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Supportopedia A guide to Mental Health Services at Peninsula Health In case of emergency dial 000 Contents Who is this guide for? .................................................................................... 2 Emergency contact numbers ......................................................................... 2 Peninsula Health Mental Health Service ........................................................ 2 Contact Numbers ........................................................................................... 2 Other Public Mental Health Services.............................................................. 2 24 hour Crisis and Counselling Services ........................................................ 2 Crisis information ........................................................................................... 2 ACCESS........................................................................................................ 2 Other Support and Counselling Services ....................................................... 2 Common abbreviations .................................................................................. 2 Understanding mental illness and the mental health system ......................... 2 Being diagnosed with a mental health illness ................................................. 2 Common terms used in the mental health system. ......................................... 2 Information about Mental Health Diagnosis .................................................... 2 Electroconvulsive Therapy (ECT) .................................................................. 2 Mental Health Services at Peninsula Health .................................................. 2 Private services ............................................................................................. 2 Allied Health providers ................................................................................... 2 Peninsula Health Mental Health Service Staff ................................................ 2 Frequently asked questions ........................................................................... 2 Mental Health Medication .............................................................................. 2 Alcohol and other drugs ................................................................................. 2 Illicit Drug information .................................................................................... 2 Missing persons............................................................................................. 2 Suicidal thinking............................................................................................. 2 Violence and Family Violence ........................................................................ 2 Family Violence Assistance ........................................................................... 2 Aboriginal and Torres Strait Islander Services ............................................... 2 2 Support for our Multicultural Community ........................................................ 2 GLBTIQ Gay Lesbian Bi Trans Intersex and Questioning .............................. 2 Support for People with a Mental Illness ........................................................ 2 Information & support for specific conditions .................................................. 2 Community Health Centres ............................................................................ 2 Community Support/Emergency Centres ....................................................... 2 Education for Consumers .............................................................................. 2 Leisure and work, community recreation and self-development ..................... 2 Accommodation and respite .......................................................................... 2 Support for Carers ......................................................................................... 2 Support Services for Carers and Families ...................................................... 2 Carer Support Groups ................................................................................... 2 Other General Family Supports ..................................................................... 2 Education for Carers ...................................................................................... 2 Other general housing services ..................................................................... 2 Funding Options ............................................................................................ 2 Support For Youth and Children .................................................................... 2 Childrens Respite .......................................................................................... 2 Support for the Aged...................................................................................... 2 Material assistance ........................................................................................ 2 Other useful internet sites .............................................................................. 2 Complaints .................................................................................................... 2 Charter of health Care Rights ...................................................................... 93 Purpose of this booklet ................................................................................ 94 In an emergency ............................................................................................ 2 3 Who is this guide for? This guide is for Carers, families and consumers who attend public mental health services in the Frankston and Mornington Peninsula region – from Aspendale to Seaford, Frankston, Mornington to Portsea, and Flinders to Bittern. It contains information about many aspects of mental health that may be helpful when dealing with our services. Information about mental health services in the Frankston and Mornington Peninsula region, including crisis services. Lists of general, non-psychiatric resources. General information, including terms used in mental health services. Information for both consumers and their carers or families. Where consumers and carers have different information needs, some material is provided separately. 4 Emergency contact numbers Police, Ambulance, Fire 000 POLICE South Eastern Division 4 covers the following police stations FRANKSTON 9784 5555 CHELSEA 8773 3200 MORNINGTON 5970 4900 HASTINGS 5970 7800 ROSEBUD 5986 0444 RYE 5985 2582 SORRENTO 5984 2000 Local Hospitals Frankston Hospital 9784 7777 Rosebud Hospital 5986 0666 Dandenong Hospital 9554 1000 Mental Health Emergencies Alfred Health 1300 363 746 Peninsula Health 1300 792 977 Monash Health 1300 369 012 5 Police requests for assistance should be directed to: Mental Health Triage PH 1300 792 977; or 0439 208 197 (Police only) CLIPS – 24 hour 7 days telephone triage service 1300 792 977 WARD 2 WEST (Adult Mental Health In-patient Unit) PH 9784 7160 and request to speak to the ANUM / Nurse in Charge of the shift WARD 1 WEST (Aged Mental Health In-patient Unit) PH 9784 7095 and request to speak to the ANUM / Nurse in Charge of the shift ACMHP (Adult Community Mental Health Program) PH 9784 6999 and request to speak to the Manager 6 Peninsula Health Mental Health Service Contact Numbers Mental Health Service Peninsula Health – Triage Phone 1300 792 977 Davey Street Clinic 9784 6999 Youth Mental Health Team (Yuille St) 9784 8620 Adult Acute Inpatient Unit (Ward 2 West) 9784 7160 9784 7161 Aged Acute Inpatient Unit (Ward 1 West) 9784 7095 9784 7093 Community Care Unit (CCU) 9781 4288 Carinya 9783 7277 Rosebud – Bayview House 5986 0684 Y-PARC Yuille Street, Frankston 9238 8600 A-PARC Beach Street, Frankston 9788 4900 Carer Consultant – Frankston Hospital 9238 8634 Consumer Consultant – Frankston Hospital 9238 8627 Peninsula Health covers the following areas: All areas of the Mornington Peninsula Region– including Tyabb, Somerville, Baxter, Hastings and French Island City of Frankston west of McClelland Drive – from the shoreline of Port Phillip Bay approximately 3 kilometres inland of Aspendale, Edithvale, Chelsea, Bonbeach and Seaford, and then onto Frankston. Peninsula Health does not cover Langwarrin, Patterson Lakes, Pearcedale, Aspendale Gardens, Chelsea Heights, Carrum Downs, Cranbourne or Pakenham. These areas are covered by Monash Health (Triage: 1300 369 012). 7 Other Public Mental Health Services 8 Alfred Health – Triage 1300 363 746 Ballarat Mental Health – Triage 1300 661 323 Barwon Mental health 1300 094 187 Bendigo Mental Health – Triage 1300 363 788 Box Hill 9843 5800 Dandenong Hospital – Switchboard 9554 1000 Gippsland Mental Health – Triage 1300 363 322 Glenelg (South Western) Mental Health 1800 808 284 Goulburn and Southern Shepparton 1300 369 005 Maroondah 1300 721 927 Mercy Mental Health – Triage 1300 657 259 Monash Health – Triage 1300 369 012 North Eastern Hume – Wodonga 1300 881 104 North Eastern Hume – Wangaratta 1300 783 347 North Western Centralised - Triage 1300 874 243 Northern Mallee 1300 366 375 St Vincents 1300 558 862 Sunshine - Triage 1300 874 243 The Alfred - Triage 1300 363 747 The Austin Clinic 9496 6500 The Austin – Triage 1300 859 789 Werribee 9916 8552 Western Centralised - Triage 1300 874 243 24 hour Crisis and Counselling Services Alcoholics Anonymous Peninsula 1300 880 390 CareLine 1800 052 222 Child Abuse/Prevention (24 hours) 1800 688 009 Child Protection Crisis (A/H) 13 12 78 DirectLine (24 hours) Alcohol & Drug Counselling 1800 888 236 Directory Assistance 12 23 Family Drug Helpline (24 hours) 1300 660 068 Gamblers Helpline (24 hours) Dandenong 1800 156 789 Kids Helpline (24 hours) 1800 551 800 Lifeline 13 11 14 Lifeline Suicide Helpline 1300 651 251 Maternal and Child Health Line (24 hours) 13 22 29 Mensline Australia (24 hours) 1300 789 978 Nurse on Call 1300 606 024 Parentline (24 hours) 13 22 89 Reverse Charge 1800 7383773 Salvation Army Crisis Contact 1800 627 727 South East CASA (24 Hours) 9594 2289 SECASA TOLL FREE (24 hours) 1800 806 292 Suicide Helpline (24 hours) 1300 651 251 WAYSS/Hanover Crisis Line Frankston 9791 6111 Womens Domestic Violence Crisis Line (24 hours) 1800 015 188 9 Crisis information It may not always be possible to wait for your next appointment with a Recovery Clinician or Doctor to get help. An action plan may be useful for a crisis because of a mental health problem. Here are some suggestions for an action plan. Before a crisis happens: forward planning With people you trust, write out a plan of what to do if a crisis occurs. Each of you will notice different things to look out for. Include in your plan any arrangements needed for the care of children and pets if a crisis happens. Give a copy to each person involved in doing your plan. Keep your own copy in a place where it will be easy to find. Talk with your recovery clinician and others you trust about your warning signs and what these mean for you. Keep a checklist of these signs in a Keep Well/Recovery Plan (ask your clinician about this). When there is a crisis When you notice early warning signs, write them down with dates. You can refer to this if there is a next time. Ask others to tell you if they notice any of these warning signs, so you can keep a record and tell your recovery clinician or doctor. If you are concerned about the warning signs you notice phone 9784 6999 (Monday to Friday, 9am-5pm). After hours, phone Triage on 1300 792 977. They will assess the situation and help you decide what action to take. If violence is an issue, we recommend you call 000. This can be a frightening experience and it may be difficult for you to call the police. However, if you feel in danger or the person you care for may be in danger, this may be the only option. Once the crisis has subsided, it can be helpful to talk about the experience with someone you trust. 10 ACCESS The first point of contact for information and referrals to a wide range of community health, aged care, rehabilitation and specialist services provided by Peninsula Health. Aboriginal and Torres Strait Islander Phone: 1300 665 781 Fax: 9787 9954 11 Other Support and Counselling Services Anxiety Recovery Centre 1300 269 438 ARAFEMI – Mind Aust and Carer Helpline 1300 550 265 Beyond Blue 1300 224 636 Carer Advisory Line (range of Languages) 1800 242 636 Child Protection (after business hours) 131 278 Commonwealth Respite and Carelink Centre 1800 052 222 Diabetes Australia 1300 136 588 DirectLine (Alcohol & Drug Counselling) 1800 888 236 Eating Disorders Hotline 1300 550 236 ERMHA 1300 376 421 Family Drug & Alcohol Helpline 1300 660 068 Family Relationships Advice Line 1800 050 321 Gay and Lesbian Switchboard (6pm-10pm) 9827 8544 Gay and Lesbian Country 1800 184 527 Grief Line (12 noon – 3am) 9935 7400 or mobile 1300 845 745 Hepatitis C Info line (business hours) 1800 703 003 Legal Aid Frankston 9784 5222 Legal Aid Metro (business hours) 1300 792 387 Legal Aid Rural 1800 677 402 Lifeworks Frankston 9783 7611 Lifeworks Frankston 1300 543 396 Mens Referral Service 1300 766 491 Mental Health Legal Centre 9629 4422 12 Mental Health Legal Service Country 1800 555 887 Mental Illness Fellowship Helpline 8486 4222 Mens Shed Frankston 9784 8403 Mind Australia Clients 1300 286 463 Carers 1300 550 265 Relationships Australia (9am – 5pm) 1300 364 277 Sane Mental Illness Helpline (9am – 5pm) 1800 688 382 Sexual Assault Crisis Line (5:00pm – 9am, Monday to Friday) all w/end 1800 806 292 Specialist Trauma Cleaning Service (Sandra) 1300 583 583 Women’s Information and Referral Service 1300 134 130 Victorian Transcultural Psychiatry Unit 9288 3300 Youth Substance Abuse Service (business hours) 1800 458 685 Victorian Interpreter and Translating Services 9280 1941 Mental Health information/support services Carers Victoria 1800 242 636 or 9396 9587 Alfred Health Carer Services 1800 052 222 VMIAC (Peer Support Organisation) 9380 3900 Mental Illness Fellowship Frankston 9784 6800 Mental Health Legal Centre 1800 555 887 Peninsula Support Service Mornington 5970 5000 Partners in Recovery 1300 642 774 Mental Health Community Support Service 1300 379 462 13 Common abbreviations The following list may help you make sense of some of the abbreviations used in this booklet and elsewhere. See also the section ‘Commonly used terms’ on page 17. ACMHS