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Help in a crisis

Please note that the following numbers are for use in an emergency only. This service is predominantly for service users currently in our care, their families and carers. If you are not currently in our care you can either contact your GP, go to your nearest A&E or contact the crisis team directly where your needs will be assessed and you will be advised accordingly.

Please visit our get in touch section if your enquiry is not urgent. We recommend that you speak to your GP in the first instance.

 

Contacting our Crisis Teams

If you are in Gloucestershire, please call:  0800 1690398

Please note: from 3 April 2017 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. Between 7am and 10pm. When calling, please 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

 

If you are in Herefordshire, please call: 01432 364046

 

Is this the first time you have needed help for a mental health crisis?

If you, a friend, or a relative is experiencing mental health problems for the first time and need emergency treatment or advice during office hours, then you should contact your GP. Your GP is your family doctor – the doctor you would normally see if you are ill or concerned about any aspect of your health. They will be able to refer you to the most appropriate mental health service in your area.

NHS Choices

If you don’t have a GP, use the NHS Choices service search to locate the nearest one to you.

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

If so there are some people that can help you immediately.

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.

Call free on 0800 11 11

If you are a child or a young person you may want to speak to Childline.

Call 0808 816 0606

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

Anxiety

If you live in Gloucestershire or Herefordshire and feelings of anxiety are affecting your everyday life, ²gether can help. Find out more about the services we offer below.

What is anxiety?

Anxiety is a feeling of unease, worry or fear. Everyone feels anxious at some point in their life, but for some people it can be an ongoing problem. If you feel anxious all of the time or it’s affecting your daily life, seek help as soon as possible as there’s lots which can be done to help.

You can find out more about anxiety on the NHS Choices website here.

days are lost from work each year in the UK due to mental ill health (i.e. anxiety, depression and stress related conditions), making it the leading cause of sickness absence.

On this page

Getting help

If your mental health is affecting your daily life, you should seek help as soon as possible.

Treatment options

How we may help, and some of the treatments on offer.

Our teams and services

Which of our services can help you and where to find them.

Living with a mental health condition

Information for patients and carers on the wider aspects of living with a mental health condition.

Information for carers

Support for you in your caring role.

Information for professionals

Notes on services, contacts and treatments for healthcare professionals.

Further help and support

Other organisations who can help or who partner with us.

News & views

News stories linked to this and related conditions.

Other conditions & services

Other conditions which we provide services for.

Getting help

Let’s Talk can help

Let’s Talk is our Improving Access to Psychological Therapies (IAPT) service. We offer guidance, courses and talking therapies that give you the skills and techniques to manage difficult days, lift your mood and improve your overall wellbeing.

It is a free service and is there to listen, help and suggest the best way forward for you.

How to access Let’s Talk

You can refer yourself to Let’s Talk by calling 0800 073 2200, or you can ask your GP to refer you.

For more information about the support available, please visit the Let's Talk website.

²gether has partnered with an award-winning digital support service, Big White Wall, to offer 24/7 support to veterans living in Herefordshire. 

Big White Wall provides a supportive, anonymous online community where members can share experiences and get support, whatever they are going through. There are also online courses and self-help materials especially designed for the Armed Forces community, covering everything from depression, stress and anxiety to decreasing drinking or getting a better night’s sleep. Wall guides are available 24/7 to offer support and keep the community safe. 

Veterans can join Big White Wall for free, by going to www.bigwhitewall.com and selecting the Armed Forces community sign up option. The service is also available to serving personnel and their families aged 16+ for free. 

Treatment for anxiety

How we may help, and some of the treatments on offer.

Treatment for anxiety usually involves a combination of self-help, talking therapies and medicines.

The treatment that will be recommended will be based on the type of anxiety you have and whether your anxiety is a symptom of another condition.

You can learn more about the types of and treatments available by visiting NHS Choices.

Our teams and services

Where to find us, and which services can help you.

Living with a mental health condition

Information for patients and carers on the wider aspects of living with a mental health condition.

Mental illness can affect many areas of your life. This section has information on many aspects of your daily life, from physical health to work, education and recovery. Select an area below to learn more:

Five Ways to Wellbeing

At any given time, 1 in 4 of us will be experiencing a mental health issue. Some of the most common mental health conditions, such as depression, anxiety and stress, can be relieved by following some simple steps called the Five Ways to Wellbeing.

  • Connect with people - your family, friends, colleagues and neighbours. Speaking to people over the telephone or online can help, but there’s nothing like being in the company of others to boost your mood.
  • Get active - take a walk, go cycling, join a dance class, go swimming or play a game of football. Find an activity that you enjoy and make it a part of your life. Anything that raises your heart rate – even cleaning the house – can help.
  • Keep learning – give yourself a sense of achievement and a new confidence. Why not sign up for that cooking course, start learning to play a musical instrument, learn a new language, or figure out how to fix your bike?
  • Give - even the smallest act can count - whether it's a smile, a thank you or a kind word. Larger acts, such as volunteering at your local community centre, can improve your mental wellbeing and help you make new friends.
  • Be mindful - be more aware of the present moment, including your feelings and thoughts, your body and the world around you. Some people call this awareness ‘mindfulness’ and it can positively change the way you feel about life and how you approach challenges. 

