Monash Division - Northern Melbourne Medicare Local is closed

advertisement

Banyule & Nillumbik - 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 NE Mental Health Services 1300 859 789

North East Primary Mental Health Team 1300 859 789 (via Triage)

or GP Psych Support Line 1800 200 588

M

ANAGEMENT WITH A

M

ENTAL

H

EALTH

T

REATMENT

P

LAN

(2715, 2717, 2700, 2701)

M

ANAGEMENT WITHOUT A

M

ENTAL

H

EALTH

T

REATMENT

P

LAN

PLUS

Better Access to Mental Health

Services (Medicare)

GP refers patient to a Medicare registered clinical psychologist, 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, 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)

For more information contact your Division of

Mental Health Nurse

Incentive Program

Guidelines at www.medicare.gov.au

on new growth

To assist GPs in the provision of coordinated clinical care for people with a severe & disabling mental illness.

General Practice or see

NB: Current Govt freeze

Triage Service:

1300 859 789

Triage will assess and categorise a person’s mental health needs, and provide advice on appropriate treatment and management.

 Crisis Assessment

 Youth Early Psychosis

Intervention (YEPS)

 Adult Mental Health

Services

 After Hours -Aged

Persons Mental Health

Service

 Child and Adolescent

Mental Health Service

Triage 9496 3620

1300 558 862 after hours

USING A MENTAL HEALTH TREATMENT PLAN - WHICH MBS ITEMS CAN BE USED?

Preparation of GP Mental Health Treatment Plan - MBS Items (2715, 2717, 2700, 2701)

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)

(

North East

Primary Mental

Health and Early

Intervention

Via Centrailsed

Triage

1300 859 789

Consultant

Psychiatrist,

Psychiatric

Registrar, Clinical

Psychologists,

Psychiatric Nurses providing support

to GP’s

Austin Mental Health

Services

Community Support Services

Based on original created by Central West Gippsland Division of General Practice)

GP refers patient to mental health community support services (including CHS) for:

Psychiatric Disability

Rehabilitation Support

Services (PDRSS) o o o o

Neamii

Apollo

Mind

PHAMS Personal

Helpers & Mentors

Service

24 hour telephone support

Alcohol and drug services

Aboriginal Health (VAHS)

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*)

Community

Health

Services

Banyule CHS

9450 2000

Nillumbik CHS

9430 9100

PRIVATE ALLIED

Mental Health

Providers

At cost to patient

 Psychiatrist

Darebin CHS

9403 1200

 Clinical

Psychologists

 Generalist

Counselling

 Support

Groups

 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.

Service

GP Psych Support Line

Phone: 1800 200 588

Fax: 1800 012 422 www.psychsupport.com.au

Banyule & Nillumbik - Mental Health Service System – Referral Options (Updated July 2013)

Private Consultant Psychiatrist

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 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 at: www.racgp.org.au/psychiatristdatabase

Service Description

Primary Mental Health and Early Intervention

Service (PMHT)

Referrals and information

Phone: 1300 859 789

(via Centralised Triage)

Drug and Alcohol Clinical

Advisory Service (DACAS)

Phone: 1800 812 804

­ 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 management; Medication advice

­ Secondary consultation available for case discussion/ review, advice regarding assessment and management.

­ Not for ongoing mental health support and care.

­ 24 hour specialist telephone consultancy service on clinical management of alcohol and drug issues.

Better Access to Mental Health Services

(Medicare)

Find a Psychologist: http://www.psychology.org.au/FindaPsychologist

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

Austin Mental Health Services

Triage Service:

1300 859 789

Child & Adolescent Mental Health

Services

Aged (People 65+ with mental health issue)

­ 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 for 2012 / 13 calendar

­ year only. (ie total 16)

Patient may be billed a gap payment.

­ 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.

Private engagement of practitioner rather than through

Better Access to Mental Health or ATAPS; will not require MH

Treatment Plan (No Diagnosis required). At cost to patients, or claimable through Private Health Insurance

To make a referral or for a response for people with mental health issues in a crisis, advice on

 Crisis Assessment

 Early Psychosis Intervention

 Adult Mental Health Services

 After Hours :Aged Persons Mental Health Service

­ Psychiatric triage (information, assessment and referral)

­ Business hours (9.00am - 5.00pm, Monday to Friday)

­ Phone: (03) 9496 3620

­ After hours (all other times)

­

Phone: 1300 558 862

For Whittlesea, Nillumbik, Banyule (Local Government Areas) and Darebin-Preston.

Psychiatric Triage (24 hours/7 days) Phone: 1300 427 288

Mental Health Nurse

Incentive Program

(Medicare funded)

Mental Health Nurses are engaged directly by some general practices.

A freeze on program growth beyond 2012-2013 levels is currently in place http://www.medicareaustrali

a.gov.au/provider/

Youth Early Psychosis

Service

Phone: 1300 859 789

Psychiatric Disability

Rehabilitation Support

Services (PDRSS)

Statewide Specialist

Services

Private Consultant

Psychiatrist

Free services. Patient eligibility :

­ Currently receiving treatment for a severe 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 next two years, AND

­ Patient interested in receiving additional support from a Mental

Health Nurse.

­ A service of the North East Area Mental Health Service

- Available to patients with or without a GP mental health

treatment plan, or formal referral.

- 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

­ 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 at Middle South : 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,

­ 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)

Download