North East & Border Mental Health Service
Information Booklet 2nd Edition
Welcome to North East & Border Mental Health Service
This booklet is designed to explain the services we offer to people seeking help for mental health problems.
We hope this guide helps you to feel comfortable to take an active role in your mental health care by providing you with some background information. North East & Border Mental Health Service encourages and welcomes your participation where you can be involved in your health care and provide feedback to us about our services.
The information provided in this book probably will not answer all your questions, so we encourage you to talk to the health professionals involved in your care about any concerns you may have.
Welcome to NE&BMHS Welcome Welcome to NE&BMHS
Information in this booklet is intended as a guide only.
2nd Edition ~ January 2019
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Contents Navigating the service system 3 NEBMHS 4, 5 Accessing services 6, 7 Recovery Oriented Services/ Client pathway 8, 9, 10, 11 Alcohol & Other Drug/ Stages of Change / Relapse 12, 13, 14, 15 Psychosis— explained 16, 17 Suicide— what to do in an emergency 18, 19
NEBMHS Services 20 Perinatal Emotional Health / Child & Adolescent Services 21, 22, 23 Youth Early Intervention / Adult Community Mental Health 24, 25 Older Persons Mental Health 26 Jarrah Retreat / Benambra Rehabilitation Service 28, 29 Willows Recovery & Rehabilitation Unit / Blackwood 30, 31 Acute Inpatient Units/ Kerferd Unit/ Nolan House 32, 33, 34, 35
NEBMHS Allied Health Services 36 Peer Worker, Consumer & Carer Consultants 37, 38, 39 Aboriginal Liaison Officer 40, 41 Psychology/ Occupational Therapy/ Healthy & Wise Program 42, 43, 44 Families Where a Parent has a Mental Illness (FaPMI) 45
Useful Information 46 Finding a balance 47 Advance Statements (Vic) 48 Nominated Person (Vic), Designated carer (NSW) 49, 50, 51
Second opinion/ Effects of medication 52, 53 Contents
Self diagnosing / herbal products 54 Contents
Websites 55, 56, 57 Language used in mental health 58, 59
Statewide MH services /Charter of Rights 60, 61, 62, 63 How to raise concerns / provide feedback 64, 65
Information for Families 66 Rights & Responsibilities / Young carers (children) 67, 68 Refusing to seek treatment 69 One Door MH / Oasis Support Group / MH Education 70, 71, 72, 73 Financial Assistance 74, 75 Villa Maria / Intereach 76 Tandem /Carers Vic 77 AWH / Notes 78,79
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North East & Border Mental Health Service. (NEBMHS) Provides specialist clinical assessment, treatment and on-going care to people of all ages who have, or are at risk of serious mental illness or suicide, including people with co-occurring substance use problems.
Triage clinicians are rostered 24 hours per day, 7 days per week to provide telephone crisis support service.
Anyone may contact NEBMHS Triage services if you are concerned about changes in your mental health or someone you care for. These services are community based and are designed to support you in your recovery.
NEBMHS is regionally based. Depending on where you live in the North East Hume Region determines which mental health service is available to you. Nearly 10,000 children, adults and older people will seek assistance from some part of the service each year.
Further information regarding your residential location and accessing your nearest Mental Health Service can be found at: www.vic.gov.au/mentalhealth/services
Map of NEBMHS service area (covers more than 50,000 square kilometres)
Navigating the service system Navigating Navigating system the service
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Navigating the service system
pm . pm.
—5
—5 are located regionally:
30am -
are located at: locatedare at:
5
Friday 8.30am
—Friday 8 - pm.
pm —5
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8pm — 8pm 8pm — 8pm
5pm 5pm Borella Road,Borella Wangaratta, 3677. Vic, Community Mental Health Services Friday 8. 30am —Friday 8. 239
Fri 12 noon 12 —Fri noon –
Triage phone all hours: 1300 783 347 1300 783 347 all hours: phone Triage
Weekends 10amWeekends
Mon Albury HospitalAlbury Docker Corner & Dixon Streets, 201 2640. NSW, Albury, 5722 5103 (03) Phone: 4450 6058 (02) Phone: Hours: Visiting open. Hours: Visiting ServicesInpatient NEBMHS Acute Unit Inpatient Kerferd House Nolan For residents of the local government shires of: Wangaratta City, Benalla, Benalla, City, government shires of: Wangaratta local For of residents the Shire. Moira the of part and Alpine Mansfield, Services Health Mental Community Wangaratta For residents of the local government shires of: City of Wodonga, Indigo, Indigo, of Wodonga, City of: shires local government the of residents For partTowong and of the Kiewa Valley. Hume, Corowa, Finley, Jerilderie and Urana. Urana. and Jerilderie Finley, Corowa, Hume, Service Health Mental Adult Wodonga 4 Watson Street 3690 Vic, Wodonga, Monday 6051 7950 (02) Phone: 881 104. 1300 all hours: phone Triage Margaret Centre Boyd Street, Dixon 3677. Vic, Wangaratta, NEBMHS Phone: (03) 5722 5347 Monday 5347 5722 (03) Phone: Phone all hours: ACCESSLINE 1800 800 944 1800 ACCESSLINE all hours: Phone ForresidentsAlbury Greaterof: shires City, of the local government Mental Community Service Health Albury 475 Townsend Street, Street, 475 Townsend Monday Albury, NSW,2640. NSW,2640. Albury,
Accessing Adult Mental Health Services Mental health support is available through a range of avenues including private and public mental health services.
Mental illness is a medical condition that is characterised by a disturbance of thought, mood, perception and behaviour which is causing distress or difficulties. It is a good idea to seek help early if you or someone you know is having problems by contacting your local GP, Triage service or A&E Department. The first step is to talk about the problem and find out what sort of service may be best to help.
Initial assessment. A telephone call to community mental health will mean that a triage clinician will assess your situation and organise a response based on the urgency and need. An experienced mental health clinician will listen to you and discuss options for treatment and support. Sometimes a referral to other services may be more useful, such as your local doctor, counsellor including Alcohol & Other Drug (AOD) services, gambling services or other community agency. If so, the clinician will assist you to access these services and let you know whether further contact with the mental health service is needed. Qualified and accredited interpreters are available to assist you and staff with communication if you do not speak English as your first language or are hearing impaired. We are also supportive of particular cultural
requirements. Please inform the staff of your preferences.
Assessment, planning and review If ongoing treatment is required the Crisis Assessment Team (CAT)/Acute Response Team (ART)/Mental Health Emergency Consultation Service (MHECS) will provide an intensive community based assessment, treatment and care during the acute phase of your illness. In addition appointments can be arranged with the psychiatrist for specialist assessment, prescription of medication and review as required.
Case management support Once it is established that you can be assisted longer term by Mental Health Services, regular contact will be made with you and others involved in your care. A Case Manager may be appointed as the co-ordinator to work with you and identify your goals and preferred treatment approaches. Case Managers are qualified and experienced mental health professionals, Navigating system the service Navigating the service system Navigating including Mental Health Nurses, Occupational Therapists, and Social Workers. Your comprehensive assessment now focuses on meeting your identified short and long term recovery needs. This occurs by using evidence based practices and strategies within a range of clinical and therapeutic interventions which build on your strengths, giving hope for the future and choices in your recovery. Your Case Manager will support you to develop a Wellbeing Plan,
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along with an Advanced Statement (page 48), if you wish. This plan focuses on your recovery needs and is reviewed three monthly.
Through discussion with your case manager you can decide if there are any more effective ways of meeting your needs.
Your family and friends can be involved in your care and can be a major source of support during this time.
Recovery care The focus is on your recovery. Your Wellness Plan includes strategies to help you take control of your recovery and lead a meaningful life (see pages 8 & 9).
Recovery goals may include: Social and emotional support Self help strategies and education about mental health Family and community support Medication Counselling and crisis support Advanced planning for the future Support for family members/carers by referral to the Carer Consultant (see page 39) Arranging access to other services, as required
Acute Inpatient treatment Navigating the service system the service system Navigating Wherever possible, people are treated in the community however Navigating the service system sometimes this is not possible and inpatient care is required. If you are admitted to an inpatient service the people you wish to be involved in your care can visit. Your Case Manager and the treating team will keep in contact with you as well.
Inpatient services for NEBMHS are provided by: Kerferd Inpatient Unit, Wangaratta (see page 34) and Nolan House, Albury (see page 35).
Finishing your involvement with Community Mental Health Services When the goals of your Wellbeing Plan are achieved or within reach, you will no longer need public mental health care. You may exit the service at this time and have your care transferred to your local general practitioner.
If you require further assistance at a later date please contact your local doctor or your local NEBMHS Triage Service again (page 5).
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Recovery Oriented Mental Health Services The term recovery is often confused with the medical understanding of the word, which may mean cure or no current symptoms (clinical recovery). However ‘recovery’ or ‘personal recovery’ in mental health is used to describe the process of being able to create and live a meaningful, contributing life in a community of choice with/without the presence of mental health issues—reclaiming a life beyond mental illness.
NEBMHS has transitioned to a recovery-orientated service approach which is underpinned by recovery principles. We have now embedded recovery principles in all policies, documentation and practices to encourage people to take control and reach their full potential. This includes actively supporting you to build and maintain a meaningful and satisfying life regardless of whether or not you have ongoing symptoms.
A recovery approach focuses on your individual strengths and active participation in family and community life.
All mental health staff : Recognise, value, respect and promote: Hope Self-determination Person-centred Choice Strength– based Citizenship Peer-support Self-responsibility Non-linear recovery Utilise best-practice knowledge to focus on strength-based recovery and progress. Acknowledge the expertise of the lived experience in developing peer-support roles to inform and shape clinical practice. Value, encourage and support self-responsibility for personal safety and positive risk-taking in a way that is developmentally appropriate. Acknowledge the expertise of the lived-experience in developing peer-support roles to inform and shape clinical practice Encourage and promote individuals to research and access resources to develop and utilise personal recovery tools, goals and plans. Encourage, support and promote the social participation of Navigatingsystem service the Navigating the service system Navigating individuals and advocate for their rights of citizenship and freedom from discrimination. Promote recovery as a service goal in interactions with individuals, groups and other organisations. Recognise the difference between clinical recovery vs. personal recovery and support personal recovery as a priority. Utilise a positive, forward thinking approach to clinical decision-making that recognises progress made and potential for growth.
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Contribute to the development of physical and cultural environments that promote hope, optimism and participation. Identify and promote strategies to reduce systemic and organisational barriers to recovery that compromise our recovery principles and values.
Recovery is defined as the process of being able to create and live a meaningful and contributing life in a community of choice with or without the presence of mental health
symptoms.
Websites: Mental Health Recovery www.centreformentalhealth.org.uk
Gloucestershire Hearing Voices and Recovery Information www.hearingvoices.org.uk
Health and Wellbeing Support www.ontrack.org.au Navigating the service system the service system Navigating Navigating the service system Scottish Recovery Network www.scottishrecovery.net
Please note: NEBMHS aims to support persons in recovery by applying recovery principles in all interactions, practices and documentation so that the response is individualised and enables self- determination and personal recovery.
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Adult Mental Health
Source of Referral Entry Point. Self referral Family/friend referral Phone Hospital Emergency Dept, 1800 800 944 General Practitioner ACCESSLINE (NSW) or Other services: NEBMHS Mental Health - Gateway Health Triage (Vic) - Police, - Ambulance, etc (See page 5)
This diagram represents the typical pathway for a person 18
years of age or older seeking mental health services from NEBMHS demonstrating the: Entry points to the service Triage and assessment Short - term intervention Longer- term case management (if required) Inpatient services (if required) Discharged to care of your GP or no further follow-up needed.
