Integrated Mental Health Services in Cornwall & the Isles of Scilly
Last updated: 09/07/2013
Add to My Bookmarks
You can read this Adult Care, Health and Wellbeing leaflet
on this page, or you can download it in pdf format here:
One in four people will experience mental
health problems at some time in their life. This means different
things to different people. They may appear as an exaggeration of
our usual emotions or behaviour, resulting in stress, anxiety or
Sometimes, though, these problems become
severe and/or enduring, and occur to such an extent that they make
it very difficult for a person to cope with everyday life.
This leaflet explains who to contact if you
feel you need help with a mental health problem.
Common mental health problems can take many
forms. Here is a brief guide.
Stress is the way you feel when pressure is
placed on you. A little bit of pressure can be productive, give you
motivation, and help you to perform better. However, too much
pressure or prolonged pressure can lead to stress, which is
unhealthy for the mind and body.
Everyone reacts differently to stress, and
some people may have a higher threshold than others. Too much
stress can lead to physical, mental or emotional problems.
Depression is a common condition. Sometimes
there is a trigger for depression. Life-changing events, such as
bereavement, having a baby, or losing your job, can all cause
depression. But you can also become depressed for no obvious
Symptoms include lasting feelings of sadness,
losing interest in the things you used to enjoy, feeling constantly
tired, having difficulty getting to sleep, loss of appetite and
feeling life is not worth living.
Anxiety is a feeling of unease, such as worry
or fear, that can be mild or severe. Everyone experiences feelings
of anxiety at some point in their life. For example, you may feel
worried and anxious about sitting an exam, or having a medical test
or job interview.
There are several conditions for which anxiety
is the main symptom. Panic disorder, phobias and post-traumatic
stress disorder can all cause anxiety.
Obsessive compulsive disorder is a chronic
mental health condition that is usually associated with both
obsessive thoughts and compulsive behaviour.
An obsession is an unwanted thought, image or
urge that repeatedly enters a person’s mind. A compulsion is a
repetitive behaviour that a person feels compelled to perform.
OCD is one of the most common mental health
conditions, and the symptoms can range from mild to severe. Some
people with OCD will spend around an hour a day engaged in
obsessive compulsive thinking and behaviour, while for others, the
symptoms completely dominate their life.
Unlike other types of compulsive behaviour,
such as an addiction to drugs or gambling, a person with OCD gets
no pleasure from their compulsive behaviour. They feel that they
need to carry out their compulsion to prevent their obsession
Outlook South West
Outlook South West provides help and advice
for these conditions, as well as a range of other common mental
It is a free NHS service for residents of
Cornwall, which can be accessed either by a self-referral or by a
referral from your GP. Contact details are:
2D Restormel Estate
Tel: 01208 871 414
Web: Outlook South West.
Outlook South West offers a range of different
approaches for different types of problems. Some people are offered
information, advice and practical suggestions for ways of helping
themselves. Other people may be offered the choice of seeing a
psychological therapist for a number of appointments.
The available options, and your own choices,
will be discussed with you in the first appointment. Generally
first appointments last between 30 and 45 minutes.
Mostly, appointments are offered during office
hours at your doctor’s surgery, although they do have alternative
options for people who are unable to attend normal daytime
Cornwall Partnership NHS Foundation Trust (CFT)
If you have severe and enduring mental health
conditions, you may be referred to the CFT for assessment and
Within the CFT, your local Community Mental
Health Team (CMHT) should be your first point of contact.
A CMHT consists of a group of mental health
professionals who work together to provide specialist mental health
services to people living in a particular area.
There are 12 CMHTs in Cornwall, and each team
- community mental health nurses (also known as
community psychiatric nurses or CPNs);
- occupational therapists
- clinical psychologists
- social workers and
- support workers (such as community care
Referral to a CMHT is via a GP, social worker,
or you can contact them yourself, or on behalf of a family
To find out which team covers the area in
which you live, please contact Bodmin Hospital switchboard on 01208
251 300, and ask for your local Community Mental Health Team.
Opening hours are 8.45am–5.15pm (Monday to Friday).
Out of office hours
Out of office hours, mental health services
can be contacted by calling:
- North Cornwall, Caradon and Restormel areas -
0845 230 3901
- Carrick, Kerrier and Penwith areas - 0845 230
When you are first referred to the CFT, you
will receive an initial assessment which will determine whether you
require help from the service. You may require help from another
organisation, in which case the person assessing you will let you
know, and tell you how to access that help.
CMHT services are for adults, aged 18–75,
experiencing a severe mental health condition. They provide
one-to-one support which may take place in the patient’s home, or
in a community setting. Referrals to other appropriate services may
also be made, such as to a day centre or housing service.
