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Information about the Mental Health (Care & Treatment)(Scotland) Act 2003 and what it may mean for you

The Mental Health Act is the piece of law which ensures those with a mental disorder receive appropriate care, as well as help to manage their safety when vulnerable. Most people who have a mental disorder understand the need for help and treatment, but for some this ability is impaired. The Mental Health Act can be used by experienced medical professionals only when specific criteria are met. A key principle of the Act is reciprocity, that is as well as the expectation the individual will receive care, Mental Health professionals must attempt to ensure that the views and wishes, of the individual, are expressed and heard at the time.

There are many safeguards within the Act, including the right of appeal. All individuals under the Act will be informed of their rights and be entitled to free legal representation. Further safeguarding is provided by the Mental Welfare Commission in Scotland who monitors use of the Act, ensures individual care is lawful and respects individuals’ rights.

Named Persons

Adults over 16 can choose someone as a ‘Named Person’ to act on their behalf should they be under the powers of the Mental Health Act. This person has the same rights as the person being treated to be notified of, attend, and be represented at a Mental Health Tribunal hearing.  

This is a very important and significant role and it is best to choose someone who knows you well and can be effective at these hearings in order to get the best out of this safeguard. 

The Right to Make an Advance Statement

You have the right to make a written statement about your mental health treatment when you are mentally well and have capacity. This must be taken into account by the services treating you and is important at a mental health tribunal (see below). 

Many people have strong opinions about their mental health treatment and it is important to know that the people treating you when unwell often do not know you or do not know you as a well person. An advance statement is your opportunity to tell mental health services your views about your treatment so that they are better placed to help you.

The Mental Health Tribunal

The Mental Health Tribunal system is a third party arbiter that is involved in any disagreements relating to a person’s mental health treatment as well as decisions about Compulsory Treatment Orders. People receiving treatment, or their named person, have the right to challenge compulsory treatment orders and aspects of a person’s care. In addition, the Tribunal must listen to your views and make any decisions fairly and impartially.

Compulsory Treatment Orders

In some instances, there is a need to provide treatment when a person is unable to consent, or against the will of an individual. This can only happen with a Compulsory Treatment Order. These orders (often shortened to CTO) have to be granted by a Mental Health Tribunal. The patient, a named person and the patient’s primary carer are entitled to be heard by the Tribunal. The patient and the named person are entitled to free legal representation for the tribunal hearing.

Mental Health Act

NHSGG&C BSL A-Z: Mental Health – Mental Health (Care & Treatment) (Scotland) Act 2003

Most of the time, when people become unwell, they understand that they need treatment. But sometimes, people are unable to agree to treatment as a direct result of their mental disorder and are likely to be at risk to themselves or to others as a result of their mental disorder. The Mental Health Act is a law that allows for the provision of necessary care and treatment in these circumstances. It only applies to people who have a mental illness, learning disability or a personality disorder. The Act allows for the provision of necessary care and treatment for the mental disorder and should be for as short a period as necessary and the least restrictive option for the individual.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde

Advanced Statement

NHSGG&C BSL A-Z: Mental Health – Advanced Statement

An advance statement is a written statement made by you when you are well setting out the care and treatment you would prefer or would dislike, should you become mentally unwell in the future. Anyone treating you for a mental disorder has a duty to find out and take into account your wishes about how you would like to be treated. However, this may be difficult if you become so unwell that your ability to make decisions about your treatment or to make your views clear has become significantly impaired.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde

Independent advocacy is a way to help people have a stronger voice and to have as much control as possible over their own lives. The independent advocate helps the person/group to get the information they need to make real choices about their circumstances and supports the person/group to put their choices across to others. An independent advocate may speak on behalf of people who are unable to do so for themselves but will not make decisions on behalf of the person/group they are supporting. Independent Advocacy organisations are separate from Mental Health Services.

Independent Advocates are available for all those being treated for mental health disorders and not just those under the Mental Health Act.

There is more information from the Scottish Independent Advocacy Alliance (SIAA)

What Independent Advocacy is:

  • About standing alongside people who are in danger of being pushed to the margins of society
  • About standing up for and sticking with a person or group and taking their side
  • A process of working towards natural justice
  • Listening to someone and trying to understand their point of view
  • Finding out what makes them feel good and valued
  • Understanding their situation and what may be stopping them from getting what they want
  • Offering the person support to tell other people what they want or introducing them to others who may be able to help
  • Helping someone to know what choices they have and what the consequences of these choices might be
  • Enabling a person to have control over their life but taking up issues on their behalf if they want you to. 