These are proven techniques to help boost your general wellbeing and they are things we can all incorporate into our daily lives. If you want to make your mental health and wellbeing a priority, following these steps is a good place to start.

Drugs and alcohol

Support in Gloucestershire

CGL Gloucestershire is a free and confidential drug and alcohol service for adults (including offenders), families, carers and affected others.

They provide information, support, advice and treatment options from three main hubs across the county - Cheltenham, Gloucester and Stroud. They also work from a range of other locations including pharmacies and community venues.

https://www.changegrowlive.org/content/cgl-gloucestershire

Support in Herefordshire

Addaction Herefordshire offers information, advice and support for people with drug and alcohol issues every weekday, and on alternative Saturdays. There is a young people’s service for those aged 11+. Their recovery-focused service has bases in Hereford as well as outreach via partner organisations. They aim to support people to overcome their issues and develop the skills necessary to go on to live a fulfilling life in recovery. They also support the families of people with substance misuse issues.

www.addaction.org.uk/services/addaction-herefordshire

Money and mental health

Money and mental health are often linked. Poor mental health can make managing money harder and worrying about money can make your mental health worse.

This website gives information about the relationship between money worries and mental health, with suggestions on how to address them. 

Employment

Our Vocational Services team can help you to find work. Find out more here. 

Medical records

You are entitled to see the information held in your health record. You do not have to tell us why you want to see your records.

If you wish to see a copy of your health record, please ask the person providing your care or write to: Head of Health Records, Rikenel, Montpellier, Gloucester GL1 1LY.

In your letter, give:

  • your name
  • address
  • date of birth
  • any other information which would help locate your file

Please note: there may be a charge for this service.

If you think that information in your health records may not be accurate, please notify us in writing.

Medication

Our Choice and Medication website helps you make a decision about medication and some treatments. The Trust's pharmacy service supports staff, service users and carers in achieving safe and effective management of medicines. For more information, please visit our Choice and Medication website.

Pregnancy and mental health

If you have serious mental ill health now, or have done in the past, and are pregnant or thinking of becoming pregnant, then it is important to get specialist advice.

Getting specialist advice and guidance prior to becoming pregnant will help reduce the risks for you and your baby.  There is help and support available, so don't be afraid to talk about how you are feeling with your midwife, GP or psychiatrist – they will be happy to discuss your particular problem and care with you.

Women who have had previous serious mental ill health can be at higher risk of becoming unwell during pregnancy and after birth. Mental health professionals can discuss care and treatment choices and support you to make informed choices about managing your condition, including weighing up the benefits and risks of taking medication. They will help you make a plan to look after your mental health as your pregnancy progresses and once your baby is born.

If your pregnancy is unplanned, then you should inform your care coordinator or lead mental health professional as soon as you know you are pregnant, so they can help and support you. It is important a women's mental health remains stable during pregnancy and after birth. There is increasing evidence that shows that untreated mental illness during this period can have a negative longer term effect on a baby's development.

If you are pregnant, it is important that you don’t stop your medication suddenly, unless told to do so by your doctor. Stopping treatment suddenly may cause you to become unwell again more quickly and increase the risks for you and your baby. It can also cause side effects. It may be best for you to continue your medication during your pregnancy and if you choose to breastfeed. Mental illness can sometimes impact on a women's ability to care for herself and her baby. It is also important to inform your midwife about your mental health condition and any medication you are taking. Do not treat yourself with herbal remedies without consulting your doctor.

Taking your medication whilst pregnant

If you are on medication, or specific medication has been suggested to you, the Best Use of Medicines in Pregnancy (BUMPS) website is a helpful resource. This free service gives the most up-to-date, evidence-based information for women and their families. This website is an excellent resource but please still discuss any medication changes with your doctor.

Smoking
Did you know?
  • Smoking is the primary reason for the 10 to 20 year shortened life expectancy for people with a mental health disorder. Smoking causes cancer, cardio vascular disease and chronic obstructive pulmonary disease
  • People with mental health conditions consume 42 per cent of all tobacco bought in the UK
  • Many think smoking is a mood enhancer - in fact it causes depression, stress and anxiety
  • Smokers have a 79 per cent increased risk of being diagnosed with Alzheimer's disease

These are just some of the reasons why cutting down or giving up smoking altogether can have a huge impact on improving your health and wellbeing.

