2nd Edition - May 2010 Acknowledgments This booklet, which has been developed by the Mid West Mental Health Alliance, has drawn on information from a number of publications developed in recent years. These publications and their authors are kindly acknowledged below: • An Introduction to Victoria’s Public Clinical Mental Health Services Department of Human Services • Information for Consumers and Carers - North West Area Mental Health Service • Information for Consumers and Carers - St Vincent’s Mental Health Service • More About Psychiatric Services - Outer East Area Mental Health Service • Referral Guide - Information for primary care providers wanting to access mental health services - Mid West Adult Mental Health Service (Primary Mental Health Team) • The Gateway - Werribee Mercy Mental Health Program • TIPS - Mid West Area Mental Health Service The following partner agencies of the Mid West Mental Health Alliance are also gratefully acknowledged for their input into the development of this resource: The information contained in this booklet is true and correct at the time of printing, however, agency and contact details are subject to change. Information relating to legal advice should not be used in replacement of expert advice as social security laws and procedures change frequently. © NorthWestern Mental Health - 2010 Please visit: www.nwmh.mh.org.au (Partnership Projects) to download the latest version of the guide and other useful Alliance resources. A guide to working with mental health services in the Mid West area (May 2010) Page 2 Contents Common Abbreviations ___________________________________ page 5 About The Mid West Mental Health Alliance __________________ page 6 Other Important Partnerships_______________________________ page 7 Purpose of this Booklet ___________________________________ page 9 The Victorian Mental Health System - An Overview ____________ page 10 Mid West Area Mental Health Service: An Overview ___________________________________________ page 11 MWAMHS Services _____________________________________ page 12 MWAMHS Service Entry Flowchart_________________________ page 19 Other Key Roles at MWAMHS _____________________________ page 20 Rights and Responsibilities - Consumers, Carers, Staff __________ page 22 Psychiatric Disability Rehabilitation and Support Services (PDRSS): An Overview ___________________________________________ page 26 MIND Australia _________________________________________ page 29 Norwood Association ____________________________________ page 37 Western Region Health Centre _____________________________ page 40 A guide to working with mental health services in the Mid West area (May 2010) Page 3 Links to Other Specialist Care Providers: GPs and Private Mental Health Specialists ____________________ page 51 Forensicare - Victorian Institute of Forensic Mental Health _______ page 52 Spectrum - The Personality Disorder Service for Victoria_________ page 54 Substance Use and Mental Illness Treatment Team (SUMITT) ____ page 57 Victorian Dual Disability Service ___________________________ page 58 Orygen Youth Health – Clinical Services _____________________ page 61 MWAMHS & PDRSS - An Alliance for Everyone’s Benefit: Case Managers & Key Workers - Who Does What? _____________ page 65 Guidelines for Communication Between MWAMHS and PDRSS __ page 69 Other Useful Information: Explanations of Frequently Used Terms ______________________ page 70 Important Telephone Numbers______________________________ page 73 Useful Internet Sites ______________________________________ page 76 A guide to working with mental health services in the Mid West area (May 2010) Page 4 Common Abbreviations Throughout this booklet names and terms have been abbreviated. These abbreviations are used often by staff, and the following list may help you make sense of the jargon. AOD AMHRU CATT CCT CCU CTO D2DL ECT ED EPPIC GP ISP IPP MO MSTS MWAMHS OT PDRSS PHAMS RAP RPN SAAPU SW SUMITT WRHC Alcohol and Other Drug Agencies Adult Mental Health Rehabilitation Unit Crisis Assessment and Treatment Team Continuing Care Team Community Care Units Community Treatment Order Day to Day Living Program Electro Convulsive Therapy Emergency Department Early Psychosis Prevention and Intervention Centre General Practitioner Individual Service Plan (used by clinical services) Individual Program Plan (used by PDRSS services) Medical Officer Mobile Support and Treatment Service (commonly called "MST") Mid West Area Mental Health Service Occupational Therapist Psychiatric Disability Rehabilitation Support Service Personal Helpers & Mentors Service Recovery Action Plan Registered Psychiatric Nurse Sunshine Adult Acute Psychiatric Unit Social Worker Substance Use Mental Illness Treatment Team Western Region Health Centre Later in this booklet there is a more detailed summary of commonly used terms (see “Explanations of Frequently Used Terms” section) A guide to working with mental health services in the Mid West area (May 2010) Page 5 About the Mid West Mental Health Alliance The Mid West Mental Health Alliance is part of a statewide DHS project that aims to strengthen the organisational partnership between clinical mental health services and Psychiatric Disability Rehabilitation and Support Services (PDRSS), in order to improve recovery and rehabilitation outcomes for shared adult consumers with mental illness and associated psychosocial disability. The Mid West Alliance has been established by the Mid West Area Mental Health Service (MWAMHS), in partnership with Mind, Norwood Association and Western Region Health Centre. The Alliance, which covers the LGAs of Brimbank and Melton and the Townships of Sunbury and Bulla, is of particular relevance to clinical bed based and case management services, and PDRSS home based outreach, day programs and residential rehabilitation services. The project aims to maximise recovery, rehabilitation and continuity of care outcomes for the target consumer group by: 1. Building better working relationships at the management and staff level, which will improve the level of collaboration, coordination and integration between the clinical and PDRS service sectors. 2. Supporting the implementation of practice reforms that will provide tangible and sustainable benefit to the consumer group (e.g. information exchange, developing shared rehabilitation plans, joint staff training, etc.) 3. Encouraging innovation in service system delivery. 4. Maximising recovery and rehabilitation by including carers and families as part of the partnership team. The Mid West Mental Health Alliance partners are committed to working together, as we are all part of the mental health service system. This means that our shared clients will be identified, well supported across the range of their individual needs, and most importantly be at the centre of all our care planning, intervention and review processes. This means that we will all need to: • • • Respect, support and enhance the contribution each agency makes to the consumer’s treatment, rehabilitation and recovery. Improve the frequency and ways we communicate and share information. Work collaboratively to assess consumer needs and carer/family supports to plan and deliver services, and streamline referral pathways. A guide to working with mental health services in the Mid West area (May 2010) Page 6 Other Important Partnerships A number of additional key partnerships exist between Alliance member agencies and other local community and health service providers: Discharge Protocols Between Western Melbourne Division of General Practice and MWAMHS This is a protocol that describes agreed ways of working together between clinicians of Mid West Area Mental Health Service and GPs working in the City of Brimbank, the Shire of Melton and the Sunbury part of Hume. Its aim is to ensure consumers receive continuous high quality mental health care, through: • Engaging in discharge planning as early as possible in a person’s treatment, and in collaboration with the person, their carers, and others involved in the person’s care and treatment. • Providing written and verbal information in relation to treatment to the person while engaged with AMHS. • Providing written and verbal information about treatment to the person being discharged to their GP and other relevant service providers. • Coordinating the discharge process to ensure continuity of care and the appropriate level of care to ensure a successful transition. Mental Health Housing Inter-Agency Protocol Agreement This is a service agreement between Sunshine Office of Housing, Salvation Army Social Housing Service (Western Metropolitan Region), Mid West Area Mental Health Service, Norwood Association and Western Region Health Centre. The aim of this agreement is to develop a collaborative, early intervention approach to service delivery to improve outcomes for public housing tenants who are mental health clients in the City of Brimbank and Shire of Melton. Effective coordination of an individual’s health care and housing support relies on the sharing of personal information between the partner service providers. In particular, early notification to partner agencies is essential in the provision of early intervention support for clients whose tenancies may be at risk (e.g. a person may become unwell and have difficulty making rental payments). This protocol seeks to promote a climate of mutual cooperation, professional respect and goodwill between the partner service providers with regard to information sharing, while at the same time keeping the best interests of the tenants as the primary focus. A guide to working with mental health services in the Mid West area (May 2010) Page 7 Families where a Parent has a Mental Illness (FaPMI) Initiative The Families where a Parent has a Mental Illness Initiative promotes family focused practice through workforce training, development and networking, to ensure timely identification and referral to support services and ultimately reduce possible negative impacts of parental mental illness on the family. The initiative has three objectives: 1. To increase the capacity of specialist mental health services (clinical and Psychiatric Disability Rehabilitation and Support Services) to provide a family focused response to the parenting needs of their consumers and to the needs of their children. 2. To increase the capacity of specialist mental health service network partners to recognise and respond appropriately to parental mental illness. 3. To establish and strengthen the capacity of networks and support structures involving mental health services and their network partners, to support the needs of all family members through collaborative approaches to service provision. This process also occurs in partnership with consumers and carers. The Melton Brimbank FaPMI initiative is comprised of Mid West Area Mental Health Service, Norwood Association, SUMMITT, the Royal Children’s Hospital Mental Health Program and the member agencies of the Melton Brimbank Child First and Integrated Family Services Alliance. The Integrated Rehabilitation & Recovery Care Service West (IRRCS West) A Department of Health initiative to develop a cohesive and collaborative clientcentered recovery and rehabilitation service framework. It brings together clinical mental health and PDRSS to improve support for long-term residents of the Secure Extended Care Unit (AMHRU) and the four Community Care Units in the Western Metropolitan Area Mental Health catchments. IRRCS West involves the coordination/collaboration of clinical and PDRSS services (as well as other services as required) to: stabilise clients’ housing, health, social connection and safety issues; pursue planned and consistent therapeutic goals for each individual; and provide a platform for long term sustainable engagement in the broader recovery and rehabilitation service system. Key partners include: The Western Region Health Centre (lead agency); North Western Mental Health (Mid West, North West & Inner West Area Mental Health Services); Norwood Association; Doutta Galla Community Health Service; Werribee Mercy Mental Health Program; Mind; Dianella Community Health; and Moreland Community Health Service. A guide to working with mental health services in the Mid West area (May 2010) Page 8 Purpose of this Booklet This booklet is designed to help workers familiarise themselves with the different mental health services operating in the Mid West area, as well as support them in developing collaborative working relationships to improve rehabilitation and recovery outcomes for shared consumers and their carers. This booklet contains: • Information about clinical mental health services, PDRSS and other specialist care providers operating in the Mid West area. • Descriptions of worker roles and responsibilities. • Guidelines for communication between MWAMHS and PDRSS with respect to the exchange of shared consumer information. • Explanations of commonly used terms in the mental health system. • Phone and website listings of other relevant health and support services. A guide to working with mental health services in the Mid West area (May 2010) Page 9 The Victorian Mental Health System - An Overview Mental health systems vary from state to state. The Victorian public mental health service system primarily consists of clinical and psychiatric disability rehabilitation and support services. It responds to the framework of the National Mental Health Plan 2003-2008. • Clinical mental health services are government funded and managed by public hospitals. These services provide assessment, diagnosis, treatment, rehabilitation and clinical case management to people with a serious mental illness; and include both residential and non-residential components. Clinical mental health services are collectively known as Area Mental Health Services (AMHS). • Psychiatric Disability Rehabilitation and Support Services (PDRSS) are managed by non-government organisations in the community and receive government funding. They provide psychosocial assessment, rehabilitation and recovery support through a range of individual and group programs. PDRSS program types include: psychosocial rehabilitation day programs, home-based outreach support, residential rehabilitation, supported accommodation, planned respite services, mutual support and self-help services, and carer support. PDRSS are designed to complement the clinical mental health services and differ from general community support services through the expertise necessary for understanding and working with the effects of mental illness. • A number of regional and statewide specialist care providers have also been established to focus on particular problems and disorders, such as substance abuse issues, personality disorders, mentally ill offenders, and people who have a mental illness and an intellectual disability. These services are funded to develop and