I couldn't agree more about the crapness of Community Mental Health [apart from a fantastic CPN who was obviously unusual]. The local [I've moved now] support team once hung up on me for being 'too negative' when depressed....! There is also the problem of the public panicking when people with mental health problems get into a bad situation. Many times i've warned people of things that might happen, and that calling an ambulance is a waste of everyone's time, yet when it did happen, lo and behold an ambulance was called. Having said that, I've also been sent home from casualty departments by Doctors who assessed me as high risk, only to be re-admitted in an ambulance a few hours or days later when I'd gone down there to save them the trouble of calling an ambulance later in the first place... Thankfully I'm lots better now (and despite being in London, not near your patch ;) Kim