Adult Community Mental Health Service A&D Alcohol and Drug AH After Hours AMA Acute Management Area ANUM Associate Nurse Unit Manager AOD Alcohol and Other Drugs APARC Adult Prevention and Recovery Care APMHT Aged Persons Mental Health Team ARAFEMI (Mind) Association of Relatives and Friends of the Emotionally and Mentally Ill (pronounced ‘are-af-mee’) AWOL Absent Without Leave (pronounced ‘ay-wol’) BH Business Hours BPAD Bipolar Affective Disorder BPD Borderline Personality Disorder CALD Culturally and Linguistically diverse CAMHS Child and Adolescent Mental Health Service CATT Crisis Assessment and Treatment Team CCU Community Care Unit CLIPS Consultant Liaison Inpatient Psychiatry Service CTO Community Treatment Order CTP Community Treatment Program DHS Department of Human Services DEPOT Medication given by injection 14 DSM/V Diagnostical and Statistical Manual of Mental Disorders/Fifth Edition. ECT Electroconvulsive Therapy ED Emergency Department EN Enrolled Nurse ERECA Equal Rights for Equal Care Advocate FaMDAS Frankston and Mornington Drug and Alcohol Service. (previously Pendap) GAD Generalised Anxiety Disorder GP General Practitioner HARP Hospital Admission Risk Program ICU Intensive Care Unit ITO Involuntary Treatment Order IV Intravenously MEACAS Mount Eliza Aged Care Assessment Service MHCC Mental Health Complaints Commissioner MHCSS Mental Health Community Support Services MH-HARP Mental Health Hospital Admission Reduction Program MO Medical Officer MSE Mental State Examination MST Mobile Support and Treatment OCD Obsessive Compulsive Disorder OH&S Occupational Health and Safety OT Occupational Therapist PCC Peninsula Carer Council PCU Palliative Care Unit PDRSS Psychiatric Disability Rehabilitation Support Service 15 PH Peninsula Health PHMHS Peninsula Health Mental Health Service PHx Past History PSA Patient Services Assistant PSS Peninsula Support Services PTSD Post Traumatic Stress Disorder R/C Recovery Clinician RCRC Rosebud Community Rehabilitation Centre RPN Registered Psychiatric Nurse SNRI’s Serotonin and Noradrenaline Reuptake Inhibitor (antidepressant group) SSRI’s Selective Serotonin Reuptake Inhibitor (antidepressant group) SRS Supported Residential Services SW Social Worker VCAT Victorian Civil and Administration Tribunal VMIAC Victorian Mental Illness Awareness Council (pronounced ‘vee-mee-ak’) YPARC Youth Prevention and Recovery Care 16 Understanding mental illness and the mental health system Many people in the community don’t understand mental illness. There is confusion about what it means and how it can be managed. Most people with a mental illness are treated voluntarily. Some people need to be treated even though they don’t agree to it, usually because of the nature of their illness. The law on the treatment of people with a mental illness and their rights is set out in the Mental Health Act 2014. People have different rights depending on whether they are voluntary or compulsory. It is important for everyone to understands their rights. Mental illness A mental illness is a medical condition where a person’s thought, mood, perception or memory is significantly disturbed. Some examples are: Depression Schizophrenia or Bipolar disorder Anxiety disorders. Borderline Personality Disorder When a person has a mental illness, these disturbances may make it harder for them to cope in the community. They may become isolated or behave in a way that seems unusual to others. They may hear or see things that are not there or have strong beliefs that can be difficult to reason with. When a person has a serious mental illness, their behaviour may at times cause great distress, to themselves and to others. 17 While we know that mental illnesses are associated with physical problems within the brain, we do not know exactly what triggers the illness. Some possible explanations are: Chemical imbalance in the brain, which can be helped with appropriate medication Genetics (what we inherit through our genes) Stress – and how we perceive and deal with stressful things. You are not mentally ill just because: of your political, religious, philosophical or sexual beliefs or activities you are involved in sexual, immoral or illegal conduct you have an intellectual disability you have an anti-social personality you belong to a particular economic, social, cultural or racial group. You are not described as being mentally ill just because you take drugs or alcohol. However, if your mind or body is seriously affected because you take drugs or alcohol, this could be taken as a sign you are mentally ill, whether the effect is permanent or temporary. 18 Being diagnosed with a mental health illness Diagnosis of a mental health illness is made after a full assessment by suitably qualified mental health practitioners. Treatment is offered once a person has been diagnosed as having a mental illness. People with a mental health illness may be treated as a 'voluntary' patient, or as a 'compulsory' (involuntary) patient. Voluntary patients A voluntary patient may be admitted to hospital, but is free to leave whenever they want. Compulsory patients ‘Complusory’ means ‘against your will’. A Compulsory patient may be treated for a mental illness against their wishes. There are set rules that have to be followed before someone can be made a compulsory patient. If a doctor examines you and believes you fit the conditions of a compulsory patient, they may recommend that you are placed on: a community treatment order, which requires you to get treatment for your mental illness while you live in the community a compulsory treatment order, which requires you to get treatment in an approved mental health service, such as a hospital. For more information, see 'compulsory treatment orders' (see The Mental Health Act 2014 and the client section of this book) 19 Common terms used in the mental health system. Assessment Order is an Order made by a registered medical practitioner or mental health practitioner that enables a person who is subject to the Assessment Order to be compulsorily examined by an authorised psychiatrist or taken to, and detained in a designated mental health service for further examination to determine whether the treatment criteria apply to the person. Treatment Order is an Order made by the Tribunal that enables a person who is subject to a Treatment order to be Compulsorily treated in the community or taken to, and detained and treated in a designated mental health service. Community Temporary Treatment Orders is an order made by an authorised psychiatrist after assessing a person. A CTTO enables some compulsory patients to live in the community while they receive treatment for their mental illness. Inpatient Temporary Treatment Order is an order made by an authorised psychiatrist after assessing. An ITTO is a treatment order for a person who is taken to, detained, and treated in a designated mental health service. Confidentiality means that information about a consumer is not given to people outside the service agency without the consumer’s permission. An exception is when families and carers can obtain information that may be reasonably required so they can care for and support a family member or friend who has a mental illness. Voluntary status means the person has agreed to receive treatment. 20 Informed consent happens when the consumer gives permission for a specific treatment to occur. For consent to be ‘informed’, the consumer must be given information that helps them understand the procedure or treatment, the risks involved in having the treatment, the consequences of not having or agreeing to the treatment, and other available treatments. Compulsory status means a person who appears to be suffering from a mental illness has refused or is unable to agree to hospitalisation and necessary treatment as an informal patient. The person is subject to an Assessment Order, a Court Order, a Temporary Treatment Order or a Treatment Order. Triage is run by the Consultant Liaison Inpatient Psychiatry Service (CLIPS). It is a 24-hour telephone service for all new referrals and for general or urgent enquiries. Triage also provides after hours crisis intervention and may refer to the Community team if required. Triage decides what is urgent or high priority, and what response is needed for that situation. Duty Workers in the Community provide support, information and referral for current and recent consumers when the clinician is unavailable. The service operates during business hours. Victoria Mental Health Act 2014 is the law in Victoria that governs the treatment and protection of people who have a mental illness. Consumer means a person who has received, is receiving, sought is seeking mental health services from a mental health service provider, or was assessed by an authorised psychiatrist and was not provided with mental health services. 21 Carer means a person, including a person under the age of 18 years, who provides care to another person with whom he or she is in a care relationship. Treatment is when a person receives treatment for mental illness to remedy the mental illness or alleviate the symptoms and reduce the ill effects of the mental illness. Treatment includes ECT. Recovery is defined as a ‘deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and or roles’. It is a way of living a satisfying, hopeful, contributing life. Recovery involves developing new meaning and purpose in one’s life as one grows beyond the debilitating effects of psychiatric disability. Recovery is both a process and an outcome. It is essential for promoting hope, well-being and a valued sense of self-determination for people with a mental illness. Recovery Plans involve an assessment, outlining a consumer’s goals and ways to meet these goals. Recovery plans are regularly reviewed by the clinician, the consumer and where appropriate, their family or carer and other workers. What is a Nominated Person? Is a trusted person to provide the patient with support and to help represent the interests of the patient. A nominated person can receive information about the patient in accordance with the Act and must be consulted in accordance with the Act about the patient’s treatment and assist the patient to exercise their rights. Nomination is in writing, signed and dated by both the nominated person and the nominee and witnessed by an authorised witness. For further clarification see s23 Mental Health Act 2014. 22 What is an Advanced Statement? Is a document that sets out a persons preferences in relation to treatment in the event that the person becomes a patient. Advanced Statements can be made at any time and must be signed and dated by the person making the Advanced Statement. For further clarification see s19 Mental Health Act 2014. The Mental Health Tribunal (www.mht.vic.gov.au) Independent Statutory Tribunal) is an independent review tribunal that conducts reviews and appeals of compulsory treatment orders. Although it has legal powers, it is not as formal as a court. It has members who are psychiatrists, lawyers and community members. The functions of the Mental Health Tribunal are to hear and determine: A matter in relation to whether a Treatment Order should be made. An application to revoke a Temporary Treatment Order or Treatment Order. A matter in relations to an application involving the transfer of the treatment of a compulsory patient to another designated mental health service. An application to perform electroconvulsive treatment on a patient who does not have capacity to give informed consent. For other functions refer to Mental Health Act 2014. The Mental Health Tribunal will look at reports of your mental health, your treatment, and information about your whole life situation. You have the right to actively take part in the hearing and have your say. 23 Information about Mental Health Diagnosis Please note: It can be difficult to diagnose a mental illness straight away as you will notice below the signs and symptoms of the following diagnosis can be similar. It is important to note a diagnosis can change over time and it is important to get appropriate medical input. Psychosis: Describes a loss of contact with reality. When someone is psychotic, their everyday thoughts can become extremely confused and what they say may not make sense to others. Their behaviour can seem very strange and out of character. They may seem to have strong false beliefs also known as ‘delusions’. They may experience hallucinations where they see, feel, smell or hear something that is not actually there. Some women may experience psychosis soon after giving birth. Schizophrenia: When someone is ill with schizophrenia they may experience psychosis. For instance, they may believe someone is interfering with their mind or that their thoughts are not their own, or that everyone can hear what they are thinking. If you have a family member or friend with schizophrenia you may notice one or more of the following behaviours: a lack of energy and interest in life, flat emotions and expressions, inappropriate emotions (laughing at a sad event), preferring to be alone, or spending many hours on their own. Depression: Many of us experience mild depression because of sad or difficult experiences in life. However, major depression can occur without an apparent cause, although a distressing event may trigger the condition. A person with major depression can feel guilt, worthlessness or hopelessness. They may withdraw and lose interest in doing anything, including looking after themselves. Severe depression can lead to people having thoughts of suicide, and some people may action these thoughts. Sometimes a person with depression can become psychotic. Some women experience depression after giving birth. 24 Bi-polar Affective Disorder: This is the new name for ‘manic depression’. A person with bi-polar affective disorder can experience two opposite and extreme types of moods: 1. Mania, where there can be overactivity or excessive cheerfulness, irritability and reduced need for sleep. The person may have little idea of how their behaviour is affecting others around them and may do things that are out of character. 