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Mental Health Drug & Alcohol
31 July 2018
www.nslhd.health.nsw.gov.au
Facebook: www.facebook.com/NSLHD.MHDA
News
Celebrating NAIDOC week —page 3
Hornsby person centered care initiatives—page 4
New librarian—page 7
Director’s report
- Andrea Taylor
Page 1 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
The quality, variety and general
fabulousness of art produced by
consumers never ceases to amaze and
delight me. Anyone who has stepped into
the MHDA Directorate in the Cameron
Building will attest to the vast and engaging art collection
we have acquired over the years.
All of the art has been created by consumers. Much of it
has been purchased from the InsideOut Gallery at
Macquarie Hospital, with a few pieces from other
exhibitions of mental health consumers in other galleries,
and a few pieces on loan.
I was delighted to show one of the local artists, Fred
Petrovic, his painting in its new home. His piece hangs on
the wall of the West Wing Meeting Room, and contrasts
beautifully with the adjacent orange feature wall and
warm timber meeting table. It’s only recently been hung
and there have been many positive comments about it
already.
I’ve recently started building an expert team to respond to
the 19 recommendations from the independent review of
seclusion, restraint and observation of consumers with a
mental illness in NSW Health facilities, working closely
with Virginia Armour (NSLHD Clinical Governance), Libby
Waugh (Clinical Redesign Project Officer, MHDA) and
Wendy Wu (Consumer Peer Worker, MHDA).
At this stage we have reviewed the recommendations and
plan, and are in the process of establishing a committee to
oversee the project.
More information about the review, including the
recommendations report, is available at:
www.health.nsw.gov.au/patients/mentalhealth/Pages/
default.aspx
Finally, I encourage you to complete our quick, five-minute
survey regarding our community engagement approaches.
Our goal is to engage with consumers, carers and the
community in an accessible, consistent and meaningful
way, because we believe that effective and genuine
community, consumer and carer engagement results in
improved quality and safety of care and services, supports
effective partnerships, awareness and collaboration.
Feedback from staff, consumers, carers, and staff in
partner organisations about our community engagement
approach is important to us. It will be used to improve the
community engagement options and approaches.
You can access the survey here:
www.surveymonkey.com/r/MHDAengage
Spread the good news
Share your news, achievements and events with your colleagues, or let us know what you’d like to hear more about in the newsletter.
Contact Kate Jeffrey at Kate.Jeffrey@health.nsw.gov.au or on
88775340 to submit your story.
Publication is at the discretion of the editor. Items may be edited for
length, style and quality.
Above: Fred Petrovich and his painting in West Wing Meeting Room.
Page 2 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
Attachment-based family therapy (ABFT)
NSLHD Child & Youth Mental Health Service (CYMHS) were
delighted to bring people together from across NSW for a
one day workshop with Dr Suzanne Levy, Director of the
Attachment-based family therapy (ABFT) training program,
Drexel University Philadelphia and one of the three co-
developers of the model.
Approximately 140 mental health professionals from
NSLHD CYMHS, other CYMHS teams from as far afield as
the Riverina, school counsellors and private providers
attended the workshop.
ABFT is an empirically supported treatment specifically
designed to assist young people affected by depression
and suicidal behaviour.
Dr Levy presented an overview of the model and the
treatment tasks that provide a map for delivering this
interpersonally focused psychotherapy effectively.
Her lively presentation included video demonstrations of
each of the core ABFT treatment tasks.
Thirty NSLHD CYMHS clinicians (pictured below) attended
an additional two days of intensive skills-based training to
explore the model in greater depth and engaged in
substantial role play practice. Of this group, 26 have gone
on to join cross-team small supervision groups to assist in
applying the training to their clinical work with young
people and families.
The training has been very well received. The following
are a few comments from participants:
“I just wanted to acknowledge and endorse how very
helpful the ABFT three day training and ongoing
supervision has been for my learning and clinical practice.
I cannot recommend it enough!”
“Incredibly insightful and informative.”
