19 April 2022

We’re putting the spotlight on mental health in this new monthly feature. Learn more about SWSPHN commissioned services, projects and events, and find guidance on navigating the mental health system.
This month we’re highlighting You in Mind Wollondilly and Wingecarribee.

 

What services and supports does your service provide?

The You in Mind service provides free psychological support to people with mental health concerns such as anxiety or depression, or have enduring mental health problems. The service is free, confidential and available to anyone in the community aged 12 years or older who identifies with the eligible groups.

Services are provided by a mental health professional, such as a psychologist, at a time, location and venue that suits. The mental health professional will provide evidence-based and person-centred support to improve overall wellbeing. Services provided are matched to individual needs.

If needed, consumers may also be linked in with a peer support worker. The peer support worker is someone who also has a lived experience of mental illness and accessing services. They can help the consumer understand what to expect from accessing supports and walk alongside them on their mental health recovery.

 

What are your service location/s and service hours?

In Wollondilly and Wingecarribee, You in Mind is delivered by Community Links Wellbeing, providing localised supports to these rural communities. The hours of operation are 8am to 7pm.

 

What is the eligibility criteria to access your service and are there any targeted supports to specific population groups?

You in Mind is available to people from the following population groups:

  1. Living with stress, anxiety or depression and from one, or more of the following populations:   
  • Culturally and linguistically diverse or from a refugee background 
  • Aboriginal or Torres Strait Islander 
  • Living in the rural areas of Wollondilly and Wingecarribee, with barriers to gaining support through Better Access (Medicare) services 
  • Residents of Claymore, Airds and the 2168 postcode  
  • LGBTIQA+ 
  • Older People 
  • Financially Disadvantaged 
  • Perinatal Depression 

Or 

  1. Experiencing a severe and enduring mental illness 

 

Does your service provide support to people who don’t speak English as a first language?

While Community Links Wellbeing does not have its own interpreter service team members can assist people to connect with an interpreter provided by a relevant service.

 

How can people be referred?

Referrals can be made through the SWSPHN Mental Health Referral Form, or via Community Links Wellbeing on 02 4683 277602 0455 104 104 or mhintake@communitylinks.org.au. A GP Mental Health Treatment Plan is required after the first three hours of service.

 

Please provide a local case study/example of a client journey when accessing your services, including:

Sam, 28 years of age who had recently given birth to her first child referred herself by calling the Community Links intake number following an increase in her anxiety following the birth, manifesting in racing thoughts, sleep disturbances and relationship issues. The intake team member asked some questions over the phone completing the ‘non-GP/provisional’ referral form and she was allocated a clinician in the same week. Her allocated clinician offered a home visit or clinic-based appointment and at a time that suited her. Sessions commenced weekly and after her first three sessions the clinician assisted with a GP visit to obtain a mental health treatment plan to access free subsequent sessions. Sam received evidence-based strategies such as cognitive behavioural interventions but also received holistic support including access to free groups including trauma informed yoga, mindfulness meditation and a circle of security parenting support group, and provided information on child developmental needs and expectations while also being offered financial and practical support such as groceries, if needed. Sam’s partner was included in her sessions and attended the parenting group and after 12 sessions Sam reported via outcome measures a marked decrease in anxiety, improved parenting skills and reported feeling an enhanced sense of connection due to her participation in the free groups. Her partner reported improved family relationships while both were reassured this service is based locally and offers a wide range of supports, even though they were not in need of all they were pleased to simply know it exists and is readily accessible. The clinician maintained expected communication with Sam’s GP who also monitored Sam’s progress and was available if her presentation deteriorated.

 

A day in the life of …. Julie Young, Registered Psychologist

What’s your day-to-day role?

Depending on the weather, the average day starts very early with a walk into town; my two-year-old easily bribed with the promise of a ‘babycino’ and the puppy easily bribed with the promise of ‘all those smells’. I like to put into practice the behaviours I encourage in my clients and the benefits of early exercise on mental health and the maintenance of a positive mindset is well documented.

After the early morning school rush, I arrive to my workspace for the day and catch up on urgent messages, calls or emails before meeting with my first client. The positive in the pandemic is that it has allowed much flexibility in service delivery and so this could be face-to-face, over Zoom, over the phone or even home visits to those particularly struggling to attend in office. It has also allowed more clients to access services otherwise not available to them. I have spent many a session providing support to those sitting in their car on their lunch break, or from their homes stuck in isolation.

