Clinical Management in Mental Health Services



Mental Health Justice Health Alcohol and Drug Services (MHJHADS)Standard Operating Procedure: Clinical Management in Mental Health ServicesPurposeThe National Standards for Mental Health Services 2010 state that care management is a cyclical process, in which needs are assessed, services are delivered in response, and needs are re-assessed, leading to a changed service response.ScopeThis Standard Operating Procedure applies to all staff employed in a clinical capacity in all Mental Health services, including community mental health settings. The principles of evidence based practice (Clinical Practice Guidelines; psychological interventions; pharmacological interventions) will be used to support people during their episode of care. An allocated medical officer will have a clinical leadership role with all clinically managed people.ProcedureBackgroundWhen clinically indicated, Mental Health provides services using a clinical management [CM] framework to consumers across the age span during an episode of care. Within this framework, Mental Health services clinicians provide a comprehensive and collaborative assessment which is summarised in a formulation with an interim clinical plan, engagement in collaborative recovery planning, care coordination and therapeutic interventions inclusive of psychological therapies. Standardised clinical processes are defined for case review and clinical handover for transfer of care and/or episode of care closure. Mental Health services is a person centred service that promotes a collaborative approach with other service providers and agencies. Mental Health services aim to foster independence for people experiencing mental disorder or mental illness to promote wellbeing and autonomy to support ongoing recovery. The recovery principles for Mental Health services (see at Attachment 1) and the Recovery Standard of the National Mental Health Standards (see at Attachment 2) guide this approach to care and are applied in Mental Health services within the context of standardised clinical processes. Roles & ResponsibilitiesConsistent with The National Standards for Mental Health Services 2010 (NSMHS), 10.3.8, at the point of entry, a nominated clinician is allocated as the primary point of contact for all stakeholders related to the person’s care. Within Mental Health services, the nominated contact point for requests for medical consultation with a consultant psychiatrist is the administrative officer.Team Leaders, Operational Directors and Clinical Directors ensure that processes are in place in all teams to support the provision of clinical management. These processes encompass, but are not limited to: multidisciplinary team meetings, clinical review, allocation of people and clinical handover. Relevant Policies, SOPs and the Clinical Processes and Documentation Resource Package V4 (2011) outline the processes and define the expectations of CM. The determination to provide CM is made by the multidisciplinary team inclusive of medical leadership. The interventions provided [psychological - inclusive of psychosocial and family interventions - and pharmacological] are to be evidenced-based and consistent with the Royal Australian & New Zealand College of Psychiatry (RANZCP) Clinical Practice Guidelines. Clinical Management also acknowledges the importance of a holistic approach to support people in their mental health recovery and for this reason values the contributions of the multidisciplinary team including non-clinical support staff, peer workers and community agency staff. Interventions to address ongoing functional difficulties, strategies to address obstacles to social inclusion and harnessing adequate supports and resources may be required to assist the person’s ongoing recovery. Clinical Managers will have some core and specialist skills to inform appropriate interventions to assist in these areas and it is anticipated that Clinical Managers would also refer to, and collaborate with other rehabilitation and support services as required.Mental Health services have a range of strategies to support clinicians, including daily clinical meetings, scheduled case reviews, clinical and operational supervision and professional development/training. General Practitioners [GPs] are an integral part of the treating team and Clinical Managers will liaise with GPs within structured timeframes such as initial assessment and three monthly reviews as well as ad hoc contact in the event of any change in treatment or identified deterioration of people’s mental health.The scheduled three monthly review is a flag for Clinical Managers to regularly review the outcomes of interventions and liaise with all stakeholders. The completed Case Review form, Outcome Measurement/s, progress in psychological therapy, response to pharmacological treatment, considerations for rehabilitation and/or ongoing recovery will be discussed at these reviews. Planning for discharge is an ongoing discussion and takes into account the needs and perspectives all stakeholders. Early recognition of deterioration and Keeping Well Plans will be developed as a component of discharge planning.If re-contact with mental health services results in a decision to re-commence CM, the previous Clinical Manager will be re-allocated if capacity exists.Triaging, Intake & Referral and Screening GuidelinesEntry refers to the process by which the mental health service assists the person and their carers to make contact with the mental health service and receive appropriate assistance. Mental Health services have multiple sites of entry with a single process that is consistent across the ACT. When a person first makes contact with or is referred to Mental Health services, a clinician will undertake an assessment. This assessment will include an overview of the person and their situation inclusive of an assessment of the level of risk. The presentation and the level of response required is informed by the Mental Health Triage Scale (2010; See at Attachment 3). All assessment documents generated on the electronic clinical record will include the completion of the response category section of the document. Response categories are allocated according to the level of risk assessed at presentation.Additionally, Screening Guidelines for Mental Health Services (see at Attachment 4) are provided to support clinicians in referral of persons to facilitate their access to optimal, appropriate care. The guidelines also provide referral options to other agencies where specialist mental health interventions are not indicated, or to identify potential partners to provide coordinated care where specialist mental health services are indicated.Process of case allocationClinical Management must be considered for all clients who are identified as having high vulnerability or risks, complex and long-term needs. When there is a determination that an individual is to be provided clinical management, the Team Leader will monitor all referrals and ensure that people’s allocations for CM occur in a transparent, equitable and sustainable manner matching the person’s needs to clinician skills and knowledge. Caseload size for CMs will be based on a matrix inclusive of: complexity (e.g. considering factors such as comorbidity of other mental and physical health, substance use issues, social/occupational functioning); acuity (e.g. intensity of contact required, as reflected by the frequency and duration of Occasions of Service); diagnosis; focus of care and the phase of engagement (e.g whether