2. Depression (as described above). People with bi-polar affective disorder usually have times when they are well, and other times when they alternate between manic and depressive episodes. Other terms you may hear. Dopamine: is a neurotransmitter that helps control the brain's reward and pleasure centres. Dopamine also helps regulate movement and emotional responses, and it enables us not only to see rewards, but to take action to move toward them. Dopamine deficiency results in Parkinson's Disease, and people with low dopamine activity may be more prone to addiction. The presence of a certain kind of dopamine receptor is also associated with sensation-seeking. Seratonin: is a hormone and a neurotransmitter Also called 5HT (5hydroxytryptamine). This is a chemical necessary for communication between nerve cells. This messenger in the brain affects emotions, behaviour, mood and circadian rhythms. 25 Electroconvulsive Therapy (ECT) Electroconvulsive Therapy (ECT) is a medical treatment given by trained health professionals supervised by a psychiatrist. ECT can be very effective in treating some mental health conditions such as severe depression, mania or some forms of schizophrenia. How does ECT work? The brain works through complex electrochemical processes which can be disrupted by certain mental illnesses. ECT temporarily changes some of these processes and then stabilises the chemical processes. This helps to start the recovery phase of your illness. Why ECT? ECT may have been recommended because: Medications have not worked well You cannot tolerate medications Your condition is life-threatening or you are at high risk of suicide. For more information please refer to Beyond Blue fact sheets. If you are not sure why you are having ECT, ask your nurse or doctor. 26 Mental Health Services at Peninsula Health All urgent or non-urgent referrals to Mental Health Services at Peninsula Health: Phone Triage 1300 792 977 Triage Triage is a service run by the CLIPS team. It operates 24 hours a day, seven days a week. Triage assesses and refers people who are experiencing a mental health crisis. Triage may refer people to the Community team instead of admitting them to hospital. Phone: 1300 792 977 Aged Acute Inpatient Unit (Ward 1 West) Ward 1 West is a 15-bed Aged Acute Inpatient Assessment unit at Frankston Hospital. It is for people aged 65 years and over. Ward 1 West staff includes a Consultant Psychiatrist, Registrar, Intern, Occupational Therapist, Social Worker, Nurses, Administration and Patient Services Assistants. The Aged Treatment Program includes initial diagnosis and proposed treatment plan, treatment options, physical and social needs, spiritual needs and a program of structured group activities. Admission to Ward 1 West is generally via the Emergency Department, ICT (Intensive Care Team) or APMHT (Aged Persons Mental health Team). The average stay is 3 to 4 weeks. Carers and family members: a recovery clinician from our community services (APMHT) will follow up your relative after discharge to provide ongoing care for as long as needed. Ward 1 West Phone: APMHT Phone: 9784 7095 9784 6952 27 . Adult Acute Inpatient Unit (Ward 2 West) Ward 2 West is a 30-bed Acute Inpatient Assessment unit located at Frankston Hospital. It is for people aged 18 to 64 years. Ward 2 West staff includes a Consultant Psychiatrist, Registrar, Intern, Occupational Therapist, Social Worker, Nurses, Administration and Patient Services Assistants. Admission to Ward 2 West is generally via Triage, Emergency Department or through the Community Mental Health service. Ward 2 West Phone: 9784 7161 Adult Community Mental Health Program (Davey Street) The Adult Community Mental Health Program The Adult Community Mental Health Program includes three specialists and multidisciplinary and integrated teams that cover specific geographical areas. Previously called the ‘CAT’ team, the Adult Community Mental Health Program provides an Acute and Recovery Service for people on the Frankston and Mornington Peninsula area. This program ensures that people referred to the service, who are experiencing a serious mental health crisis or a relapse of a mental health illness, have easy and seamless access to treatment and support that meets their individual needs. The teams also direct psychiatric and psychosocial treatment and care of their clients if they are admitted to the inpatient unit. Open 9.00am – 5.00pm Monday to Friday. Closed on public holidays. Phone: 9784 6999 28 CLIPS (Consultation Liaison Inpatient Psychiatry Service) CLIPS is the first point of entry to Peninsula Health’s Mental Health Service. It operates 24 hours, 7 days a week. CLIPS covers three areas: Phone triage Emergency Department face-to-face assessments, and The Consultation Liaison team that works on Frankston Hospital’s medical and surgical wards. (Consultation Liaison operates Monday to Friday 8.00am to 5pm.) Anyone can contact CLIPS, and there are no age restrictions. In most cases, CLIPS takes referrals by phone or via the Emergency Department. Clients may self-refer or their carer or doctor (such as a GP) may also refer them. Triage clinicians screen information gathered from community sources to decide appropriate input our mental health service needs to have. The CLIPS team comprises senior nursing and allied health clinicians as well as a Consultant Psychiatrist and Psychiatrist Registrar. CLIPS Phone: 1300 792 977 (Triage) PACER (Police, Ambulance and Clinician Early Response Team. Police ambulance and mental health clinicians working together to assess and treat people in the community who may be experiencing mental health issues. The team treat the person and refer them to the most appropriate path of care with minimal distress. 29 Community Care Unit Peninsula Health’s Mental Health Service Community Care Unit (CCU) accommodates 20 residents. It believes recovery is something clients can work towards and it addresses both clinical and personal recovery. Residents receive support to allow them to take responsibility for their own recovery. Referrals to CCU are made with the assistance of the Discharge Planning Nurse from the Adult Inpatient Unit or from a Recovery Clinician in the community. The resident’s length of stay in the CCU is dependent on their individual needs and goals, and their willingness to work toward achieving these goals. They receive assistance from Centrelink or their administrator to ensure they get the appropriate amount of rental assistance. Residents are supported with budgeting, health, medications and recovery planning. Carers and families are encouraged to be involved and to have regular contact to assist with residents’ personal recovery plans. The CCU is located at 4 Spray Street, Frankston. Phone: (03) 9781 4288 Youth Prevention and Recovery Care Service (YPARC) th YPARC is for young people between the ages of 16 to the clients 25 birthday, who live in the Peninsula Health Mental Health area and who present with symptoms of serious mental health issues and/or co-occurring drug and alcohol problems. It is also available for young people who have been unable to access or have difficulty accessing Primary and Enhanced Primary Health options such as their GP, psychiatrist and Allied Health team. Anyone can refer to the YPARC through Triage. Phone: 1300 792 977 Address: 21 Yuille Street, Frankston Phone: 9238 8600 30 Youth Mental Health Team The Youth Mental Health Team works in the community and comprises of occupational therapists, social workers, a psychologist, doctor, consultant psychiatrist and a nurse, all of whom act as Recovery Clinicians. The team provides comprehensive assessment and treatment planning with young people, their families and other relevant services. Treatment options are flexible and can occur at community-based clinics, in the young person’s home or at another service provider’s location. Length of treatment depends on the young person’s needs and can vary from 1 to 2 weeks, up to many months. Referral can be made through Triage on 1300 792 977 Address: 17 Yuille Street, Frankston 3199 Phone: 9238 8620 Fax: 9783 8620 Adult Prevention and Recovery Care Service (APARC) APARC is a short-term, person centred recovery service, with a maximum stay of 28 days. Each client’s stay is determined in collaboration with them, their family or carers and other service providers. APARC services are often called ‘Step Up/Step Down’ programs because they provide care for: People living in the local community who require and agree to, short-term more intensive residential support to prevent a further deterioration or relapse of mental illness, without which they may need to be admitted to hospital – Step Up People who no longer need to be in a mental health inpatient unit, but who would benefit from and agree to a further short-term period of treatment and support in a residential setting – Step Down Referrals can be made through Triage: 1300 792 977 Address: 91 Beach Street, Frankston. Phone: 9788 4900 Fax: 9788 4901 31 Carinya Residential Aged Care Unit Carinya Residential Aged Care Unit is a 30-bed high level care psychogeriatric facility that caters for people over 65 years of age who have been diagnosed with dementia and/or other psychiatric illness. Carinya cares for people who need residential care but are ineligible for mainstream nursing home placement. Carinya is an interim facility for residents with challenging behaviours related to their diagnosis. Residents are supported by psychiatric, medical, nursing and diversional therapy staff. Appropriate Diversional Therapy activities are provided and caring staff encourage and facilitate maximum input from each resident in a happy and supported environment. Admission to Carinya is facilitated by APMHT.(Aged Person Mental Health Team.) Location: Building 4, 125 Golf Links Road, Frankston 3199 Phone: 9783 7277 Fax: 9783 7515 MH HARP The Mental Health Hospital Admission Reduction Program (MH HARP) offers a short term service of up to six months to clients who present frequently to the Frankston or Rosebud Hospital Emergency Departments. They cater to clients aged 18-65 years of age who have a mental health issue as well as other complex needs such as physical health problems, financial issues, drug and alcohol issues etc. The focus for the MH HARP is to support clients to develop skills to better selfmanage their mental health, as well as assisting the client to link in with local supports and services. The team uses a structured, Recovery-focussed approach to working with clients, and includes family members and carers whenever possible. For further information contact: Frankston Integrated Health on Or the Mental Health Triage service on 32 9784 8100 1300 792 977. Private services It is possible to use a mix of public and private mental health services, as well as a private psychiatrist or general practitioner (GP), or both. Private psychiatrists and GPs may work together with clinicians and other workers from mental health services. Usually, a support plan is developed that includes the client and their service providers. In the private system, you are more likely to see the same worker on an ongoing basis. General practitioners (GPs) GPs are often the first contact for people with a psychiatric illness or other mental health problems. GPs are: an important, accessible source of support and information for families and carers more likely to know about other local support services, as well as offering ongoing general medical treatment. Private psychiatrists The best way of seeing a private psychiatrist is through a referral from a GP. This means the Medicare rebate can be claimed. Psychiatrists’ fees vary, and some will bulk bill. Ask the referring doctor or the psychiatrist’s office for information about fees and billing arrangements. Private psychiatrists provide outpatient services from their consulting rooms or inpatient services to private hospitals. Private psychiatrists have a range of specialist interests, including expertise in working with particular age groups. 33 Allied Health providers There are a range of private Allied Health providers who can assist with recovery including psychologists, occupational therapists and social workers. Psychologists Many psychologists work directly with those experiencing difficulties, such as mental health disorders including anxiety and depression. They help people to overcome relationship problems, eating disorders, learning problems, substance abuse, parenting issues, or to manage the effects of a chronic illness. Occupational Therapists Occupational therapists are trained to assist people to overcome various problems in order to live more independent lives. People may need assistance due to injury or illness, mental health problems, developmental delay or the effects of ageing. They take a holistic approach to treatment to improve skills for living so that people can accomplish more, and improve wellbeing and quality of life. They work with the person, their family, and other healthcare professionals where necessary. Social Workers A mental health social worker is a professional who treats people with mental illnesses or substance abuse issues. The treatment may include individual or group therapy, crisis intervention, teaching of necessary skills for day-to-day living, and more. These social workers may work in inpatient or out-patient settings. In general, a social worker provides services that help people deal with problems or issues that arise in their lives. They may provide counselling, therapy, or practical assistance with situational crises. 34 Peninsula Health Mental Health Service Staff Who does what in hospital and in the community Recovery Clinician: A Recovery Clinician coordinates assessment, treatment and support to meet consumer needs. A Recovery Clinician develops Individual Service Plans with consumers and families. Bilingual clinicians are available for non-English speaking consumers and carers. Consumer Consultant: Is a member of staff with personal experience of being a client of mental health services – and a bridge between consumers, mental health professionals and management. The Consumer Consultant consults with consumers across all areas of our Mental Health Service, from individual discussions to informal forums where information about Mental Health Services is shared. Phone: 9238 8627 Carer Consultant: Is a member of staff who has been, or is, a carer of someone with a mental illness. The Carer Consultant provides consultation about carer issues and needs across our Mental Health Service. Encourages carers to participate and links carers with carer-focused support organisations. Phone: 9238 8634 Duty worker: Is a mental health professional who deals with community consumer issues when a consumer’s needs cannot be met through the usual avenues. The duty worker may provide backup support in the absence of a clinician. Triage worker: Is a mental health professional who is available for new referrals to our Mental Health Service. Triage workers can provide after-hours crisis intervention. Medical Officer: Is a registered medical practitioner who works in the Mental Health Service, with a special interest in psychiatry. 