How to get help quitting
  • If you are one of our service users, ask to speak to a Smokefree Champion or Quit Advisor
  • If you live in Gloucestershire, visit hlsglos.org or ring 0800 122 3788
  • You can also call the national Smokefree helpline on 0800 022 4332 (Monday to Friday 9am to 8pm, Saturday and Sunday 11am to 5pm)
  • GPs can provide advice and prescriptions for nicotine replacement therapy (NRT) products and most surgeries have nurses who offer a stop smoking service
  • The national Smokefree website includes a wide range of support options and advice

Information for carers

information about your involvement in the care we provide to your relative or friend and support for you in your caring role.

Carers provide a vital support network but are at greater risk of experiencing mental and physical health problems and emotional stress themselves due to the demands of being a carer.

Here you will find information about your involvement in the care we provide to your relative or friend and information about support for you in your caring role.

Estimated carers in Herefordshire and Gloucester

Information for carers booklet

Our 'Information for Carers' booklet aims to provide some information about your involvement in the care we provide to your friend or relative but equally as importantly it aims to provide information about support for you in your caring role, from us and from other local organisations. The booklet includes:

  • What you can expect from us as a carer
  • Carers' needs assessments and the Care Act
  • Planning for an emergency and the Carers' Emergency Scheme
  • Accessing respite care and carer breaks
  • Carer information and support groups
  • GP practice carer registers
  • Confidentiality and information sharing
  • Speaking to staff

You can access a copy of our 'Information for Carers' booklet by clicking here.

The 'Information for Carers' booklet is also available in Polish and Urdu.

Carers charters

Our carers' charters were developed with and for carers as a joint statement of how we will work together to help make life better. Based on our core values, our charters are our pledges to carers of people using our services. You can view copies of our charters by clicking the links below:

Local and national carer support organisations

Local organisations

Carers Gloucestershire
Carers Gloucestershire is an independent, carer led charitable organisation that seeks to empower carers across the county to promote their rights and enable them to make positive choices to improve the quality of their lives.

Telephone: 01452 386283

Gloucestershire Young Carers
Gloucestershire Young Carers is a support network for young carers across the county. They work with young carers to ensure that service providers understand their needs and respond appropriately.

Telephone: 01452 733060

Herefordshire Carers Support
Herefordshire Carers Support aims to ensure carers are universally recognised as fundamental to the communities they live in and  that there is a balance between their caring responsibilities and their lives outside their caring role.

Telephone: 01432 356068

National organisations

Carers UK
Carers UK is a charity set up to help millions of people who care for family or friends

Telephone: 0808 8087777

The Carers Trust
A charity for, with and about carers which works to improve support services and recognition for anyone living with the challenges of caring, unpaid, for a family member or friend who is ill, frail, disabled or who has mental health or addiction problems.

Telephone: 0844 800 4361

Young carers

Young carers are children and young people who take responsibility for the care of a family member, usually a parent or brother or sister, who have a disability, a serious illness, mental ill health or who have issues with substance misuse.

The care might range from basic household tasks to nursing care, or it might take the form of emotional support.

If you are a young carer in Gloucestershire or Herefordshire, please use the tabs below for information about the support available to you.

Gloucestershire services for young carers

 

 

 

 

Carers Gloucestershire and Gloucestershire Young Carers offer:

  • Information Advice and Guidance
  • Assessment and support planning
  • Emotional Support
  • Carers Voice

Telephone: 01452 386283   Email: mail@carersgloucestershire.org.uk
www.carersgloucestershire.org.uk

Telephone: 01452 733060   Email: www.glosyoungcarers.org.uk
www.glosyoungcarers.org.uk

Family Information Service

The Family Information Service for information on family finances, finding and choosing childcare and local activities, parenting support, education and housing

www.glosfamiliesdirectory.org.uk
Freephone: 0800 542 02 02
Direct line: 01452 427362

Family Lives

Family Lives offers family and parenting support, befriending for parents and mentoring for children. Providing help and support for all aspects of family life.

Telephone: 0808 800 2222
www.familylives.org.uk

County Community Projects

  • Advocacy: free health and social care and statutory mental health advocacy service
  • Appropriate Adult Scheme: for young people and adults with mental health or learning difficulties held in police custody
  • Family Mediation
  • Family Support

01452 894594 or 0800 644 6448
www.ccprojects.org.uk

Rethink

Self-injury support

www.selfinjurysupport.org.uk
0808 801 0606 or text support: 07537 410022

Other information and help:

Royal College of Psychiatrists

Provides specifically tailored information for young people, parents, teachers and carers about mental health.

http://www.rcpsych.ac.uk/expertadvice/youthinfo/youngpeople/youngcarers/caringforyoungcarers.aspx

Schools and Colleges

Many schools and colleges in Gloucestershire have a named Young Carer Link Worker. Please contact the appropriate school or college directly for details.