disseminate best practice and service models for working with consumers who have particular needs. They typically engage in direct care, consultation, education and training, and research. A guide to working with mental health services in the Mid West area (May 2010) Page 10 Mid West Area Mental Health Service (MWAMHS) An Overview Mid West Area Mental Health Service (MWAMHS) is the public mental health service for people living in the cities of Brimbank and Melton and the townships of Sunbury and Bulla. The map below shows the region covered. The Mid West Area Mental Health Service offers: • Treatment and care for people aged between 18-65 years, who are experiencing a serious mental illness. • Assistance, education and support for people who live with a mental illness/ mental health problems. • Ongoing education and support for families/ friends in their caring role. • Integrated care across the various hospital, residential and community-based services. Source: www.health.vic.gov.au/mentalhealth/services/adult/map-nw.htm A guide to working with mental health services in the Mid West area (May 2010) Page 11 MWAMHS Services Crisis Assessment and Treatment Team (CATT) Service Description: This multidisciplinary team is made up of 4 components (Triage, CATT, ECATT, and Consultation and Liaison Psychiatry): The Mid West Area Triage Service is the single point of contact for people wishing to engage with Mid West Area Mental Health Service, either in regards to themselves or someone they are concerned about. Triage provides the initial assessment of needs, risks and urgency, along with initiating and coordinating service response where appropriate. Triage will provide callers with alternate referral options and advice if there appears to be no or limited mental health issues. Triage is a telephone referral service only - they do not see 'walk-ins', and will not accept faxed referrals without telephone contact. *Please note that as from August 2010, Triage will move to a centralised service for the North and West region. After this time, the current phone number will automatically redirect to the new service for the first 6 months. All initial referrals to Mid West Area Mental Health Service (with the exception of PMHT) are processed by Triage Services Tel: 1300 859 764 (24 hours a day, 7 days a week) The Mid West Area CATT Service provides a 24-hour, 7 day a week service for people who are experiencing a psychiatric crisis. It is a short-term intensive home-based treatment service, but does not provide an instant emergency service. CATT treatment is the first step before admission to hospital, and it also assists in an early discharge management program to reduce the length of hospital stays. ECATT provides a 24-hour, 7 day a week service for all people who present to the Emergency Department at Sunshine Hospital in a state of psychiatric crisis. ECATT also attends to all psychiatric referrals from emergency physicians at the hospital. Consultation and Liaison Psychiatry services are provided at both Western and Sunshine Hospitals, where clinicians provide psychiatric expertise within acute general health care settings. A guide to working with mental health services in the Mid West area (May 2010) Page 12 Entry Criteria for CATT Services: • Meets entry criteria for Mental Health Act 1986 • Lives in the Brimbank or Melton LGAs, or townships of Sunbury or Bulla • Aged between 18-65 • Presentation indicates acute mental illness or significant deterioration in mental state (inclusive but not limited to psychotic disorders, mood disorders and suicidality) Referrals: • Access to CATT is via Triage only - they will determine appropriateness of referral. Triage can be contacted on: 1300 859 764 (24 hours a day, 7 days a week). Sunshine Adult Acute Psychiatric Unit Service Description: Sunshine Adult Acute Psychiatry Unit (SAAPU) provides short-term care to people in an acute phase of mental illness, within a multi-disciplinary framework. Services involve assessment and treatment that focuses on individual needs and goals developed in conjunction with the patient, such as management of an ongoing illness, development of coping skills and relapse prevention. The unit is located at Sunshine Hospital and has 25-beds (5 high dependency beds and 20 low dependency beds). Average length of stay is 12 days. Entry Criteria: • Clients in acute stage of psychiatric illness, or acute situational crisis with associated risk of harm to self or others • Requires a period of close observation/intensive investigation and treatment which cannot be provided in the community Referrals: • Admission to the Unit is via CATT or MWAMHS Triage. Contact SAAPU: Sunshine Hospital (Entrance via Majorca St) Furlong Road, St Albans, Victoria, 3021 (Melways: 26, E5) PO Box 294, St Albans 3021 Tel: 8345 1260 Fax: 8345 1261 A guide to working with mental health services in the Mid West area (May 2010) Page 13 Continuing Care Team (CCT) Service Description: The Continuing Care Team (CCT) provides assessment and treatment services through a case management system to adults aged between 16-65 years. Case Managers coordinate an individual's care, which may include counselling, psychiatric review, education, assistance with recreation or employment, working with families and other carers, and other specific therapeutic interventions. They also provide an initial assessment for people requesting assistance where the Crisis Assessment and Treatment Team (CATT) is not required. Entry Criteria: • A diagnosed severe mental illness, including schizophrenia spectrum disorders, severe mood disorder (e.g. with psychotic features), severe personality disorder • Current symptoms • A history of hospitalisation or at risk of hospitalisation • Ongoing psychosocial disability • Prone to relapse or non-compliance without CCT involvement • Cognitive Impairment as a result of mental illness, i.e. judgement, disorganisation, etc. • Significant and ongoing risk factors or co-morbid disorders, such as substance abuse • Engage other health and welfare services significantly (or complex needs requiring multiple agency involvement) • Present difficulties for General Practitioners, private psychiatrists or disability support services to manage • People who are on a Community Treatment Order are automatically accepted for treatment Exclusion Criteria • Clients who are stable, engaged in treatment, functioning well in their daily activities or experiencing lower levels of disability are referred to other service providers • Clients with diagnosis of a high prevalence disorder such as depression or anxiety disorders. The PMHT provides consultation, support and some direct treatment through shared cared with primary care providers. Crisis intervention for these disorders is provided through CATT. • Referrals for assessment where a diagnosis of severe mental illness has not been established. While it is possible to offer a clarifying assessment interview to support primary care and community support services A guide to working with mental health services in the Mid West area (May 2010) Page 14 • • through PMHT or CCT, for people in crisis where the diagnosis is not clear, ongoing assessment is more appropriately a CATT function. People with substance abuse problems, an intellectual disability or ABI without a co-morbid psychiatric illness People with forensic issues who present an unacceptable worker safety risk for community case management Referrals: • Admission to the CCT is through MWAMHS Triage. They can be contacted on: 1300 768 073 (24 hours a day, 7 days a week). Contact CCT: 4A Devonshire Road, Sunshine 3020 (Melways: 26, H12) Tel: 9288 7000 Fax: 9310 2556 Mobile Support and Treatment Service (MSTS) Service Description: The Mobile Support and Treatment Service provides intensive home-based outreach and rehabilitation services for people with severe psychiatric disability. The service aims to assist people who are especially prone to relapse and hospitalisation, who require more support than what is available through clinic based care (i.e. the Continuing Care Team). The team operates 7 days per week and focuses on improving independent living skills and reducing time spent in hospital. Entry Criteria: • Moderate to severe mental illness • Seriously impaired ability to function independently in the community • Requires more than one contact visit per week Referrals: • Entry via CCT and other internal MWAMHS programs, plus some external mental health programs Contact MSTS: 4A Devonshire Road, Sunshine 3020 (Melways: 26, H12) Tel: 9288 7000 Fax: 9310 2556 A guide to working with mental health services in the Mid West area (May 2010) Page 15 Community Care Units (CCU) Service Description: An 8-unit complex, accommodating 20 beds with 24-hour support from a multidisciplinary team. CCU provides psychosocial rehabilitation for people with long-term mental illness in a community-based residential setting. Using a recovery framework, the aim of the community care unit is to assist individuals to develop the daily living skills they require to live independently. Entry Criteria: • Moderate to severe psychiatric illness and disability • Needs rehabilitation in a community based residential program setting Referrals: • Via MWAMHS MSTS Contact CCU: 38 Evergreen Avenue, St Albans 3021 (Melways: 25, C1) Tel: 9365 3000 Fax: 9365 3011 Adult Mental Health Rehabilitation Unit (AMHRU) Service Description The Adult Mental Health Rehabilitation Unit provides 26 secure extended care beds that are delivered on a regional catchment basis and has active links with the 4 referring Area Mental Health Services across Melbourne. The unit provides medium to long term in-patient treatment and recovery for clients with unremitting and severe symptoms of mental illness. It represents the highest level of care on the continuum of mental health services and provides treatment, supervision and support for those whose needs cannot be met adequately by other available programs and services. Collaborative relationships are in place with a wide range of local providers including PDRSS, GPs, Community Health Services and Housing providers to meet the multiple needs of each client. We endeavour to assist clients to improve their quality of life by achieving their desired optimum level of functioning to facilitate community reintegration. A guide to working with mental health services in the Mid West area (May 2010) Page 16 Referrals: Access to AMHRU is by referral from the Mobile Support and Treatment Team of each AMHS. Entry Criteria: • Severe and enduring psychiatric illness and disability • Unable to sustain community placement • Needs rehabilitation in a highly supported environment Contact Adult Mental Health Rehabilitation Unit: Sunshine Hospital (Entrance via Majorca St) Furlong Road, St Albans, Victoria, 3021 (Melways: 26, E5) Tel (BH): 8345 1220 Tel (AH): 8345 1231 Fax: 8345 1900 Primary Mental Health Team (PMHT) Service Description The PMHT provides primary, secondary and tertiary consultation to primary care providers. These include GPs, Community Health Service counsellors, ISIS CAPS & Linkages Program and Melton-Brimbank Child First and Family Service Alliance agencies. The team also provides time-limited treatment on a shared care basis with primary care providers for people with high prevalence disorders (i.e. anxiety, depression) and eating disorders. The aim of the PMHT is to enhance the capacity of primary health care service providers to assist people experiencing high prevalence mental disorders and eating disorders, and promote greater collaboration between primary care and mental health services. Entry Criteria: • The primary care provider’s service is located in the Mid West Area Mental Health Service catchment area (Brimbank, Melton, Sunbury), or in the case of ISIS Caps & Linkages Program and the Melton Brimbank Child First and Family Services Alliance agencies, the client resides in the MWAMHS catchment area. • The primary care provider is able to work with the PMHT on site at their service for primary consultation and treatment. • The primary care provider is working with people with high prevalence disorders and eating disorders. Secondary consultation is provided via phone or on site at the primary care provider’s service. A guide to working with mental health services in the Mid West area (May 2010) Page 17 • • Primary and secondary consultation will also be provided when there is a diagnostic dilemma. Education and training to primary care providers is via direct negotiation with the Team Manager. Contact PMHT: 4A Devonshire Road, Sunshine 3020 (Melways: 26, H12) Tel: 9288 7000 Fax: 9310 2556 Prevention and Recovery Care Centre (PARC) Service Description: PARC services are a new supported residential service for people experiencing a significant mental health problem but who do not need or no longer require an acute hospital admission. In the continuum of care, they sit between adult acute psychiatric inpatient units and a client’s usual place of residence. PARC aims to assist in averting acute inpatient admissions and facilitate earlier discharge from inpatient units. They are not a substitute for an inpatient admission; rather they provide clinical treatment and short-term residential support. The Burnside PARC is a 20-bed facility that operates in partnership with Mercy Mental Health, Western Region Health Centre, Norwood Association and Mid West Area Mental Health Service. Estimated length of stay for patients would generally not exceed 28 days. Referrals: • Via local AMHS Crisis and Assessment Team Contact Burnside PARC: 54 Burnside Street Deer Park, 3023 (Melways: 25, E8) Tel: 8390 3400 Fax: 8390 3498 A guide to working with mental health services in the Mid West area (May 2010) Page 18 MWAMHS Service Entry Flowchart (Source: Referral Guide - Information for primary care providers wanting to access mental health services. Produced by the Primary Mental Health Team at Mid West AMHS) A guide to working with mental health services in the Mid West area (May 2010) Page 19 Other Key Roles within MWAMHS Area Manager - oversees the operational function of the MWAMHS. Director of Clinical Services - is a registered Consultant Psychiatrist who works in partnership with the Area Manager to ensure the delivery of a safe and high standard of clinical care. Consultant Psychiatrist - is a registered, qualified senior medical practitioner who has undertaken further extensive specialised training in the diagnosing, treatment and management of mental illness. Psychiatric Registrar - is a registered, qualified medical practitioner who is training to become a psychiatrist. Program Manager - manages the day-to-day running of the individual programs. The six programs that have a Program Manager are the Adult Inpatient Unit, Crisis and Assessment Treatment Team, Mobile Support and Treatment Team, Continuing Care Team, Community Care Unit and