Inclusion criteria |
18 + years |
Men and women |
People who have self-harmed and/or are in psychological distress but do not meet the criteria for secondary mental health care referral of continuing help by support agencies |
People whose psychosocial assessment indicates that job loss, difficulties finding a job, benefit changes and/or sanctions (actual or fear of changes and sanctions), housing problems or debt and economic hardship as a result of financial problems were a contributory factor to their distress/self-harm |
Exclusion criteria |
People referred for secondary care specialist psychiatric community or inpatient services |
People with a support worker delivering similar or same support as HOPE workers |
People experiencing a psychotic episode, have thought-disorder or who are unable to give consent |
People with addiction as their primary problem |
People not fluent in English (due to insufficient funding for translation services) |
People living outside of the catchment area for the HOPE service |