❓ Details the support and services delivered within Community, Specialised, and Acute Child and Adolescent Mental Health Services (CAMHS) in WA, including outpatient, day programs, and inpatient facilities.
AnsweredQoN 3044Legislative Council
QuestionView source ↗
I refer to Community, Specialised and Acute care within Child and Adolescent Health Services and ask, can the Minister please advise on all support and services delivered within each category?
AnswerView source ↗
Answered
16 June 2015
Responded by
Minister for Mental Health
Response time
42 days
Community Child and Adolescent Mental Health Services (CAMHS)
Outpatient services
Community CAMHS has 10 specialist community outpatient services based in districts in the Perth metropolitan area. Community CAMHS offer responses of assessment, case coordination and multidisciplinary treatment services for children up to 17 years of age with severe, complex and persistent emotional, psychological, behavioural, social and/or mental health problems.
WA Country Health Service (WACHS) CAMHS has specialist community outpatient services based in each of the seven (7) WACHS regions. Community CAMHS offer responses of assessment, and case coordination for children up to 17 years of age with severe, complex and persistent emotional, psychological, behavioural, social and/or mental health problems. Specialist Consultant Psychiatrist services are provided by tele-mental health where regions do not have dedicated CAMHS Consultant Psychiatrists.
Deliberate Self-Harm Service (DSH)
The DSH will provide an intensive day and outpatient service for adolescents with persistent deliberate self-harm and suicidality. The model of care for an evidence-based Mentalisation Based Therapy day and outpatient service is finalised and recruitment has been completed, with service delivery planned to commence in June 2015.
Specialised CAMHS
Complex Attention and Hyperactivity Disorders Services (CAHDS)
CAHDS is an outpatient program comprising of a multi-disciplinary assessment team specialising in the assessment and limited treatment of children who present experiencing the most persistent and severe attentional difficulties and co-morbid complex behavioural disorders. CAHDS work in partnership with children, their families and the referrer.
Eating Disorders Program (EDP)
EDP is a specialised, multi-disciplinary program providing assessment, treatment and follow-up of the most unwell children (and families) suffering from eating disorders and other co-morbid conditions. Although the majority of treatment is provided on an outpatient basis (and many are treated in conjunction with Community CAMHS), a number of patients require more intensive day treatment and some require nutritional resuscitation on the medical wards. The program also provides consultation and training to primary and secondary care providers.
Multi-Systemic Therapy (MST)
MST is a specialist program that helps families with young persons with an enduring history of severe behavioural disorders who are high risk for juvenile detention, later adult incarceration, chronic unemployment, social exclusion and ongoing adult contact with mental health and other services. Clinicians work intensively with parents, caregivers, schools and the community to help families develop the necessary skills to independently address their difficulties.
Family Pathways
Family Pathways is a state-wide Tier 4 service that provides interventions to children with the most persistent, severe and complex childhood problems across emotional, behavioural, social and family domains that also prove resistant to treatment in Tier 3 services. The multidisciplinary team work with a range of other providers (including non-government organisations, government departments and consumers) to enhance development and behavioural presentation through interventions aimed at the child, parent, the parent-child relationship as well as socio-demographic factors.
WACHS CAMHS rely on metropolitan based Statewide services when coordinating treatment for young people with subspecialty presentations such as eating disorders, Attention deficit hyperactivity disorder, Autism and associated comorbid concerns. Tele-mental health is the preferred medium to support case review and coordination.
Acute CAMHS
Bentley Adolescent Unit (BAU)
The BAU is a 12 bed authorised inpatient facility for children aged 12 to 17 years. BAU provides a statewide specialised service for both voluntary and involuntary patients. The ward provides a range of services including comprehensive assessment, risk management, medication review and the development of individualised management plans.
Ward 4H
Ward 4H is located at Princess Margaret Hospital (PMH) and is an eight (8) bed inpatient facility for children aged six (6) to 15 years. Ward 4H is a voluntary unit, which provides a statewide service for short-term assessment and interventions for children experiencing a psychiatric condition.
Paediatric Consultation Liaison Program (PCLP)
PCLP is a multidisciplinary team working in collaboration with the medical specialists in PMH. Patients, who receive ongoing medical treatment at PMH, are referred from one of the medical specialists. Mental health treatment plans are developed in collaboration with medical services through ongoing consultation, liaison and review.
Acute Community Intervention Team (ACIT)
ACIT provide short-term assertive community intervention over a period of siz (6) to eight (8) weeks to stabilise an acute mental health crisis and to reduce risk, until care can be transferred to an appropriate community based professional or service. Patients are referred after presenting at an emergency department, or following discharge from Ward 4H and BAU, if they are not yet engaged with a community service.
Acute Response Team (ART)
ART provides a specialist emergency child and adolescent mental health service (information, assessment and support). The multidisciplinary team, based at PMH, provides a 24 hours a day, seven days a week service which includes a central telephone (1800 number) access point for children and their families. The team provide an assertive community outreach role and conduct mental health assessments throughout the Perth metropolitan area, in the community and emergency departments. They also provide bed coordination for all CAMHS inpatient beds.