CM is in the initial 6 months or longer), recognising that this period of engagement often requires a higher level of intensity; number of people on the clinician’s existing caseload; and skill set and level of experience of the staff member. The following guide should be adapted to the clinician’s employment status {FT or PT] and additional formal roles and responsibilities. This figure is not intended to ‘cap’ caseloads but along with the above matrix is monitored in meetings between the Team Leader and clinician. The team-based monthly reports generated from the electronic clinical record will be used to support this process.Case load allocation can be expected to be within the following range: DesignationCase load allocationHPO1 / RN 110 to 15 personsHPO2 / RN220 to 25 personsHPO3 / RN325 to 30 persons (to include consumers with complex needs)“Doctor-only” Managed ClientsIt is acknowledged that some people may require some degree of ongoing contact with Mental Health services yet not require the additional support and resources associated with clinical management. In such cases, a person may remain primarily under the care of a Consultant Psychiatrist with minimal, if any, support and contact from other clinicians within the community mental health team. The interventions for such people may be limited to periodic review by the Consultant Psychiatrist, and as a general rule they should only require review every 3 months or more. For people who require more frequent contact, consideration should be given to referral for clinical management. Additionally, where there is an identified marked deterioration in a person’s mental state, the treating Consultant Psychiatrist should refer the consumer to the Multi-disciplinary Team (MDT). Consideration for clinical management and/or other team interventions is to be given during the course of the Daily Clinical Meeting. Transfer of Clinical ManagementWhere transfer of care is required, particularly in the context of a long-term therapeutic relationship, the formal handover process should include discussion with the person, their identified supports (e.g. carers, family) and should outline current and past management strategies and any other relevant information that may impact on the new clinical management relationship.EvaluationOutcome MeasuresClinical managers will be allocated people managed by MHJHADS according to the procedures described above.MethodMonitoring by Team Leaders/Managers of incident reports via Riskman and Consumer Feedback where appropriate clinical management allocation has not occurred or has not adequately met the standard as described in this Standard Operating Procedure.Team Leaders will meet regularly (at least every 2 months) with each Clinical Manager to ensure oversight of their practice, review of their caseload and to offer support where required, as well as promoting quality assurance and improvement opportunities. Clinical Case reviews should be conducted for each clinically managed consumer every 3 months (or ad hoc as required) to access MDT contributions to Recovery Planning.Evaluation will also occur via a review of all aggregate Riskman incident data relating to clinical management allocation. This review will be conducted by the Operational Director of Adult Community & Older Persons Mental Health Services prior to the review date for this Standard Operating Procedure.Related Legislation, Policies and StandardsLegislationMental Health (Treatment and Care) Act 1994 Health Records (Privacy and Access) Act 1997 Human Rights Act 2004 PoliciesMHJHADS SOP: Clinical Handover in Community Mental Health SettingsMHJHADS SOP: Clinical Case Review in Mental Health ServicesMHJHADS SOP: Confidentiality and PrivacyMHJHADS SOP: Daily Clinical Meetings in Community Mental Health SettingsMHJHADS SOP: Episode of Care ClosureMHJHADS Publication: Clinical Processes and Documentation Resource Package 4th edition.Standards National Standards for Mental Health Services 2010ReferencesKing R, Lloyd C, Meehan T, Handbook of Psychosocial Rehabilitation. Blackwell Publishing 2007.Shepherd G, Boardman J, Slade M, Making Recovery a Reality. Sainsbury Centre for Mental Health March 2008.Auditor General’s Report No 8 of 2010: Delivery of Mental Health Services to Older Persons.AttachmentsAttachment 1: Mental Health Services recovery principlesAttachment 2: Principles of recovery-oriented mental health practiceAttachment 3: Mental Health Triage ScaleAttachment 4: Screening Guidelines for Mental Health ServicesDisclaimer: This document has been developed by Health Directorate/ Mental Health, Justice Health, Alcohol & Drug Services specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.Attachment 1: Mental Health services Recovery PrinciplesThese principles have been developed to inform and guide the ACT community, and in particular mental health service providers, to support the spirit of recovery and enhance potential contributions to a person’s recovery journey. They have been developed after reflection on principles, dimensions and key elements from other states in Australia and around the world. Underlying these principles is acknowledgement of the unique nature of the recovery journey and the importance of creating a culture of optimism, healing and inclusion.. Hope is fundamental to a person’s recovery journey.A person’s unique life context - encompassing, though not limited to, culture, spirituality, gender, age, life roles - is acknowledged and valued.People are encouraged to take the lead in their recovery journey and collaborate with a range of services and supports as required.Maintaining and developing connections to valued people and activities is critical to the recovery journey.Partnerships are based on trust and mutual respect.People are provided with the necessary information to enable them to make informed decisions about their recovery journey.Everyone has responsibility for creating and sustaining a culture that promotes recoveryAttachment 2: Principles of recovery-oriented mental health practiceFrom the perspective of the individual with mental illness, recovery means gaining and retaining hope, understanding of one’s abilities and disabilities, engagement in an active life, personal autonomy, social identity, meaning and purpose in life, and a positive sense of self.It is important to remember that recovery is not synonymous with cure. Recovery refers to both internal conditions experienced by persons who describe themselves as being in recovery— hope, healing, empowerment and connection—and external conditions that facilitate recovery—implementation of human rights, a positive culture of healing, and recovery-oriented services1. The purpose of principles of recovery oriented mental health practice is to ensure that mental health services are being delivered in a way that supports the recovery of mental health consumers.1. Uniqueness of the individualRecovery oriented mental health practice:Recognises that recovery is not necessarily about cure but is about having opportunities for choices and living a meaningful, satisfying and purposeful life, and being a valued member of the communityAccepts that recovery outcomes are personal and unique for each individual and go beyondAn exclusive health focus to include an emphasis on social inclusion and quality of lifeEmpowers individuals so they recognise that they are at the centre of the care they receive.2. Real choicesRecovery oriented mental health practice:Supports and empowers individuals to make their own choices about how they want to lead their