***Please note: Referrals to a variety of other mental health or community based service providers occurs as required (for example: psychology, occupational therapy, social work, etc)
After being discharged from NEBMHS, if you require further Navigating system the service Navigating the service system Navigating assistance with your mental health at a later date, please contact your local doctor or the triage service again (contact details page 5).
Alternatively, “Border Private Psychiatry”, located at 4 Watson St, Wodonga is available to provide mental health assessments and consultations on an ongoing basis, upon referral from your GP. This is a bulk billing clinic.
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Client Clinical Pathway
A&E Departments located at Albury, Wodonga and Wangaratta Hospitals Physical health assessment followed by a Mental Health Assessment from ART/CAT/MHECS A phone call to triage and assessment offered. Outcome either: Short term (up to 8 weeks) intervention provided then either referred to case management for on-going care or Discharged to care of your GP /no further follow-up required
Inpatient/Continuing Case Care Units Management Kerferd Inpatient Unit Nolan House Recovery Jarrah Retreat Navigating the service system the service system Navigating focussed Navigating the service system Benambra interventions. Willows
Blackwood Cottage (Short or long-term)
Discharge Point
To the care of your GP (may also include private psychiatrists) or no further follow-up required.
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Co-occurring mental health-alcohol (AOD) & other drug concerns It is well recognised that having either a mental illness or a substance use problem places a person at greater risk of experiencing both problems together. This is commonly referred to as having a ‘dual diagnosis’. Sometimes the use of alcohol and other drugs (AOD) can lead to or make mental health problems worse and recovery more difficult. Substances may cause adverse effects and/or interfere with the effectiveness of some medications.
How we can help A principle in the 2014 Victorian Mental Health Act (Vic), is that ‘persons receiving mental health services should have their medical and other health needs, including any alcohol and other drug problems, recognised and responded to’. All people receiving services from NEBMHS are, with their permission, screened for substance use. NEBMHS aims to ensure that people with substance treatment needs receive integrated treatment for both, either directly or through working closely with alcohol & other drug (AOD) services.
‘No Wrong Door’ services If a comprehensive mental assessment has found that treatment by our mental health services isn’t warranted, but that you may benefit from working with another specialist service, NEBMHS will actively assist you to access the services you require.
Please note: there is an AOD clinician based at Albury and Wodonga hospitals, available for inpatient consultation and referrals.
In NSW ~ Alcohol and Other Drug Treatment (AOD) and Support System: NSW— Locally: Albury, Corowa, Culcairn, and surrounding areas have local AOD services integrated within NEBMHS.
Albury Community Health Drug & Alcohol Service, Services provided include: AOD counselling and support, an Opioid Treatment Program, along with a Community Withdrawal Program.
Located at: 596 Smollett St, Albury, NSW, 2640. Phone (02) 6058 1800. Corowa phone: (02) 6033 7555 Navigatingsystem service the Culcairn phone: (02) 6044 6113. Navigating the service system Navigating www.health.nsw.gov.au/aod/Pages/default.aspx
Albury Community Mental Health Service Accepts self referrals and provides an integrated treatment and support program within the Adult Mental Health Service team.
Located at: 475 Townsend St, Albury, NSW, 2640. See pages 5 and 25 for contact details and further information.
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In Victoria ~ Alcohol and Other Drug Treatment and Support Services:
In Victoria ~ Alcohol and Other Drug Treatment and Support Services: offer a broad spectrum of community-based and residential treatment services that are described in detail at: www2.health.vic.gov.au/alcohol-and-drugs DirectLine is a state-wide service that offers confidential AOD counselling and referral. Phone: 1800 888 236 (24 hour/7 day) www.directline.org.au
To access treatment services in North East Victoria please contact: Australian Community Support Organisation (ACSO) Regional Victorian AOD Intake service Phone: 1300 022 760 (Mon- Fri, 9:00am - 5:00pm) or alternatively complete an e-referral at: www.acso.org.au/aod-mh-support
Gateway Health is North East Victoria’s principal provider of community-based AOD counselling and withdrawal services. Phone: Wodonga 1800 657 573 Wangaratta (03) 5723 2000 www.gatewayhealth.org.au/services/alcohol-tobacco-and-other- drugs Navigating the service system the service system Navigating Navigating the service system
For further information: Alcohol & Drug Foundation – Drug Facts Information regarding the effects of ADO alcohol and other drugs & prevention of harm. Free phone counselling, advice and information Phone: 1300 85 85 84 www.druginfo.adf.org.au/
Family Drug Support Australia Family Drug Support Australia is a caring, non-religious and non- judgemental organisation primarily made up of volunteers who have experienced family members with drug dependency. Support Line Phone: 1300 368 186 (available 24 hours /7 days) www.fds.org.au/
Family Drug Help Family Drug Help is a Victorian program that provides practical help, information and support to families and friends impacted by someone’s drug and alcohol use. Family Drug Helpline Phone: 1300 660 608 (available 24 hour/7 days) www.sharc.org.au/program/family-drug-help/
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The Stages of Change - processes involved ... Making changes in your life is not always easy, therefore understanding the stages and processes involved in achieving change can make sustaining these a little easier.
Consider the phases in the Stages of Change. Firstly the pre-contemplative stage— is when you are not wanting to change your behaviour and not seeking any knowledge of the help that is available to you. This is the feeling of being stuck – of not feeling able to face the problem, look for assistance or accept any help. Overcoming this reluctance and ambivalence about change feels like it is just too difficult.
The next phase is contemplating that changing your behaviour may be a possibility and you are starting to accept help. At this stage you want to get away from the problem and hope that someone else can help sort it out for you. It is important for you to focus on the new, positive outcome expectations.
The preparation phase follows — then you start believing that you can make a difference in your own life yourself. You will start to look ahead towards what you want as well as away from the things you don’t. You will start to do things for yourself along with accepting help from others to achieve your goal.
Next is the action phase—learning how to make your goal/ recovery a reality. Initially this is a trial and error process. Some things work well, some not so well and then there will be set-backs, so you still need some support throughout this process. As you learn, you gradually become more self-reliant, with better coping strategies until you get to the point when you can manage your goal independently without help—the maintenance phase.
However, achieving change in your life isn’t necessarily an easy process of moving from the first to the last phase with the Stages of Change. If a lapse occurs, it can be more helpful to regard this as a ’crisis’ rather than a ’failure’ as each time more information and better coping skills are learned. Also some people will be at different phases for various lengths of time and may move backward or forward as their circumstances change.
*** What is important, is to understand the process involved in creating change in your life and to: always keep trying—success will happen.
Navigatingsystem service the Navigating the service system Navigating Wherever you are on your journey of change, by placing yourself on the Stages of Change can help you see
where you have come from, what your next step is, and how we can help you best.
Ref: www.recovery.awh.org.au, www.currentnursing.com/nursing_theory/ transtheoretcal_model.html 14 14
Relapse of mental illness .....
Some people may only experience one episode of mental illness during their lifetime requiring medication and/or psychological treatment.
Other people may experience recurrent episodes of their mental illness for a variety of reasons including: · Reoccurrence of a specific event · Changes in body chemistry · Physical illness · Commencing/stopping medication · No apparent reason.
There are also some stressful situations which may trigger a relapse in your mental health. This may include relationship problems, financial difficulties, changes in employment, physical health problems or using alcohol and other drugs. Being aware of these and their potential to cause early warning signs are an important part of your recovery.
Early warning signs are changes in the way you think, act or feel including: difficulty concentrating, unable to get to sleep/sleeping in, unhealthy eating or withdrawing socially. Learning to avoid or manage your own personal triggers and noting early warning signs is an important factor in your recovery process.
Navigating the service system the service system Navigating Although you may fear a relapse happening again, you are a step ahead Navigating the service system now because you have far more knowledge about mental health, how to access services and things that are helpful to you.
If, at some time in the future you need our services again, we are here to help. Contact details for NEBMHS triage (see page 5).
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Suicide— What to do in an emergency ......
Guidelines to help in an immediate crisis Stay with the person or encourage and support the person to go to a place where they will remain safe, for example the Emergency Department, Mental Health Service or GP Clinic. Help the person to identify people who have supported them in the past. This may include a family member, friend, doctor, psychologist, community group or church. If the person is alone, has a weapon, or is a dangerous situation phone 000 Police (112 from a mobile phone) and
request a welfare check. Provide as much information as possible and follow their advice. If the person refuses professional assistance, is at imminent risk of harm or has already harmed them self phone 000 Ambulance. Provide as much information as possible and follow their advice. Be mindful if the person has been using alcohol and other drugs as they may be more susceptible to acting upon impulse. After the crisis Ensure the person receives appropriate follow-up care, as recommended by the health professional at the time of the crisis. Special consideration in cases of potential suicide It is difficult to know what causes someone to suicide, however it is known to involve a complex interaction of factors with no single determinant responsible or necessary for it to occur. All thoughts of suicide must be taken seriously. If you have concerns for your own wellbeing or for someone else, contact your local Mental Health Service, Emergency department or General Practitioner immediately. Warning signs of an impending suicide may include: The person threatening to kill them self Increasing alcohol and other drug use
What to do anIn emergency Having someone close to you suicide
What to do In an emergency Looking for ways to kill them self eg wanting pills, weapons, or
Eg other means Acting recklessly, engaging in dangerous behaviour Appearing anxious and feeling hopeless. Unable to sleep or sleeping too much Withdrawing from seeing family/friends Previous suicide attempt. 2 16
Discussing your concerns about suicide with the person you are worried about is important and lets them know you care and are willing to help. Talk openly about suicide without negative judgement, for example asking the person directly “are you having thoughts of suicide?” may give them permission to discuss with you how they are really feeling. Inform the person that thinking of suicide is frequently associated with a treatable mental illness as this may instil a sense of hope Never agree to keep their risk of suicide a secret, yet be mindful of their right to privacy. Let the person know you are concerned for their safety. Fearing suicidal behaviour can be very stressful for the family and friends. Seek appropriate support for yourself.
Myths of suicide Asking someone if they are contemplating suicide will give someone the idea. If someone is talking about suicide, then they will not complete it. Someone who is suicidal yet has no plan of how to kill themselves, will not suicide. Previous suicide attempts means this time the person will not g What to do In an emergency complete the suicide. emergency In an to do What Using guilt or threats will prevent the person from suiciding. Do your best to support the person experiencing a suicidal crisis, get help quickly however, it is important to remember that, in spite of our best efforts, some people may still complete suicide. If this happens do not E
blame yourself, seek assistance and support. (Adapted from Mental Health First Aid, 2010, Orygen Youth Health Research Centre, University of Melbourne) Further information (see also page 59) Lifeline—suicide and self harm www.lifeline.org.au Living is for everyone www.livingisforeveryone.com.au The Ripple Effect www.therippleeffect.com.au Survivors of suicide Bereavement Support Association www.sosbsa.org.au
It’s really important to reach out for help if you or someone you know is feeling suicidal. Things will get better— you are not alone. We can help.
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What to do if someone is psychotic......
Causes of psychosis Psychosis is a general term used to describe a mental health problem where a person is experiencing a severe disturbance in their contact with reality and has difficulty organising their thoughts, emotions and behaviour. This can be transient or episodic in nature and due to a variety of causes.
Severe depression, extreme mood swings and illicit drug use can also lead a person to experience psychotic symptoms. This can be treated by a psychiatrist using a range of mood stabilising medications.
