Newcastle secondary care service - Referral Guide

Newcastle secondary care service - Referral Guide

Please see below referral guidelines for both the NSCPS and CTT.
Please ensure that the correct form is selected from this list and completed, given the below guidelines:

Referral guidelines for Newcastle secondary care services

Newcastle Specialist Community Psychology Service (NSCPS)

Community Treatment Team

Psychological interventions for patients who have needs that are more complex than an NHS Talking Therapies service are able to provide

A need for an MDT approach rather than single therapist, where the Community treatment team is likely to be more appropriate

 

Interpersonal difficulties: in conjunction with common mental health problems, and which are likely to be amenable to a short-term piece of therapeutic work

 

A higher level of complexity for which shorter-term therapy would be unhelpful and there is a need for longer-term therapy.

 

Emotion dysregulation and distress intolerance: which need to be the focus of the work and are not better understood and treated as a consequence of, for example, PTSD, depression etc

 

Risk that is unmanaged between sessions, or the likelihood of destabilisation and risk if therapy is commenced

 

Milder variants of dissociative disorders: in conjunction with a common mental health problem, e.g. PTSD, and which are amenable to a short-term piece of therapeutic work

 

Active psychosis or significant vulnerability to psychosis

 

Health conditions (including Persistent Physical Symptoms/functional disorders):  in conjunction with common mental health problems (but which do not fall within the remit of the Long Term Conditions Pathways in NHS Talking Therapies)

 

Active mania episode or significant vulnerability to manic episodes

 

People with longstanding psychological difficulties that stem from adverse childhood experiences: for which Step 3 trauma-focused CBT or EMDR is contra-indicated.  For example, an individual re-experiencing many traumatic events who also has severe problems in affect regulation, persistent negative beliefs about themself, and persistent difficulties in sustaining relationships.

 

Unlikely to benefit from a brief intervention and a brief intervention is contra indicated as it could be destabilising

 

Prior experiences of therapy that would indicate a need for an individualised formulation: and an integrative approach calling on different theoretical perspectives

Diagnosis of a personality disorder where there is severe disruption to their functioning and/or significant risk.

 


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