- completing the health, social care & VCSE referrers form and submitting this electronically,
- by post, – contact us,
- or by fax – contact us.
Please note we are unable to visit patients in their homes.
It is often helpful to complete the depression and anxiety questionnaires with your patient. Please visit the self-assessment section. The scores can then be entered onto the referral form within the additional information section.
Problems suitable for Somerset Partnership Talking Therapies Service
The following are disorders and presentations appropriate for primary care talking therapies:
- Depression (mild to moderate and moderate to severe)
- Panic disorder
- Social phobia
- Generalised Anxiety Disorder
- Hypochondriasis (Health Anxiety)
- PTSD and Childhood Trauma
- Specific phobias
- Adjustment reaction
- Emotional dysregulation and attachment difficulties
- Long Term Physical Health Conditions
- Body Dysmorphic Disorder (BDD)
Please discuss the following with your patient before making a referral:
Are they willing to attend regular appointments, complete tasks outside of the therapy and groups sessions and work collaboratively?
Are they seeking help for their current difficulties and motivated to make change?
Does the patient have a capacity to work psychologically?
If you are uncertain whether someone would benefit from our service please feel free to contact us to discuss their problems.
Problems not suitable for Somerset Partnership Talking Therapies Service
Somerset Partnership Talking Therapies Service does not currently offer treatment for the following presenting problems and situations:
- Severe mood disorders (including Bi-polar, endogenous depression)
- Severe anxiety/phobias/OCD (impact so significant that would not be able to attend appointments)
- Severe eating disorders (including Anorexia and BMI <17.5)
- Severe/chaotic substance misuse
- Severe Personality Disorder
- Severe Aspergers /Autistic Spectrum Disorder
- Cognitive Impairment (Brain Injury, inc. Dementia)
- Significant risk to self or others
- Relationship counselling
- Recent bereavement (within last 6 months)
- Pain (as a primary presenting problem)
- Eating disorder (Bulimia, EDNOS*)
Guidance Notes for making a referral to SPTTs from Secondary Care Mental Health Services
Somerset Partnership Talking Therapies Service is a primary care service, fully integral to the Trust, which provides short term psychological interventions for people who have mild to moderate anxiety and depression. We run psycho-educational courses and groups, offer guided self-help, CBT and Psychological Therapy based on our assessment of people’s clinical needs. We are not a general mental health service and therefore we are not able to offer general support to people, nor monitoring of people’s mental health after discharge from other mental health services.
Information we need for referrals from secondary care:
As Talking Therapies is not on RIO (we use iaptus), we need the following information to ensure any transfer from secondary to primary care is safe, effective and fully informed.
Please therefore provide a covering letter with your referral, providing the following information:
- Please ensure all referrals have the following identifying information (Title, Full Name, Address, Contact Telephone Number, name of registered GP, GP address, NHS number).
- A clear description of the current difficulties; please include diagnosis where applicable; what and how the problem presents; any known triggers and moderating factors and impact on functioning.
- Any previous mental health treatment history; for example, any previous talking therapy; medication; use of secondary care services; care co-ordination; any inpatient admissions.
- Current medication. For clients who have just commenced a new medication, we would advise that a reasonable period of monitoring (i.e. 2 months) is indicated before talking therapies would be considered (in line with the evidence base). If there is uncertainty, please discuss with the assessment worker with view to considering a joint assessment.
- Where there has previously been secondary care involvement or there is a Serious Mental Illness indicated, it is important to evidence how a brief primary care intervention is likely to meet the client’s needs. This is best discussed with the Talking Therapies staff before referral if possible. Where previous treatment, including talking therapies, has not been helpful, please evidence what has changed that might make this intervention more likely to be of benefit. For clients who have had a successful intervention with talking therapies, we advise a period of consolidation following therapy (up to 6 months) is indicated, as per the evidence base, before consideration is given for further intervention.
- Risk Formulation: this should include a summary of current and past risks, including both dynamic and static factors, alongside a description of the person’s current mental state and consideration of the client’s situation. If there are current risks, the risk management plan should be shared as part of referral. When alcohol or substance misuse is indicated, full details of current and historical use are to be included.
- Evidence the client is aware of the referral, informed about the process, and is in agreement with the referral, and ready, able and willing to engage in short term focused talking therapy at this point.
When considering any referral to the service we would encourage you to discuss your client with the local assessment workers who can assist and advice regarding suitability and if indicated can facilitate the processing of the referral, and make suitable arrangements – contact us.