“It was perfectly applicable to the work I do. The approach
truly meets the needs of our client population; a therapy
that is really helpful for children, young people and
parents.“
By Diana Simes
Bring your dog to work day
On June 22 the Hornsby Hospital mental health
team celebrated ‘bring your dog to work day’ -
an international event designed to raise
awareness of the positive impact pets can have
on employee productivity and wellbeing.
The Hornsby team enjoyed the company of Jay
Jay and Milo for the day. The pups brought
laughter and happiness to consumers and staff.
By Mel Perry
Page 3| NSLHD Mental Health Drug & Alcohol News | 31 July 2018
NAIDOC celebrations NAIDOC celebrations are always a big deal in NSLHD, and
2018 was no different.
There was the official raising of the Aboriginal and Torres
Strait Islander flags at Royal North Shore Hospital and
incredible musical and dance performances at both Royal
North Shore Hospital and Macquarie Hospital.
This year marked the launch of the NSLHD Aboriginal
Health Hall of Fame, in acknowledgement of this year’s
theme: ‘Because of her, we can’. Four influential local
women who have made a difference in Aboriginal Health
were recognised, including Allison White, MHDA
Community Partnerships Coordinator (pictured right with
Christina Anu and Deb Willcox (NSLHD CE).
The Macquarie Hospital crowd were treated to moving
performances from Kyle Freeman, proud Wiradji man, on
the yiddaki and clapsticks, the An Taran Dance Troupe
from the Torres Strait and performances by our multi-
talented
Aboriginal
Health team.
Page 4 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
Person Centred Care Feature The adult inpatient mental health services at Hornsby
Hospital have been involved in a number of best practice
initiatives within the remit of Safe Wards, Productive
Wards, Essentials of Care and practice development.
These initiatives aim to deliver care to Hornsby
consumers, which provides a person centred approach
whilst assuring protective time with their nurses,
establishing better resources for consumers and reducing
conflict.
Adult Mental Health Inpatient Unit (AMHU)
The AMHU has a number of Essentials of Care and practice
development projects underway, including the continued
use of a Virtual Patient File designed to support new staff
in the admission, key coordination and discharge
processes. A flow chart has also been developed
addressing the process of supporting consumers who
request and repeal for discharge in accordance with the
Mental Health Act.
Consumer and visitor welcome packs have been
developed to ensure both consumers and carers feel
welcome and informed in the unit. Carers are also
encouraged to participate in a Carer Support Group that
runs regularly on the unit.
AMHU also runs a Music and Memory Program and is
looking at integrating Sensory Modulation on the unit.
If that isn’t enough, AMHU has been running Productive
Wards (pictured right) for the last couple of years to
ensure consumers receive quality one on one time with
their nurse on each shift.
Mental Health Intensive Care Unit (MHICU)
The MHICU has an established Safe Wards program which
is now fully integrated into their practice. To further
reduce the incidence of seclusion MHICU have two
projects running. The first is ‘assertive de-escalation’
which minimises time spent in seclusion; the second,
registered with the Clinical Excellence Commission, aims
to minimise the incidence of seclusion by clinicians
spending time in the seclusion room with the consumer,
enabling time for medication to work in a safe and
supportive environment.
Additional projects include the implementation of the
sensory room (pictured below, top), a YouTube group with
an emphasis on music and the purchase of a tablet to run
mindfulness apps. In addition, MHICU is a year into the
Productive Wards program.
Psychiatric Emergency Care Centre (PECC)
Hornsby’s PECC held a planning day last month. Within
the day there was a Core Values workshop and Essentials
of Care team building session. Dr Jina Jose discussed the
effect of intoxication on consumers awaiting mental
health admission and Sam Mbereko, Clinical Nurse
Consultant, gave a talk on his trauma informed care
project.
By Jo Gunter
Hornsby Adult Mental HealthHornsby Adult Mental HealthHornsby Adult Mental Health
Page 5 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
The Hornsby Mental Health executive team have
embarked on an initiative to walk a day in shoes of the
staff.
