Welcome to the Bentley Adolescent Unit

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Welcome to the Bentley Adolescent Unit
Welcome to the Bentley Adolescent Unit
The Bentley Adolescent Unit (BAU) is a 12-        The Unit is part of the Child and Adolescent
bed specialist mental health inpatient unit for   Mental Health Service, or CAMHS, which
young people between the ages of 13 and 18.       provides mental health services for infants,
                                                  children and young people. CAMHS is part of
It provides assessment, treatment and             the Child and Adolescent Health Service
community care planning for young people          which delivers broader healthcare programs.
experiencing complex and severe mental
health problems. This includes psychosis,         Young people will be admitted to the BAU for
depression, severe anxiety, post-traumatic        the shortest time possible. Discharge takes
stress, risk of self-harm or suicide and          place at the most appropriate earliest
emerging personality disorder.                    opportunity, ensuring young people are cared
                                                  for in the least restrictive ways.

           This booklet has been developed to give parents and carers information about
          the Bentley Adolescent Unit. Please ask a staff member at any time if you have
                              questions or need further information.

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Welcome to the Bentley Adolescent Unit
About us

The Unit                                          The team
The Bentley Adolescent Unit is a recently         A team of staff, with a wide range of
refurbished welcoming environment which is        qualifications and skills, work with each
spacious and bright.                              young person while assessment is taking
                                                  place.
It consists of an open plan day area, garden
areas, separate meeting and group rooms.          The team includes staff members with
The Unit also has a separate Mental Health        training in psychiatry, nursing, psychology,
Intensive Care Area (the MHICA) where             occupational health and youth work. Peer
inpatients with high needs are assessed.          support workers also work at the Unit – these
                                                  are adults with a lived experience of mental
                                                  illness who can instil hope in young people
                                                  that recovery is possible.

The care
We work with each young person to provide
individual recovery based care. This means
that services are focussed on the whole
family, with the child at the centre, and are
provided to meet the individual needs of a
family. Young people admitted to the Unit will
receive assessments which help to identify a
plan for the future. A care management plan
will be developed in partnership between the
staff team, the young person and parents or
carers to plan for treatment. You, other family
members and your child are involved in all
aspects of assessment, treatment and
discharge planning.

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Welcome to the Bentley Adolescent Unit
What to expect
While your child is being assessed at the         Assessment
Unit, he or she will meet with a range of         Family members are encouraged to visit the
professionals that make up the staff team.        Unit and spend time with their child during
Some professionals will be involved in            their admission. It is important that family
assessing your child’s risk and planning for      members attend appointments as requested
future care and others will be more involved      by the team. Periods of planned home leave
in your child’s day to day care during their      will be incorporated into your child’s
admission.                                        assessment and treatment. You will be
                                                  provided with feedback from the team in
                                                  relation to the assessment of your child and
                                                  will be involved in planning for future
                                                  treatment.

                                                  Discharge planning
                                                  Planning for discharge is a continuous
                                                  process that begins upon admission to the
                                                  Unit and involves you, your child, community
                                                  agencies and CAMHS. There is more
                                                  information about what happens at discharge
                                                  on page 6 of this booklet.

Admission
When you arrive at the Unit, you and your
child will meet with the BAU staff team who
will explain the purpose of the admission.
There are a number of forms that are
required to be completed at this stage.
You will be shown around the Unit with your
child and will have the opportunity to ask the
team any questions.

Consent to treatment
Most young people who are admitted to the
Unit are willing to be admitted and are called
                                                  Property
‘voluntary patients’. A small number of young     There is a limited amount of space at the
people who have a mental illness display          Unit. Your child will need to bring clothing,
particular behaviours that require treatment      nightwear and toiletry items. Your child may
which cannot be provided by less restrictive      also bring items that may make time at the
services. These young people, who may be          Unit more comfortable, for example
putting their own or others safety at risk, are   photographs or books. All current
admitted under the Mental Health Act (1996).      medications and inhalers should also be
This means that they are ‘involuntary             brought and given to staff at arrival.
patients’ and that they can’t leave until their
treating team assesses this thoroughly. You       Items that are not allowed on the Unit are
can find more information about involuntary       valuables, mobile phones and electronic
patients within the Office of the Chief           devices capable of taking photos or
Psychiatrist’s leaflet provided to you.           accessing

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Welcome to the Bentley Adolescent Unit
the internet, cigarettes, lighters, alcohol or
drugs, mirrors, aerosols and flammable
cosmetics.

