Welcome to the Bentley Adolescent Unit
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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.
1
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.
2
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
3
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. 4
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.
5
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.
6
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
7
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.
8
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
9
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.
10Translation 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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