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A guide to mental health services in England

How to access mental health services

Mental health services are free on the NHS, but in most cases you will need a referral from your GP to access them.

There are some mental health services that will allow people to refer themselves.

This commonly includes services for drug problems and alcohol problems, as well as some psychological therapies (IAPT).

For a full breakdown of services, teams and pathways, see the glossary.

If your mental health difficulty is related to stress in your workplace, you can ask your employer what occupational health services are available to you. Check out the Time to Change website, which has a section dedicated to employers.

If you are at school or college, mental health care may be arranged for you. Read our information on child and adolescent mental health services (CAMHS).

Some mental health problems can be managed without the help of a GP. There are a variety of materials available and local organisations offering help, as well as online services. You can also try our mood assessment quiz, which is designed to recommend resources to help you better understand how you feel.

For local support and information services, use our Services near you search. Try the following directories:

If you want to talk to someone right away, the mental health helpline page has a list of organisations you can call for immediate assistance. These are helplines with specially trained volunteers who'll listen to you, understand what you're going through, and help you through the immediate crisis.

The Samaritans operates a service 24 hours a day, 365 days a year for people who want to talk in confidence. Call them on 08457 90 90 90.

Also read our advice about dealing with a mental health crisis or emergency.  

Choosing a mental health service

Your GP will assess your circumstances and offer appropriate advice or treatment. They can also refer you to a psychological therapy service or a specialist mental health service for further advice or treatment.

These services may be provided by your GP surgery, a large local health centre, a specialist mental health clinic, or a hospital. The treatment may be provided on a one-to-one basis or in a group with others with similar difficulties, and therapy sometimes also involves partners and families.

You have the legal right to choose which provider and clinical team you're referred to by your GP for your outpatient appointments. Clinical commissioning groups (CCGs) provide mental health services for their communities. You have the right to choose any mental health service provider in England as long as they provide a similar clinically appropriate service to the one your local CCG provides.

You don't have a legal right to choice when:

  • the service is not routinely provided by your local CCG – in this case, you could ask your doctor to complete an individual funding request (PDF, 97kb) if they believe a particular treatment or service is the best treatment for you, given your individual clinical circumstances
  • you need urgent or emergency treatment
  • you already receive care and treatment for the condition you are being referred for
  • the organisation or clinical team does not provide clinically appropriate care for your condition
  • you are a prisoner, on temporary release from prison, or detained in other prescribed accommodation – such as a court, a secure children's home, a secure training centre, an immigration removal centre, or a young offender institution
  • you are detained in a secure hospital setting
  • you are a serving member of the armed forces – see information for veterans, below
  • you are detained under the Mental Health Act 1983

For more information about your legal right to choice, see the NHS Choice Framework on the GOV.UK website.

How NHS Choices can help you choose

You can compare mental health service providers using the Services near you search tool – simply enter the name of the mental health service or the service provider and your postcode.

Alternatively, you can use one of these directories:

Use the glossary section for more information about the different services and teams available.

Once you have chosen a service provider, you also have the right to choose the mental health service team that will be in charge of your treatment. You will be seen by the consultant or named professional who leads the mental health team, or another healthcare professional on the team. 

How to book your appointment

Once you have decided on a mental health service provider, you may be able to book your appointment through the NHS e-Referral Service.

This can happen in the following ways:

  • your GP can book it while you're at the surgery
  • you can book it online using the appointment request letter your GP gives you
  • you can phone the NHS e-Referral Service line on 0345 60 88 88 8, open Monday to Friday, 8am to 8pm, and 8am to 4pm on weekends and bank holidays

How long do I have to wait for my appointment?

As in other areas of health, if your referral is for non-urgent care, you have the right to ask to be referred to a different hospital if you have to wait more than 18 weeks before starting your treatment, unless you want to wait longer or waiting longer is clinically right for you.

For more information, read our guide to waiting times.

The organisation responsible for arranging your care and treatment must take all reasonable steps to offer you a choice of other hospitals that can see or treat you more quickly.

Waiting time standards for different mental health conditions and care pathways are being introduced over the next few years. The following standards are being introduced in 2016:

  • 75% of people referred to the Improved Access to Psychological Therapies (IAPT) programme will be treated within six weeks of referral, and 95% will be treated within 18 weeks of referral.
  • More than 50% of people experiencing a first episode of psychosis will be treated with a NICE-approved care package within two weeks of referral.  

 

Mental health services for veterans

There are 12 mental health services in England tailored for veterans. You can download the list of providers (PDF, 20.08kb), including website addresses, from the NHS England website.

The services are designed to offer specialist care and support to former armed forces personnel. The services will be able to help with conditions such as depression, alcohol and substance misuse, anger problems, or post-traumatic stress disorder. They also provide support in adjusting to civilian live.

How to access a service

  • contact a service directly for some advice
  • speak to your GP and ask for a referral – see our information about registering with a GP as a veteran
  • some services also offer a self-referral option – if available, you should be able to download a self-referral form on their website 

The veteran's mental health charity Combat Stress also offers advice and support through their website. The charity is working closely with some NHS mental health services.

Also see Healthcare for the armed forces community for more information.

I am in hospital for a medical condition. How can I get help with my mental health?

If you are physically ill and have to go to hospital for treatment, the team looking after you should also consider your mental health needs. Your hospital should have a liaison psychiatry service, also known as a psychological medicine service.

The service has doctors, nurses and psychologists with expertise in mental health problems. In discussion with you – and when appropriate – your healthcare team should refer you to the liaison psychiatry service to ensure your mental health needs are met.

Watch the video What is a liaison psychiatry?

What medicines are used to treat mental illness?

Medicines are routinely used to treat mental health conditions. There are many different types of medicines, including antidepressants, antipsychotics, mood stabilisers and anxiolytics, which are used to treat anxiety.

GPs often prescribe antidepressants to treat depression and anxiety disorders. Other medications, such as antipsychotics and mood stabilisers, are prescribed by mental health professionals, but only after you have had a thorough assessment, which can include blood tests or an electrocardiogram (ECG).

When medicines are suggested as a treatment, your doctor should explain why you need them and talk you through the benefits and any side effects. Ask how long you should take them for and in what frequency.

Consider how you feel about having to take medicines every day and how you will manage to remember taking them. Setting a regular alarm on your phone can be useful in this situation.

Some medicines can cause side effects or damage to healthy organs when they are taken over a long period of time. For this reason, you may be asked to change other aspects of your life, such as your diet and the level of exercise you do. If you need to have regular blood tests to monitor any side effects, make sure you have these done. 

Page last reviewed: 26/04/2016

Next review due: 26/04/2019

The Stand Up Kid

Nearly 1 in 10 young people in the West Midlands think classmates with a mental health problem should not be at their school. This video aims to stamp out the stigma faced by young people affected by mental health problems in the West Midlands. The Stand Up Kid is a campaign run by Time to Change, England's leading national anti-stigma programme.

Media last reviewed: 29/06/2016

Next review due: 29/06/2019