CPN.
Normally I work in the referrals and assessment team, receiving new referrals, triaging them, assessments, then signposting on e.g. to CMHTs, psychotherapy services etc. But a lot of secondary services like psychotherapy closed their waiting lists, and a lot of people stopped going to the GP with non urgent referrals so the workload was reduced. Urgent referrals go to the Crisis Services which is separate.
I was asked if I could help with the depot clinic. Depots are slow release injections of anti psychotic medication given at regular intervals, a bit like injectable contraception. It involved going into patients homes daily. I really enjoyed it, loved getting out every day, different to spending most of my day on the phone or computer. It was quite saddening at times though. We as a society have failed people with long term mental health issues. Many of them lived in bare, dirty flats. One of the symptoms of chronic schizophrenia is social isolation. When I asked patients how they were dealing with lockdown, while a few said 'I'm missing my mum/going to church/whatever' many said "don't bother me, I never go out anyway. " They'd only nip out to thdd shop for tobacco, bread, milk etc anyway. Imagine your whole life being one long lockdown. There's very little out there for them any more, no day centres/day hospitals, drop in services where they could call in for a cup of tea and a chat, nothing.
Our referrals are going up again, and I'm now pt in my own role and pt in the depot clinic. From July I'll be back ft in my own role. I will miss those clients. I've always enjoyed working with them but don't want to be a care coordinator as I hate doing care packages, personal budgets, housing panels etc. But ask me to do injections or encourage patients out to the limited services there are and I'm as happy as a pig in muck.