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Mental Health Lifeline Welcomed for Western Isles
Published on 20 June 2025

Organisations across the Western Isles are uniting through the Distress Brief Intervention (DBI) programme, to build and provide connected compassionate support, helping Western Isles locals with crucial mental health support when they need it the most.
The Scottish Government Distress Brief Intervention (DBI) programme is a world first, starting as a pilot and now being rolled out across Scotland with the Western Isles as one of twenty Health & Social Care Partnerships with the programme already live.
The DBI Western Isles service, which started earlier this year, is for anyone aged 16 and over – where assessed as appropriate by trained staff – and has two closely connected parts, offering a service for people experiencing distress.
NHS Western Isles has commissioned this service through the Integrated Joint Board and the Outer Hebrides Alcohol and Drug Partnership.
Level 1 in the Western Isles sees front-line colleagues, such as the Police, Emergency Department staff, Paramedics, GPs, and the Community Mental Health Team, trained to ease a person’s distress. Where assessed as appropriate, and with the person’s agreement, they can then be referred to the DBI level 2 service, with the promise of support within 24 hours. In addition, anyone over 16, from anywhere in Scotland, including the Western Isles can also be referred to DBI if they contact NHS24, where DBI is appropriate.
Level 2 in the Western Isles is provided by Change Mental Health which is a third sector mental health organisation whose staff are trained and who contact the person within 24-hours of referral and provide around 14 days of support. DBI staff provide a compassionate response to the person in distress, problem solving support, support with wellness and distress management planning, which helps in both the short and longer-term, as well as connections to other agencies for additional support where appropriate.
National programme manger for DBI will be visiting the Western Isles with colleagues from Change Mental Health to spend some time offering training to be able to open up new pathways of referrals for partners and to host an open day for partners to be able to come along to hear about the local work around DBI from the practitioners working on the ground.
Welcoming Western Isles to the DBI community, national DBI programme manager Kevin O’Neill, said:
“I am looking forward to spending a few days hearing about all the impressive work that is taking place across Western Isles in support of the communities’ mental health, including DBI.
“I pay the highest tribute to our partners across the Western Isles who have shown outstanding commitment, collaboration and innovation to build connected compassionate support, that meets the needs of this very remote and rural island(s) community.
“We welcome Western Isles to the growing DBI community, which has already supported over 90,000 people across Scotland. We look forward to continuing to work and learn together with the aim of providing the best connected compassionate support possible to the people of the Western Isles.”
Nick Fayers, Chief Officer of the Western Isles Health & Social Care Partnership, who have overseen the Western Isles DBI development said:
“It has been a pleasure to work with the DBI National Team and the local partners to establish our DBI service and I am extremely grateful to everyone involved. DBI is a valuable addition to the mental health support services available in the Western Isles. The programme plays a key role in ensuring that individuals experiencing distress are given a compassionate, caring and timely response."
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- LAST REVIEWED ON: June 20, 2025