Support may be provided on a short-term or
long-term basis, depending on individual need. All teams have
access to beds at one of the CFT in-patient units, and provide a
multi-disciplinary service that allows people to be looked after in
their own homes wherever possible.
They often work with other voluntary and
statutory organisations to make sure that your assessed health and
social care needs are met. These organisations include Adult Care,
Health and Wellbeing, befriending schemes, and housing
A carer can be anyone who provides regular
care to you, and is not paid for doing so. They may be a relative,
friend, or important person in your life.
If you are a carer, then you will be entitled
to an assessment of your needs.
The assessment process may show that you have
needs which should be met, so that you can continue in your caring
Carers are entitled to their own care plan
which details how, when and by whom their assessed needs will be
met. A carer’s care plan should be reviewed yearly.
The assessment will be carried out by Adult
Care, Health and Wellbeing. You can contact them on 0300
There is also support for carers of people
with severe and enduring mental ill-health from the Carers Support
Worker Project, which is part of a registered charity (Cornwall
Community Volunteer Services) and is jointly funded by NHS Cornwall
& Isles of Scilly and Cornwall Council.
The aim of this service is to ensure that
carers of people with severe and enduring mental ill health are
receiving all the help and support they need in their caring role.
The Carers Support Worker will listen to your views on your caring
situation and establish the most appropriate information, services
and support to meet your identified needs.
When you contact the Carers Support Worker
Project, they will ask you for the following information:
- General details, such as address and
- How long you have been a carer, the condition
of the person you care for, and your caring commitments.
- Additional commitments that you may have,
such as family or a job.
- Help you are already receiving, including
- Any other information you feel would help in
establishing what advice, information and support meets your
For more details on the Carers Support Worker
Project, you can call 01209 613 456. The Carers Support Worker
telephone number has an answerphone and all messages left out of
normal office hours (9am–5pm, Monday to Friday) will be dealt with
on the next working day.
There is no charge for this service.
Direct payments are cash payments to meet
eligible social care needs. They allow service users, and their
carers, to arrange and purchase the care and support required to
meet their assessed needs. They provide more flexibility and choice
about the style of care and support a person prefers.
People can choose to employ personal
assistants (PAs) directly, using their direct payments, or they can
purchase support from a registered service provider, such as a home
care agency. If you require further information, or you want to
discuss the option of direct payments, please contact the Direct
Payments Team on 01872 322 559, or email: email@example.com.
Please also look at our information about
Equality and diversity
All mental health services in this leaflet are
available to everyone, regardless of your background or
There is also a Community Development Worker
(CDW) service for black and minority ethnic communities in
The role of the CDWs involves working with
individuals, families, carers and communities by:
- Raising awareness of emotional
- Helping to remove language and other
- Making sure services understand what people
- Ensuring there is more training in black and
minority ethnic issues for mental health staff.
- Offering general support and advice.
This service is for any person in Cornwall
from a black or minority ethnic community, or their carer. This
includes gypsies, travellers and migrant workers.
To access this service, please contact the
community development workers at:
St Enoder Barns
Newquay, TR8 5EE
Tel: 01726 862 727
There is no charge for this service, as it is
jointly funded by NHS Cornwall and Isles of Scilly and Cornwall
The information you share with any of these
mental health organisations will be treated in confidence.
However, Outlook South West and Cornwall
Partnership NHS Foundation Trust (CFT) will give your GP a brief
summary of their work − you are welcome to see this. If you prefer
your therapist not to tell your GP, please let them know.
Please bear in mind, however, that therapists
have a duty of care. This means that if they have serious concerns
about any risk to you or others, they will need to tell your
Similarly there are very rare occasions when
the CFT is legally required to disclose information without your
consent, for example:
- to the police or courts in serious legal or
criminal matters; or
- to avoid serious harm to yourself or other
The Carers Support Service is signed up to
protection of vulnerable adults procedures and the county child
protection procedures, which in rare cases, may lead to a breach of
confidentiality in the interest of all concerned.
Comments, compliments or concerns
Feedback from service users and carers helps
mental health organisations to improve their services.
If you have a specific concern about any of
the services you are receiving, it is best initially to discuss
this with the staff working with you. To raise a concern with the
Cornwall Partnership NHS Foundation Trust (CFT), you can contact
the Customer Support Team by calling:
- 01726 291 109
- 01726 291 018
- 01726 291 034
To find information and contact details for mental health
services available in Cornwall, please have a look at the Cornwall Community
Return to Mental