What Independent Advocacy is not:

  • Making decisions for someone
  • Mediation
  • Counselling
  • Befriending
  • Care and support work
  • Consultation
  • Telling or advising someone what you think they should do
  • Solving all someone’s problems for them
  • Speaking for people when they are able to express a view
  • Filling all the gaps in someone’s life
  • Acting in a way which benefits other people more than the person you are advocating for
  • Agreeing with everything a person says and doing anything a person asks you to do

The Scottish Independent Advocacy Alliance has a useful resource to find a local advocate

The Patient Rights (Scotland) Act 2011 and what is may mean for you

Everyone who uses the NHS in Scotland has rights and responsibilities.

The Patient Rights (Scotland) Act 2011 gives all patients the right that the health care they receive will:

  • Consider their needs
  • Consider what would most benefit their health and wellbeing
  • Encourage them to take part in decisions about their health and wellbeing
  • Provide them with the information and support to do so.

It also gives patients a right to give feedback, comments, raise concerns or complaints about the care they have received.

The headings below give some information on what your rights are:

  • Access: your rights when using NHS health services in Scotland
  • Communication and participation: the right to be informed, and involved in decisions, about health care and services
  • Confidentiality: the right for your personal health information to be kept secure and confidential
  • Respect: the right to be treated with dignity and respect
  • Safety: the right to safe and effective care
  • Feedback and complaints: the right to have a say about your care and have any concerns and complaints dealt with.

People can experience discrimination as a result of their sex, race, social class, physical and mental abilities, sexual orientation, religion and age. This can, in turn, lead to the differences that exist in people’s health.

NHS Greater Glasgow and Clyde wants to ensure that everyone who uses the health service or works for us is treated fairly. Our Equalities in Health website explains what we are doing to achieve this.

Laws are now in place which are designed to protect people from unfair discrimination due to their personal characteristics. Referred to as ‘protected characteristics’, these include age, disability, gender reassignment, marriage & civil partnership, pregnancy & maternity, sex, race, religion & belief and sexual orientation.

Read more of what we are doing to tackle inequality

Welcome to the Heads Up British Sign language (BSL) section.

This webpage is specifically for BSL users living in the Greater Glasgow and Clyde area whose preferred method of communication is using sign language.  Research has shown that many sign language users have difficulties accessing written health information due to language and communication limitations. All of the resources featured below are in BSL enabling empowerment for the Deaf community.

These resources are provided as one of our methods of improving communication with the Deaf community.

Positive Signs – Promoting Mental Health and Wellbeing for Deaf Community

This suite of short films is one of the prevention measures with the aim to improve access for Deaf people. This also supports improvement of their self-management maintaining and preserving their own mental health. This suite of films also highlights to health and care staff how to improve their awareness of the particular needs of Deaf people and the culture they inhabit.

Understanding mental health

These films are conversational pieces in BSL and subtitles between two deaf people exploring and describing poor mental health. This also covers the pathway for Deaf people where to receive help if they recognise the symptoms as described in the films.

Accessing mental health services

Positive mental health and wellbeing

A documentary style interviewing Deaf BSL users from all walks of life focusing on improving their own mental well being.

Below are two individual emotional stories depicting practices of the mental health pathway exploring missed opportunities and barriers for deaf people, as well as positive experiences of using interpreting services to access mental health support.

Jo’s story

Sam’s story

Further translations requests and contact details

Below is further information where BSL users can get help:

If you would like to have any materials/resources that are on the Heads Up webpage be translated into BSL, please contact Paul Hull by email at Paul.Hull@ggc.scot.nhs.uk

At NHSGGC we are committed to Deaf people receiving fair and equitable care, otherwise you can contact Paul McCusker by email at Paul.McCusker@ggc.scot.nhs.uk

Please also have a look below for further information about Mental Health Conditions in BSL.

A-Z Mental Health Conditions – BSL

Below is a selection of videos for BSL users on a range of mental health conditions.

Addictions

Someone has an addiction or addictive behaviour when doing, taking or using something gets out of control to the point where it could be harmful to them.

