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Sunday 20 January 2019
Derbyshire Healthcare NHS Foundation Trust
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For Professionals

Guidelines for referral to TMHD

Talking Mental Health Derbyshire fulfils national Improving Access to Psychological Therapy (IAPT) guidelines, by offering short term, NICE approved therapies at step 2 (guided self help) and step 3 (Cognitive Behavioural Therapy, Counselling for Depression, Interpersonal Therapy, Dynamic Interpersonal Therapy, Eye Movement Desensitization and Reprocessing).  We endeavour to help as many clients as possible, but in order to do so, we must ensure that clients who have a higher level of need than we can serve are quickly identified and action taken.

IAPT clients must have problems of mild to moderate severity, with no serious risk issues either current or within the last 3 months, be motivated for treatment and able to engage with short term psychotherapy and tolerate the increase in affect likely to occur within therapy.  We can only expedite cases where the client is a veteran, or pregnant or the mother of a child under 1. We do not conduct urgent sessions. Clients may self refer or be referred by health professionals. If you call to refer someone by phone, please include your name and contact number with your message.

 Conditions Treated by TMHD           

Conditions NOT Treated by TMHD           

Adjustment Disorder

Anger (unless secondary to anxiety or depression and low risk to self or others)


Bipolar Disorder

Generalized Anxiety Disorder

Body Dysmorphic Disorder

Health Anxiety

Chronic Lifelong Problems

Obsessive Compulsive Disorder

Dissociative Disorders

Panic Disorder

Eating Disorders


Personality Disorders

Post Traumatic Stress Disorder

Psychotic Disorders

Relationships Problems

Severe Functional Impairment


Substance Misuse

Barriers to accessing TMHD services

Incidents of violence to others, self harm or suicide within the last 3 months.

Problem drinking or drug use within the last 3 months.      

Suicide attempt or serious self harm in the last 3 months.

Open secondary care services, with the exception of clients who receive medication management only. This includes concurrent referrals to secondary or specialist care services.     

Clients with dementia.  

Clients who have been deemed unsuitable for TMHD within the last 3 months unless there has been a prior discussion between services and a rationale for this re-referral.

Clients who have had 2 episodes within the same treatment modality within the last year for the same problem. 

Clients who have not attended the last 2 appointments offered with no notice given.      


We request that professionals make referrals to us directly, rather than giving out our leaflets. We will liaise with you to discuss any inappropriate referrals and In these cases, we will ask you to contact the client to inform them of this fact. If we have not been able to reach you after several attempts, we will close the referral and send you a letter informing you of this fact.

We are happy to discuss any questions you may have about the suitability of a referral you are thinking of making, and you can call our main office number at 0300 123 0542 during business hours, option 3 and ask for the duty worker. Alternatively, you may contact the Gateway Worker for your area. These are:       

Gateway Workers

 Erewash  Marie Levesley
 Chesterfield and North East  Tracey Ford
 Darley Dales, High Peak and Amber Valley North and South Derbyshire  Mark Holtom
 Derby City and Amber Valley South  Selina Khunkhuna

Talking Therapies Referral Form