Confused thinking and psychosis In psychosis, everyday thoughts that normally enable us to live our lives become confused. For example, people with psychosis may believe: Other people can read their thoughts They can influence the thoughts of others with their special powers – maybe an important religious/political person
Delusions Delusions are beliefs that are not shared by others and can take various forms such as:- The person believing they are being watched or singled out ie. paranoid The person believes they have special powers or are somewhat of importance such as the Queen ie Grandiose
The person is guilt ridden and blames themselves ie. depressive E thinking. Something detrimental has happened to their body (part missing or infested)
Early intervention - important
What to do In an emergency Early intervention is important for people with psychosis as the longer the What to do In an emergency
g delay until treatment commences the longer recovery may take. Untreated conditions may also cause longer term negative consequences such as: Poorer functioning Increased risk of depression and suicide Loss of self esteem and confidence Family stress and loss of support 1818
Dealing with communication difficulties People experiencing psychosis often have difficulty thinking or communicating clearly. Ideas which may help include:- Responding to disorganised speech in a clear, concise manner Being patient and allowing plenty of time for the person to respond Repeating information, slowly if necessary. NB: Do not assume the person does not understand what you are saying, even if their responses are limited as persons who have recovered tell us they have good memory of the efforts made to communicate with them and support them while they were psychotic.
Guidelines to help in an immediate crisis If safe, stay with the person. Encourage and support the person to go to a place where they will remain safe. For example, the Emergency Department, Mental Health Service or GP Clinic. Observe and listen non-judgementally (this is the illness you see not the real person) Help the person to identify people they trust and who have supported them in the past. This may include a family member, friend, doctor, psychologist, community group or church. g if the person is on their own, has a weapon, or is in a emergency an In do to What What to do In an emergency dangerous situation phone 000 Police (112 from a mobile phone) and request a welfare check. Provide as much information as possible and follow their advice. If the person refuses professional assistance, is at imminent risk of harm phone 000 Ambulance. Provide as much information as E
possible and follow their advice. Be mindful if the person has been using alcohol and other drugs as they may be more susceptible to acting upon impulse.
(Adapted from Mental Health First Aid, 2010, Orygen Youth Health Research Centre, University of Melbourne)
Further information: The Better Health Channel www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/ Psychosis_explained
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NEBMHS Service Overview
This section aims to provide you with an overview and contact details of each of the North East & Border Mental Health Services.
NEBMHS has 5 specialty mental health services based in the community along with 7 various inpatient units for acute and sub-acute/rehabilitation care.
All services are regionally based—depending on your age and residential address determines which services are available to you.
Clinical Services include:
Perinatal Emotional Health Program (PEHP, page 21)
Child & Adolescent Mental Health Service (CAMHS / NECAMHS, pages 22 & 23)
Youth Early Intervention Team (YEIT, page 24)
Adult Community Mental Health Services (ACMHS, page 25)
Older Persons Mental Health (OPMHS, page 26)
Mental Health Services Mental Health Services
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Perinatal Emotional Health Program (PEHP) PEHP is an early motherhood service which is a free, home-based service for women and families experiencing emotional difficulties during pregnancy and up to 12 months after childbirth. This service provides education, counselling, and co-facilitation of the “Getting Ahead of Post-Natal Depression Therapeutic Group”.
Depending on where you live in the North East Hume Region determines which Early Motherhood PEHP service is available to you.
The Wodonga Early Motherhood PEHP Service area includes: Albury, Wodonga and surrounding areas of: Mt. Beauty, Corryong, Beechworth, Chiltern, Rutherglen, Corowa, Holbrook, and Henty.
For further information contact: PEHP Clinicians Wodonga Adult Mental Health Service 4 Watson Street, Wodonga, Vic, 3690. Phone: (02) 6051 7950
The Wangaratta Early Motherhood PEHP service area includes: Wangaratta, Yarrawonga, Benalla, Mansfield, Myrtleford, Bright and surrounding areas. Mental Health Services Services Health Mental Mental Health Services For further information contact: Early Motherhood Clinicians Mother & Baby Centre. 34 Cusack St, Wangaratta, Vic, 3677. Phone: (03) 5722 5472
Websites: Post and Anti-natal Depression Association www.panda.org.au Australian Infant, Child & Adolescent, & Family Mental Health Assoc. www.aicafmha.net.au Information for Parents. University of Melbourne www.whatwerewethinking.org.au
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Child & Adolescent Mental Health Service (CAMHS/ NECAMHS)
CAMHS/NECAMHS provide support to children and young people up to the 18 years of age (including their families) who are living in either NSW or Victoria and are experiencing emotional and mental health difficulties requiring specialist mental health services.
CAMHS can provide help if your child is: Feeling stressed, anxious or depressed Having thoughts/talk/actions of self-harm or hurting someone else Having confused thinking or hallucinations Having difficulties in relationships with family or friends Withdrawing from usual activities or feeling isolated and lone Experiencing changes in eating or with personal care Experiencing poor self-control which is causing problems at school or behaviours that may be a danger to other people.
Treatment and care may include: Individual, family or group therapy
Education about mental health problems Medication support Liaison with schools and other agencies Support for family members Arranging referral to other services as required
The staff in CAMHS have a variety of professional backgrounds including: specialist Child & Adolescent Mental Health: registered in nursing, social work, occupational therapy, and psychology. Mental Services Heath Mental Health Services
Depending on where you live in the North East and Border region determines which CAMHS is available to you.
CAMHS service area includes: Albury City, Hume, Federation Shire areas.
NECAMHS service areas include: Wodonga, Towong, Indigo, Alpine, Wangaratta and Delatite Shires.
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Child & Adolescent Mental Health Service (CAMHS/NECAMHS)
For further information contact: Albury Child & Adolescent Mental Health Service (CAMHS) 475 Townsend St Albury, NSW, 2640 Ph. (02) 6058 1750 All hours: phone: ACCESSLINE 1800 800 944
Wodonga North East Child & Adolescent Mental Health Service (NECAMHS) 4/155 High St Wodonga, Vic 3690 Ph. (02) 6051 7900 After hours: phone: 1300 881 104
Wangaratta Child & Adolescent Mental Health Service (NECAMHS) 66-68 Faithfull St. Wangaratta, Vic 3677 Ph. (03) 5722 4837 After hours: phone 1300 783 347 www.awh.org.au/mentalhealth
Youth focussed websites: www.headroom.net.au Mental Health Services Health Mental www.headspace.org.au Mental Health Services www.reachout.com.au www.somazone.com.au www.ybblue.com.au
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Youth Early Intervention Team (YIET)
Mental Health clinicians specialising in early psychosis support young people aged between 16—25 years of age who are living in Victoria and are at risk of developing or are experiencing psychosis.
This service provides: Intensive case–management Secondary consultation to other mental health services Mental health promotion.
Early Psychosis Service operates as a sub-specialty of North East & Border Mental Health Service and works with the Child & Adolescent (NECAMHS) and Adult Mental Health Services.
The Youth Early Intervention Team is regionally based and depending on where you live determines which Early Psychosis Service is available to you.
Inpatient services for young people accessing services from YEIT are provided by Eastern Health Child & Youth Mental Health Service (CYMHS) located in Melbourne. CYMHS provides inpatient services for children and young people up to the age of 24 years who are displaying symptoms of
mental illness or severe emotional and behavioural disturbance.
For further information regarding Eastern Health CYMHS: 5 Arnold Street, Box Hill, Victoria, 3128. Phone: 1300 342 255 www.easternhealth.org.au/services/mental-health-services/child-youth-
mental-health-service-cymhs
Further information contact: Youth Early Intervention Team Wodonga Adult Mental Health Service Mental Heath Services Mental Health Services 4 Watson Street, Wodonga, Vic, 3690 Phone: (02) 6051 7950 After hours Phone: 1300 881 104
Youth Early Intervention Team Wangaratta Community Mental Health Services Margaret Boyd Centre, Dixon Street, Wangaratta, Vic, 3677. Phone: (03) 5722 5347 / After hours: 1300 783 347
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Adult Community Mental Health Services (ACMHS)
The ACMH Services are located in Albury, Wodonga and Wangaratta and provide specialist clinical assessment, treatment and on-going care to people who have, or are at risk of serious mental illness or suicide, including people with co-occurring alcohol and/or other drug problems.
Accessing mental health services Self refer— phone triage For Wodonga region residents: NEBMHS Triage Ph: 1300 881 104 For Wangaratta region residents: NEBMHS Triage Ph:1300 783 347 For NSW residents: ACCESSLINE Ph: 1800 800 944 Attend the Accident & Emergency Department at your local Hospital Attend an appointment with your GP requesting a Mental Health Plan and discussing a referral to Mental Health Services.
A phone call to the NEBMHS triage service means that an experienced triage clinician will listen to you and discuss the best options for your care. Once it has been established that you can be assisted by mental health services, a response based on urgency and need is organised for further support. The range of services provided by the team include: Triage assessment Mental Health Services Services Health Mental Short term crisis support through the ARRT/CAT team Mental Health Services Longer term continuing care through case management.
NEBMHS has adopted a recovery oriented approach (page 6), and along
with using evidence based practices promote building on your strengths and improving your wellbeing.
Further information contact: Albury Community Mental Health Service
475 Townsend St, Albury, NSW,2640. Phone: (02) 6058 1750
Wodonga Adult Mental Health Service 4 Watson St, Wodonga, Vic, 3690. Phone: (02) 6051 7950
Wangaratta Community Mental Health Service Margaret Boyd Centre, Dixon St, Wangaratta, Vic, 3677. Phone: (03) 5722 5347 2525
Older Persons Mental Health (OPMHS)
The OPMHS provides community based mental health assessment and treatment to persons over the age of 65 years (50 years of age for indigenous people) who experience mental illness.
Services are regionally based and depending on your residential address determines which service is available to you. Appointments are available to you where you are residing or in the OPMHS office.
Clinicians experienced in mental health for older persons offer assessment and support to you living in your own environment, which may be at home, in a residential facility or hospital. Although each person is unique and each approach is individual, all treatment takes place in a shared care arrangement with your treating General Practitioner and family/carer.
This service also provides support and education on an individual needs basis to residential facility staff, for example, hostels or nursing homes, who may have residents who display difficult or challenging behaviours.
If required, the Older Persons Mental Health Service facilitates admissions to Kerferd Inpatient Unit (Wangaratta) or Nolan House (Albury) and provides on going contact and support throughout the admission period. Kerferd Inpatient Unit and Nolan House both have beds specifically allocated to older adults.
Further information contact: For NSW residents: Program Manager Older Persons Mental Health Service 475 Townsend Street, Albury, NSW, 2640 Phone: (02) 6058 1750. After hours crisis: phone ACCESSLINE 1800 800 944
Mental Health Services For Victorian residents: Program Manager Older Persons Mental Health Service 82A Murdoch Road, Wangaratta, Vic, 3677. Phone (03) 5722 1784 After hours crisis: phone 1300 783 347
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NEBMHS Acute Inpatient and Continuing Care Services
Include:
Jarrah Retreat (page 28)
Benambra Rehabilitation & Recovery Program (page 29)
Willows Recovery & Rehabilitation Unit (page 30)
Blackwood Cottage (page 31)
Acute Inpatient Units (page 32, 33)
Kerferd Inpatient Unit (page 34)
Nolan House (page 35)
Mental Health Services Services Health Mental Mental Health Services
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Jarrah Retreat Prevention and Recovery Care (PARC)
Jarrah Retreat, located in Wodonga, is a recovery-based mental health service with accommodation for up to ten (10) people and is run in partnership between NEBMHS and an external (non-government) disability service provider.
