Out of hours

Contact details for people in crisis

As always, the first point of contact for people who feel they may be experiencing a mental health problem should be their GP.

The way you access health care information, advice and services on the telephone has changed. The 0845 4647 service has been replaced by NHS 111 in England.
You should call the NHS 111 service if you need medical help fast, but it’s not a 999 emergency.

You will be assessed, given advice and directed straightaway to the local service that can help you best. Calls to NHS 111 are free from landlines and mobile phones.

Check which service is available in your area.

Service users who need to access crisis support out-of-hours should follow the instruction for their area:

Medway and Swale

Current service users should refer to their care plan and follow the advice in the section Crisis and Contingency Plan.

All other people (or where the above advice does not identify the best course of action) should contact the Medway/Swale Crisis and Resolution Home Treatment Team on 01634 830000 ext 3095 where a qualified mental health professional will advise on the best course of action.


For known service users and ex service users and carers:

For those individuals experiencing a crisis in their mental health (or someone they care for) and are unable to seek advice from their care team, it is advised that initial contact be made by telephone with the Crisis Team at Priority House. (01622 725000) Staff will be able to access relevant records related to the services being provided, or that were provided, and be able to offer more effective appropriate support and advice.

For individuals who are not known to the mental health services, or their carers.

It is advised that a first point of contact should be the On-Call GP services who will be able to undertake an initial assessment of your needs. This is especially important as you may have physical health needs that may be affecting your mental health. The On-Call GP will if appropriate be able then to make contact with the mental health services for further advice and support. Everyone is of course entitled to attend the local Accident and Emergency department for an assessment of their health. Please note that out of hours GP services do not have access to patients' general medical records and so are entirely dependent on information given to them by the patient or their carer.

Dartford, Gravesham and Swanley

Service users who are open to mental health services should contact the Crisis Resolution Home Treatment Team (CRHTT) on 01322 622222.  If they are not open to mental health services, then call NHS 111 who will provide the necessary advice and support. 

Where service users do not want to do this, but it seems to be an urgent situation, contact the Crisis Resolution Home Treatment Team (CRHTT) for advice.

South of West Kent

You should contact your local GP service. The GP can then, if they deem it necessary, contact the Crisis Resolution and Home Treatment Team (CRHT) to arrange for an emergency assessment to take place. Alternatively if the mental health crisis involves any self injury then you should present to the Accident and Emergency department for medical treatment and then if appropriate, the staff will contact the CRHT to undertake an emergency mental health assessment.

East Kent

Out of Hours (evenings, weekends and bank holidays) referrals to the North East Kent and South East Kent Crisis Resolution Home Treatment Teams (CRHT) may be made by GPs, Police, Ambulance Service, Social Services Out of Hours Team, Accident and Emergency Liaison Service, Mental Health Matters freephone helpline which is open from 5.00pm to 9.00am weekdays, and 24 hours a day weekends and bank holidays (tel: 0800 107 0160), NHS Direct or Mental Health Inpatient Services.

All service users and carers from South East Kent (Ashford/Dover/Deal and Shepway) who are receiving enhanced care can self-refer to the South East Kent Crisis Resolution Home Treatment Team. This is a pager service and the number is 07699 733903.

All service users and carers from North East Kent (Canterbury and Thanet) ) who are receiving enhanced care can self-refer to the North East Kent Crisis Resolution Home Treatment Team. This is a pager service and the number is 07699 746208.
Please leave your name and number. We will respond within 30 minutes and agree an appropriate response with you. This may be a crisis response or referral onto the locality Community Mental Health Team the following day.

Mental Health Matters Helpline

Confidential Emotional Support and Guidance

pdf icon Mental Health Matters Helpline flyer

Red telephoneMental Health Matters Helpline is a confidential service staffed by highly trained and experienced Telephone Helpline Workers, offering emotional support to anyone calling. It provides information on local and national services specific to Mental Health.

You do not need a diagnosed illness to call, people contact them about many different issues such as bereavement, relationship problems, loneliness/isolation and stress. Ongoing support is available, and they are also there for carers in need of support.


0800 107 0160

Other forms of support can be the

Samaritans on 08457 909090 or

RETHINK on 0300 5000 927