Darebin & Whittlesea- Mental Health Service System – Referral Options (Updated July 2013) Patient identified as having a mental disorder or condition If you are not able to diagnose the condition, or for assistance consider speaking to a Consultant Psychiatrist for Assessment and Management Plan (MBS 291), or Centralised Triage via NW Mental Health 1300 874 243 Northern Primary Mental Health Team GP Psych Support Line MANAGEMENT WITH A MENTAL HEALTH TREATMENT PLAN 8480 3808 1800 200 588 MANAGEMENT WITHOUT A MENTAL HEALTH TREATMENT PLAN PLUS Northern Primary Mental Health Team Better Access to Mental Health Services (Medicare) GP refers patient to a Medicare registered clinical psychologist, or psychologist, occupational therapist, social worker or GP for focused psychological strategies. Patient may be billed a gap payment. ATAPS- Access to Allied Psychological Services (Better Outcomes in Mental Health Care Program) For health care card holders, no cost to patient. GP refers patient to an allied mental health professional (clinical psychologist, psychologist or occupational therapist, social worker, MH nurse) registered with the Northern Melbourne Medicare Local (NMML) for focused psychological strategies. Referrals for NMML catchment are faxed by GP to 9354 2164 at Infiniti Health Solutions, who facilitate the referral to a MH Allied Health Provider registered with the program. Enquiries ph: 9353 4944 Mental Health Nurse (Incentive Program) To assist GPs in the provision of coordinated clinical care for people with a severe & disabling mental illness. For more information see Mental Health Nurse Incentive Program Guidelines at www.medicare.gov.au Duty Worker 03 8480 3808 Consultant Psychiatrist, Psychiatric Registrar, Senior Clinicians providing support to GP’s including diagnostic clarifictaion, medication advice & secondary consultation NB: Govt. Freeze on growth in Program at 2012/13 Levels Northern Area Mental Health Service Central Triage Service via North Western Mental Health : 1300 874 243 Triage will assess and categorise a person’s mental health needs, and provide advice on appropriate treatment and management. Consultant Youth Early Psychosis Intervention (YEPS) Adult Mental Health Services Austin Child and Adolescent Mental Health Service (CAMHS) Community Support Services GP refers patient to mental health community support services (including CHS) for: Psychiatric Disability Rehabilitation Support Services (PDRSS) o Neami o Mind o PHAMS Personal Helpers & Mentors Service 24 hour telephone support Alcohol and drug services Aboriginal Health (VAHS) 03 9416 8714 Preparation of GP Mental Health Treatment Plan - MBS Item 2715 & 2717 (or 2700 & 2701) GP assesses the patient (including mental health diagnosis) and discusses mental health concerns, referral and treatment options, inc appropriate support services. (Max once every 12 months*) Review of GP Mental Health Treatment Plan - MBS Item 2712 Review patient progress against care plan, modify if required. Initial review should occur 4-24 weeks after initial care plan developed, if required a second review at 3 months following first review. (Two reviews in a 12 month period*) Plenty Valley CHS 9409 8787 Darebin CHS 8470 1111 Generalist Counselling Support Groups PRIVATE ALLIED Mental Health Providers At cost to patient Psychiatrist Clinical Psychologists Psychologist Social Worker Occupational Therapist Mental Health Nurse Triage 9496 3620 (9.00am – 5.00pm M – F) 1300 558 862 after hours referrals: USING A MENTALFax HEALTH TREATMENT PLAN - WHICH MBS ITEMS CAN BE USED? Community Health Services GP Mental Health Care Consultation - MBS Item 2713 or Standard Consultation - MBS Item 23 or 36 Ongoing management of the patient where consult is primarily for a mental health issue, providing treatment advice or referral (not Better Access). Not used for development/review of mental health treatment plan. (No restrictions) (* Except in Exceptional Circumstances – change in the condition or care circumstances of the patient) Without a mental health treatment plan - Which MBS items can be used? GP Mental Health Care Consultation MBS Item 2713 (20+ min) or Standard Consultation MBS Item 23 or 36 GP assesses all health concerns. With the patient, GP develops a pathway of care that does not include (claiming) a MH Treatment Plan. (Based on original created by Central West Gippsland Division of General Practice) Diagnosis, Assessment & Management Advice Darebin & Whittlesea- Mental Health Service System – Referral Options (Updated July 2013) Service GP Psych Support Line Phone: 1800 200 588 Fax: 1800 012 422 www.psychsupport.com.au Private Consultant Psychiatrist Better Access to Mental Health Services (Medicare) Primary Care Find a Psychologist: http://www.psychology.org.au/FindaPsychologist Find a Mental Health OT: http://www.ausot.com.au Find a Mental Health Social Worker: http://www.aasw.asn.au/membersdirectory ATAPS- Access to Allied Psychological Services (Better Outcomes in Mental Health Care Program) Administered by Infiniti Health Solutions for the Northern Melbourne Medicare Local. Phone: (03) 9353 4944 Fax: (03) 9354 