Crisis services and planning for a crisis
This guide explains what mental health crisis services are available, how they can help and when to access them. It also explains how you can plan for a crisis. If you're feeling in crisis right now, see our emergency advice.
How can I plan for a possible crisis?
You might not like the idea of planning for something you hope won't happen. But it could help to think about what you could do if you start to feel in crisis in the future, and what kind of support you think you might want.
This page has some suggestions for you to consider. Some people find these ideas useful, but remember that different things work for different people at different times.
It could help to explore possible options for support when things are less difficult, so you have information ready for times when you might need it. For example, you could:
- Talk to your GP – you could ask your GP about options for treatment and support. (For more about talking to your doctor, see our guide to seeking help for a mental health problem.)
- Find your local Mind, and see if they offer support such as day services to help during a crisis.
- Find details of helplines and listening services, including how to contact them and when they're open. It could help to write these details down.
- Read our information on types of mental health problems, including ideas for self-care in a crisis and organisations that may be able to help.
- Try peer support. Talking to people with similar experiences could help you find out about different services, or give you helpful tips to try.
- Make a self-care box. Some people find it helpful to fill a box with things you find comforting or distracting. This means you can personalise what is helpful for you, and have this ready in advance, as it can be very difficult to come up with ideas when you're feeling in crisis.
- Find a recovery college. Recovery colleges offer courses about mental health and recovery in a supportive environment. You can find local providers on the Mind Recovery Net website.
Talking to people close to you about how you'd prefer to manage a crisis can be a good way to plan for the future. It could be helpful to write down what you've decided, so you both remember what you've said.
For example, you could let them know:
- how they might help you spot the signs of a crisis
- how you would like them to help you
- who they could contact
- what treatment you would prefer.
You could also discuss whether your friend or family member might feel able to act as your advocate. (See our pages on advocacy for more information).
Luckily I had fantastic support from friends and family.
In some situations, experiencing a mental health crisis might mean that you become unable to make decisions about your treatment (in legal terms, this is called losing capacity).
If you're worried about losing capacity, you might decide to make an advance statement. This is a written statement about what you would like to happen if you lose capacity, such as:
- what treatment you would prefer
- who you would like to be contacted in a crisis
- any spiritual or religious views and requests
- your food preferences.
You could ask your GP, care coordinator, psychiatrist or other health care professional to help you make an advance statement. For more about what you might include, see the Rethink Mental Illness website.
Examples of advance statements include:
Joint crisis plans (also known as JCPs) are a type of advance statement agreed between you and any health care professionals involved in your treatment. This could include:
- signs that you might be experiencing a crisis
- what support you might be offered in a crisis
- practical help you might need if you go into hospital, such as childcare arrangements
- who you would want to be contacted.
The National Institute of Health and Care Excellence (NICE) has published recommendations on what to include – you can read these on the NICE website. You might also decide to include other information, for example, details of medication you're taking or any allergies you have.
A crisis card is a small card you carry in your wallet, purse or pocket with key details about how you'd prefer to be helped in a crisis, so you can easily find it or show it to other people. You might decide to tell people you know, such as friends or family, about the card and where you keep it.
This information was published in October 2018.
This page is currently under review. All content was accurate when published.
References and bibliography available on request.
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