Enhanced support for people in emotional distress

Programme described as “world leading”

All 31 Health and Social Care Partnerships have now signed up to a programme which supports people experiencing distress.

The Distress Brief Intervention (DBI) service was first launched as a pilot seven years ago and provides support to people who present to emergency services or in primary care settings in a distressed state. Since then, more than 75,000 people have been helped.

The programme can offer people an initial call within 24 hours. They are then provided with up to two weeks of one-to-one support with a specially trained practitioner to help address issues which might be contributing to their distress, such as money worries and relationship problems.

Frontline staff in Police Scotland, Scottish Ambulance Service, Accident and Emergency Depts, Primary Care and NHS24 can refer people who present to them in emotional distress – and if assessed as appropriate – to third sector organisations which provide compassionate and personalised support.

People in distress who speak to a call handler at NHS24, Police Scotland or the Scottish Ambulance Service can also be referred for DBI support, from anywhere in Scotland. 

Public Health Minister Jenni Minto said: “In developing our world leading DBI programme over 75,000 people across Scotland have received the right support at the right time and in the right place.

“This innovative referral pathway and collaborative approach has helped reduce pressures in the Scottish Ambulance Service, A&E and Police Scotland, allowing frontline staff to focus on other responsibilities. 

“By investing £24 million in the programme since 2016, the Scottish Government has ensured a Scotland-wide approach has been taken to help people cope when they are in a distressed state.  It is clear that this help provided to people is invaluable.”

Professor Rory O’Connor, Professor of Health Psychology at University of Glasgow, President of the International Association for Suicide Prevention and co-lead for the intervention and training components of DBI, said: “DBI is an incredible achievement.

“Tens of thousands of people in distress have received immediate, compassionate support since its launch in 2017. DBI is a remarkable team effort by colleagues up and down the country, driven by the shared purpose of delivering compassionate, connected support to people when they need it.

“I am so proud to be involved in this world-leading mental health intervention.”

Kirstie McCulloch, who received support and now works for DBI said: “I was experiencing severe panic attacks, anxiety, and depression, due to the Covid lockdowns. NHS 24 helped me when I had a severe panic attack, and I came off the call feeling less distressed. I still needed some support, so I was referred to the DBI service, which in my local area is run by SAMH.

“I was a little unsure initially, but the support was invaluable. By the end of the two-week service, I felt I had a better perspective on how to move forward. I asked my practitioner how they came into the role, and I knew this was something I would like to do for others.

“In the 18 months I have worked here, I have delivered compassionate support and helped people get back on their feet. I get huge satisfaction from this role.

Assistant Chief Constable Catriona Paton said: “Policing is often the first response when people need help. Our mission is to keep people safe and we’ll always respond to threat, harm and risk to ensure public safety.

“Our involvement in mental health incidents and supporting vulnerable people has a significant impact on this organisation and is beyond where policing should be. That’s not the best support for those who need help and it’s not delivering best value for the public.

“DBI enables trained officers to identify when someone needs support and signpost them to the right service, allowing them to redirect to tackling threat, harm and risk and preventing crime.” 

DBI programme: More support for people in emotional distress

More support will be available to people experiencing emotional distress following the expansion of the Distress Brief Intervention (DBI) programme to further local areas.

If someone presents as ‘in distress’ to emergency services or in a primary care setting, this programme can offer them a call from a trained operator within 24 hours. They will then be provided with up to two weeks of one-to-one support to help address issues which might be contributing to their distress, including, for example, money worries and relationship problems. 

NHS Ayrshire and Arran are the latest health board to launch a DBI programme, following the rollout of a local service in Inverclyde earlier this month. Since it began in 2017, the programme has been made available in ten Health and Social Care Partnership areas.

Mental Health Minister Clare Haughey said: “This is an innovative programme and, we believe, world-leading intervention which provides vital support to people experiencing emotional distress. It is a crucial part of the wide range of actions we are taking to improve public mental health and wellbeing.

“Since its launch in 2017 over 12,800 people have been referred for support and these new sites, in addition to the new pathway through the NHS 24 Mental Health Hub helpline, will help us expand this service across Scotland by 2024.”

Someone who has experience of the DBI programme is Pamela, who self-presented as in distress to her GP. Pamela (her name has been changed to protect identities) had experienced depression and anxiety for some time but was finding it difficult to manage due to an altercation with a neighbour who was verbally aggressive towards her.

Pamela said: “I cannot thank DBI enough for the help I have received from them. I feel less stressed and now have ongoing support in place for the future which has given me more confidence.

“I feel encouraged now to start doing things again that I enjoy, like hobbies and seeing family again. DBI has also improved my self-esteem and I now know that I am worth more than what I had been willing to accept previously.”

National DBI Programme Manager Kevin O’Neill said: “Our partners across Ayrshire and Arran and Inverclyde have shown incredible collaboration in support of building connected compassionate support for people in distress.

“We welcome our new regions to the growing DBI community and we look forward to working and learning with them in our collective programme of incremental growth and continuous improvement with the shared ambition of providing the best connected compassionate support possible.”

Distress Brief Intervention – Connected Compassionate Support | DBI.scot