❓ WA Parliamentary Question on Notice regarding self-harm risk assessment, funding, guidelines, follow-up care, and policies within WA's public hospitals. The Minister provides a detailed response outlining funding allocations, guideline development, follow-up statistics, and existing policies.
AnsweredQoN 489Legislative Council
QuestionView source ↗
SELF-HARM RISK ASSESSMENT
(1) What amount of extra funding was specifically allocated in the 2007-08 budget to pilot the deliberate self-harm risk assessment tool? (2) Have specific guidelines governing the reception and assessment of people presenting with self-harm been developed and implemented throughout emergency departments in Western Australia’s public hospitals? (3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY
(1) What amount of extra funding was specifically allocated in the 2007-08 budget to pilot the deliberate self-harm risk assessment tool? (2) Have specific guidelines governing the reception and assessment of people presenting with self-harm been developed and implemented throughout emergency departments in Western Australia’s public hospitals? (3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY
AnswerView source ↗
I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(2) Have specific guidelines governing the reception and assessment of people presenting with self-harm been developed and implemented throughout emergency departments in Western Australia’s public hospitals? (3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
[See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
(ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
(iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy.
i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds.
о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm.
о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service.
Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(2) Have specific guidelines governing the reception and assessment of people presenting with self-harm been developed and implemented throughout emergency departments in Western Australia’s public hospitals? (3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(3) If yes to (2), has a training package been undertaken in each ED to implement the package? (4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(4) What percentage of deliberate self-harm patients attending EDs received post-discharge follow-up in the community within the timeframe recommended? (5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(5) Has a working group developed and promulgated policies and best-practice guidelines to aid discharge planning and follow-up for consumers of public mental health services? (6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(6) Has the program established by the Ministerial Council for Suicide Prevention to monitor management of deliberate self-harm in metropolitan hospitals now been extended to all public hospitals in Western Australia? (7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(7) Over the past three years, what level of funding has been allocated to the Ministerial Council for Suicide Prevention from each of the following: state government, federal government, private, and other funding? Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
Hon SUE ELLERY replied: I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
I thank the member for some notice of this question. It is quite a lengthy answer, so I table it and seek leave to have it incorporated into Hansard . Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
Leave granted. [See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
[See paper 2843.] The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
The following material was incorporated - I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
I thank the Hon. Member for some notice of this question. 1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
1. Additional funding of $90,000 has been allocated to pilot the Deliberate Self-Harm Risk Assessment Tool. 2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
2. A working group, chaired by Dr Stephen Addis, Clinical Director, Adult Mental Health Program, Fremantle Hospital, is currently establishing specific guidelines that will govern the reception and assessment of people presenting with self-harm throughout emergency departments in Western Australia’s public hospitals. 3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
3. Not applicable. 4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
4. All patients who are admitted to public hospitals following episodes of deliberate self-harm are offered follow up services as part of discharge planning. In 2006, 80% of emergency department admissions to public hospitals of patients with a deliberate ‘self-inflicted’ injury were seen by staff in public community mental health clinics following discharge. Of these, 63% were seen within one and seven days of discharge. Notes: (i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up. 5. The Clinical Risk Assessment and Management Policy (CRAM) for Western Australian Mental Health Services contains clear criteria governing discharge planning. This includes the provision of discharge summaries to community teams, and/or general practitioners and for follow up appointments. A training package is to be developed so that CRAM policy is implemented consistently across public mental health services. In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy. 6. One of the elements of the program was the pilot Self-Harm ED Data-base , developed by the Ministerial Council for Suicide Prevention (MCSP) to monitor management of deliberate self-harm. It was trialled at Sir Charles Gairdner, Royal Perth and Fremantle Hospitals. The Department of Health has adopted the following elements from the MCSP program to monitor management of deliberate self-harm in public hospitals. These are: i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds. 7. Level of funding allocated to the Ministerial Council for Suicide Prevention from 2004-2007: · State Government (Department of Health): $732,628.00 · State Government (Department of Education and Training): $151,413.00 · State Government (Department of Corrective Services): $ 68,000.00 · State Government (Office for Children and Youth): $ 29,000.00 · Commonwealth Government (Department of Health and Ageing): $493,292.00 · Private funding (Corporate sponsorship): $119,704.00 · Other funding (Workshop fees, donations, book sales): $ 95,304.00 Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
(i) The Guidelines do not recommend a specific timeframe for follow up in the community. The time period of seven days is currently used by the Department of Health as a basis for measurement, which is consistent with the national performance indicator for Australian mental health services. (ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
(ii) As a person can have more than one admission; admissions are counted rather than patients. (iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
(iii) Reasons for non-follow up include: patients may have been referred back to their private health professional following discharge; patients may also decline the offer for follow-up.
In addition, a working group of the Mental Health Network Coordinating Group and Management Implementation Committee will develop specific policies to aid discharge planning and follow up. This will complement the discharge planning criteria identified in the CRAM policy.
i. Across the majority of Western Australian public hospital emergency departments: о en hanced after-hours consultation liaison psychiatry service provided in the emergency departments о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm. ii. Selected site-specific elements: о the assessment by specialist consultation liaison psychiatry or youth self-harm social workers for young people aged up to 25 years at Royal Perth and Princess Margaret H ospitals о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service. Note: Many of the above strategies are operating as a direct result of the $173 million Mental Health Strategy 2004-2007 Key Initiative 1 - Mental Health Emergency Services . This includes increasing the number of specialist mental health nurses within hospital emergency departments, increasing the number of on-duty psychiatric registrars for after hours cover and the establishment of emergency department observation beds.
о comprehensive assessment by either emergency department psychiatric registrars, medical officers or psychiatric nurses for all patients admitted to emergency departments with an episode of self-harm.
о the South West Mental Health Service has implemented a localised Psychosocial Risk Screening Tool of People with Deliberate Self-harm or Emotional Distress that is integrated into the Southwest 24-hour emergency telephone support and counselling service.
Notes: 1. This information has been provided by the Ministerial Council for Suicide Prevention (MCSP), as the Department of Health holds financial information relating primarily to the funds provided by the DOH to the MCSP. 2. Figures pertaining to 2006-07 are estimates given the 2006-07 financial year is not complete.
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