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Help in a crisis

 

If there is an immediate danger to life, please dial 999 or go to your nearest Accident and Emergency Department.

I am in Gloucestershire

If you or someone you know needs help in a mental health crisis, call our crisis teams.

Call 0800 169 0398.

And choose one of the following options depending on your location:

  • Option 1 for Stroud and Cotswolds
  • Option 2 for Gloucester and Forest
  • Option 3 for Cheltenham, Tewkesbury and North Cotswolds

Please note: telephone calls may be recorded. If you do not want that to happen, please tell the person who answers your call and they will phone you back on a ‘non-recordable’ telephone.

The number is available 24 hours a day, 7 days a week. Occasionally, callers may be asked to leave their name and number on an answerphone. In these circumstances, staff will return the call within one hour.

I am in Herefordshire

If you are in Herefordshire, please call: 01432 279095

The number is available 24 hours a day, 7 days a week.

If you need help but are not in crisis, please contact your GP if in opening hours, or 111. If you don’t have a GP use the NHS service search to locate the nearest one to you. If your query is not urgent, you can find our contact details here.

Are you feeling vulnerable? Do you need to talk to somebody now?

samaritans

Call free on 116 123
If you are experiencing feelings of distress or despair, including those which could lead to suicide, you can call the Samaritans.

Stay Alive App

A pocket suicide prevention resource for the UK, packed full of useful information and tools to help you stay safe in crisis. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide. The app can be accessed through the Apple Store, Google Play and downloaded as a pdf.

childline

Call free on 0800 11 11
If you are a child or a young person you may want to speak to Childline.

selfharm

Call 0808 816 0606
A safe, supportive, non-judgmental and informative service for people who self harm, their friends, families and carers.

So what does a dietitian working in mental health and learning disabilities do? It is such an interesting and diverse job. In my 7 years in this job I can honestly say I’ve never been bored!

This morning I have been giving advice to a family who are trialling an exclusion diet with their son who has a learning disability, to see if it improves his bowel problems.

I was then contacted by the catering team at Charlton Lane to ask for guidance on a low potassium diet for a service user with hyperkalaemia.

I provided some food fortification information for the recovery team to take out to a patient who has recently been discharged from in-patient services as I have some concerns as to whether he will eat regularly.

In the post today I have received the latest Carbohydrate Counting workbook from my specialist diabetes colleagues. I will use this to support a service user who is struggling with their insulin and eating regime on the ward at Wotton Lawn.

In between responding to individual clinical queries and referrals, I have been putting together a training package on ‘Eating Well for Adults with a Learning Disability’ for delivery later in the year. The training has been commissioned for 8 sessions, so will be delivered to 240 support workers in the community to help them prevent and manage nutritional problems for the people they support.

We are also awaiting the upload of a new podcast aimed at supporting people who are starting antipsychotic medications with managing their weight. The podcast was recorded with two Experts by Experience who provided lots of really positive messages on how people can manage this debilitating side effect, which is thought to be the second most common reason for medication non-compliance. Following this we are hoping to get a project up and running to support people being discharged from Wotton Lawn hospital to eat well on returning home. This project is led by an Expert by Experience who has first-hand experience of the barriers to eating well following discharge, and the direct benefits of eating well on his own mental health.

The links between diet and mental health are so diverse and far reaching that I could never succinctly summarise them in a blog, so here is a summary I like from the Dietitians of Canada which shows how varied the interventions a mental health dietitian might be involved in really are.

More and more evidence is emerging that the benefits of tailored nutritional support in the treatment of mental health disorders are huge. I really hope that dietitians can become a more standard feature in all mental health teams and that service users can benefit from the advice we have to offer.

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