Crisis Resolution and Home Treatment Team – Newcastle and Gateshead

Information this leaflet provides is about the Crisis Resolution and Home Treatment Team that offer an assessment and home treatment for people over 16 experiencing a mental health crisis, as an alternative to hospital admission.

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  • Introduction

    We hope this leaflet will provide you with the information that you need whilst in contact with the Newcastle & Gateshead Universal Crisis Resolution and Home Treatment Team (CRHT). If you are not sure about anything in this leaflet please ask a member of staff.

  • What is the Universal Crisis Resolution and Home Treatment Team

    The Universal CRHT is a team of experienced mental health staff, including nurses, social workers, psychiatrists, psychological therapist, peer supporters and pharmacy staff. We provide assessment and home treatment for people of all ages experiencing a mental health crisis, as an alternative to hospital admission.

    The Universal CRHT has 3 specialist pathways for Older Adults, Working Age Adults and Young People.

    The team operates 24 hours a day, 7 days a week. However the crisis team does not provide an ‘emergency’ service such as a 999 response.

    The Universal CRHT has a Freephone number: 0800 652 2863 (24 hours every day)

  • What is a mental health crisis?

    Mental health crisis can mean different things to different people. Crises cause a significant disruption to your life and your ability to function. It may be an existing problem suddenly getting much worse or the first experience of a psychiatric problem due to major life event.

  • How can I access this service?

    You will have been referred to the Crisis Resolution and Home Treatment Team because someone felt you may need extra support with your mental health. This may be from the crisis team, or may be from a more appropriate service that the Crisis Team can signpost you to.

    You, your carer, relative or health professionals can contact the team for advice.

  • What happens next?

    Once you have been referred to the team, we will contact you as soon as possible, normally by phone, to arrange a convenient appointment at an agreed venue (or via online consultation if preferred)

    We will meet with you to complete an assessment. This is normally carried out by two health care professionals who will talk with you about your current situation and how you have coped with similar situations in the past. We will also ask you about your health, lifestyle and medication. We will then discuss options to try to resolve the crisis. A summary of this assessment will be sent to your GP.

    You can have a family member, friend or carer present during the assessment to offer support. Information from this person may also help us to further understand your situation.

    We will work with you until the crisis is resolved.

    If you are under the influence of alcohol or drugs at the assessment it may not be possible or appropriate to carry out the assessment at that time and alternative arrangements will be made.
    The Universal CRHT will be happy to consider the following if required:

    • You are able to state your choice for a male or female clinician.
    • You can have your family or someone close with you during your appointment.
    • We can organise an interpreter if English is not your first language.
    • The time and venue of the appointment can be negotiated.

  • What type of help will I receive?

    Home Treatment will involve regular contact with the Crisis Team either at home or at a venue of your choice, as well as telephone support.

    When you begin home based treatment, the team will agree a treatment plan with you and, where appropriate, your carer, family or close friends.

    The Crisis Team operates 24 hours a day so you are likely to see several different clinicians during your treatment.

    Crisis staff will discuss the frequency of your visits which will be agreed in your treatment plan.

    Home treatment may involve:
    • Intensive support managing your diagnosis and crisis situation.
    • Offering practical support e.g. advice on housing, benefits or debt.
    • Responding to the need of carers, including the offer of a Carers Assessment and support specifically for them in order to alleviate their stress and worry.
    • Monitoring and reviewing your medication.

  • What happens if I need to go into hospital?

    If you are admitted to hospital we will try to make your stay as short as possible. You will be given information about the ward and contact details for your friends and carers.

    We will start to plan and prepare for your discharge as soon as we can, because we recognise that people can recover more quickly if they are treated in their own home with familiar surroundings and their family and friends close by.

  • Care and Treatment

    You will be given a copy of your plan of care.

    Before discharge from the Crisis Team, a plan will be discussed with you regarding onward care and treatment for your mental health, once your current crisis is resolved.

    A copy of your assessment and discharge summary will be sent to your GP.

  • Help for carers

    Where appropriate, relatives and carers are often part of the initial assessment and are often involved in the following home treatment sessions.

    We will put you in touch with local carers support networks and offer a Carers Assessment on request. This is an important part of the work the crisis team does.

    Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust has a Carers Charter. Please ask a member of staff if you or your carer would like a copy of this booklet.

  • What about confidentiality?

    There may be instances when you or others are deemed to be at risk, making it necessary to share this information with other professionals.

    All crisis teams are aware of ‘Common Sense Confidentiality’ to guide them about dealing with the concerns expressed by relatives or carers. Please ask a member of staff if you would like a copy of this leaflet.

  • Help for carers

    Where appropriate, relatives and carers are often part of the initial assessment and are often involved in the following home treatment sessions.

    We will put you in touch with local carers support networks and offer a Carers Assessments on request. These are all important to the work of the crisis team.

    Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust has a Carers Charter. Please ask a member of staff if you or your carer would like a copy of this booklet.

  • Personal safety

    Trust staff carry devices that can monitor and record abusive behavior. They can alert and receive support from emergency services and the recordings may be used in court proceedings.

  • Plan of care

    You are able to access the team 24 hours a day to discuss your care.
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    This plan will be reviewed regularly, aiming for discharge from the Crisis Team on
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  • Complaints

    If you want to make a comment, suggestion, compliment or complaint you can:
    • talk to the people directly involved in your care
    • ask a member of staff for a feedback form, or complete a form on the Trust website www.cntw.nhs.uk (click on the ‘Contact Us’ tab)
    • telephone the Complaints Department 0191 245 6672
    • email complaints@cntw.nhs.uk Please note that information sent to the Trust via email is sent at your own risk
    • We are always looking at ways to improve services. Your feedback allows us to monitor the quality of our services and act upon issues that you bring to our attention.
    You can provide feedback in the following ways:
    - the quickest way for you to do this is to complete our short online survey at
    www.cntw.nhs.uk/poy
    - complete a Points of You survey, available from staff.

  • Where can I get further help or advice?

    • PALS – Patient Advice and Liaison Service
    Newcastle: 0800 032 0202
    Gateshead: Freephone: 0800 328 4397 or Tel: 0191 441 6616

    Provides information and advice about local NHS services and support organisations and helps sort out problems with NHS services.

    • North East NHS Independent Complaints Advocacy
    The Executive Centre, Aidan House, Sunderland Road, Gateshead, NE8 3HU
    Tel: 0808 802 3000
    North East NHS Independent Complaints Advocacy (ICA) provide help and support to people living in Newcastle and Gateshead who want to formally complain about the NHS.

  • Useful contacts

    WORKING AGE ADULTS

    • Carers Centres
    Newcastle Tel: 0191 275 5060
    Gateshead Carers Association Tel: 0191 490 0121
    Gateshead Crossroads Carer Services Tel: 01207 549 780

    • North East Council on Additions (NECA)
    Tel: 0191 222 1262

    • Tyneside MIND
    Tel: 0191 477 4545
    Email: admin@tynesidemind.org.uk

    • MIND infoline
    Tel: 0300 123 3393, 9am - 6pm, Monday to Friday
    or TEXT 86463

    • No Panic
    Helpline: 0844 967 4848, 10am - 10pm every day

    • Rethink’s National Advice Service
    Tel: 0300 5000 927, 9.30am - 4pm Monday to Friday

    • The Samaritans
    Tel: 116 123, 24 hours everyday

    • Saneline Crisis Line
    Tel: 0300 304 7000, 6pm - 11pm everyday

    • Silverline
    0800 470 8090 (Free 24 hour helpline for advice/support)

    OLDER ADULTS

    • Age UK (Offers services in the community for Older Adults including signposting/groups and befriending)
    Gateshead 0191 4773559
    North Tyneside 0191 2808484

    • Alzheimer’s Society
    03303330804 (Support and advice for patients/Carers with Dementia)

    YOUNG PEOPLE

    • Kooth.com
    Free online support for young people

    • RISE North East
    The RISE team consists of professional Educational Mental Health Practitioners (EMHPs) who work with children and young people in schools across Newcastle and Gateshead to help them manage emotional and mental wellbeing.

    • Childline:
    0800 1111 (24/7 hour support)

    Text Messaging Services:
    • YoungMinds Crisis Messenger:

    Text YM to 85258
    If you are experiencing a mental health crisis and need urgent help, text for free.

    Shout text messaging service:
    • Text SHOUT to 85258
    If you are experiencing a mental health crisis and need urgent help, text for free

    USEFUL WEBSITES
    www.supportline.org.uk
    Confidential, emotional advice and support to assist people during a crisis.

    • The NHS website
    www.nhs.uk
    Information about conditions, treatments, local services and healthy lives.

  • Contact details

    Newcastle and Gateshead Crisis Resolution and Home Treatment Team
    St. Nicholas Hospital
    Jubilee Road
    Gosforth
    Newcastle upon Tyne
    NE3 3XT
    Freephone 0800 652 2863

  • My useful numbers

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  • Information about content, other formats and version control

    Further information about the content, reference sources or production of this leaflet can be obtained from the Patient Information Centre. If you would like to tell us what you think about this leaflet please get in touch.

    This information can be made available in a range of formats on request (eg Braille, audio, larger print, easy read, BSL or other languages). Please contact the Patient Information Centre
    Tel: 0191 246 7288

    Published by the Patient Information Centre
    2022 Copyright, Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
    Ref, PIC/809/0422 April 2022 V3
    www.cntw.nhs.uk Tel: 0191 246 7288
    Review date 2025