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Crisis Care

In a crisis now?

Local Service

RAID B15 2TH
Tel: 0121 371 2619
Duty mobile: 07985 883 550

RAID B18 7QH
Tel: 0121 507 6063
Duty mobile: 07985 882 816

RAID B75 7RR
Tel: 0121 424 7655
Duty mobile: 07985 883 048

RAID B9 5SS
Tel: 0121 424 0860
Duty mobile: 07985 882 241

Where / when do I seek help?

Referrals are made internally within the hospital accident and emergency department. Referrals will be accepted from any member of the multidisciplinary team and associated professional.

Referrals can be made for any patients aged 16 years and over with presumed mental health or substance misuse needs.

We provide:

  • one point of contact and access for the acute hospital,
  • every referral in A&E to be seen within one hour and all other referrals seen within 24 hours, with appropriate and timely review,
  • advice on alcohol problems, including detoxifi cation and referral to our ‘morning after clinic’ or other community agencies,
  • advice on substance misuse treatment, including methadone maintenance, assessment of care needs of older people with mental health problems,
  • early detection of mental health problems to enable rapid and appropriate intervention,
  • continuity of care for people already known to mental health services,
  • help with discharge planning, and general advice and support.

What can I expect:

Rapid Assessment Interface Discharge (RAID) is a specialist multidisciplinary mental health service, working within the acute hospital for people aged over 16. The RAID service is for people with mental health or substance misuse needs who access accident and emergency (A&E) departments in hospitals in Birmingham and Solihull. RAID also see patients who are on the Acute Medical Unit (AMU), Clinical Decisions UNIT (CDU) and inpatient wards.

Service aims

  • Assessment of mental health needs of all patients in hospitals and provision of on-going support in their care and management,
  • education and training to hospital staff in assessment, treatment and management of mental health and substance misuse disorders as appropriate for acute clinicians,
  • referral to specialist services as appropriate, such as community mental health teams or community drug and alcohol services,
  • facilitate smooth transfer in the transition between acute physical and acute mental health settings, where appropriate,
  • contributing to the reduction of inappropriate admissions, in appropriate delayed discharge and 4 and 12-hour breaches in the A&E department

Rehabilitation and Recovery

Through this service we provide support for service users with serious mental illness or who are exhibiting poor functioning in relation to activities of daily living, and instability of mental state with both positive and negative symptoms. Different parts of this service include:

  • Working with service users, who have demonstrated high levels of need through multiple admissions, poor engagement with services, limited responses to treatment and increased vulnerability or risk due to symptoms or neglect.
  • Individualising care planning to enhance coping strategies and build on service user’s strengths
  • Working in a multi-agency context to deliver joined up care packages, which meet the psychosocial needs of service users. This will involve developing treatments and a full range of social and psychological interventions
  • Promoting social inclusion, well-being and reducing stigma
  • Improve the quality of life for each service user
  • Addressing the needs of carers and seeking to restore or improve functioning within families through psycho-education and support

Promoting active and full engagement of service users in their

We provide:

  • one point of contact and access for the acute hospital,
  • a 60 minute response time to A&E referrals and a 24-hour response time to ward referrals with appropriate and timely review. Clinical Decisions Unit (CDU) referrals will ideally be responded to within 4-hours,
  • assessment and intervention around harmful and dependant alcohol use, including detoxification and referral to appropriate community agencies,
  • advice on illicit drug misuse treatment, including methadone maintenance,
  • assessment of care needs of older people with mental health problems in partnership with acute hospital clinicians,
  • early detection of mental health problems to enable rapid and appropriate intervention,
  • continuity of care for people already known to mental health services,
  • help with discharge planning, and
  • advice and support where appropriate.

Who will I be seen by?

The team comprises of nurses, psychiatrists, psychologists and physicians assistants who are experienced at working in mental health.

There are specialists in working age mental health, drug, alcohol and mental disorders common in older people.

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

24/7 Heartlands Hospital
Bordesley Green E
Birmingham
B9 5SS
0121 424 2000

Good Hope Hospital
Rectory Road
Sutton Coldfield
B75 7RR
0121 424 2000

Queen Elizabeth Hospital Birmingham
Mindelsohn Way
Edgbaston
Birmingham
B15 2GW
0121 627 2000

City Hospital
Dudley Road
Birmingham
B18 7QH
0121 554 3801

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Mental Health Matters

0800 616171

What can I expect:

The Telephone Helpline consists of a team of highly trained and experienced support workers who use counselling skills to provide you with emotional guidance and information.

