Anyone been discharged from cmht?

[in_BPD_hell]

Hi guys

What circumstances will cmht discharge you? Do you have to be stable for a certain amount of time?

Many thanks

[MissAnonymous]

There are many different circumstances that a CMHT will discharge a person; I presume from your second question regarding stability you are hoping to be discharged but unsure of stability 'criteria'?

Some CMHTs offer a system where people who are more stable or less acutely unwell have PRN appointments, where there are none booked, but if that person finds themselves struggling they can ring up and get back to being seen by their care-co, without the hassle of re-referrals.

CMHTs can discharge a person for so many reasons [non-compliance, significant recovery, feeling their input is detrimental, or just because the person feels they no longer want or need the input].

What would you like to happen?

[in_BPD_hell]

Thank you very much for your response.

I started seeing cmht in october for assessment, sadly by seeing them i got acutely unwell and had my first and hopefully last 'crisis' before Christmas. I have therefore been swept into the cmht World. I only see the paychiatrist, who ive seen three times, i was reviewed by her SHO a month after the crisis and she said I was well, so I have a further appt in February.

I have two problems... One is my husband and I would like to try for a baby but worried what being under cmht would mean and the other big one is work... Currently they won't let me work until they know I'm stable. I feel fine right now, but they are questioning my insight! But I keep trying to say its been 6 weeks since and I've engaged, not self harmed etc. I am accepting help etc.

Long ramble but what I want to know really is... they like you to be 6 months stableoft like 5 years before they discharge. I would never discharge myself.

[sherlock holmes]

I fear that suddenly discharging now might look bad, especially if there are concerns over your ability to work and so on.

I'd suggest continue to see your psychiatrist as planned.

However, an option that I've tried before is called a 'therapeutic break'. This is where you are still under the care of the CMHT, but they trial a break with you whereby you have no contact with them (unless in an emergency) to see if you can cope with discharge. The trial break can be anything from a few weeks to six months/a year. So I think that would a be a good thing to ask about. It shows you are willing to engage with them in an emergency but want to try being more independent.

[in_BPD_hell]

Thanks Sherlock, I'm currently not asking to be discharged I am attending all my appointments, and doing everythng they say and going at their pace, I just wanted an idea of how long they usually keep people on if no other things happen after the crisis.. If I'm 'good'

[sherlock holmes]

I think all being well they won't hang on to you! Resources are limited and if they think you can cope they'll likely suggest a break or discharge.

[in_BPD_hell]

Great, thanks for that very optimistic thought! smiling now... :-)

I have just been to see the GP, who read out snippets of the cmht's opinion of me and to be honest it wasn't as bad as my place of work have made out, I guess getting a phone call saying that one of their employers is not fit to be in work from a consultant psychiatrist will never be a good thing, but I am hoping that things settle down, but I am not too sure. got to keep optimistic.

They said that I was of neutral mood, but said I had a mood disorder... very confusing. There was no diagnosis tho...

[in_BPD_hell]

Hi tiptoes that makes more sense. Thanks x

[Sunshine]

I was under a branch of the cmht (complex needs service) when I got pregnant with my "now" husband. I was seen by a perinatal psychitrst to make sure my medication was all safe but I only saw the guy three times. Twice before I have birth and once after to make sure I was coping ok. But tbh they were ****. They didn't tell me my Meds were potentially dangerous to baby until 5 months in. And even then I had to keep taking them because (and this is there favorite saying) "the benefits outway the negatives"

The only other problem I encountered was that we automatically had to be seen by a social worker who did a CAFF assessment (which just talks about how you can provide for "unborn child" they made a big deal about me buying age appropriate toys and made sure I knew about children centers (which provide play groups and support for families with kids under 5) also said that because I was compliant with services and taking medication there was no concern but if I became unconpliant there may be an issue.

I actually found being labeled "mentally unwell" I got a special midwife, got refered to a programme where I got a volunteer to talk and help me once a week. I was also given additional support with socialing with other parents in the form of a invite only support group and I got additional support from the midwife team longer then normal mothers and my health visitor visited me at my house almost weekly for about 6 months when I have spoken to other mothers who only saw them about 4 times when they had to travel to there local health center.

All in all I have found the help I have received to be a really positive thing. And that now I have been discharged from mental health services and all family support agencies I have less support and GPS tend go get freaked out by what I say and they have informed social services ( although nothing came of it) whereas when I was under services it was never an issue as they knew me a lot better.

Sorry I rambled
X

[Erin311611]

If you become pregnant they should refer you to pre natal MHT who basically just check on you and discuss meds and pregnancy and side effects etc. they may want to keep a close eye on you because if you're depressed while pregnant your more likely to get PND but other than that nothing should change.

[in_BPD_hell]

Thanks guys...
Sounds positive. I'm not on medication as they say it won't help me.
I am so glad you gave advice about the caff as I've been anxious about social services input. But thank you.