Mersey Care – NHS Foundation Trust

Mersey Care offer a range of assessment and intervention services for young people in Liverpool aged 14 and above who are dealing with a range of emotional and mental health difficulties.


What is the service?

Our specialist community and hospital based mental health services can be broadly categorised into offering assessment and interventions to all over 16s and some over 14s.

Each service has their own referral process, see trust website for details.


What do you do?

Assessment services
Emergency assessments are seen within four hours in Accident and Emergency departments:
  • Royal Liverpool University Hospital; or
  • University Hospital Aintree

Routine or urgent assessments will be triaged and offered appointment to be seen within 24 hours to six weeks dependent on need in central teams and then signposted to the relevant specialist team.

  • Clock view (North Liverpool, South Sefton and Kirkby GPs)
  • Broadoak (South and central Liverpool GPs)
  • Liaison psychiatry – on wards in general hospital’s
  • Criminal Justice Liaison Team – to anyone arrested
  • Liaison and Diversion Team – Youth arm – see young people (10 – 17yrs old) in custody to assess their mental health and identify if diversion from criminal justice routes would be more appropriate and lead to better short and long term outcomes for young people.
  • EIP will accept direct assessment on suspicion of psychosis – speak to the team at the number below
Intervention services
  • Early intervention in Psychosis (EIP) teams work with young people between the ages of 14 and 35, who are experiencing their first episode of psychosis.

The EIP aim is to support young people and their families through the experience of psychosis and to get people back to where they want to be. We offer a space to talk and understand what is happening to them. We can, help manage stress and build confidence. We can also advise on medication and practical issues such as education, employment, housing and benefits.

  • Community Mental Health Teams
  • Stepped up care services – Service users in distress who need additional support to usual treatment
  • Perinatal services
  • Eating Disorder Service
  • Homeless Outreach team
  • Personality Disorder hub
  • Eating disorder service
  • The HOPE Self Harm service sees young people for follow up from A&E and provides assessment services.
Recovery College

Delivers a wide range of FREE courses and learning programmes for those who use mental health services, care for someone who does, or who work in services. Everything is designed around you, from course content to the learning environment. To assist recovery, improve wellbeing, and give you or the person you care for control over your life and symptoms. To help you recognise and make the most of your talents so you achieve your goals and ambitions. HOW TO ENROL : Once you have had a look at the prospectus and decided on a course:

Call us on: 0151 330 4140

Visit: www.liferooms.org

Email: recovery.college@merseycare.nhs.uk


What age group does your service work with?

14 and above.


Do you work with other family members?

Yes, we operate a whole family approach


Are you limited to working with people from a specific geographical area?

We support children and young people throughout Liverpool, but where you are seen will depend on where your GP is based.


Who would someone ask for in the first instance?

Ask to speak to someone at any of the assessment teams who can give you advice on the best person to help you and you should be directed to the right place.


What are your opening times?

9am – 5pm


Can you be contacted out-of-hours?

Out of hours support can be gained through Accident and Emergency Depts.


Do you have appointments outside working hours?

Out of hours appointments can be arranged through your GP, under special circumstances.


Do you have drop-in facilities?

We do have a drop-in facility at the Life Rooms


Where do you see young people?

See contact details information.


Do you take referrals directly from children/young people, parents/carers?

Yes we can take referrals from parents/carers and self referrals from young people.


If not, how can people refer in to your service?

Referrals are generally made through GPs or Accident and Emergency Departments.


Who else can make referrals to you?

See above


What kinds of things do you help with?

See above


What do you offer?

Assessment services
Community mental health teams

Our community mental health teams (CMHTs) work with young people with severe and enduring mental health problems as well as those with less severe illness who have not responded to provided interventions in primary care services. They offer flexible, responsive and proactive integrated services to individuals with severe and complex mental and behavioral disorders. The service offered to individuals will be provided in the most appropriate setting primarily within the individuals own home and enable individuals in crisis to achieve the highest level of functioning possible in the least restrictive setting; preventing unnecessary hospitalisation and facilitate more rapid discharge from an acute care setting.

Early Intervention in psychosis

We work with young people 14-35 first episode of psychosis. This support includes 3-year bio- psycho- social, age appropriate interventions to help service users and their families understand and manage the symptoms and distress associated with psychosis to aid recovery, build resilience and self-management in the longer term.

Perinatal service

Specialist inpatient and community services are offered for young mothers in the ante natal and post-natal period. Pre-conception advice is also available for women on medication or receiving mental health services, who are planning to become pregnant. All referrals are triaged by the Perinatal team and if appropriate we would offer appointment to attend our Perinatal clinic either at Liverpool Women’s Hospital or University Hospital Aintree clinics or to be seen via a home visit. The team also gives advice or sign post to appropriate agencies if referrals are not appropriate. This small team includes a consultant psychiatrist, senior mental health nurse and specialist midwife who specialise in perinatal mental health. Referrals are accepted from health professionals, we are unable to accept self – referrals. The team works with people being cared for within psychiatric inpatients units, community mental health teams, maternity services and liaises with mother and baby units when necessary. We accept referrals from maternity services and GPs, Offer Liaison on wards at the Women’s hospital for all pregnant women and 1 yr post-delivery.

Consultation

Offered to a variety of local third sector organisations on complex cases to help identify if they are receiving support from the most appropriate agency and identify when joint working across NHS and third sector may be useful. This allows for a seamless link into secondary care when required without the need to go via a GP.

Training

  • Recovery College courses – see Mersey Care Trust website
  • Understanding psychosis
  • Youth Mental health – in partnership with Merseyside Youth Association
  • Digital technology and Young people –in partnership with MYA

Participation

We run regular creative opportunities i.e. app development, film making, workshops in local art facilities Train to be on interview panels Participate in local and corporate service wide meetings Links with MYA for Y/P focused participation Support Through the Life rooms as well as peer support training Student mental health support.

  • Offered through all generic services as listed
  • Group work programmes – accesses through Community Mental Health Teams
  • Training and family workforce development

Think family strategic group

  • Communications, youth mental health developments, Banardo’s, family therapy, community and in-patient staff representation.
  • Mental health nursing staff seconded to work in the LA family Intervention partnership teams.
  • Triangle of Care approach to care

What happens after a referral is made?

After a referral has been made, you will be invited to come along for an assessment so we can find out what support you need.


What will happen at the first appointment?

During your assessment you will be asked questions about how you are feeling and what is happening now. You then could a doctor, nurse, social worker occupational therapist or psychologist. It will be someone who is an expert in mental health.

You might also be asked about other things such as where you are living, the people in your life. This will help us make sure you have all the support you need. The assessment usually takes around an hour. We can arrange an interpreter if you need us to do so.

Almost everyone who comes for an assessment goes home to recover under the care of their GP, or in some cases with some support from our teams in the community. A small number of people may need to come into hospital but even among those who have an emergency assessment, only around one in ten needs to stay in hospital.

We’re all different. Our hopes and goals are different, so making a plan is important first step on the road to recovery.


What will happen after that?


What do you do if a client is not happy with the service?

If you are unhappy with the service, the first thing to do is tell the person who is looking after you and explain how you are feeling about the service.

If you are still unhappy you should email your concerns to PALS@merseycare.nhs.uk


What skills do your staff have?

Our teams include mental health practitioners who are from mental health nursing, social work or occupational therapy back grounds, psychiatrists, psychologists and pharmacy.


Do you offer training in your specialist area?

No, this isn’t something we currently offer.