Alcohol and drug problems are very common. If you use drugs and/or alcohol and they are causing problems in other areas of your life such as your job, relationships, health, finances or emotional well-being, then this may be an issue for you. There are many other common addiction problems such as gambling, and nicotine, and it’s possible to be addicted to just about anything, including: work, internet, sex, shopping.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Bipolar Disorder

NHSGG&C BSL A-Z: Mental Health – Bipolar Disorder

Bipolar disorder is a mental health problem that affects your mood. It is characterised by prolonged changes to the person’s mood. These usually last several weeks or months and are far beyond what most of us experience. The person might experience:

  • Periods of feeling very low and down
  • Periods of feeling excessively happy and energetic for no apparent reason
  • Sometimes the person may have unusual experiences, strange thoughts or might behave out of character during these periods.

These episodes would usually affect the persons day to day life and make it difficult for them to function as they normally would.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Depression and Anxiety

NHSGG&C BSL A-Z: Mental Health – Depression

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living.

Eating Disorders

NHSGG&C BSL A-Z: Mental Health – Anorexia Nervosa

A type of eating disorder where the person will restrict the amount of food they take in with a view to losing weight or maintaining a low body weight that is unhealthy. It is frequently associated with an increased pre-occupation with their weight and possibly perceiving themselves as being fat or over-weight even when this might not be the case.

NHSGG&C BSL A-Z: Mental Health – Bulimia Nervosa

A type of eating disorder where a person goes through periods where they eat a lot of food in a very short amount of time (binge eating) and then are deliberately sick, use laxatives (medication to help them poo) or do excessive exercise, or a combination of these, to try to stop themselves gaining weight.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde, and is not a description of the text on this website.

Generalised Anxiety Disorder

NHSGG&C BSL A-Z: Mental Health – Anxiety

Anxiety is a feeling that we can all get but sometimes it can become excessive and stop you from doing the things you want to. These feelings can become a problem when they cause distress or make us feel uncomfortable. There are various types of anxiety disorders depending on how often they occur or if they are triggered by certain things. Examples might be when the feelings of anxiety can occur all the time for no apparent reason with lots of worrying thoughts and physical symptoms such as a racing heart, feeling breathless, knot in your stomach, increased sweating. This is called Generalised Anxiety. Sometimes these symptoms can occur without warning for short periods of time for no apparent reason. These are called Panic attacks. Sometimes the feelings of aniety can be brought on by specific things such as a fear of heights or crowded places or spiders etc. These are described as Phobias.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Sleep Disorder

NHSGG&C BSL A-Z: Mental Health – Sleep Disorder

Occasional sleep disturbance is common and quite a normal experience familiar to us all. Everyone experiences difficulty getting to sleep or staying asleep at some time in their lives. This often occurs at times of change or times of stress. Insomnia is a condition where you have problems getting to sleep or staying asleep for 3 or more nights per week and persisting for at least 6 months. There might also be daytime mood and performance effects.

People with insomnia often experience:

  • Difficulty falling asleep
  • Difficulty staying asleep
  • Frequent night time awakenings
  • Feeling very tired the next day

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Obsessive Compulsive Disorder

NHSGG&C BSL A-Z: Mental Health – Obsessive Compulsive Disorder

Obsessive compulsive disorder (OCD) is a type of anxiety disorder. In this condition, the person suffers from obsessions and/or compulsions that affects their everyday life.

  • An obsession is an unwanted and unpleasant thought, image or urge that repeatedly enters your mind, causing feelings of anxiety, disgust or unease.
  • compulsion is a repetitive behaviour or mental act that you feel you need to carry out to try to temporarily relieve the unpleasant feelings brought on by the obsessive thought.

If you have OCD these thoughts cause lots of anxiety and they can be extremely difficult to ignore. You might find that you spend lots of time worrying about what your thoughts mean. You might also complete behaviours to try and stop your feelings of anxiety.

Not everyone who experiences obsessions will have compulsive behaviours but often compulsive behaviours are very subtle and feel like a natural reaction to obsessive thoughts. You might perform a behaviour that seems unrelated to your original worry, for example repeating a certain word or phrase to yourself to “neutralise” a thought.

Some people can only suffer from obsessions, whilst others suffer from a mixture of both obsessions and compulsions.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Panic Disorder

NHSGG&C BSL A-Z: Mental Health – Panic Attack

Panic attacks are sudden periods of intense anxiety which appear to have no obvious triggers or reasoning. They can happen when a person least expects it and can be very distressing and frightening for the person. They can be accompanied by physical symptoms such as a racing heart, feeling faint or dizzy, sweating, trembling, feeling shaky, breathlessness and agitation. The person may feel like they are losing control or dying. 