After my morning clients, sometimes I’m lucky enough to catch a colleague and have a chat over lunch or a cup of tea, helping to debrief, decompress and stay connected through our busy days.

The afternoons differ greatly in the day-to-day; it often consists of a combination of seeing younger clients after school, doing home visits, treatment planning for the following day, liaising with other healthcare professionals, catching up on calls and administration duties, or planning our upcoming bushwalking group with peer support person Chris.

Every hour of client work is different, some more challenging than others but always interesting. I enjoy working with modalities such as CBT, CPT, some ACT and always from a trauma informed place.  I aim to expand my knowledge of assessment and intervention constantly and practice new approaches as often as I can.

The evening shift is often the most challenging part of my day with a very tired little one still learning to regulate her big emotions and a very active eight-year-old navigating his own life challenges; wanting to share with us every part of his day at school.

 

What do you find most challenging about your role?

The most challenging part of my role is navigating the sheer number of referrals that come through the door and how variable each case is in terms of types of presentation and intensity.

While this certainly provides much opportunity for learning and growing in my practice, it’s not without its challenges; balancing the commitment to ongoing learning and treatment planning with managing client’s current needs. The pandemic has seen a huge increase in demand for services across the board, but I feel privileged to be able to contribute to the well-being of the community during this time, albeit if in a very small way.

 

What do you find most rewarding?

The most rewarding part of the role is seeing the client outcomes. To have those dedicated to change see real progress and healing in their lives is the very thing that makes this role worthwhile. When clients are that dedicated and consistent in attendance that they prioritise their sessions, it’s very motivating to work hard for them. We’re told that we should never work harder for someone than they are willing to work for themselves. This can feel restrictive at times, but I remind myself that sometimes the first part of therapy is helping individuals to value themselves enough to put in that work. Seeing outcomes for those individuals is all the more rewarding.

 

What do you enjoy doing outside of your job?

Outside of my job I like to focus on spending time with my partner and kids, my extended family and friends and investing greatly in those relationships. We like bushwalking and riding bikes. I also like to spend time doing DIY project/renovations at home that inspire my more creative side and get me outside using my hands. Recently I have come to find a love for gardening which is a pretty progressive change for me considering I’d have difficulty keeping a cactus alive. I have enjoyed the grounding and mindfulness benefits that comes with this and endeavour to continue this as part of my own self-care. I also love to read fiction novels. A past-time lost during my study days. If I’m lucky, I get to dive into a book at night and read about three pages before the day catches up with me.

14 April 2022

SWSPHN surveyed stakeholders and community in January to gain insight into the impact COVID-19 has had on the mental health of residents in South Western Sydney.

The survey found:

The top three mental health concerns impacted by COVID-19 were:

  • Increased feelings of loneliness/isolation
  • Increased anxiety and/or psychological distress
  • Increased prevalence of stress and burnout

The top three most vulnerable population groups in South Western Sydney due to the impact of COVID-19 were:

  • Health professionals and front-line workers
  • Young people (12 to 25) and older adults (25 years and over)
  • Financially disadvantaged/unemployed

In response, SWSPHN is offering Mental Health Recovery Grants of between $10,000 and $100,000.

What activities will be funded?

Initiatives delivered under this grant will increase activities within the region promoting good mental health and wellbeing, supporting recovery and promoting resilience. Activities should aim to reduce stigma and promote help seeking, focusing on engaging vulnerable population groups disproportionately impacted by pandemic and disaster.

Who can apply?

Individual community members, community groups, community managed organisations, non-government and government funded organisations and private entities can apply. SWSPHN will only accept one submission per grant applicant. Applications must be supported by evidence of need relating to the impact of the pandemic and/or other disaster on mental health and wellbeing within the region.

How to apply

Step 1: Review Mental Health Recovery Grants – guidelines

Step 2: Complete the Mental Health Recovery Grants – application form

Step 3: Email the completed application form to communitygrants@swsphn.com.au by 5pm, Wednesday, 4 May 2022.

Late applications will not be accepted.