Jarrah Retreat provides a short stay (up to 28 days) intensive mental health support in a residential environment for people aged 16—64 years of age. It follows the principle of recovery by promoting health and wellbeing while planning your return to home living.
It is set in a peaceful and private location in Wodonga, where you can build your confidence by learning and practicing living skills, enabling you to make positive, sustainable changes in your life.
PARC services provide: An early intervention service for people who are becoming unwell and may avert an admission to an inpatient unit Enables extended support for people who are recovering from a stay in an acute mental health hospital admission at either Nolan House or Kerferd Inpatient Unit.
As such Jarrah Retreat can be referred to as a step-up from living at home or step-down from an inpatient unit.
While you are staying at Jarrah Retreat you will work with both clinical staff and support workers whose role it is to support you on your recovery
journey. The staff assist you to work on your goal setting, recovery plans, and identify positive life choices in order to improve your well-being.
For admission to Jarrah Retreat, you may discuss a referral with your Case Manager at your Community Mental Health Service or nursing staff at Mental Health Services Mental Health Services Nolan House or Kerferd Inpatient Unit.
For further information contact: Program Manager Jarrah Retreat 24 Jarrah Street Wodonga, Vic, 3690. Phone: (02) 6055 1200
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Benambra Rehabilitation & Recovery Program
Benambra is a community based residential mental health program located close to the centre of town in Wodonga. It provides 24 hour clinical support to people 16—64 years of age in their mental health recovery.
Benambra consists of 4 self-contained units. Staying at Benambra means sharing a 2 bedroom unit with another person. You will have your own room and share the kitchen, bathroom and lounge facilities. The program aims to assist you to work towards your own recovery plan.
Benambra also has a comprehensive group program where participation is expected as part of your stay. Morning group sessions commence at 9am until 9.30am with a second topic from 10.30am—11.30am. The scheduled afternoon activities are optional to attend.
Group topics include information related to: Mental health recovery education Community engagement Social activities
Regular appointments are made for you with a psychiatrist at the Mental Health Inpatient Services Services Inpatient Health Mental Wodonga Adult Mental Health Service while you are staying at Benambra. Mental Health Inpatient Services
People usually stay at Benambra for 3—6 months although this can be negotiated if more time would be beneficial. Weekend leave is accessible, after the first 2 weeks of your stay.
Visiting hours: 12 noon—8.30pm (Mon—Fri) and 10am—8.30pm (Sat and Sun).
If you would like more information, please contact your case manager at Adult Mental Health or you can phone Benambra directly.
For further information contact: Nursing Unit Manager Benambra
11 Wilson Street Wodonga, Vic, 3690 Phone: (02) 6056 5803 www.awh.org.au/mentalhealth
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Willows Rehabilitation and Recovery Unit
The Willows is one of the mental health rehabilitation services provided by NEBMHS. The service is consists of 7 houses located in either Gilchrist Avenue and Mayday Court, Beechworth.
The service provides accommodation for 18 people, aged 16—65 years of age with persistent mental health symptoms, impaired psychosocial functioning with reduced capacity to live independently in the community. Emphasis is placed on individual needs, abilities and interests in a stress- free environment.
Qualified and experienced mental health nursing staff are available to provide 24 hour assistance in areas of daily living and to encourage you to develop skills to reach your full potential. A psychiatrist visits the unit regularly to ensure your mental health needs are met, and GP services are accessed through a local clinic.
The Willows aims to: Focus on your individual needs, abilities and interests Develop a collaborative recovery plan
Provide opportunities to build on your strengths through participation in a variety of individual and group activities Support you in your recovery and assist you to develop skills in preparation for discharge.
Access to the Willows For admission to The Willows you may discuss a referral with your Case
Manager at your Community Mental Health Service.
For further information contact: Nursing Unit Manager The Willows 10 Mayday Court Beechworth, Vic, 3747. Mental Heath Inpatient Services Mental Health Inpatient Services Phone: (03) 5728 3311
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Blackwood Cottage
As a 15 bed residential aged care service, Blackwood Cottage provides 24 hour nursing care to people over 65 years of age who are experiencing behavioural difficulties associated with their mental illness.
Admission is arranged in consultation with the Aged Care Assessment Team and Wangaratta Older Persons Mental Health Team to determine the level of care required.
The focus of care following admission to Blackwood Cottage is on promoting strategies which improve quality of life: assistance in participating in activities of daily living, enjoyment of hobbies, and general interests by reducing challenging behaviours.
Planning for discharge occurs when the focus of care is no longer on mental health problems and transfer back to their original place of residence /aged care facility is then a priority.
For further information contact: Nursing Unit Manager Blackwood Cottage 52 Sydney Road
Mental Health Inpatient Services Beechworth, Vic, 3747. Services Inpatient Heath Mental Phone: (03) 5728 0330
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The Acute Inpatient Units Inpatient treatment Wherever possible, people are treated in the community however sometimes this is not possible and inpatient care is required. If you are admitted to an inpatient service, your family and friends are welcome to visit. Your treating team and case manager will keep in contact with you as well. Inpatient services for NEBMHS are provided by Kerferd Inpatient Unit, Wangaratta and Nolan House, Albury.
Being admitted to an Inpatient Unit can be a very daunting experience for some people, so we want to reassure you that we are here to help you. We want you to feel your stay is helpful and supportive. The aim of the Inpatient Units is to ensure all voluntary and involuntary care is focussed toward enhancing mental health recovery.
On admission: most people are admitted to an Inpatient Unit with a Voluntary Status, meaning they agree with the psychiatrist about their admission and want to have input into their Recovery Plan. However depending on the severity of the illness, some people require an Involuntary Treatment Order (ITO) which is a legal treatment order requiring you to remain at the Inpatient Unit and receive treatment for your mental illness for a period of time. The responsibility for deciding
whether your admission is voluntary or involuntary is determined by the psychiatrist. A legal, independent and impartial review of an involuntary status is held initially and at regular intervals during the stay.
An ITO has very strict guidelines to follow to ensure you are treated fairly and with your Advanced Statement (page 48) your wishes are respected and honoured as much as possible. An independent advocate is available
represent you, if you wish.
The High Dependency Unit provides intensive support with regular monitoring by nursing staff while allowing you to recover in a quiet, safe environment. This is recommended for the briefest period of time possible and is regulated by meeting strict criteria in the relevant Mental Health Act. MentalHealth Inpatient Services Mental Health Inpatient Services While an inpatient the psychiatrist will keep in contact with you regularly during consultations and via nursing staff reports throughout your stay. The more information you can share with the staff the better we can understand your situation and the more we can assist you.
During your stay you can choose to have your Nominated Person (page 49) /Designated Carer (pages 50 & 51) join in consultations with 32
the psychiatrist and contribute to your Recovery Plan. Most people stay between 12—16 days however some people stay a couple of days and others may stay a bit longer depending on your needs. Subject to approval by the psychiatrist, over night or day leave from the Unit is permitted – please inform the staff when leaving and upon your return.
At the commencement of each nursing shift and after the staff ‘handover’ you are allocated a ‘contact nurse’ for the shift who will come and introduce themselves to you. You can talk to your nurse about: Medication needs and any side effects How you are feeling - what is/is not helpful Anything that is worrying you Helping to cope with not feeling well or safe Practical things you need
Your allocated nurse also dispenses your medications throughout your stay and monitors any physical health concerns, for example or recording your blood pressure, checking your blood sugar levels if diabetic, ensuring we look after your complete health.
Other people in the Inpatient Unit can sometimes provide very good peer Mental Health Inpatient Services support (page 37) as they may have had similar experiences to Services Heath Inpatient Mental you and understand what you are going through. However some people may not feel like talking or wish their privacy to be respected. Please be sensitive to the needs of others, and hopefully this in turn will be reciprocated.
Discharge from Kerferd Inpatient Unit/ Nolan House means that your continuing care is transferred to a case manager at either Wangaratta, Wodonga or Albury Adult Mental Health Service, depending on where you live. People receiving inpatient care on an ITO may have their order changed to a Community Treatment Order (CTO) ensuring a continuation of compulsory care while living at home.
Within the first week after being discharged from the Inpatient Unit, you can expect a planned call/visit from your case manager. This is time to establish or revise a regular time for contact and also to review/update your Wellness Plan.
For some people receiving a mental health diagnosis may be a relief to get a name for what has been happening and also now allows you to receive medication(s) and other beneficial mental health services.
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Kerferd Inpatient Unit Kerferd Inpatient Unit, Wangaratta provides 24 hour inpatient specialist assessment, diagnosis, and treatment of acute mental illness for people aged 18 years and over. NEBMHS Child & Adolescent Mental Health Service has service links to the Unit, as required while waiting for a vacancy to transfer to a specialist CAMHS inpatient Unit.
This purpose built unit contains 20 beds, including provision for high level supervision, and is able to accept voluntary and formal admissions. Accommodation is in single rooms with en-suite and shared facilities including lounge and dining rooms along with laundry facilities.
Treatment is organised by your consulting psychiatrist and care is provided according to the Mental Health Act (Vic). The unit is staffed by a unit manager, registered and enrolled nurses and supported by a occupational therapists, social work, Consumer Consultant (page 38), and Carer Consultant (support for families—page 39).
Staff at the unit work in collaboration with your case manager from the community mental health service.
Referral for admission:- is via the Wangaratta or Wodonga Adult Mental Health Services, the Emergency Departments in either Wodonga or Wangaratta Hospitals or via your General Practitioner.
Upon discharge from Kerferd Inpatient Unit, information will be given to you regarding your medications, etc. You will also be given an appointment to see a clinician from your nearest (either Wangaratta, Wodonga or Albury) Community Mental Health Service for further follow- up.
For further information contact: Nursing Unit Manager Kerferd Inpatient Unit Corner Docker & Dixon Streets, Wangaratta, Vic, 3677. MentalHealth Inpatient Services
Mental Health Inpatient Services Phone: (03) 5722 5430
Visiting hours: open to visitors. Remember that children are welcome to visit and there is a special garden for young visitors to play.
34
Nolan House Nolan House is located at the Albury Hospital also provides 24 hour specialist assessment and inpatient treatment for people with acute mental health problems. Inpatient care is provided in accordance with the Mental Health Act (NSW) and is directed by your consulting psychiatrist.
Nolan House has 24 beds, including provision for high level supervision in the High Dependency Unit, and is able to accept both voluntary and formal admissions. Accommodation is in single or twin rooms with shared facilities including lounge and dining rooms along with laundry facilities.
Nolan House is staffed by NEBMHS Unit Manager, registered and enrolled nurses and supported by occupational therapy and social work. Treatment is organised by your consulting psychiatrist and care is provided according to the Mental Health Act (NSW).
A Consumer Consultant (page 38), Carer Consultant (support for families—page 39) along with a Carer Advocate from One Door Mental Health (page 70) also visit Nolan House on a regular basis.
Referral for admission to Nolan House is via either Albury or Wodonga Community Mental Health Services, the Emergency Department of the Albury Hospital or via your NSW General Practitioner. Mental Heath Inpatient Services Heath Inpatient Mental Mental Health Inpatient Services Albury Child & Adolescent Mental Health Service has service links to Nolan House, as required while waiting for a vacancy to transfer to a specialist CAMHS inpatient Unit.
Upon discharge from Nolan House, information will be given to you regarding your medications, etc. You will also be given an appointment to see a clinician from your nearest (either Albury or Wodonga) Community Mental Health Service for further follow-up.
