1. GP, ICP, Case Conference, A&E
People with comorbid mental health issues affecting their respiratory disease
Immediate /high risk
GP, ICP, Case Conference, A&E
Respiratory Team
A&E, Duty CMHT, CRHT
Tier 1
Tier 2
Tier 3
IAPT
Clinical/ Counselling Psychologist
Psychiatrist
Known to CMHT
Severe PHQ9 and GAD7;
Patient’s choice
Increased risk
Need for our involvement
Immediate Risk
Group Therapy
Face to face Therapy
Complete Rx & Discharge
A&E, Duty CMHT, CRHT
Phone advice
Face 2 face review
Case Conference
CMHT