lives and acknowledges choices need to be meaningful and creatively exploredSupports individuals to build on their strengths and take as much responsibility for their lives as they can at any given timeEnsures that there is a balance between duty of care and support for individuals to take positive risks and make the most of new opportunities.3. Attitudes and rightsRecovery oriented mental health practice:Involves listening to, learning from and acting upon communications from the individual and their carers about what is important to each individualPromotes and protects individual’s legal, citizenship and human rightsSupports individuals to maintain and develop social, recreational, occupational andvocational activities which are meaningful to the individualInstils hope in an individual’s future and ability to live a meaningful life.4. Dignity and respectRecovery oriented mental health practice:Consists of being courteous, respectful and honest in all interactionsInvolves sensitivity and respect for each individual, particularly for their values, beliefs and cultureChallenges discrimination and stigma wherever it exists within our own services or the broader community.5. Partnership and communicationRecovery oriented mental health practice:Acknowledges each individual is an expert on their own life and that recovery involves working in partnership with individuals and their carers to provide support in a way that makes sense to themValues the importance of sharing relevant information and the need to communicate clearly to enable effective engagementInvolves working in positive and realistic ways with individuals and their carers to help them realise their own hopes, goals and aspirations.6. Evaluating recoveryRecovery oriented mental health practice:Ensures and enables continuous evaluation of recovery based practice at several levelsIndividuals and their carers can track their own progressServices demonstrate that they use the individual’s experiences of care to inform quality improvement activities The mental health system reports on key outcomes that indicate recovery including (but not limited to) housing, employment, education and social and family relationships as well as health and well being measures.These Recovery Principles have been adapted from the Hertfordshire Partnership NHS Foundation Trust Recovery Principles in the UK.Attachment 3: Mental Health Triage ScaleMental Health Triage Scale 2010 (Victorian Department of Health)CODE/ DESCRIPTION RESPONSE TYPE/TIME TO FACE-TO-FACE CONTACT TYPICAL PRESENTATIONS MENTAL HEALTH SERVICE ACTION/RESPONSE ADDITIONAL ACTIONS TO BE CONSIDERED A Current actions endangering self or others Emergency services response IMMEDIATE REFERRAL Overdose Other medical emergency Siege Suicide attempt/serious self-harm in progress Violence/threats of violence and possession of weapon Clinician to notify ambulance, police and/or fire brigade Keeping caller on line until emergency services arrive CATT notification/attendance Notification of other relevant services (e.g. child protection) B Very high risk of imminent harm to self or others Crisis mental health response WITHIN 2 HOURS Acute suicidal ideation or risk of harm to others with clear plan and means and/or history of self-harm or aggression Very high risk behaviour associated with perceptual/thought disturbance, delirium, dementia, or impaired impulse control Crisis assessment requested by Police under Section 37 of the ACT Mental Health (Treatment & Care) Act 1994.Face-to-face assessment The venue of this assessment is to be determined by the identified risk factors.Providing or arranging support for consumer and/or carer while awaiting face-to-face response (e.g. telephone support/therapy; alternative provider response) Telephone secondary consultation to other service provider while awaiting face-to-face response C High risk of harm to self or others and/or high distress, especially in absence of capable supports Urgent mental health response 2 – 12 HOURS Rapidly increasing symptoms of psychosis and/or severe mood disorder High risk behaviour associated with perceptual/thought disturbance, delirium, dementia, or impaired impulse control Unable to care for self or dependents or perform activities of daily living Known consumer requiring urgent intervention to prevent or contain relapse Face-to-face assessment within 12 HOURS AND telephone follow-up within ONE HOUR of triage contact As above Obtaining collateral/additional information from relevant others D Moderate risk of harm and/or significant distress Semi-urgent mental health response 12 – 48 HOURS Significant client/carer distress associated with serious mental illness (including mood/anxiety disorder) but not suicidal Early psychosis symptoms Requires priority face-to-face assessment in order to clarify diagnostic status Known consumer requiring priority treatment or review Face-to-face assessment As above E Low risk of harm in short term or moderate risk with high support/ stabilising factors Non-urgent mental health response WITHIN 14 DAYS Requires specialist mental health assessment but is stable and at low risk of harm in waiting period Other service providers able to manage the person until MHS appointment (with or without MHS phone support) Known consumer requiring non-urgent review, treatment or follow-up Face-to-face assessment As above F Referral: not requiring face-to-face response from MHS in this instanceReferral or advice to contact alternative service provider Other services (e.g. GPs, private mental health practitioners, ACAS) more appropriate to person’s current needs Symptoms of mild to moderate depressive, anxiety, adjustment and/or developmental disorder Early cognitive changes in an older person Clinician to provide formal or informal referral to an alternative service provider or advice to attend a particular type of service provider Facilitating appointment with alternative provider (subject to consent/privacy requirements), especially if alternative intervention is time-critical G Advice or information only/ Service provider consultation/ MHS requires more information Advice or information only OR More information needed Attachment 4: Screening Guidelines for Mental Health ServicesAll contacts with Mental Health services require the level of assessment necessary for the development of a plan for clinical intervention by Mental Health services or referral on to an alternative service. Assessment is a process by which the characteristics and needs of consumers, groups or situations are evaluated or determined so they can be addressed. The assessment forms the basis of a plan for services or action. The clinician / treating team determine the level of urgency based on the assessment and use of the Mental Health Triage Scale. These screening guidelines will be used to support clinicians in referral of persons to facilitate their access to optimal appropriate care. The guidelines also provide referral options to other agencies where specialist mental health interventions are not indicated, or to identify potential partners to provide coordinated care where specialist mental health services are indicated. To support this sector, Mental Health services will provide care co-ordination and liaison to General Practitioners and Community Agencies. General Practitioners will have timely access to Consultant Psychiatrists for consultation.In 2013, the Mental Health Adult services are available, with some flexibility, to adults aged 18 years old to 65 years old. The most appropriate service to meet an identified need