To provide assessment, formulation (including diagnosis) and treatment of moderate to severe mental illness / mental disorder.
To provide interventions for those with more complex and long-term needs where a variety of services and agencies are involved and also those with time-limited conditions who can benefit from specialist interventions, and who meet the guidance on referral.
The CMHT caters for people from 18 years of age to 64 years for new referrals, and for 16-17 years old if no longer at school. (This is the current situation but is subject to review).
Where patients transition, such as from Child and Adolescent Mental Health Services or between Community Mental Health Teams, liaison will take place between services to ensure appropriate transition of care.
For patients who are being re-referred to the CMHT but who have reached 65 years of age since their previous discharge, if there has been a gap of more than 2 years since discharge, the referral should be directed to older adult mental health services.
Current patients of the CMHT who reach age 65 will be maintained on caseload until their needs indicate transfer to older adult services would be appropriate. This could include onset of dementia, physical health needs that lead to frailty.
Where discreet CMHTs are in place they will consist of Mental Health Social Worker, Support Worker, Occupational Therapist, Community Psychiatric Nurse, Clinical Psychologist, Psychiatrist, Admin Staff, CMHT Leader. There may be local variation to this membership.
Where the community mental health service is located within District Integrated Teams the roles may be more generic, such as social workers not having a specific mental health focus.
The CMHT aims to work to the following general principles:
- Collaboration - working with patients, carers, family and partner organisations towards discharge from the service as safely, quickly and effectively as possible.
- Recovery - enabling patients to live a meaningful life in the presence or absence of symptoms and as defined by the individual.
- Self management - enabling individuals to successfully manage their illness / condition.
- Trauma-informed - recognising the impact of traumatic experiences on individuals, and providing appropriate response.
- Positive risk taking - involving shared decision making, personalised care, minimising variation in practice and outcomes, effective risk management within realistic expectations.