skip to main content

Care Pathways

As a Trust, we are constantly developing and improving our clinical pathways for various mental health conditions.   For example, we have robust pathways for both routine care and crisis care for:

Our psychosis pathway, named TRIumPH (Treatment and Recovery in PsycHosis) ensures those with psychosis receive the right support, in the right place, at the right time.

Psychosis means that you might have experiences that are not part of the reality experienced by people around you.  You might see or hear things that other people cannot see or hear (hallucinations), or you might hold unusual beliefs that other people do not (delusions).  About 1 in every 100 people will experience a psychotic episode in their lifetime and psychotic symptoms are associated with such conditions as schizophrenia, bipolar disorder, drug induced psychosis, psychotic depression, postnatal psychosis and personality disorder.

Our aim is that people with a suspected first episode of psychosis have early access (within 2 weeks or earlier if it’s an urgent referral) to assessment and are offered NICE recommended interventions. For example: medication, Cognitive Behaviour Therapy, family work, employment support, carers support and consideration of their physical health needs. 

If you think you are experiencing symptoms of psychosis help is available through our Early Intervention in Psychosis Service.

Emotionally Unstable Personality Disorder (EUPD) - also known as Borderline Personality Disorder - is a diagnosis that we use when a person experiences characteristic patterns of thinking and feeling about themselves and other people, which cause them distress and lead to problems in their lives and relationships.

People with EUPD often report that their emotions feel very intense and can change rapidly. They may often feel afraid or desperate and do impulsive things as a result.  They may have problems getting and keeping good relationships because their feelings of anger, fear and sadness are so powerful and difficult to cope with. Often people with EUPD have missed out on opportunities to develop healthy coping strategies and may feel that they can only cope in less healthy ways, like self-harm. 

It is thought that symptoms develop in childhood, based on a combination of inherited biology, neurobiology (differences in some structures in the brain), and the childhood environment (e.g. due to neglect or abuse).  The developing child is ill-equipped to cope with painful emotions and thoughts. To try to solve life’s problems, they develop self-defeating behaviours.                    

It’s important to keep in mind that Emotionally Unstable Personality Disorder and the person are not the same thing.  EUPD is something people have, not something they are.

EUPD cannot be treated with medication, although medications may be prescribed to help with some of the specific symptoms.  Many find therapy helpful. We use Dialectical Behaviour Therapy (DBT) or an adapted form called Emotional Coping Skills (ECS). Other helpful interventions include developing a ‘My Crisis and Safety Plan’ and second stage therapies also include Cognitive Analytic Therapy. These therapies help by supporting a patient to live in the present and to develop skills in how to regulate emotions, thoughts and behaviours.   

Visit the MIND website to find out more about this diagnosis.     

The affective disorders pathway is being developed for people affected by a range of different presentations including: Bipolar, Depression, Anxiety, OCD and PTSD.  In all of these presentations, individuals often experience a change in their mood (for example feeling low or anxious) as well as changes in their thoughts, bodies and behaviours. 

There are different treatments which are recommended to support the person in their recovery, including medication and psychological therapies.  This pathway identifies these treatments so that health care professionals, patients and carers are aware of what can be offered and expected.  This pathway is for those experiencing mild to severe symptoms and identifies which service would be most appropriate in delivering the treatment that is needed. 

This pathway is currently being developed by clinicians, patients and carers from across Southern Health services (and there will be more information to follow).

The dementia care pathway is currently being developed to support all those living with dementia, as well as their carers and families.

Dementia is a long-term condition affecting memory, cognitions, health and behaviour experienced by the person and their family/carers. It occurs when there are changes within the brain, but it is not an inevitable part of ageing. Despite this, dementia affects 1 in 14 people over 65 and 1 in 6 people over 80.

The pathway will ensure a timely diagnosis, extensive pre- and post-diagnostic support by a named clinician, and continued support. We are committed to developing our community services to support people to live where they want and manage their condition.

The pathway will include care home in-reach, a crisis service and more equitable access to our services. When a hospital admission is necessary we will ensure families, carers and the patient are at the centre of the decisions we make and are supported throughout. People will not have to wait in hospital and will receive world-class care in environments that meet the most rigorous dementia standards. Dignified and supportive end of life care is also a priority for both our community and inpatient services.

This work is currently being completed by a large multi-disciplinary team from Southern Health that involves all our commissioners as well as other NHS providers, the voluntary sector and national clinical networks. People living with dementia and their families and carers will lead all the developments in this area.

Page Comments