35 Occupational Therapists: Works with people to develop the skills they need to live safely and independently, at home and in the community. Psychiatric Disability Support Workers: Work in the community to support and assist with everyday activities, and help clients to access health and recreational services. Psychiatrist: Is a medical practitioner who has undertaken further specialised training in diagnosing and treating mental illnesses. Psychologist: Is a specialist in assessing behaviour and mental functioning and interventions aimed at changing how people think, feel and act towards themselves and others. Social Worker: Works closely on the ward with individual clients, family and other support people. They provide individual counselling, assist families, and advocacy including negotiating access to social and community supports, such as housing support. Trainee Psychiatrist/Psychiatric Registrar: Is a registered medical practitioner who is training to become a psychiatrist 36 Frequently asked questions What is mental illness? Mental illness refers to disorders that affect thoughts, mood, memory and/or behaviour. Mental illnesses include depression, bipolar disorder, schizophrenia, anxiety and personality disorders. Some mental illnesses involve experience of psychosis (where a person loses touch with reality). Who is susceptible to mental illness? Mental illness is more common than you may think. Mental illness directly affects 1 in 5 Australians at some stage in their lives. It can vary from mild or temporary to severe or prolonged. Mental illness is more common among young adults, and affects 25 per cent of this age group. Mental illness can touch people from every walk of life. It can affect relationships, the ability to work, and enjoyment of life. What causes mental illness? Research shows that mental illness may be caused by a combination of biological factors that create vulnerability. Genetics play a part, but some people can develop a mental illness with no family history. Chemical changes can occur that affect the functioning of the brain (both dopamine and serotonin are involved. See page 25). People who are vulnerable to mental illness can experience symptoms in response to stress, social change or drugs. Is recovery possible? Yes. Advancements in medication, combined with psychological and social support, means that most people diagnosed with a mental illness can and do live active and fulfilled lives. 37 How do I know if someone is developing a mental illness? Early warning signs differ from person to person. Common signs include behaviour changes (sudden or gradual). People may become unusually suspicious, anxious, depressed, irritable or angry. They may experience mood swings, sleeplessness, loss of motivation and energy, changes in eating habits, and memory loss. Behaviour changes may disrupt a person’s work or study, and their energy levels and sociability may change. You may notice these symptoms as a reaction to major life events or changes, especially for young people in adolescence. If in doubt, seek advice from a health service as early intervention is better for all concerned. If I develop psychotic symptoms, do I have a mental illness? Psychosis is when a person loses touch with reality and has confused thoughts, perception, emotions and behaviour. Symptoms may include disturbing delusions and hallucinations. Psychotic symptoms can occur in an isolated episode or as part of an ongoing diagnosed illness such as schizophrenia, bipolar disorder, depression, psychosis or schizo-effective disorder. Three in every 100 people will experience a psychotic episode. Many recover fully. Like any other illness, psychosis can happen to anyone. Some isolated episodes of psychosis include substance-induced psychosis and brief reactive psychosis. Substance-induced psychosis: a first episode of psychosis may be triggered by drug use, including heroin, cocaine, alcohol, marijuana, or amphetamines (speed). Drug-induced psychosis subsides once the drugs or alcohol are out of the person’s system. 38 Mental Health Medication Antipsychotic medication: used to treat the symptoms of a psychotic episode (difficulty with thoughts, unusual behaviour, irritability, fear, loss of motivation, strange beliefs and hallucinations), and to reduce agitation. Commonly used atypical (newer) antipsychotics Risperidone (Risperdal) Olanzapine (Zyprexa) Quetiapine (Seroquel) Amisulpride (Solian) Ziprasidone (Zeldox) Clozapine (Clopine) Aripiprazole (Abilify) Paliperidone (Invega) Typical (older) antipsychotics Chlorpromazine (Largactil) Haloperidol (Serenace) Commonly used depot injections Risperdal Consta injection Flupenthixol Deconate (Fluanxol) Zuclopenthixol Acuphase (Clopixol) Paliperidone (Invega) Trifluoperazine (Stelazine) Zuclopenthixol (Clopixol) Haloperidol Deconate (Haldol) Zuclopenthixol Deconate (Clopixol) Fluphenazine (Modecate) Side effect medication: used to reduce side effects sometimes associated with antipsychotics, such as muscle stiffness/spasms, and tremor or restless legs (also internal restlessness). Benztropine (Cogentin) Benzodiazepines (Valium etc) Propranolol (Inderal) Sedatives/antianxiety agents: sometimes used for short periods to help with sleep or to temporarily reduce distress caused by psychotic symptoms, anxiety, agitation, and insomnia. Diazepam (Valium/Ducene/Antenex) Clonazepam (Rivotril/Paxam) Lorazepam (Ativan) Alprazalam (Xanax) Temazepam (Temaze/Normison) Tolpidem (Stillnox) Zopiclone (Imovane) 39 Antidepressants: prescribed for depression. Many antidepressants are also effective for anxiety disorders. Fluoxetine (Prozac/Lovan/Zactin) Escitalopram (Lexapro) Paroxetine (Aropax) Venlafaxine (Efexor) Mirtazapine (Avanza) Citalopram (Cipramil) Sertraline (Zoloft). Fluvoxamine (Luvox) Duloxetine (Cymbalta) Amitryptaline (Endep) Mood Stabilisers: prescribed for Bipolar Disorder or Schizoaffective Disorder, or to treat severe depression. Can be used with antipsychotics to make them more effective. Lithium (Lithicarb) Carbamazepine (Tegretol) Olanzapine (Zyprexa) Sodium Valproate (Epilim or Valpro) Lamotrigine (Lamictal) Know your medication and side effects It is useful to know about the prescribed medication and side effects. To get this information: Ask the treating doctor, mental health professional or pharmacist Read the printed information available in the hospital or community mental health clinics Buy your own drug guide through a specialist bookstore. Important: Tell your doctor/clinician if you plan to stop your medication. Stopping medication without supervision can have dangerous results. Does a consumer have to take their medication? If you or the person you care for has a Voluntary Status (see Common terms (page 19), you can make a choice. As a Compulsory patient you may be required to take medication. Psychotropic Drug Advisor Bureau Phone: 9389 2920 This is a telephone service that offers independent drug information about the drugs used in psychiatry, for clinicians, Mental Health Services consumers and their families/carers. 40 Alcohol and other drugs Sometimes people with mental illness take illicit drugs or use alcohol excessively, for the same reasons anyone else does. For example, they may want to change the way they feel, as a social outlet, or to experiment. They may take drugs or alcohol as a form of ‘self-medication’ to distract themselves from their symptoms and situation. Drugs or alcohol can increase the symptoms of mental illness. Alcohol, cannabis and illicit substances like speed, ice and ecstasy strongly interfere with medications and can delay recovery, cause incomplete recovery or relapse. The use of these substances is one of the major reasons why people need to return to hospital. You may want help and information about the use of drugs and alcohol or you may wish to talk with other people such as Mental Health or Alcohol & Drug workers for your own support, i.e. FaMDAP. Which alcohol & drug service should I contact? 1. Has the person been in recent contact with a drug and alcohol service? If yes, contact that particular Alcohol & Drug Service. 2. “I need to talk to people who have been there themselves.” Self-Help/Family Support: Alcoholics Anonymous (AA) Narcotics Anonymous (NA) Families Anonymous (FA) Marijuana Anonymous 9429 1833 9525 2833 9889 8112 0438 332 155 41 3. “I need to talk to a professional about my alcohol and drug problem.” Counselling: Voyage 9296 1228 4. “I want to get off this stuff.” Withdrawal: Agency 1800 304 050 5. Other special alcohol and drug services: Tranquillisers TRANX/PADA 9886 0955 Pregnancy 9344 2277 Youth (24 hour phone counselling for people aged 12-21 and their families and friends) 9418 1020 6. Private Alcohol & Drug Services: Get Off Drugs Naturally East Warburton WCTU Drug Free Lifestyles Melbourne Innerspace Drug Safety Service Collingwood Melbourne Inner City Needle Syringe Program Collingwood 7. FaMDAS 42 1300 887 676 9654 6491 9468 2800 9417 1466 1300 665 781 Illicit Drug information There can be serious consequences for using illicit drugs. To read about the side effects and more please go to www.drugs.health.gov.vic.au Ecstasy or methylenedioxymethamphetamine (MDMA) Ecstasy tablets are supposedly made up of the primary ingredient methylenedioxymethamphetamine (MDMA), but as the ingredients required to make synthetic drugs are becoming more difficult to obtain, the formulation of pills marketed as ecstasy can vary greatly. They are more likely to contain methamphetamine (speed) combined with a synthetic hallucinogen or para-methoxyamphetamine (PMA). Ecstasy is known by a variety of other names, including: E, pills, Ex, pingers, E n C, eccy, MDMA, XTC, eggs and disco biscuits. Marijuana Marijuana (cannabis) primarily comes from the cannabis plant (cannabis sativa). The cannabis plant is also used to produce hashish (hash) and hash oil. Of the three, marijuana (cannabis) is the most common and least powerful but is still capable of causing a variety of physical and mental problems resulting from intoxication and long-term use. Marijuana (cannabis) is known by a variety of other names, including: pot, grass, weed, ya(r)ndi, rope, mull, dope, skunk, bhang, ganja, hash, chronic, reefer, joint, cone or spliff. Ice Ice and base are methamphetamine, part of the amphetamine family of drugs which also includes speed. The difference between ice, base and speed is that ice is the most pure form, followed by base then speed. The 'high' experienced from ice and base is much more intense, and with intense reactions come powerful responses including comedown, the potential for dependence (addiction) and chronic physical and mental problems. Ice is known as a variety of other names, including: crystal meth, meth, crystal, shabu, batu, d-meth, tina and glass. Base is also known as: speed dexedrine, dexies, dex, shad, go-ee, glass, tina, paste, oxblood, shabu, yabba and crank. 1800 ICE ADVISE For users, families and Health Professionals. 1800 423 238 43 Speed. Speed is part of the amphetamine family of drugs, which also includes ice. Ice is the purest form of the drug followed by base and then speed, however the potential for dependence (addiction) plus physical and mental problems associated with speed is still high. Speed is also known by a variety of other names, including: whizz, go-ee, snow, zip, point, eve, gogo, pure, and gas. Cocaine Cocaine, or coke as it is commonly known, is a stimulant and has a similar effect to amphetamines like speed and ice, but produces a more intense effect and shorter ‘high’ depending upon dosage. Cocaine is a white crystalline powder with a bitter numbing taste. Cocaine hydrochloride can be further processed to produce cocaine base, which comes in two forms known as freebase and crack. Freebase is also a white powder, while crack generally comes in the form of crystals ranging in colour from white or creamy to transparent with a pink or yellow tinge. Cocaine is known by a variety of other names, including: coke, Charlie, blow, C, pepsi, nose candy. Crack cocaine is also known as a variety of other names, including: rock, base and sugar block. GHB GHB is a drug commonly found in the dance scene and is sometimes referred to as liquid ecstasy due to its stimulating, euphoric and supposed aphrodisiac qualities. Chemically speaking, it is not related to MDMA at all. Mildly salty in flavour, yet colourless and odorless, it’s also used a date-rape drug – when mixed with alcohol, it can intoxicate quickly. Other names include: Fantasy, grievous bodily harm (GBH), liquid ecstasy, liquid E, G. Heroin Heroin is one of a group of drugs known as "opioids". Other opioids include opium, morphine, codeine, pethidine, oxycodone, buprenorphine and methadone. Heroin and other opioids are depressants. Depressants do not necessarily make you feel depressed. Rather, they slow down the activity of the central nervous system and messages going to and from the brain and the body. Heroin is known by a variety of other names, including: horse, hammer, H, dope, smack, junk, gear and boy. There are many dangerous side effects to taking drugs. 