Online and chat services such as Kooth

If you’re 11 – 25 yrs you can get advice and help on the go, 7 days a week until 10 pm.

Kooth offers online counselling, advice and emotional well-being support. 

Visit: www.kooth.com

Phone: NHS Talking Therapies Service Norfolk and Waveney (known as Wellbeing Service) on 0300 123 1503 (9am – 5pm)

Visit: www.wellbeingnands.co.uk

 Tier 2 – Targeted services For children and young people with mild to moderate mental health needs

Point 1 service - Point 1 is a service for children and young people between the ages of 0-18 years who are experiencing the early signs of mental health difficulties and who are resident in Norfolk and have a Norfolk GP.
Voluntary Sector Agencies (MAP, Matthew Project, BEAT, MIND etc)
School Nursing Team,
ASD Nurse and Autistic Spectrum support team,
Starfish Team,
Education Psychology Support,
Safeguarding teams.

Tier 3 – Specialist services For children and young people experiencing moderate to severe mental health difficulties 

Norfolk and Suffolk Foundation Trust - CAMHS Teams, Starfish Team, 
Community Paediatricians, 
Early Intervention in Psychosis team, (EPSS), 
Mental Service, 
Intensive Support Team. 

The Early Intervention in Psychosis Service supports people between the ages of 14 and 65 in Norfolk and Waveney who are experiencing symptoms of a first episode of psychosis. This service supports people for up to a three-year period and provides intervention to reduce the impact of the symptoms and support social recovery. The Early Intervention in Psychosis Service aims to help people who use the service, and their family, to understand more about the symptoms of psychosis and what treatments are available.

https://www.nsft.nhs.uk/adults/service/early-intervention-in-psychosis-services-norfolk-and-waveney-103/#:~:text=Service%20Contact%3A%20Service%20contact%20numbers,West%20Norfolk%2D01553%20736011.


Tier 4 – Highly specialist services For children and young people experiencing severe and complex mental health difficulties and illness 

Intensive community support, 
Residential and inpatient units. 

Primary care. This is the entry level of care for the NHS. You can get treatment and support from primary care services if you have mild or moderate mental health problems. Primary services include:

Secondary care. This is the next level of care in the NHS. It covers general community and hospital care.

A mental health team (MHT) is part of community care. Community care means you get treatment outside of a hospital stay. You may be referred to an MHT if you need more support with your mental health. MHT’s are staffed with professionals such as a psychiatrist and psychologists.

See the next section, ‘Are there different mental health teams?’ for more information.

Hospital care includes inpatient treatment. You are an inpatient in hospital if you stay voluntarily, or if you are detained under the Mental Health Act.

Tertiary care. This is highly specialist care within the NHS. It covers specialist community and hospital care.

Examples of community tertiary care are:

The Maudsley is a national service which means that you can access it even if you live outside of London. But you will need a referral.

Specialist hospital care includes secure units. Patients in secure units are usually detained under the Mental Health Act and present a level of risk greater than general mental health services could safely deal with.

What is the Integrated Care System?

Integrated care is about removing traditional divisions between different tiers of care such as primary and secondary care. This is so that people can get the support that they need. It aims to remove divisions such as those between:

These divisions have meant that lots of people have had disjointed care.

Integrated Care Systems are new partnerships between the NHS and other health and care organisations. Such as the local authority, voluntary sector and social enterprise sector. By working together and putting you and your needs at the centre, your care will have a more collaborative approach. This means that you are likely to get better mental health care and support.

You can check to see if ICS rollout has started in your local area by clicking the following link: www.england.nhs.uk/integratedcare/integrated-care-in-your-area/.

You can find more information about:

CRGs lead on the development of clinical commissioning policies, service specifications and quality standards. They also provide advice on innovation, horizon scanning, service reviews and guide work to reduce variation and deliver increased value. CRGs, through their Patient and Public Voice (PPV) members, also help ensure that any changes to the commissioning of specialised services involve patients and the public.
NHS commissioning » Mental health (england.nhs.uk)

As a profession, social work has always played a key role in managing risk and complexity, working with people with the most profound and enduring health and social needs and who are often the most socially excluded and at risk of harm. Social workers will continue to support people in crisis. However, as we move towards greater integration of health and social care with a focus on prevention and wellbeing to reduce demand for more intensive services, we have a unique opportunity to reposition social work at the heart of person-centred adult social care. New approaches to the way local authorities’ commission and deliver services, including mental health services, will create demand for new, innovative social work practice, working alongside individuals, their families and carers to provide the right support and to increase access to assets within their community.
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