Hume - 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 North West Shared Care Team GP Psych Support Line MANAGEMENT WITH A MENTAL HEALTH TREATMENT PLAN 8371 9800 1800 200 588 MANAGEMENT WITHOUT A MENTAL HEALTH TREATMENT PLAN PLUS North West Mental Health Shared Care Team Better Access to Mental Health Services (Medicare) GP refers patient to a Medicare registered clinical psychologist, psychologist, occupational health worker, 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, occupational therapist, social worker, or 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. See www.medicare.gov.au NB: Govt. freeze on new growth in 2012/13 Intake Worker 03 8371 9800 Multidisciplinary Team of Senior MH Clinicians Whole of Life MH Service Working in Shared Care Model with GPs for people living north of Gaffney St Coburg Assessment Therapy (individual, couple, family or group) Review Outreach to a no. of NGO’s North Western Mental Health Central Triage Service: 1300 874 243 Triage will assess and categorise a person’s mental health needs, and provide advice on appropriate treatment and management. Consultant Youth (ORYGEN Youth Health) Adult Mental Health Services Aged * Referral can be made for consultation services for people living south of Gaffney St. Community Support Services GP refers patient to mental health community support services (including CHS) for: Psychiatric Disability Rehabilitation Support Services (PDRSS) o Dianella o Nth West Community Resource Exchange o Merri Community Health o PHAMS Personal Helpers & Mentors Service 24 hour telephone support Alcohol and drug services Aboriginal Health (VAHS) USING A MENTAL HEALTH TREATMENT PLAN - WHICH MBS ITEMS CAN BE USED? Preparation of GP Mental Health Treatment Plan - MBS Item 2715, 2717, 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*) 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) Community Health Services Dianella Broadmeadows 8345 5678 Meadow Heights 9302 8888 Craigieburn 9308 1222 Broadmeadows 9302 1780 Merri Coburg 9350 4000 Fawkner 9357 2444 Glenroy 9304 9200 PRIVATE ALLIED Mental Health Providers At cost to patient Psychiatrist Clinical Psychologists Psychologist Social Worker Occupational Therapist Mental Health Nurse 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) Management Advice Diagnosis, Assessment & Hume - 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 Service ATAPS- Access to Allied Psychological Services (Better Outcomes in Mental Health Care Program) Private Allied Mental Health Providers Northern or North West Area Mental Health Service Centralised Triage Service (via NorthWestern Mental Health: 1300 874 243 Youth Mental Health Services (15 – 24Yrs) Children’s Mental Health Services Royal Children’s Hospital (under 15 yrs) Aged (People 65+ with severe mental illness) Description North West Mental Health - Multi disciplinary team supports GPs in the assessment and management of patients with a mental health condition. Shared Care Team - Patient must have a GP mental health treatment plan (2715, (2717, 2700, 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 (change in condition or care circumstances), additional 6 sessions. (ie total 16)for 2012 calendar year only - Patient may be billed a gap payment. Mental Health Nurse Incentive Program (Medicare funded) - Consultations with a senior clinician. Assessments, review and up to 18 sessions of therapy can be offered. - Team does not provide a crisis service, long term case management, medical reports for Work Cover or TAC , or legal reports for court cases Drug and Alcohol Clinical - 24 hour specialist telephone consultancy service on clinical management of alcohol and drug issues. Advisory Service (DACAS) Intake and information Phone: 8371 9800 Phone: 1800 812 804 Mental Health Nurses are engaged directly by some general practices. NB: Govt freeze on program growth beyond 2012/13 levels See http://www.medicareaustrali a.gov.au/provider/ Administered by Infiniti Health Solutions for the Northern Melbourne Medicare Local. Phone: (03) 9353 4944 Fax: (03) 9354 2164 Specialist Services Description - 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 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 at: www.racgp.org.au/psychiatristdatabase Free services for patients funded through Medicare. 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. - 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. Early Psychosis, Prevention & Intervention Centre (EPPIC) - A service of the ORYGEN Youth Health Ph: 1800 888 320 - This specialist service provides early intervention and case management for young people between 15 - 24 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 (Northern only) Adult Mental Health Services & Aged (after hours) In an emergency where a response is required within 2 hours call 000 Psychiatric Disability Rehabilitation Support Services (PDRSS) - Triage 1800 888 320 (until 10pm and then Triage 1300 874 243) - 1800 445 511 9.00am – 5.00pm Mon-Fri (then refer to ED at RCH) Statewide Specialist Services - 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 available in North West: 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 - Private Consultant Psychiatrist 1300427288 9-4.30 M-F then defaults to 1300 874 243 APPATT 8371 8200 - 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)