44 Please read the side effects on the National Drug Campaign website. www.drugs.health.gov.au . Other drugs facts at a glance There is a wide range of other drugs out there that are just as dangerous as the more commonly used ecstasy or marijuana. These drugs include depressants (such as sleeping pills), hallucinogens like LSD, ketamine or inhalants. While they are legal, alcohol and tobacco are also drugs that can have dangerous consequences if misused. Depressants Sleeping pills, minor tranquillizers. Other names include: Benzos, temazzies, Valium, tranks, sleepers, Serapax, serries,Mandrax, mandies. Signs and symptoms: Drowsiness, confusion, uncoordination, slurred speech, depressed pulse rate, shallow breathing. Potential problems: Anxiety, depression, restlessness, tremors, insomnia, changes in eyesight, high risk of addiction and suicide. Otherwise known as ‘downers’, depressants act to slow or reduce the function of the brain and body. Mainly used as prescription medicines, they’ve also become popular as ‘illicits’ or mood-altering substances. They can cause anything from feelings of relaxation and mild contentment, to sedation and total blackout. Definitely don’t use them with alcohol – you can stop breathing! Most pharmaceutical drugs used for legitimate medical purposes are limited to pharmacist supply and require a prescription for purchase. Despite these controls, they are also diverted into the illicit market. Pharmaceuticals are used illicitly for a number of purposes. These include supplementing other drug use, enhancing the effects or managing the withdrawal symptoms from other drugs. They may also be misused to self-medicate, deal with dependence or to achieve an intoxicating effect. Non-medical use of pharmaceutical drugs can result in serious health risks and can lead to addiction. Hallucinogens LSD (lysergic acid diethylamide), Psilocybin. Street name: LSD – acid, trips, wedges, windowpane, blotter, microdot. Psilocybin – mushies, blue meanies, magic mushrooms, gold tops. Signs and symptoms: trance-like state, excitation, euphoria, increased pulse rate, insomnia, hallucinations, paranoia. 45 Potential problems: visual hallucinations may produce anxiety and fear, confusion and lack of coordination can result in greater risk of injury, self-inflicted injury, violent behaviour, paranoia, depression, anxiety and unpredictable flashbacks. LSD was discovered in 1938 and is one of the most potent mood and perception altering drugs. Synthesised from lysergic acid, LSD is initially a clear or white crystalline substance. It is also odourless and soluble in water. LSD is highly potent and only very small doses are required to produce a hallucinogenic effect. Psilocybin is a chemical with hallucinogenic properties that is found in certain species of mushrooms colloquially referred to as ‘magic mushrooms’. In Australia, there are approximately 20 species of psilocybin-containing mushrooms. Ketamine Ketamine hydrochloride. Street name: Green, K, super K, special K, Vitamin K. Signs and symptoms: Altered perception, disorientation, drowsiness, hallucinations, numbness, strange muscle movements, nausea, vomiting. Potential problems: Accidents from lack of coordination, quick development of tolerance, psychological dependence, psychosis, flashbacks, loss of memory, attention and vision impairment. As ketamine is an anaesthetic, when used with depressant drugs such as alcohol, heroin or tranquillisers, it can be particularly harmful as it has the potential to shut the body down causing vital organs such as the lungs or heart to stop functioning. Ketamine is considered a dissociative anaesthetic as it produces feelings of ‘disassociation’ from a person’s environment as well as from one’s self. It also has hallucinogenic effects and can impact on a person’s senses and perception of reality. Inhalants Can include a number of general household and office products – solvents, aerosols, glue, petrol. Street name: Nitrous oxide – laughing gas, whippits, nitrous. Amyl nitrate – snappers, poppers, pearlers, rushamines. Butyl nitrate – locker room, bolt, bullet, rush, climax, red gold. Potential problems: Brain damage, paralysis, pains in the chest, muscles, joints, heart trouble, severe depression, fatigue, loss of appetite, bronchial spasm, sores on nose or mouth, nosebleeds, diarrhoea, bizarre or reckless behaviour, suffocation and sudden death. 46 Alcohol It's easy to forget that alcohol is a drug too. Even though it is legal, drinking too much alcohol can have negative impacts on you and the people you are with. It is important to know that factors such as gender, age, mental health, drug use and existing medical conditions can change how alcohol affects you. The health risks that accumulate over a lifetime from alcohol increase progressively – this means that the more you drink, the greater the risk. Drinking alcohol can affect your liver or cause brain damage, heart disease, high blood pressure and increases your risk of many cancers. It may also increase your risk of injury through road trauma, violence, falls and accidental death. Tobacco Smoking is the leading preventable cause of death and disease in Australia. Tobacco use reduces not only your life expectancy but your quality of life. Many medical conditions caused by smoking can result not just in death, but in living for years with disabling health problems. Every cigarette is doing you damage. Smoking is the largest preventable cause of disease and premature death in Australia. Smoking kills over 15,000 Australia’s each year. Cigarette smoke is toxic – it contains over 4,000 chemicals including those used in paint stripper, toilet cleaner, rat poison and nail polish remover. People near a smoker breathe in the poisons too, which can also cause them disease and premature death. For more information about tobacco please visit the quitnow website. For more information about drugs and the dangerous side effects visit the following websites. www.drugs.health.vic.gov.au For more information www.fds.org.au Family Drug Support www.noffs.org.au Ted Noffs Foundation. 47 Missing persons A person with a mental illness may ‘go missing’ for many reasons. They may need to take time out, be directed to leave by voices (auditory hallucinations or delusions), or they may be trying to avoid something, such as a Community Treatment order. A person with a mental illness may go missing simply because they choose to. If you think your family member or friend is likely to go missing, make a note of the places he or she is interested in. If your family member or friend disappears in a way that you think is dangerous or unusual, you can call their clinician, the Mental Health Service or the Police to report that they are missing. Victoria Police Centre Switchboard Monday to Friday, 7am to 7pm 9247 6666 Postal address: Victoria Police Centre GPO Box 913 Melbourne VIC 3001 Frankston Police 9784 5555 National Missing Persons Monday to Friday, 9am – 5pm 1800 000 634 www.missingpersons.gov.au http://www.missingpersonsguide.com/contacts A practical guide for searching for a missing person. 48 Suicidal thinking Advice for consumers Be alert for ‘early warning signs’ and do something about them. If you are having suicidal thoughts, it may be helpful to: Phone medical emergencies 000 After hours: phone Triage worker 1300 792 977 Contact your clinician between 9am and 5pm 9784 6999 Contact Duty Worker 9784 6999 Contact someone who can be with you to support you, if you have a recovery clinician or caseworker. Contact Lifeline 13 11 14 Whichever you choose, keep trying until you reach someone you can talk to, confide in and who can help. Advice for carers “Suicide is the thing we fear most…” A person may be regarded as suicidal when they have given strong indications they intend to take their own life. Risk factors may include history of a previous suicide attempt or having a diagnosis of major depression. There are signs that may indicate a person is considering suicide; for example, they may talk about suicide or be preoccupied with themes of death. 49 If you are concerned about potential suicide, you may wish to talk with the treating team. It can be useful to have a plan or some advance idea of what you would do if the person in your care attempts suicide, for example: Get medical attention as soon as possible by dialling 000 for an ambulance. Call the Duty worker or after hours Triage worker on 1300 792 977 If you suspect an overdose has been taken, show the doctor or ambulance officer the drug used or the container, if you can. Begin First Aid if this is appropriate and you are familiar with the correct procedure. Contact someone who can be with you for support. Contact Lifeline on 13 11 14. Afterwards, try to talk about the experience with others who understand what you have gone through; for example, other carers or supportive mental health workers. More information SuicideLine www.suicideline.org.au phone 1300 651 251 www.sane.org www.itsallright.org www.livingisforeveryone.com.au 50 Violence and Family Violence When violence is a concern If you have concerns about your own anger management, talk with your clinician or a treating professional. Reasons for problematic or aggressive behaviour may include: Confusion Fear Signs and symptoms of mental illness, such as hallucinations Personal power, such as loss of power or face saving Use of illicit drugs or alcohol Not taking prescribed medication, leading to a deterioration Change in type or level of medication. Although people with mental illness are statistically more likely to be victims than perpetrators of violence, violence and mental illness can be a very difficult combination. It can be hard to know what to do, so it is important if possible to work out what to do in advance, who to call and where to go. 51 Family Violence Assistance Centre Against Sexual Assault Phone: After Hours: Toll Free: www.casa.org.au 9635 3610 9349 2466 1800 806 292 Child Protection Crisis Line Phone 24/7 131278 Safe Steps Family Violence Centre Toll free 24 hrs 9322 3555 1800 015 188 Mens referral Service 1300 766 491 Wayss Ltd – Registered Office 294 Thomas Street Dandenong Vic 3175 9791 6111 Emergency Youth Accomodation 8:30am to 5:30pm Mon – Fri 9791 5692 Drug Court Homelessness Assistance 9791 6111 Family Violence Crisis Service 8am – 11pm Monday – Friday 9792 1205 Family Violence Outreach Service Frankston 9781 4658 Dandenong 9791 6111 Casey/Cardinia 9703 0044 52 Suggestion for carers and families Aggressive and difficult behaviour may best be understood in stages (see table below). How we respond to aggressive behaviour can affect the outcome of the situation. Stages What can happen Suggested response Stage 1 Increased anxiety Calm, supportive approach Stage 2 Being angry and defensive Set limits, give direction, avoid getting into an argument (confrontation) and seek outside assistance. Stage 3 Getting physical, hurting other people and damaging objects. Leave and call for help. Intervene physically only if someone’s life is in danger. Stage 4 Dealing with the aftermath Talk about the incident with your family member or friend, and get support for yourself. Stage 5 Planning to avoid similar problems Develop strategies/a plan based on what has worked for you in the past. 53 Aboriginal and Torres Strait Islander Services VACCHO (Victorian Aboriginal Community Controlled Health Organisation 9411 9411 Aboriginal Hospital Liaison Officers Helen Bnads 9784 7609 Mobile 0409 430 547 Lisa Coppe 9784 1109 Mobile 0417 542 569 Cultural and Linguistically Diverse (CALD) Victorian Transcultural Mental Health Service Conversations in Cultural Responsiveness. www.vtmh.org.au Dandenong & District Aborigines Co-Operative Ltd (DDACL) provides support for Koori families/ carers living in the Cities of Greater Dandenong, Casey and Cardinia. Ph: 9794 5973 www.ddacl.org.au/about.html Victorian Aboriginal Child Care Agency Koori Kids Playgroup 10:30am to 1pm Fridays Wallaroo Community House 6 Wallaroo Place, Hastings. And Holllins Childrens Centre 10 Atlantic Drive, Pakenham. Wednesdays Montague Park Playgroup Hall Bentley Place, Frankston Thursdays Cranbourne Community House 49 Valepark Crescent, Cranbourne. Call 0408 948 755 or 9701 4200 Elizabeth Hoffman House Aboriginal Women’s Service www.ehhaws.org.au Phone 24hrs 9482 5744 54 Support for our Multicultural Community National program in Mental Health and Suicide prevention for Australians from culturally linquistically diverse backgrounds. www.mmha.org.au 1300 136 289 GLBTIQ Gay Lesbian Bi Trans Intersex and Questioning Gay and Lesbian Switchboard Monday – Thursday 6pm – 10pm Wednesday 2pm – 10pm Friday – Sunday and Public Holidays 6pm – 9pm www.switchboard.org.au Phone: 9663 2939 Toll free: 1800 184 527 Kara House Lesbian Domestic Violence Outreach Service Monday – Friday 9am – 5pm 1800 900 520 Victorian Aids Council & Gay Men’s Health Service Monday – Friday 2pm – 4pm 9865 6700 Toll Free: 1800 134 840 Victorian Police Gay & Lesbian Liaison Officers. (GLLO’s) Phone 9247 5346 55 Support for People with a Mental Illness Frankston Hospital Support for Consumers Mental Health Acute Inpatient Units Ward 1 West and Ward 2 West Being admitted to a psychiatric ward can be a frightening experience for both consumers and carers. Being in hospital can also provide safety and treatment. An individual can be treated as a Voluntary patient or as a Compulsory. As a Compulsory patients you will be treated under the Mental Health Act 2014. You will be able to elect someone you know to be your nominated person: This is a person you have elected to provide support and to help represent your interests as a patient of the hospital. The criteria for a person to be made compulsory and therefore subject to a Temporary Treatment Order or Treatment Order under the Mental Health Act 2014 is (a) the person has a mental illness; and because the person has a mental illness, the person needs immediate treatment to prevent serious deterioration in the person’s mental or physical health or serious harm to the person or to another person. The following information describes what consumers and carers say they have found helpful. Advice for Consumers Seek support from as many friends and relatives as possible. They will help you make sure you get the right treatment. 56 Things you can do to make the situation easier for yourself • Ask as many questions as you want, even if they seem irrelevant, especially about your medication, diagnosis and treatment. Feel free to take notes. The Mental health Council of Australia has a checklist of questions for consumers. www.mhca.org.au • Familiarise yourself with the ward routines, and get to know ward staff. • Ask hospital staff for extra information such as brochures about the ward, other psychiatric services, childcare arrangements and patients’ rights. • You have the right to talk to the treating team and to have meetings where you can be helped by family or support you choose. At these meetings, you can discuss your treatment, treatment alternatives, discharge plans and available support. Explore all avenues of treatment… know your rights. There is a variety of supports available to consumers in and around Frankston and the Mornington Peninsula. Contact the Consumer Consultant on 9238 8627 The Consumer Consultant provides consumers with independent, one-on-one support during their recovery journey. The Consumer Consultant can help consumers access appropriate and beneficial services to aid their recovery, raise consumer concerns with appropriate staff/management within Peninsula Health, and provide consumer advocacy and representation. The Consumer Consultant ensures consumers’ views are always represented and considered. The Consumer Consultant is part of Peninsula Health Mental Health Services and is located at 17 Yuille St Frankston. 