We also
have other written information that may be useful to you, your family
and friends.
There's
a booklet written especially for young
people.
Young children also have their
own booklet.
We have lots of pamphlets about mental health and other
services. Just ask at the clinics or talk to your worker if you want
a copy of any of these publications for yourself or another person.
What
is Eastern Health CAMHS?
CAMHS stands
for 'Child and Adolescent Mental Health Service'.
CAMHS offers
mental health care to children, adolescents (up to the age of 18) and
their families or carers. CAMHS is funded by the State Government of
Victoria, and it's a free service.
Eastern
Health is the larger organization we're part of.
People
can use our service if they live in the Central and Outer Eastern regions
of Melbourne, including the Cities of Whitehorse and Maroondah and the
Shire of Yarra Ranges.
Eastern Health
CAMHS is a team of specialists.
The workers
who see young people at our service are often called 'clinicians'. All
of them specialise in child and adolescent mental health, but they can
have different professional backgrounds.
Our group
of clinicians includes psychiatrists, psychologists, social workers,
occupational therapists, psychiatric nurses, paediatricians and speech
therapists. You may be involved with one or more of these specialists,
depending on your child's needs.
Clinicians
work in a confidential manner. That means they generally won't pass
on information given to them by a client without the client's permission.
(There are some special reasons for passing on information, though -
see below).
What
some parents have said about Eastern Health CAMHS:
'I
understand what they're saying
they guide me through the issues
and problems I have with the children
they don't use jargon.
I get support and help for me as well.'
'Very
responsive service
looking after the whole family.'
People
come to Eastern Health CAMHS to get help for their children with the
following sorts of problems:
Behavioural
Problems
- Not
wanting to go to school
- Acting
aggressively
- Trouble
controlling temper
- Fidgeting
and restlessness
Emotional
Problems
- Feelings
sad or depressed a lot of the time
- Feeling
really anxious, nervous or stressed out
- Feeling
angry
- Feeling
isolated or numb
Relationship
Problems
- Shyness
- Bullying
- Family
fights or conflict with parents, brothers or sisters
- Problems
with friends
Developmental
Problems
- Difficulty
paying attention
- Social
and play difficulties
Health
and Wellbeing Problems
- Eating
and sleeping difficulties
- Deliberately
harming yourself
Other
Psychological Problems
- Feeling
or acting suicidal
- Early
psychosis:
- hearing voices or seeing things that no one else thinks are real
(called 'hallucinations')
- having ideas or beliefs that seem out of touch with reality (called
'delusions' - for example being really 'paranoid')
- Having
moods that swing from really high to really low
- Things
you have to do sometimes over and over again or bad things will happen
('obsessions' and 'compulsions')
How
clients move through the service
The people
who come to CAMHS for help are called our 'clients'. While the child
or adolescent is the focus of our service, in many ways all family members
are our clients. And, no matter what the child's age, parents and other
caregivers are always seen as important partners and are given any information
they need in order to care for their child.
- When
you first contact us, an intake worker will are questions to find
out what issues your child and family are facing. The intake worker
needs this information to decide what part of our service can help
you.
- Most
people get referred for an appointment to one of our outpatient clinics
- Wundeela, Chandler or Box Hill.
- The
first visit to the clinic is generally for an assessment. This usually
involves a worker talking to the child and other family members. The
assessment helps us decide what to do next. You and your family can
expect some feedback about the assessment. (See FAQs
for more information about your first appointment).
- Your
worker writes up a report of the assessment, including an agreed plan
of how everyone will work together (called the Individual Service
Plan or ISP).
- Treatment
usually involves regular appointment to talk about issues. Some appointments
involve several family members (and may be called 'family therapy').
Sometimes the child may be seen alone (which may be called 'individual
child psychotherapy'). Treatment may involved family members agreeing
to do certain things between appointments. The worker may also ask
permission to discuss your child's situation with other people who
can help - like the wellbeing coordinator at your school.
- There's
usually a review of the Individual Service Plan after about six months
if your child is still in treatment.
- Discharge
is when everyone agrees that this particular treatment has finished.
The clinician may suggest an ongoing programs for your child. You'll
also get information about how to contact us again if you need to.
- After
discharge, we'll send you a survey asking for your thoughts on Eastern
Health CAMHS. Your feedback helps us learn how to respond better to
young peoples and families needs.
Other
specialist Adolescent Services that back up the Outpatient Clinics include:
The Adolescent
Day Program is a part-time group therapy program for 8 young people.
The Adolescent
Inpatient Unit is a 12 bed hospital ward where young people can
stay if they need more intensive care.
The Mobile
Adolescent Team can visit someone at home or meet up with them in
the community if a young person seems to be at very great risk.
Specialist
services are able to help young people with some specific issues,
such as, anxiety and depression, early psychosis and trauma.
After
Hours Crisis Services are also available.
While you
and your child are using CAMHS, you have the responsibility to:
- Give
CAMHS clinicians enough correct information so that they can best
help you and your child.