You might choose to call us if:

  • You may be feeling low, anxious or stressed and feel talking to another person might help you cope
  • You may be in extreme emotional distress and feel that there is nowhere else to turn
  • You may be caring for another person and finding it difficult to cope.

Contacting the Helpline can give you a feeling of relief, wellbeing and peace of mind. You won’t be judged and our service is confidential unless we consider that there is a risk to yourself or others.

Who will I be seen by?

The Telephone Helpline consists of a team of highly trained and experienced support workers who use counselling skills to provide you with emotional guidance and information

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

University Hospital Coventry
Clifford Bridge Road
Coventry
CV2 2DX
024 7696 4000

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Mental Health Assessment service (MHAS)

01384 325300

If you are not a current service user and want to discuss your symptoms:

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

What can I expect:

The Crisis Resolution and Home Treatment Service offer assessments, care and treatment for people experiencing severe mental health problems. It offers an alternative to hospital admission, minimising disruption to the service user’s life by providing care in their own environment until the crisis is resolved.

Who will I be seen by?

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

Russell’s Hall Hospital
Pensnett Road
Dudley
DY1 2HQ
01384 456111

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Sandwell CHTT its 0121 543 4100

The service is available 24 hours a day, seven days a week for over 18 years of age.

If someone needs our service between 9am and 5pm they should get in touch with their GP or someone from their mental health team. Out of hours, 5pm to 9am, they should contact their out of hours GP service or if they live in Sandwell, Sandwell Hospital Accident and Emergency. These people can then refer the person by phoning us.

What can I expect:

Our service is for people going through severe mental health crises. When someone is referred one or two members of our team will meet the person, or their carer or family, to find out what the person’s needs are. We will then decide whether our team is the best team to provide the support the person needs. If we feel someone’s needs can be better met by another team we can help them get in touch with this team. If we feel we can help the person through their crisis we will go about making a care plan with them.

Care plans are usually made between ourselves and the person we will be supporting, with the person’s family or carer sometimes involved. Care plans can give people a chance to take part in discussing and choosing the kind of support they will get. We hope that our support will stop someone from having to go into hospital. As well as giving our support, we encourage people to learn how to begin managing their symptoms themselves. We also give practical advice on things like housing and managing social circumstances, and we can help people get in touch with support groups.

We give all the support we can to help someone stay in the community, and not have to go into hospital. When someone stays in the community, they can focus on ordinary living, continue relationships with family and friends, and have more control over the support they get. In most cases, when someone is referred to Hospital we meet with them to see if there is any way we could support them in the community. We only rule out community support, from ourselves or another team, when there is a clear need for someone to go into hospital.

When someone has recovered from their crisis, we make sure that one of our other community-based teams can carry on giving support should the person want this.

Who will I be seen by?

Working in our team are psychiatrists, community psychiatric nurses, psychologists, social workers, and support workers. There is access to Occupational Therapy. Having a range of staff means we stand a better chance of meeting your needs.

Emergency

Someone already using the service, or someone on their behalf, can call us directly in an emergency – they do not need to be referred.

For someone using one of our other community-based services, if the crisis happens in working hours (9am to 5pm), the person’s care co-ordinator or the duty worker can refer the person to the team. Out of hours, the person can call us directly, so long as this is noted in their care plan.

Someone not known to any of our services needs to be referred by a health professional. If an emergency happens during normal working hours, 9am to 5pm, the health professional should call us and we can deal with the call directly. Out of hours, 5pm to 8pm the call will be diverted to the duty worker within the Crisis and Home Treatment Team. 8pm-9am calls are directed to Penn Hospital who will contact the Crisis and Home Treatment Team where a health professional will be directed to an answer phone. The professional should leave their name and contact number and we will call them back. The number is the same during both times.

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

Sandwell General Hospital
West Bromwich
B71 4HJ
0121 553 1831

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

7am-8pm 7 days a week

RAID Solihull B91 2JL
Tel: 0121 424 4196
Duty mobile: 07985 882 035

8pm-7am – contact

Heartlands Hospital
Bordesley Green E
Birmingham
B9 5SS
0121 424 2000

Where / when do I seek help?

Referrals are made internally within the hospital accident and emergency department. Referrals will be accepted from any member of the multidisciplinary team and associated professional.

Referrals can be made for any patients aged 16 years and over with presumed mental health or substance misuse needs.