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Postnatal Depression

NHSGG&C BSL A-Z: Mental Health – Postnatal Depression

Postnatal depression (PND) affects around 10% of mothers. This is much more serious than the period post birth known as ‘baby blues’ which usually lasts between one to three days. PND can develop slowly and may not be noticeable until several weeks after the baby’s birth, or may continue on from the baby blues period. The symptoms of postnatal depression are similar to those in depression at other times. These include low mood, sleep and appetite problems, poor motivation and pessimistic or negative thinking. It can have a significant impact on the health and wellbeing of the mother and the child.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Postpartum Psychosis

NHSGG&C BSL A-Z: Mental Health – Post-Partum Psychosis

It is a severe episode of mental illness which begins suddenly in the days or weeks after having a baby. Symptoms vary and can change rapidly. They can include high mood (mania), depression, confusion, unusual experiences and strange thoughts. Postpartum psychosis is a psychiatric emergency. You should seek help as quickly as possible.

Postpartum psychosis can happen to any woman. It often occurs ‘out of the blue’ to women who have not been ill before. It can be a frightening experience for women, their partners, friends and family. Women usually recover fully after an episode of postpartum psychosis.

It is much less common than Baby Blues or Postnatal Depression. It occurs in about 1 in every 1000 women (0.1%) who have a baby.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Phobias

NHSGG&C BSL A-Z: Mental Health – Phobias

A phobia is a type of anxiety disorder. It is an extreme form of fear or anxiety triggered by a particular situation (such as going outside) or object (such as spiders), even when there is no danger. For example, you may know that it is safe to be out on a balcony but feel terrified to go out on it or even enjoy the view from behind the windows inside the building. Likewise, you may know that a spider isn’t poisonous or that it won’t bite you, but this still doesn’t reduce your anxiety.

Someone with a phobia may even feel this extreme anxiety just by thinking or talking about the particular situation or object.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Post Traumatic Stress Disorder

NHSGG&C BSL A-Z: Mental Health – Post Traumatic Stress Disorder

Post-traumatic stress disorder (PTSD) is a type of anxiety disorder which you may develop after being involved in, or witnessing, traumatic events. A traumatic event is one where you are in danger, your life is threatened, or where you see other people dying or being injured. Examples of traumatic events include road traffic accidents, assaults and sexual assaults, being involved in a natural disaster such as an earthquake, witnessing or experiencing war, torture, or being held hostage.

It is usual for a traumatic event to cause upset and distress.  Most people will recover with the support and care offered by family and friends and by using the ways of coping that they would normally use to deal with stress. However, some people will experience distress that is more intense and longer lasting and may result in Post Traumatic Stress Disorder (PTSD). Symptoms of PTSD include nightmares relating to the event, avoidance of things that may remind the person of the trauma, flashbacks, feeling on edge and always on the lookout for danger, and negative changes in mood and thoughts.

NHSGG&C BSL A-Z: Mental Health – Trauma

The situations we find traumatic can vary from person to person. There are many different harmful or life-threatening events that might cause someone to develop PTSD. A traumatic event is one where you see that you are in danger, your life is threatened, or where you see other people dying or being injured.

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde

Psychosis

NHSGG&C BSL A-Z: Mental Health – Psychosis

Psychosis is a term used to describe a number of unusual experiences:

  1. hearing or seeing things that other people can’t hear or see (hallucinations)
  2. holding unusual beliefs that people from a similar background would think strange or irrational (this includes delusions and paranoia)
  3. being so jumbled in thoughts or speech that other people can’t easily make sense of what you are meaning (thought disorder)
  4. experiencing periods of confusion – for example: becoming very distracted and finding it difficult to pay attention or make decisions

Psychosis can happen to anyone, up to 10 per cent of people will at some point in their life hear a voice talking to them when there is no-one there. Lots of things can contribute to a person experiencing psychosis such as stress, physical illnesses, using drugs or alcohol and mental illnesses.