Items provided for your child include towels
and linen, meals, use of telephone and
medications.

Confidentiality
All information about your child is confidential.
However, it is important to understand that in
order to effectively assess, treat and plan the
future care for your child, it is beneficial if you
agree to the Unit releasing, exchanging and
receiving information concerning the general,
social and mental health of your child. This
may include your child’s school and GP, your
Community CAMHS clinic and any other
agencies you are involved with.

If we believe your child is at serious harm
from others, we are then obliged to inform the
Department of Child Protection and Family
Support. If we believe your child is at risk of
harming, or has harmed others, we are
obliged to inform the police.

Behaviour
The safety of all young people and all staff
members is paramount within CAMHS.
Therefore all services have a zero tolerance
policy regarding aggression and violence
towards staff and other young people. We
reserve the right to charge young people for
assault and/or damage to property if the
treating team believe this is appropriate.

The REAL team
The REAL team is the ‘Recovery
Engagement for Active Lives’ (REAL) activity
program in the Unit. The program provides
group activities for young people including
art, exercise, psycho-education, drug and
alcohol education and communication skills.

The REAL team also holds weekly
community meetings, providing an
opportunity for young people to voice their
opinions about the Unit and their care and to
provide suggestions on how things can be
improved.

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Welcome to the Bentley Adolescent Unit
CAMHS position on seclusion and restraint
“Physical restraint or involuntary seclusion of
a patient shall not be employed except in         We have:
accordance with the officially approved
procedures of the mental health facility and         -   implemented a clinical education and
only when it is the only means available to              training strategy which includes
prevent immediate or imminent harm to the                Therapeutic Crisis Intervention,
patient or others.” (United Nations, 2006)               Trauma Informed Care and Recovery
                                                         Orientated Care.
Seclusion and restraint are safety                   -   established an accountability of
interventions - they will only ever be used to           restraint and seclusion practices
prevent young people from harming                        through formal and consistent
themselves or others. They will never be                 evaluation.
used as a substitute for less restrictive            -   integrated consumer experiences of
treatment efforts, for punishment, or for the            seclusion and restraint into clinical
convenience of staff.                                    education and policy development.

Seclusion and restraint are interventions that
occur as a last resort. Staff will always
attempt to de-escalate a situation in less        Absconding from care
restrictive ways before restraining or            In the instance that your child leaves the Unit
secluding a young person.                         without permission, you will be notified by the
                                                  ward coordinator at the earliest opportunity.
When seclusion or restraint does occur it will    Due to all young people at the Unit being
last for the shortest time possible and the       under the age of 18, any young person who
incident will be reviewed with the young          absconds will be considered at risk of harm
person afterwards with the purpose of             and police will be notified. The Acute
understanding why the incident occurred and       Response Team and Mental Health
developing alternatives to the crisis occurring   Emergency Response Line (MHERL) will also
in the future.                                    be notified. Upon returning to the Unit, a
                                                  young person’s physical and mental state will
Staff are trained in Therapeutic Crisis           be assessed and you will be notified.
Intervention. This teaches staff to de-escalate
a situation before seclusion or restraint is
necessary or, failing de-escalation, to seclude
or restrain with safety and dignity.
Seclusion and restraint data is recorded and
measured against national benchmarks and
all incidents are reviewed to ensure we are
continuously attempting to reduce the
occasions of seclusion and restraint.

The Child and Adolescent Mental Health
Service is working towards eliminating
seclusion and restraint.

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Welcome to the Bentley Adolescent Unit
Discharge planning
Because we want your child to have the
shortest stay as possible that is appropriate
for them, we begin talking about discharge
right from the start.

Planning for discharge is a continuous
process that begins upon admission to the
BAU. Discharge planning takes into
consideration the purpose of the admission,
reconnecting and referring to community and
social supports and realistic goal setting.

You and your child are involved in all aspects
of discharge planning along with a team of
staff members from CAMHS and other
agencies. Discharge occurs when a thorough
assessment has taken place and an
appropriate community management plan
has been developed for your child. You will
be given as much notice as possible prior to
the discharge date.