- Let
us know if you are going to be late or can't come to your appointment,
or if you no longer need the service.
- Treat
staff and service property with care and with respect.
Frequently
asked questions (FAQs) about Eastern Health CAMHS
The Royal
Children's Hospital Mental Health Service kindly gave permission to
use and adapt some of their answers to FAQs.
How can I prepare
my child before coming to the service?
Your child
will get the most our of appointments if you discuss honestly why you
are coming to the service. You could ask your child if there are things
they might like some help with. You can tell them that they'll be able
to talk to someone about how they're feeling.
What if my child
refuses to come to the first appointment?
How you
respond will depend on a number of things, like your child's age or
understanding. We suggest you call and discuss the situation with your
worker. You could also try suggesting to your child that they come along
'just this once to see what it's like'.
Who should come
to the service with me?
When any
person in the family is upset, it affects other people, so everyone's
view is very important. Sometimes issues affecting your child may also
involve other family members, for example, divorce, separation, death
or illness.
We generally
ask the whole family (everybody who usually lives in the household)
to attend the first appointment. Your worker will talk with you about
who should attend any other appointments.
What will happen
at the first appointment?
It's helpful
to arrive 10 minutes early, as there may be registration forms to complete:
ask the receptionist.
The worker
will then meet with you and other family members - sometimes separately,
sometimes together. This helps us get a better understanding of everyone's
concerns. The results of this assessment process will be discussed with
you. You will then be involved in planning how the service can best
help you and your family.
Feel free
to let your worker know if there are things that you wish to discuss
without your child being present.
What will I need
to bring with me?
It's often
helpful to have reports from school or any professionals you've previously
seen.
It may
also be a good idea to bring snacks and drinks for your children.
What will my role
be in treatment?
We believe
parents can help their children more than anyone else, so your contribution
is very important. Coming to appointments and family interviews will
assist your child considerably. Answering questions about yourself and
other family members also helps the treatment process.
If your
child is seen individually, you may wonder what he or she is saying.
All our clinicians are very aware of both your child's rights regarding
privacy as well as your right to have the information
you need in your role as parent or caregiver. Clinicians will work with
each individual family to encourage the sharing of relevant information
while respecting everyone's needs to feel comfortable about what is
shared.
If you
have concerns or questions about what's happening at any time, please
feel free to ask your worker to explain.
How often will
I need to come?
This can
be decided with your clinician. We try as far as possible to make appointments
that are convenient for you. Because the service operates from 9.00am
to 5.00pm, it may be necessary to take time off work in order to attend.
We can provide you with a certificate of attendance if this will help
in taking time off work.
How long will the
process take?
There's
no fixed time period for working with you. The type of concerns you
have and the length of time these concerns have been a problem may influence
then number of appointments you will need.
Can I have an interpreter?
The service
can provide an interpreter service for many languages. If you think
it would be helpful to have an interpreter during your appointment,
speak to your worker before you come for your first appointment.
What
happens to the information I give you?
When you
attend a Victorian public hospital or clinic such as Eastern Health
CAMHS, workers need to collect information about your child, their condition
and the outcomes of treatment.
You're
not legally required to provide information to mental health workers,
but it does help in the treatment of your child. Accurate information
also helps the government develop better mental health services.
The clinicians
keep a written records of your initial information and details of ongoing
care in a hospital file. This information is also stored on a computerised
database called 'RAPID'.
The information
that's recorded includes details such as the age, condition and diagnosis
of your child and some family details. This information may be used
by health professionals within Eastern Health CAMHS to treat your child.
If your child goes to another mental health service, information about
previous treatments can be obtained by the new workers from the RAPID
database.
You have
the right to know what type of information is recorded about your child's
treatment. However, in order to actually see written records, you have
to fill out forms required by the Freedom of Information legislation.
You can do this at any stage, but it takes time to process your request
and you must pay a fee.
Additional
information on our privacy policy and practice is in Eastern Health's
'Protecting Your Privacy'
pamphlet. If you have concerns about the privacy of your information
you should contact the Director or Program Manager of Eastern Health
CAMHS.
What should I do
in a crisis?
If you
need extra advice or help between appointments, ring the clinic and
ask to speak to the clinician you normally see. Of course, it best to
prevent a crisis, and your clinician can discuss prevention plans with
you.
If you
need to speak with someone after hours, call the Mental Health Triage
Service at the Outer East Area Mental Health Service 9871 3888 or Central
East Area Mental Health Service 9843 5823.
What if I'm not
happy about something regarding the service?
We want
to hear from you if you're unhappy with any aspect of our service. If
you have a complaint, a good place to start is by talking directly with
the worker involved or the team leader of the clinic you're attending.
(Team leaders and their contact numbers are listed
below).
Eastern
Health also has a Complaints Pamphlet
that lists other options for making a complaint.
What if I have
other questions?
Feel free
to keep asking questions until you're satisfied that you understand
what's happening.
It can
be helpful to write things down so that you don't forget then when you
see your worker. Use the space at the end of this booklet to write down
anything you'd like to ask at any of your appointments.