❓ Question on Notice regarding the availability of specialist mental health inpatient beds and provisions for children and adolescents in regional WA (Bunbury, Albany, Broome, Kalgoorlie). The Minister provided a detailed response in tabular form addressing bed numbers, admission policies, separation facilities, and admission statistics.
AnsweredQoN 88Legislative Council
QuestionView source ↗
MENTAL
HEALTH — SPECIALIST INPATIENT UNITS
88. Hon SALLY TALBOT to the Minister for Mental Health:
(1) How many
beds are currently available in the specialist mental health inpatient units in
Bunbury, Albany, Broome and Kalgoorlie?
(2) What
specific provisions are made by each of these specialist units for the
admission of children or adolescents?
(3) What
facilities exist at these specialist units for children and adolescents to be
separated from adults?
(4) How many
children and adolescents have been admitted to each of these specialist units
in the past 12 months?
HEALTH — SPECIALIST INPATIENT UNITS
88. Hon SALLY TALBOT to the Minister for Mental Health:
(1) How many
beds are currently available in the specialist mental health inpatient units in
Bunbury, Albany, Broome and Kalgoorlie?
(2) What
specific provisions are made by each of these specialist units for the
admission of children or adolescents?
(3) What
facilities exist at these specialist units for children and adolescents to be
separated from adults?
(4) How many
children and adolescents have been admitted to each of these specialist units
in the past 12 months?
AnswerView source ↗
I thank the member for some notice of this question.
(1)–(4) The answer I have is in tabular form, so I
seek leave to have it incorporated in Hansard .
Leave granted. [See paper 276.]
The following material was incorporated —
Inpatient Unit
Albany
Broome
Bunbury
Kalgoorlie
Q1.
12
13
(A seclusion room can also be converted into a bed
if required)
27
7
Q2.
Based on individual assessment of patient aged
between 15 – 17 years, admission to the specialist unit is an option
provided:
1. Parent/guardian consents to admission to adult
unit
2. A 1:1 nurse special is in place for the
admission
3. Regular review and assessment is undertaken to
monitor the appropriateness of the admission.
If the adult specialist unit is not appropriate
for the admission – a child/adolescent can be admitted by a
psychiatrist on paediatric unit with support provided by the Child Adolescent
Mental Health Service (CAMHS)community team during the admission
Admission of adolescents considered on a case by
case basis following risk assessment of the patient and taking into
consideration ward acuity/mix of patients.
Admission of children or adolescents may be
considered to the adjacent paediatric unit in Broome hospital with inreach
service provision from local Child and Adolescent Mental health service and
psychiatrist.
It is possible to support an appropriate boarder/ chaperone
for the duration of the admission on the mental health unit if required or
provide a nurse 1-1 special for short term safety/security of the adolescent.
Rarely used for child and adolescent admissions.
Children & adolescents admissions occur on the Bunbury Hospital General
ward with specialist Consultant Psychiatrist and Psychiatric Liaison
governance available throughout the admission.
Adherence to the Statewide Guidelines for
management of Under 18s in Emergency Departments and inpatient services and
do not admit children to the Ward. Adolescents are rarely admitted to the
Ward and if so, they are always under 24 hour security or nursing escort,
family member chaperone, or both. Children and adolescents are managed on the
general wards primarily, with chaperone, nurse special or security escort,
and transferred to the Bentley Child and Adolescent Specialist Unit as soon
as possible if prolonged inpatient stay is required
Q3.
There is no ability to provide environmental
separation of CAMHS patients – 1:1 nurse special and individualised
management plan developed to provide safe appropriate separation or
involvement in ward activities.
No specific facilities exist for separation of
children and adolescents from adults.
If the unit is required to manage an adolescent
prior to transfer to a specialist child and adolescent mental health service,
it is possible for the facility to manage the adolescent in the secure unit
where they would be separate from adult patients.
Adolescents admitted to the specialist Adult
inpatient unit require 2:1 nursing special with CAMHS Consultant Psychiatrist
medical oversight.
There are no separate facilities. As above,
generally not applicable
Q4.*
6
8
7
5
*Q4
Notes:
Includes separations from
specialised mental health wards.
