Psychosis

 

Psychosis is a mental health problem that causes people to perceive or interpret things differently from those around them. This might involve hallucinations or delusions. Someone who develops psychosis will have their own unique set of symptoms and experiences, according to their particular circumstances.

But in general, four main symptoms are associated with a psychotic episode:

  • hallucinations
  • delusions
  • confused and disturbed thoughts
  • lack of insight and self-awareness

The combination of these symptoms can cause severe distress and a change in behaviour. Experiencing the symptoms of psychosis is often referred to as having a psychotic episode.

For the first onset of psychosis for people aged between 14 - 65 there is the Early Intervention in Psychosis (EIP) Team: Address: St Martins Hospital, Littlebourne Road, Canterbury, Kent, CT1 1TD | Tele: 01227 812390.
The Early Intervention in Psychosis team accepts direct referrals. The East Kent EIP Website page and supporting information: East Kent EIP information on KMPT Website

EIP Referral Criteria

  • It is the first period of suspected psychosis.
  • Age 14-65
  • Client has experienced a period of psychosis of at least seven days consecutively unless curtailed by treatment before the week is up.
  • Client has presented or reported symptoms for less than three years.
  • This period of psychosis has been accompanied by a significant risk, distress, or decline in functioning
  • Client has not taken antipsychotic medication for treatment of psychosis for more than 6 months.
  • Symptoms must not be wholly explicable in the context of PTSD, LD, ASD and/or personality disorder.
  • Referral details must include a basic history.

EIP will not accept the following

  • Short-lived or milder symptoms of psychosis within the last 3 months
  • Brief limited intermittent psychotic symptoms (BLIPS). These are psychotic level symptoms that have naturally stopped within 7 days.
  • Clients are not eligible if there is a clear organic cause for their psychosis.

If this is not the first instance of psychosis then treatment will be under KMPT's Community Mental Health Team.

Reviewed June 2019 by the East Kent Mental Health Commissioning Team. For content suggestions, updates or information please email: EKmentalhealth.commissioning@nhs.net.

Symptoms and questions to indicate psychosis includes:

  • medication and side effects
  • illegal substances use and effects
  • how a patients mood has been – for example, whether they have been depressed
  • how the patient has been functioning day-to-day
  • family history of mental health conditions – such as schizophrenia
  • has the patient experienced hallucinations – such as hearing voices
  • has the patient experienced delusions – such as people controlling the patient
  • whether the patient has had any other symptoms

For the first onset of psychosis for people aged between 14 - 65 there is the Early Intervention in Psychosis (EIP) Team. Address: St Martins Hospital, Littlebourne Road, Canterbury, Kent, CT1 1TD | Tele: 01227 812390.
The Early Intervention in Psychosis team accepts direct referrals.  The East Kent EIP Website page and supporting information: East Kent EIP information on KMPT Website.

EIP Referral Criteria

  • It is the first period of suspected psychosis.
  • Age 14-65
  • Client has experienced a period of psychosis of at least seven days consecutively unless curtailed by treatment before the week is up.
  • Client has presented or reported symptoms for less than three years.
  • This period of psychosis has been accompanied by a significant risk, distress, or decline in functioning
  • Client has not taken antipsychotic medication for treatment of psychosis for more than 6 months.
  • Symptoms must not be wholly explicable in the context of PTSD, LD, ASD and/or personality disorder.
  • Referral details must include a basic history.

EIP will not accept the following

  • Short-lived or milder symptoms of psychosis within the last 3 months
  • Brief limited intermittent psychotic symptoms (BLIPS). These are psychotic level symptoms that have naturally stopped within 7 days.
  • Clients are not eligible if there is a clear organic cause for their psychosis.

If this is not the first instance of psychosis then treatment will be under KMPT's Community Mental Health Team: Address|Ash Eton, Radnor Park Avenue, Folkestone, Kent, CT19 5HL | Telephone: 01303 227510
Shepway Community Mental Health Team on KMPT website

Tier 1: Community Mental Health Support:

  • Live Well Kent: Live Well Kent can help you improve your mental and physical health and wellbeing. It is a free service for anyone over 17. Call: 0800 567 7699 | E Mail: info@livewellkent.org.uk | Website: www.livewellkent.org.uk | Leaflet: SKC Live Well Kent Leaflet
  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For the South Kent Coast CCG IAPT  leaflet: SKC CCG IAPT Provider Leaflet

Tier 2: Support based in Primary Care

  • IAPT / NHS Talking Therapy: IAPT is available for the treatment of adult anxiety disorders and depression. These therapies are available for people aged 17+.  This service is free at the point of access and people can refer themselves into the service. For a list of South Kent Coast CCG IAPT Providers leaflet: SKC CCG IAPT Provider Leaflet.
  • Primary Care Mental Health Specialist service: Primary Care Mental Health Specialist service (PCMHS) has been introduced to support a safe and positive discharge from Secondary services for people with long term stable mental health conditions (clusters 7, 11 and 12) into primary care.
    Invictia Healthcare Referrals: Invicta PCMHS Referral form email to: invictahealth.mentalhealthreferrals@nhs.net
  • The Mental Health Social Work Service: The mental health social work service works with individuals aged 17-65 years with mental health needs and social care issues. It also provides a service to carers. The service supports people to enhance their independence and achieve social care goals. It is a single service across primary and secondary care.Tel: 03000 416161 Mon – Fri 8.30-17.00 | Out of hours - 03000 419191 | Email: mentalhealthreferrals@kent.gov.uk | Leaflet:Mental Health Social Work service | Referral Form: MH Social work referral form

Tier 3: Specialist Mental Health Services

For the first onset of psychosis for people aged between 14 - 65 there is the Early Intervention in Psychosis (EIP) Team. Address: St Martins Hospital, Littlebourne Road, Canterbury, Kent, CT1 1TD | Tele: 01227 812390.
The Early Intervention in Psychosis team accepts direct referrals.  The East Kent EIP Website page and supporting information: East Kent EIP information on KMPT Website.

EIP Referral Criteria

  • It is the first period of suspected psychosis.
  • Age 14-65
  • Client has experienced a period of psychosis of at least seven days consecutively unless curtailed by treatment before the week is up.
  • Client has presented or reported symptoms for less than three years.
  • This period of psychosis has been accompanied by a significant risk, distress, or decline in functioning
  • Client has not taken antipsychotic medication for treatment of psychosis for more than 6 months.
  • Symptoms must not be wholly explicable in the context of PTSD, LD, ASD and/or personality disorder.
  • Referral details must include a basic history.

EIP will not accept the following

  • Short-lived or milder symptoms of psychosis within the last 3 months
  • Brief limited intermittent psychotic symptoms (BLIPS). These are psychotic level symptoms that have naturally stopped within 7 days.
  • Clients are not eligible if there is a clear organic cause for their psychosis.

If this is not the first instance of psychosis then treatment will be under KMPT's Community Mental Health Team: Address|Ash Eton, Radnor Park Avenue, Folkestone, Kent, CT19 5HL | Telephone: 01303 227510
Shepway Community Mental Health Team on KMPT website.

Or contact your local team via  the local duty office (9 - 5) for advice and referral:

  • Deal: 01304 865464
  • Dover: 01304 216666
  • Folkestone / Hythe: 01303 227510
  • Thanet: 01843 85520
  • Or for out of hours contact the Crisis Home Treatment Resolution Team: 07623 514 687.

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