A WA parliamentary question on notice regarding funding, data collection, and monitoring of deliberate self-harm cases in emergency departments and subsequent follow-up care. The response indicates a lack of specific funding allocation and data collection, while highlighting existing training programs and a recent review of mental health services.

AnsweredQoN 5886Legislative Council
Asked
14 August 2012
Portfolio
Mental Health

QuestionView source ↗

I refer to self-harm risk assessments in emergency departments, and I ask —
(1) Was there any funding specifically allocated to deliberate self-harm assessments in the past three financial years?
(2) If yes to (1), how much funding was allocated to deliberate self-harm assessments in the past three financial years?
(3) How many cases of deliberate self-harm patients have presented to emergency departments, per hospital for the past three financial years?
(4) How many cases of deliberate self-harm patients attending emergency departments received post-discharge follow-up in the community within —
(a) one week;
(b) two weeks;
(c) three weeks;
(d) one month; and
(e) more than one month?
(5) Has a program been established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan and country hospitals?
(6) If no to (5), why not?

AnswerView source ↗

Answered
16 October 2012
Responded by
Minister for Mental Health
Response time
63 days
(1) Funding is not separately allocated to deliberate self-harm assessments. Mental health clinicians working in Emergency Departments are competent in undertaking mental health assessments, including deliberate self-harm.
(2) Not applicable.
(3) See tabled papers [....]
(4) The DoH is unable to answer this question, as this requires data linkage between Emergency Department and mental health information systems, which  requires lengthy approval processes in order to protect patient confidentiality.
(5-6) The Ministerial Council on Suicide Prevention (MCSP) is focussed on initiatives funded under the Western Australian Suicide Prevention Strategy (Strategy) and priority areas. The Strategy is for locally-owned Community Action Plans and Agency Plans which improve the strength and resilience of communities expand community knowledge of suicide, and support capacity building in communities at increased risk.
Public Mental Health Clinicians, with a focus on those senior clinicians in emergency and acute Mental Health services, have been participating in Clinical Risk Assessment and Management training (CRAM). CRAM training is provided by the Department of Health and is a Department of Health policy endorsed by the Australasian College for Emergency Medicine, and the Royal Australian College of Psychiatry.
Professor Bryant Stokes has completed a review into the admission or referral and discharge and transfer practices of Western Australian's public mental health facilities and services.
The Stokes Report has been provided to the Director General of Health and the Mental Health Commissioner, who will provide advice to the Minister for Mental Health. The Minister will consider any improvements required to ensure system-wide compliance with admission and discharge policies to make sure they are effective for patients, families and clinicians, and meet future demand.
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