will be determined clinically and, if an age related mental illness exists, the individual will be referred to the appropriate services e.g. Child and Adolescent Mental Health Services, Older Persons Mental Health Services.Referral CriteriaReferral ResponseAAccommodation Issues (primary presenting problem) – No mental health concernsCommunity Services Directorate (ACT Housing)Phone: 6207 1150Anglicare Housing Program Phone: 1800 228 150 Canberra Emergency Accommodation Service Phone: 6257 2333Ainslie Village Phone: 6162 6800Canberra Mens Centre Phone: 6230 6999 Centacare Homelessness Service Coordinator Phone: 6163 7600Dickson Backpackers Phone: 6262 9922Havelock Housing AssociationPhone: 6257 2277Inanna South (women) Phone: 6295 3323Toora (women) Phone: 6247 2399 Inanna North - Raja (for families) Phone: 6163 6300GROW Phone: 6295 7791Richmond Fellowship Phone: 6249 7912 Samaritan House Phone:6247 6691Mary’s Place (Queanbeyan) Phone: 6299 1619Adjustment disorder – with an inability to function at usual level – including situational crises where there is risk to self or othersRefer to Mental Health servicesGeneral PractitionerANU Psychology Clinic Phone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers. (e.g. Centacare )Private PractitionersAnger Management issues/problemsRelationships Australia Canberra and RegionPhone: 6122 7100CentacarePhone: 6163 7600LifelinePhone: 13 11 14Canberra Mens Centre (Men)Phone: 6230 6999Innana South (Women)Phone: 6295 3323 ANU Psychology Clinic Phone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers. (e.g. Centacare )Consider private practitioner.Anxiety Disorder/Symptoms(Consider severity, intensity and duration of symptoms, level of functional impairment, and degree of insight, available support, and history of illness). Symptoms may include panic attacks, constant worry, inability to function properly due to anxiety (unable to leave house, go to work); phobias, physical symptoms (nausea, sweating, racing heart, shaking) unwanted intrusive thoughts and imagesIf impact on functioning is significant – refer to Mental Health services.If symptoms are manageable but support/intervention is required:University of Canberra (Headspace) Phone: 6201 5343 (for 12 – 25 year olds)ANU Psychology Clinic Phone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers. (e.g. Centacare )Calvary 2N Anxiety/Depression GroupPhone: 62016020 (one group per year)Consider private practitioner.Assault/ViolenceDomestic Violence (victim) – can include different forms of abuse such as physical, sexual, psychological. Sexual assault (current sexual assault crisis or chronic, unresolved sexual assault)If immediate violence refer to policeDomestic Violence Crisis Service Phone: 62800900 (24hours)Domestic Violence Orders and Protection Orders Unit Phone: 6217 4299Women’s Health Service Phone: 6205 1078Women’s Information and Referral Centre (business hours)Phone: 6205 1075Victims Support Unit 4th Floor 1Moore StNorthside Women’s Supported Accommodation ProgramPhone: 6249 1113See accommodation if requiredCare and Protection notification if requiredCanberra Rape Crisis Centre Phone: 6247 8071 SAMSA Phone: 6262 7377National Domestic Violence and Sexual Assault Helpline Phone: 1800 200 526Domestic Violence Orders and Protection Orders Unit Phone: 6217 4299Refer matter to police if appropriate.Consider Forensic Medical Unit at ED if appropriate.Care and Protection notification if required.BBorderline personality/traitsSee P Personality Disorders/traitsBipolar Disorder/traitsSee M Mood DisordersBereavementBereavement is a normal part of life and is not appropriate for Mental Health services unless complicated by the following:Bereavement/Grief [traumatic or non-resolving] –may involve the death of a friend or loved one. Acute impact on level of functioning. Associated with major depression. Suicidal ideation/intent may be present.Bereavement – normal grief reaction, limited impact on daily functioningGPRefer to Mental Health services for assessment if there are traumatic events involved and/or. Unresolved grief reactions.Lifeline(if crisis)Phone: 13 11 14University of Canberra Headspace Phone: 6201 5343 (for 12 – 25 year olds)Consider private practitioner.Grief Resource Centre ACTPhone: 02 6291 4994ANU Psychology ClinicPhone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers. (e.g. Centacare )Compassionate FriendsPhone: 6286 6134Lifeline(if crisis) – 13 11 14University of Canberra Headspace Phone: 6201 5343 (for 12 – 25 year olds)Consider private practitioner.Grief Resource Centre ACTPhone: 02 6291 4994ANU Psychology ClinicPhone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers. (e.g. Centacare )Compassionate Friends Phone: 6286 6134SIDS & Kids ACT (support following stillbirth, infant or young child death from any cause) 24hrsPhone: 62874255CChildhood – Mental health concerns/symptoms in young people under the age of 18 yearsChild and Adolescent Mental Health Service (CAMHS):CAMHS South officePhone: 6205 1469CAMHS North officePhone: 6205 1050HeadspacePhone: 6201 5343Court MattersSee L Legal MattersDDementia with no mental health issues If Behavoural or Psychological Symptoms of Dementia are present, considerCommunity Options IncPhone: 02 6295 8800Home from Home RespitePhone: 02 6285 2082ACT Dementia NetworkPhone: 02 6255 0722ACAT TeamsGeneral PractionersDepartment of Aged Care and RehabilitationAlzheimer’s AustraliaDBMASOlder Persons Mental Health ServicesLink to Organic Brain DisordersDepressionSee M Mood DisordersDistress – Acute mental distress displaying agitation, uncontrollable crying not able to be consoled, affecting their level of functionality Refer to Mental Health servicesDrug and Alcohol issues - comorbid with mental illness, Drug and Alcohol is the primary presenting problem and no mental health concernsRefer to Mental Health services and Alcohol & Drug servicesDrug and Alcohol Central IntakePhone: 62079977Drugs In The FamilyPhone: 6257 3043WIREDD - Women’s Information Resources and Education on Drugs and DependencyPhone: 02 6248 8600Directions ACTPhone: 6122 8000Arcadia HousePhone: 6253 3055Salvation Army Canberra Recovery CentrePhone: 62951256Karilika Drug Rehab Phone: 6292 2733EEarly psychosisDisplaying impaired role functioning over time resulting in mental illness e.g. prodromalOver 24 years ageUnder 24 years ageRefer to Mental Health services for a full assessment.Psychological Assistance ServicesANU Psychology Clinic Phone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare ).Consider private practitioner.Refer to Child and Adolescent Mental Health Service (CAMHS):CAMHS South officePhone: 6205 1469CAMHS North officePhone: 6205 1050HeadspacePhone: 6201 5343Early PsychosisRecent onset of symptoms related to mental illness/disorder, no previous historyRefer to Mental Health services.Also consider private practitioner where symptoms have been effectively managed.Discuss referral to GP.Eating Disorders – Anorexia, Bulimia, Eating Disorder NOS, Binge Eating DisorderEating difficulties and self image (Disordered eating, not meeting eating disorder diagnostic criteria) Referral to Mental Health services - Eating Disorders Program for referral information and general assistancePhone: 6205 1519Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. private psychologists who specialise in Eating Disorders - there are a few in ACT)Financial IssuesLifelinePhone: 13 11 14Centrelink – Financial Information Service Phone: 13 10 21??Public Advocate of the ACTPhone: 6207 0707CARE Financial CounsellingPhone: 6257 1788Public TrusteeForensic MattersSee L