{"id":15735,"date":"2023-06-23T09:32:09","date_gmt":"2023-06-23T08:32:09","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=15735"},"modified":"2024-12-03T10:27:03","modified_gmt":"2024-12-03T10:27:03","slug":"midlothian-mental-health","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/mentalhealthlocalityservicesadult\/midlothian-mental-health\/","title":{"rendered":"Midlothian Mental Health Services"},"content":{"rendered":"\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-1b92cfb1747433cb3766b7636d70aea6\"><strong><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-standard-black-color\"><span style=\"text-decoration: underline\">Midlothian Community Mental Health Team (Medical, Nursing and OT)<\/span><\/mark><\/strong><\/p>\n\n\n\n<p>The service aims to assess and treat people aged 18-64 who have or are suspected or diagnosed moderate to severe mental illness \/ mental disorder. This includes, for example: psychotic disorders such as schizophrenia\/delusional disorders, severe mood disorders such as bipolar affective disorder\/agitated depression, severe unmanaged personality disorder.<\/p>\n\n\n\n<p>The service is based at:<\/p>\n\n\n\n<p>No 11, 11 St Andrews Street. Dalkeith. EH22 1AL<\/p>\n\n\n\n<p>Tel: 0131 285 9600.<strong><\/strong><\/p>\n\n\n\n<p><strong><u>Mild to Moderate Mental Illness<\/u><\/strong><strong>.<\/strong><\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-33b8ca2b3bb66116e36edf704b5bd92d\"><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-standard-black-color\">Midlothian offers a range of mental health services, for those with mild to moderate mental illness:<\/mark><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"701\" src=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-1024x701.png\" alt=\"Primary Care Mental Health Care Navigation Pathway\" class=\"wp-image-21374\" style=\"width:968px;height:auto\" srcset=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-1024x701.png 1024w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-300x205.png 300w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-768x526.png 768w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-1536x1052.png 1536w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-2048x1403.png 2048w, https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Primary-Care-Mental-Health-Care-Navigation-Pathway-1520x1041.png 1520w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Flowchart Copyright NHS Lothian<\/figcaption><\/figure>\n<\/div>\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-e5b39a3aec0253079162c1464ff074f0\"><strong><em>Please also note the services available on the Resources and Links page.<\/em><\/strong><\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-0d8cc465e63d54980e5a0ec102ef3b6d\"><strong><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-standard-black-color\"><span style=\"text-decoration: underline\">Midlothian Psychological Therapies Service<\/span><\/mark><\/strong><\/p>\n\n\n\n<p>Self-referrals for psychological therapies service can be via the <strong>Midlothian Access Point (MAP)<\/strong>. <strong>Self-referral 07779 565607<\/strong> Open to people aged 18 to 65 yrs.                                                                                                                                                                                                         <\/p>\n\n\n\n<p><a href=\"https:\/\/health-in-mind.org.uk\/news\/midlothian-access-point\/\" data-type=\"link\" data-id=\"https:\/\/health-in-mind.org.uk\/news\/midlothian-access-point\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health in Mind | Midlothian Access Point (health-in-mind.org.uk).<\/a>                                                                                                                                                    <\/p>\n\n\n\n<p>If self-referral is not appropriate, referral can be made by a GP or Primary Care Nurse via Sci Gateway to Midlothian Adult Psychiatry ( non-urgent) &gt;&gt;LI Psychological Therapies Service. Please refer to <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/mentalhealthpsychologyotherservices\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mental Health (Psychology &amp; Psychosocial) \u2013 RefHelp (nhslothian.scot)<\/a> for further information on resources such as guided self-help, healthy reading, stress control and exercise therapy.<\/p>\n\n\n\n<p><strong><u>Same day distress intervention \/ crisis support.<\/u><\/strong><\/p>\n\n\n\n<p><strong>MHARS (Mental Health and Resilience Service)<\/strong>&nbsp;provides same day self-referral access for anyone who resides in Midlothian seeking support with their mental health and mental wellbeing. This service will work in partnership with Penumbra, offering crisis support, and or distress brief interventions.&nbsp; Please note that this service is not a direct route to psychiatry and is not a diagnostic or prescribing service.