Assessment | Intervention| Follow up
Planning for Intervention
Often people may present with a range of problems. CAMEO is made up of Community Psychiatric Nurses (CPN’s), Clinical Psychologists, Social Workers, Psychiatrists, Support Time and Recovery (STR) workers, Occupational Therapists and Peer Support Workers in order to respond to this range of problems. Following the initial assessment, you will be allocated a care co-ordinator from our team to work with you on your plan of care. These plans may include some of the range of interventions listed below, tailored to your needs and may involve various members of the team.
Information and Advice
Most people find it useful to understand more about what is happening to them and how the interventions might work for them.
We can also suggest other agencies and services that might help.
Our aim is to help you to get your life ‘back on track’. Recognising the negative impact an episode of psychosis may have on a person’s social functioning is very important and we offer support in solving difficulties with work, study, housing, finance or your social life. Sometimes, it’s difficult for you to get started, so we run a number of groups (e.g. music, leisure and social activities), which can be a good starting point. We also work with a range of other organisations that can provide extra help in these areas.
The impact of an episode of psychosis can be distressing and traumatic and many people require support in attempting to make sense of what they have been experiencing and why this might have occurred.
This support is mainly offered as a talking therapy either by a clinical psychologist or another team member as part of your recovery work. Typically, this work is based on Cognitive Behaviour Therapy (CBT)
Typical areas that may require either individual or group based psychological support including:-
- CBT for persistent distressing symptoms such as hearing voices and paranoia
- Support with adapting to the impact of illness and making sense of this. Typically, even when feeling better it is normal for people to have worries around becoming ill again / staying well and the impact of their experiences on their future hopes and goals.
- This process of recovery may become stuck and is associated with difficulties such as anxiety, stress, depression, loss of confidence, guilt/shame.
- Vulnerability - low self esteem, past interpersonal difficulties, trauma
Sometimes, it is helpful to involve your family, partners or friends. This is because they can help support you, and can often contribute important views.
Relatives and friends also often value some support themselves. This can help them understand what you have been experiencing and how best to help you. CAMEO offers a support group for relatives as well as support for individual families. If you consent a separate member of the CAMEO team will contact your family and meet as regularly as necessary.
Often, when people are experiencing distressing symptoms (such as feeling paranoid, depressed or hearing voices), they can benefit from taking medication (tablets etc).
Medications can lessen (or get rid of) these, and many other, psychotic symptoms.
When you are feeling well, medication can also prevent these symptoms from coming back.
If we think medications might help you, we will discuss with you why and the potential benefits (and side effects) you can expect.
There are three main groups of medications we commonly use:
Many people we see have become so depressed (or ‘low’) that they find it difficult to function. Antidepressants can help ‘lift’ your mood and help you function again.
Often, we see people who get extreme swings in their moods – from feeling depressed to feeling ‘high’ (called mania). Mood-stabilising medications can smooth out these mood swings, reducing the risk of you becoming either depressed or high again in future.
If you are troubled by hearing voices or experiencing strange or odd thoughts that others consider not to be true, these medications can help to relieve (and often get rid of) these symptoms.
For more detailed information see the
Cambridgeshire and Peterborough Foundation Trust: Medicine Information leaflets: http://www.cpft.nhs.uk/Patientinformation/MedicinesInformationleaflets/tabid/149/language/en-US/Default.aspx
Most of the time we are able to help people while they are living in their usual home environment.
Occasionally, there can be a need for an extra level of care and assessment. We maintain close links with the home treatment teams who offer support to people in crisis as well as assessing the need for hospital admission. Should you need to go into hospital for a brief period of time, you and your family will continue to be seen and receive ongoing support from the CAMEO team.