Factsheet: Midlothian Mental Health Strategy

This factsheet is available in a downloadable PDF here.

Table of Contents

Working Together
The Mental Health Service for Midlothian
Older People
Substance Misuse and Mental Health
Employment and Mental Health
Suicide and Self-Harm

This is a summary of the Midlothian Mental Health Strategy – you can download the full version here.

Working Together

The mental health service in Midlothian is delivered as an integrated service. This means that a range of health, social work and independent agencies work together to promote positive mental health and wellbeing, empowerment and social inclusion throughout Midlothian.


The ultimate aim of the partnership is to support recovery. In this case, a recovery focussed approach involves helping service users to access services and make the best of life’s opportunities.  Where appropriate, carers will also be supported to access relevant services.

Recovery involves enabling individuals to take charge of their own lives. To make sure this happens, individuals should be as well as they can be, and have access to the support services that they require.

Social inclusion is an important part of the recovery process. This means that people with long-term or recurring mental health problems are not isolated from the community. Instead, they are supported to get involved in the community, and to lead meaningful and valued lives.

The Mental Health Service for Midlothian

Under the wider-Lothian mental health strategy, it was decided that Midlothian would no longer have local inpatient mental health beds. The beds would instead be located in at the Royal Edinburgh Hospital. The number of available beds was also reduced.

The redesigned service includes:

A Joint Community Mental Health Team which includes health, social work and support staff located in the same building in Bonnyrigg. This team forms the core of the new service. They provide:

  • Assessment, crisis response and intensive home treatment
  • Support, care and treatment for people with serious illness and severe and long-term illness
  • Social and psychological interventions for people referred by GPs
  • The team also provide support to other services in the independent mental health sector in Midlothian. This means more people can be supported in the community
  • The team’s social work staff fulfil mental health officer (MHO) statutory duties, such as compulsory detainment under the Mental Health Act, among other tasks
  • The team operate from 9am until midnight
  • From midnight to 9am, health cover is provided by the proposed Lothian Unscheduled Care and Out of Hours service.

Park Cottage provides time-limited (about one year), intensively supported accommodation.

Park Cottage facilities are offered to people with complex needs who have been assessed by the Joint Community Mental Health Team. There are eight places available for this purpose. Park Cottage promotes increased independence and confidence.

Nursing home beds are also available to help care for people with complex needs. In addition, arrangements can be made for infrequent access to psychiatric rehabilitation beds in the Royal Edinburgh Hospital.

Increased access to housing and other accommodation options, including provision for young people with mental health problems, is an ongoing process.

Midlothian Wellbeing Interventions Network (MWIN) is an umbrella body which promotes and supports access to a range of interventions, therapies and support services that assist recovery and mental health promotion.

Older People

Services for older people with functional mental health problems are currently being reviewed and improved.

Substance Misuse and Mental Health

The Joint Mental Health Team works in partnership with the Midlothian Joint Substance Misuse Team to improve care for people with both mental health and substance misuse problems.

Employment and Mental Health

Employment, volunteering and other ways of contributing towards the community are critical factors in supporting people to retain or rebuild their lives following mental ill health.

Suicide and Self-Harm

The Choose Life initiative has arranged training for hundreds of people in suicide prevention and allowed funding for a number of short term projects addressing suicide and self-harm.

Projects include:

  • Work with young people to promote positive mental health and reduce the risk of suicide
  • Psychological intervention to reduce deliberate self-harm
  • Work with people with mental health problems to increase wellbeing and reduce the risk of suicide.

Midlothian Council has developed the Midlothian Employment Action Network (MEAN), to address employment issues for people with a range of needs.

Funding is also provided to Midtext specifically for work with people with mental health problems.

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