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Community Mental Health

People suffering from mental health problems often need a lot of support and understanding in order to be able to cope with their lives. Most people experiencing symptoms of anxiety or depression will speak to their doctor in the first instance and many will find that is all that’s required. However, for more serious or complex forms of mental health problems or when there are additional factors or difficulties involved, they may be referred by their doctor to other professionals or support workers within the local community mental health team.

The community mental health team consists of a number of professionals who are trained in their specific areas and can include psychiatrists, psychologists, occupational therapists, social workers, and of course the community psychiatric nurse or CPN. Some specific problems or issues that can arise in addition to existing mental health problems or which can exacerbate or trigger mental health problems and which might need extra consideration include:

Financial problems
Physical disabilities
Housing issues
Divorce or relationship problems
Childcare issues

Certain kinds of mental health problems may result in different needs and may therefore require some specialist help to deal with and these can include:

Elderly depression and dementia
Child or Teen depression
Postnatal depression
Bipolar disorder

Obviously, finding one person fully qualified and skilled in all of these areas just isn’t possible so the community mental health team work together in order to ensure that the best advice and support is available as many of the professionals involved will be trained in specialist areas that allow them to offer a better service to people suffering from specific problems. So what sort of people make up the mental health team?


Patients can be referred to a psychiatrist by their doctor. After an initial assessment, the psychiatrist will recommend a suitable course of treatment and medication. If a mental health problem is particularly severe then they are also able to recommend that the individual be detained in hospital for a period of time. However, this is a last resort and also requires the approval of another doctor and a social worker who all agree that this is the best option for an individual concerned either for the individual’s safety or for the safety of others.


Psychologists have an understanding of human behaviour, emotions and how the mind works and although they cannot prescribe medication they can offer various types of psychological therapies. Patients can be referred to them by the doctor or other members of the community health team.

The Key Worker

People suffering from mental health problems will usually be assigned a key worker, which can be anyone in the community mental health team. The key worker ensures that the individual gets the right kind of help that they need. They will regularly assess the progress of an individual and report back to the rest of the team.

Community Psychiatric Nurse or CPN

The key worker will often be a CPN who will usually make regular visits to people with mental health problems in their own homes. They offer an important lifeline for people who are feeling isolated and alone with their mental health problems or who are experiencing particular difficulties. They are aware of the many issues surrounding mental health and can listen as well as help people talk through their problems in a setting in which they feel comfortable.

The CPN will liaise with and work closely with other members of the team to make sure that any practical support and assistance is offered when needed. They will assess the individual regularly and will discuss with them the effectiveness of their medication and any side effects they might be experiencing. The family and loved ones of a person suffering from mental health problems often need additional support in order to understand mental illness and to be able to cope with it, the CPN can offer practical advice and guidance.

Occupational Therapists

Occupational therapists help individuals to cope with practical issues on a day to day basis in areas such as dressing, toileting and feeding themselves and can help individuals regain some control of their lives.

Social workers

Social workers can ensure that an individual gets access to various social services that will improve their quality of life and that they may be entitled to such as home help, respite care and perhaps admission to day or residential centres. They can also offer assistance in dealing with housing needs, financial difficulties or other social problems.

The best care

Many other people can be involved in the community mental health team including various support workers, therapists, counsellors, and of course loved ones. Together they all make sure that the individual suffering from mental illness gets the best care possible. Each team member can make a valuable contribution to the individual’s quality of life and can help them not only to cope with their illness on a day to day basis but to regain control over their lives and integrate with the rest of the community in a positive and productive way.

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