2164 Private Allied Mental Health Providers Specialist Services Northern Area Mental Health Service Centralised Triage Service (via NorthWestern Mental Health: 1300 874 243 Child & Adolescent Mental Health Services (Austin CAMHS) Aged (People 65+ with severe mental illness) Description Service - Free patient management advice from a psychiatrist within 24 hours. - GPs can request advice in: o General adult psychiatry o Child and adolescent psychiatry o Old age psychiatry o Dual diagnosis/drug and alcohol - Referral to a consultant psychiatrist by a GP for an assessment and management plan (MBS Item 291). - Psychiatrist Referral Directory available for RACGP members at: www.racgp.org.au/psychiatristdatabase Description Primary Mental Health (PMHT) - Multi disciplinary team supports GPs in the assessment and management of patients with a mental health condition. Consultations with a consultant psychiatrist/ psychologist/ social worker available for: Clarification of diagnosis; Psychosocial Referrals and information management; Medication advice Phone: 8480 3808 - Secondary consultation available for case discussion/ review, advice regarding assessment and management. - Not for ongoing mental health support and care. Drug and Alcohol Clinical - 24 hour specialist telephone consultancy service on clinical management of alcohol and drug issues. Advisory Service (DACAS) Phone: 1800 812 804 - Patient must have a GP mental health treatment plan, 2715 or 2717 (or 2700 or 2701) - Patient eligible to access Medicare rebates for up to 10 individual sessions and/or 10 group services from a clinical psychologist or other allied mental health professional in a calendar year. - Exceptional circumstances to 30 December 2012 only (change in condition or care circumstances), additional 6 sessions , ie total 16 - Patient may be billed a gap payment. Mental Health Nurse Incentive Program (Medicare funded) - Patient must have a GP Mental Health Treatment Plan. - Eligible patients are health care card holders or women with perinatal depression, or children under 12 yrs or ATSI or patients affected by the Victorian bushfires, or people at risk of suicide. No cost - Patient eligible to access up to 12 individual sessions in a calendar year (6 sessions followed by a GP Review & rereferral) from an allied mental health professional registered with Infiniti’s program. Additional 6 sessions in exceptional circumstances. Other than through Better Access to Mental Health and ATAPS; will not require MH Treatment Plan (No Diagnosis required). At cost to patients, or claimable through private Health Ins. Youth Early Psychosis Service Ph: 1300 874 243 - This specialist service provides early intervention and case management for young people between 16 – 25 years of age, who are at risk of developing a psychosis or who have experienced a first episode of psychosis To make a referral or for a response for people with mental health issues in a crisis, advice on Crisis Assessment Youth Early Psychosis Service Adult Mental Health Services In an emergency where a response is required within 2 hours call 000 - Psychiatric triage (information, assessment and referral) - Business hours (9.00am - 5.00pm, Monday to Friday) - Telephone: (03) 9496 3620 - After hours (all other times) Telephone: 1300 558 862 Bundoora Extended Care (BECC) – Aged Persons Mental Health Team 65 years+ (for patients Darebin Nth of Dundas St; City of Whittlesea) Ph: 1300 427 288 Psychiatric Disability Rehabilitation Support Services (PDRSS) - Non-clinical specialist mental health support services - 16 yrs+, serious mental illness and associated significant psychiatric disability. Recovery and empowerment model to maximise opportunities to live successfully in the community. - Written referral for diagnosed mental health condition Local PDRSS providers www.health.vic.gov.au/mentalhealth/services/disability www.health.vic.gov.au/mentalhealth/services/statewide.htm eg Forensic, Eating disorders, Spectrum, Mother and Baby, Brain Disorders, Neuropsychiatry, Dual disability, EPPIC, NB: Freeze on growth in program at 2012/13 Levels http://www.medicareaustrali a.gov.au/provider/ (Via Centralised Triage) Statewide Specialist Services Private Consultant Psychiatrist Free services. Patient eligibility: Currently receiving treatment for a mental illness with current GP mental health treatment plan, GP or private psychiatrist is principally responsible for patients clinical mental health care AND - Condition causes significant disablement to patients social, personal & occupational functioning AND - Has had or is at risk of having admission to psychiatric facility, AND - Patient expected to require treatment for up to two years, AND - Patient interested in receiving additional support from a Mental Health Nurse. - A service of the Northern Area Mental Health Service - Available to patients with or without a GP mental health treatment plan, or formal referral. - At cost to patients. - Psychiatrist Referral Directory available to RACGP members at: www.racgp.org.au/psychiatristdatabase (Based on original created by Central West Gippsland Division of General Practice)