Trigger points for a GP referral to a mental health nurse

• New or recent diagnosis of patient with type 2 diabetes
• Patient has difficulty in adjusting to the diagnosis
• Patient develops risk factors for the development of a mental disorder
• Patient has depression and/or anxiety, either pre-existing or in association with the physical condition
• Patient has a pre-existing mental disorder
• Mental state is such that ongoing monitoring is required

Trigger points for a mental health nurse referral to a GP

• Deterioration in physical health
• Significant deterioration in mental health requiring referral to a psychiatrist
• Regular medical review