13 April 2022

The Liverpool Grow Group has returned to face-to-face meetings at Liverpool Library after going online throughout the COVID-19 pandemic lockdowns.

Grow is a mental health organisation with more than six decades of success helping people regain and maintain mental health and wellbeing.

Small groups meet weekly to support members with issues such as depression, anxiety or loneliness. Meetings are run by peers – people with personal experience of improving their mental health.

Local Grow member, Michelle says, “Grow has changed my life. I’ve gone from feeling frustrated and exhausted trying to cope, to having weekly dedicated time and a lovely group of peers who help me manage my mental health, solve problems and feel supported”.

Everyone is welcome regardless of life experience, no diagnosis or referral is required and there is no cost to attend. Meetings involve a series of group discussions, interactions and readings which follow a structure and timetable to ensure everyone has an opportunity to participate.

Grow’s Liverpool group meets every Tuesday from 2pm to 4pm. Meetings are online and face-to-face gatherings at Liverpool Library, 170 George Street, Liverpool.

Contact Kylie on 1800 558 268 for more information.

An optional online introduction is also available

  • Grow will celebrate its 65 years of operation at a free online event at 5pm on Tuesday, 26 April. Register for the event
07 April 2022

SWSPHN surveyed stakeholders and community in January to gain insight into the impact COVID-19 has had on the mental health of residents in South Western Sydney.

The survey found:

The top three mental health concerns impacted by COVID-19 were:

  • Increased feelings of loneliness/isolation
  • Increased anxiety and/or psychological distress
  • Increased prevalence of stress and burnout

The top three most vulnerable population groups in South Western Sydney due to the impact of COVID-19 were:

  • Health professionals and front-line workers
  • Young people (12 to 25) and older adults (25 years and over)
  • Financially disadvantaged/unemployed

In response, SWSPHN is offering Mental Health Recovery Grants of between $10,000 and $100,000.

 

What activities will be funded?

Initiatives delivered under this grant will increase activities within the region promoting good mental health and wellbeing, supporting recovery and promoting resilience. Activities should aim to reduce stigma and promote help seeking, focusing on engaging vulnerable population groups disproportionately impacted by pandemic and disaster.

 

Who can apply?

Individual community members, community groups, community managed organisations, non-government and government funded organisations and private entities can apply. SWSPHN will only accept one submission per grant applicant. Applications must be supported by evidence of need relating to the impact of the pandemic and/or other disaster on mental health and wellbeing within the region.

 

How to apply

To apply:

Step 1: Review Mental Health Recovery Grants – Guidelines

Step 2: Complete the Application Form

Step 3: Email the completed application form to communitygrants@swsphn.com.au by 5pm, Wednesday, 4 May 2022.

Late applications will not be accepted.

28 February 2022

Stronger Seeds Taller Trees logo final_210705

It can be difficult to know when a child’s behaviour is a typical developmental stage or whether further intervention is needed. Families need support if their child’s behaviour is impacting on family functioning, the child’s engagement in daily tasks and learning environments, or if there are safety concerns.

 

Examples of challenging behaviour:

  • Defiance/ refusing age appropriate requests
  • Overly fussy
  • Hurting self/ others
  • Excessively angry when refused their wishes
  • Ongoing tantrums

Some behaviours of concern may be due to an undiagnosed developmental delay (for example, social, emotional, communication), disability or trauma.

 

Where to refer?

  • Psychologist or family therapist
  • Parent Child Interaction Therapist (PCIT)
  • Parenting education program such as Circle of Security or Tuning in to Kids

 

Resources

Where to refer 

PCIT website 

EACH referral

Resourcing Parents website 

Parent handout

28 February 2022

We’re putting the spotlight on mental health in this new monthly feature. Learn more about SWSPHN commissioned services, projects and events, and find guidance on navigating the mental health system.

This month we spoke to Dokotela about the SWSPHN-funded Consultant Psychiatry Service. 

Spotlight2 jpeg

 

What services and supports does your service provide?

The Consultant Psychiatry Service commissioned by South Western Sydney PHN provides brief intervention and care planning by a psychiatrist for people with severe and persistent mental illness who face barriers accessing a psychiatrist.