Regional Resource Centres in some of the WACHS regions provide specialist Emergency Department psychiatric liaison services to children and young people. These services include assessment, treatment and coordination of admissions to specialist inpatient units in Perth
. Community CAMHS Mental Health services will provide in-reach services to hospitals where children up to the age of 17 present.
Outpatient services
Community CAMHS has 10 specialist community outpatient services based in districts in the Perth metropolitan area. Community CAMHS offer responses of assessment, case coordination and multidisciplinary treatment services for children up to 17 years of age with severe, complex and persistent emotional, psychological, behavioural, social and/or mental health problems.
WA Country Health Service (WACHS) CAMHS has specialist community outpatient services based in each of the seven (7) WACHS regions. Community CAMHS offer responses of assessment, and case coordination for children up to 17 years of age with severe, complex and persistent emotional, psychological, behavioural, social and/or mental health problems. Specialist Consultant Psychiatrist services are provided by tele-mental health where regions do not have dedicated CAMHS Consultant Psychiatrists.
Deliberate Self-Harm Service (DSH)
The DSH will provide an intensive day and outpatient service for adolescents with persistent deliberate self-harm and suicidality. The model of care for an evidence-based Mentalisation Based Therapy day and outpatient service is finalised and recruitment has been completed, with service delivery planned to commence in June 2015.
Specialised CAMHS
Complex Attention and Hyperactivity Disorders Services (CAHDS)
CAHDS is an outpatient program comprising of a multi-disciplinary assessment team specialising in the assessment and limited treatment of children who present experiencing the most persistent and severe attentional difficulties and co-morbid complex behavioural disorders. CAHDS work in partnership with children, their families and the referrer.
Eating Disorders Program (EDP)
EDP is a specialised, multi-disciplinary program providing assessment, treatment and follow-up of the most unwell children (and families) suffering from eating disorders and other co-morbid conditions. Although the majority of treatment is provided on an outpatient basis (and many are treated in conjunction with Community CAMHS), a number of patients require more intensive day treatment and some require nutritional resuscitation on the medical wards. The program also provides consultation and training to primary and secondary care providers.
Multi-Systemic Therapy (MST)
MST is a specialist program that helps families with young persons with an enduring history of severe behavioural disorders who are high risk for juvenile detention, later adult incarceration, chronic unemployment, social exclusion and ongoing adult contact with mental health and other services. Clinicians work intensively with parents, caregivers, schools and the community to help families develop the necessary skills to independently address their difficulties.
Family Pathways
Family Pathways is a state-wide Tier 4 service that provides interventions to children with the most persistent, severe and complex childhood problems across emotional, behavioural, social and family domains that also prove resistant to treatment in Tier 3 services. The multidisciplinary team work with a range of other providers (including non-government organisations, government departments and consumers) to enhance development and behavioural presentation through interventions aimed at the child, parent, the parent-child relationship as well as socio-demographic factors.
WACHS CAMHS rely on metropolitan based Statewide services when coordinating treatment for young people with subspecialty presentations such as eating disorders, Attention deficit hyperactivity disorder, Autism and associated comorbid concerns. Tele-mental health is the preferred medium to support case review and coordination.
Acute CAMHS
Bentley Adolescent Unit (BAU)
The BAU is a 12 bed authorised inpatient facility for children aged 12 to 17 years. BAU provides a statewide specialised service for both voluntary and involuntary patients. The ward provides a range of services including comprehensive assessment, risk management, medication review and the development of individualised management plans.
Ward 4H
Ward 4H is located at Princess Margaret Hospital (PMH) and is an eight (8) bed inpatient facility for children aged six (6) to 15 years. Ward 4H is a voluntary unit, which provides a statewide service for short-term assessment and interventions for children experiencing a psychiatric condition.
Paediatric Consultation Liaison Program (PCLP)
PCLP is a multidisciplinary team working in collaboration with the medical specialists in PMH. Patients, who receive ongoing medical treatment at PMH, are referred from one of the medical specialists. Mental health treatment plans are developed in collaboration with medical services through ongoing consultation, liaison and review.
Acute Community Intervention Team (ACIT)
ACIT provide short-term assertive community intervention over a period of siz (6) to eight (8) weeks to stabilise an acute mental health crisis and to reduce risk, until care can be transferred to an appropriate community based professional or service. Patients are referred after presenting at an emergency department, or following discharge from Ward 4H and BAU, if they are not yet engaged with a community service.
Acute Response Team (ART)
ART provides a specialist emergency child and adolescent mental health service (information, assessment and support). The multidisciplinary team, based at PMH, provides a 24 hours a day, seven days a week service which includes a central telephone (1800 number) access point for children and their families. The team provide an assertive community outreach role and conduct mental health assessments throughout the Perth metropolitan area, in the community and emergency departments. They also provide bed coordination for all CAMHS inpatient beds.
Regional Resource Centres in some of the WACHS regions provide specialist Emergency Department psychiatric liaison services to children and young people. These services include assessment, treatment and coordination of admissions to specialist inpatient units in Perth
. Community CAMHS Mental Health services will provide in-reach services to hospitals where children up to the age of 17 present.
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