For further information contact: Nursing Unit Manager Nolan House Albury Hospital Borella Road, Albury, NSW, 2640. Phone: (02) 6058 4450
Visiting hours: Mon– Fri 12 noon—2pm, 5pm—8 pm Weekends / public holidays 10am—8pm Websites: Murrumbidgee Local Health District map www.health.nsw.gov.au/lhd/pages/mlhd.aspx 35
Allied Health assistance which is available to you .....
Once it has been established that you can be assisted by Mental Health Services, there are a range of other allied health professionals in NEBMHS who can support you in your mental health recovery.
This section of this book describes the roles and contact details of the: Peer Support Worker (page 37)
Consumer Consultants (page 38)
Carer Consultants (page 39)
Aboriginal Liaison Officer (pages 40 and 41)
Psychology Services (page 42)
Occupational Therapists (page 43) Health & Wise Program (page 44)
FaPMI Co-ordinator (page 45)
Allied Health Allied Health
36
Peer Support Worker
It is recognised that the time immediately after being discharged from an inpatient unit may be quite stressful.
The Peer Support Worker (a person who has the lived experience of being diagnosed with a mental illness) provides additional community based support to people aged 16—64 years of age who have been recently discharged from Kerferd Inpatient Unit or Nolan House. Support is designed to assist people to reconnect with their community, reducing their need to return to hospital.
In addition to the clinical focus from clinicians, this program offers an extra level of support. Encouragement is provided by a Peer Support Worker who can assist you in your initial 28 day period out of hospital, aiming to reduce the need for you to be re-admitted. All support occurs in a co-ordinated shared—care arrangement with your mental health clinician.
The Peer Support Worker can provide you with: Understanding based on shared lived experience and learning Conversations with ‘someone who has been there’ Support you to work towards your recovery plan.
Referral process: Current inpatients may be referred to the Peer Support Program by your Allied Health Health Allied inpatient unit Contact Nurse. Allied Health
For further information contact:
Peer Support Worker Wodonga Adult Mental Health Service 4 Watson Street,
Wodonga, Vic, 3690. Phone: (02) 6051 7950
“Peer workers don’t have all the answers, but like you, they have had to overcome many difficult hurdles and are happy to explore new ways of thinking in life” St. Vincents Mental Health Team.
37
Consumer Consultants The role of the Consumer Consultant is to provide recovery oriented peer support to people currently accessing services from NEBMHS, along with providing secondary consultation /systemic advocacy regarding improvements to the delivery of local mental health services.
Consumer Consultants in employed in each public mental health service in Victoria, and have their own lived experience of accessing the public mental health service system.
The Consumer Consultants: Support you to become more involved in your own recovery and decision making and be aware of other options available to you Can suggest appropriate ways to resolve any questions or concerns and advocate for systemic changes on behalf of people accessing services Can make referrals to other appropriate support networks if requested Establish and foster links with other organisations to improve services for persons with mental illness Provide secondary consultation to mental health staff to support a recovery oriented approach to treatment and support Provide advice from a lived experience perspective to clinicians and management
If you would like to talk to a Consumer Consultant—contact them directly at the following numbers or ask a staff member to assist you: Wangaratta: phone (03) 5722 5050
Wodonga: phone (02) 6051 7950 Albury: phone (02) 6058 1750
Allied Health Allied Health Please keep in mind the Consumer Consultants are employed on a part-time basis however, they will endeavour to return phone calls as soon as possible, if you leave a message.
REMEMBER: Consumer Consultants have similar mental health experiences to you and are in the best position to support your recovery and advocate for service change.
38
Carer Consultants Similarly, Carer Consultants are employed in each public mental health service in Victoria their role is to provide information and peer support to family members/carers of a person accessing NEBMHS, along with systemic advocacy regarding improvements to the delivery of local mental health services.
The role of the Carer Consultant is to provide: Information and support for families/carers Individual and systemic advocacy at all service levels Referrals to other appropriate support networks, as requested Establish and foster links with other organisations Secondary consultation on carer issues to mental health staff Participation representing the carer perspective in service planning, delivery and evaluation.
Referral process: Family members/carers of a person currently accessing NEBMHS may contact a Carer Consultant directly or alternatively ask a staff member to assist you.
Wodonga Carer Consultant. Phone: (02) 6051 7955 Albury Carer Consultant. Phone: (02) 6058 1750 Wangaratta Carer Consultant. Phone: (03) 5722 5050
Allied Health Allied Please keep in mind the Carer Consultants are employed on a part-time Allied Health basis, however they will endeavour to return phone calls as soon as possible, if you leave a message.
Initial meeting
The Carer Consultant will make an appointment to meet with you and talk about your concerns and discuss with you the help and services which are currently available to assist you in your caring role. With your permission, the Carer Consultant may then refer you to, or assist you to access other services which may be of benefit.
Further and on-going support from the Carer Consultant is available to family members/carers while the person they are caring for is still receiving services from NEBMHS.
39 Allied Health 40
For further information contact:
Aboriginal Liaison—Mental Health Karin McMillan Wodonga Adult Mental Health Service 4 Watson Street, Wodonga, Vic, 3690.
Direct line: (02) 6051 7956 Mobile: 0418 259 035 Wodonga Adult Mental Health Service via reception: Phone (02) 6051 7950 Email: [email protected] Available: Monday to Friday, 8.30am to 5pm
Albury Wodonga Aboriginal Health Service 644 Daniel Street, Glenroy, NSW, 2640 Phone: (02) 60401 www.awahs.com.au
Mungabareena Aboriginal Corporation 21 Hovell Street, Wodonga, Vic, 3690 Phone: (02)6024 7599 www.mungabareena.com
Allied Health Health Allied Victorian Aboriginal Community Controlled Health Organisation Allied Health www.vaccho.org.au
Australian Aboriginal Health Information website www.healthinfonet.ecu.edu.au
41
Psychology Services
NEBMHS Psychology Services are integrated within the Community Mental Health Services based in Albury, Wodonga and Wangaratta and are available for you to access on referral from your treating psychiatrist, while you are receiving services from NEBMHS.
Psychologists take an interest in human behaviour about how people think, feel and react. Using evidence-based practices, psychologists focus on understanding your current difficulties and circumstances and provide you with a tailored, individualised therapy program.
An example of a common therapeutic approach a psychologist might use is Cognitive Behaviour Therapy (CBT), which has been proven to be an effective method of treatment for a range of mental health conditions, including anxiety and depression.
A psychologist will use techniques such as CBT to help you develop more effective coping skills, help you work on distressing and challenging thoughts, assist in improving your motivation and work with you to develop your confidence and your path to recovery from mental illness.
Other services include: Clinical psychological assessments Individual therapy and interventions Group therapy
Cognitive assessments Personality assessments
Neuropsychological assessments Clinical consultations Allied Health
Allied Health For further information contact: Senior Psychologist NEBMHS Psychology Department 23 Dixon St, Wangaratta, Vic, 3676. Phone: (03) 5722 5347 Fax: (03) 5722 5420
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Occupational Therapy
Occupational Therapists (OT’s) support people to develop strategies needed to participate in the things you need and want to do, that may be being impacted by mental health challenges. Occupational Therapists specialise in working with people to develop strategies to self-regulate emotions and distress and also in performing day to day activities.
How can OT support me? OT’s focus on enabling people to identify their strengths to change aspects of themselves, occupations they participate in or their environment, to build and maintain a satisfying and meaningful life.
OT’s offer assessment, support and skill development in the areas of: Health and wellbeing Daily living skills Preparing for work, study or volunteering Practical management of distress and learning self-regulation skills Developing productive routines and time management
OT’s work in partnership with NEBMHS clinicians to assist you with the process of getting back on track to living a self determined, satisfying and meaningful life.
Referral to an OT while you are receiving services from NEBMHS, is
through your treating psychiatrist or clinician. Health Allied Allied Health
For further information:
Occupational Therapist Wodonga Adult Mental Health Service 4 Watson Street,
Wodonga, Vic, 3690 Phone: (02) 6051 7950
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Healthy & Wise Program
Older Person’s Mental Health Service, Wangaratta has developed a program which assists people aged over 55 years of age. This is for people who would like to improve their health, wellbeing, and life satisfaction, giving you confidence to look forward to your future.
Part of the program’s longstanding success has been the imparting of the bio-psychosocial content with the aim to enhance positive ageing and health literacy.
This program is run in partnership with community services, local groups, and health centres from across the North East Region.
Topics include: The interconnectedness of mind and body Physical health and wellbeing Dealing with changes in life Managing stress Learning relaxation techniques Depression (what it is and how to avoid it) How to make the most of your memory Medical, financial and legal issues Coping with bereavement and loss Enjoying the age you are !
A key benefit of the program is the promotion of social connectedness and inclusion. Participants enjoy the Allied Health Allied Health meaningful content alongside the ability to share their learning, insights and life experience with their peers and friends.
For further information and bookings phone: Mental Health Promotions Officer, Older Persons Mental Health Service 82A Murdoch Road, Wangaratta, Vic, 3677. Phone: (03) 5722 1784
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Families Where a Parent has a Mental Illness Program (FaPMI)
Most parents find raising children to be both challenging and rewarding. Experiencing mental health problems can make some of these challenges of raising children more difficult at times.
Through timely coordinated and supportive action, the FaPMI program aims to improve the lives of children, young people, parents and families where a parent has a mental illness.
It can be a difficult task to know how to start a conversation about your mental illness with your children. To help you have these conversations we have developed parenting packs to use as a starting point when talking with your family. Please feel free to ask for a parenting pack or have one mailed out to you.
FaPMI support programs aim to build on your parental skills and foster family connectedness, enhancing relationships for both parents and children.
Support includes: Parenting programs Parent support groups Other Specialist Services Services Specialist Other Other Specialist Services Supported playgroups Support programs for children & adolescents Family therapy or individual counselling Access to child and adolescent services
Help with talking to your child’s school
For further information: FaPMI Co-ordinator ‘River’s Edge’ 66-68 Faithfull St.
Wangaratta, Vic 3677 Phone: (03) 5722 4837
Alternatively: Contact your case manager and request a referral to the FaPMI Co-ordinator who will then arrange a time to meet with you.
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This section aims to inform you of information to assist you in navigating the mental health service system.
Importantly, knowledge of this information is very relevant to your time as a client of NEBMHS and also encourages you to being actively involved in your own health care.
This includes knowledge of:
Top Ten Tips for looking after yourself (page 47)
Advance Statement for Mental Health (Vic) (page 48)
Nominated Person (Victoria) (page 49)
Nomination of Designated Carer (NSW) (pages 50 & 51)
Effects of medications/drug interactions (page 52)
Making decisions (page 53)
Dangers of self– diagnosing / Herbal remedies (page 54)
Mental Health websites (pages 55— 57)
Language used in mental health (pages 58 & 59)
State wide Services/ MH Tribunal (page 60)
Communicating with the mental health team (page 61)
Australian Charter of Healthcare Rights (pages 62 & 63) Other Specialist Services Other Specialist Services How to raise concerns (page 64)
Giving feedback to the service (page 65)
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Finding a balance
Life is full of challenges, change and risks. Maintaining good mental health requires a balance in all aspects of your life. Reaching this balance is a learning process and at times you may tip the balance too far one way and need to find your feet again.