We provide:

  • one point of contact and access for the acute hospital,
  • every referral in A&E to be seen within one hour and all other referrals seen within 24 hours, with appropriate and timely review,
  • advice on alcohol problems, including detoxifi cation and referral to our ‘morning after clinic’ or other community agencies,
  • advice on substance misuse treatment, including methadone maintenance, assessment of care needs of older people with mental health problems,
  • early detection of mental health problems to enable rapid and appropriate intervention,
  • continuity of care for people already known to mental health services,
  • help with discharge planning, and general advice and support.

What can I expect:

Rapid Assessment Interface Discharge (RAID) is a specialist multidisciplinary mental health service, working within the acute hospital for people aged over 16. The RAID service is for people with mental health or substance misuse needs who access accident and emergency (A&E) departments in hospitals in Birmingham and Solihull. RAID also see patients who are on the Acute Medical Unit (AMU), Clinical Decisions UNIT (CDU) and inpatient wards.

Service aims

  • Assessment of mental health needs of all patients in hospitals and provision of on-going support in their care and management,
  • education and training to hospital staff in assessment, treatment and management of mental health and substance misuse disorders as appropriate for acute clinicians,
  • referral to specialist services as appropriate, such as community mental health teams or community drug and alcohol services,
  • facilitate smooth transfer in the transition between acute physical and acute mental health settings, where appropriate,
  • contributing to the reduction of inappropriate admissions, in appropriate delayed discharge and 4 and 12-hour breaches in the A&E department

Rehabilitation and Recovery

Through this service we provide support for service users with serious mental illness or who are exhibiting poor functioning in relation to activities of daily living, and instability of mental state with both positive and negative symptoms. Different parts of this service include:

  • Working with service users, who have demonstrated high levels of need through multiple admissions, poor engagement with services, limited responses to treatment and increased vulnerability or risk due to symptoms or neglect.
  • Individualising care planning to enhance coping strategies and build on service user’s strengths
  • Working in a multi-agency context to deliver joined up care packages, which meet the psychosocial needs of service users. This will involve developing treatments and a full range of social and psychological interventions
  • Promoting social inclusion, well-being and reducing stigma
  • Improve the quality of life for each service user
  • Addressing the needs of carers and seeking to restore or improve functioning within families through psycho-education and support

Promoting active and full engagement of service users in their

We provide:

  • one point of contact and access for the acute hospital,
  • a 60 minute response time to A&E referrals and a 24-hour response time to ward referrals with appropriate and timely review. Clinical Decisions Unit (CDU) referrals will ideally be responded to within 4-hours,
  • assessment and intervention around harmful and dependant alcohol use, including detoxification and referral to appropriate community agencies,
  • advice on illicit drug misuse treatment, including methadone maintenance,
  • assessment of care needs of older people with mental health problems in partnership with acute hospital clinicians,
  • early detection of mental health problems to enable rapid and appropriate intervention,
  • continuity of care for people already known to mental health services,
  • help with discharge planning, and
  • advice and support where appropriate.

Who will I be seen by?

The team comprises of nurses, psychiatrists, psychologists and physicians assistants who are experienced at working in mental health.

There are specialists in working age mental health, drug, alcohol and mental disorders common in older people.

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

Solihull Hospital
Lode Lane
Solihull
B91 2JL
0121 424 2000

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Patients in hours would contact their own care team

9am-5pm

North CRS -01922 607900

South CRS – 01922 608900

Patients not known:

Early Access service (EAS) 01922 608850

Walsall CRHT (switchboard 01922 607000)

5pm-9am

Early Access service (EAS) 01922 608850

Walsall CRHT (switchboard 01922 607000)

What can I expect:

The Crisis Resolution and Home Treatment Service offer assessments, care and treatment for people experiencing severe mental health problems. It offers an alternative to hospital admission, minimising disruption to the service user’s life by providing care in their own environment until the crisis is resolved.

Who will I be seen by?

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

Walsall Manor Hospital
Moat Road
Walsall
WS2 9PS
01922 721172

Other Services

If you are not a current service user and you want to discuss your symptoms:

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Mental Health Matters

0800 616171

What can I expect:

The Telephone Helpline consists of a team of highly trained and experienced support workers who use counselling skills to provide you with emotional guidance and information.

You might choose to call us if:

  • You may be feeling low, anxious or stressed and feel talking to another person might help you cope
  • You may be in extreme emotional distress and feel that there is nowhere else to turn
  • You may be caring for another person and finding it difficult to cope.

