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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.

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qtmhc update and linkages with primary care
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

qld transcultural mental health centre
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
slide3

QTMHC: Across the lifespan, spectrum of disorders &

MH spectrum from PPEi –Treatment-Con’t Care

slide4

STIGMA &

LACK OF AWARENESS

QTMHC: Across the lifespan, spectrum of disorders &

MH spectrum from PPEi –Treatment-Con’t Care

slide5

STIGMA & ACCESS &

LACK OF AWARENESS DIVERSE BELIEFS

QTMHC: Across the lifespan, spectrum of disorders &

MH spectrum from PPEi –Treatment-Con’t Care

slide6

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

slide7

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

slide8

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

slide9

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

slide10

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

slide11

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

slide12

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

slide13

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

transcultural clinical consultation service tccs
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
staffing clinical governance
Staffing & clinical governance
  • 1 FT Clinical Services Coordinator
  • 4 FT Clinical Specialists
  • 1 PT Consultant Psychiatrist
  • 150 sessional Bilingual Mental Health Consultants
levels of services provided
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
bilingual mental health consultants who are they and what do they do
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?
it is appropriate to contact tccs for
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)
the referral process
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
multicultural depression and chronic diseases self management program
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
how to access the program
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
qtmhc as an ataps contractor
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
eligibility criteria
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
eligible interventions
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)
information and resources
Information and resources
  • Multilingual resources
  • Library/cultural info
  • Website
  • resources development: eg Glossary for interpreters, Needs Assessment tool, GP shared care handbook
qtmhc
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