Your own personal balance is unique to you, however knowing and maintaining that balance to keep you mentally healthy is the challenge. Here’s some tips …………
Top ten tips for looking after yourself…… 1. Eat a healthy diet (reduce alcohol intake) 2. Maintain regular exercise 3. Maintain good sleep patterns 4. Seek professional help as required and attend regular check-ups with your GP 5. Have a close family member/friend you can confide in Navigating the service system the service system Navigating 6. Continue with/learn a new hobby Navigating the service system 7. Observe your own thoughts and learn ways to reframe life circumstances in a more positive, yet realistic way 8. Identify aspects which need to change in your life 9. Pamper yourself regularly: for example - relax in a hot bath
10. Be open to new possibilities.
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Advance Statement for Mental Health (Victoria)
An Advance Statement is an opportunity for you to document your preferences about the most helpful mental health treatment should you require compulsory mental health care. Having a current Advance Statement assists the psychiatrist to make decisions that better align with your treatment preferences. The Advance Statement may also be included in your Recovery Plan.
An Advance Statement can be used to let staff know: Mental health treatment which is most effective for you Mental health treatment which has been less effective in the past Your views about electroconvulsive treatment
When to write an Advance Statement? While you are feeling well is a good time to write down your wishes. Consider reviewing this document at least every 12 months to make sure it is up-to-date. However, you can make additional changes or revoke your Advance Statement at any time provided it is certified by an authorised witness (GP, Pharmacist, Justice of the Peace, etc).
Once your Advance Statement has been witnessed: Ensure the most recent/updated copy is stored in your medical file Give a copy to your Nominated Person Keep a copy in a safe place
Please remember it is your responsibility to keep the Mental Health Services aware of any changes to your Advance Statement.
It is also advisable to keep a copy of your signed Advance Statement for your own records.
Navigatingsystem service the Further information about an Advance Statement: Navigating the service system Navigating www.communitylaw.org.au/mhlc/cbpages/images/ mhlcadvancedirective.pdf . For further information contact: The Consumer or Carer Consultants or alternatively: The Mental Health Legal Centre Inc. 9th Floor, 10—16 Queen Street, Melbourne, Vic, 3000. Phone: (0396)(03) 9629 294 4422 422 / / 1800 1800 555 555 887 887 48
Nominated Person (Victoria)
The Mental Health Act (2014) in Victoria recognises the role a family member can play in the life of a person receiving mental health services. A consumer can choose to appoint a Nominated Person to receive information and represent their views should they become unwell and require compulsory mental health treatment.
The role of the Nominated Person is to: Importantly, be consulted at critical times in planning the patient’s treatment and recovery. Represent the consumer’s views and preferences Exercise their rights Receive information including a copy of the Treatment Order
Examples of when a Nominated Person would be consulted include when: A Treatment Order is made, varied, revoked or expires An authorised psychiatrist grants, varies or revokes a patient’s leave of absence An authorised psychiatrist makes a treatment decision for the consumer, including a decision about medical treatment.
Navigating the service system the service system Navigating When a Nominated Person form has been completed, and witnessed by an Navigating the service system authorised member of the community, give the form to your local Adult Mental Health Service to note in the hospital electronic information system and keep the original in your clinical file.
The appointment of a Nominated Person can be revoked or updated at anytime, however please remember it is your responsibility to keep the Mental Health Services aware of any changes. It is also advisable to keep a copy for your own records.
For further information contact: The Consumer or Carer Consultants or online at: www.health.vic.gov.au/mental-health/mhact2014 Victoria Govt website www.tandemcarers.org.au Peak body for carers of a person with mental illness in Victoria www.vmiac.org.au Victoria Mental Illness Awareness Council
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Nomination of Designated Carer in NSW
The Mental Health Act (2007) in New South Wales recognises the role a family member can play in the life of a person receiving mental health services. An Amendment to the Act now allows you to choose to appoint up to two Designated Carers to receive information and represent your views should you become unwell and require compulsory mental health treatment.
Designated carers usually have a close relationship with the person they are caring for, along with an interest in their welfare. This excludes paid carers.
Designated Carer’s have the right to be advised by the psychiatrist/staff when the person they care for: Is being either admitted or discharged from a Mental Health Unit Is commencing or changing prescribed medication If the person is re-assessed as a voluntary patient Is assessed for a Community Treatment Order or their application is being varied or expired
If the person leaves the mental health unit without permission.
If you are between 14 - 18 years of age you may nominate someone other than your parents to be your designated carer. However if you do so, your parents will still have the right to receive information about your treatment provided this does not cause a serious risk of harm to you.
In NSW, you also have the right to document on the Nomination Form any person who is to be excluded from being provided with your information and/or consulted about your treatment.
Once you have completed a Designated Carer form, give the original to your psychiatrist to keep in your clinical file in Nolan House or at your
Navigating the service system Navigating next appointment at the Community Mental Health Service. Please note: Navigatingsystem service the this legal document is valid for twelve months, unless you revoke or vary this in writing earlier.
The appointment of a Designated Carer can be revoked or updated at anytime, however please remember it is your responsibility to keep the Mental Health Services aware of any changes. It is also advisable to keep a copy for your own records.
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The Amendment to the Mental Health Act, NSW (2007) also makes provision for a Principal Care Provider who is a person primarily responsible for providing support and care to you (other than a paid carer). This is determined by your treating psychiatrist where no Designated Carer has been documented.
However, the psychiatrist may not choose someone to be your Principal Care Provider who you have listed on the Nomination Form as a person to be excluded from being provided with your health information.
The psychiatrist is also not required to effect a nomination of a Designated Carer where there is reasonable belief that to do so may put you or the nominated person at risk of serious harm.
Nomination forms and further information, including the definitions and rights associated with these terms, can be obtained from the:
Mental Health Act, NSW (2007) www.legislation.nsw.gov.au/#/view/act/2007/8
For further information contact: Carer Consultants
Albury Community Mental Health Service the service system Navigating Navigating the service system Phone: (02) 6058 1750 (part-time: Wednesday, Thursday and Friday)
MHCC Mental Health Rights Manual http://mhrm.mhcc.org.au/home/
Mental Health Carers NSW website: http://www.arafmi.org/2016/05/designated-carers-principle-care- providers-rights/
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Additional information ..... When diagnosed with a mental illness, you will have to make some decisions about your Recovery Action Plan. With a mental health assessment and other information gathered, you and the psychiatrist may then decide on a treatment plan that best suits your illness and situation, offering the best chance of recovery.
Deciding on treatment can sometimes be difficult. However, making sure you understand your illness and the treatment options available will assist you in this process.
Seeking a second psychiatrist’s opinion Recovery oriented mental health services encourage Supported Decision Making processes. Therefore, the option of seeking a second psychiatric opinion is available to you and may provide you with some additional information to support your participation in your mental health treatment decisions. You (or your Nominated Person/Designated Carer on your behalf) may request to seek a second psychiatric opinion at any time while you are receiving services from NEBHMS .
If a second psychiatric opinion is requested, then the service needs to make all efforts to facilitate this request. Any psychiatrist may provide
you with a second opinion.
For further information: www.secondopinion.org.au/ Phone: 1300 503 426
www2.health.vic.gov.au/mental-health/
Victorian Mental Health Act 2014 – (Section) 78
www.legislation.vic.gov.au
Effects of medications Side effects are common while taking any medications particularly in the first few days or weeks when increasing or decreasing dosages. Usually this has only a mild to moderate effect and diminishes over time.
Navigating system the service It is important to note that it may take time to find the best medication or combination of medications to suit each individual. It is not uncommon
Navigating the service system Navigating for people to be taking medication for several weeks and then have the medication changed or dose adjusted.
If you experience side effects from taking medications, contact the mental health service to discuss any concerns with the staff involved in your care or the psychiatrist. If you would like further information about individual medications, please refer to the Consumer Medication Information at www.betterhealth.vic.gov.au
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Drug interactions It is important to note that medications used for mental health can interact with other medications. Always inform the psychiatrist about all the medications you are taking including over-the-counter, ‘natural’ products and pain killers so that medication interactions can be minimised. Surprisingly, even products like grapefruit juice can have a major effect on the metabolism of some medications.
Alcohol and Other Drug use Any quantity of alcohol or other drugs may have a negative impact on your mental health. It is important to feel comfortable in discussing your alcohol and/or drug use (AOD) with staff to ensure an accurate treatment plan is devised. All clinical staff are trained to provide AOD assessments and offer strategies to minimise the impact on your physical and mental health, promoting recovery.
Driving and Machinery Alcohol, illicit drugs, and some prescription medications can affect alertness, concentration, co-ordination, and reaction time affecting some activities. You or the person you are caring for needs to be aware of this and not drive or operate machinery if you feel unable to concentrate on the task.
The Victorian Road Safety Act (1986) states it is compulsory for the service system Navigating
licensed drivers to notify Vic Roads of any long term medical condition Navigating the service system that may affect their fitness to drive. Failure for you to notify Vic Roads/ NSW RMS can lead to serious consequences in the event of an accident, including denial of insurance.
For further information regarding a medical review, either discuss this with the psychiatrist or contact: Vic Roads: phone 13 11 71 or www.vicroads.vic.gov.au NSW RMS: Phone 13 22 13 www.rms.nsw.gov.au
Legal decisions. It is best to defer making important life decisions or entering into legally binding contracts while unwell and undertaking acute treatment, as your judgement may be effected. If there are important decisions to be made, you should first seek legal advice.
For further information: contact your own solicitor or alternatively Legal Aid. Victoria Phone: 1800 677 402 or www.legalaid.vic.gov.au NSW Phone: 1300 888 529 or www.legalaid.nsw.gov.au 53
The risks of self diagnosing with internet information
It is important to use medical information on the internet only as a guide. This information does not replace a consultation and assessment with your registered, specialist health practitioner.
Safety issues include: Giving yourself the wrong diagnosis May recommend taking medications/herbal remedies which may be contra-indicated with other medications already prescribed for you Delaying seeing your doctor may cause your condition to worsen Without a correct diagnosis you may not receive the correct treatment The treatment you choose may have unnecessary side effects
Be aware of on-line health products A huge range of health products are sold on-line from overseas where it is difficult to judge the quality of the product. While some products are available from reputable companies, there are some which are not.
The quality of the product you are purchasing may:
Be fake Have the wrong amounts of the active ingredient Contain harmful ingredients not shown on the label Be past their use-by date / have no use-by Be unsuitable for your health condition Not be authorised for use in Australia by the Therapeutic Goods Ad-
ministration (TGA).
Herbal remedies can also have dangerous side effects and be a serious risk to your health. It is therefore advisable to consult with your doctor/ case manager prior to commencing any herbal remedies.
Navigatingsystem service the For further information regarding complimentary medications, safety Navigating the service system Navigating alerts or recalls of medicines, or list of unapproved products in Australia contact the TGA.