57 Information & support for specific conditions Anxiety Anxiety Recovery Centre Victoria 298 Canterbury Rd Surrey Hills 3127 www.arcvic.com.au helpline 9830 0566 9830 0533 The Anxiety Recovery Centre Victoria (ARCVic) is a state-wide, specialist mental health organisation, providing support, recovery and educational services to people and families living with anxiety disorders. We aim to support and equip people with knowledge and skills that will build resilience and recovery and reduce the impact of anxiety disorders. Anxiety Disorders Association of Victoria Inc. ADAVIC 9853 8089 Anxiety Disorders Association of Victoria Provides telephone support, (Wed – Fri 10:30am – 4:00pm), referrals and information, support group meetings, workshops, and library facilities. Depression Beyond Blue Beyond blue is an independent, not-for-profit organisation working to increase awareness and understanding of anxiety and depression in Australia and to reduce the associated stigma. www.beyondblue.org.au 1300 222 4636 Bluepages BluePages provides information on treatments for depression based on the latest scientific evidence. It also offers screening tests for depression and anxiety, and links to other helpful resources. www.bluepages.anu.edu.au email [email protected] depressioNet.org.au There are a lot of good resources available for treatment, help and support for people living with depression and other mood disorders, including some great resources for families & friends www.depressioNet.org.au 58 depression.com.au offers a compilation of counselling and psychologist services across Australia. Including carer information covering many of the issues concerning depression. www.depression.com.au Bipolar Black Dog Institute The Black Dog Institute is a not-for-profit organisation and world leader in the diagnosis, treatment and prevention of mood disorders such as depression and bipolar disorder. www.blackdoginstitute.org.au Mood Swings This site is an online self-help tool for people with bipolar disorder. Material used in this website is based on an effective face-to-face group program found to be successful in reducing episodes of illness. www.moodswings.net.au 131114 Borderline Personality Disorder Spectrum 4 Bona Street, Ringwood 3135 Spectrum supports the treatment of people who have severe or borderline personality disorder and who are being treated by Victorian State Government funded Area Mental Health Services (AMHS, CAMHS and other state-wide mental health services). The service has an emphasis on those who are at risk from serious self-harm or suicide, and who have particularly complex needs. www.spectrumbpd.com.au 88333050 Borderline Support Our core belief is that it is possible to recover from BPD and by supporting each other we can celebrate our achievements and work through our issues together. Meetings are non-judgemental, supportive and run by peer who recovered from BPD. www.borderlinesupport,com.au 59 Psychosis EPPIC The Early Psychosis Prevention and Intervention Centre (EPPIC) is an integrated and comprehensive mental health service aimed at addressing the needs of people aged 15-24 Mental Health and Melbourne Health in Parkville. www.eppic.org.au Schizophrenia Schizophrenia Research Institute The Schizophrenia Research Institute is the only national medical research institute solely dedicated to discovering the ways to prevent and cure schizophrenia. www.schizophreniaresearch.ore.au 02 9295 8689 Eating Disorders Eating Disorders Victoria 1300 550 236 Provides support and information to people affected by eating disorders, and to their families. Carer Support Groups Other Supports ARAFEMI has merged with Mind. The services will continue to provide a range of support options to consumers. Central Intake Ph: 8640 5681 Ermha is a community based organisation that supports recovery from mental illness and instils hope for carers, families, friends and consumers. Ph: 1300 376 421 PaNDa 1300 726 306 support line Post and Anti Natal Depression Association provides support and information, for women and families who are affected by post-natal depression. 60 GROW 1800 558 268 or 9528 2977 A voluntary association for people experiencing stress, depression or emotional distress. Meets each week for mutual support, using a 12 step program. Advocates for Survivors of Child Abuse Meets every second Monday, at Joan Kirner House, Williamstown. ASCA - Adult Survivors of Child Abuse www.asca.org.au 1300 657 380 ASCA provides professional phone support, information, resources, tools and workshops to help survivors and their friends, families, partners and loved ones live better lives. Albert Rd Clinic. 9256 8311 Family Drug Help SHARC recognises that problematic alcohol and other drug use within the family can be overwhelming (with or without mental health issues). Offers family members (including siblings) support, information, education, inspiration and the encouragement to practise self care. Helpline: 1300 660 068 Ph: 9573 1706 www.familydrughelp.com.au www.siblingsupport.com.au Shine Mental Health – Family Life Frankston 9770 0341 Chelsea 9782 7800 Assists families, children and young people and makes our society a better place for everyone including the most disadvantaged and vulnerable. OzChild 8796 0000 Provides a range of programs that enable children and young people to develop into confident and resilient individuals with effective relationships and positive life directions. 61 Headspace early intervention in emerging mental health and alcohol and drug issues for young people 12–25 years. • Peninsula Ph: 9769 6419 • Elsternwick Ph: 9526 1600 • Dandenong Ph: 1800 367 968 www.headspace.org.au Mental Illness Fellowship works with people with mental illness, their families and friends to improve their well being. Offers advocacy, support, counselling, education & respite options. Ph: 9784 6800 Helpline: 8486 4222 www.mifellowship.org Odyssey – Family Eclipse Program for families of young adults with mental health issues and drug use. Ph: 9420 7610 www.odyssey.org.au SECASA Services. South Eastern Centre Against Sexual Assault & Family Violence. Admin 8770 1000 Provides sexual assault and family violence services in Victoria. Contact Crisis 9594 2289 www.secasa.com.au youth.secasa.com.au email: [email protected] SANE Australia is a national charity working for a better life for people affected by mental illness, including carers/families, through community campaigns, education and research. Helpline: 1800 187 263 www.sane.org Stepping Up A consortium supporting people with complex issues (i.e. mental illness, AOD, ID,ABI etc.) and their families. Ph: 1800 828 466 www.stepping-up.org.au 62 Psychiatric Disability Rehabilitation Support Services 1300767299 www.health.vic.gov.au/mentalhealth/pdrss A range of non-government organisations that support your local Mental Health Service. Victorian Mental Illness Awareness Council (VMIAC) Provides information, support, advocacy, research and referral services. 9380 3900 Community Health Centres Local Community Health Centres in the Peninsula area run group programs related to specific mental health issues. Frankston Community Health Hastings Road, Frankston 3199 9784 8100 Hastings Community Health 185 High Street, Hastings 3915 5971 9100 Mornington Community Health 62 Tanti Ave, Mornington 3915 5970 2000 Rosebud Community Health 38 Braidwood Ave, Rosebud 3939 5986 9250 Bayside Community Health 335 Nepean Highway, Parkdale 3195 8587 0200 Community Support/Emergency Centres Frankston 35 Beach Street, Frankston 9783 7284 Western Port Community Support 185 High Street, Hastings 5979 2762 Mornington Community Information and Support Centre 320 Main Street, Mornington 5975 1644 Southern Peninsula Community Support & Information Centre 878 Point Nepean Road, Rosebud 5986 1285 63 Education for Consumers MI Fellowship Education Sessions Well Ways MI Recovery is a 10 session peer education program developed for and by people with a lived experience of mental illness. The program provides up to date information about mental illness and recovery, supports participants to identify personal strengths, develop strategies to manage illness and plan for the future. For session more details phone 9784 6800 Leisure and work, community recreation and self-development For people with a mental illness Day programs provide activities focusing on leisure and recreation, personal development, rehabilitation and opportunities for making friends. Key workers offer support and assist in tailoring programs to suit individual needs. A drop-in component is also offered, with inexpensive communal lunches on some days of the week For more information, contact: Mind Health Connect www.mindhealthconnect.org.au 1800 022 222 Reclink www.reclink.org 9419 6672 You may find many other services and programs listed in your local council community directories such as local Community Houses, Living and Learning Centres, and Community Health Centres. Contact your local council office 64 Accommodation and respite When looking for accommodation and respite, a good place to start is by talking with the clinician involved or a social worker. Housing support for people with a mental illness Important: many supported accommodation services have waiting lists, so it is unlikely that you will be able to move in immediately. Flagstaff Crisis Accommodation (men only) 24 hours, 7 days a week Cnr King & Roden Sts, West Melbourne Emergency accommodation Frankston Crisis & Support Services 37 Ross Smith Ave East, Frankston 3199 Family Violence. Mens accommodation Good Shepherd Youth and Family Services. Emergency 24hrs Free and confidential service 9329 4800 9784 5050 1800 015 188 5971 9454 Legal Help Free legal Help Frankston Peninsula Community Legal Centre Pines Rosebud 9783 3600 9786 6980 5981 2422 Mental Health Legal Centre The Mental Health Legal Centre (MHLC) provides a free and confidential legal service to anyone who has experienced mental illness in Victoria where their legal problem relates to their mental illness. www.communitylaw.org.au 9629 4422 Toll free country 1800 555 887 Tuesday and Thursday 6:30pm – 8:30pm 65 Support for Carers Frankston Hospital Support for carers and families Advice for carers Carers can find the psychiatric ward and community mental health services daunting. When making contact with a hospital or community mental health clinic, we suggest you: Ask as many questions as possible. The Mental Health Council of Australia have a checklist of questions which may assist you. www.mhca.org.au. Write down the list of any questions you have, write notes, and keep a journal. Quite often we have so much on our mind Carers can often forget information. Try to establish a partnership between your family, mental health staff, and any other people involved. Think about having someone who is less directly involved come along with you to meetings with clinical staff. For example the Carer Consultant can attend the family meetings with the carers. Give staff information about your family member or friend that you think is important. For example, their religious beliefs, allergies, or what you know can trigger reactions or episodes Take home any valuable personal items your family member or friend brings into hospital. For example, it is best to keep valuable jewellery or large amounts of cash at home. Take advantage of your right to talk with the treating team and to have meetings where you can discuss further treatment, care, discharge plans, and available support. Please be aware that staff may be restricted in what they can share with you. 66 The Mental Health Act 2014 says that information can be shared only with the consent of the person being treated or if the information is related to direct care being provided by the carer. Make sure you are contacted when discharged is planned and that you have spoken to staff about discharge and ongoing treatment when your loved one comes home. WHO IS A CARER AND WHAT IS A CARE RELATIONSHIP? The Mental Health Act 2014 uses the following definitions from the Carers Recognition Act 2012 (Vic): care: means the provision of ongoing support, assistance or personal care to another person carer: means a person, including a person under the age of 18 years, who provides care to another person with whom he or she is in a care relationship (but does not include a parent if person to whom care is provided is less than 16 years of age) care relationship: a person is in a care relationship if he or she provides another person, or receives from another person, care because one of the persons in the relationship has a disability, is older, has a mental illness or has an ongoing medical condition (including a terminal or chronic illness or dementia). If you are a carer it is important to know there are services for carers and families which provide support and information. Carer Consultant, Frankston Hospital 9238 8634 Carer Consultants provide information about services that can benefit carers and families. The Carer Consultant meets directly with family/carers to discuss their needs and issues holistically and raise specific concerns with appropriate Peninsula Health Mental Health Service Clinicians. They represent and contribute the carer’s viewpoint to the continuous improvement of service delivery and enable input to local planning and service development activities through membership on mental health service committees, working groups and advisory groups. 