Youth mental health service
Orygen Youth Health - Clinical Program (OYH-CP) - www.oyh.org.au
Orygen Youth Health's world-leading clinical program delivers high-quality evidence-based treatment for young people 15–24 years old and their families who are living with mental disorders in the western and north western areas of Melbourne.
Our innovative program is comprised of three parts: Acute Services, Continuing Care, and Psychosocial Recovery. Each part works as a multidisciplinary team that is made up of psychiatrists and mental health clinicians who are nurses, occupational therapists, clinical psychologists or social workers. These professionals work together to deliver individually-tailored services such as mental health assessment and care, crisis management, psychotherapy, medication, family support, inpatient care, groupwork, and vocational and educational assistance.
Visit the Orygen Youth Health website for a complete guide to our programs.
OYH-CP Acute Services
Acute Services offer psychiatric triage, crisis support and inpatient care for young people and their families that is available 24 hours a day, seven days a week. All of these services can be accessed by calling 1800 888 320.
YAT: Youth Access Team
Our Youth Access Team (YAT) is staffed for seven days a week between the hours of 8:30am and 10:00pm. Calls outside of these times are managed by the Centralised Triage Service of North Western Mental Health, of which Orygen Youth Health is a part.
YAT Triage Services
Triage is the first contact point for people wishing to refer a young person to the Clinical Program. Anyone is welcome to make a referral, including the young person themselves. Triage staff will discuss the young person’s difficulties with the referrer, the young person if possible, and other relevant people or professionals. The aim of these conversations is to obtain a comprehensive overview of the young person's mental state and risk. Once obtained, Triage will coordinate a response that may involve urgent crisis support over the phone or in the young person's preferred location or a referral to another more appropriate service.
Please note that there is a high demand for our clinical program and we are unable to offer a service to all young people referred. Referrers will be informed of the decision and follow-up plan.
YAT Acute Services Team
If an immediate crisis response is required, the young person will be managed by our Acute Services Team. Our Acute Service Team is staffed by mental health clinicians and psychiatrists who are skilled in managing mental health crises. They can offer phone support, face-to-face support and outreach within our catchment are and a mental health assessment to determine whether the young person should be treated at Orygen Youth Health or elsewhere.
OYH Inpatient Unit
Most young people receiving services at OYH-CP can be successfully treated while they continue to live at home. Sometimes this is not possible and it is very helpful to spend a short time in hospital to make sure the young person is safe and to provide intensive treatment to reduce their level of distress
OYH Clinical Program utilises two Inpatient Units: Banksia Unit, which is situated in the new Royal Children’s Hospital in Parkville, and the OYH Inpatient Unit (IPU) located in Footscray on the Western Hospital site. The decision determining which unit a young person will be admitted to depends upon their age, illness and bed availability.
Hospital care focuses on getting people better and home as soon as possible, and encourages young people and families to be involved in this process. The OYH IPU has facilities to make young people feel as comfortable as possible. For example, there is table tennis, board games, sports equipment, TV and books as well as a Group Program which includes various activities to engage young people. All meals are provided, and special diets are catered for.
Prior to leaving hospital there is a discharge meeting to discuss any issues about the young person’s ongoing treatment, follow-up and recovery. This meeting involves the young person, carers, the treating team and any other relevant workers.
The unit is located in 35 Mavis St, Footscray, on the Western Hospital site.
Telephone 03 8345 7550 or 03 9345 7551.
Continuing Care Teams
OYH Continuing Care is organised around four streams of care each with their own specialised, evidence-based treatment programs and research agenda. Entry into each of these programs is based upon expert clinical assessment, taking into account the severity and complexity of the young person's problems, as well as the safety of the young person and the community. Since OYH CP is a public, government-funded service, we must give priority to those young people with the greatest clinical needs. Services are provided to the young person and their family for up to two years.
If the Acute Services consider that a young person is likely to require continuing care, they will be booked in for a Continuing Care Team assessment. This involves a comprehensive face-to-face mental health assessment with a mental health clinician, which aims to confirm that OYH Clinical Program is the appropriate service for the young person and to match the young person with the most appropriate stream of care. If OYH Clinical Program is not the most appropriate service, the young person will be referred to another agency or private practitioner.
Continuing care is delivered across a range of modalities. Most treatment comprises ‘outpatient care’, which involves young people attending appointments at the Parkville Campus. A smaller number of young people receive ‘intensive outreach’, which usually involves treatment in the community. These young people usually have difficulty engaging with mental health services, who have more complex needs requiring intensive support and/or who are considered to be high risk.
