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GLOSSARY OF KEY WORDS AND TERMS

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Academic Health Science Centre

An organisation that provides health care to patients and which undertakes research. An AHSC usually provides teaching and education as well.

Accountable officer Usually the Chief Executive who is responsible for maintaining sound internal controls to support the achievement of the Trust’s objectives and to review Trust effectiveness.

Acute Services (usually in-patient), which treat patients for a certain condition for a short time.

Activity Model Model based on commissioned service provision for e.g. OccupiedBed Days

ADHD Attention Deficit Hyperactivity Disorder.

Advocacy A dictionary definition of ‘advocacy’ tells us that an advocate is:

Citizen Advocacy: means speaking up for someone else. Unpaid volunteers who try to represent the interests and concerns of their partner as if they were their own, but do not make decision for their partner. They must be independent of people providing care or services for their partner.Legal Advocacy: possibly a solicitor or a barrister or an advice worker. They give advice so that people can speak up for themselves.Collective advocacy: a group of people working together to speak out for what they want. Some organisations undertake collective advocacy, e.g., MENCAP, Mind, Cambridgeshire Independent Advocacy Service, trade unions.Peer advocacy: help and support from people with a similar background or experience to your own.Professional advocacy: someone who is paid to provide support and advice, independent of any services used. They will have professional skills and knowledge and a good knowledge of local services.

Agenda for Change The new NHS pay system that ensures fairer pay and a clearer pathway for career progression

Alzheimer's Disease Alzheimer's disease is the most common form of dementia, which describes the loss of mental abilities, such as memory and reasoning.

Amortisation The depreciation of intangible assets

Anorexia Anorexia nervosa is an eating disorder and a mental health condition. People who have anorexia have problems with eating. They are very anxious about their weight. They keep it as low as possible, by strictly controlling and limiting what they eat.

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Anti-psychotic drugs Drugs used to treat psychosis, including schizophrenia and mania. They also have tranquillising effects reducing agitation.

Approved Mental Health Professional

Someone who has had specific training in the legal aspects of mental health assessment and treatment. AMPHs are approved by their local authority social services department to organise and carry out assessments under the Mental Health Act 1983 (MHA).

Approved social workers(ASWs)

Now Approved Mental Health Practitioners (under Mental Health Act 2007)

Social workers specifically approved and appointed under Section 114 of the Mental Health Act 1983 by a local social services authority ‘for the purposes of discharging the functionsconferred upon them by this Act’. One of the most important is tocarry out assessments under the Act and to function as applicant in cases where compulsory admission is deemed necessary. Before being appointed, social workers must undertake post- qualifying training approved by the Central Council for Education and Training in Social Work (CCETSW).

Area Child Protection Committee (ACPC)

Members from all local statutory agencies working with children, with an independent chair who must ensure that all children are protected from significant harm, including responsibility for establishing good local policies and practices and ensuring they are adhered to.

Art therapy Difficult feelings can often be more easily accessed through using imagination and creativity rather than thinking and talking. In art therapy sessions, you are encouraged to freely express your difficult thoughts and feelings using a variety of materials. This can help you to understand difficult feelings, and to change patterns of how you relate them to yourself, and to others. Music therapists, drama therapists and dance and movement therapists work in a similar way using other forms of expression.

Assertive outreach /assertive community treatment/intensive case management

Ensuring those most in need of specialist mental health care remain in touch with services.

Assurance Framework A system for risk management based on mitigation of risk around the Trust’s key strategic objectives.

The Assurance Framework provides organisations with a simple but comprehensive method for the effective and focused management of the principal risks to meeting their objectives. It provides a structure for the evidence to support the Statement of Internal Control.

There are four key elements:• Principle objectives• Principle risks• Key controls• Assurance and coordination

Atypical (novel) antipsychotic drugs

Range of newer and more expensive antipsychotic drugs used in the treatment of psychosis, most commonly schizophrenia

Audit Commission Appoints and regulates the external auditors of statutory authorities, including the NHS. Role to promote proper stewardship of public finances and helping managers to achieve economy, effectiveness and efficiency.

Audit Committee Trust’s own committee monitoring Trust’s performance, probity and accountability.

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Auditors Undertake detailed examinations of all aspects of health care performance, including financial performance.

Autism Spectrum Disorder (ASD)

Autism spectrum disorder is a behaviourally defined syndrome characterised by communication impairments, social interaction problems and unusual interest patterns and/or stereotyped behaviour. It occurs in about 1% of children and often gives rise to serious lifelong disabilities that cause considerable suffering and distress to individuals and their families.