Legal MattersGGambling issuesLifelinePhone: 13 11 14Centrelink – Financial Information Service Phone: 13 10 21CARE Financial CounsellingPhone: 6257 1788G Line Gambling Hotline Phone: 1800633635Gambling Care Phone: 6247 0655HIImpairment in Functioning – symptoms causing clinically significant distress or impairment in social, occupational, or other important areas of functioning.Refer to Mental Health services for assessment.Intellectual Disability with co morbid mental health issuesRefer to Mental Health services – (Note: These cases should come through Triage and then be referred to MH-IDS within Mental Health services for a joint assessment with the age and regionally appropriate team. If it is deemed necessary to have further treatment and care, then these consumers recovery plans are collaboratively developed between teams for ongoing care.)Mental Health- Intellectual Disability Service (MH-IDS) Phone: 62078210Centacare Disability Services Support Programs Phone: 6163 7600Canberra Men’s Centre MASS programPhone: 6230 6999Disability ACT Phone: 133427 JLLegal Matters and Treatment and Care OrdersForensic Mental Health Report (can only be ordered by ACT Law Courts)Forensic Services Phone: 6205 1551Note: no report is supplied unless a court order is directed to Forensic services.Private practitioner.Determination of Mental Impairment and whether ACAT could consider a Community Treatment Order or Psychiatric Treatment Order (this category only relevant to persons with CURRENT criminal matters) Mental Health services with option to discuss with Forensic Services for expert input.On receiving an Assessment Order from ACAT or the courts, Forensic Services (Phone: 62051551) will complete the relevant report. Assessment Order for Psychiatric Treatment Order (no ongoing criminal proceedings) On receiving an Assessment Order from ACAT medical staff from the relevant Mental Health services community team will complete a report (this includes OPMH and CAMHS) with input from Clinical Manager and MDT.Assessment Order for Community Care Order (no ongoing criminal proceedings) On rare occasions ACAT may request additional information from a Mental Health services community team on whether a CCO is warranted. Usually information is provided to ACAT by family, Care and Protection, Disability ACT, GPs. MMedication non-compliance See N non-compliance Mood Disorders/SymptomsModerate to Acute symptoms of major depressive disorderBipolar disorder – consider severity of symptoms, level of functional impairment, degree of insight, available support, history of illness.Mild disturbance and depressive symptomsRefer to Mental Health servicesRefer to Mental Health servicesRefer to GP in the first instance. Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare).Consider private practitioner.ANU Psychology ClinicPhone: 02 6125 0412University of Canberra Psychology Clinic Phone: 62012883Calvary 2N Anxiety/Depression GroupPhone: 62016020PANDSI (Post and Antenatal Depression Support and Information)Phone: 62326664Headspace Phone: 6201 5343 (for 12 – 25 year olds)Beyond BluePhone: 1300 22 4636NNon-adherance with treatment/medication – individual with a mental illness who has not been adherent with their prescribed treatment/psychotropic medicationRefer to Mental Health services.OOlder persons - Mental health concerns/symptoms in older people over the age of 65 yearsRefer to Older Persons Mental Health for assessment of suitability/appropriateness of Mental Health services involvementPhone : 6205 1957 (Business Hours)Link to DementiaLink to Organic Brain DisordersOrders – Psychiatric Treatment Orders (PTO) and Community Care Orders (CCO)See L Legal Matters and Treatment and Care OrdersOrganic Brain disorder with significant (acute) psychiatric featuresOrganic Brain Disorder but without significant (acute) psychiatric featuresNeurologist. Refer to Mental Health services (note - the problem is most difficult with those suffering from a delirium or dementia resulting from brain injury. This cohort of consumers should be first treated by neurologists; and then psychiatric intervention only after the onset of clearly defined psychiatric symptoms which persist once the acute stage has been dealt with).Where there is a strong acute or ongoing neurological component such as seen in a tumour, HIV or MS Mental Health services could be co-treated along with the relevant neurologist.Consider referral to neuropsychiatry.Alzheimer’s Australia ACT HelplinePhone: 1800 100500National Brain Injury Foundation and Headway ACTPhone: 6282 2880National Brain Injury Foundation and Headway ACTPhone: 6282 2880PPain management Consider private practitioner.Pain Management UnitPhone: 02 6244 3055 (note waiting time is 3 months)Community Health Intake - ACT HealthPhone: 6207 9977GP request.Parenting Pregnancy, Birth and Baby Helpline - ph:1800 88 24 36 (available 24 hours a day, seven days a week)Barnardos parenting outreach - ph: 6241 5466Child Youth and Women's Health - ph: 62079977Parentline - ph: 62873833Queen Elizabeth II Family Centre - ph: 62052333Marymead Child and Family Centre - ph: 61625800Care and Protection Services (ACT)- ph: 1300 556 729 (where the child is in the ACT)Dept of Community Services - ph: 132111(where the child is NSW)Kidsafe (Child & Accident Prevention Foundation) - ph: 62902244Psychiatric Treatment Order (PTO)See L Legal Matters and Treatment and Care OrdersPsychotic illness/symptoms – Acute psychotic symptoms. Problems may include hearing voices, thought disorder, delusional thinking or displaying bizarre behaviourRefer to Mental Health services.Personality disorder - current level of emotional distress is associated with significant decline in functionality, self harming behaviours – may be in crisisRefer to Mental Health services.Centre for Psychotherapy (if meet criteria).Consider private practitioner.Women’s Health ServicePhone: 6205 1078Women’s Information and Referral CentrePhone: 6205 1075Canberra Men’s CentrePhone: 6230 6999Innana South (Women)Phone: 6295 3323 ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare )QRRelationship problems Relationships Australia Canberra and RegionPhone: 6122 7100CatholicCare Counselling ServicesPhone: 6163?7600Consider private practitioner.ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare ).CatholicCare FACES (for family counselling with a person between 10 and 21 yrs).Phone: 6161 6100Richmond Fellowship (12 – 25 yrs)Phone: 6248 6118Risk to SelfSuicidal ideation - with no current stressors or intentSuicidal thoughts/ideation – Acute suicidal thoughts. Active and current intent may express a means and plan Discuss referral to GP.LifelinePhone: 13 11 14ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare).Consider private practitioner.Refer to Mental Health services and consider police or ambulance involvement.Risk to Others/ViolenceHomicidal intention or threat without signs of mental illness.Homicidal intention or threat with signs of mental illness or signs of high agitation (which may be a symptom of mental illness)Perpetrators of violence with evidence of mental illnessPerpetrators of violence with NO evidence of mental illness Refer to AFP.If currently threatening someone call the AFP.Refer to Mental Health services with option of seeking specialist input from Forensic Services.Refer to AFP if immediate threat.Refer to Mental Health services with view of liaising with Forensic Services fro specialist input.Lifeline program for male perpetratorsPhone: 13 11 14Canberra Men’s CentrePhone: 6230 6999Dads In Distress IncPhone: 1300 853 437ANU Psychology