NHSGG&C BSL A-Z: Mental Health – Schizophrenia

Schizophrenia is a serious mental illness that affects thinking, emotions and behaviour. It is the most common form of psychosis. Schizophrenia usually affects people for the first time when they reach early adulthood – from their late teens to early thirties. Symptoms include:

  • Hallucinations – hearing, smelling, feeling or seeing something that isn’t there.
  • Delusions – believing something completely even though others find your ideas strange and can’t work out how you’ve come to believe them.
  • Difficulty thinking – you find it hard to concentrate and tend to drift from one idea to another. Other people can find it hard to understand you.
  • Feeling controlled – you may feel that your thoughts are vanishing, or that they are not your own, or that your body is being taken over and controlled by someone else.

Other symptoms include:

  • Loss of interest, energy and emotions.
  • Problems with motivation and organising yourself.
  • Problems with routine jobs like washing, tidying, or looking after yourself

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Stress

NHSGG&C BSL A-Z: Mental Health – Stress

Stress is normal and it affects everyone. It usually happens when you are in a situation that puts you under pressure. It can happen when you have lots to think about or do or when you don’t feel you have much control over a situation. It usually happens when you have things to do that you find difficult to cope with. Many situations can cause stress including relationships, work demands, financial worries and so on. It can have an effect on our emotions, thoughts, behaviour and physical wellbeing

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde.

Suicide and Self-Harm

NHSGG&C BSL A-Z: Mental Health – Self-Harm

At times in our life we can all find it difficult to cope, sometimes we harm ourselves or think of ending our lives. Self-harm is a way of coping with very deep distress. The ways in which people harm themselves vary and can be physical such as cutting or less obvious such as putting themselves in risky situations or not looking after their physical or emotional needs.

NHSGG&C BSL A-Z: Mental Health – Suicide

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde

There are six Health and Social Care Partnerships (HSCP) across the Greater Glasgow and Clyde area, who manage a wide range of local health and social care services delivered in health centres, clinics, schools and homes.

  • East Dunbartonshire HSCP – Bearsden, Milngavies, Torrance, Cadder, Campsie Glen, Kikintilloch and Twechar
  • East Renfrewshire HSCP – Neilston, Uplawmoor Newton Mearns, Barrhead, Giffnock, Stamperland,Clarkston, Eaglesham
  • Inverclyde HSCP – Greenock, Inverkip, Gourock, Port Glasgow, Kilmacolm, Quarriers Village, Wemyss Bay
  • Glasgow City HSCP – Linn, Newlands, Greater pollok, Craigton, Govan, Pollokshields, Langside, Southside, Calton, Anderston, Hillhead, Partick, Scotstoun, Anniesland, Drumchapel, Maryhill, Kelvin, Springburn, Shettleston, Bailleston, Provan, Easterhouse
  • Renfrewshire HSCP – Paisley, Renfrew, Erskine, Bishopton, Lochwinnoch, Johnstone, Bridge of Weir
  • West Dunbartonshire HSCP – Balloch, Renton, Bellsmyre, Alexandria, Gartochan, Bowling, Old Kilpatrick, Clydebank

Are you providing regular help to a partner, neighbour, relative or friend who is experiencing mental health issues and could not manage otherwise?

Maybe you don’t think of yourself as a carer – few people do – however to a degree we are all carers. We look after our children when they’re small, we look after our homes, we take an interest in our wider family, friends, neighbours etc. We lend a hand if someone asks us to help out but when ill health strikes, particularly mental ill health, you can feel that your whole world has been turned upside down. It can be complex, challenging, even difficult at times. Families and carers play a key role in the recovery of those with mental health problems and are entitled to help and support. With appropriate advice, information, resolve and determination you can play an invaluable role in helping someone recover from their difficulties.

It is important that you too are recognised as an equal partner in the care of someone you are looking after. NHSGGC uses the partnership-working model called the Triangle of Care so this takes place.

More Information

Triangle of Care

The Triangle of Care approach was initially developed by carers and staff seeking to improve carer engagement in acute inpatient services. It has now been extended to cover all mental health services whether they are an inpatient, community team or specialist service such as eating disorders or forensic mental health services.

There are six key standards to the Triangle of Care which all mental health services are working towards. 

  • Carers and the essential role they play are identified at first contact or as soon as possible thereafter
  • Staff are ‘carer aware’ and trained in carer engagement strategies
  • Policy and practice protocols on confidentiality and sharing information, are in place
  • Defined post(s) responsible for carers are in place
  • A carer introduction to the service and staff is available, with a relevant range of information across the care pathway
  • A range of carer support services is available.

The Carers Trust has further information about the Triangle of Care and what it can mean for you.

