24/7 Healthcare Professionals Line and Crisis Hub

 

Provider

Initial Response Service (IRS)

Telephone advice available 24 hours a day, 7 days a week. Can also arrange same-day assessments remotely or in person if appropriate. If already known to specialist mental health services, the IRS will contact the appropriate locality team.

To seek advice or arrange same-day assessment, telephone (01209) 881 999.

 

Required information prior to referral

• Consent:
• If refusing assessment, consider calling 999 in emergencies or 101 in non-emergencies and request a police welfare check.
• Up-to-date contact number for patient.

Inclusion criteria

Aged 18yr or older with:

• High (but not imminent) risk of suicide, harm to others (through violence or aggression) or incurred through exploitation or vulnerability.
• Risky behaviour associated with thought disturbance e.g. psychosis, delirium, dementia.
• Need for Mental Health Act assessment.

Not an exhaustive list.

 

Exclusion criteria

• First episode of psychosis in patient aged 14-65yr – refer to Early Intervention in Psychosis Service (EIP). This is not a crisis service.
• Acute medical need, such as deliberate self-harm or overdose – admit to RCHT ED for Psychiatry Liaison review after medical assessment.
• Stable mental health condition with no need for acute intervention.
• Dementia assessment – see guideline on Memory Assessment.

 Not an exhaustive list.

  

Page Review Information

Review date	02 January 2025
Next review date	02 January 2027
Specialty Lead GP	Dr Laura Vines
Contributors	Dr Jeremy Sandbrook, consultant psychiatrist Jane Pitts, operational manager crisis services