                                                 Discharge and documents
                                                 Once decisions about the continuing care for
                                                 your child have been made, these will be
                                                 documented and a summary will be provided
                                                 and explained to you. A staff member will
                                                 ensure you understand the discharge
                                                 summary, which provides emergency contact
                                                 details and transfers care to the appropriate
                                                 community service.

                                                 Copies will also be provided to your
                                                 community CAMHS team and placed in your
                                                 child’s medical records.

                                                 If thought useful, your child will complete a
                                                 Keeping Safe Plan with the team, and you will
                                                 be provided with a copy to take home with
                                                 you.

                                                 Discharge from Bentley Adolescent Unit
                                                 occurs at 10am on the day of discharge.

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Welcome to the Bentley Adolescent Unit
Consumer and carer                              CAMHS Carers Advisory Group
feedback                                        The Carers Advisory Group is a group of
                                                parents and carers of children and young
                                                people who have used a variety of CAMHS
CAMHS tries to consult with young people        services, either in the community or inpatient
and their parents or carers about any           settings. It has been established to provide
decisions that are made at the Unit. We do      feedback and advice on a number of matters
this in a number of ways.                       including policy, procedure, service
                                                improvement and publications. Another aim
                                                of the group is to look at ways in which
                                                CAMHS can obtain feedback from parents
                                                and carers who don’t usually or aren’t in a
                                                position to participate. If you would like to find
                                                out more information about this group, please
                                                email
                                                CAMHS.Participation@health.wa.gov.au

                                                Inpatient advisory groups
                                                Two inpatient advisory groups have been
                                                established for families who have previously
Community meetings                              been admitted to either the BAU or Ward 4H
Community meetings are held each week at        (at PMH).
the BAU and are an opportunity for young
people to talk about any issues, hopes or       The groups – the Inpatient Young Persons
wishes they have for their care at the Unit.    Advisory Group and the Inpatient Carers
Meeting summaries and details of what has       Advisory Group – were established to provide
happened in response to feedback are            advice and feedback on inpatient services.
available on the CAMHS website                  Members will be asked for their views on
www.cahs.health.wa.gov.au/general/CAM           safety and quality, publications, policy and
HS/wedid.htm                                    processes.

                                                Members will also provide advice to the Perth
Experience of Service                           Children’s Hospital team managing the
Questionnaire                                   transition of the BAU and Ward 4H to the new
The Experience of Service Questionnaire         hospital.
(ESQ) asks questions about how you feel
about the service you have received. It is      To find out more information about the groups
voluntary and anonymous and answers are         or to request an expression of interest form,
used to improve our services. To find out how   please contact
ESQ feedback has improved services visit        CAMHS.Participation@health.wa.gov.au
www.cahs.health.wa.gov.au/general/CAM
HS/wedid.htm

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Welcome to the Bentley Adolescent Unit
Making a complaint
To raise issues you can:                         Advocacy
• discuss any concerns with the staff involved   An advocate can help you with the complaint
• ask to speak to a more senior staff member     process by:
• ask to speak to an advocate.                   • representing you at the health service
                                                 • providing you with information
                                                 • helping you find out about your rights and
Customer Liaison Service                         responsibilities
The Customer Liaison Service (CLS)
                                                 • liaising and negotiating with staff on your
welcomes your complaints, compliments and
                                                 behalf where appropriate.
suggestions. CLS is here to help and listen.
                                                 Contact: Customer Liaison Service
All complaints are treated seriously and
                                                 Telephone: 9340 8315 Fax: 9340 7966
confidentially and are investigated by the
                                                 pmhcls@health.wa.gov.au
heads of the service. Complaints are an
important way to help CAMHS to identify
opportunities for improvement.                   Other contacts
                                                 If the service has been unable to help in
Any complaint documentation is filed             resolving your concerns, there are other
separately from the patient’s record and will    agencies that can offer support.
not impact negatively on any future care or
treatment your child may receive. The            Health and Disability Services Complaints
Customer Liaison Service aims to respond to      Office 6551 7600 Free call: 1800 813 853
complaints within 30 working days.               Health Consumers’ Council WA 9221 3422
                                                 Free call: 1800 620 780
                                                 Office of the Chief Psychiatrist 9222 4462
Phone 9340 7198
                                                 Council of Official Visitors 9226 3266 or
Calls
                                                 Freecall 1800 999 057
Fax     9340 7636                                Carers WA 1300 227 377
Email   pmhcls@health.wa.gov.au                  Making a complaint will not impact negatively
Mail    CAHS Customer Liaison Service            on any future service, care or treatment you
        GPO Box D184                             may receive.
        Perth WA 6840
In     Customer Liaison Office
Person Level 4
       Princess Margaret Hospital