Data are inclusive of the
dates 13 May 2012 to 14 May 2013.
Child and adolescents are
defined as those aged 0 to 17 years-old.
Of the total 26 separations,
17 were aged 17 years old on admission.
Source: Discharge Extract,
Hospital Morbidity Data System.
Prepared by: Mental Health
Data Collection.
Extraction date: 21 May
2013.
(1)–(4) The answer I have is in tabular form, so I
seek leave to have it incorporated in Hansard .
Leave granted. [See paper 276.]
The following material was incorporated —
Inpatient Unit
Albany
Broome
Bunbury
Kalgoorlie
Q1.
12
13
(A seclusion room can also be converted into a bed
if required)
27
7
Q2.
Based on individual assessment of patient aged
between 15 – 17 years, admission to the specialist unit is an option
provided:
1. Parent/guardian consents to admission to adult
unit
2. A 1:1 nurse special is in place for the
admission
3. Regular review and assessment is undertaken to
monitor the appropriateness of the admission.
If the adult specialist unit is not appropriate
for the admission – a child/adolescent can be admitted by a
psychiatrist on paediatric unit with support provided by the Child Adolescent
Mental Health Service (CAMHS)community team during the admission
Admission of adolescents considered on a case by
case basis following risk assessment of the patient and taking into
consideration ward acuity/mix of patients.
Admission of children or adolescents may be
considered to the adjacent paediatric unit in Broome hospital with inreach
service provision from local Child and Adolescent Mental health service and
psychiatrist.
It is possible to support an appropriate boarder/ chaperone
for the duration of the admission on the mental health unit if required or
provide a nurse 1-1 special for short term safety/security of the adolescent.
Rarely used for child and adolescent admissions.
Children & adolescents admissions occur on the Bunbury Hospital General
ward with specialist Consultant Psychiatrist and Psychiatric Liaison
governance available throughout the admission.
Adherence to the Statewide Guidelines for
management of Under 18s in Emergency Departments and inpatient services and
do not admit children to the Ward. Adolescents are rarely admitted to the
Ward and if so, they are always under 24 hour security or nursing escort,
family member chaperone, or both. Children and adolescents are managed on the
general wards primarily, with chaperone, nurse special or security escort,
and transferred to the Bentley Child and Adolescent Specialist Unit as soon
as possible if prolonged inpatient stay is required
Q3.
There is no ability to provide environmental
separation of CAMHS patients – 1:1 nurse special and individualised
management plan developed to provide safe appropriate separation or
involvement in ward activities.
No specific facilities exist for separation of
children and adolescents from adults.
If the unit is required to manage an adolescent
prior to transfer to a specialist child and adolescent mental health service,
it is possible for the facility to manage the adolescent in the secure unit
where they would be separate from adult patients.
Adolescents admitted to the specialist Adult
inpatient unit require 2:1 nursing special with CAMHS Consultant Psychiatrist
medical oversight.
There are no separate facilities. As above,
generally not applicable
Q4.*
6
8
7
5
*Q4
Notes:
Includes separations from
specialised mental health wards.
Data are inclusive of the
dates 13 May 2012 to 14 May 2013.
Child and adolescents are
defined as those aged 0 to 17 years-old.
Of the total 26 separations,
17 were aged 17 years old on admission.
Source: Discharge Extract,
Hospital Morbidity Data System.
Prepared by: Mental Health
Data Collection.
Extraction date: 21 May
2013.
Explore WA Government Data
Search the full archive in the free dashboard, or query programmatically via API.
Explore more
Government Gazette
Appointments, regulatory notices, planning changes.
Hansard
Debates, questions, speeches and sentiment.
Tabled Papers
Reports and documents tabled in Parliament.
Committees
Committee profiles and recent reports.
Regulations
Subsidiary legislation with filters and summaries.
Bills
Proposed laws and parliamentary progress.
Acts
Current WA legislation and summaries.
Explanatory Memoranda
Bills with EMs (text/PDF) available.
Members
MP profiles, party breakdown and rankings.
Pollie Rankings
Data-driven rankings across 19 categories.
Amendment Chains
Track how schemes and regulations evolve over time.