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GP & Healthcare Professionals

Risk Management

The Steps to Wellbeing Service provides psychological interventions for people suffering from mild to moderate anxiety and depression based problems. Therefore we are not a crisis, emergency or urgent service, and are not able to respond to increases in risk prior to taking people into treatment. If you believe that there are significant risk issues for a patient then a referral should be made to the appropriate service e.g. secondary care mental health services.

If a patient’s risk increases and/or there is a serious deterioration in their mental health during the course of treatment then it may be that our service is no longer suitable to meet their needs, and more appropriate support is needed. In this event, we may well suggest to patients that they make an emergency appointment at their surgery to discuss medication and/or making a referral to secondary care services.

Patients showing high levels of risk should not be referred to IAPT, but directly to secondary care services

The Service is not able to provide treatment for patients who have the following presentations or diagnoses, if their main presenting problem is:

• Bipolar Disorder

• Significant / high risk of harm to self or others or self-neglect

• Those requiring care co-ordination under care programme approach (CPA)

• Psychotic symptoms

• Personality disorders

• Eating disorders which require specialist services

• Drug or alcohol problems which require specialist services

• Complex or atypical depression

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