Safeguarding

If you have safeguarding concerns, please contact the Children and Families Helpdesk on 01452 426565 or email childrenshelpdesk@gloucestershire.gov.uk

Herefordshire Young Carers (part of Herefordshire Carers Support) support young carers and their families across Herefordshire. 

 

 

 

 

They can help families access services that will make their lives easier as well as offering young carers time out and respite from their caring responsibilities.

Herefordshire Young Carers work with young carers and their families to personalise the support we give them. This may include:

  • One-to-one work
  • School support
  • Trips and activities
  • Young Carer Clubs
  • Signposting to other useful services and support agencies

Contacting Herefordshire Young Carers 

Telephone: 01432 356068
Email: help@herefordshirecarerssupport.org 
Visit: www.herefordshirecarerssupport.org/young-carers/support-young-carers 

Carer information sessions and support groups

Carer education and support groups provide:

  • Time to talk, share experiences and support each other
  • Visiting speakers on mental health issues and services
  • Increased understanding of mental health problems and how they may be managed
  • Education for carers on looking after their own wellbeing
  • Information on carers’ rights
  • A social event

Ask the Care Team or local carer support agencies if groups or a carer education programme run in your area.

For further information on carer education and support groups in your area please contact:

Carers Gloucestershire
Telephone: 0300 111 9000
www.carersgloucestershire.org.uk

Positive Caring Programme
E-mail positivecaring@carersgloucestershire.org.uk

Herefordshire Carer Support
Telephone: 01432 356068
www.herefordshirecarerssupport.org

Emotional support for carers

It’s not unusual for carers to feel that things are getting on top of them and you may feel anxious or depressed.  Getting the right help is essential to prevent this escalating and there are several avenues open to you.  

Your GP is a good first point of contact as they will be able to assess your health and access a range of treatment.  If they hold a Carers’ register as many surgeries do it might also help to register yourself as a carer so they are aware of your situation.

Let's Talk

At ²gether you can access help through Lets Talk, our Improving Access to Psychological Therapies (IAPT) Service which offers a range of support including telephone, face to face and group sessions. Your GP can help you access the service or find out more about Let's Talk here.

Other organisations offering support

Carers organisations also offer a range of emotional support and counselling services to carers – you can find their contact details in our 'Information for Carers' booklet which you can download on this page.

Carers assessment

If you and your family are the main support for somebody currently using our services, you may find it helpful to have an assessment of your own needs in your caring role.

A formal carers assessment means that a support plan can be put in place for you that takes account of:

  • your view of your role as a carer
  • the support you already provide and how to best to help you maintain that
  • the other things you want or need to do in life
  • accessing community resources local to you
  • identifying public, private and voluntary services that are funded to support carers and offer something you might value

Examples of support that might be identified include:

  • tailored information and advice about mental health and learning disability and its treatment
  • information about welfare benefits
  • joining a carers support group
  • having a short break

A Carers' Assessment is not a test of how good a carer you are.

I am a carer in Gloucestershire, how do I arrange a Carers' Assessment?

If you have not been offered a Carers' Assessment and you would like one, please speak to the named nurse or care coordinator of the person you care for to find out who does this with you. Most people find talking through the assessment with a member of staff from ²gether or Carers Gloucestershire works best to identify what will help them. The assessment is a guided conversation about you and your needs so you should take some time to think about what is most important for you.

I am a carer in Herefordshire, how do I arrange a Carers' Assessment?

Speak to your friend or family member’s named nurse or care coordinator if you would like help to access a Carers' Assessment or request one directly by contacting the Advice and Referral Team (ART) at Herefordshire Council:

You can also write to: Adult Social Care, Advice and Referral Team, Franklin House, 4 Commercial Road, Hereford HR1 2BB.

Carers information booklet

The Carers information booklet is also available in Polish and Urdu.

Carers charter

Download our carers charter

Information for professionals

Let's Talk is our Improving Access to Psychological Therapies (IAPT) service for patients registered with a GP in Gloucestershire or Herefordshire.

Patients are able to self-refer; however Primary Health Care Professionals can refer patients to our service on their behalf.

Find out more about referring a patient to Let's Talk on our dedicated website - www.talk2gether.nhs.uk/health-professionals

Further help and support

Other organisations who can help or who partner with us.

News and views

News stories linked to anxiety and related conditions.

How can books help me with my mental wellbeing?

There is good evidence from the National Institute for Health and Clinical Excellence (NICE) that self-help books can help people understand and manage common conditions, including depression and anxiety. At Let’s Talk we prescribe self-help books on a daily basis....

read more

How many men use the Let’s Talk service?

We do have a considerable number of men accessing Let’s Talk. For example 1,082 men accessed support through Let’s Talk between 1 April 2016 and 30 September 2016. However, it is true to say that more women use the service than men and there may be many reasons for...

read more
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