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Trust disability access

Accessing Health in Mind

Health in Mind supports adults experiencing mild to moderate emotional or psychological difficulties.

If you are experiencing these symptoms then we recommend you visit your GP in the first instance and if you are suitable they will put you in contact with your local Primary Care Mental Health Worker (PCMHW).

The PCMHW will be able to assess your needs and find the most appropriate service for your needs.

If you are registered with an East Sussex GP and are experiencing mild to moderate anxiety or low mood you can now self-refer to our low-intensity service provided by Psychological Wellbeing Practitioners. A list of services they provide are available on our interventions and therapies page.

If you need immediate support please contact your GP or in an emergency visit A&E. You can also phone the Sussex Mental Healthline on 0300 5000 101 outside office hours.

The service is currently open Monday to Friday 9am - 5pm however we offer weekday evening appointments until 8pm and some Saturday workshops where available.

To self refer, please complete the online form below. (A printable Word version of the form can also be downloaded from the 'Useful documents' sidebar to the right.)

Health in Mind self-referral form
NHS number (if known):
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Surname: (*)
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First name: (*)
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Previous name (if applicable):
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Address: (*)
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Postcode: (*)
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Home telephone number:
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Permission to leave a message?

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Work number:
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Permission to leave a message?

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Mobile number:
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Permission to leave a message?

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Email address:
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Permission to send email?

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Date of birth: (*)
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Gender: (*)

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Ethnic group: (*)
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Religion:
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If you belong to a religion or belief not listed, please state it here:
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Marital status: (*)



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Have you or any members of your immediate family served in the UK Armed Forces? (*)

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Are you open to any other service at Sussex Partnership NHS Foundation Trust? (*)

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If yes, please indicate what services.
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Please indicate (yes/no) if you are happy for Health in Mind to approach the above service. (*)


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GP name:
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Surgery name:
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GP surgery address:
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Over the last two weeks, how often have you had little interest or pleasure in doing things? (*)
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Over the last two weeks, how often have you felt down, depressed or hopeless? (*)
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Over the last two weeks, how often have you had trouble falling or staying asleep, or sleeping too much? (*)
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Over the last two weeks, how often have you felt tired or had little energy? (*)
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Over the last two weeks, how often have you been bothered by poor appetite or overeating? (*)
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Over the last two weeks, how often have you been feeling bad about yourself - or that you are a failure or have let yourself or your family down? (*)
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Over the last two weeks, how often have you had trouble concentrating on things, such as reading the newspaper or watching television? (*)
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Over the last two weeks, how often have you been moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual? (*)
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Over the last two weeks, how often have you had thoughts that you would be better off dead or of hurting yourself in some way? (*)
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If you answered 'More than half the days' or 'Nearly every day' to the last question then please could you tell us more about your current thoughts and feelings in the box below. Important note: If you are experiencing these problems nearly every day, or are having frequent thoughts of suicide or self-harm then please contact your GP or go to A&E in an emergency.
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Over the last two weeks, how often have you been feeling nervous, anxious or on edge? (*)
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Over the last two weeks, how often have you not being able to stop or control worrying? (*)
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Over the last two weeks, how often have you been worrying too much about different things? (*)
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Over the last two weeks, how often have you had trouble relaxing? (*)
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Over the last two weeks, how often have you been so restless that it is hard to sit still? (*)
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Over the last two weeks, how often have you become easily annoyed or irritable? (*)
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Over the last two weeks, how often have you feeling afraid as if something awful might happen? (*)
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What are your current difficulties, as you see them? (*)
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When did you first notice them? (*)
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How are your difficulties impacting on your daily life (e.g., work, relationships, family)? (*)
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