PMHT. Triage Worker - is a mental health professional that is available by phone to assist with any new referrals to MWAMHS. Duty Worker - is a health professional who provides support, information and referral to current and recent consumers within the CCT and MST services, when the Case Manager is unavailable. This service operates during business hours. Administration Workers - are present at reception and greet the public at all services. They complete a wide variety of office duties, and provide clerical support to the staff. Consumer Consultant - is a person who has experienced being a consumer of mental health services. The Consumer Consultant is available for consultation across all services, and liaises with management and staff on consumer related issues. The Consumer Consultant acts as an advocate for consumer issues within the service to promote more consumer-focused practice. Consumer Consultants can: • Meet with consumers to get feedback on the service provided to them • Facilitate consumer meetings • Feedback concerns to management • Become involved in service improvement projects • Provide consumer perspective training to staff • Promote consumer rights A guide to working with mental health services in the Mid West area (May 2010) Page 20 Carer Consultant - The Carer Consultants are staff members who have a family member with a mental illness. They listen to and provide support to carers and act as a resource to clinical, service and management staff. Carer Consultants can: • Meet with carers face to face and on the phone (with interpreters, as required) • Provide information and practical support • Assist carers to develop effective coping strategies • Help carers communicate concerns to clinical staff • Assist carers to recognise the early warning signs of relapse • Administer the Carer Support Program - Brokerage Fund (applications can be facilitated by any Mid West AMHS Manager, Clinician, Doctor or Carer Consultant.) • Notify carers about educational sessions within the service to help in the caring role. • Deliver training and education to staff and students (secondary and tertiary) to provide the carer and family perspective on effective treatment, rehabilitation and recovery. • They also work with staff to improve the service’s response to carers, and promote carer and family issues in the planning, development and evaluation of MWAMHS. A guide to working with mental health services in the Mid West area (May 2010) Page 21 Rights and Responsibilities - Consumers, Carers, Staff Guiding Principles According to the Australian Charter of Healthcare rights, consumers and carers are entitled to: • • • • • • • Access - Access services to address their health care needs Safety - Safe and high quality health services, provided with professional care, skill and competence Respect - The provision of care that respects individuals’ culture, beliefs, values and personal characteristics Communication - Open, timely and appropriate communication about health care in a way that people can understand Participation - Opportunities to contribute to decision making and choices about their care and about health service planning Privacy - Maintenance of personal privacy and proper handling of personal health and other information Feedback - Comment on or complain about care and have concerns dealt with properly and promptly Common Rights All consumers, families/carers and staff have the right to: • • • • • • • • Be and feel physically and emotionally safe. Be treated with respect and dignity. Be spoken to in a respectful manner. Have an opinion, express an opinion and be listened to. Be considerate of private time and space. Not be discriminated against. To have access to an interpreter as required. Be respected with regard to the confidentiality and privacy of information provided. Common Responsibilities All consumers, families/carers and staff share the following responsibilities: • • • • To be aware of the rights of others. To communicate openly and honestly with each other. To discuss changes in condition and treatment plans. To discuss and clarify diagnosis and treatment. A guide to working with mental health services in the Mid West area (May 2010) Page 22 • • • • To discuss and clarify side effects of treatment. To work together to improve the effectiveness of treatment. To ensure that people are treated in the least restrictive way possible. To provide feedback on the service and or care in the form of suggestions, compliments and or complaints. Consumer Rights Consumers have a right to: • • • • • Receive a copy of their rights, know their legal status, whether they are voluntary or involuntary, and have their rights explained so that they understand them. Be informed about what is happening at all times and be involved in making decisions about their treatment and care. Receive information and ask questions so that they are able to fully understand everything. Know how to make suggestions, compliments and or complaints, and be assisted to do this if it is needed. Request an advocate to assist them. Families and Carers Rights Families and Carers have a right to: • • • • Be recognised, respected and supported as partners in providing care to the consumer. Be involved in providing essential information to the clinician in the assessment phase, and in the ongoing treatment and care of the consumer. Receive training in the most effective ways to relate to consumers and support their recovery. Receive timely and easily understood information about the relevant mental illness, its likely causes, treatment options and outcomes which are reasonably required for the ongoing care of the consumer. Staff Rights Staff have the right to: • • • A safe and respectful workplace with freedom from discrimination and harassment. The opportunity for professional development. The opportunity for supervision, training and support. A guide to working with mental health services in the Mid West area (May 2010) Page 23 The Mental Health Act The Mental Health Act, 1986 requires all mental health services to work within principles that include respect for people’s dignity and treatment in the least restrictive environment. The Victorian Charter of Human Rights and Responsibilities Human rights are the basic rights that belong to all of us. The Charter emphasizes freedom, respect, equality and dignity. Human rights are the foundation for freedom, justice, peace and respect and are an essential part of any democratic and inclusive society that respects the rule of law, human dignity and equality. Everyone has the same human rights: men, women, and children, rich and poor, and all nationalities and faiths. Our human rights include: • Civil and political rights • Economic and social rights • Environmental and cultural rights Confidentiality and Privacy Confidentiality is a high priority at MWAMHS. Staff are required to work under the statutory requirements for protecting the confidentiality and privacy of identifiable consumer information. The following legislations govern the management of confidential and private consumer information: • • • • • • Victorian Mental Health Act 1986 and Amendments Guardianship and Administration Act 1986 Health Records Act 2001 Health Services Act 1988 (Section 141) Information Privacy Act 2000 Freedom of Information Act 1982 and Amendments Where two or more acts provide conflicting information, the Mental Health Act supersedes all other acts. A guide to working with mental health services in the Mid West area (May 2010) Page 24 Feedback Comments about MWAMHS, both good and bad, are welcome and helpful to staff. If consumers/carers would like to make a compliment, complaint or a suggestion, they can: • • • • • • Speak with the Case Manager Speak with the Program Manager Speak with the Consumer Consultant Speak with the Carer Consultant Put a letter in the suggestion box Post a completed feedback form or letter to: Feedback Officer 4A Devonshire Road, Sunshine VIC 3020 Every effort will be made by staff to resolve any complaints received and to provide timely and thoughtful feedback. There will be no negative consequences when complaints are made and all comments are treated as confidential. In the event of a complaint not being resolved, the following agencies may be able to assist: Mental Health Review Board 8601 5270 Community Visitors 9603 9500 Victoria Legal Aid 9269 0234 Mental Health Legal Centre 9629 4422 Chief Psychiatrist Office 1300 767 299 Ombudsman 9613 6222 The Public Advocate 9603 9500 Health Services Commissioner 8601 5200 This information has been adapted from the Statement of Rights and Responsibilities for Consumers, Families/Carers and Staff brochure produced by NorthWestern Mental Health, in conjunction with VMIAC and the Victorian Mental Health Carers Network (Jan, 2010). A guide to working with mental health services in the Mid West area (May 2010) Page 25 Psychiatric Disability Rehabilitation and Support Services (PDRSS) in the Mid West Area An Overview Victoria has the largest non-government mental health sector in Australia. Known as Psychiatric Disability Rehabilitation and Support Services (PDRSS), this sector plays a vital role in supporting consumers and carers in accessing health, accommodation support, psychosocial and vocational rehabilitation and recovery, respite care and recreation services. PDRSS are predominantly funded to provide support to the adult population (1664 years). The services aim to assist people to develop skills that will improve their quality of life and independence, and provide opportunities for them to participate in social, recreational, educational and vocational activities. All PDRSS consumers are allocated a Key Worker. The Key Worker works with consumers to identify specific goals and assist them in realising those goals. The goals and the plan for achieving them are recorded in an Individual Program Plan (IPP). A Case Manager at the MWAMHS is the usual source of referral to a PDRSS, however self-referral and referrals from GPs, private psychiatrists and other services may also be accepted. People can also directly apply for PDRS services, as these agencies have their own assessment processes to determine if people are appropriate for their services. Psychosocial Day Programs Day programs provide activities and support for people experiencing the effects of mental illness within environments that are supportive and foster recovery. Activities and programs focus on social interaction, skill development, building self-belief and awareness, as well as connecting people to the wider community. Day programs offer both structured and informal ‘drop in’ services. Structured activities may include sessional activities, such as: art and craft, women's or men's personal development groups, educational and pre-vocational activities, and recreational groups. Day programs generally operate five days a week, but some also offer evening and weekend sessions. Consumers choose when and how frequently they attend, depending on their interests and needs. A guide to working with mental health services in the Mid West area (May 2010) Page 26 Day programs are usually located in accessible community settings, near public transport and shopping facilities. Many of the service activities take place in local community facilities (e.g. neighbourhood houses, coffee shops, TAFE colleges, gyms and community halls), and delivered in partnership with other community services. This promotes community integration and ensures learning occurs in everyday environments. Home-Based Outreach Support Home-based outreach services provide structured, time limited social and living skills programs on an individual basis and in the person’s own home. Support may also be provided in community settings where one-to-one support is necessary (e.g. assistance accessing education, transport or recreation). The service is available to all people, regardless of their type of housing or whether they live by themselves or with others. The PDRSS worker will assist with developing independent living skills, such as cooking, cleaning, shopping and self-care. They may also accompany the person in recreational and educational activities. Some home-based outreach services are linked to public housing to provide accommodation and support packages. Services are tailored to meet the needs of the individual and encourage independence and self-determination. Personal Helpers & Mentors Personal Helpers and Mentors provide direct and personalised assistance through outreach services, and support participants in their recovery journey by building support relationships and providing holistic support. It supports participants to better manage their daily activities and reconnect to their community through one to one support, referral and linkages to appropriate health and community services and engages with and supports family, carer and other relationships. The program is open to people aged 16 years and over whose ability to manage their daily activities and to live independently in the community is severely impacted as a result of a severe mental illness. A person does not need to have a formalised clinical diagnosis of a severe mental illness to initially access the program. A guide to working with mental health services in the Mid West area (May 2010) Page 27 Residential Rehabilitation Residential rehabilitation services provide transitional accommodation and support to assist consumers to develop independent living skills and facilitate their transition back into the family home or into an independent living situation. Consumers of a residential rehabilitation service will have a level of disability that requires more intensive support than what is offered by home-based outreach or day programs. Some residential rehabilitation services have staff who stay overnight at the residence. PDRSS Programs in the Mid West Area A range of PDRSS operate in the Mid West area. Descriptions of these services and the programs they offer will be explained in more detail in the following pages. A guide to working with mental health services in the Mid West area (May 2010) Page 28 MIND Australia MIND provides five major services to people living in Brimbank, Melton and Sunbury, as well as to people in all other Western Metropolitan suburbs, including Hume and Moreland. The age range for the community residential services is 16-64 whereas the respite service is for people of all ages. Appleby Crescent Service A 24-hour residential and transitional support service for adults with serious mental health issues How Appleby Crescent Service does its work The program at Appleby Crescent Service supports the recovery of people who have been diagnosed with a serious mental illness. The program provides residential support for individuals by working to foster independence and responsibility in a supportive community. Appleby offers a recovery based mental health program and should not be considered as an accommodation service. The service also has a transitional worker who provides support for people entering and leaving the service. The length of stay at Appleby Crescent Service is around 2 years. The program has staff available overnight for emergencies. Who can live at Appleby Crescent Service? The program is designed for adults from the Western Metropolitan Region of Melbourne diagnosed with a serious mental illness. Program participants are usually within the 20-50 age range, but may take adults up to 64 years. As clients are required to share with two other residents, a level of personal independence and competence in living skills is required. Location and setting The property at Appleby Crescent Service, situated in a residential part of West Brunswick, consists of five, three bedroom, two-story townhouses with a shared outside common area and a separate staff townhouse on the same property. The service is located close to shops and public transport. Fees for service are set at 25% of income and a $40 a fortnight asset replacement charge. A guide to working with mental health services in the Mid West area (May 2010) Page 29 What the program aims to do Appleby Crescent Service provides opportunities to its residents for skill development, enhanced social relationships and community access. Each resident is allocated a key-worker who provides support to achieve agreed recovery goals. The program encourages accessing structured group activities in the community and requires mandatory attendance at key-worker one-on-one appointments, community and house meetings while residing in the Service. Eligibility Criteria Perspective clients must have the following criteria: 1. A serious mental health diagnosis 2. 