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Help in a crisis


If there is an immediate danger to life, please dial 999 or go to your nearest Accident and Emergency Department.

I am in Gloucestershire

If you or someone you know needs help in a mental health crisis, call our crisis teams.

Call 0800 169 0398.

And choose one of the following options depending on your location:

  • Option 1 for Stroud and Cotswolds
  • Option 2 for Gloucester and Forest
  • Option 3 for Cheltenham, Tewkesbury and North Cotswolds

Please note: telephone calls may be recorded. If you do not want that to happen, please tell the person who answers your call and they will phone you back on a ‘non-recordable’ telephone.

The number is available 24 hours a day, 7 days a week.

Occasionally, callers may be asked to leave their name and number on an answerphone. In these circumstances, staff will return the call within one hour.

I am in Herefordshire

If you are in Herefordshire and need support, please call us using one of the following numbers:

  • Monday to Friday, 9am – 5pm, please contact the team or service who currently provide your care.
  • Monday to Friday, 5pm – 9am and 24 hours on weekends and bank holidays, please call our Mental Health Matters Helpline on: 0800 015 7271

These contact numbers are for people already in contact with our services. If you are not currently in contact with us, please call 111 or your GP.

Our out of hours, weekend and bank holiday service is provided by Mental Health Matters.

If you need help but are not in crisis, please contact your GP if in opening hours, or 111. If you don’t have a GP use the NHS service search to locate the nearest one to you. If your query is not urgent, you can find our contact details here.

Are you feeling vulnerable? Do you need to talk to somebody now?


Call free on 116 123
If you are experiencing feelings of distress or despair, including those which could lead to suicide, you can call the Samaritans.

Stay Alive App

A pocket suicide prevention resource for the UK, packed full of useful information and tools to help you stay safe in crisis. You can use it if you are having thoughts of suicide or if you are concerned about someone else who may be considering suicide. The app can be accessed through the Apple Store, Google Play and downloaded as a pdf.


Call free on 0800 11 11
If you are a child or a young person you may want to speak to Childline.


Call 0808 816 0606
Or text 07537 410 022
A safe, supportive, non-judgmental and informative service for people who self harm, their friends, families and carers.
Open every day 5pm – 10pm for phone and text support.


Text 85258
Shout is the UK’s first 24/7 text service, free on all major mobile networks, for anyone in crisis anytime, anywhere. It’s a place to go if you’re struggling to cope and you need immediate help.

Children’s Occupational Therapy Referral Form


Requests for support are accepted where children have significant difficulties impacting on their participation in activities of daily living which are not in line with their developmental age.

Appropriate intervention in the form of education and empowerment of those nearest to the child is evidenced as best practice. Further assessment may be offered based on needs to increase independence and/or support parents/ carers in assisting their child in activities of daily living.

Requests are also accepted from parents/carers for an assessment of need for children with a permanent and substantial disability.

An assessment of a child’s needs relating to housing will be offered where there are significant housing needs where the child does not have safe and appropriate access to bedroom, bathroom, toilet, main family living area, garden, in/out of the property.

Children’s occupational therapists are trained to look at a child/young person in their environment and the everyday tasks they need and want to do.

The occupational therapist has specialist skills in task analysis and in looking at the person holistically. We consider how underlying skills such as
motor and visual perceptual skills, as well as medical conditions, motivation to do a task, and cognitive ability in line with developmental age.  Furthermore we consider how the child is processing stimuli as well as how environmental factors impact on the child’s ability to do the task.
Consequently sensory processing is one tool which can be used within the occupational therapy assessment and the trained therapist decides on the appropriate course of intervention based on the needs of the child on assessment.