Accident and Emergency (A&E)
A walk-in center at hospitals for when urgent or immediate treatment is necessary.
Acute
An acute illness is one that develops suddenly. Acute conditions may or may not be severe and they usually last for a short amount of time.
Admission beds
Hospital beds that are available for people in a crisis, when care cannot be provided in their own home.
Advocate
An advocate is someone who helps to support a service user or carer through their contact with health services.
Allied Health Professionals (AHPs)
A range of health professionals that includes physiotherapists, occupational therapists, dieticians, art therapists, and speech and language therapists.
Anti-psychotic medication
Medication used to treat psychosis. There are several different types of anti-psychotic medication.
Assertive outreach
Assertive outreach refers to a way of delivering treatment. An Assertive Outreach Team actively take their service to people instead of people coming to the team. Care and support may be offered in the service user’s home or in some other community setting. Care and support is offered at times suited to the service user rather than times suited to the team’s convenience.
Assessment
When someone is unwell, health care professionals meet with the person to talk to them and find out more about their symptoms so they can make a diagnosis and plan treatments. This is called an assessment. Family members should be involved in assessments, unless the person who is unwell says he or she does not want that.
Caldicott guardian
The person within a Trust who has responsibility for policies on safeguarding the confidentiality of patient information.
Care pathways
This is the route someone who is unwell follows through health services. The path starts when someone first contacts health services – through their GP or an accident and emergency department, for example. The path continues through diagnosis, treatment, and care.
Care plan
Mental health professionals draw up a care plan with someone when they first start offering them support, after they have assessed what someone’s needs are and what is the best package of help they can offer. People should be given a copy of their care plan and it should be reviewed regularly. Service users, and their families and carers, can be involved in the discussion of what the right care plan is.
Care Program Approach (CPA)
A way of assessing the health and social care needs of people with mental health problems, and coming up with a care plan that ensures people get the full help and support they need.
Carer
A friend or relative who voluntarily looks after someone who is ill, disabled, vulnerable, or frail. Carers can provide care part-time or full-time.
Challenging behavior
Behavior that puts the safety of the person or other people at risk, or that has a significant impact on the person’s or other people’s quality of life.
Child and Adolescent Mental Health Services (CAMHS)
CAMHS provide individual and family work helping children and young people under the age of 18 who experience emotional difficulties or mental health problems
Chronic condition
A condition that develops slowly and/or lasts a long time.
Client
Someone who uses health services. Some people use the terms patient or service user instead.
Clinical governance
A system of steps and procedures through which organizations are accountable for improving quality and safeguarding high standards to ensure that patients receive the highest possible quality of care
Clinician
A health professional who is directly involved in the care and treatment of people. Examples include nurses, doctors, and therapists.
Cognitive behavioral therapy (CBT)
This is a way of helping people to cope with stress and emotional difficulties by encouraging them to make the connections between how we think, how we feel, and how we behave.
Commissioning
The process by which commissioners decide which services to purchase for the local community and which provider to purchase them from. Most mental health services are commissioned by Primary Care Trusts.
Community care
Care and support provided outside of a hospital.
Crisis
A mental health crisis is a sudden and intense period of severe mental distress.
Depot injections
Long acting medication often used where people are unable or unwilling to take tablets regularly.
Dual diagnosis
When two or more problems or disorders affect a person at the same time.
Early intervention service
A service for people experiencing their first episode of psychosis. Research suggests that early detection and treatment will significantly increase recovery.
Forensic services
Services that provide support to offenders with mental health problems.
Functional mental health problems
A term for any mental illness in which there is no evidence of organic disturbance (as there is with dementia) even though physical performance is impaired.
General practitioner (GP)
GPs are family doctors who provide general health services to a local community. They are usually based in a GP surgery or practice and are often the first place people go with a health concern.
Holistic
Taking into consideration as much about a person as possible in the treatment of an illness – this includes their physical, emotional, psychological, spiritual, and social needs.
Independent sector
Voluntary, charitable, and private care providers.
Inpatient services
Services where the service user is accommodated on a ward and receives treatment there from specialist health professionals.
Integrated Services
Health and social care professionals (such as social workers) working together in one team to provide a comprehensive range of support.
Intervention
An ‘intervention’ describes any treatment or support that is given to someone who is unwell. An intervention could be medication, a talking therapy, or an hour spent with a volunteer.
Low secure mental health services
Intensive rehabilitation services for offenders who have mental health problems.
Mental health
Someone’s ability to manage and cope with the stress and challenges of life, and to manage any diagnosed mental health problems as part of leading their normal everyday life.
Mental health trust
A mental health trust provides treatment, care and advice to people who have mental health problems. The services may be provided from a hospital or in the community.
Multi-disciplinary team
A team made up of a range of both health and social care workers combining their skills to help people.
Older Adults
Adults aged over 65.
Organic illness
Illness affecting memory and other functions that is often associated with old age. Dementia, including Alzheimer’s Disease, is an organic mental illness.
Out-patient Services
Services provided to someone who comes to a hospital for treatment, consultation, and advice but who does not require a stay in the hospital.
Overview and scrutiny committee
A County Council committee that is responsible for looking at the details and implications of decisions about changes to health services, and the processes used to reach these decisions.
Patient
Someone who uses health services. Some people use the terms service user or client instead.
Pharmacist
Specialist health professionals who make, dispense, and sell medicines.
Primary care
Health services that are the first point of contact for people with health concerns. Examples include GP surgeries, pharmacies, the local dentists, and opticians.
Primary Care Trust (PCT)
Primary Care Trusts are responsible for planning and securing health services in their local area.
Psychiatric intensive care unit (PICU)
A locked ward in a hospital where some people detained under the Mental Health Act may stay. They stay in the unit because they have been assessed as being at risk to themselves or others on an open acute inpatient care ward.
Psycho-educational groups
Group work, using psychological therapy techniques, that address mental and emotional problems such as anxiety, depression, trauma, and severe stress.
Psychosis
A mental state in which someone may show confused thinking, think that people are watching them, and see, feel, or hear things that other people cannot.
Rehabilitation
A program of therapy that aims to restore someone’s independence and confidence and reduce disability.
Residential and nursing homes
Residential and nursing homes provide round the clock care for vulnerable adults and older adults who can no longer be supported in their own homes. Homes may be run by local councils or independent organizations.
Respite care
An opportunity for a carer to have a break.
Secondary Mental Health Services
Specialist mental health services usually provided by a Mental Health Trust. Services include support and treatment in the community as well as in hospitals.
Sectioning
When someone is sectioned it means they are compulsorily admitted to hospital.
Service user
This is someone who uses health services. Some people use the terms patient or client instead.
Social care
Social care describes services and support that help people live their lives as fully as possible, whereas health care focuses on treating an illness. Both types of care are offered as a combined package of support to people with mental health problems.
Social inclusion
Ensuring that vulnerable or disadvantaged groups are able to access all of the activities and benefits available to anyone living in the community.
Stakeholder
Anybody who has an interest in an organisation, its activities, and its achievements.
Stigma
Society’s negative attitude to people, often caused by lack of understanding. Stigma can be a problem for people who experience mental ill health.
Supplementary prescribing
A partnership between a doctor, a service user, and a nurse or Allied Health Professional (AHP). Under the partnership the nurse or AHP can make adjustments to someone’s medication based on an agreed care plan.