18 - 64 years of age 3. Reside within the Western Metropolitan Region of Mind (Formerly The Richmond Fellowship Victoria and South Australia) Other eligibility considerations: 1. Current client profile within the Service 2. Desire to engage in recovery and/or rehabilitation 3. Ability to live in a shared environment 4. Out of region applications will be considered Referral Procedure Referrals can be made to the program by a mental health service, self-referral, family member, friend or worker. 1. Initial Contact Form will be completed over the phone 2. A visit to the program arranged to provide further information 3. Referral forms are provided if the prospective applicant wishes to continue with the intake process. 4. Completed referral forms received at Appleby Crescent Service 5. Decision by program to offer an interview or suggest more appropriate referral options 6. After interview: offer of place in the program or reasons provided for why a place has not been offered and alternative referral options suggested 7. If no vacancies exist at the time of initial contact a place on the Service’s waiting list will be offered A guide to working with mental health services in the Mid West area (May 2010) Page 30 Further information Please contact Appleby Crescent Service: Address: 21 Jolley St West Brunswick 3055 (Melways: 29, D5) Hours: 9.00 am - 5.00 pm Monday to Friday Phone: 03 9386 4055 Fax: 03 9386 4200 Email: appleby@mindaustralia.org.au Electra Street Community A residential service for adults with mental health issues What Electra Street Community does The program at Electra Street Community supports the recovery of people who have been diagnosed with a serious mental illness. The program provides individual support as well as working to foster a supportive community. The length of stay at Electra Street Community is for up to 3 years. Who can live at Electra Street Community The program is designed for adults from the Western Metropolitan Region of Melbourne. Program participants are usually within the 20-35 age range, but may take adults up to 64 years. As staff are not available overnight, a level of personal independence and competence in living skills is required. The program is staffed for limited hours on weekends. Where The property at Electra Street Community is situated in a residential part of Williamstown and consists of separate men and women’s buildings, each housing 5 residents, and a separate staff office on the same property. Electra Street Community is close to shops and public transport. What the program aims to do The program provides opportunities to its residents for skill development, enhanced social relationships and community access. Each resident is allocated a key-worker and they work together to achieve agreed recovery goals. There is also a structured program at Electra Street Community, where residents are expected to attend a number of meetings each week. A guide to working with mental health services in the Mid West area (May 2010) Page 31 How to access the program Referrals can be made to the program by a mental health service, by self-referral, or by a family member, friend or worker. As part of the selection process, there is a visit to the program to provide information and to meet staff and residents. Referral forms are provided if the prospective applicant wishes to continue with the selection process. Prospective applicants are required to attend an assessment interview before being offered a place at Electra Street Community. Further information Please contact Electra Street Community: Hours: 9am-5pm, Monday to Friday. Address: 47 Electra Street Williamstown 3016 (Melways: 56, C8) Phone: 03 9397 1028 Fax: 03 9397 3399 Email: electrast@mindaustralia.org.au McPherson Community Dual Disability Service A 24-Hour residential service for adults with intellectual disability and mental health issues What McPherson Community does McPherson Community is the only Mind program that is funded by Disability Services, and is one of only two residential programs in Victoria specifically for people with co-existing intellectual and psychiatric disabilities. It is a 24-hour service that includes a sleepover worker for emergencies. Who can live at McPherson Community Eligibility criteria include being registered with Disability Services as eligible for service in the North-West Metropolitan Region of Melbourne, having an intellectual disability, mental health issues, and being an adult. Program participants are usually within the 30-60 age range. Where The property at McPherson Community supports six residents and has an office in the house. McPherson Community is in Sunshine North and is in walking distance from local shops and public transport. A guide to working with mental health services in the Mid West area (May 2010) Page 32 What the program aims to do The program provides opportunities to its residents for skill development, enhanced social relationships and community access. Each resident is allocated a key-worker and they work together to achieve agreed recovery goals. Goals may include budgeting, employment, independent living skills, accessing community activities, and social and emotional well being. The program also provides many opportunities for fun and rest. Recent examples include interstate holidays, attending balls and dances, picnics and country drives. How to access the program Vacancies for McPherson Community come from DHS Disability Services Register in the North- West region. Referrals for McPherson Community should be directed to DHS Client Services Intake on 9412 2741. Further information Please contact McPherson Community: Address: 19 Bangerang Sunshine 3020 (Melways: 26, F6) Hours: 9am-5pm, Monday to Friday Phone: 03 9310 2626 Fax: 03 9310 1240 Email: mcpherson@mindaustralia.org.au Victoria Street Program A 24 hour residential service for adults with mental health issues What Victoria Street Program does The program at Victoria Street supports the recovery of people who have been diagnosed with a serious mental illness. The program provides individual support as well as working to foster a supportive community. The length of stay at Victoria Street Program is for up to 3 years. The program has staff available overnight for emergencies. Who can live at Victoria Street Program The program is designed for adults who have a serious mental illness from the Western Metropolitan Region of Melbourne. Program participants are usually A guide to working with mental health services in the Mid West area (May 2010) Page 33 within the 20-45 age range, but may take people up to 64 years. A level of personal independence and competence in living skills is required. Participants are expected to clean their own room, with the assistance of staff if needed. Staff support participants to be involved in a roster to prepare and clean up after meals. Where The Victoria Street Program consists of a block of 17 flats, with staff offices on site and a 3-bedroom house close by. Victoria Street Program is located in Brunswick, situated minutes from Sydney Road and is close to shops and public transport. What the program aims to do The program provides opportunities to its residents for skill development, enhanced social relationships and community access. Each resident is allocated a key-worker who provides support to achieve agreed recovery goals. Residents are expected to meet with their Key Worker at least once a week and attend the weekly community meeting. How to access the program Referrals can be made to the program by a mental health service, by self-referral, by a family member, friend or worker. As part of the selection process there is a visit to the program to meet staff and residents and to gain further information. Referral forms are provided if the prospective applicant wishes to continue with the selection process. Prospective applicants are required to attend an assessment interview when a vacancy occurs in the program. Further information Please contact Victoria Street Program: Address: 253 Victoria St Brunswick 3053 (Melways: 29, H7) Hours: 9am-5pm, Monday to Friday Phone: 03 9387 2133 Fax: 03 9388 2491 Email: vsp@mindaustralia.org.au A guide to working with mental health services in the Mid West area (May 2010) Page 34 Western Respite Services A planned Respite Service for people in the Western Metropolitan Region who experience serious mental health issues, and their carers What Western Respite Services does The program at Western Respite Services supports the relationship between people with a mental illness and their carers. We do this by offering planned respite activities that can be an enjoyable and enriching experience for our participants. These include: • Group holidays to various locations around Victoria; • Day trips and activities; • Family holidays for the client, carer and other family members; • Individual respite sessions where a respite worker assists the client with outings and access to community activities. Western Respite clients Clients of all ages who have a diagnosed mental illness that live in the Western Metropolitan region including the local government areas of Brimbank, Hobson’s Bay, Hume, Maribyrnong, City of Melbourne, Melton, Moonee Valley, Moreland and Wyndham. The client must have an unpaid carer who is closely involved in caring for and supporting them and would benefit from a respite break. A carer maybe a parent, spouse, other family member, close friend or housemate. Where Generally the pre-holiday meeting venue and holiday pick-up and drop-off point is our office at 14 Hall Street, Newport, 3015. Staff generally meet clients at their homes and then go out, for individual respite sessions. What the program aims to achieve Western Respite Services aims to provide opportunities for clients on their road to recovery by enhancing social relationships, providing new and exciting experiences and at the same time giving carers a respite break. How to access the program Referrals can be made by medical practitioners, mental health services, clinics, workers, carers or clients. After the referrals are received, an assessment A guide to working with mental health services in the Mid West area (May 2010) Page 35 interview is arranged to ascertain the most appropriate service that meets the needs of the client and their carer. Further information Please contact Western Respite Services: Address: 14 Hall St, Newport 3015 (Melways: 55, K2) Post: P.O Box 1024, Newport, 3015 Hours: 9am-5pm, Monday to Friday Phone: 9391 0144 Fax: 9391 0433 Email: wrs@mindaustralia.org.au A guide to working with mental health services in the Mid West area (May 2010) Page 36 Norwood Association Norwood provides rehabilitation and support services to adults (16-65 years of age) who live with mental health issues and resulting disabilities, and who reside within the communities of Brimbank, Melton and Sunbury. The services provided to clients are via qualified Rehabilitation and Recovery Practitioners. Norwood currently provides four programs: Norwood Intensive Outreach Support Program This is a home-based rehabilitation program that provides medium term (12-24 months) planned intensive rehabilitation. The Norwood Intensive Outreach Support Program is available to people who: • Experience severe, enduring psychiatric disabilities • Are motivated to participate in structured support (4-6 hours per week) • Are focused on relearning skills that will enable them to achieve greater personal independence in the community Norwood offers this support through an Individual Support Plan (ISP). The ISP outlines personal goals and sets out strategies for skill development in the areas of: independent living and household management; social and community access; personal development; and leisure and recreational pursuits. Home-Based Outreach Support Program This program provides outreach support to people who desire to live independently in the community with minimal support. Planned support (up to 1-2 hours per week) is provided to individuals within their own home and/or community environment. The emphasis of this support is around consolidating and reinforcing an individual's strengths, abilities and potential. A key focus of this program is the linking of people with appropriate community supports and developing and/or maintaining skills and abilities around: • Independent living and home management • Problem solving and motivation • Personal and emotional support • Social relationships • Recreation and leisure A guide to working with mental health services in the Mid West area (May 2010) Page 37 This support program also includes the facilitation of educational, vocational and personal development activities and pursuits. Support is individualised to meet each person's needs and is provided through an individual support plan and Rehabilitation and Recovery Practitioner. Pathways Program This is a voluntary and short-term intensive program that aims to create pathways for people living with mental health issues, complex needs, and primary and secondary homelessness. The Pathways Program is available to individuals who: • Have a diagnosed mental health condition and associated psychiatric disability • Are receptive to and motivated towards participating in structured support arrangements which are aimed at rehabilitation and skill enhancement • Are currently experiencing homelessness or are at risk of homelessness • Have been referred by a bed-based clinical service. Brimbank Carers Group The Brimbank Carers Group was formed in 2002 by MWAMHS and Norwood Association in response to the needs of carers of people experiencing mental health issues, who reside the City of Brimbank and other nearby localities. The group meets monthly to attend a rotating program of activities comprised of facilitated discussions and support, social activities (e.g. restaurant dinners) and educational sessions (e.g. presentations by guest speakers). The aims of the group are to provide family members and partners of people with a mental illness with support, information, understanding and training to cope with and manage mental illness and its effects. Enquiries and Referrals: Ph: 9365 9500 Hours: Monday to Friday, 10.00am - 4.00pm Self-referral or referral from a family member or agency professional can only be undertaken with the permission of the person being referred. To make a referral please visit: www.connectingcare.com.au Norwood Association does not provide clinical support treatment services, however it works in collaboration with mental health professionals. A guide to working with mental health services in the Mid West area (May 2010) Page 38 Contact Norwood Association: Norwood Centre 1 Andrea Street St Albans Vic 3021 (Melways: 25, K2) Ph: 9365 9500 Fax: 9310 7255 Email: info@norwoodservices.org.au Web: www.norwoodservices.org.au Norwood Association A guide to working with mental health services in the Mid West area (May 2010) Page 39 Western Region Health Centre Western Region Health Centre (WRHC) delivers accessible, high quality, timely and responsive psychosocial rehabilitation and recovery services to the Cities of Brimbank and Melton, and Bacchus Marsh and Sunbury Communities. Services include: structured group programs, youth residential rehabilitation, outreach and carer support groups.