Looking after yourself

Things you can do, as a carer, to look after yourself?

The hints and suggestions below have been put together by fellow carers.

  • It’s okay to ask for help
  • Learning and getting the right information is essential
  • Take time out for yourself
  • It’s okay to be upset and emotional
  • Talking to someone who can understand and empathise with your situation can really help
  • Use support groups 
  • Find out how others cope
  • Focus on positive things
  • Share your view with service providers – having your voice heard can be empowering.
Health and Well-Being

As a carer it is important to remember to look after your own physical, social and emotional health needs This may at times feel impossible, however, these areas may assist you in your caring role.

Physical – Ask for a health check at your GP surgery or some carer centres can direct you to have one carried out. Look after your physical health by eating a well-balanced diet. Aim to get enough sleep, and try to get some exercise which will help you relax, feel better and improve your health and wellbeing.

Social – Try to get time out from your caring role to socialise with family members and friends. Maintain or develop new interests or hobbies. If you are on your own speak to a carers centre who can advise you about social opportunities.

Emotional – You might find it helpful to access advice and support from agencies such as Social Work, CMHT, local voluntary agencies or a dedicated carer centre. Talking to other carers who have experienced similar situations to you can often help. Emotional and educational support can also help especially if you feel that you have no one to turn to. Sometimes talking to professionals can help too if you feel you need more than just a listening ear your GP can direct you to agencies which offer CBT (Cognitive Behavioural Therapy) or talking therapies in your local area.

Recognising your role as a carer

Many people do not see themselves as a ‘carer’ in a formal sense.  Many people view caring for someone as a duty.

Carer’s Rights/Legislation

The Carers (Scotland) Act 2016 provides you with the right to request an Adult Carers Support Plan.  This is a plan which can help you look at what you need in order to provide you, as a carer, with support and the chance to have a life outside of caring.  You can request this via the local Social Work Department or speak to the Social Worker or Community Psychiatric Nurse in the local Community Mental Health Team.  You are entitled to this Adult Carers Support Plan even if the person you care for does not want you to have one; this is about you the carer and what you need.

If you are 18 and under you may be considered to be a young carer and can, under the Carers (Scotland) Act 2016 be entitled to a Young Carers Statement.  You can contact your local Social Work Department about this or if you attend a young carer service speak to the workers there.

Further information for carers is available from NHSGGC Carers Information

Planning for an emergency or crisis

It never fails that a crisis probably happens at the most inconvenient time – late at night, over a weekend, or when you are planning a break.  At such times it is not easy to respond in the best or most appropriate way.

It is helpful therefore to try to think about some of the worst-case scenarios in advance, and how might you respond, who might you call on and where to keep this information safe and handy.  It’s like having a plan of action you can turn to help you through.

Make sure you have the numbers of our out of hours’ services that are available in your area.  Similarly have the numbers for relatives and friends who can be called on at short notice, either to give you support in your home to deal with the emergency.  It is good if these people are with you once the crisis/emergency has ended as you might like someone to talk about how you feel.

Keep contact numbers of the all the services involved in the care and treatment of the person you care for, make sure these numbers are in a safe and handy place.  If storing them in your mobile, make sure it is charged, or keep written copies.

Any plans you make for dealing with emergencies should be agreed between you and the person you care for when that person is well.  This is not always easy as many people do not want to think about being ill again. However, if you have a backup plan it may actually be helpful in avoiding a more serious crisis.

Further information for carers is available from NHS Greater Glasgow and Clyde

BSL – Carers

NHSGG&C BSL A-Z: Mental Health – Carers

A Carer is anybody who provides support and care to someone who has an illness, disability, mental health problem or an addiction.  In most cases, this is an unpaid role. Being a carer can be difficult and have an impact on the person’s life. There are a range of supports available and carers are also entitled to a formal assessment of their needs

Please note that this video is from a range of BSL videos published by NHS Greater Glasgow & Clyde

Welcome to NHSGGC Digital Therapies for computerised Cognitive Behavioural Therapy (cCBT)

Thank you for visiting our cCBT page, dedicated for you, our GP colleagues.

Here you will find details on how to refer your patients to our Digital Therapy programmes, either Beating the Blues or SilverCloud.

All referrals are sent via SCI Gateway, please use the drop down menu to select your choice of programme to refer your patient to.

Please also remember, that Beating the Blues (for depression), is un-supported and the patient will work through this digital therapy on their own.