The role of the TGA in Australia is to ensure healthcare products sold in Australia are safe and of an acceptable quality. www.tga.gov.au
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“There’s No Health Without Mental Health” Websites
Mental Health organisations National Initiative for Depression and Anxiety www.beyondblue.org.au
Anxiety Disorders www.crufad.com
Bipolar Disorders www.blackdoginstitute.org.au
Schizophrenia www.sane.org.au
Substance Use Disorders www.adf.org.au
Personality Disorders www.bpdaustralia.com.au
Eating Disorders www.thebutterflyfoundation.org.au
Peri—natal Pregnancy information Navigating the service system the service system Navigating www.beginbeforebirth.org Navigating the service system
Information for new parents www.whatwerewethinking.org.au
Peri-natal depression and anxiety www.panda.org.au
Child & Adolescent Information www.headspace.org.au www.biteback.org.au www.reachout.com.au
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Alcohol and other drugs (AOD)
Your Room www.yourroom.health.nsw.gov.au
Alcoholics Anonymous www.aa.org.au
National Drug Foundation www.adf.org.au
Alcohol & Drug Information Network www.adin.com.au
Australian Govt site www.alcohol.gov.au
Alcohol and drugs Counselling online www.counsellingonline.org.au
Government Services Centrelink services www.my.gov.au
Regional Disability Advocacy Service, Wodonga www.rdas.org.au
Guardianship Board, Victoria www.publicadvocate.vic.gov.au
Guardianship Board, New South Wales www.tag.nsw.gov.au
Mental Health & Wellbeing, Australia www.health.gov.au
Victorian Civil & Administrative Tribunal www.vcat.vic.gov.au Www.ncat.nsw.gov.au
Local, State and Federal Government Information & Services www.vic.gov.au www.nsw.gov.au Navigating system the service Navigating the service system Navigating On-line Counselling
e-therapy for anxiety disorders www.anxietyonline.org.au
on-line counselling, Australian National University www.ecouch.anu.edu.au
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on-line cognitive behaviour therapy www.moodgym.anu.edu.au on-line cognitive behaviour therapy for stress related illness www.glasgowsteps.com on-line counselling Alcohol & Other Drug. www.counsellingonline.org.au
Generalist Health information www.betterhealth.vic.gov.au
Current local community events www.mycommunityconnect.com.au
Family Relationships www.familyrelationships.gov.au
Recipes from popular magazines www.taste.com
NSW A-Z Health Topics www.health.nsw.gov.au
Disclaimer: This information is provided for information purposes only and should not replace a consultation with a suitably qualified Health or Medical Practitioner. It should not be assumed that the content of websites is Navigating the service system the service system Navigating endorsed in any way by NEBMHS. Navigating the service system
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Language used in Mental Health The everyday language we use is based on meanings we have constructed from our personal experience and conveys our feelings, thoughts and information.
The manner in which language is used when discussing mental health can have a considerable impact on a persons’ life and contributes to stigma associated with mental illness in the community. It is important to have an awareness of the influence our own words have on our attitudes and of as those around us.
In the context of wellbeing, mental health and mental illness negative words such as chronic, low functioning and psychiatric can be interpreted as demeaning to a person with a mental illness. This type of language is judgemental, promotes disadvantage and only increases the stigma associated with mental illness. To a person with mental illness, this effect can be enduring, and only creates further obstacles to overcome.
Negative words describing mental illness also promotes a sense of difference and isolation for people within their local community and beyond. Whereas using more positive recovery focussed language demonstrates respectfulness and conveys a sense of empathy for the
person and hope for their future.
Our choice of language needs to be: Respectful Considerate Non- judgemental
In mental health services, a recovery oriented approach promotes language which supports you to focus on your strengths and to build a meaningful life regardless of whether or not you experience ongoing men- tal health symptoms (see pages 8 and 9).
NEBMHS recognises, values, respects and promotes the principles of re- Navigating system the service Navigating the service system Navigating covery and has embedded recovery language in all policies, practices and documentation. This also aligns with the Mental Health Act (NSW) and (Vic) and other mental health guidelines.
58 58 stereotypes and labels.
Out dated terminology “psychiatrically, he/she is….” “psychiatric nurse” “he/she is mentally ill” / “suffers from ….” / “is a victim of….” “he/she is bipolar/schizophrenic/depressive ….” portraying successful people with a mental illness as superhuman implies it is rare for people with a mental illness to be successful.
Replaced by: “from a mental health perspective, ….(name of person)…. is ...” “mental health nurse” “person with a mental illness ….” “ ... (name of person)... has been diagnosed with ….” “a person diagnosed with schizophrenia/bipolar/depression (etc)…”
Suicide Out dated terminology “failed attempt at suicide” “tried to commit suicide” or “committed suicide” “unsuccessful suicide” or “successful suicide” Navigating the service system the service system Navigating Navigating the service system “completed suicide” or “suicided”
Replaced by: “attempted to take his/her own life” “took his/her own life” or “ended his/her own life”
“died by suicide”
Being considerate of how your words will be interpreted and of any underlying messages makes a big difference when communicating with people, particularly a person with mental illness. It also ensures that an opportunity to offer support is not missed which can leave a lasting impression.
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State Wide Mental Health Services Mental Health Tribunal (Victoria)— is an independent body with the primary role of making, reviewing or hearing appeals regarding compulsory Inpatient or Community Treatment Orders for people who meet the criteria for involuntary treatment according to the Mental Heath Act (2014). 570 Bourke St, Melbourne, Vic, 3000. Ph (03) 8601 5270 or 1800 242 703 www.mhrb.vic.gov.au
Mental Health Tribunal (New South Wales)— is an independent body with the primary role of making, reviewing or hearing appeals regarding compulsory Inpatient or Community Treatment Orders for people who meet the criteria for involuntary treatment according to the Mental Heath Act (2007). The Tribunal has a wide jurisdiction—for further information contact: Building 40, Digby Road Gladesville Hospital Gladesville, NSW, 2111 Ph (02) 9816 5955 / 1800 815 511 www.doh.health.nsw.gov.au
Victorian Mental Illness Awareness Council (VIMIAC) - is the peak non-government organisation for people who have experience with a mental illness. VIMIAC provides: information, advocacy, mutual support and self help, research and education. Building 1, 22 Aintree St, Brunswick East, Vic, 3057 Ph (03) 9380 3900 www.vimiac.com.au
Mental Health Legal Centre—provides a free and confidential legal service to anyone who has experienced mental illness in Victoria where their legal problem relates to their mental illness. 520 Collins St, Melbourne, Vic, 3000 Ph (03) 9629 4422 or 1800 555 887 www.communitylaw.org.au/ Navigating system the service Navigating the service system Navigating mhlc Mental Health Complaints Commissioner— is an independent statutory authority established to receive, investigate and resolve complaints about public mental health service providers. 570 Bourke St, Melbourne, Vic, 3000 Ph (03) 8601 5200 or 1800 136 066 www.health.vic.gov.au/hsc
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Working with the health service.....
We believe the best outcomes are achieved when you, your family/ carers and clinicians all work together. It is important to note: get to know all staff available to help you as there is a range of health professionals in the mental health care system who can help you cope with the physical and emotional effects of mental illness.
Communicating with the mental health team Please keep in mind that we are here to help you and do not hesitate to contact staff via our reception, when necessary. Please note, if the staff member you wish to speak to is not available, leave a message and the staff will endeavour to return your call ASAP. Alternatively, another clinician may be available to assist you.
Privacy of your information We need information from you about your physical and mental health to treat you effectively and safely. Only those involved in your care, will have access to your medical information unless you give specific consent for information to be provided to others for example, other services involved in your care. A report will be sent to your local doctor summarising the care that we have provided.
All staff providing you with care will maintain your confidentiality in Navigating the service system accordance with the Privacy Act (1988) and the Health Records Act (2001). You can access your health record in accordance with the Freedom of Information Act (1982) www.foi.vic.gov.au.
Outcome measures These are standard questionnaires used to assist in the assessment of your mental health and well-being. All clients receiving treatment in the community are required to complete a Behaviour and Symptom Identification Scale (BASIS 32). This also gives you the opportunity to discuss your needs with your case manager, ensuring consideration of your needs in your recovery plan.
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North East & Border Mental Health Service (NEBMHS) NEBMHS has adopted the: Australian Charter of Healthcare Rights National Standards for Mental Health Services (2010) Mental Health Act (NSW), (Vic).
These Acts describe the rights of people using the Australian health system and are essential to make sure that wherever and whenever care is provided, it is of high quality and safe. The Charter of Healthcare Rights recognises that people receiving care and people providing care all have important parts to play in achieving healthcare rights. This directs everyone to work together towards a safe and high quality health system. A genuine partnership is important so that everyone achieves the best possible outcomes.
Navigating system the service Navigating the service system Navigating
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How to raise concerns......
We encourage you to read this section and learn more about your rights, including the right to comment on the service you have received. If you are not satisfied with how your mental health assessment, treatment and care has been provided and would like to make comment, please raise your concerns immediately either directly with the staff involved in your care, the Program Manager or the Director of Quality & Clinical Governance.
Alternatively, the Consumer Consultants and Carer Consultants are also interested in hearing your views along with suggestions for improvement.
We encourage you to provide us with your contact details if making a complaint as this will assist us to inform you about the outcome. Your comments will assist us to improve our service.
By making a complaint or providing feedback means you will not be disadvantaged in receiving continuing services from NEBMHS.
All written compliments/complaints regarding any North East & Border Mental Health Service can be directed to:
Director of Clinical Governance Unit Albury Wodonga Health PO Box 326 Albury, NSW, 2640.
Phone: (02) 6051 7111
Email: [email protected]
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Providing feedback: we are listening.....
The North East & Border Mental Health Service welcomes feedback and encourages participation in service planning. Here are some ways you can contribute:- Surveys Each year surveys are conducted to enable the health service to research particular areas of interest and also provides you with the opportunity to raise any issue which you may wish to bring to our attention.
Individual consultation The Consumer Consultants and Carer Consultants are interested in hearing your views. Individual discussion provides a rich way for us to gain current information about your experiences, suggestions or areas of concern. This may occur formally by appointment or informally during a conversation.
Carer Focus Groups: Albury CMHS and Wodonga AMHS Albury and Wodonga Adult Mental Health Services welcome hearing the views of families/carers of a person who has recently accessed either service. Both groups meet three times per year. This enables the Health Service to collect information on a range of views, gauge opinion, and provides an opportunity for you to discuss with management your ideas Navigating the service system the service system Navigating about service improvement. Attendance is voluntary and all carers are Navigating the service system invited to participate.
Consumer & Carer Advisory Group (CCAG), Wangaratta CCAG is dedicated to hearing the views of people receiving services from Wangaratta Community Mental Health Service and Kerferd Inpatient
Unit. This group advises the Mental Health Service about service improvements and meets on the 4th Wednesday of each month. Family members/carers are also welcome to attend.
In addition, Feedback Forms are available at all NEBMHS sites or alternatively email [email protected]
For further information contact: Wodonga Carer Consultant (02) 6051 7955 Wodonga Consumer Consultant (02) 6051 7950 Wangaratta Consumer & Carer Consultants on (03) 5722 5050.
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Information for families/carers.
This section of information is for families/carers supporting a person who is currently receiving services from NEBMHS. Families/carers are people who have a significant and vital role in supporting and assisting the person they are caring for through their mental health treatment and recovery journey.
*** It is important that families/carers know: How to contact the mental health service (where the person you are caring for is registered) both during the day and after hours (details on page 5) The importance of your own self-care (details page 47) How to access education programs and services that are available to assist families/carers (pages 72 & 73).
“Being new to the caring role, I experienced a range of emotions including: grief, guilt, anger and fear when our daughter was diagnosed. Finding out from a Carer’s Information Session that this is a normal response was very empowering for me”.
Anne, 2019.
“The first step is to learn about the type of mental illness the person you are caring for has been diagnosed with. It is also worthwhile knowing
about what their triggers and early warning signs are”.
Mabs, 2019 Information for families Information for families
“As family members/carers, we need to look after ourselves and take time out to have a break. Maintaining my own identity outside my caring role is also very important to me”.
Marge, 2019
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Families/Carers
Being in the caring role is stressful and presents many challenges; the Carer Consultants employed at NEBMHS are in the best position to understand this. We recognise that families/carers have an important role in the recovery of a person with a mental illness and want to support you in this role. (see Carer Consultant information page 39.)