* Programs are organised across 4 main service teams: • Brimbank Community Mental Health Team- incorporates Horizons Day Program and the Mid West Day-to-Day Living Group Program. • Melton and Bacchus Marsh Community Mental Health Teamincorporates Outlooks and Outbacc Day Programs and the Mid West Day-to-Day Living Group Program. • Hume Community Mental Health Team- incorporates Stepping Stones Day Program in Sunbury and the Hume Outreach Support Program (Personal Helpers and Mentors Program), which provides outreach to the communities of Sunbury and Bulla in the Mid West catchment. • ROCKET- Young Persons (16-24 yrs) Residential Rehabilitation Program. Consumer Participation Consumer participation is highly valued, promoted and practiced. We view consumer participation as a fundamental right, and understand that in order for participation to occur in a meaningful way, we need to actively support it through: • Ensuring that all staff enthusiastically encourage all consumers to participate in a manner that is appropriate, relevant and meaningful • Ensuring there are structures, policies and processes that enable consumers to participate in a number of different ways. • Involving consumers in decision-making processes, which allow them to contribute to Individual Service Plans and in developing activity Programs. • Participant meetings and forums involving consumers in the evaluation of our programs and activities. • Running peer support and consumer facilitated activities. *NB: WRHC also offers a range of mental health services for consumers residing outside the Mid West catchment. For more information about these services, please visit the website: www.wrhc.com.au/ A guide to working with mental health services in the Mid West area (May 2010) Page 40 Structured Group Programs WRHC’s group programs include: • Day Programs: Horizons, Outlooks, Outbacc and Stepping Stones • Mid West Day to Day Living (D2DL) Group Programs: D2DL is a Federal Government initiative for individuals with severe and persistent mental illness. The program aims to improve health outcomes for people who experience social isolation through the provision of structured and socially-based recreational and educational activities in the community. Overall Aims To provide quality psychosocial group programs that: • Enhance quality of life and independence • Assist participants to meet self-determined goals, including areas of social and living skill development • Assist participants to develop more adaptive coping skills • Facilitate participation in educational, recreational, personal and skill development programs • Maximise social, family and peer support networks, and community connectedness. Program Structure Staff are committed to deliver an inclusive and welcoming service, building trusting and supportive relationships that are based on mutual respect and the following principles: • Voluntary engagement • Respect for choice, diversity and individual lifestyles • Integrated and coordinated services • Empowerment and participation • Interpersonal relationships and community connectedness • Family and cultural sensitive practice. Participants attend a variety of time-limited education, recreational and social groups, programs and activities of their choice. These activities and programs focus on social interaction, skill development, building self-belief and awareness, and connecting people to the wider community. Through the use of the individual support plans (ISP), consumers are encouraged to set their own rehabilitation goals, and access health and other relevant services in the community. A guide to working with mental health services in the Mid West area (May 2010) Page 41 Examples of day program activities include: • Drop in (social support, health and wellbeing information) • Creative expression (art, craft and music) • Personal development (interpersonal, communication and coping skills) • Life skills coaching (budgeting, cooking and healthy eating, community access, etc.) • Social supports (peer support, mentoring and self-help) • Vocational (pre-vocational courses, volunteering, return to work or study) • Specialist engagement (young persons group, Vietnamese group, African youth street soccer) Eligibility and Referral WRHC group programs are generally available to people who: • Are 16 years and over • Experience mental health difficulties • Have an inability or find it difficult to engage in one or more daily living activities • Have a willingness to participate in the program • Live in designated catchment areas (Maribyrnong, Hobson’s Bay, Melton, Brimbank, Hume or Wyndham) Note: Specific eligibility and referral requirements may vary according to the service type, catchment area and funding body. Please contact the relevant site Duty Worker for specific details: Hours of Operation Office hours for all teams are from 9-5pm, Monday to Friday. Contacts for WRHC group programs: (Addresses and location maps are presented on following pages) A guide to working with mental health services in the Mid West area (May 2010) Page 42 Contact Brimbank Community Mental Health Team Programs: Horizons Day Program and Day-to-Day Living Catchment: Brimbank Address: 2 Erica Avenue, St Albans, 3021 (Melways: 26, A1) Ph: 9364 1455 Fax: 9364 5144 A guide to working with mental health services in the Mid West area (May 2010) Page 43 Contact Melton and Bacchus Marsh Community Mental Health Team Programs: Outlooks and Outbacc Day Programs and D2DL (Melton only) Catchment: Melton and Bacchus Marsh Address: 48 Unitt Street, Melton, 3337 (Melways: 337, A8) Ph: 9747 6337 Fax: 9747 6339 A guide to working with mental health services in the Mid West area (May 2010) Page 44 Contact Hume Community Mental Health Team Program: Stepping Stones Day Program Catchment: Hume Address: Suite 5, 33-35 Macedon Street, Sunbury 3429 (Melways: 382, F4) Ph: 9971 6200 Fax: 9971 6299 Sunbury Train Station Macedon Street Site Gap Roa d Ba rk ly St re et Ho rn e St re et M ac ed on St at ion St re et St re et A guide to working with mental health services in the Mid West area (May 2010) Page 45 Youth Residential Rehabilitation (ROCKET) ROCKET is a psychosocial residential rehabilitation service for people aged 1624 who are experiencing serious mental health issues. The service aims to help people to develop the skills needed to live independently. Participants can be in the program for up to two years and are supported in their steps towards independent living and, where possible, helped to continue with their school or work. The service can accommodate up to 9 young people (three females and six males). Key workers support participants in helping them to identify their goals and strengths, develop skills and knowledge and access community resources. ROCKET offers participants a range of individual and group based activities that focus on: Living skills: • Communication and social skills • Decision making and problem solving skills • Recreation • Reducing harm associated with substance use Participants will also receive support to access: • Local health and counselling services • Education, training and employment services • Local Council services • Mental health services • Housing services • Drug and alcohol services The program promotes diversity, choice, independence and participation for young people. Eligibility and Referrals Services are generally available to young people who: • Experience serious mental health difficulties • Are 16 -24 years of age • Require support to develop /enhance living and social skills to live independently • Have a willingness to participate in the program • Live in or have strong links with the Western Metropolitan Region A guide to working with mental health services in the Mid West area (May 2010) Page 46 Any organisation, individual or family can make referrals. Referral forms can be obtained by phoning the Community Mental Health workers on-site on: 9310 9100 Following receipt of a referral, staff will make contact to arrange a meeting with the applicant. During this meeting a structured assessment interview will be held to determine the applicant's support needs and provide further information about the program. Orientation Prior to taking up residence at ROCKET, successful applicants are required to complete a six-week orientation. During this time the applicant will be invited to participate in individual and group activities. They will also be asked to do a few overnight sleepovers. The orientation ensures that potential participants are familiar with the program before committing to move in. Hours of Operation ROCKET operates 24 hrs /day, seven days a week. Staffing Rocket is staffed 8.00am to 8.00pm weekdays, 11.00am to 7.00pm on Saturday and Sunday. There are no staff overnight, however an on-call system is in place for emergencies. Costs incurred for participating in the program Participants pay a service fee, which covers accommodation, food and utilities. Contact ROCKET (Address and location map are presented on following page) A guide to working with mental health services in the Mid West area (May 2010) Page 47 Contact ROCKET: ROCKET YOUTH RESIDENTIAL REHABILITATION Address: 5 Bent Street, St. Albans, 3021 (Melways: 26, A5) Phone: 9310 9100 Fax: 9310 9200 A guide to working with mental health services in the Mid West area (May 2010) Page 48 Hume Outreach Support Program (Personal Helpers and Mentor Program) Program Description Provides time limited outreach services to people living (16 years+) with an enduring mental illness. Services are tailored to meet the needs of the individual and encourage independence and self-determination. Assistance may include: advocacy and liaison, problem solving skills/strategies, independent living skills, social and emotional support, information and referral, access to health and other services, and time-limited educational, recreational and social groups. The emphasis is on recovery through community support and social connection, and to support participants to better manage their daily activities and reconnect with their community. Referral Any organisation, individual or family can make a referral. Referral forms can be obtained by ringing the Duty worker at the Hume Community Mental Health Team on: 9971 6200 Eligibility Individuals aged 16+ years who: • Reside within or has significant links within the City of Hume or the Townships of Sunbury and Bulla. • Whose ability to manage their daily activities and to live independently in the community is severely impacted as a result of a severe mental illness • Note: A person does not need to have a formalised clinical diagnosis of a severe mental illness to initially access the program Hours of Operation Office hours are from 9-5pm, Monday to Friday Contact Details Hume Community Mental Health Team Address: Suite 5, 33-35 Macedon Street, Sunbury 3429 (Melways: 382, F4) - See map on page 45 for further directions Ph: 9971 6200 Fax: 9971 6299 A guide to working with mental health services in the Mid West area (May 2010) Page 49 Melton Carer Support Groups WRHC - Mid West Mental Health Program facilitates two carer support groups in the Melton Community: • Melton Mental Health Carer Support Group • Melton Young Carer Support Group Carer Support Groups offer families, friends and other relatives the opportunity to learn more about mental illness: to talk with others in similar situations, to share ideas on coping, and learn about support services available. The groups are affiliated with Outlooks and receive support and funding from Carers Victoria. Anticipated Benefits Psychosocial programs at Outer Western provide some of the following benefits: • Improvement in confidence and self-esteem • Development of social networks • Improved general health and fitness • Development of living skills • Opportunities to engage in study or return to work Enquiries and Referral Melton and Bacchus Marsh Community Mental Health Team Leader Catchment: Melton and Bacchus Marsh Address: 48 Unitt Street, Melton, 3337 (Melways: 337, A8) Ph: 9747 6337 Fax: 9747 6339 A guide to working with mental health services in the Mid West area (May 2010) Page 50 GPs and Private Mental Health Specialists MWAMHS and PDRSS have links with many other care providers, creating a broad support network for consumers and carers. These include private GPs and psychiatrists, community health services and local government. General Practitioners (GPs) GPs are usually the first point of contact for people and their carers experiencing a mental illness. They can offer continuous care throughout the person’s recovery. They are able to access information and additional supports for the consumer and their carers. Private Psychiatrists An appointment with a private psychiatrist is via GP referral. Having