Benchmarking A process to examine how results are achieved in order to bring an organisation’s performance in line with the best.

Board Committee Committee of the Board with a remit for a specific purpose eg., Audit and Assurance Committee

Board of Directors Made up of a Chair, Non-Executive and Executive Directors, the body responsible for the strategic direction, leadership and day- to-day management of the Trust. In a Foundation Trust, theBoard of Directors would be accountable to the Board ofGovernors.

Caldicott Guardian Each NHS organisation has a nominated ‘Caldicott Guardian’responsible for ensuring the Trust complies with the Caldicott principles. These aim to ensure the protection of patient’s right to privacy, dignity and confidentiality.

Cambridgeshire Children's Trust

Cambridgeshire Children's Trust is a partnership that brings together all organisations that work with children, young people and families in a shared commitment to improving children's

Cambridgeshire IndependentAdvocacy Service (CIAS)

Local organisation covering Peterborough and Cambridgeshire providing a full range of free and independent advocacy services. (See advocacy).

CAMEO Cambridge early intervention service.

CAMHS Child and Adolescent Mental Health Services for persons up to17 years of age

Care co-ordinator/key worker The person who is responsible for making sure that your care is properly planned and you get the help you need. They will usually work with a community mental health team and will be the person you see most often. They will usually be a Community Psychiatric Nurse, social worker or occupational therapist.

Care pathway Patient’s journey through primary care, specialist and community services to discharge/continuing care.

Care plan A plan for your care over the next few weeks or months. It should be written down and you should have a copy. If you think it is wrong, or something is missing, you can ask for it to be changed.

Care Programme Approach (CPA) / care management

The CPA provides a framework for care co-ordination. The main elements are a care co-ordinator, a written care plan, and at higher levels regular reviews by the multi-disciplinary team and integration with the care management system. Involves assessment of need, care planning and the organisation of care packages within available resources.

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Care Quality Commission The CQC is the independent regulator of health and social care in England. It regulates care provided by the NHS, local authorities, private companies and voluntary organisations. It aima to make sure better care is provided for everyone - in hospitals, care homes and people's own homes. It also seeks to protect the interests of people whose rights are restricted under the Mental Health Act.

CAS Contained Air Solutions - safety cabinets used to hold or contain micobiological samples.

Caseload A volume or list of patient referrals belonging to a healthcare professional.

CBT Cognitive Behaviour TherapyCCG Clinical Commissioning Groups are groups of General Practices

that work together to plan and design local health services in England. They do this by 'commissioning' or buying health and care services.

C-Diff Clostridium Difficile - a type of bacterial infection that can affect the digestive system.

Chair A Non-Executive Director who provides leadership to the Board of Directors and, together with the Chief Executive, is the leading representative of the organisation. Within NHS FoundationTrusts the Chair is appointed by the Council of Governors and alsochairs the Council of Governors meetings.

Chaplain The Trust chaplaincy service can help you to contact an appropriate representative of your faith. There are chapels at some of our sites that can be used for private prayer or religious services.Edit ProfileChoose and Book Enabling patients to book appointments at point of referral with a choice of time and date.

CIP Cost Improvement Programme to deliver cash releasing efficiency savings

Clinical Governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care.

Clinical trial A research study to answer specific questions about new therapies or new ways of using known treatments. Clinical trials are used to determine whether new drugs or treatments are both safe and effective.

Clinician A term which is used to describe someone who provides care and treatment to patients, such as a nurse, psychiatrist or psychologist.

CMHTs Community Mental Health Teams

Cognitive Analytic Therapy (CAT)

A 'talking treatment' which helps you to see how early relationships and experiences have affected how you see yourself, other people and how you behave. It usually takes about 16 weekly sessions and focuses on a problem that is important for you.

Cognitive Behaviour Therapy (CBT)

A form of psychological therapy based on learning theory principles used mostly in depression but increasingly shown to be a useful part of the treatment for schizophrenia.

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Commissioning Identifying health needs of local people, planning and purchasing health services which respond to their needs. Primary Care Trusts are responsible for deciding what services their local residents need from the NHS and buy these services with public money from the most appropriate providers.

Commissioning for Quality and Innovation (CQUIN)

The CQUIN payment framework enables commissioners to reward excellence, by linking a proportion of English healthcare providers' income to the achievement of local quality improvement goals.