ClinicPhone: 02 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare).Refer to AFP if immediate threat.Lifeline program for male perpetratorsPhone: 13 11 14Canberra Mens CentrePhone: 6230 6999Dads In Distress IncPhone: 1300 853 437ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare).SSchizophreniaSee P Psychotic illness/symptomsSelf esteem issues Consider private practitioner.University of Canberra HeadspacePhone: 6201 5343 (for 12 – 25 year olds)ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare )Richmond Fellowship (12-25yrs)Phone: 6248 6118Stress related issues Could we add a reference to functionality etc? Consider private practitioner.University of Canberra HeadspacePhone: 6201 5343 (for 12 – 25 year olds)ANU Psychology ClinicPhone: 6125 0412University of Canberra Psychology ClinicPhone: 6201 2883Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. Belconnen Community Centre).CatholicCare (12 -25 yrs) Phone: 6162 6100Richmond Fellowship (12 – 25 yrs)Phone: 6248 6118TTrauma-related symptoms/PTSD – consider impact on functioning and severity of symptomsCentre for Psychotherapy.Vietnam Veterans Counselling Services.Victims of Crime Services.Consider private practitioner.Canberra Veterans Affairs NetworkPhone: 1300 551 918Centre for Road Trauma SupportPhone: 6291 4994Companion House Assisting Survivors of Torture and TraumaPhone: 6247 7227Department of Defence.Refer to Mental Health services.UVViolenceSee A Assault and R Risk to OthersWXYZScreening Guideline for Older Persons Mental Health Referral CriteriaReferral ResponseAAccommodation Issues (primary presenting problem) – No mental health concernsResidential Aged Care Facilities – see separate listingAbbeyfield House – Ainslie (6257 5307) and Garran (6232 5398)Council of the Ageing (6282 3777)Housing and Community ServicesPhone: 6207 1150Adjustment disorder – with an inability to function at usual level – including situational crises where there is risk to self or othersRefer to Mental Health services – eligible for OPMHSAnger Management issues/problemsIf associated with:Adjustment disorder;Dementia (BPSD);Mental illnessthen eligible for OPMHS.Otherwise, refer to GP.Anxiety Disorder/Symptoms(Consider severity, intensity and duration of symptoms, level of functional impairment, and degree of insight, available support, and history of illness). Symptoms may include panic attacks, constant worry, inability to function properly due to anxiety (unable to leave house, go to work); phobias, physical symptoms (nausea, sweating, racing heart, shaking) unwanted intrusive thoughts and imagesIf impact on functioning is significant – refer to OPMHS.If symptoms are manageable but support/intervention is required:refer to GP.Assault/ViolenceDomestic Violence (victim) – can include different forms of abuse such as physical, sexual, psychological. Sexual assault (current sexual assault crisis or chronic, unresolved sexual assault)If immediate violence refer to policeDomestic Violence Crisis Service Phone: 62800900 (24hours)Domestic Violence Orders and Protection Orders Unit Phone: 6217 4299If associated withDementia;Mental illness;Huntington’s Disease;Chronic organic causeOR if no previous history – eligible for OPMHS.Consider Public Advocate.National Domestic Violence and Sexual Assault Helpline Phone: 1800 200 526Refer matter to police if appropriate.Consider Forensic Medical Unit at ED if appropriate.BBorderline personality/traitsSee P Personality Disorders/traitsBipolar Disorder/traitsSee M Mood DisordersBereavementBereavement is a normal part of life and is not appropriate for Mental Health services unless complicated by the following:Bereavement/Grief [traumatic or non-resolving] –may involve the death of a friend or loved one. Acute impact on level of functioning. Associated with major depression. Suicidal ideation/intent may be present.Bereavement – normal grief reaction, limited impact on daily functioningGPRefer to Mental Health services for assessment if there are traumatic events involved and/or. Unresolved grief reactions.Not eligible for OPMHS - refer back to GP for further information or to hildhood – Mental health concerns/symptoms in young people under the age of 18 yearsChild and Adolescent Mental Health Service (CAMHS):CAMHS South officePhone: 6205 1469CAMHS North officePhone: 6205 1050Court MattersSee L Legal MattersDDementia with Behavioural and Psychological Symptoms of Dementia (BPSD)with no mental health issues Eligible for OPMHS – referral through GPRefer to geriatricianAlzheimer’s Australia, ACT (6255 0722)(Dementia Behaviour Management and Advisory Service (DBMAS) available through Alzheimer’s Australia ACT)Carers ACT (1800 059 059)DepressionSee M Mood DisordersDistress – Acute mental distress displaying agitation, uncontrollable crying not able to be consoled, affecting their level of functionality May be eligible for OPMHS – refer through GPDrug and Alcohol issues Comorbid with mental illness, Drug and Alcohol is the primary presenting problem and no mental health concernsRefer to Mental Health services and AODReferral through GP (medical clearance before D&A Intake)Drug and Alcohol Central IntakePhone: 62079977EEarly psychosis – see P Psychotic Illness/Symptoms)Refer to Mental Health services for a full assessment.Eating Disorders – (Anorexia, Bulimia, Eating Disorder NOS, Binge Eating Disorder)With depressionNo evidence of depression Eligible for OPMHSReferral through GP to exclude organic cause.Financial Issues(without mental health symptoms)Public Advocate of the ACTPhone: 6207 0707Public TrusteeArea Community Services (financial counselling services for eligible HACC clients)CARE Financial CounsellingPhone: 6257 1788 LifelinePhone: 13 11 14Centrelink – Financial Information Service Phone: 13 10 21??Forensic MattersSee L Legal MattersGGambling issues(without Mental Health or dementia symptoms)LifelinePhone: 13 11 14Centrelink – Financial Information Service Phone: 13 10 21CARE Financial CounsellingPhone: 6257 1788G Line Gambling Hotline Phone: 1800633635Gambling Care Phone: 6247 0655HIIntellectual Disability with co morbid mental health issuesRefer to Mental Health services – (Note: These cases should come through Triage and then be referred to MHS-ID within Mental Health services for a joint assessment with the age and regionally appropriate team. If it is deemed necessary to have further treatment and care, then these consumers recovery plans are collaboratively developed between teams for ongoing care.)Mental Health Services for People with an Intellectual Disability Service (MHS-ID)Phone: 62078210Disability ACT Phone: 133427 JLLegal Matters and Treatment and Care OrdersForensic Mental Health Report (can only be ordered by ACT Law Courts)Forensic Mental Health Services Phone: 6205 1551Note: no report is supplied unless a court order is directed to Forensic services.Private practitioner.Determination of Mental Impairment and whether ACAT could consider a Community Treatment Order or Psychiatric Treatment Order (this category only relevant to persons with CURRENT criminal matters) Mental Health services with option to discuss with Forensic Services for expert input.On receiving an Assessment Order from ACAT or the courts, Forensic Services (Phone: 62051551) will complete the relevant report. Assessment Order for Psychiatric Treatment Order (no ongoing criminal proceedings) On receiving an Assessment Order from ACAT medical staff from the relevant Mental Health services community team will complete a report (this includes OPMH and CAMHS) with input from Clinical Manager and MDT.Assessment