There are two equally important objectives of the service:

  • Provide psychiatry services for those with severe and persistent mental illness who live, study or work within South Western Sydney.
  • Support and advice to GPs to build capacity in managing the long-term mental healthcare of these consumers.

 

What are your service location/s and service hours?

9am to 5pm, Monday to Friday

The service offers flexible delivery including:

  • Face-to-face at select general practices in Bankstown, Fairfield, Liverpool and Campbelltown. A list of face-to-face general practices can be found here.
  • Telehealth through secure Zoom video conferencing available to any general practice in South Western Sydney or the telehealth hubs in East Hills and Tahmoor.

 

What is the eligibility criteria to access your service and are there any targeted supports to specific population groups?

Services are available to people aged 12 years and over with a severe and persistent mental illness who need support from a psychiatrist but are unable to access a psychiatrist due to barriers. In addition, the service is available to GPs requiring support in the treatment and management of this cohort.

This service is not designed for Court Reports, NDIS or Disability Support Pension Assessments, RTA Forms or Workers Compensation. Additionally, this service is not for the assessment or treatment of neurodevelopmental or behavioural disorders as a primary reason for referral – such as ADD/ADHD or Autism Spectrum Disorders.

 

Does your service provide support to people who don’t speak English as a first language?

Yes

 

If so, what supports are available?

Dokotela utilises the TIS interpreting service. Our preferred method of the interpreting service is face-to-face but in some circumstances the interpreter service is also available via telehealth.

 

How can people be referred?

Referrals can be made by GPs only. GPs can refer by completing the SWSPHN Mental Health Referral Form and faxing it to 4623 1796 or  via the Online Referral Form.

The following information is required, and if not submitted the referral may not be accepted:

  • Current medication summary and response to past medications
  • Patient medical history
  • Patient psychiatric history including past admission discharge summaries or not there has been no admissions
  • Correspondence from previous psychiatrists, or note there has been no previous psychiatric assessment

 

Please provide a case study/example of a client journey when accessing your services, including:

  • Why they were referred
  • How they were supported
  • Who else was engaged and how (eg GP, family etc)?
  • What was the outcome

 

Background

This young man was referred by his GP for ongoing psychotic symptoms despite being on antipsychotic medications. He was reportedly discharged to the care of the GP following two inpatient admissions to a mental health facility at the local teaching hospital.

This young man aged 18 lives with his mother, older brother and younger sister. He is currently single and working in a warehouse in casual employment. He presented for consultation with his mother, who was active in the consultation and assessment process.

 

Provisional diagnosis and risk assessment

FEP – First Episode Psychosis with a prodrome from high school, with ongoing symptoms despite being on antipsychotic medication for the past six months. No suspected non-adherence, no illicit substance use over the past six months.

Genetic loading of Schizophrenia – paternal aunty

 

Management plan

Treatment

Increase Aripiprazole to 15mg mane

Continue the Quetiapine for the time being

 

Investigations

Requested the following investigations be carried out by the GP.

FBC, EUC, LFT’s, TFT’s including Thyroid antibodies, ECG, Vitamin B12 and D, iron studies.

Urine drug screen

 

Outcome

A detailed assessment/ report was sent to the Early Psychosis Intervention Program (EPIP) psychiatrist after a discussion with the patient and his mother. The patient was discussed with the EPIP psychiatrist at Liverpool Hospital and was accepted into the program. This is a specialised team-based program which provides support to young persons with First Episode Psychosis.

 

A Day in the life of Dr Samira Bhuiyan

Dr Samira Bhuiyan - Dokotela

Psychiatrist Specialist with the Consultant Psychiatry Service

 

Day-to-day role

My day for PHN starts bright and early, usually at the location by 7.30am to get some coffee (give me a few months and I’ll have tried all of the cafes in Western Sydney!). I’m in the clinic by 8am to get set up and review patient files before my first appointment starts. My first patient usually comes in around 9am and they keep coming until 5pm. It’s a pretty busy day until 7pm, especially as I try to get all of the patient notes and reports done before the day ends.

 

What do you find most challenging about your role?

At the moment the most challenging thing is trying to manage patient expectations while ensuring a good rapport and implementation of a workable management plan. Some patients have waited years or even decades to see a psychiatrist and many have a belief the appointment will ‘fix’ all of their problems. 

