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What happens next?
Once we have received a referral, we may discuss it further with the referrer and aim to make contact by telephone with the young person within three working days, to arrange an initial meeting. We can always contact by text or letter if this is preferred. An initial meeting can take place at a venue of the individuals’ choice. We understand that meeting new people for the first time can be difficult so family members or friends are also welcome.
Initial meeting
At this meeting we hope to give information on how the service works and give them the opportunity to ask us any questions. We will look to understand what feelings and experiences have been bothering the person. This is part of our initial assessment which can take place over a few meetings. We will also involve the referrer and, where appropriate, the family, during the assessment period.
Decision making
In discussion with the team we will consider what service is in the best position to meet the young person’s needs.
If it is clearly identified that the young person has psychosis, they will be allocated a case coordinator who guides the support input, this process is termed ‘on caseload’. The support in these circumstances is offered for up to three years. To find out more about how we support people on caseload see How We Support People.
At times the picture can be complex and a clear decision as to whether a person is experiencing psychosis can be hard to reach with certainty. In these circumstances a person is likely to need further time to explore and share what their experiences are, at the same time as needing some immediate support to manage their distress. At these times we will allocate a case coordinator to lead on further assessment and provide guidance to input focusing on immediate needs. This is also described as being ‘on caseload’ but working with an ‘uncertain diagnosis’.
If there is no indication of psychosis, we are not the most appropriate service and we will consider and recommend alternative support options.
Watch and Wait
When a person is not, at the time of meeting, experiencing psychosis yet there may be worries that their experiences could develop into a psychosis we offer a service called Watch and Wait. This actually is much more than watching and waiting. We will offer ongoing contact, which will involve monthly visits or a telephone call to further assess the young person’s current mental health experience. We will also actively support a young person to access support that is likely to reduce their stress and make recommendations on ways to access non mental health services for help managing. We usually offer this input for up to 6 months. |
