QTMHC update and linkages with primary care

1. QTMHC update and linkages with primary care Rita Prasad-Ildes Manager Queensland Transcultural Mental Health Centre Ph 31678333 or 1800 188 189 (outside Bne) QTMHC@health.qld.gov.au rita_prasad-ildes@health.qld.gov.au http://www.health.qld.gov.au/pahospital/qtmhc/default.asp

2. Qld Transcultural Mental Health Centre • A state wide specialist service within Queensland Health • Operational from the PAH, Div of MH • Close links with the MHB, Corporate Office re strategic policy • Integrated with the Queensland Health Strategic Plan for Multicultural Health 2007-2012

3. QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

4. STIGMA & LACK OF AWARENESS QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

5. STIGMA & ACCESS & LACK OF AWARENESS DIVERSE BELIEFS QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

6. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

7. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

8. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

9. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD Education & Training CALD C&C Participation Statewide Coord of MMHCs Info & resource clearinghouse QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

10. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD Education & Training CALD C&C Participation Statewide Coord of MMHCs Info & resource clearinghouse District Mental Health Services & MMHCs QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

11. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD Education & Training CALD C&C Participation Statewide Coord of MMHCs Info & resource clearinghouse District Mental Health Services & MMHCs Multicultural communities, other health services & NGOs QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

12. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD Education & Training CALD C&C Participation Statewide Coord of MMHCs Info & resource clearinghouse District Mental Health Services & MMHCs Multicultural communities , other health services & NGOs Strategic Policy: MHB, Multicultural Health & Cross Govt QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

13. STIGMA & ACCESS & CULTURAL COMPETENCY & LACK OF AWARENESS DIVERSE BELIEFS RESPONSIVE MHS STIGMA REDN & PP CLINICAL & CULTURAL CONSULTATION ATAPS/DEPRESSION & CD Education & Training CALD C&C Participation Statewide Coord of MMHCs Info & resource clearinghouse District Mental Health Services & MMHCs Multicultural communities , other health services & NGOs Strategic Policy: MHB, Multicultural Health & Cross Govt QTMHC: Across the lifespan, spectrum of disorders & MH spectrum from PPEi –Treatment-Con’t Care

14. Transcultural Clinical Consultation Service (TCCS) • A specialist consultation service ensuring culturally appropriate mental health services to CALD consumers through advice and information, triage & assessment, review of care plans, psycho-education and short term interventions

15. Staffing & clinical governance • 1 FT Clinical Services Coordinator • 4 FT Clinical Specialists • 1 PT Consultant Psychiatrist • 150 sessional Bilingual Mental Health Consultants

16. Levels of services provided • L1: Advice and information on cultural issues (case discussion via clinical specialists) • L2: Assessment and review focussing on cultural issues (via BMHC, cultural assessments, cultural consultation) • L3: Shared care and short term intervention (via BMHC, reinforce treatment plan, psycho-education) • L4: Triage and Assessment of referrals by non MHS and facilitate access

17. 150 sessional bilingual mental health consultants (over 80 languages) Allied Health Psych Registrars Consultant Psychiatrists Cultural Consultants short term clinical interventions (assessment, diagnosis, treatment, psycho-education, management strategies, s/care) Socio-cultural assessments, cultural consultation Bilingual Mental Health Consultants: who are they and what do they do?

18. It is appropriate to contact TCCS for… • For someone with a mental health concern (assessment, education) • For a family member/carer of someone with a mental illness (psycho-education) • For a service provider to discuss a case (consultation, case-discussion) • Seeking multicultural support and resources (extensive data base of community supports, multilingual info, library)

19. The referral process • Intake: Triage and risk assessment: sometimes a person will be referred directly to an acute care team and TCCS will come in later. • 31678333/1800 188 189 or tccs@health.qld.gov.au • Referral, registration and consent (info in 17 languages) • Co-assessments

20. Multicultural Depression and chronic diseases self management program • 8 week group program (health promoters & bilingual allied health) • Languages: Vietnamese, Spanish, Arabic, Samoan, Mandarin, Cantonese, Hindi, Sudanese (Arabic) • Can join program as any stage • Currently exploring some 1to1 work prior to group

21. How to access the program • Anyone can refer incl. GP or self • Prior to joining we undertake a comprehensive assessment – some have resulted in referrals elsewhere • Upon completion GP will receive letter that patient has completed the group program

22. QTMHC as an ATAPS contractor • TCCS will deliver the service via a bilingual allied worker • TCCS will deliver the service via a allied health worker with cross cultural expertise and interpreter

23. Eligibility Criteria • ICD 10 Diagnoses that are eligible to be seen by Transcultural Mental Health are: • Generalised Anxiety Disorders • Adjustment Disorders • Post Traumatic Stress Disorders • Depressive Disorders • Bereavement Disorders

24. Eligible interventions • Psycho education • Cognitive Behavioural Therapy • Relaxation Strategies • Skills Training • Problem-Solving Skills Training • Anger Management • Social Skills • Interpersonal therapy (eg. Role transitions, social isolation)

25. Information and resources • Multilingual resources • Library/cultural info • Website • resources development: eg Glossary for interpreters, Needs Assessment tool, GP shared care handbook

26. QTMHC Contact details: 519 Kessels rd MacGregor PO Box 6623 Upper Mt Gravatt Q 4122 Ph 3167 8333 Fax 3167 8322 Toll free 1800 188 189 QTMHC@health.qld.gov.au www.health.qld.gov.au/pahospital/mentalhealth /qtmhc