The four programs of care are:
- EPPIC (Early Psychosis Prevention and Intervention Centre)
EPPIC provides treatment and care for young people with psychotic disorders. These disorders can cause acute distress and confusion in a young person, as well as for their family and friends, and professionals. EPPIC aims to facilitate the early identification and treatment of psychosis and therefore reduce the disruption to the young person’s functioning and psychosocial development. Without specialised services like EPPIC, there can be a long delay before a young person manages to access appropriate treatment and during this time problems can intensify. These delays can be very damaging to a young person experiencing a psychotic illness because their maturation is often put on hold, their social and family relationships are strained or severed and their vocational prospects are derailed. Secondary problems such as substance abuse, unemployment and behavioural problems may develop or intensify and the illness itself may become more deeply entrenched.
- YMC (Youth Mood Clinic)
YMC works with young people experiencing depression, bipolar II disorder (non-psychotic bipolar disorder) and severe anxiety disorders such as anxiety and obsessive compulsive disorder. Treatment episodes are usually brief (six months) and young people may receive more than one episode of care, up to a maximum of two years from when they are first seen.
- PACE (Personal Assessment and Crisis Evaluation)
PACE works with young people who might be at risk of developing psychosis. By identifying people who are at risk of psychosis and providing them with appropriate treatment, it is hoped that early symptoms will be reduced, while also delaying or perhaps preventing the development of mental health problems. Young people who come to PACE often describe other changes such as:
- Having more difficulty than usual coping with work or school
- Feeling tired, lacking energy, paranoid or worried about other people and their actions
- Noticing a change in the way things look or sound, or seeing things in the environment that other people do not
- HYPE (Helping Young People Early)
HYPE is a prevention and early intervention program for young people who have experienced longstanding instability with their emotions, interpersonal relationships, sense of self, and behaviour. These problems are sometimes called ‘personality difficulties’ or ‘borderline personality disorder'. These problems cause significant strain and disruption to the lives of young people, their families and other relationships, and are usually accompanied by other mental health problems. If left untreated, personality problems can cause persistent difficulties into adulthood.
HYPE provides a specialised, time-limited treatment program that includes psychotherapy, case management, and general mental health care.
Psychosocial Recovery Program
The Psychosocial Recovery Program incorporates the Group Program, Family Peer Support Program, Youth Participation Program, and the Educational and Vocational Recovery Programs. Staff include occupational therapists, social workers, a music therapist, teachers, employment specialists, family members and young people.
Young people who come to OYH can get involved with different parts of the Psychosocial Recovery Program, which aims to support them to work towards their personal recovery goals. They might have goals around getting back on track with education, training or work; or gaining confidence about socialising again; expressing themselves creatively, or want a chance to do more fun stuff in their week. Young people may decide to pursue these opportunities by being actively involved in groups, meeting with a peer support worker, getting involved in activities, or taking advantage of one-on-one support with education or employment.
Family Peer Support Program
Family Peer Support Workers are available to discuss issues of concern and provide regular information sessions to help families and friends understand mental illness. We also offer a family support group and a family resource room.
Youth Participation Program
This program encompasses a range of initiatives that allow young people to advocate for themselves and their peers. Youth participation makes the service more responsive to young people while providing them with the opportunity to develop real skills in advocacy and decision-making. Participation can also have a profound effect on health and wellbeing, empowering young people to talk about their experiences and work towards change on behalf of themselves and their peers.
For more information on the OYH-Clinical Program please see www.oyh.org.au
Orygen Youth Health information
At a broader level Orygen Youth Health (OYH) is a world leading youth mental health organisation which is comprised of the Clinical Program described above, and an internationally renowned research centre and integrated training and communications program.
The OYH Research Centre is Australia's largest youth mental health research centre. It aims to understand the biological, psychological and social factors that influence the onset, remission and relapse of mental illnesses in order to find better ways to prevent and/or reduce the impact of mental disorders on young people.
It was established in 2002 as a not-for-profit company, and is registered as an Approved Research Institute. The member organisations of the OYH Research Centre are: the Colonial Foundation, Melbourne Health and the University of Melbourne.
The OYH Training and Communications Program is a specialist youth mental health training and communications program which aims to:
- Improve access and quality of services
- Strengthen the skills and expertise within the mental health, primary care and community service sectors
- Raise community awareness and understanding of youth mental health issues globally
OYH Training & Communications programs share knowledge gained through clinical and research expertise to enhance the service system that supports young people with mental health issues. It works to strengthen the integration of the youth health service system, including public, community and private health services at local, national and international levels.