Community care A network of services provided by the NHS, social services and volunteers designed to keep people independent, and to supportelderly people or people with mental health problems or learning disabilities who might previously have been in Community mental health team Multi-disciplinary team offering specialist assessment, treatment and care to people in their own homes and the community.

Community Psychiatric Nurse (CPN)

A nurse who has been trained to help people with mental health problems and who works in the community, instead of in a hospital.

Co-morbidity The simultaneous presence of two or more disorders, often refers to combination of severe mental illness, substance misuse, learning disability and personality disorder. The term dual diagnosis or complex needs may also be used.

Complementary therapies A wide range of treatments which can add something to conventional treatment - eg, Reiki, Indian head massage, aromatherapy, dance and movement etc.

Constitution Describes type of organisation and main purpose. It defines membership and may describe how the Trust will be run – eg, the type of meetings to be held and the powers of Officers andGovernors.

Consultant Psychiatrist The medical doctor with specialist experience and qualifications in mental illness and emotional disorders that has overall responsibility for your care. This includes your medication and other activities you may take part in whilst in hospital.

Contacts Patient contact details or contact times - eg, face-to-face meetings, first assessment. Or details of family or friends who may provide a point of reference in support of patient care.

Corporate governance The system by which organisations are directed and controlled. The principles of corporate governance are openness, integrity and accountability.

CPA Care Programme Approach for case management of service users

CPD Continuing Professional Development

Crisis resolution/home treatment service (CRHT)

New models of care for people with severe and enduring mental illness.

DAAT Multi-agency Drug and Alcohol Action Teams.

Dementia Dementia is a syndrome (a group of related symptoms) that is associated with an ongoing decline of the brain and its abilities.

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Depression A negative mood state which involves a feeling of sadness. Severe depression can reach the criteria for an affective disorder and require treatment.

DoH Department of Health.DiP Drug Intervention Programme ( Multi-agency)Disengagement Loss of contact with services by the service user.DNA Did not attend. Used to indicate if a person did not attend a

scheduled meeting, activity or engagement.DQ Data quality.DSD Delayed Service Discharge - the circumstance when an inpatient

who has been judged clinically ready for discharge but who continues to occupy a bed beyond the discharge date - eg, whilst waiting for community care services or services for carers, etc.

Early intervention service Services offering prompt interventions to young people experiencing their first episode of psychiatric illness. Earlier interventions are associated with better outcomes.

Eating disorders (Include anorexia and bulimia nervosa.) Tend to have early onset in childhood or adolescence. Anorexia nervosa involves a distortion of body image, people carefully restrict intake of calories, and are markedly underweight. Bulimia nervosainvolves episodic binges of over-eating, self-induced vomitingand can lead to severe physical complications.

Equal opportunity Aims to ensure the workforce is representative of the local community.

Executive Director(s) Senior employees who sit on the Board of Directors. ExecutiveDirectors have decision-making powers and a defined set of responsibilities for the day-to-day running of the Trust. The Chief Executive is held accountable for the performance of the Trust.

Family/ Systematic Therapy Difficulties in relationships with your family, partners and friends can be bad for your mental health. If this is the case, a family or couple can be seen together. The therapy helps people to see both their strengths and limitations and to try different ways of getting on together. Family therapy can be helpful if the mental illness of a family member affects the rest of the family.

FDT First Definitive Treatment - the first clinical intervention intended to manage a service user's disease, condition or injury and avoid further clinical interventions.

Forensic Service Specialist health services for offenders with mental health problems.

Foundation Trust status A new kind of public service organisation. Based on mutual traditions, they are established as ‘public benefit corporations’ with new freedoms to innovate and forge partnerships in the public interest and governance arrangements designed to help trusts better reflect the needs of the communities they serve.

Freedom of Information The Freedom of Information (FOI) Act 2000. The Act supersedes the Code of Practice on Access to Government Information 1997(the Code of Practice) Freedom of Information Act 2000

General Practitioner Your local doctor - or family doctor - who will usually be the first person you see if you have a physical illness or emotional problem. They can help you directly but can also refer you on for specialist care or assessment. Many GPs have a community psychiatric nurse, psychiatrist or counsellor who works at the GP surgery.

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Key Performance IndicatorsLead Governor and DeputyLead Governor

Members of the Council of Governors of an NHS Foundation Trust who help the working of the Council of Governors and facilitate appropriate discussions with the Chair. The Deputy Lead Governors supports the Lead Governor and takes on responsibilities of the Lead Governor when they are unavailable.