67 Support Services for Carers and Families Mental Health Advice Line 1300 280 737 (state-wide) 24 hours a day, seven days a week The Mental Health Advice Line provides immediate mental health advice from a registered mental health professional. This one number from anywhere in Victoria provides fast access to clear expert advice, referral and information about all mental health issues. Note: Calls from anywhere in Victoria are charged at the cost of a local call (mobile phones may be charged at a higher rate). Mental Illness Fellowship Victoria 45 Davey Street Frankston 9784 6800 Provides a range of services for people with schizophrenia and other serious mental illnesses and for families, carers, workers and the general community. Association of Relatives and Friends of the Emotionally and Mentally Ill (ARAFEMI) 98109300 Provides support to families and individuals dealing with serious emotional or mental illness. Services include mutual support groups, supported accommodation, telephone support and a library. The Bouverie Centre, Victoria’s Family Institute 93855100 Provides support to families in which a member has a serious emotional, behavioural or mental health difficulty. Alfred Health Carer Services Provides a range of information, counselling and respite support to families/carers of people with mental illness and other types of disability or agerelated care needs. Includes Young Carers Program. Ph: 1800052222 (24 hours) www.carersouth.org.au 68 ARC: Anxiety Recovery Centre South East Anxiety Disorders group. Helpline: 9830 0533 www.arcvic.org.au Carers Victoria The statewide peak carer organisation to provide carers with counselling (‘Talking it over’), advice, advocacy, education and training Ph: 9396 9500 or 1800 242 636 www.carersvictoria.org.au Centrelink A carer payment e.g.Carer Allowance may be available. Ph: 13 27 17 www.centrelink.gov.au Connections Uniting Care –Alliance Family Counselling Program Southern offers a free service that provides specialised support to families affected by the alcohol or drug use of a relative or loved one. Ph: 8792 8999 www.connections.org.au Dandenong & District Aborigines Co-Operative Ltd (DDACL) provides support for Koori families/ carers living in the Cities of Greater Dandenong, Casey and Cardinia. Ph: 9794 5973 www.ddacl.org.au/about.html Eating Disorders Victoria Help, information and referral for individuals and families . Helpline: 1300 550 236 www.eatingdisorders.org.au Ermha is a community based organisation that supports recovery from mental illness and instils hope for carers, families, friends and consumers. It provides a range of respite and vocational support options, education and carer support groups. Ph: 1300 376 421 or Ermha Respite: 9796 1000 www.ermha.org 69 Family Drug Help SHARC recognises that problematic alcohol and other drug use within the family can be overwhelming (with or without mental health issues). Offers family members (including siblings) support, information, education, inspiration and the encouragement to practise self-care. Helpline: 1300 660 068 Ph: 9573 1706 www.familydrughelp.com.au www.siblingsupport.com.au Family Relationship Services for Carers Ph: 1300 303 346 Grow – Better Together offers peer-support, self-help groups. Helps caregivers/families to gain understanding, support and education. For details of groups in the Southern Region Ph: 1800 558 268 Email: [email protected] www.grow.org.au Inner South Family and Friends Carer Support Group • Alfred region Ph: 9076 4713 Email: [email protected] www.ispaf.org Headspace early intervention in emerging mental health and alcohol and drug issues for young people 12–25 years. • Peninsula Ph: 9769 6419 • Elsternwick Ph: 9526 1600 • Dandenong Ph: 1800 367 968 www.headspace.org.au MI Fellowship Works with people with mental illness, their families and friends to improve their wellbeing. Offers advocacy, support, counselling, education & respite options. Ph: 9784 6800 Helpline: 8486 4222 www.mifellowship.org 70 Mind Australia Carers Helpline 1300 550 265 Phone: 8102 7961 Email: [email protected] www.mindaustralia.org.au Mental Health Services: Carer Consultants in the Southern Region work in the Alfred Health, Monash Health and Peninsula Health Adult Mental Health Services (AMHS), Child and Youth Mental Health Services (CYMHS) or Early in Life Mental Health Service (ELMHS) and Aged Persons Mental Health Services (APMHS), to advocate for systemic change in service delivery and response to the needs of carers. • Alfred Health AMHS Ph: 9076 4740 CYMHS Ph: 8552 0555 • Caulfield APMHS Ph: 9076 6184 • Peninsula Health AMHS Ph: 9238 8634 YPARC Ph: 9238 8600 • Monash Health AMHS/ELMHS Ph: 9554 9233 (includes Frankston ELMHS) Carer Support Fund Financial support for clients linked to state funded mental health services. Contact your family member’s case manager. MIND – Family and Carer Services having merged with both Lantern and ARAFEMI provides a comprehensive range of family and carer services which are tailored to meet identified needs. Central Intake Ph: 8640 5681 www.mindaustralia.org.au Odyssey – Family Eclipse Program for families of young adults with mental health issues and drug use. Ph: 9420 7610 www.odyssey.org.au Parentline provides a statewide phone counselling service to parents/carers of children aged birth to 18 years. Ph: 13 22 89 71 PATS: Paying Attention to Self A course for 12–18 year olds. Contact CRCCSR Young Carers Program for course information. Ph: 1800 052 222 www.carersouth.org.au Peninsula Carer Council (PCC). Supporting carers of people with mental illness. Support Meeting -3rd Monday each month 26 High St Frankston 7.30pm Drop in - 2nd Tuesday each month Field of Dreams Cafe Beach St Frankston 1012 am Enquiries/chat - Headspace 62 Playne St Frankston Thursday 9.30am - 2.30pm.. Ph. 1300 550 962 email [email protected] www.peninsulacarercouncil.org. au Peninsula Health Mental Health Services Carer Consultation and Support. • Frankston and Rosebud Ph: 9238 8634 Peninsula Support Services (PSS) Carer Support Program provides short term, one on one support and flexible respite care options for carers and families who care for someone with a diagnosed mental illness including referral and linkage to community supports and Carer Groups. Ph: 5970 5000 www.pss.org.au SANE Australia is a national charity working for a better life for people affected by mental illness, including carers/families, through community campaigns, education and research. Helpline: 1800 187 263 www.sane.org Stepping Up A consortium supporting people with complex issues (i.e. mental illness, AOD, ID,ABI etc.) and their families. Ph: 1800 828 466 www.stepping-up.org.au 72 Uniting Care Community Options (UCCO) – Mental Health Respite Carer Support Options Supports carers of people with mental illness over a 12 month period offering support to sustain their caring role and improve wellbeing. Carers will be able to connect to a Peer Worker as well as groups and events. Ph: 9705 3932 (Mon–Thurs) www.ucco.org.au GP Referral Contact your GP regarding referral to Medicare funded counselling via ‘Better Access to Mental Health Care’ and links to other Medicare programs e.g. Enhanced Primary Care Plan. Tandem. (Previously Victorian Mental Health Carers Network) Victorian peak body. Its mission is to ensure recognition of carers and families via itMs role in systemic advocacy and liaison with government on behalf of carers. Ph: 8803 5555 www.tandemcarers.org.au 73 Carer Support Groups Carer Support Groups Check with your service and/or case manager if a group is offered: Psychiatric Triage/Emergencies • Alfred Health Ph: 1300 363 746 • Monash Health Ph: 1300 369 012 • Peninsula Health Ph: 1300 792 977 Cheltenham Carer Support Group 1st Wednesday of the month, 7:30pm Mind Australia Family Carer Service. 3 Stanley Ave, Cheltenham. 8102 7961 Grow Better Together, Carer Support Group 1st & 3rd Tuesday of the month, 12:30pm at Ermha 67 Robinson Street, Dandenong. Contact Grow on 1800 558 267 [email protected] 9528 2977 Peninsula Carer Council 3rd Monday of the month, 7:30pm Brotherhood of St Laurence Complex High Street, Frankston Contact Email: [email protected] 1300 550 962 Peninsula Health Mental Health Carers Groups Rosebud – 1st Thursday of the month at 1:30pm Baptist Church (hall at rear) Boneo Rd, Rosebud. Contact Carer Consultant 9238 8634 or 0439 113 817 74 South East Anxiety Disorders Support Group 2nd Monday of the month Bentleigh Bayside Community Healht Services Gardeners Rd, East Bentleigh Contact ARCVic Helpline 9830 0533 Mind Australia (Hawthorn) Contact Carer Helpline [email protected] 1300 550 265 or email: Borderline Personality Disorder (BPD) – Family & Carers Group, 1st Wednesday of the month 7 – 9pm Family & Carers Group – Grow Better Together 1st and 3rd Thursday of the month. 7 – 9pm. Eating Disorders Victoria Contact via Helpline 1300 550 236 75 Other General Family Supports Commonwealth Respite & Carelink Centre Southern Region (site offices across the southern region) 1800 052 222 Frankston office, 51 Playne St, Frankston 8781 3400 Provides a range of information, counselling and respite support to families/carers of people with mental illness and other types of disability or age-related care needs. Also provides a Young Carers program. Carers Victoria Level One, 37 Albert St, Footscray 1800 242 636 Works in partnership with carers, support groups, service providers and government to provide support and information to carers. Provides a Carer Support Kit containing information on caring at home, including financial assistance. To obtain this free kit, phone the Carer Resource Centre toll free on 1800 242 636. Anglicare Family Services 9742 5300 Provides a range of family support services. Mackillop Family Services 9687 7166 Provides a range of family support services. Strengthening Families 9449 6911 Family support agency for families with children aged 0-18 years and experiencing welfare concerns including parenting, relationship problems, communication and managing difficult behaviours. Family Life Frankston. Level 1, 146 Young Street, Frankston, Victoria Australia 3199 Phone 9770 0341 Email: [email protected] 76 Creating Capable Communities, SHINE Mental Health, Child FIRST, PeopleWorx and YouthWorx, Community Bubs, Family Relationship Centre (FRC), MATES – Men and Family Violence, Schools Focused Youth Service, Volunteering EDUCATION FOR CARERS MI Fellowship (pronounced My Fellowship) education sessions: Well Ways - Building a Future, 12 sessions to assist family members and carers to maintain their own wellness and support the recovery of their family member or friend with a mental illness. Well Ways – Snapshot, 2 session program designed to assist family members and carers of people with a mental illness. This program was developed in response to demand from family members and carers who are time poor but in need of essential information and support. Well Ways – Duo, 6 session education program designed to assist family members and carers of people with a mental illness who also experience drug and/or alcohol use issues. Contact the MI Fellowship Frankston on 9784 6800 For session details. Carers Victoria for educational resources and workshops www.carersvictoria.org.au Tandems E-Learning www.tandemcarers.org.au 77 Other general housing services Department of Housing 1st Floor 431 Nepean Highway Frankston VIC 3199 9784 3200 Public housing is available through Housing Services, which is part of Human Services Victoria. Housing Services provides affordable housing to low and medium income earners. Rent is a percentage of the tenant’s income, rather than market value rent for the property. A waiting list applies, but there is priority housing for people who have an urgent housing need. Respite accommodation Mental Illness Fellowship 8486 4200 Offers short-term respite options to carers, including a ‘Visitor Service’ and ‘Home Based Outreach’. Emergency After Hours Respite Service – WIN Support Services Free call 1800 727 280 This free call after-hours emergency bridging service provides short-term personal care and in-home support to people with the dual disability of mental illness and intellectual disability. Carers can access this service. Funding Options Tandem Funding for Carers and alternate funding options www.tandemcarers.org.au 03 8803 5555 opt 1 For other enquiries Contact the Carer Consultant 78 9238 8634 Support For Youth and Children Al-Anon and Al-ateen Family Groups 9642 3330 Alfred Child and Youth Mental Health Service (CYMHS) Mon – Fri 9am – 5pm 8552 0566 Carers Victoria www.carersvictoria.org.au 1800 242 636 COPMI (Children of Parents with a Mental Illness) www.copmi.net.au/youth Child and Youth Health www.cyh.com Family Life Frankston. Level 1, 146 Young Street, Frankston, Victoria Australia 3199 Phone 9770 0341 Email: [email protected] Creating Capable Communities, SHINE Mental Health 8 – 14 yo, Child FIRST, PeopleWorx and YouthWorx, Community Bubs, Family Relationship Centre (FRC), MATES – Men and Family Violence, Schools Focused Youth Service, Volunteering Hand Brake Turn Providing hands-on training in practical real world skills together with social support. The program aims to transform the lives of young people aged 15 – 22 who have had difficulty with the mainstream education system. 7 Hilton St, Dandenong. Phone Email: [email protected] 9793 1466 Headspace is the National Youth Mental Health Foundation. We help young people who are going through a tough time. For ages 12 – 25. 