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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 Accident and Emergency Department.


Alternatively 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.


Contacting our Crisis Teams

If you are in Gloucestershire, please call:  0800 1690398

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

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.

If you are in Herefordshire, please call: 01432 364046
You can also contact us on behalf of a service user (this could mean you are a friend, a carer or someone from an outside agency).

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.

Alternatively contact the crisis team directly where your needs will be assessed and you will be advised accordingly.

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? Do you 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.

Children and Adolescent Mental Health Service (CAMHS) Herefordshire

Our Child and Adolescent Mental Health Service (CAMHS) in Herefordshire provides specialist mental health services for children and young people aged from birth to their 18th birthday and their families/carers. They should live in the county and be registered with a Herefordshire GP. This includes children and young people with a diagnosed learning disability.

The CAMHS team receive referrals from people who work closely with children and young people such as GPs, school nurses, health visitors, social workers, specialist staff within schools and paediatricians. Usually parents, carers or professionals will have noticed that a child or young person has emotional difficulties such as:

  • Problems with relationships with family, friends or at school
  • Feeling depressed, anxious, self-harming or problems with eating
  • Experience of a traumatic event in their lives which is affecting them

CAMHS clinicians are trained and qualified to understand children and young people’s emotional and mental health difficulties and are good at listening. They work in partnership, with the family, with a child or young person individually, in groups or directly with professionals. They understand the complexity of family life and the challenges that children and young people face when growing up.

CAMHS clinicians include: psychiatrists, psychologists, nurses, social workers, occupational therapists, psychotherapists and art therapists. Usually they work as a team though they will have different skills and expertise.

Therapies and interventions that are provided include: family work, psychotherapy, cognitive behavioural therapy (CBT), specialist assessments for ASD, ADHD, self-harm and suicidal thoughts, psychosis and eating disorders.

CAMHS clinicians monitor the effectiveness of their work using feedback forms called routine outcome measures (ROMs). Children and young people will share in planning and monitoring their progress and will be supported to achieve their goals.

CAMHS can be contacted on 01432 842233.
What happens when a referral is made to CAMHS?

Referrals are screened, to make sure they are suitable and to identify urgent referrals. When a referral is accepted the family or young person will be invited to make a CHOICE appointment. Other professionals may also be invited to this appointment.

The CAMHS clinicians will ask about the difficulties and give children, young people and families/carers an opportunity to say what has been happening and what help they want. At the end of the discussion the CAMHS clinician will identify options to take forward. This may mean attending further appointments at CAMHS, or a referral to another service better suited to the circumstances.

Sometimes a one-off meeting is all that is needed.

What happens if work with CAMHS continues?

If further appointments are agreed, a CAMHS clinician will work with the child or young person in partnership. A course of treatment will usually be for 7-10 sessions. Sometimes more sessions may be needed or less if difficulties reduce quickly. The CAMHS clinician will complete an assessment and together with the child or young person will agree a care plan which will show what work has been agreed and how often appointments will be.

What happens if patients are prescribed medication?

Sometimes a child or young person would benefit from taking medication. This will be discussed with the child or young person, their family/carers and an explanation given about how it will help. Medication is prescribed and reviewed by psychiatrists and specially trained nurses.


All the information given in CAMHS appointments is confidential. Usually only theperson who made the referral and the GP will know about the appointments.

It can be helpful to share information, for example with schools or other health staff. The CAMHS clinician will discuss the information to be shared and ask children, young people and their families/carers for consent to share. Sometimes young people do not want to share their information with their parents/carers. This can be identified in the referral. The CAMHS clinician will discuss this with the young person to understand more about their circumstances and assess whether they are competent to make that decision for themselves.

If there are concerns that a child or young person may be at risk of harm, CAMHS will always share this information with the relevant agencies, though we would hope to inform the child or young person and their family/carers about the referral
and the reasons for this.

Referral information for professionals

If you work with children and young people in Herefordshire and are concerned about their emotional wellbeing and mental health our Herefordshire Child and Adolescent Mental Health Services (CAMHS) can help.

To make a referral, please telephone CAMHS on 01432 378940 or complete our referral form and post it to: The Linden Child and Family Centre, Gaol Street, Hereford, HR1 2HU.

Further information and documents

Locations for this service