Learning Disabilities If someone has a learning disability, it means that they may find it more difficult to learn, understand and communicate. Learning disabilities are not a "mental illness", but can be caused by many illness or problems before or during birth, or that develop during childhood or as the result of an illness.Learning Disability

Partnerships (LDPs)Responsible for commissioning and providing health and social care services for all adults with a learning disability. The LDPBoards in Peterborough and Cambridgeshire were set up in2001. They bring together a range of partners, including people with a learning disability and their family carers, with a responsibility for implementing the programme of developments from the White Paper ‘Valuing People’.

LINKs (Local InvolvementNetworks)

Introduced in April 2008, a Local Involvement Network for eachLocal Authority area will gather and represent views of local people

Local Strategic Partnerships A single body bringing together at local level the different parts of the public sector, private, business, community and voluntary sectors to support each other and work together to improve the economic, social and environmental well being of the local population.

Looked After Children (LAC) Looked After Children are provided with somewhere to live by social services for more than 24 hours, as a result of a court order, or after agreement with their parents. Children become 'looked after' when their birth parents are unable to provide ongoing, temporary or permanent, care.

MAPPA Multi-Agency Public Protection (Panel) ArrangementsMedium Secure Unit Medium-Secure Units, also known as MSUs, provide hospital care

for people with complex mental health problems who may have become involved in the criminal justice system.

Mental disorder Mental Health Act 1983 definition: “mental illness, arrested or incomplete development of mind, psychopathic disorder and any other disorder or disability of mind”.

Mental health An individual’s ability to manage and cope with the stresses and challenges of life.Mental Health Act 1983 Concerns the reception, care and treatment of mentally disordered persons, the management of their property and other related matters.

Mental Health Act Committee This body ensures the compliance with the Mental Health Act 1983 throughout the Trust encompassing advice on policies and procedures.

Mental health organisations Health and social care commissioners and providers of specialist mental health care, including independent sector providers.

MHMDS The Mental Health Minimum Data Set MHMDS contains record-level data about the care of adults and older people using secondary mental health services.

Group Therapy Any form of psychotherapy can be done in a group. Some groups are very brief, focused and educational (such as parent training groups), while others are unstructured and may last for several years (such as group analytic therapy). All groups make use of the input from other group members as well as the group leader to help people understand and change their thoughts, feelings and behaviours.

Health and Social Care (HASC) Scrutiny Committees

Local Authority scrutiny committees made up of councillors and members – responsible for reviewing local services. Specifically health overview and scrutiny committee reviews performance of local health services.

Healthcare Associated Infections

These are infections that occur in a health care setting that were not present before the patient entered the care setting.

Healthcare professional Generic identification of CPFT staff who are qualified to administer mental health or community health care services.

Health of the Nation Outcome Score (HoNOS)

A way of measuring how well someone is doing in their treatment and recovery.

Healthcare governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care.

Health promotion Giving people and communities the resources and information they need to make choices about their help and to make their environment safer.

Healthcare governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care

Home treatment Treatment may be offered in user’s home rather than in a clinic. Frequent home visits by a Community Mental Health Team (CMHT) can avoid some hospital admissions and provide supportto informal carers. Should be available at weekends and duringevenings.

ICT Information, communication and technology.IGT Information Governance Toolkit - an online system that allows

NHS organisations and partners to assess themselves against Department of Health information governance policies and standards.

Improving Access to Psychological Therapy

The Improving Access to Psychological Therapies (IAPT) programme aims to improve access to talking therapies in the NHS by providing more local services and psychological therapists. IAPT services have now been set up across the NHS.

Improving Working Lives (IWL) An NHS accolade recognising achievement of a set of national standards focusing on implementation of modern employment practices and providing staff with a flexible work/life balance.

INCA The Integrated Compliance Assessment tool used by internal governance to record compliancy record for the Trust.

Integrated Compliance Assessment tool (InCA)

The Integrated Compliance Assessment tool (InCA) was introduced during the course of the year to support the assessment of our compliance position against the CQC outcomes and support the overall awareness-raising of essential standards across our wards and community teams. The tool encompasses all the requirements of the CQC standards along with the transformation tools and standards that were developed as part of our turnaround programme.

Incidence The number of people who get a particular illness or suffer a particular disability.

In-patient Someone who stays in hospital to receive care and treatment.

Independent sector Voluntary sector, charitable and private care providers.Intermediate care Care provided as an alternative to in-patient carer. Also allows

patients to be safely discharged from hospital and complete their recovery at home or other suitable place.