9769 6419 Headspace Frankston 62 Playne Street Frankston 3199 (right next to the Frankston Library) 9769 6419 79 Its all right The SANE Helpline is a confidential service providing information about symptoms, treatments, medications, where to go for support and help for carers. Sane Help Line 1800 187 263 Use Helpline Online to ask questions about mental illness and related topics. Helpline Online is for information and referral to support agencies (it is not a counselling service). Enquiries are usually answered within 3 working days. www.itsallright.org Kids Helpline (ages 5 to 25 years) free call, 24 hours a day, 7 days a week 1800 551 800 Kids in Mind. For children up to 12yo 8514 1045 Mornington Peninsula Youth Enterprises providing a range of education, training and support services to young people from the Mornington Peninsula and surrounding areas. Mpye.org.au 12 – 25yo 5977 2976 Email: [email protected] mobile 0417 347 702 Parentline Victoria cost of a local call Open 8am to midnight 7 days a week www.education.vic.gov.au 13 22 89 Paying Attention to Self (PATS) City of Greater Dandeong (CGD) Youth services PATS is a peer support program for young people who have a parent with a mental health issue within the Sylvia: Email: [email protected] 9793 2155 ACCESS 1300 665 781 80 What is a young carer? Young carers are children or young people up to 25 years of age, who help care in families where someone has an illness, a disability, a mental illness or who has an alcohol or other drug problem. A young carer might help out with cleaning or cooking, helping with mobility, helping with medicines, keeping the person they care for safe, showering or dressing them or just watching out to make sure they are okay. How do young carers find out about us? Anyone can refer a young carer to the program, from school teachers, social workers, parents, relatives, doctors and even the young carer themselves. If you are or you know a young carer please contact 1800 052 222 for more information. How do we assist young carers? There are two components to the young carer program • Respite Services: enables those carers who are school aged to access respite and age appropriate support, including educational, social and recreational activities. • Information Services: young carers up to 25 can access information, advice and referral services, including referral to counselling. www.youngcarers.net.au Young Persons Groups 9093 5977 For people aged 8 – 18 years who are supporting someone with a mental illness Mind, 17 Taylor Street, Moorabbin Youth Central 60a Playne Street (Next to Frankston Library) Frankston 3199 Contact Us Phone: Email: [email protected] 9768 1366 81 Childrens Respite Portsea Camp Mon - Fri 9am – 5pm for information. 5984 2333 YMCA – Munyung Mt Eliza for information 97881100 Mornington Peninsula Shire for information 5986 3585 82 Support for the Aged Psychiatric triage (information, assessment and referral) 24 hours a day, 7 days a week Telephone: 1300 792 977 Aged Psychiatry Assessment and Treatment Service Peninsula Health Frankston Hospital P.O. Box 52 Frankston 3199 9784 6999 Aged Psychiatry Inpatient Unit Ward 1 West Frankston Hospital P.O. Box 52 Frankston 3199 AH Elderly Rights Advocacy www.era.asn.au or 9784 7105 9784 6999 9602 3066 1800 700 600 Healthdirect Australia If you need to talk to someone immediately, contact one of the following 1800 022 222 My aged Care. 1800 200 422 The My Aged Care website has been established by the Australian Government to help you navigate the aged care system. Contact between 8am and 8pm on weekdays or 10am and 2pm on Saturdays. 83 Mt Eliza Aged Care Assessment Service (ACAS) is auspiced by Peninsula Health to provide independent assessment services to frail aged persons, Aboriginal and Torres Strait Islanders aged 50 years and above, and to some younger disabled persons.The Aged Care Assessment Service ensures frail aged people gain access to the range of Commonwealth Programs that are appropriate to their needs such as Care Packages and Residential Aged Care services. In addition to the assessment of eligibility for Commonwealth Programs, the ACAS provides information, referrals and coordination with other aged care services, including health and community support services. For information phone 9788 1276 To make a referral contact ACCESS on 9788 1377 Senior Rights Victoria www.seniorsrights.org.au 84 1300 368 821 Material assistance Public Mental Health System – Carer Support Fund If the person you care for has a Recovery Clinician in the public mental health system, they may be able to assist you in finding help with the cost of caring for your family member or friend, particularly if there is a crisis or potential crisis. For further advice and assistance, please discuss with the Carer Consultant. The costs of caring for a family member or friend with a mental illness may include: Travel to and from appointments and hospital, particularly if there is a crisis Practical assistance through services such as home help and childcare Expenses for giving families and other carers a break Payment of emergency accommodation or emergency food. www.frankston.net.com 9783 7284 Salvation Army 1800 825 955 Victoria Relief Grant Scheme (for furniture) 9689 3515 Energy Relief Grant Scheme (assistance with energy bills) 9616 7839 Financial & Consumer Rights Council 9663 2000 Anglicare 9742 5300 Anglicare Frankston 9781 6700 Centrelink 13 27 17 The government provides financial help to carers of people who have a mental illness through the Carer Payment 85 Allowance programs. Both programs are administered through Centrelink. To qualify for a Carer payment, the carer does not need to live in the same house as the person they care for; although other qualifying rules apply. The Allowance payment requires you live with the person you are caring for. Centrelink employs Disability Officers who can assist with applying for the Carer Payment and directing Employment support for people with a psychiatric disability Employment support for people with a psychiatric disability www.deewr.vic.gov.au Guardianship and Administration Board 1800 136 829 Legally protects the personal and financial affairs of a person who has lost the capacity to make decisions for themselves. Guardians are appointed to help manage personal affairs on behalf of the consumer, and have a Guardian or Administrator appointed for the person they care for. The Board does not provide monetary assistance. State Trustees 9667 6444 Can also be appointed to manage a person’s affairs. 86 Other useful internet sites Peak Organisations http://vmiac.com.au Rights and Advocacy tandemcarers.org.au Rights and advocacy for carers of people with a mental illness www.carersvictoria Support and advice for consumer directed care www.peninsulahealth.org.au Peninsula Health www.mhca.org.au Mental Health Council of Australia http://vicnet.net.au Victorian Mental Illness Awareness Council www.sane.org Sane www.beyondblue.org.au beyondblue www.health.gov.au Mental health and wellbeing http://mentalhealthvic.org.au Mental Health Foundation of Australia (Victoria) http://vicserv.org.au Psychiatric Disabilities Services www.reachout.com.au Youth suicide Information about mental illness http://my.webmd.com Health drug database www.betterhealth.vic.gov.au Health information www.mentalhealth.com Comprehensive information www.depressionet.org.au Depression Net www.mindbodylife.com.au Optimising lifestyle 87 Service sites http://health.vic.gov.au/mentalhealth Victorian Mental Health Services www.adec.org.au Action on Disability in Ethnic communities http://eppic.org.au Orygen Youth Health (formerly EPPIC) www.vtpu.org.au/ Victorian Transcultural Psychiatric Unit Translated Information www.eppic.org.au/ap/information_sheets.htm www.vtpu.org.au/resources/translatedmh/index.php Mental Health Community Advisory Group The Mental Health Community Advisory Group includes consumers who represent the views of the communities served by Peninsula Health. The group brings views and perspectives from the community and consumers of healthcare services to the attention of the Peninsula Health Board. The Mental Health Community Advisory Group is a channel for communicating with and responding to the needs of mental health consumers and carers in the Mornington Peninsula and Frankston areas. If you are interested in becoming a member of the Mental Health Community Advisory Group, please contact the Community Participation Program Manager. Phone: 9788 1221 88 Complaints We welcome your complaints, compliments concerns and comments about the care and service provided to you by Peninsula Health Mental Health Service. Your feedback helps us continually improve the standard of care and service provided to you. The Mental Health Service regularly conducts surveys that ask for your confidential feedback about certain aspects of your treatment and care. You may choose to note your concerns via these surveys. All complaints are dealt with in confidentially, and please be assured your care will not be compromised in any way. If you wish to make a comment about any aspect of the Peninsula Health Mental Health Service, ask for assistance from the following: Consumer Consultant on 9238 8627 Carer Consultant on 9238 8634 Contact the Peninsula Health Customer Relations Manager on (03) 9784 7298 or Freephone 1800 858 727 or email [email protected] Your clinician or any member of staff can help you complete the details of your concern/s on a Health Services Complaints Form. Mental Health Complaints Commissioner 1800 246 054 Consumers, carers, advocates, mental health workers, family members, friends who have concerns about someone’s experience with a public mental health service in Victoria can make a complaint to the MHCC 89 Mental Health Tribunal Complaints and feedback. Level 30, 570 Bourke Street, Melbourne Phone 9032 3200 Toll Free 1800 242 703 The Mental Health Tribunal (The Tribunal) is an independent statutory tribunal established under the Mental Health Act 2014. The Tribunal is an essential safeguard under the Act to protect the rights and dignity of people with a Mental Illness. The primary function of the Tribunal is to determine whether the criteria for compulsory mental health treatment as set out in the Mental Health Act 2014 apply to a person. The Tribunal makes a treatment order for a person if all the criteria in the legislation apply to that person. Other Tribunal functions are: Whether electroconvulsive treatment (ECT) can be performed on a Compulsory patient if they are considered to not have the capacity to give informed consent to ECT. Or if they are under the age of 18. A variety matters relating to security patients. Transfer of treatment to other mental health services. Applications to perform Neurosurgery on patients. Patients can make an application against a treatment order by using an MHT Contact Form. Enquiries Phone: 9032 3200 or 1800 242 703 www.mht.vic.gov.au Community Visitors Community Visitors are volunteers who visit Mental Health Services to enquire into the adequacy of residential services and facilities for the treatment and care of patients. They investigate complaints from anyone (including family and carers) who has concerns about standards. To talk to a community visitor phone: 90 1300 309 337 Office of Public Advocate The Office of the Public Advocate provides advice on, assists with and takes appropriate action regarding complaints about services. For more information on the Mental Health Act and your rights, ask our Mental Health Services or the Treatment Team for a Patient’s Rights brochure. Enquiries Phone toll free: 1300 309 337 (24 hour emergency) or 9604 9500. Feedback Even if you do not have a formal complaint, we are keen to hear your suggestions for improving the service we provide. You can inform any member of staff you deal with in the Peninsula Health Mental Health Service or you can contact the Consumer Consultant (see ‘Workers’ roles –who does what?)’ and they will raise the suggestion – confidentially if you wish. Discrimination It is unlawful to discriminate, which means to treat someone less favourably in a variety of ways (employment, education, access to services) on the basis of a person’s psychiatric disability or carer status. If you feel discriminated against, contact the Equal Opportunity Commission to make a complaint or get more information. Phone toll free: 1300 891 848 9032 3583 (enquiry line) TTY 1300 289 621 91 92 Purpose of this booklet This booklet is designed to assist people who attend public Mental Health Services and their families, partners or carers, at the time they enter Peninsula Health Mental Health Service. It contains information explaining aspects of mental health that may be helpful when dealing with services. It is for people who live in the Peninsula Health area. Please refer to the map on the back page of this booklet. We appreciate your feedback Your feedback is important as it helps us improve the services we provide. **If you have any comments, suggestions or corrections in regards to how we can make this booklet more useful, please write or phone the Carer Consultant or Consumer Consultant. Phone numbers Carer Consultant 9238 8634 Peninsula Health Mental Health Service 17 Yuille Street Frankston 3199 Consumer Consultant 9238 8627 Peninsula Health Mental Health Service 17 Yuille Street Frankston 3199 Thank you. 93 In an emergency Please contact: Name ........................................................................................ Relationship .............................................................................. Phone ....................................................................................... Address .................................................................................... GP ............................................................................................ Phone ....................................................................................... Clinician .................................................................................... Phone ....................................................................................... 94 You can now find Victorian health services - such as GPs, pharmacists, dentists and more - on your mobile phone. What you need 1. A modern web-capable mobile or smart phone (such as an iPhone, Blackberry or Android based handset) 2. A mobile Internet plan with your mobile telecommunications provider (or a WiFi Internet connection if your phone supports this feature) 3. Mobile Internet coverage (or WiFi coverage if your handset supports this) 95 How to access the service 1. Load your mobile’s web browser 2. Enter the following URL: http://www.betterhealth.vic.gov.au/findhs 3. You should now be ready to use the service! Tip: For more convenient access, once the mobile page loads, make sure you bookmark it so you don’t have to type the URL again. Costs This is a free service. Please note that Internet mobile phone carrier costs may apply. Refer to your mobile telecommunications provider for details. 96 Notes: ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… 97 Notes: ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… 98 Notes: ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… ………………………………………………… 99 Further information Contact details Disclaimer: The information contained in the brochure is intended to support, not replace, discussion with your doctor or health care professionals. Print Code: 999 – XX/XX/XX Authorising Department: Mental Health Peninsula Health PO Box 52 Frankston Victoria 3199 Telephone 03 9784 7777 www.peninsulahealth.org.au 100