        This provides the opportunity to
        speak to a liaison officer directly
        and fill out a complaint form.

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Welcome to the Bentley Adolescent Unit
Support for parents and carers
      Commonwealth Respite and Carelink Centre is a single point of contact for information
      on services relating to family/carer support. They can provide assistance with information
      about a range of topics and are located across Western Australia 1800 052 222.
      Kids Helpline               1800 551 800
      Family Helpline             1800 643 000
      Lifeline                    13 11 14
      The CAMHS website lists a broad selection of organisations that provide support and
      assistance to parents and carers. Please visit
      www.cahs.health.wa.gov.au/general/CAMHS/support-other-organisations.htm

        Emergency Support

        Call 000 in an emergency if you feel someone is at risk of harm

        OR

        for mental health emergency assessment, support and referral contact

        Perth
        Acute Response Team 1800 048 636
        Mental Health Emergency Response Line (MHERL)
        Metro callers 1300 555 788   Peel 1800 676 822

        Rural and remote areas
        RuralLink operates 4.30pm – 8:30am Monday to Friday and 24 hours
        Saturday, Sunday and public holidays. During business hours you will be
        connected to your local community mental health clinic. 1800 552 002

Contact
Bentley Adolescent Unit
Mills Street
Bentley WA 6102
Reception Office: 9934 6389

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Welcome to the Bentley Adolescent Unit
Visiting hours
We encourage you to visit your child during their time at the Unit. Visiting times for family members
are:
     Monday to Friday 3.00pm – 5.00pm
     and 6.00pm – 8.30pm
     Weekends: Flexible

You are welcome to arrange with a staff member if you would like to visit outside of these hours.

Map
The BAU is situated within the Bentley Health Service site, just off Albany Highway in Bentley,
south of the Perth city area.

     BAU is N block

Transport
There are a number of transportation options available including public transport and street
parking.

Public transport
The site is serviced by a number of bus routes that stop in nearby. For a full list of public transport
options visit www.transperth.wa.gov.au

Car parking
Some street parking is available around the site and limited visitor parking is shown on the map
above.

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Translation services
If English is not your family’s first language, we can provide a translation service for this booklet
and for meetings with the BAU team. Please ask a staff member for more information.

Your Treating Team
Consultant Psychiatrist_____________________________________________________

Clinical Nurse Manager____________________________________________________

Clinical Nurse Supervisor__________________________________________________

Psychologist____________________________________________________________

Occupational Therapist____________________________________________________

         This is a draft document – we would like to know whether this information has
          been useful and whether there is anything we can do to make it better. We
            are seeking feedback on content and design. Please fill in the attached
                     feedback form and return to a staff member or email to
                             CAMHS.Participation@health.wa.gov.au
                                     by 21 November 2014.

Thank you to the young people from CAMHS services who provided their artwork for this booklet.

                                                                                                      This information can be made
Produced by: CAMHS © CAHS 889 October 2014                                                            available in alternative formats
Child and Adolescent Mental Health Service                                                            on request for a person with a
70 Hay Street, Subiaco WA 6008
                                                                                                                 disability.
Telephone:(08) 6389 5800
Disclaimer: The advice and information contained herein is provided in good faith as a public service. However the accuracy of any statements
made is not guaranteed and it is the responsibility of readers to make their own enquiries as to the accuracy, currency and appropriateness of any
information or advice provided. Liability for any act or omission occurring in reliance on this document or for any loss, damage or injury occurring as
a consequence of such act or omission is expressly disclaimed. Copyright to this material is vested in the State of Western Australia unless
otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of
the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western
Australia.

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