This WA parliamentary question addresses the age criteria for mental health service admission and specifically questions the policy of Princess Margaret Hospital (PMH) regarding 16-18 year olds with eating disorders, particularly concerning inpatient care access.

AnsweredQoN 854Legislative Council
Asked
28 September 2006
Portfolio
Health

QuestionView source ↗

MENTAL HEALTH SERVICE - ADULT PATIENTS
(1) At what age is a patient deemed to be an adult for admission to a mental health service? (2) Does Princess Margaret Hospital for Children send all new referrals for people between the ages of 16 and 18 years with an eating disorder to a service that provides outpatient services only? (3) Are these people able to be admitted to PMH, if inpatient care is required? (4) If no, where can these people be admitted? (5) Are patients who are already on the books at PMH before they turn 16 able to be admitted to PMH until they turn 18 years of age? (6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY

AnswerView source ↗

I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(2) Does Princess Margaret Hospital for Children send all new referrals for people between the ages of 16 and 18 years with an eating disorder to a service that provides outpatient services only? (3) Are these people able to be admitted to PMH, if inpatient care is required? (4) If no, where can these people be admitted? (5) Are patients who are already on the books at PMH before they turn 16 able to be admitted to PMH until they turn 18 years of age? (6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(3) Are these people able to be admitted to PMH, if inpatient care is required? (4) If no, where can these people be admitted? (5) Are patients who are already on the books at PMH before they turn 16 able to be admitted to PMH until they turn 18 years of age? (6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(4) If no, where can these people be admitted? (5) Are patients who are already on the books at PMH before they turn 16 able to be admitted to PMH until they turn 18 years of age? (6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(5) Are patients who are already on the books at PMH before they turn 16 able to be admitted to PMH until they turn 18 years of age? (6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(6) Is PMH discriminating against some 16 to 18-year-olds requiring an initial inpatient service for an eating disorder? Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
Hon SUE ELLERY replied: I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
I thank the honourable member for some notice of the question. (1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(1) Generally, people under 18 years of age attend child and adolescent mental health services, and people over 18 years attend adult mental health services. (2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(2) Yes.  New referrals of public patients over 16 years old are sent to the Centre for Clinical Intervention’s eating disorders program, which is an outpatient psychotherapy service. (3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(3) No. (4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(4) Patients in this category requiring admission have access to public hospital services appropriate to the condition for which they require admission. (5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(5) Patients who already have been seen under PMH’s eating disorders program are able to be admitted until they turn 18 years of age.  In line with hospital policy, they must be transitioned to an adult service by the age of 18. (6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.
(6) No.  It is hospital policy to treat people until their sixteenth birthday at PMH.  Patients already receiving treatment in some programs are able to continue to be admitted for some chronic problems, but must be transitioned to an adult service by the age of 18.

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