Rights and responsibilities of family/carer To receive information and support to facilitate your caring role Respect for your privacy With the consent of the person you are caring for, and where appropriate to do so in accordance with legislation, you may participate in treatment and on-going care decisions of the person you are caring for and also seek additional information. To place limits on your availability to the person you are caring for Access to the complaints process within the mental health service if you are dissatisfied with the treatment or support given to the person you are caring for or yourself To receive support from the Carer Consultant for your own difficulties that may originate through the process of supporting, caring, or acting as an advocate for the person you are caring for.
Information for families families for Information Information for families Advice for families: Listen—without interruption or judgement Set boundaries— be clear, direct and keep to what you say Find up-to-date and accurate information. List of reliable websites (page 55—57).Read the “Stages of Change” (page 14). Timing— is always crucial. The person may not be ready to accept treatment yet, however focusing on reducing the harmful effects of alcohol or drugs initially may be beneficial until the person is ready to change.
Encourage change— without insisting on your preferences. Acknowledge small changes— assists to see progress Help the person you are caring for to become more responsible— allowing consequences for choices. Give consideration to not paying their fines, etc and set limits to money provided.
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Young carers require additional specific support and consideration to those mentioned on the previous page. Research shows building and maintaining resilience and social connectedness is especially important for these children.
Families where a Parent has a Mental Illness (FaPMI page 45) offers support to young carers aged 13 –18 years of age through the Space4Us Program.
This provides an opportunity for young carers to get together, share their experiences, learn self-care, coping strategies, and have fun. Space4Us focuses on early intervention and evolved from the Paying Attention to Self (PATS) program. These groups are open to young people living in the Albury-Wodonga and Wangaratta regions with some assistance available to assist with the cost of travelling, if required.
For further information regarding Space4Us: Email: [email protected] / www.space4us.org.au or alternatively ask your case manager.
If at any time you have concerns about the mental health of any child/ children in your care, please contact for further advice: your own GP
Your local NSW / Victorian Child & Adolescent Mental Health Triage Services (see contact details page 23) headspace, located within Gateway Health, 155 High Street, Wodonga
Informationfor families Information for families
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Helpful information ... If the person you are caring for refuses to seek professional assistance for a mental health problem, it can cause great difficulty and frustration for the family. The person you are caring for may deny that there is a problem, feel too embarrassed or shameful, or believe the problem will resolve itself over time without medical intervention.
Ensuring the person understands mental illness and allowing them plenty of time to express any concerns they might have about their reluctance to accept treatment, can be a starting point. This conversation can also give you the opportunity to correct any false beliefs or fears the person may have (eg long waiting times, stigma, fear of the unknown, etc).
Another strategy can be to encourage the person you are caring for to attend a medical assessment with a doctor to discuss the physical symptoms associated with mental illness including sleeping problems, change in weight, lack of energy, etc may be easier for the person. The conversation could then lead into discussing the associated mental health problems they are experiencing.
If the person you are supporting doesn’t feel comfortable to initiate their care through the tradition ways of accessing health care, another strategy may be to encourage the use of reputable online mental health resources available such as the online chat rooms and forums at Information for families www.beyondblue.org.au for information. families for Information
It is always preferable to have any health problem assessed and commence treatment as soon as possible, however sometimes this is not possible. The person may choose to leave this until they can no longer tolerate the symptoms or manage activities of daily living. If this is the case, be patient, seek support for yourself and learn what you can about mental health problems and approaches to managing these.
Remember Learn as much as you can about mental health Continue to encourage the person you are caring for to seek help Be patient and understanding but set clear boundaries Be prepared for setbacks Don’t forget to take time-out to look after yourself
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One Door Mental Health Carer Services is the new name for the Schizophrenia Fellowship of NSW.
This service is staffed locally by Carer Advocates who can provide family members/ carers of a person with a mental illness with individual peer support, education regarding mental health or related topic, and advocacy upon request.
For further information: Albury One Door Shop 16, The Village, Albury, NSW, 2640 Phone: (02) 6021 5882
Websites for further information: Families where a parent has a mental illness www.bouverie.org.au/support-for-services/fapmi
Children Caring for Parents www.youngcarers.net.au
Children of Parents with a Mental Illness www.copmi.net.au Informationfor families Information for families Association of Relatives and Friends of the Mentally Ill www.arafmi.org.au
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Oasis is a support group for family members/ carers of a person with a mental illness and/or substance use disorder.
The Oasis Support Group currently focuses on providing peer support to each other. This means that regularly having guest speakers providing specialist information is not a priority for this group, as this can be accessed through Information Sessions held separately by both the Carer Consultants in Albury and Wangaratta, and the Carer Advocate (One Door Mental Health—see page 70).
The Carer Consultant and Carer Advocate are usually both available for short individual consultations (approx. 10 minutes) after the Oasis Group meeting.
The Oasis Group meets at: A local café from 2pm—4pm on the first Thursday of each month from February until December.
Occasionally the Oasis Group meets at a different local café/restaurant or families for Information Information for families attends the movies in lieu of a meeting, therefore it is best to confirm the meeting location prior to initially attending.
For further information contact:
Carer Consultant, Wodonga Adult Mental Health (02) 6051 7955 Carer Advocate, One Door, Mental Health
Albury (02) 6021 5882
Please note that we only work on a part-time basis— if we are not available to take your phone call, please leave a message and we will endeavour to return your call ASAP.
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NEBMHS Information Sessions— open to the community to attend.
Mental Health Information Sessions, Anyone wishing to learn more about mental health and wellbeing are welcome to attend these Information Sessions.
Topics are related to: Mental illness Wellbeing How to navigate the mental health system Other local mental health service providers
Duration: 2 hours Date: Contact Carer Consultant or Service for current details. Feb– Nov each year. Location: Seminar Room, Albury Cancer Centre Borella Road, Albury, NSW, 2640
Cost: Free RSVP: Not required (tea/ coffee/ biscuits provided)
For further information, please contact: Carer Consultant, Wodonga Adult Mental Health Service. Ph 0260 517 955 (Mon, Tues, & Fri)
Carer Consultant, Albury Community Mental Health Service Ph 0260 581 750 (Wed, Thurs & Fridays)
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Additional Mental Health Information Sessions.
Well Ways Well Ways is the name given to a range of education programs designed to help family, friends and carers of people with mental illness. These programs are delivered through structured workshops and group discussions. All Well Ways programs provide practical information about mental illness and skills to deal with the challenges that mental illness brings. Further information: Mental Illness Fellowship, Hume Region Phone: (03) 5799 2353 www.wellways.org.au
Mental Health First Aid. Mental Health First Aid is the help provided to a person developing a mental health problem or in a mental health crisis, until appropriate treatment is received or until the crisis resolves. Mental Health First Aid strategies are taught in training programs developed by Mental Health First Aid, Australia— a national non-profit health promotion charity focussed on training and research. Further information: For details of the next course Wodonga Carer Consultant Phone: (02) 6051 7955 www.mhfa.com.au/cms/
Applied Suicide Intervention Skills Training (Asist) In Asist, participants learn to recognise when someone may be at risk of suicide and how to respond with suicide intervention skills. It explores how to connect with a suicidal person in ways that understand and clarify the risk, increase their immediate safety and link them with further mental health help. Asist is a 2 day interactive workshop and is presented by a team of two registered trainers who have completed a one-week Livingworks Training Program. For further information: Livingworks Office Phone: 1300 738 382 www.livingworks.com.au
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Information for families 74
Families and carers are important contributors to the care of a person with a mental illness. The Carer Support Fund aims to meet the needs of carers (who live in Victoria) by providing funding to assist carers in their role, promoting and sustaining the carer relationship and improving their wellbeing.
Who is eligible? Family members or friends who are in a caring relationship with a person who is receiving services from a public mental health service in Victoria are eligible to apply.
What can the Mental Health Carer Support Fund be used for? Transport and/or accommodation costs associated with visiting the person they are caring for in hospital or to accompany them to a medical appointment Education expenses associated with learning about mental illness, carer coping strategies or the mental health system. Respite opportunities for the carer to have a break from their caring role. Wellbeing activities for carers including yoga, meditation, sport, Information for families families for Information music activities to support their wellbeing. Information for families
How do we apply? All applications are made through the Carer Consultants at the Wodonga or Wangaratta Mental Health Services. Applications are assessed on an individual basis for approval and it is important to note that funds are limited and limits apply per family per year.
Fund administration The Mental Health Carer Support Fund is administered by the Victorian
Mental Health Carers Network Inc, Abbotsford, Melbourne.
For further information: Wodonga Carer Consultant: (02) 6051 7955. Wangaratta Carer Consultant: (03) 5722 5050.
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Intereach—Albury Do you need help for a family member or yourself? Intereach provides a wide range of information, services and support that will help you to live well, lead the life you want and participate in your local community.
We support children, young people, families, older people, carers and people with disabilities in a range of different ways.
Sometimes it is hard to know what is available where you live. We work alongside you and your family to find the right support that suits your personal situation.
For further information: contact us by phone, email or drop in for a chat. Once we get an idea of your situation we can then suggest some things that might help like: an Intereach service that suits you information about other services that might help, and help to access other support. For further information: Albury Office 553 David St
Albury NSW 2640 Phone: 1300 488 226 / (02) 6051 7800 www.intereach.com.au
Villa Maria Catholic Homes, Wangaratta is the service provider for the Commonwealth Respite and Carelink Centre in the Hume region. Carers can discuss their situation and choose the best services to suit their Informationfor families Information for families needs. Respite care may be provided in the home, out of the home or tailored to the individual situation. For further information contact: Villa Maria Catholic Homes Suite 4, 27—29 Faithfull St Wangaratta, Vic, 3677. Phone: 1800 052 222 / (03) 5722 9046 www.villamaria.com.au
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Tandem Carers, Victoria. Provide information, education and training to mental health families and friends Support and advocate for the diverse needs of families of people living with mental health issues. Raise community awareness about the important role of families in mental health recovery. Promote and support the development of the mental health carer workforce Administration of the Carer Support Fund (see page 75) which provides financial assistance to families of people registered with the public Mental Health Services in Victoria. Advocate for carer involvement in planning for system change in the Victorian Mental Health service
To join Tandem Carers and strengthen the collective voice of people caring for a person with a mental illness in Victoria: www.tandemcarers.org.au/membership.php For further information contact: Level 1, 37 Mollison Street Abbotsford Victoria 3067 Phone: (03) 8803 5555 Information for families Information for families families for Information www.tandemcarers.org.au
Carer’s Victoria - Carer Advisory Line
This service provides experienced counselling staff to listen to you and provide you with information and support to assist you in your caring role.
Carer’s Vic can also connect you with a range of services in your local area including:
Referral to services Counselling Carer education For further information contact: Carer Advisory Line: Phone 1800 242 636 www.carersvic.org.au
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The philosophy of Albury Wodonga Health is to pursue excellent patient care, to respond to your needs and to continually update and improve the quality of our service.
As the largest provider of public mental health care outside the Melbourne metropolitan area, North East & Border Mental Health Service aims to provide you with the best possible mental health care.
NEBMHS NEBMHS We value your feedback. Any comments regarding this booklet can be emailed to [email protected]
Many thanks to everyone who has contributed to producing and proof- reading the information contained in this Booklet, including: NEBMHS Management, Clinicians, Allied Health, Consumer & Carer Consultants, Aboriginal Liaison Officer along with a Focus Group of consumers and carers. Your time, efforts and contributions were very much appreciated.
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Notes:
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