Referring for Further Services

There may be times when you need to refer people to mental health services e.g., if there is a big change in their behavior, they cannot take care of themselves and others or cannot work as normal. Try not to take control and allow them to make decisions unless you believe they are in immediate danger or they have injuries that need medical attention.

You should consult your supervisor if you notice one or more of the following behaviors while talking to someone:

1. Feeling sad or withdrawn for 2+ weeks;
2. trying to harm oneself or making plans to do so;
3. feeling sudden fear, a racing heart or fast breathing;
4. fighting or wanting to hurt others;
5. throwing up, not eating, or doing other things to lose weight;
6. intense fears that get in the way of daily activities;
7. extreme difficulty concentrating;
8. use drugs or alcohol;
9. severe mood swings that cause problems in relationships;
10. drastic changes in behavior or personality.

The stigma associated with mental health problems may cause people not to seek support for mental health conditions. Offer your support by going with them to the health facility and reassure them that feeling stressed and anxious is normal and that help is available. Have a list of organizations and other community resources that provide support to share with those who may need mental health services. Share with people the local emergency number and advise them to call should they or anyone in their family or community need urgent mental health help.