Contacting the Helpline can give you a feeling of relief, wellbeing and peace of mind. You won’t be judged and our service is confidential unless we consider that there is a risk to yourself or others.

Who will I be seen by?

The Telephone Helpline consists of a team of highly trained and experienced support workers who use counselling skills to provide you with emotional guidance and information

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, 3rd sector, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team, Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

George Elliott Hospital
College Street
Nuneaton
CV10 7DJ
024 7635 1351

South Warwickshire Hospital
Lakin Road
Warwick
CV34 5BW
01926 495321

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Local Service

Wolverhampton residents if under the care of a mental health team MUST call their own team during operational hours

9am-5pm

For those people not known to services and require advice contact 01902 444141 (Penn Reception) whereby they will be put through to the MHLS.

5pm-9am:

Out of hours 01902 444141

The service is available 24 hours a day, seven days a week for over 18 years of age.

If someone needs our service between 9am and 5pm they should get in touch with their GP or someone from their mental health team. Out of hours, 5pm to 9am, they should contact their out of hours GP service or if they live in Sandwell, Sandwell Hospital Accident and Emergency. These people can then refer the person by phoning us.

What can I expect:

Our service is for people going through severe mental health crises. When someone is referred one or two members of our team will meet the person, or their carer or family, to find out what the person’s needs are. We will then decide whether our team is the best team to provide the support the person needs. If we feel someone’s needs can be better met by another team we can help them get in touch with this team. If we feel we can help the person through their crisis we will go about making a care plan with them.

Care plans are usually made between ourselves and the person we will be supporting, with the person’s family or carer sometimes involved. Care plans can give people a chance to take part in discussing and choosing the kind of support they will get. We hope that our support will stop someone from having to go into hospital. As well as giving our support, we encourage people to learn how to begin managing their symptoms themselves. We also give practical advice on things like housing and managing social circumstances, and we can help people get in touch with support groups.

We give all the support we can to help someone stay in the community, and not have to go into hospital. When someone stays in the community, they can focus on ordinary living, continue relationships with family and friends, and have more control over the support they get. In most cases, when someone is referred to Hospital we meet with them to see if there is any way we could support them in the community. We only rule out community support, from ourselves or another team, when there is a clear need for someone to go into hospital.

When someone has recovered from their crisis, we make sure that one of our other community-based teams can carry on giving support should the person want this.

Who will I be seen by?

Working in our team are psychiatrists, community psychiatric nurses, psychologists, social workers, and support workers. There is access to Occupational Therapy. Having a range of staff means we stand a better chance of meeting your needs.

Emergency

Someone already using the service, or someone on their behalf, can call us directly in an emergency – they do not need to be referred.

For someone using one of our other community-based services, if the crisis happens in working hours (9am to 5pm), the person’s care co-ordinator or the duty worker can refer the person to the team. Out of hours, the person can call us directly, so long as this is noted in their care plan.

Someone not known to any of our services needs to be referred by a health professional. If an emergency happens during normal working hours, 9am to 5pm, the health professional should call us and we can deal with the call directly. Out of hours, 5pm to 8pm the call will be diverted to the duty worker within the Crisis and Home Treatment Team. 8pm-9am calls are directed to Penn Hospital who will contact the Crisis and Home Treatment Team where a health professional will be directed to an answer phone. The professional should leave their name and contact number and we will call them back. The number is the same during both times.

What will happen next?

  1. Things feel a bit better
    You may be referred for on-going support: community teams, IAPT, GP etc.
  2. You require short-term intensive support
    You may be referred for intensive support: Crisis Team and Home Treatment etc.
  3. The risks seem quite high
    You may be referred for a period in a mental health hospital
  4. The staff are more worried than you are
    You may be referred for a Mental Health Act Assessment and may be required to go into hospital

Local A&E

New Cross Hospital
Wolverhampton Road
Heath Town
Wolverhampton
WV10 0QP
01902 307999

Other Services

In hours, please contact:

Out of hours, please contact:

Emergency:

If you are worried about the immediate safety of yourself or someone that you know, you should contact the Emergency Services on 999.

Visit the Birmingham and Solihull Mental Health NHS Trust website
Visit the Coventry and Warwickshire Partnership NHS Trust website
Visit the Black Country Partnership NHS Foundation Trust website
Visit the Dudley and Walsall Mental Health Partnership NHS Trust website
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