a referral means the Medicare rebate can be claimed. Psychiatrists’ fees will vary, and some psychiatrists bulk bill. Information on fees and billing arrangements can be obtained through the referring doctor or directly from psychiatrists’ rooms. Private psychiatrists mainly provide outpatient services from their consulting rooms or inpatient services to private hospitals. They often specialise in particular illnesses, age groups and may speak languages other than English. Harvester Private Consulting Suites Harvester Consulting Suites are located on the first floor of 4A Devonshire Road, Sunshine. Currently, this private practice offers services from Consultant Psychiatrists and Psychologists. The service works with MWAMHS, other local AMHS and Medical Practices in and around the area, with the aim to improve the working relations between the public and private sectors. *Note: All people wishing to use this service need a referral from their General Practitioner. Current clients of MWAMHS need to discuss the referral with their treating team. A guide to working with mental health services in the Mid West area (May 2010) Page 51 Forensicare - The Victorian Institute of Forensic Mental Health The Victorian Institute of Forensic Mental Health, known as Forensicare, is the statutory authority responsible for the provision of adult forensic mental health services in Victoria. The Community Forensic Mental Health Services provides three distinct programs: 1. Mental Health Program 2. Problem Behaviour Program 3. Court Services Program 1. Mental Health Program The Mental Health Program is comprised of 3 sub-programs: • • • Community Integration Program - Forensicare (CIP) Non-custodial Supervision Order Program (NCSO) Mental Health Court Liaison Program (MHCLS) Community Integration Program - Forensicare (CIP) Clinicians within this program assist clients with a serious mental illness to transition from prison and Thomas Embling Hospital into the community and facilitate engagement with AMHS. CIP - Forensicare clinicians undertake an outreach support role with clients and provide intensive work with clients postrelease from prison and more intensive short-term work with forensic patients and clients referred from AMHS. Referrals can be made via the CFMHS Intake Worker on 9947 2500. Non-custodial Supervision Order Program (NCSO) The NCSO program provides liaison, education and clinical consultation to AMHSs that are responsible for the management of clients on an NCSO. Contact the NCSO Coordinator at the CFMHS on 9947 2500. Mental Health Court Liaison Program (MHCLS) Senior mental health clinicians located within the Magistrates’ Courts provide mental health assessment and advice to the courts regarding mentally ill persons presenting at court. The MHCLS will also facilitate relevant linkages with community based mental health services, AOD services, and other communityA guide to working with mental health services in the Mid West area (May 2010) Page 52 based services, or prison based mental health services for those remaining in custody. MHCLS clinicians are located at the Melbourne, Broadmeadows, Sunshine, Ringwood, Heidelberg, Dandenong, and Frankston Magistrates’ courts. Referrals are made directly to the MHCLS at the relevant Magistrates’ Court. 2. Problem Behaviour Program This program provides psychiatric and psychological consultation and treatment for people with a range of ‘problem’ behaviours associated with criminal offending, and for whom services are not available elsewhere. Problem behaviours include, but are not limited to: • Serious physical violence • Threats to kill or harm • Stalking • Deviant sexual behaviours • Fire setting Referrals can me made via the CFMHS Intake Worker on 9947 2500. 3. Court reports and Adult Parole Board Reports This service provides psychiatric and psychological pre-sentence reports at the request of Magistrates and Judges where mental disorder may be relevant in sentencing. This service also provides reports to the Adult Parole Board to assist the board in determining parole decisions involving prisoners with a serious mental illness or problem behaviour. Requests for reports must be directed through the CFMHS Administration Coordinator on 9947 2500. Eligibility for CFMHS services: • Clients 18 years and over • Clients who present with significant mental health issues and high risk behaviours • Clients with a significant forensic history • Clients who have exhibited one or more problem behaviours, and/or have spoken about fantasies about committing them. A guide to working with mental health services in the Mid West area (May 2010) Page 53 Spectrum - The Personality Disorder Service for Victoria Spectrum is a state funded service for people with severe borderline personality disorders who are at risk of serious self-harm Spectrum programs are designed primarily to assist mental health clinicians within Victorian area mental health services to better meet the needs of their clients with severe or borderline personality disorder. These clients typically have severe interpersonal difficulties, a long history of self-harm and/or suicide attempts and particularly complex needs. Spectrum is funded to provide services for people with borderline personality disorder who: • Have current involvement from a Clinical Area Mental Health Service in Victoria • Are aged between 16 and 64 years • Live in the state of Victoria. If an individual with severe or borderline personality disorder is involved in a Spectrum program, the area mental health service needs to continue their work with the client throughout the period of Spectrum's involvement. Spectrum Programs Spectrum provides a range of programs including: 1. Assessment Services for Clients of Clinical Area Mental Health Services in Victoria Spectrum provides a specialist clinical assessment service to clients for whom a Spectrum treatment service is being considered, or where a mental health clinician has requested an assessment for a particular purpose. 2. Secondary Consultation Services for Clients of Clinical Area Mental Health Services in Victoria A secondary consultation can assist clinicians from area mental health services in their work with clients who have severe or borderline personality disorder. A secondary consultation may involve any treating team within the area mental health service (AHMS) or child and adolescent mental health services (CAMHS). A guide to working with mental health services in the Mid West area (May 2010) Page 54 3. Direct Treatment for Clients of Clinical Area Mental Health Services in Victoria Spectrum works in partnership with Victorian Area Mental Health services to provide direct treatment to people with personality disorders. Treatment is based on a full assessment and designed with the client and their team. A Spectrum clinician works closely with the client and the Area Mental Health Service case manager throughout the period of treatment. 3. Care Co-ordination and Treatment for Clients with High & Complex Needs The Chief Psychiatrist in Victoria may refer sometimes clients with particularly complex needs. Sometimes a Spectrum assessment may identify an exceptionally severe and chronic presentation. In these instances, Spectrum can provide clinical leadership and direct work in some instances. 4. Professional Development Spectrum offers a range of professional development workshops in a central location. These workshops are designed to assist mental health clinicians to better meet the needs of their clients with severe or borderline personality disorder. 5. Spectrum is also involved with: • Research • Advocacy Making a Referral to Spectrum Information for Clinical Mental Health Service Clinicians (AMHS & CAMHS) • Spectrum accepts referrals for Assessments & Secondary Consultations from any AMHS or CAMHS clinician in Victoria (such as Continuing Care Team, Mobile Support Team, Inpatient Unit or CAT team clinicians). • Spectrum accepts referrals for Direct Treatment from AMHS and CAMHS Case Managers and Therapists in Victoria who work in Continuing Care Teams, Mobile Support Teams and Community Care Units. A guide to working with mental health services in the Mid West area (May 2010) Page 55 • Other statewide specialist mental health services in Victoria such as Forensicare, Victorian Aboriginal Health Service (Mental Health Program) and Victorian Dual Disability Service may refer to Spectrum for Assessments & Secondary Consultations. When to make a referral A client would typically have severe interpersonal difficulties and a long history of self-harm and/or suicide attempts, and particularly complex needs. Spectrum clinicians can provide assistance with: • Clarifying diagnostic issues • Assessment of a client • Treatment planning in the client's locality • Organising a wider treatment plan that may include statewide interventions • Accessing Spectrum's direct treatment programs (outpatient or residential) • Collaborative treatment review when there has been considerable clinical input but little progress A referral can be made at any time; however it will assist Spectrum if the following has occurred prior to making contact: • • • • Client is actively working with a Clinical Mental Health Service (AMHS or CAMHS) An initial assessment of the client has been made An initial formulation has been completed (detailing your understanding of the client's presentation) You and/or your team have questions relating to the client's care and treatment How to make a referral All referrals, requests for professional development and enquiries can be made by contacting Spectrum's Intake Clinician on (03) 9871 3900. Please also visit Spectrum’s website for latest service updates: www.spectrumbpd.com.au A guide to working with mental health services in the Mid West area (May 2010) Page 56 Substance Use and Mental Illness Treatment Team (SUMITT) What is the aim of SUMITT? The Substance Use and Mental Illness Treatment Team (SUMITT) is an initiative of the Department of Human Services to build the capacity of services and staff to respond to the needs of consumers with co-occurring mental illness and substance misuse. The aim of SUMITT is to provide high quality services to individuals who have co-occurring mental health and substance-related disorders and build the capacity of the mental health and alcohol and other drug services to provide evidence based accessible and integrated treatment and care to these consumers and their carers. A SUMITT senior clinician is co-located at each NorthWestern Mental Health AMHS and at local alcohol and other drug services in the North-Western region. What services are provided by SUMITT? Primary consultation to consumers with a dual diagnosis in consultation with their respective mental health or alcohol and other drug worker. Secondary consultation to mental health or drug and alcohol workers involved with clients with a serious mental illness and co-existing substance misuse. Tertiary consultation to organisations providing assistance with addressing commonly encountered barriers to treatment in clients with a dual diagnosis, i.e. mental health/ substance abuse. Education and training to mental health and drug and alcohol workers and interested others. (See annual training calendar/individual training programs to organisations as appropriate.) How can referrals be made to SUMITT? Case Managers from the AMHS can make referrals to SUMITT. Secondary and tertiary consultation may be accessed via telephone Monday to Friday, 9am-5pm on 8387 2202. Requests for consultations may be faxed on 8387 2202. GPs and other primary care providers cannot refer clients directly to SUMITT. A guide to working with mental health services in the Mid West area (May 2010) Page 57 Victorian Dual Disability Service Specialist service for people with a mental illness and an intellectual disability The Victorian Dual Disability Service (VDDS) is a state-wide mental health service for people with an intellectual disability. It is founded on the belief that people with a dual disability should have access to the best possible mental health care. To achieve this VDDS works with specialist mental health services in Victoria to assess, treat and manage people with a dual disability. VDDS activities include: • Clinical support (phone based advice and second opinions) • Training (lectures, workshops) • Academic units • Publications and projects 1. Clinical Phone based advice VDDS provides advice to anyone about the mental health of people with an intellectual disability in relation to: • • • • • • Presentation of mental disorders Mental health assessment Assessment for Autism Spectrum Disorder Treatment for a mental disorder Management of mental and behavioural disorders Services available in Victoria and how to access these services The VDDS hours of operation are Monday to Friday 8.30am-5.00pm. If no one can take your call or if you call out of office hours you may leave a message and your call will be returned within 1 working day. Assessment a. Who can request an assessment? • Clinicians from Area Mental Health Services can request an assessment by phoning VDDS on 9288 2950. • Employees of Disability Services North and West Metropolitan Region can request an assessment by referring to the Behaviour Intervention and Support Team. A guide to working with mental health services in the Mid West area (May 2010) Page 58 • If you are a person with a disability, a carer, a family member, a private psychiatrist, or a GP you are welcome to phone VDDS for advice on how to request an assessment. b. What does the assessment provide? • VDDS understanding of the problem • Diagnostic opinion • Recommendations about treatment and management • Recommendations on what services should be involved 2. Training In 2010 VDDS will deliver workshops locally via the mental health training and professional development clusters. These workshops are specifically designed for clinicians from Area Mental Health Services in Victoria, and key workers from Psychiatric Disability Rehabilitation and Support Services. Topics will include: • Assessment • Challenging Behaviour • Autism Spectrum Disorders • Management 3. Academic VDDS delivers a range of lectures, tutorials, workshops and information sessions. Currently, the service makes a contribution to the following courses: • • Monash University - Graduate Diploma Community Mental Health: Dual Disability module RMIT University - Disability - Bachelor of Applied Science 4. Service Development • Works with 22 Victorian AMHS in developing networks and partnerships to enhance policies and procedures for innovative services of care. • Facilitates the development of systems for partnerships and collaborative treatment planning, through consultation and liaison. • Publications and Projects A guide to working with mental health services in the Mid West area (May 2010) Page 59 Contact the Victorian Dual Disability Service: Address: St Vincent's Hospital Campus PO Box 2900, Fitzroy 3068 Tel: 9288 2950 Fax: 9288 2953 vdds@svhm.org.au Email: Web: www.vdds.org.au A guide to working with mental health services in the Mid West area (May 2010) Page 60 Orygen Youth Health Clinical Program An Overview: The Orygen YH Clinical Program provides specialist mental health services for adolescents and young adults aged between 15 and 24 years of age who reside in the Western and North Western regions of Melbourne (which includes the Mid West catchment). Clinical services are provided to young people within their families and communities, with the provision of inpatient care for severe episodes of mental disorder. Clinical services are provided for up to two years and currently 750 young people each year access the service. They are young people experiencing a wide range of mental disorders including depression, anxiety disorders, personality disorders, and psychotic disorders such as schizophrenia and bipolar disorder. A substantial proportion of these young people have a comorbid drug and/or alcohol use disorder, which also requires intervention. The clinical program provides a broad range of services including initial triage and assessment services, one-to-one therapy, case management and specialist psychiatric treatment including psychotropic medications, family education and support services, group-based recovery programs, consumer support services, home-based treatment and intensive outreach programs for difficult to engage clients, as well as inpatient services. Orygen YH also has a large and very active consumer participation program (the Platform Team) and a family peer support program that provide strategic advice to the program on service delivery issues and hands-on information, advice and peer support to other consumers and carers of the service. Youth Access Team (YAT): The YAT program is a mobile mental health crisis assessment and treatment team for young people. The YAT Triage service is the first point of contact for people being referred to Orygen YH. Any young person who has a serious mental health problem and lives in the catchment area can be referred or refer themselves, to OYH. Triage staff will discuss the young person's difficulties with the referrer and make an initial decision about whether the person requires a specialist mental health assessment, considering the level of risk, and the urgency of the situation. The A guide to working with mental health services in the Mid West area (May 2010) Page 61 young person will also be involved in the process and where appropriate family, school staff and GPs may also be involved. Triage is available 24 hours a day, 7 days a week. People are encouraged to make non-urgent referrals during business hours on 8345 7400. For urgent referrals after hours contact 1800 888 320, or call the paging service on 03 9483 4556, ask for the Triage staff and leave your contact details. All pager messages will be responded to quickly. YAT Acute services: The acute team completes crisis assessments for young people newly referred to the service and unable to wait for a routine appointment. They also provide crisis response to current clients outside of business hours. Community treatment is also offered to current clients who require more intensive treatment than can be offered by the case managers alone. Orygen Youth Health Inpatient Unit: (IPU) The IPU has 16 beds and the average length of stay is 10-12 days. The IPU is located at 35 Mavis St, Footscray, on the Western Hospital site. Admission to the IPU is via YAT. Continuing Care Teams: When a young person is offered treatment at Orygen YH, they are allocated a Case Manager and often a doctor. It is expected that the young person will attend appointments at Orygen YH in Parkville or at community sites, but sometimes the Case Manager will visit the young person at home. Treatment is provided for up to two years. This is not always provided in one block but may be offered over several shorter periods of care. CCT Services: Early Psychosis Prevention & Intervention Centre (EPPIC): EPPIC is a comprehensive service addressing the needs of young people with psychotic disorders. These disorders can cause acute distress and confusion in a young person, as well as for family, friends and professionals. EPPIC aims to facilitate early identification and treatment of psychosis and therefore reduce the disruption to the young person’s functioning and psychosocial development. EPPIC also promotes wellbeing among family members and assists in reducing the burden for carers. A guide to working with mental health services in the Mid West area (May 2010) Page 62 The EPPIC PACE team works with young people who might be at risk of developing psychosis. By identifying people who are at risk and providing them with appropriate treatment, it is hoped that early symptoms will be reduced, while also delaying or perhaps averting further problems. Youthscope: Youthscope provides treatment to young people who are experiencing illnesses such as depression, anxiety, and personality disorders. The treatment may include individual, group and/or family work, and much of the intervention is focused on developing skills to understand and manage the illness, while also identifying personal goals to work towards and achieve. Episodes of care are brief, usually between four and six months, with a total of two years of treatment available. Psychosocial Services: The Psychosocial services available include recovery group programs, vocational services, a youth participation and peer support program, and a family peer support program. Group programs: Group programs are an integral component of the clinical treatment and are offered to all clients. They encompass a diverse range of approaches and therapeutic activities. In addition, group program clinicians work in close collaboration with teachers from Travancore School, a Department of Education school facility that offers a range of educational and vocational programs, for both individuals and groups. Case Managers can refer clients at any time. OTHER ORYGEN ACTIVITIES OYH - Research Centre The Research Centre aims to understand the biological, psychological and social factors that influence onset, remission and relapse of mental illnesses in order to find better ways to prevent and/or reduce the impact of mental disorders. OYH Research Centre is regarded as one of the pre-eminent psychiatric and research institutes in Australia and an international leader in the effective management of youth mental illness. A not-for- profit group, the Research Centre conducts studies into all aspects of mental illnesses that effect young people and presents cutting-edge research that translates into more effective treatments. OYH - Training and Communication The Training and Communication department at Orygen endeavours to share knowledge gained through clinical and research expertise to enhance the service system that supports young people with mental illness. It therefore works to A guide to working with mental health services in the Mid West area (May 2010) Page 63 strengthen the integration of the youth health service system, including public, community and private health services at local, national and international levels. OYH - Training and Communication activities are also designed to influence political agendas and increase community understanding about mental illness in young people. Contact Orygen Youth Health Clinical Program: Address: 35 Poplar Road Parkville 3052 Tel: 8345 7400 (Triage) 8345 7550 (Inpatient Unit) 9342 2800 (Outpatients and Research Centre) Further information is available at www.oyh.org.au and www.eppic.org.au A referral guide – How it Works – How to Refer to Orygen Youth Health can be found on the site’s Information and Resources page: http://tc.oyh.org.au/InformationResources A guide to working with mental health services in the Mid West area (May 2010) Page 64 Case Managers & Key Workers - Who Does What? The work of the clinical and PDRS service sectors can sometimes be very similar or even overlap. Two roles that share particularly similar duties are the Case Managers from clinical services and the Key Workers from PDRSS. Often it is necessary for staff in these two roles to work together to plan and coordinate the ways they assist consumers, particularly if consumers are linked into both these services at the same time. The following information describes the general roles and responsibilities of Case Managers (clinical services) and the Key Workers (PDRSS). It also provides some guidelines for how these workers can best work together to provide a coordinated system of care to support shared consumers. Case Managers Case Managers are based in the Area Mental Health Services. They are qualified health professionals that work alongside the consumer to provide specialised medical and allied health support to help them achieve their goals. The Case Manager liaises with families and carers and is responsible for co-ordinating and ensuring all activities related to the consumer’s wellbeing are met. Case Managers working in clinical services are also required to work under the provisions of the Victorian Mental Health Act, 1986. A guide to working with mental health services in the Mid West area (May 2010) Page 65 The Case Manager may be one of the following health professionals: • Social Worker - is a mental health professional who works closely with a consumer to provide individual counselling and advocacy, including negotiating access to social and community supports. These workers are also trained to work with families, particularly in the areas of mediation and intervention. • Psychologist - is a mental health professional who has specialist training in the assessment of behaviour and cognitive functioning. The psychologist assists consumers to positively change how they think, feel and act towards themselves and others. • Consultant Psychiatrist - is a registered, qualified senior medical practitioner who has undertaken extensive specialised training in the diagnosing, treatment and management of mental illness. These professionals typically provide support and advice to Case Managers, rather than work in a case management role per se. • Occupational Therapist - is a mental health professional that has specialist training in the assessment of function related to all aspects of self-care and daily living. • Psychiatric Nurse - is a registered nurse who specialises in the nursing care and treatment of consumers with a mental illness. The key roles of mental health Case Managers are to: • Assess, plan and provide individualised treatment and care in collaboration with the consumer, carers and relevant others (e.g. PDRSS and other community support workers) • Coordinate services for the consumer in a timely and efficient manner • Be a point of contact and accountability • Guide the consumer and carers through the system • Provide intensive support and intervention • Monitor and review risk and the intensity of case management need • Access multidisciplinary input as needed • Link the consumer and carers to other community supports and agencies • Ensure effective discharge planning (Information adapted from Introduction to Victoria’s public clinical mental health services, DHS, 2006) A guide to working with mental health services in the Mid West area (May 2010) Page 66 Key Workers Key Workers are the primary contact person for the consumer in PDRSS programs. They often carry the same professional qualifications as Case Managers and can be Psychologists, Social Workers, Occupational Therapists, Nurses, etc. Key Workers primarily focus on the day-to-day rehabilitation of consumers, responding to individual concerns as they arise (e.g. financial matters, social connection, interpersonal relationships, emotional stability, etc.) They also facilitate individual and group based activity programs that aim to enhance physical health and wellbeing, self-esteem and awareness, independent living skills and creativity. Due to the extensive time spent with clients, Key Workers can be a great support and source of information for Case Managers (who see clients less frequently and are often time restricted). This information is invaluable to developing and modifying joint care plans to enable effective rehabilitation of shared consumers. Key Workers are also responsible for: • Collaborating with the consumer in the development of an Individual Program Plan (IPP, sometimes known as an Individual Recovery Plan or IRP), which reflects the consumer’s recovery and support needs. • Coordinating the implementation of the consumer’s IPP. • Ensuring that the consumer receives the services and supports necessary to regain the skills and confidence required in activities of daily living, independence, decision-making, and maintaining social relationships. • Facilitating the consumer’s access to and participation in, a range of general community support programs and activities. These include programs and activities relating to accommodation, education and training, income security, employment, recreation and leisure. • Facilitating contact and developing a cooperative relationship with clinical mental health services, particularly with a consumer’s Case Manager, private psychiatrist and/or general practitioner. • Developing, with the informed consent of the consumer, a cooperative relationship with any other carers involved with the consumer. • On the request of the consumer, acting as an advocate for the consumer, especially in dealing with discriminatory attitudes and behaviour and in facilitating access to services. (Information adapted from PDRSS Guidelines for Service Delivery, DHS, 2003) A guide to working with mental health services in the Mid West area (May 2010) Page 67 Working Together Because a proportion of PDRSS consumers also receive case management services from the clinical mental health services, Case Managers and Key Workers represent a key partnership in providing a coordinated system of care for these shared consumers and their carers. Staff can work together to support shared consumers by: • • • • • Keeping up to date with the latest programs and services in their area. Getting to know workers from other services (i.e. putting ‘faces to names’, learning more about one another’s jobs). Using each other’s strengths to develop balanced plans, tailored to consumer needs. Letting each other know about significant developments that may affect their work with shared consumers (see Guidelines for communication between MWAMHS & PDRSS on following pages for more info). Making sure that consumers and carers are involved in important decision-making, and kept up to date about changes to support plans. Some of the benefits from working together include: • • • Developing collaborative working relationships, which ensure that consumers are provided with “the right service at the right time”. Developing complimentary treatment and support goals and strategies for shared consumers, which help avoid duplication of services. Integrated and coordinated continuity of care plans. BY WORKING TOGETHER, BETTER OUTCOMES CAN BE GAINED FOR EVERYONE!!! A guide to working with mental health services in the Mid West area (May 2010) Page 68 Knowing or not knowing about important changes in consumers’ circumstances can have a big impact on our work. Therefore it’s crucial that we inform other workers who are also involved with our consumers when the following issues occur: 1. 