<\/p>\n\n\n\n<p class=\"has-alert-red-color has-text-color has-link-color wp-elements-4ed1bdd8bab9949c699bafb40e488b7b\"><mark style=\"background-color:#ffffff\" class=\"has-inline-color has-standard-black-color\">The service is for people aged 18+ (without cognitive impairment) and open Monday to Sunday 8am-10pm. <strong>Self-Referral: 0800 118 2962.<\/strong><\/mark><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><strong>For Community Mental Health Team<\/strong><\/p>\n\n\n\n<p>Please refer via SCI Gateway and see <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mental Health (Adult) \u2013 RefHelp (nhslothian.scot)<\/a>&nbsp; for details for individual conditions.<\/p>\n\n\n\n<p><strong>Timescale for referrals<\/strong>:<\/p>\n\n\n\n<p><strong>Routine<\/strong>&nbsp;\u2013 no urgent requirement for patient to be seen within 5 days. If a person\u2019s clinical needs mean that their referral, while not urgent, should be considered as a priority please make that clear in the SCI Gateway referral and explain the clinical reason for this.<\/p>\n\n\n\n<p><strong>Urgent&nbsp;<\/strong>\u2013 within 5 working days. The service aims to see first episode psychosis within 3 days. Please refer via SCI Gateway.<\/p>\n\n\n\n<p><strong>Emergency \u2013&nbsp;<\/strong>emergency referrals requiring same day input, please call&nbsp;<strong>Midlothian IHTT 07976842093<\/strong> to discuss: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/emergenciesmentalhealthadults\/midlothian-mental-health-ihtt\/\" target=\"_blank\" rel=\"noreferrer noopener\">Midlothian Mental Health IHTT \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who can refer:<\/h4>\n\n\n\n<p>GPs and Primary Care Nurses Via Sci Gateway.<\/p>\n\n\n\n<p>Other professionals Ward\/Liaison\/No 11 services can request consideration of a referral by providing a detailed SBAR pro forma.<\/p>\n\n\n\n<p>If in doubt about a referral, or seeking advice, OT, nursing and medical staff are very happy to have a discussion. This can either be done in person by speaking to the relevant staff face to face or by telephone or by email: <strong>0131 285 9600- FOR PROFESSIONAL USE ONLY.<\/strong><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>People aged 18-64 who have or are suspected or diagnosed <strong>moderate to severe mental illness \/ mental disorder<\/strong>.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>People over 18yrs who are suspected to have <strong>neurodiversity<\/strong> or those with existing Neurodiversity with significant functional impairment for diagnosis and mental health support. In addition to the assessment forms on the Neurodiversity pages below, information around functional impairment can be provided to the Midlothian CMHT using the \u2018Neurodevelopmental Functional Difficulties Questionnaire\u2019 in the resources section.<\/li>\n<\/ul>\n\n\n\n<p>      <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/autismspectrumdisordersaspergersadults\/\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/autismspectrumdisordersaspergersadults\/\" target=\"_blank\" rel=\"noreferrer noopener\">Autism Spectrum Disorders (ASD) and Aspergers (Adults) \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<p>      <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/adhdinadults\/\" target=\"_blank\" rel=\"noreferrer noopener\">AD(H)D in Adults \u2013 RefHelp (nhslothian.scot)<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In case of <strong>emergency <\/strong>referrals (including perinatal mental health emergencies) requiring same day input, please call&nbsp;<strong>Midlothian IHTT 07976842093 <\/strong>to discuss: <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/emergenciesmentalhealthadults\/midlothian-mental-health-ihtt\/\" target=\"_blank\" rel=\"noreferrer noopener\">Midlothian Mental Health IHTT \u2013 RefHelp (nhslothian.scot)<\/a> and <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/emergenciesmentalhealthadults\/\" target=\"_blank\" rel=\"noreferrer noopener\">Emergencies Mental Health (Adults) \u2013 RefHelp (nhslothian.scot)<\/a>.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Condition<\/strong><\/td><td><strong>Resource\/Service<\/strong><\/td><td><strong>Contact\/Link<\/strong><\/td><\/tr><tr><td>Mild to moderate mental health conditions<\/td><td>Primary Care Mental Health Nurse<br>&nbsp;<br>Midlothian Access Point<\/td><td>GP practice<br>&nbsp;<br><a href=\"https:\/\/health-in-mind.org.uk\/news\/midlothian-access-point\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health in Mind | Midlothian Access Point (health-in-mind.org.uk)<\/a><br>&nbsp;<br>MAP Self-Referral 07779 565607<\/td><\/tr><tr><td>Pregnant Patients (excluding Emergencies)<\/td><td>Pan Lothian Perinatal Mental Health service. (Emergency assessments should be referred to Midlothian IHTT)<\/td><td><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/perinatalmentalhealth\/\" target=\"_blank\" rel=\"noreferrer noopener\">Perinatal Mental Health \u2013 RefHelp (nhslothian.scot)<\/a><\/td><\/tr><tr><td>Eating Disorders<\/td><td>Pan Lothian Eating Disorders service<\/td><td><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/eatingdisordersadultscullencentre\/\" target=\"_blank\" rel=\"noreferrer noopener\">Eating Disorders (Adults) and Cullen Centre \u2013 RefHelp (nhslothian.scot)<\/a><\/td><\/tr><tr><td>Primary presenting problem substance misuse or Alcohol problem\/dependency<\/td><td>Substance Use Service supports adults aged 18 years and older who are experiencing difficulties related to alcohol and\/or drug use.