SilverCloud, however, has tailored digital therapy programmes for you to select from the drop down menu.

Please be advised that 4 new programmes are not yet on SCI Gateway, so please add information onto the referral and we will add your patient to the highlighted programme.  (New programmes; – OCD; Panic; Phobia; Perinatal).

SilverCloud programmes are all supported by the cCBT Team with reviews every 3 weeks until completion.

Should you have any queries, our team can be contacted via their dedicated email address: – ccbt@ggc.scot.nhs.uk

cCBT Programmes

All programmes offered through the cCBT Service are interactive, and during sessions patients can watch video clips, complete exercises and learn CBT techniques which will help them manage their depression and/or anxiety.

Within each module patients are given activities to carry out between sessions, on SilverCloud digital therapy programmes, the cCBT Team members will carry out reviews every 3 weeks. All programmes record patient’s activity and they resume automatically when they next log on.

Who is it for?

Suitable for patients aged 16+ with:

  • Mild to moderate depression and/or anxiety: including phobias and panic attacks
  • Willingness to be pro-active in their treatment recovery and to use a computer programme

Not suitable for patients:

  • With active suicidal ideas or plans
  • Who are unable to read or write English (reading age below 10/11 years)
  • In acute phase of psychosis or mania, or with cognitive functioning disorder, e.g. dementia

Evidence Base – Nice and Sign recommendation

cCBT has been proven to be an effective intervention for mild to moderate depression and anxiety, and is recommended by –
NICE in its updated 2009 depression guidance: http://guidance.nice.org.uk/TA97/Guidance/Evidence

SIGN guideline 114 (Non Pharmacological Treatment of Depression in Adults) recommends cCBT as a treatment option for patients with depression within the context of guided self-help as a level A recommendation: http://www.sign.ac.uk/pdf/sign114.pdf

How to refer to cCBT

To refer patients to the cCBT service:

  • SCI Gateway > Other mental health services > cCBT
  • Choose from: Beating the Blues or Silvercloud
  • In the Additional relevant Information, please specify which programme you think offers the best fit to the patient’s needs

Future dropdowns will include

  • Space from Diabetes Distress (Wiley)
  • Space in Diabetes from Depression and Anxiety
  • Space from OCD
  • Space from Phobia
  • Space from Panic
  • Perinatal Wellbeing
  • Sleepio
  • Daylight

Delivery of these programmes is similar to our current programme Beating the Blues.

They are interactive, and during sessions patients can watch video clips, complete exercises and learn CBT techniques that will help them manage their depression and anxiety. Within each module patients are given activities to carry out between sessions.

Where can patients complete the course?

The course can be completed 24/7 in the patient’s home or during working hours at any local library.  To do it at home the patient will need an internet connection and a smart phone, tablet, PC or laptop. 

How do patients access the programme?

The patient needs an activation link, which will be provided by email by the local cCBT co-ordinator after a referral is received. A patient email address is essential.

The patient then visits the Beating the Blues or the Silvercloud website depending on the programme referred to. 

They click on the “Activate Account” link found on the right-hand side, enter their activation code, and follow the on screen instructions.

Patients can be referred directly to the cCBT service and will be able to access the program within 1 week from referral.  

What happens when my patient is discharged from cCBT?

When the patient completes treatment the referrer will be sent an “Effectiveness Report”. 

This report provides information collected during the completion of the course and includes results from the PHQ-9 and GAD 7 psychological measures that the patient completes at the end of every session.

Managing Risk

Each time a patient uses the programme it will ask if they have had suicidal thoughts.   If they answer yes, they will then be asked to rate their level of intent on a scale of 0 to 8 for Beating the Blues, and 0 to 10 for Silvercloud. If this level is above 4, the co-ordinator is required to inform the referrer and provide details.

During the session, patients will be advised to seek help from their referrer or the Samaritans if they have had suicidal thoughts.  If they complete the session outside of standard working hours the program recommends they contact NHS 24.  When an overnight alert is received, the co-ordinator will then inform the referrer in the morning of the next working day.

Less than 10% of sessions completed have a suicide alert and less than 2% with a serious intent of over 5 on the 0-8 scale. 

Further Information

If you have any enquiries about the cCBT service please contact the NHSGGC computerised Cognitive Behavioural Therapy (cCBT) Team via their generic email address:-

Email: CCBT@ggc.scot.nhs.uk    

Well-being Tip Cards