Care and support provision
Since 2010 and the introduction of the Mental Health (Wales) Measure, the majority of mental health cases are treated at the primary care level. This is to promote early intervention, to reduce the likelihood of their condition deteriorating and needing further secondary mental health services.
Current support services
Current support services Care, services and support needs for people with mental health issues in West Wales are coordinated by Local Primary Mental Health Support Services (LPMHSS) and Community Mental Health Teams (CMHTs).
Local Primary Mental Health Support Services and Community Mental Health Teams
The introduction of Local Primary Mental Health Support Services (LPMHSS) aimed to increase the availability and uptake of mental health services at the primary care level, as well as improving integration of services, and working with GPs and practice staff to provide support and training. Community Mental Health Teams (CMHTs) in West Wales are a partnership between Hywel Dda University Health Board and Social Services and provide the point of referral for those requiring access to secondary mental health services. CMHTs have a duty to assess anyone experiencing mental health issues which are affecting their ability to lead their life.
The health board and local authorities continue to commission a range of third sector organisations to support people with mental health issues such as advocacy services, information and advice, activities, healthy lifestyles and a range of supported accommodation and tenancy related support services.
Mind is a mental health charity that operates throughout West Wales. They provide advice and support to empower anyone experiencing a mental health problem. They also campaign to improve services, raise awareness and promote understanding. Mind services operating in West Wales are Pembrokeshire Mind, Carmarthenshire Mind and Mind Aberystwyth.
Other third sector organisations operating in West Wales include Hafal, which works with individuals recovering from mental health problems, with a special emphasis on those with serious mental illness, and FRAME, which provides around 80 people a week the opportunity practice work and train new skills. 134 West Wales Action for Mental Health (WWAMH) is a mental health development organisation in West Wales. It provides a range of services to voluntary groups, carers and individuals who require support around mental health in the West Wales region and seeks to improve the services and opportunities available to people with mental health problems, their families and carers.
Twilight sanctuaries are part of the service provided by Mind. They are designed to offer support to people at risk of deteriorating mental health outside of normal office hours. Currently in West Wales, there are twilight sanctuary services in Llanelli and Haverfordwest, with plans for 3rd Twilight sanctuary to be implemented in Ceredigion soon. This will mean a twilight sanctuary in each of the three local authority areas by December.