Leading the way, Service Director Leanne Frizzel did a
Friday late shift in the Mental Health Intensive Care Unit
(MHICU).
Leanne enjoyed working along staff and consumers. She
shared her observations about the experience at the
executive planning day.
The MHICU is an intensive clinical area and Leanne
reported how impressed she was at how staff were fully
engaged in consumer’s needs; they were consistently
attentive, which assisting in managing and preventing
clinical issues.
Food quality and activity options were noted as the crucial
issues for consumers. Consumers of MHICU reported the
best things about the unit were the kind hearted, friendly,
helpful, caring, understanding and funny staff. They liked
the holistic approach to recovery, as well as the music and
memory program in place. The new artwork in the unit
and sensory room were also highlighted.
Walk a day in my shoes at Hornsby
Afternoon Tea with Andrea Afternoon Tea with Andrea has been happening across the
service each year for several years now. It’s an
opportunity for people connected with MHDA to get
together and talk face to face.
The events include a free afternoon tea, many different
service representatives from Health and the non-
government / community managed sector attend and
share brochures and service information, as well as carers
and consumers.
Dates have been set for three of our four annual events,
with the Northern Beaches event still in the planning
stage.
Hornsby: 31 July, 2.30pm to 4pm at Magpies Waitara.
Macquarie Hospital: Tuesday 21 August, 2.30pm to 4pm
at Northern Sydney Education Centre (NSEC) on campus.
North Shore Ryde: Tuesday 23 October, 3pm to 4.30pm in
the Guringai Room at RNS Community Health Centre.
For more information, or to
RSVP (essential), please contact
Kate Jeffrey at
kate.jeffrey@health.nsw.gov.au
The signs are changing! With the release of the 10 year
State wide Service Plan in 2017 came a new name:
OPMHS.
The somewhat unwieldy SMHSOP (often pronounced as
‘shmop’) has become the sleek OPMHS, which stands for
Older People’s Mental Health Services.
The name change is slowly but surely infiltrating the
service, in email signatures and on buildings and
fixtures.
The service plan itself guides the further development
of mental health services for older people across NSW,
expanding services in the community and particularly
for people in residential aged care facilities.
The team at the NSW Health OPMHS Strategic Unit are
currently working on a plan to assist NSLHD to implement
the State wide Service Plan.
For further information about this please contact Andrew
Clement, OPMHS Program Manager on 9887 5933.
What’s an OPMHS? By Emma Underwood
By Mel Perry
Page 6 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
Quality assist for Junior Medical Officers The quality teams from the general hospital and mental
health service at Hornsby have joined forces to engage
Junior Medical Officers (JMOs) in quality improvement
actvities.
The JMOs participate in a series of six workshops, and
through the process engage in implementing a quality
improvement project.
Projects underway include -
Decrease ordering of post-surgical blood tests by 30%
in 4 months
Valproate medicines education and review
Reduce unplanned readmissions for patients admitted
medically
Improving fluid management in the elderly and
confused improving the number of patients on the
septic pathway
The program, now in its third year, is optional for JMOs to
attend, and includes six after-hours workshops a
year. The program teaches a number quality
improvement concepts and tools, including driver
diagrams; tools for improvement, measurement
and variation; team dynamics; and the importance
of project sponsorship.
Cain Byrnes, Melanie Perry & Jane Edwards (self-
confessed quality tragics) act as quality improvement
advisers to the projects.
The program itself is evaluated each year, with findings
indicating positive improvement in JMO knowledge. The
best quality feedback for the program is that some JMOs
choose to do the program again when they have another
project idea—clearly they find it useful!
The final results from the projects will be presented in
December.
Mel Perry (Quality Risk Manager, Hornsby Mental Health)
said: “It has been wonderful to see the program grow and
develop over the three years. Junior medical staff have a
fresh view and perspective on the organisation we work
in. I love watching them grow from the intern year to
senior RMOs and see their continued passion for quality
improvement. The program gives them a quality
improvement structure to improve any issue they may find
through their career.”
