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Sub-clinical.Don’t want intervention

Watchful waitingSelf help1st Year experienceCommunity

SSOOcc HWardensSchools

GP

Preventative mental well being work, training of SSOs & others

Mild to moderateSome effect onFunctioning.No risk

Guided self help. cCBTPsycho educationBrief input, workshops

Counselling SSO, Oc HDSO, AASWardens

GPVoluntaryagencies

Training SSOs etc, low hurdle, well-being interventions, psychological curriculum

Moderate severity.Sig. effect onfunctioning. Some risk to self

Focused therapy,Case management,Joint care/referralGroups/workshops

CounsellingOc HDSO/access summit

GPMedicationPsychology/psychotherapy

Mental health training, consultation service

Severe, recurrent/chronic.Some risk to self.Early stages of severe difficulty e.g. pos psychosis

Liaison/referral NHSLonger term workTherapy groupsJoint care

CounsellingOcc HDSO/accesssummit

GPMedicationEDIECMHT

Complex. Personality difficulties.Significant risk of harm to self.Risk to othersAcute crisis e.g. psychosis

Assertive referral/liaison NHS

CounsellingDSOOc H

GP, A&E, EISEDIE, Home Op. MedicationAdmission

Awareness raising/training. Consultation service. Networks e.g. SMHF

Awareness raising. Consultation service, Networks eg SMHF