Order for Community Care Order (no ongoing criminal proceedings) On rare occasions ACAT may request additional information from a Mental Health services community team on whether a CCO is warranted. Usually information is provided to ACAT by family, Care and Protection, Disability ACT, GPs. MMedication non-compliance See N non-compliance Memory problemsSee D dementiaMood Disorders/SymptomsModerate to severe symptoms of depression Mild disturbance and depressive symptomsBipolar Affective Disorder – consider severity of symptoms, level of functional impairment, degree of insight, available support, history of illness.eligible for OPMHS - Refer to GP (May be referred to Better Access to Mental Health Care – Up to 12 Free Sessions)Beyond BluePhone: 1300 22 4636Eligible for OPMHSNNon-compliance with treatment/medication (Older person with a mental illness who has not been compliant with their prescribed treatment/psychotropic medication)Eligible for OPMHS if symptoms warrant.OOrders – Psychiatric Treatment Orders (PTO) and Community Care Orders (CCO)See L Legal Matters and Treatment and Care OrdersOrganic Brain disorder with significant (acute) psychiatric features without significant (acute) psychiatric featuressee ‘P’, Psychotic symptoms below National Brain Injury Foundation and Headway ACTPhone: 6282 2880Neurologist. National Brain Injury Foundation and Headway ACTPhone: 6282 2880PPain management Chronic with depressive symptomsAcute, no depressive symptomsEligible for OPMHSRefer to GPPain Management UnitPhone: 02 6244 3055 (note: requires GP referral)Psychiatric Treatment Order (PTO)See L Legal Matters and Treatment and Care OrdersPsychotic illness/symptoms – Acute psychotic symptoms. May be associated with:Late onset psychosis/schizophrenia;Dementia with psychotic symptoms;Organic brain disorder;Psychotic depression;Huntington’s Disease;Parkinson’s Disease.Eligible for OPMHS.Personality disorder - current level of emotional distress is associated with significant decline in functionality, self harming behaviours – may be in crisiseligible for OPMHSPhysical symptoms/complaintsWith or without psychiatric symptomsInitial screening by GP, and geriatrician if involved. RADAR (Rapid Assessment of the Deteriorating Aged at Risk)6244 2222 QRRelationship problems Note: need to exclude medical and neurological causes.Refer to GP to exclude health causes or cognitive impairment.Better Access to Mental Health Care – Up to 12 Free Sessions available per annum when referred by a G.P. under Medicare Access Program - Bulk Billing available for some service providers (e.g. CatholicCare ). Relationships Australia Canberra and RegionPhone: 6122 7100Respite – residential or in-homeCareers ACT1800 059 059May require ACAT assessment.Risk to SelfSuicidal ideation - with no current stressors or intent OR with active and current intent Requires OPMHS risk assessmentConsider police or ambulance involvement.Risk to Others/ViolenceHomicidal intention or threat without signs of mental illness.Homicidal intention or threat with signs of mental illness or signs of high agitation (which may be a symptom of mental illness)Perpetrators of violence with evidence of mental illnessPerpetrators of violence with NO evidence of mental illness Refer to AFP.If currently threatening someone call the AFPRefer to Mental Health services with option of seeking specialist input from Forensic Services.Eligible for OPMHSRefer to AFP if immediate threat.Refer to Mental Health services with view of liaising with Forensic Services for specialist input.Refer to AFP if immediate threat.SSchizophreniaSee P Psychotic illness/symptomsSelf esteem issues Consider:Recent losses/bereavement;Change of circumstances/adjustment;Cognitive decline;Medical events/conditions.May be eligible for OPMHS.Consider:Referral to community service;ACAT assessment;Residential placementStress related issues Consider:Recent losses/bereavement;Change of circumstances/adjustment;Cognitive decline;Medical events/conditions.May be eligible for OPMHS.Consider:Referral to community service;ACAT assessment;Residential placementTTrauma-related symptoms/PTSD consider impact on functioning and severity of symptomsRequire assessment by OPMHS.UVViolenceSee A Assault and R Risk to OthersWXYZChild & Adolescent Mental Health ServicesReferral CriteriaReferral ResponseAAccommodation Issues OasisOasis gives homeless and disadvantaged young people hope, help and opportunities to access relevant education, training, jobs, counselling, and drug/alcohol programs. Oasis cannot effectively undertake this intensive work until young people are off the street and in a safe, stable environment. On any given night, Oasis helps to accommodate and feed more than 100 homeless young people.Oasis Support Network ACT: PO Box 435 Canberra ACT 2601 Phone: (02) 6248 7191 Fax: (02) 6249 8116 Oasis Youth Residential Service: Phone: (02) 6288 6248 Fax: (02) 6288 0646 Web page: Youth RefugeProvides 24 hour short term crisis accommodation advice & referral for young people 16-19 yearsPhone: 02 6247 0330Lowana Young Women's ServiceProvides crisis, medium and long term accommodation for single young women aged between 13 - 18 years.? Includes case management and referral services.Phone:?02 6231 3297WallabalooaProvides support to young people who are in crisis and offers an accommodation service for young people who are homeless.Phone: 02 6232 2400Marlow CottageA Care and Protection-mandated shelter for young people between 11 and 18 years of age. The program offers short-term and emergency accommodation (for up to four weeks) to young people who are unable to live to home, on respite, or are unable to find alternative accommodation. It is also used for bail clients awaiting sentencing.Phone: 02 6241 5999Fax: (02) 6242 8395Email: danny@.auBCChildhood Child and Adolescent Mental Health Service (CAMHS):CAMHS South officePhone: 6205 1469CAMHS North officePhone: 6205 1050HeadspacePhone: 6201 5343Counselling servicesMen’s LinkMen’s link provides various mentoring and life coaching services to young men and their families.Email: info@.au Phone:?(02) 6239 4699 Address:?2 Light St Griffith ACT 2603 Web page: of Canberra Psychology ClinicThe UC Psychology Clinic is a teaching, research and treatment centre offering professional and confidential clinical psychology services to the ACT and surrounding region. Evidence based treatment is provided individually or within groups.Phone: 6201 2883, Address: level B, Building 12 at the University of Canberra, Belconnen ACT 2601NavigateNavigate is a division of the YWCA offering a free and confidential outreach counselling service for young people aged 12-17 years, and their families. Navigate works towards reconnecting young people, their families and communities with each other.Contact details: Phone: 02 6258 5933 Email: navigate@ywca-.au Web: ACT provides support, information and assistance for young people aged 12 to 25 years who are experiencing emotional or mental health issues and/or a substance use issue.? We aim to provide support as early as possible so you can access headspace ACT even if your problem seems to be really small or really huge.Address: Building 12, Level B, Room 40, University of Canberra, BRUCE ACT 2601Phone: (02) 6201 5343Fax: (02) 6201 5666Email: headspaceact@canberra.edu.auWeb page: : Belconnen Community ServiceSupporting young people aged 12 to 25 years,?through recreational, educational, and health promotional activities, programs and community-based projects. We have a team of qualified and experienced youth workers?who provide