2. 3. 4. 5. 6. 7. 8. 9. Change in consumer contact details Change in case manager details: a. Are you going on leave? b. Has another worker been assigned to support the consumer while you’re away? c. Has there been a change in the level of clinical support (e.g. consumer has been referred to another internal program)? Referral to an external agency Hospital admission/ discharge Significant change in medication/ likely side effects Changes in legal status (e.g. treatment orders, administrator/ guardianship order, power of attorney, etc.) Changes in consumer management plan (i.e. ISP/RAP/IPP/IRP): a. Goals, strategies, roles, outcomes, etc. b. Contingency plan, relapse prevention plan c. Critical incidents (i.e. nature of incident, management strategy, outcome) Discharge/ transitional planning Significant changes in personal circumstances: a. Mental state (e.g. signs of risk or relapse) b. Physical health c. Employment status d. Housing issues (e.g. evictions, arrears, etc.) e. Carer/ children/ other relationship issues Lastly, don’t forget to report your correspondence with other services in your case notes/ monthly contacts. If it’s not documented then it didn’t happen! A guide to working with mental health services in the Mid West area (May 2010) Page 69 Explanations of Frequently Used Terms Area Mental Health Services (AMHS) - The network of public specialist mental health services that operates in defined geographical areas. Carer - The term ‘carer’ includes those who, while not related to the client by biology or marriage, are nevertheless actively involved in their care. This may include intimates, friends, housemates and professional carers. The term ‘primary carer’ is defined in the Mental Health Act (1986) as “any person who is primarily responsible for providing support or care to a person other than wholly or substantially on a commercial basis.” Community Treatment Order (CTO) - is provided for by the Mental Health Act 1986. It permits involuntary treatment in the community for some consumers with a mental illness who are subject to an involuntary treatment order. As such, they offer a less restrictive, community-based environment for involuntary treatment, than an in-patient setting. Consumer - Consistent with prevailing views, the term consumer generally refers to the users of public mental health services. Organisations that represent users of mental health services have embraced the term ‘consumer’ because they feel that it acknowledges people with mental illness as individuals with legitimate rights, preferences and responsibilities. It covers children, young people, adults and older people. Continuity of Care - Provision of mental health services to a consumer in a way that ensures care is continued when there is a change of service or Case Manager. An example is when a person leaves a psychiatric inpatient service and their care is transferred to the community mental health centre or where the consumer moves to a new area. Dual Diagnosis - The occurrence of a serious mental illness and a substance abuse disorder concurrently in the same individual. Dual Disability - The occurrence of a serious mental illness and an intellectual disability at the same time in the same individual. Duty Worker - A mental health professional at a community mental health service who is the first contact for people requesting services within an area mental health service. The duty worker undertakes an initial screening and may then arrange an intake assessment of the consumer’s current problem/s and guide A guide to working with mental health services in the Mid West area (May 2010) Page 70 the consumer to other community services. The term ‘triage’ may be used instead of ‘duty’. Individual Service Plan (ISP) - is a working plan put together by the consumer and Case Manager from MWAMHS. It is a summary of goals and activities the consumer is working towards, with ways of how to get there. The plan is regularly reviewed and amended according to the progress the consumer is making throughout their recovery. Carers may help in this process. Individual Program Plan (IPP) - is a working plan to identify and support the recovery needs of consumers within PDRSS programs. This plan is very similar in structure and purpose to the Individual Service Plan (ISP) used by clinical services (i.e. MWAMHS); however the focus in this case is on psychosocial rehabilitation goals, than managing symptoms of illness through medical treatment. Individual Program Plans (IPP) outline and guide this process. The IPP is developed by consumers, with the support of their Key Worker. The plan guides a dynamic rehabilitation process, including identification of current environmental issues, goal setting, strategies for success, and regular reviews. Informed Consent - is consent obtained freely, without threats or improper inducements, after questions by the consumer have been answered on all aspects of the treatment being offered. This will involve an explanation of what the treatment involves, the benefits, the risks and the alternatives available. It will also include an explanation of consumer rights. Mental Health Act 1986 - The Victorian Mental Health Act 1986 provides a legislative framework for the care, treatment and protection of people with a mental illness in Victoria. The key features of the Act are its emphasis on rights and the requirement that treatment should be provided in the least restrictive environment, with dignity and respect for the person with the mental illness. Mental Health Review Board - is an independent tribunal that hears appeals from involuntary patients, hospital order patients and security patients who want to be discharged from their involuntary treatment status. The Board also automatically reviews these individual cases. Prevention and Recovery Care Units (PARC) - These are sub-acute clinical units that provide a short term acute supported residential option, in partnership with the PDRSS sector, for people experiencing a significant mental health problem requiring intensive support but who do not need a hospital admission. A guide to working with mental health services in the Mid West area (May 2010) Page 71 Psychosocial Rehabilitation - focuses on the promotion of personal recovery, giving people the opportunity to work, live and enjoy a social life in the community. Recovery - a personal and unique way of changing one’s attitudes, values and goals to live a hopeful and meaningful life beyond the effects of mental illness. Recovery Action Plan - A working plan that is similar in structure and purpose to ISPs/IPPs, which is primarily used by the Community Care Unit. Triage - Mental health triage is provided for all potential consumers (or people seeking assistance on behalf of a person thought to have a mental illness) at the first point of contact with mental health services. Triage may also be used for assessment of current and former consumers who make unplanned contact with the mental health service. A guide to working with mental health services in the Mid West area (May 2010) Page 72 Important Telephone Numbers Mid West Area Mental Health Service MWAMHS Triage Service Crisis Assessment and Treatment Team Sunshine Adult Acute Psychiatric Unit (SAAPU) Adult Mental Health Rehabilitation Unit (AMHRU) St Albans Community Care Units (CCU) Continuing Care Team Mobile Support and Treatment Team Primary Mental Health Team Consumer Consultants Carer Consultants PDRSS in the Mid West Area Norwood Association Mind Australia- Appleby Crescent Service Mind Australia- Electra Street Community Mind Australia- McPherson Community Mind Australia- Victoria Street Program Mind Australia- Western Respite Services Western Region Health Centre- Horizons Western Region Health Centre- Outlooks Western Region Health Centre- ROCKET In the case of an emergency: fire, police, ambulance (when you need an immediate response) Local Hospitals Sunshine Hospital Western Hospital The Royal Melbourne Hospital A guide to working with mental health services in the Mid West area (May 2010) 1300 859 764 1300 859 764 8345 1260 8345 1220 9365 3000 9288 7000 9288 7000 9288 7000 9288 7000 9288 7000 9365 9500 9386 4055 9397 1028 9310 2626 9387 2133 9391 0144 9364 1455 9747 6337 9310 9200 000 8345 1333 8345 6666 9342 7000 Page 73 Local Police Sunshine Police Melton Police Sunbury Police 9313 3333 9747 7999 9744 8111 Crisis Services Lifeline (24 Hours) Generalist Kids Helpline (24 hours) Parentline (8am-12am weekdays, 10am-10pm weekends) Grief Line (12pm-3am) Direct Line (24 hours) Alcohol and Drug Counselling Womens’ Domestic Violence Crisis Line (24 hours) Western Region Centre Against Sexual Assault (24 hours) Mensline Australia (24 hours) Suicide Helpline (24 hours) Gamblers Helpline (24 hours) Family Drug Helpline (24 hours) Maternal & Child Health Line (24 hours) Child Abuse/ Prevention (24 hours) 13 11 14 1800 551 800 13 22 89 9596 7799 1800 888 236 1800 015 188 9687 5811 1300 789 978 1300 651 251 1800 858 858 1300 660 068 13 22 29 1800 688 009 Mental Health Advice Line The Mental Health Advice Line is a state-wide telephone information service available to all Victorians seeking mental health information, advice and referral for themselves or another person. The service is for Victorians of all ages and from all backgrounds. You can call about yourself, a friend or a family member and you may remain anonymous if you wish. The service is staffed by mental health professionals who provide expert mental health advice 24 hours a day, 7 days a week, including public holidays. In an emergency or life threatening situation, you should still call 000. Interpreters for non-English speakers are also available. A guide to working with mental health services in the Mid West area (May 2010) 1300 280 737 Page 74 Other Consumer Information/Support Services SANE Helpline (Mon-Fri, 9am-5pm) Mental Illness Fellowship Helpline (Mon-Fri, 9am-5pm) Arafemi Support Helpline (Mon-Fri, 9am-5pm) Victorian Mental Illness Awareness Council (VMIAC) Building 1, 22 Aintree St. East Brunswick 3057 1800 187 263 8486 4222 1300 550 265 9380 3900 A peak consumer body in Victoria, offering peer support. - Consumer support group, Wednesday: 11am - 2 pm - VMIAC The Art Shed - Wednesday art activities and conversation Victorian Transcultural Psychiatry Unit The Mental Health Legal Centre Inc. 520 Collins Street, Melbourne 3000 9288 3300 9629 4422 Legal information, advice, referral & advocacy to assist consumers. Free legal advice available Monday and Thursday: 3 - 5pm & Friday: 2 - 4pm. Carer Information SANE Helpline (Mon-Fri, 9am-5pm) Mental Illness Fellowship Helpline (Mon-Fri, 9am-5pm) Carers Victoria Advisory Line Respite Connections (formerly Carers Links West) ARAFEMI Carer Support Helpline (Mon-Fri, 9am-5pm) Victorian Transcultural Psychiatry Unit 1800 187 263 8486 4222 1800 242 636 9396 1077 1300 550 265 9288 3300 Carer Support Groups Respite Connections (formerly Carers Links West) 9396 1077 Melton Carers Group C/o WRHC - Outlooks Day program 9747 6337 ADEC- Action on Disability Within Ethnic Communities 9480 1666 Al-Anon and Alateen 9642 3330 Groups for relatives and friends of people with alcohol problems A guide to working with mental health services in the Mid West area (May 2010) Page 75 Useful Internet Sites National and Victorian Peak Organisations Mental Health Council of Australia Victorian Mental Illness Awareness Council Carers’ Network www.mhca.org.au Sane Australia www.sane.org Beyond Blue www.beyondblue.org.au Victoria’s Mental Health Services Department of Health & Ageing Federal Government Mental Health Foundation of Australia (Victoria) VICSERV - Psychiatric Disability Services of Victoria www.health.vic.gov.au/mentalhealth Consumer and Carer Links Association of Relatives and Friends of the Mentally Ill Carers Victoria Consumer, Carer and Community Participation and information, Victorian Government Mental Health Legal Centre Victoria Legal Aid www.vmiac.com.au www.carersnetwork.org www.health.gov.au www.mentalhealthvic.org.au http://vicserv.org.au www.arafemi.org.au/index.asp www.carersaustralia.com.au/ www.health.vic.gov.au/consumer/ www.communitylaw.org.au/mentalhealth/ www.legalaid.vic.gov.au/Index.cfm Searching for Interstate Health Services Australian Health Map, to find health services across Australia www.abc.net.au/health/healthmap/default. htm A guide to working with mental health services in the Mid West area (May 2010) Page 76 General Health Information HealthInsite Federal Government health information Better Health Channel Victorian Government Auseinet The Australian Network for Promotion, Prevention and Early Intervention for Mental Health www.healthinsite.gov.au www.betterhealth.vic.gov.au www.auseinet.com/stateinfo/refer/index.php General Mental Health Information and Support Anxiety Recovery Centre Victoria Counselling Online for drug and alcohol related concerns Depression Net www.arcvic.com.au/ Mental Health Research Institute - Voices Clinic Royal Australian & NZ College of Psychiatrists www.mhri.edu.au/voices.htm www.counsellingonline.org.au www.depressionet.com.au www.ranzcp.org/ Local Health Services ISIS Primary Care Djerriwarrh Melton Community Health Centre Sunbury Community Health Service Women’s Health in the North Directory www.isispc.com.au/index.php 9296 1200 www.djhs.com.au/ 8746 1100 www.sunburychc.org.au/ 9744 4455 www.whin.org.au/intro.html 9484 1666 A guide to working with mental health services in the Mid West area (May 2010) Page 77 Multicultural Services ADEC Action on Disability within Ethnic Communities VTPU - translated mental health information www.adec.org.au www.vtpu.org.au/resources/translatedm h.php Youth ORYGEN Youth Health EPPIC Early Psychosis Prevention and Intervention Centre PATS Paying Attention to Self support for young people who have a parent with mental Illness. COPMI - Children of Parents with a Mental Illness www.orygen.org.au www.eppic.org.au/ www.rch.org.au/pats/index.cfm?doc_id =7074 www.copmi.net.au/ A guide to working with mental health services in the Mid West area (May 2010) Page 78 Melbourne Health Values Respect for the dignity, beliefs and abilities of every individual Caring and compassion Integrity by being open, honest and fair Unity as a team and in embracing our communities Discovery through passion for innovation