | INTEGRATED CARE PATHWAY (ADULT) | 27 You can get this document on audio CD, in large print, and various other formats by contacting us at the address below. In addition, contact the address below for information on language translations, additional copies, or to arrange for an officer to meet with you to explain any areas of the publication that you would like clarified.

MENTAL HEALTH Scottish Borders Council | Headquarters | Newtown St Boswells MELROSE | TD6 0SA tel: 01896 827153 | email: [email protected]

Printed in the Scottish Borders. Designed by Scottish Borders Council Graphic Design Section. KG/02/19.