❓ Hon. Donna Taylor questions the Minister for Health regarding the Department of Health's progress on implementing recommendations from the 2001 "Life Matters" report on managing deliberate self-harm in young people. The Minister outlines actions taken and provides a timeline for full implementation.
AnsweredQoN 807Legislative Council
QuestionView source ↗
I refer to the Auditor General’s finding in the second public sector performance report released yesterday that the Department of Health has made limited progress in addressing recommendations made four years ago in the 2001 report “Life Matters: Management of Deliberate Self-Harm in Young People”. (1) What action, both immediate and long term, is the minister taking to ensure that - (a) all patients presenting with deliberate self-harm at hospital emergency departments receive psychiatric attention in accordance with applicable guidelines; and (b) the Department of Health actively monitors compliance with the national mental health standards, including the introduction of minimum service specifications, such as procedures for after-care planning and follow-up treatment? (2) When will the recommendations in the “Life Matters” report be implemented in full? Hon SUE ELLERY
AnswerView source ↗
I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(1) What action, both immediate and long term, is the minister taking to ensure that - (a) all patients presenting with deliberate self-harm at hospital emergency departments receive psychiatric attention in accordance with applicable guidelines; and (b) the Department of Health actively monitors compliance with the national mental health standards, including the introduction of minimum service specifications, such as procedures for after-care planning and follow-up treatment? (2) When will the recommendations in the “Life Matters” report be implemented in full? Hon SUE ELLERY replied: I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(b) the Department of Health actively monitors compliance with the national mental health standards, including the introduction of minimum service specifications, such as procedures for after-care planning and follow-up treatment?
Hon SUE ELLERY replied: I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(1) What action, both immediate and long term, is the minister taking to ensure that - (a) all patients presenting with deliberate self-harm at hospital emergency departments receive psychiatric attention in accordance with applicable guidelines; and (b) the Department of Health actively monitors compliance with the national mental health standards, including the introduction of minimum service specifications, such as procedures for after-care planning and follow-up treatment? (2) When will the recommendations in the “Life Matters” report be implemented in full? Hon SUE ELLERY replied: I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(b) the Department of Health actively monitors compliance with the national mental health standards, including the introduction of minimum service specifications, such as procedures for after-care planning and follow-up treatment?
Hon SUE ELLERY replied: I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
I thank the member for some notice of this question. (1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
(1) (a) The guidelines for the management of deliberate self-harm in young people have been distributed and redistributed to all health services. The Department of Health monitors adherence to the guidelines, and reports that in April 2003 all services were implementing the guidelines. Under key initiative 1 of the “Mental Health Strategy 2004-2007”, patients presenting with deliberate self-harm are now assessed by mental health professionals in emergency departments. Recent changes and improvements have been made to the way in which patients with mental health problems are managed in emergency departments, including the recruitment of 26 specialist emergency department mental health nurses; 24-hour on-site emergency psychiatric cover at Graylands, Bentley, Sir Charles Gairdner, Royal Perth and Fremantle Hospitals and the Joondalup Health Campus; and an increased number of on-duty psychiatric registrars and emergency department holding beds. (b) Minimum service specifications for the management of deliberate self-harm in young people were achieved through the implementation of the care pathway standards for admission through to discharge planning for adult mental health services. This document supports the guidelines and aims to ensure adherence to clinical standards from a patient’s initial contact with services to discharge. Monitoring compliance with National Mental Health Standards is undertaken at a health service level within the Department of Health. Implementation of the standards is part of the overall accreditation process for health services. (2) While most recommendations made in the “Life Matters” report have been implemented, full implementation will require building on work that has already commenced. It is envisaged that full implementation will be completed by December 2006.
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