Above: the current JMO team are all smiles after workshop four
My Health Record Every individual known to Medicare or the Department of
Veterans' Affairs will automatically get a My Health Record
unless they decide not to have one.
The opt-out period runs from now until 15 October 2018.
Currently, more than 5.8 million Australians have a My
Health Record. The HealtheNet Clinical Portal allows
clinicians to view information in a consumers My Health
Record and also share documents from NSW Health, which
then gives all health care providers, both inside and
outside the public health system, access to information
that may assist with diagnosis and treatment.
Consumer information packs are also being distributed.
For more information on My Health Record please go to
www.myhealthrecord.gov.au or contact the dedicated
Helpline via 1800 723 471.
The expansion of My Health Record provides NSW Health
with a great opportunity to support a digital health
infrastructure that will produce enormous benefits for
health consumers into the future.
By Mel Perry
Above (L-R): Michele O’Brien, Mental Health Librarian; Goldie the Library Guard Dog.
Page 7 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
Family connections and borderline personality disorder
Mental Health Family Workers, Penny Feillafe and Liz
Peters, ran a Family Connections Course earlier this year.
Family Connections is a 12 week education, skills and
support group for people supporting someone who
experiences emotional dysregulation or Borderline
Personality Disorder.
Twelve family members participated each week to talk
about their experiences, provide each other with support
and learn and practice new skills, such as how to validate,
practicing acceptance and using problem management
skills. There was always time for everyone to talk and
plenty of food and drinks to share thanks to the well
organised snacks roster.
“The people in the group were fantastic, we shared and
learned from each other” reported one participant.
Many participants reported “knowing we are not alone” as
a key positive outcome from the group.
They were grateful for the opportunity to learn some
strategies to de-escalate stressful situations and most
importantly for families and carers to look after
themselves, something we called ‘putting yourself back on
your to-do list’!
Thanks to everyone who joined the group and made it
such a warm and accepting time to meet. The Family and
Carer Mental Health Program team plan to run another
group later in the year. If you would like to know when
the next group will run in Northern Sydney Local Health
District please contact Penny Feillafe, Senior Family
Worker at Penny.feillafe@health.nsw.gov.au
For more information about Borderline Personality
Disorder and the Family Connections Program see:
www.bpdaustralia.com
Quality information on Borderline Personality Disorder is
also available at: https://www.projectairstrategy.org/
index.html
Michele O’Brien, our new librarian, has now been with us
for two months and the library is open for business once
again.
Michele comes to us from the Research & Policy
Information Centre at the Brotherhood of St Laurence
in Melbourne.
She has a keen interest in mental health issues and
over 25 years’ experience managing Library and
Information Services in Australia and London.
Michele can help staff with research enquiries,
literature searches, book orders and article
downloads. Staff can call, email or complete the
request form on the NSLHD Libraries page on the
intranet.
The Mental Health Library is based on campus at
Macquarie Hospital in Building 30 (just behind Tarban
Unit) and Michele would love you to drop by and see her.
The library is a lovely space and includes plenty of printed
reference material (books and journals), four networked
computers, printing facilities, a couch and a kitchen.
Library hours are 8am to 4pm Monday to Friday.
Introducing Michele, Mental Health Librarian
By Penny Feilafe
Page 8 | NSLHD Mental Health Drug & Alcohol News | 31 July 2018
Let’s talk about wounds... and cupcakes Wound awareness may not at first seem like a high
priority in a mental health setting, however wounds are a
risk for anyone with reduced mobility, spending lots of
time in the same position and also with age and some
medication side effects that can make the skin weak.
Staff from Lavender House (pictured right), the older
people’s inpatient unit at Macquarie Hospital, recently
enjoyed a wound and pressure injury in-service facilitated
by Emma Underwood, Clinical Nurse Consultation from
the Older People’s Mental Health Service.