information, referral, and advocacy while offering individual support.Phone: 6264 0260Email: uturn@.auWeb page: AustraliaRelationships Australia provides relationship support services to enhance human and family relationships. There are a range of relationship support courses for individuals, couples and families offered by Relationships Australia in the areas of: life skills and well being, relationship skills, parenting, family violence and prevention, separation and gambling help.Phone: 1300 364 277 or 02 6122 7100 (All General and Counselling Enquiries/Appointments)Web page: psychology clinic: Child & Adolescent AnxietyDisorders Treatment ProgramOur aim is to promote the health and well-being of children and adolescents with anxiety disorders, and contribute positively to psychological knowledge and practice through clinical research and treatment programs.Phone: 02 6125 8498Web page: and Alcohol issues Ted Noffs FoundationProvides services for young people and their families who are experiencing drug and alcohol problems and related trauma. The Ted Noffs foundation provides a range of programs for young people that are based on leading research, continually evaluated and government endorsed.Phone: (02) 6123 2400Fax (02) 6123 2424Email: tnfact@.auMail: PO Box 7132, Watson, ACT 2602Web page: .auADFACT: Alcohol and Drug Foundation ACTAims to reduce the impact of substance use in our community through treatment, education, support and research.Address: PO Box 2230, Tuggeranong ACT 2901. Phone 02 6163 0200 Fax 02 6282 7777 Email: adfact@The Connection: Canberra Alliance for Harm Minimization and Advocacy (CAHMA)A peer support service for young Indigenous and non-Indigenous drug users, their families and friends in and around the ACT. Services are tailored to meet the specific needs and issues of the Indigenous community. Peer support, education, information, support in accessing treatment programs, referrals, advocacy and individualised support are provided. Provides co-morbidity and mental health specific information and referrals. Education sessions on mental health related topics are provided in partnership with specialist mental health services.Phone: (02) 6279 1670Email: info@.auAddress: Level 1, Sydney Building, 112 – 116 Alinga Street, Canberra CityWeb page: ServicesCarers ACTCarers ACT are the recognised and expert voice with and for Carers, as well as being the major provider of Carer services and supports in the ACT.Address: 80 Beaurepaire Crescent HOLT ACT 2615 Ph: (02) 6296 9900 Fax: (02) 6296 9999 Web page: is a community based organisation that supports vulnerable and disadvantaged children and families. Marymead aims to strengthen and support families, and increase life chances and choices for children and young people who have experienced the trauma of family violence, child abuse or neglect.Address: 255 Goyder St Narrabundah ACT 2604 PO Box 4260 Kingston ACT 2604 Phone: (02) 6162 5800 Fax: (02) 6295 9944 Email: programs@.au Web page: early intervention Program that aims to reconnect young people aged 12 to 18 who are homeless or at risk of homelessness and their families. The Program has strong linkages with community agencies and offers an outreach model of service delivery. Reconnect aims to keep young people connected with their families, school and community by increasing opportunities, choices and support.Phone:? (02)?6163?7600 web page: Health Centre: Cool Kids and Cool kids (Chilled) Anxiety ProgramThe Cool Kids (Chilled)?Anxiety Program is?a scientifically tested course?that teaches?teens of two age groups 7-13 and 14 -17 years of age and their parents?how to better manage anxiety. It is a group program involving the participation of both?teens and their parents, and focuses on teaching clear and practical skills.Phone: (02) 9850-8711Parent LinkParent Link is designed to increase parents' confidence and skills by supporting and linking them with a network of information, ideas and community services.?phone: 13 34 27 Email: parentlink@.au web page: FellowshipProvides a network of support services for the disadvantaged in our community. Support services include: Facilities and services for young people experiencing social and behavioural challenges and long term unemployment, family counselling to parents, carers and family members along with personal helpers and mentors Programs in Canberra, Queanbeyan and Goulburn.Phone: 6248 6118, Email: enquiries@.au web page: : Adolescent Mediation & Family TherapyFACES is a counselling service for young people (aged between 10-21 years) and their parents or caregivers. The aim of the program is to help improve the communication between parents and their children. The counsellor’s work towards helping families develop skills to resolve these difficulties.?Phone: (02) 6162 6100Web page: gives homeless and disadvantaged young people hope, help and opportunities to access relevant education, training, jobs, counselling, and drug/alcohol programs. Oasis cannot effectively undertake this intensive work until young people are off the street and in a safe, stable environment. On any given night, Oasis helps to accommodate and feed more than 100 homeless young people.Oasis Support Network ACT: PO Box 435 Canberra ACT 2601 Phone: (02) 6248 7191 Fax: (02) 6249 8116 Oasis Youth Residential Service: Phone: (02) 6288 6248 Fax: (02) 6288 0646 Web page: Youth RefugeProvides 24 hour short term crisis accommodation advice & referral for young people 16-19 yearsPhone: 02 6247 0330Lowana Young Women's ServiceProvides crisis, medium and long term accommodation for single young women aged between 13 - 18 years.? Includes case management and referral services.Phone:?02 6231 3297WallabalooaProvides support to young people who are in crisis and offers an accommodation service for young people who are homeless.Phone: 02 6232 2400Marlow CottageA Care and Protection-mandated shelter for young people between 11 and 18 years of age. The program offers short-term and emergency accommodation (for up to four weeks) to young people who are unable to live to home, on respite, or are unable to find alternative accommodation. It is also used for bail clients awaiting sentencing.Phone: 02 6241 5999Fax: (02) 6242 8395Email: danny@.auPQRSSchooling optionsYEP: Youth education programYEP is unique in its approach to addressing the psychosocial needs of young people not accessing mainstream education. It operates out of Youth in the City, a youth centre supported by Anglicare and Youth and Family Services in Canberra. The Youth Education Program has two full time teachers and students are able to study NSW TAFE Year 12 courses online. Students are also able to access youth worker support, community development support and family support to complement their school study.Web page: : 6247 0770GalileeGalilee Incorporated is an ACT charity operating an alternative educational program based on a relational model founded in the value of each young person and his or her need to be respected, loved and humanised by the institution. It differs from many of the other alternatives that are based upon the behaviourist mode of operation. The program is directed towards substitute care clients, most of whom come from very dysfunctional family backgrounds.Phone: (02) 6207 1089Web page: CottageA therapeutic day program for young people who have moderate to severe mental health issues and as a result are experiencing difficulties in mainstream schooling. Referrals through CAMHS.Phone: (02) 6205 1128TUVWXYZ ................
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