<br>If urgent &amp; requiring treatment intervention, please refer to Midlothian Substance Use Treatment Service via SCI Gateway.<br>Or encourage individual to contact the <strong>MELD<\/strong> contact service on <strong>07843339958<\/strong><\/td><td><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/alcoholanddruguse\/alcohol-drug-locality-services\/mid-east-lothian-alcohol-drug-services\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mid-East Lothian Alcohol &amp; Drug Services \u2013 RefHelp (nhslothian.scot)<\/a><br>&nbsp;<br>&nbsp;<br><strong>MELD Self-Referral<\/strong> <strong>07843339958<\/strong><\/td><\/tr><tr><td>Adults with a Learning Disability with Mental Health Illness.<\/td><td>Community Learning Disabilities Team via Sci Gateway<\/td><td><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/learningdisabilityadult\/\" target=\"_blank\" rel=\"noreferrer noopener\">Learning Disability Adult \u2013 RefHelp (nhslothian.scot)<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sci Gateway &#8211; Mental Health &gt;&gt; Midlothian Adult Psychiatry (non-urgent) &gt;&gt; LI Midlothian Adult Psychiatry.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Emergency assessment (same day) \u2013 please phone <strong>Midlothian Mental Health IHTT<\/strong> <strong>07976842093<\/strong> or <strong>0131 285 9624<\/strong>. 08:00H -24:00H.  Out with these times, contact MHAS on 0131 286 8137.<\/li>\n<\/ul>\n\n\n\n<p>Please see <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/emergenciesmentalhealthadults\/midlothian-mental-health-ihtt\/\" target=\"_blank\" rel=\"noreferrer noopener\">Midlothian IHTT<\/a> for further detail.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>The Midlothian Council website provides information on <a href=\"https:\/\/www.midlothian.gov.uk\/info\/1404\/mental_health_and_addiction\" target=\"_blank\" rel=\"noreferrer noopener\">Midlothian Mental Health Services<\/a>, including addiction.<\/p>\n\n\n\n<p>A wider range of services is available through <a href=\"https:\/\/midspace.co.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">Midspace | Mental Health and Wellbeing Midlothian<\/a><strong>.<\/strong><\/p>\n\n\n\n<p><strong>Midlothian access point (MAP)<\/strong> is open to people aged 18 to 65 who are registered with a GP in Midlothian and who are looking to improve their mental health and wellbeing. <strong>Self-referral 07779 565607<\/strong><\/p>\n\n\n\n<p><strong><a href=\"https:\/\/health-in-mind.org.uk\/news\/midlothian-access-point\/\" target=\"_blank\" rel=\"noreferrer noopener\">Health in Mind | Midlothian Access Point (health-in-mind.org.uk)<\/a><\/strong><\/p>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Midlothian Community Mental Health Team (Medical, Nursing and OT) The service aims to assess and treat people aged 18-64 who have or are suspected or diagnosed moderate to severe mental illness \/ mental disorder. This includes, for example: psychotic disorders such as schizophrenia\/delusional disorders, severe mood disorders such as bipolar affective disorder\/agitated depression, severe unmanaged<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4127,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[944],"class_list":["post-15735","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-midlothian-mental-health"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mental-health-locality-services-adult\/https-apps-nhslothian-scot-refhelp-midlothian-mental-health\/\" rel=\"tag\">Midlothian Mental Health<\/a>","rttpg_excerpt":"Midlothian Community Mental Health Team (Medical, Nursing and OT) The service aims to assess and treat people aged 18-64 who have or are suspected or diagnosed moderate to severe mental illness \/ mental disorder. This includes, for example: psychotic disorders such as schizophrenia\/delusional disorders, severe mood disorders such as bipolar affective disorder\/agitated depression, severe unmanaged","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=15735"}],"version-history":[{"count":18,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15735\/revisions"}],"predecessor-version":[{"id":21770,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/15735\/revisions\/21770"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4127"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=15735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=15735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}