Consumer and carer education
related to wounds was discussed in response to this years
theme: “Let’s Talk About Wounds”.
Risk factors for chronic wounds and pressure injuries and
how these impact on mental health consumers were also
discussed.
The practical education came with cupcakes iced to
represent various stages of pressure injury (pictured
below), which the staff had to classify, and then got to eat
(eww but yum, and no doubt memorable!).
Wound Facts
Every day nearly half a million
Australians suffer from a
chronic wound, costing close
to $3 billion annually.
People with chronic wounds
are predisposed to mental
health concerns such as
depression, anxiety, social
isolation, changes to body
image and decreased quality
of life. Stage I Stage II Stage III Stage IV Unstageable Suspected deep tissue
Social Workers: leaders ~ advocates ~ champions
Over 50 social workers attended the MHDA Social Work
Professional Development Day 2018 which was held on 5
July at Macquarie Hospital.
Andrea Taylor, Director MHDA and social worker,
welcomed Catherine Lourey, Commissioner, Mental
Health Commission of NSW, who spoke about the
Commissions role and initiatives. Ashleigh Mills, senior
advisor, systems monitoring and review of Mental Health
Commission of NSW shared her experience as a social
worker moving from face-to-face practice to mental health
policy roles. Other speakers included: Lynne Harrold,
National Vice President of Australian Association of Social
Workers and former social worker at Ryde Mental Health
Service; Janice Plain, MHDA Allied Health Manager; and
Julia Capper, Director Allied Health, NSLHD. Amanda Kelly
with lived experience spoke about creative active
pathways to mental health wellbeing and understanding.
By Raymond Selvaraj
By Emma Underwood
Compliments
Northern Beaches Mental Health Services: to Adam and
Greg, Peer Workers, from the manager of the Assertive
Outreach Team, thanking them for their professional and
compassionate involvement in supporting a consumer and
made a positive difference on the clinical outcome.
Mental Health Drug & Alcohol: to David for his
exceptional Excel skills in assisting to analyse YES data for
a project.
To Jenny (HASI Plus Clinician) and Emily (Community
Service Worker, Mission Australia) received thanks from
the mother of a HASI Plus consumer recently, who said
that it was clear in the NDIS planning meeting that they
were both well prepared and had the consumers best
interest at heart. She noted their professionalism and the
great teamwork between Jenny, Emily, the consumer and
the carer, noting that each of them had the same first
three goals. She said: “Please don’t ever minimise the
importance of the work that you do. The effort that you
put in to make a positive difference for clients’ who are
very disadvantaged is impressive. The positive impact goes
way beyond the clients’ care and wellbeing. It has a
positive effect on families, friends and ultimately the wider
community as well. With very much gratitude and thanks.”
North Shore Ryde Mental Health Services: from a carer to
Elizabeth and the RNS AOT, who worked closely with the
consumer and carer to adjust medication and treatment
and support the consumer to go travelling: “Many thanks
for contributing to his recovery and being this helpful and
efficient in his care and I truly appreciate your caring
attitude and excellent work.”
To the nurses in the Psychiatric Emergency Care Centre
(PECC RNS) from a consumer for the quality care.
To the nursing staff for being friendly and helpful in the
general acute inpatient unit at RNS from a consumer.
North Shore Drug & Alcohol Team: online feedback
complimenting the lovely lady who answered the phone.
We are conducting a short, five minute survey and would appreciate your input.
We are aiming to improve our community engagement approaches. What do you
think about this newsletter? The Facebook page? Consumer representation on
committees? Afternoon Tea with Andrea? We’d love to hear from you.
Take the survey now: www.surveymonkey.com/r/MHDAengage
Thank you, headspace team!
While the headspace services at
Brookvale and Chatswood will
continue to provide the
excellent service they always
have for local young people,
NSLHD is no longer the lead
agency running the programs.
We enjoyed celebrating the
amazing service we built
(pictured left) and look forward
to continuing the partnership
with New Horizons, who will
take on the lead role.
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