 

What you find most rewarding about your role?

Patients are generally grateful to have someone listen to their issues and explain options to them in a collaborative way. It is always nice to see people working to get better. I truly enjoy being able to see the difference good mental health treatment makes on their lives.

 

What do you enjoy doing outside of your job?

Currently my life is chock full of baby-related events like swimming lessons, grandparent visits and playdates, so there’s little time for much else. In the time I do get for personal activities, I enjoy being able to catch up with friends, being crafty (origami and crochet are my favourites) and going to the movies with my family. 

25 February 2022

Lifeline Macarthur and Western Sydney have a number of suicide prevention programs available to people needing support.

These include:

  • Aftercare program – offers phone-based crisis support for those over 18 who have survived a suicide attempt or are at heightened risk of suicide. Contact Anne Rogers on 4645 7212 or rogersa@lifelinemacarthur.org.au.
  • Eclipse Support Group – support group for survivors of a suicide attempt or those who are at heightened risk of suicide. The group is an eight-week closed group running face-to-face or online and provides psychoeducation around suicidal thoughts and safety planning, triggers, and resilience. For referrals and intake contact Jenny Holmes on 4645 7216 or holmesj@lifelinemacarthur.org.au.
  • Suicide Bereavement Support Groups – an eight-week closed group or monthly open group, which gives those who have lost a loved one to suicide the opportunity to share thoughts and feelings around their loved one’s suicide. Topics discussed include guilt, shame and the ‘why’ questions that can arise. Groups are delivered face-to-face or online. Contact Jenny Holmes on 4645 7216 or holmesj@lifelinemacarthur.org.au.

For more information on these programs, visit www.Lifelinemacarthur.org.au.

28 January 2022

You in Mind

 

Erin – Female

I have been extremely impressed with the service I received from PHN South Western Sydney, from the moment I was put in touch with a clinician, and throughout the process thereafter. In the past, I have been hesitant to seek professional advice for personal concerns, however a major change in my life made me realise I require the help of health professional.

The clinician I was referred to, Martin (Community Links), was fantastic from the first consultation. He showed empathy, understanding, and left me leaving my first appointment feeling extremely empowered. 

A feeling that was vital for me moving forward with the next challenges I was to face in my situation. Throughout our consultations he was able to put so many of my existing feelings and concerns into words and helped me to understand my strengths, values and understand my situation on a different level.

He did all of this with an extremely ‘down to earth’ approach. Like chatting to a friend! Looking back on the extremely difficult time I was going through, I honestly believe I couldn’t have gotten through it near as well, without the support and guidance of Martin. I highly recommend the services of Martin and the team at PHN South Western Sydney and strongly hope others find the experience as nurturing and helpful as I did.

28 January 2022

You in Mind – Provisional Referral

 

Fred – Male – Age 55

 

Fred is a 55-year-old married man with three adult sons who all live independently, two who live interstate. Fred’s wife was diagnosed with a degenerative physical illness ten years ago which has confined her to a wheelchair. She needs in home support as Fred works and is also managing his own chronic physical illness. Fred’s parents were German migrants post WW2. He grew up in the Wollondilly/Wingecarribee region and left school to learn the trade of building. He has no family history or previous experience of mental health issues, however reports deteriorating mood and increasing feelings of hopelessness over the last few years. To date, he has not spoken of his parent’s experiences during the war. His children are all managing well and have no evidence of ill health.

Fred was referred to the You in Mind service through the local Community Mental Health team (a nominated referring agency of You in Mind) who sought Fred’s consent to share his contact details and passed them onto the You in Mind service provider – Community Links.

A You in Mind mental health professional contacted Fred to meet for the first of three sessions without having to obtain a Mental Health Treatment Plan. Fred chose to meet at a convenient time and location in a local park, and he explained how he came to seek support via the Community Mental Health team.

Over the course of two sessions, Fred decided to continue to attend therapy with the You in Mind Clinician and made an appointment with his GP to have a Mental Health Treatment Plan developed. The You in Mind clinician also spoke with Fred’s GP in preparation of the appointment and offered follow up support to walk through the referral process if needed.

Fred continues to see the You in Mind clinician fortnightly for office based therapy, he has noticed an improvement in his mood and reduction in symptoms.