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Modern Matron The Modern Matron role is a new nursing role that was announced in the NHS Plan. A Modern Matron is a skilled, clinically experienced nurse who is empowered to bring about improvements to the patient experience in inpatient settings. The Modern Matron role provides nursing and multi-disciplinary leadership to a ward or a small group of wards and will build on the strengths and good practice within inpatient nursing care. Modern Matrons will be visible, accessible and focused on improving the experience of service users.

Morbidity Illness or disability.

Monitor An independent body that regulates NHS Foundation Trusts.

MRSA Methicillin-resistant Staphylococcus Aureus - a type of bacterial infection that is resistant to a number of widely used antibiotics.

Multi-disciplinary team A team of health and social care staff. It includes professionals such as nurses, doctors, social workers, psychologists and benefits workers. It can also include service users and non-professionals in certain jobs.

Named nurse A team of health and social care staff. It includes professionals such as nurses, doctors, social workers, psychologists and benefits workers. It can also include service users and non-professionals in certain jobs.

Never event Never events are serious, largely preventable patient safety incidents that should not occur if the available preventative measures have been implemented.

NHS Direct 24 hour nurse-led service providing confidential health care advice and information. Works collaboratively with other health organisations.

NHS Trusts Provide most NHS services, through annual agreements with Primary Care Trusts.

National Institute for Health and Care Excellence (NICE)

NICE is responsible for promoting clinical excellence and cost-effectiveness and producing and issuing clinical guidelines to ensure that every NHS patient gets fair access to quality treatment.

National Service Frameworks (NSFs)

Bring together the best clinical and cost-effective evidence to determine the best ways of providing particular services. They set national standards and define service models for a specific service or care group, support implementation of the standards and establish timescales for development.

NVQ National Vocational Qualifications

OCD Obsessive compulsive disorder (OCD) is a chronic mental health condition that is usually associated with both obsessive thoughts and compulsive behaviour.

Group Therapy Any form of psychotherapy can be done in a group. Some groups are very brief, focused and educational (such as parent training groups), while others are unstructured and may last for several years (such as group analytic therapy). All groups make use of the input from other group members as well as the group leader to help people understand and change their thoughts, feelings and behaviours.

Health and Social Care (HASC) Scrutiny Committees

Local Authority scrutiny committees made up of councillors and members – responsible for reviewing local services. Specifically health overview and scrutiny committee reviews performance of local health services.

Healthcare Associated Infections

These are infections that occur in a health care setting that were not present before the patient entered the care setting.

Healthcare professional Generic identification of CPFT staff who are qualified to administer mental health or community health care services.

Health of the Nation Outcome Score (HoNOS)

A way of measuring how well someone is doing in their treatment and recovery.

Healthcare governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care.

Health promotion Giving people and communities the resources and information they need to make choices about their help and to make their environment safer.

Healthcare governance How we make sure we carry out treatments safely and effectively and encourage a culture of excellence in our staff to continuously improve quality of care

Home treatment Treatment may be offered in user’s home rather than in a clinic. Frequent home visits by a Community Mental Health Team (CMHT) can avoid some hospital admissions and provide supportto informal carers. Should be available at weekends and duringevenings.

ICT Information, communication and technology.IGT Information Governance Toolkit - an online system that allows

NHS organisations and partners to assess themselves against Department of Health information governance policies and standards.

Improving Access to Psychological Therapy

The Improving Access to Psychological Therapies (IAPT) programme aims to improve access to talking therapies in the NHS by providing more local services and psychological therapists. IAPT services have now been set up across the NHS.

Improving Working Lives (IWL) An NHS accolade recognising achievement of a set of national standards focusing on implementation of modern employment practices and providing staff with a flexible work/life balance.

INCA The Integrated Compliance Assessment tool used by internal governance to record compliancy record for the Trust.

Integrated Compliance Assessment tool (InCA)

The Integrated Compliance Assessment tool (InCA) was introduced during the course of the year to support the assessment of our compliance position against the CQC outcomes and support the overall awareness-raising of essential standards across our wards and community teams. The tool encompasses all the requirements of the CQC standards along with the transformation tools and standards that were developed as part of our turnaround programme.

Incidence The number of people who get a particular illness or suffer a particular disability.

In-patient Someone who stays in hospital to receive care and treatment.

Independent sector Voluntary sector, charitable and private care providers.Intermediate care Care provided as an alternative to in-patient carer. Also allows

patients to be safely discharged from hospital and complete their recovery at home or other suitable place.

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Occupational Therapist (OT) The person who will work with you to develop your skills and confidence in everyday life - including work, social and leisure activities and personal care.

