Emotional Wellbeing

Who to refer:   

All patients, age 18 and over should be motivated and ready to engage. Interventions require a level of self-help. 

Early intervention and prevention, provided by practitioners, including mental health specialists, working in universal services, self-help and prevention orientated services that enable people to stay well. 

Low Support Needs  

• Requires low level monitoring and support or intervention of one agency or discipline, such as GP 
• Are likely to self-manage their mental health problems with less support than higher tier services and/or guiding 
• Have established informal support network/relationships 
• On assessment, are deemed to pose reduced or little risk to themselves or others 
• Are likely to maintain contact with their GP, mental health and other services with minimal support and/or prompting, though regular appointments with GP or ANP.   
• Patients may have previously met the criteria for Tiers 2 and/or 3 but will have developed the skills and insight to enable them to manage their mental health and other needs in a more positive way. They will be able to recognise signs of relapse and crisis and manage these situations with minimal support 
• Loneliness and isolation 
• Low mood 
• Low level anxiety 

Who not to refer: 

• Tier 2 support- refer to Renew 
• Emotional Wellbeing – if under 18 refer to Quarriers (if in education) or CAMHs depending on severity  
• Patients seeking treatment with psychosis, a major psychiatric illness, severe depression (including post natal depression)  
• Current CMHT or Psychology contact or pending referral 
• Severe distress/impaired functioning 
• Active Suicidal Plans/significant self-harming 
• Patients seeking treatment with a diagnosed personality disorder  
• Unrealistic goals, e.g. counselling/therapy as opposed to guidance in self-help.   
• Unwilling to consider idea of self-help 

How to refer: 

To access the service, patients may either refer themselves, or be referred by a health professional using SCI gateway or a referral form which can be found on wellbeing service website (please see local service details section)   

NHS Inform has a collection of self-help guides containing information about specific problems; helpful strategies to help you improve how you are feeling; and details of further reading, websites and contact details for organisations that might be useful for you.

https://www.nhsinform.scot/healthy-living/mental-wellbeing

Useful apps/websites

Can be download for free from the App Store or Google Play

This is a six week self-directed programme used to improve poor sleep.

This is a clinically proven programme to use to treat anxiety.

This App contains the evidence-based audio programme Feeling Good for Life, with a series of 12 audio tracks to help you build essential skills, not only to deal with mental stresses and strains, but to bounce forwards and become mentally stronger and more resilient.

SilverCloud is a website with courses you can do to improve your mental wellbeing. You can learn new ways to deal with the challenges you’re facing. It’s designed by clinical experts and supported by the NHS and Scottish Government.

> Email: wellbeing@borders.scot.nhs.uk 

> Phone: 01896 824502 

> Address: Wellbeing Service, Room 16, Newstead, TD6 9DA 

> Website for NHS Borders Wellbeing Service