Crisis services and planning for a crisis

A guide explaining what mental health crisis services are available, how they can help and when to access them. Also provides guidance on how you can plan for a crisis.

Your stories

Accessing NHS services in a crisis

Simon tells us about his experiences accessing NHS services in a crisis.

Simon
Posted on 05/07/2018

In crisis: my experience

In time for the release of the CQC's Mental Health Act report,Claire blogs about her experience of crisis care

Claire
Posted on 28/01/2014

How going to A&E helped me

Caroline blogs about how a visit to A&E helped her to realise she needed help.

Caroline
Posted on 27/11/2013

What is Accident & Emergency (A&E)?

Accident & Emergency (A&E) departments deal with serious and life-threatening medical emergencies, which includes helping people experiencing a mental health crisis.

This page covers:

When should I go to A&E?

If you feel unable to keep yourself safe and you need immediate help – especially if you think you are at risk of acting on suicidal feelings, or you have seriously harmed yourself and need medical attention.

How could it help me?

Some A&E departments have a liaison psychiatry team (specialist help for mental health) that you can ask to see. If there isn't a liaison psychiatry team, A&E staff might contact other local services such as a crisis team (CRHT) to help assess you.

The liaison psychiatry team or mental health team might:

  • make an initial assessment of your mental health needs (sometimes called a psychiatric evaluation)
  • help keep you safe for the short-term
  • prescribe medication to help you cope with symptoms you may be experiencing right now
  • put you in contact with other crisis services, such as your local crisis team (CRHT)
  • decide whether you can go home, or if you need to be admitted to hospital.

I did take myself to the crisis team at A&E and got some help, [although I was] left to sit on my own for 2 hours. [After waiting] I was put in touch with the right people – they came to see me while I was there and I had a psych evaluation.

What might happen when I arrive?

This can vary depending on the situation and the hospital you go to, but might include:

  • being asked to register – staff might ask for details like your name and address, and the reason why you've come to A&E.
  • being assessed (sometimes called triage). A medical professional should talk to you to find out what's happening and how best to help you. It could help if you mention that you're experiencing a mental health crisis and ask to see the liaison psychiatry team.
  • having to wait. A&E departments can be very busy and unfortunately you might have to wait for some time even though you need help urgently. It could be helpful to ask someone you trust to wait with you, if this is an option for you.
  • being treated, transferred or sent home. You might be given treatment in A&E, transferred to another part of the hospital (such as a mental health ward) or be told you can go home.

How can I access it?

A&E departments are open 24 hours a day, 365 days a year, and anyone can visit them free of charge.

Not all hospitals have A&E departments – to find one near you, you can:

To get to A&E, you can:

  • go directly to A&E – if it's too far to walk you could take public transport, call a taxi or ask someone to give you a lift.
  • call 999 and ask for an ambulance.

Can I be turned away from A&E?

You can't be turned away from A&E if you need emergency treatment, or prevented from coming back in the future. But you might not get treatment in A&E if it's not an emergency, for example, if professionals believe you could wait to get help from your GP instead.

 


This information was published in October 2018 – to be revised in 2021. References are available on request. If you would like to reproduce any of this information see our page on permissions and licensing.


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