OPMHS Older People’s Mental Health Service

Overview and ScrutinyCommittees

See Health and Social Care Scrutiny Committees.

Patient Advice and LiaisonService (PALS)

Complementary to existing services, the Patient Advice and Liaison Service (PALS) provides service users, their carers and families with help, information and support to resolve concerns quickly and efficiently. Every NHS organisation will have a PALS to support atients and the public.

Patient Environment ActionTeams (PEAT)

These teams are part of a national programme to assess and improve cleanliness, safety, privacy and dignity of inpatient careareas within NHS services. All Trusts are assessed and scoredby these teams as part of an annual programme. These scores form part of the performance framework for Trusts. Services that pass at a certain level can move on to environmental self- assessment.

Payment by Results (PbR) Payment by Results (PbR) provides a transparent, rules-based system for paying trusts. It will reward efficiency, support patient choice and diversity and encourage activity for sustainable waiting time reductions. Payment will be linked to activity and adjusted for casemix.

Personality disorder Covers a variety of clinically significant conditions and behaviour patterns, which tend to be persistent from childhood or adolescence. May co-exist with other mental disorders.

Pharmacist Someone who has expert knowledge of the use of medicines. They work closely with doctors and nurses and advise them on the safe and effective use of drugs. They are responsible for supplying medication and making sure it is available in the right form.

Phobia A phobia is an extreme or irrational fear, for example a fear of heights or animals. Phobias are estimated to affect 1 in 40 adults a year.

PI Performance indicator.

PICU Psychiatric Intensive Care Unit

Post-Traumatic Stress Disorder If you have experienced a traumatic event, you may develop post-traumatic stress disorder (PTSD) in the days, weeks or months after the incident. Although such events can be very difficult to come to terms with, confronting your feelings and seeking professional help is often the only way of effectively treating PTSD.

Post-natal depression The birth of a baby is an emotional experience and, for many new mothers, feeling tearful and depressed is also common. However, sometimes longer periods of depression, known as postnatal depression (PND), can occur during the first few weeks and months of the baby's life. PND can have a variety of physical and emotional symptoms, but it can be treated.

Primary care Care provided through Primary Care Trusts.

Primary Care Trusts (PCTs)Groups of local doctors and community services with resources for commissioning health care for their practices’ populations.

Private Finance Initiative (PFI)A government-led programme to enable the private sector to become involved in the provision of facilities which will then be run by the NHS.

Providers and providing Hospital trusts, GPs, voluntary organisations and sometimes private institutions that provide the health according to contract with the Strategic Health Authority or Primary Care Trust.

Psychiatrist A medical doctor with specialist experience and qualifications in mental illness and emotional disorders. He or she has overall responsibility for your care. This includes any medication you may take, and any activities you may be involved in whilst in hospital, or in the community.

Psychologist Someone who has done a psychology degree, then further training in helping people with emotional or psychological problems. Psychologists can offer you therapy which involves talking about your difficulties and working together to overcome them. They are different from psychiatrists in that they are not medically trained and do not prescribe medication.

Psychological therapies Talking therapies, including psychotherapy, counselling, family therapy and cognitive-behaviour therapy.

Psychosis A period of illness when people suffer from thought disorder, hallucinations or delusions.

Psychotherapist Someone who has trained to carry out one or more of the psychotherapies. They can be from any professional background - or none. They should be registered with a professional psychotherapy organisation in the UK.

Psychotropic drugs Medication used in the treatment of mental disorder.R&D Research and Development.Recovery oriented care A system of care that focuses on people and outcomes and

combating the stigma associated with mental healthRecovery Principles The concept of recovery was developed by service users. One

service user describes recovery as “rediscovering meaning andpurpose after a series of catastrophic events, which mental illness is, it doesn’t necessarily mean being symptom free”.

Referral Patient referrals provided to CPFT from an external source - eg, doctors' surgery, another Trust or hospital, police, army or other medical service agency.

Regional Secure Units (RSUs) Medium-secure units for people who are thought to pose special risks, particularly violence to others.

Rethink A mental health membership charity working to help everyone affected by severe mental illness recover a better quality of life.

Risk management Risk management places special emphasis on identifying circumstances which put users, carers and staff at risk of harmand then acting to prevent or control those risks. This helps us to improve the quality of care we provide.

Root cause analysis (RCA) Systematic process to analyse the causes of incidents, learn from them and where possible reduce the risk of recurrence.

RTT Referral to treatment. Time taken for a patient to be refered to an

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