AMHS Community Teams - Triaging of Inital...

Document Number CHHS 13/615

Mental Health Justice Health Alcohol and Drug Services (MHJHADS)Adult Mental Health Services (AMHS) Adult Community Mental Health Teams (ACMHT)Standard Operating ProcedureTriaging of Initial Presentations

Purpose

To provide the Adult Community Mental Health Team (ACMHT) staff with a Standard Operating Procedure to outline processes specific to the triaging of initial presentations.

The aim of this SOP is to ensure service responses for people experiencing mental disorder or mental illness are consistent and appropriate to the person’s mental health presentation and any associated risk.

Underlying Philosophy

The Open Door (or ‘no wrong door’) philosophy supports the National Standards for Mental Health Services and underpins the endorsed service expectation to support all persons who make contact with ACMHT to either receive a direct response or to be linked to the appropriate service.

To meet this expectation practically, any contact needs to be responded to as an opportunity to assist by either providing the response directly, or linking to another service deemed more suitable to the persons needs. ACMHT clinicians have the expertise to triage and identify the appropriate service and to make the connecting contact. ACMHT will ensure that suitable and timely response will occur whether it entails further engagement with ACMHT, further engagement with other MHJHADS teams or information and referral to other support options.

Providing an Open Door aims to reduce risks associated with being disengaged from services while figuring out “correct” point of entry. This action will be experienced positively by the person who has contacted ACMHT as a result of seamless follow up in response to any initial point of entry to MHJHADS.

Scope

This SOP pertains to all Adult Community Mental Health Team (ACMHT) clinicians.

Primarily, it is the Duty Officer’s responsibility to complete initial presentations. Duty Officer processes are outlined in the Duty Officer SOP. Each ACMHT will have a designated Duty Officer on business days.

Doc Number CHHS 13/615 Version 1 Issued 15/11/2013 Review Date 01/12/2018 Area Responsible AMHS Do not refer to a paper based copy of this policy document. The most current version can be found on the ACT Health Policy Register


Initial Presentation procedures relate to people who are new to Mental Health Services in MHJHADS or have had a previous episode of care with the service. They may present to ACMHT’s

in person or on the phone; referred by a carer, family member, or concerned member of the community referred by a community organisation or Government service; referral from their GP, interstate Mental Health Service or other health professional

ACMHT’s are not required to complete an initial presentation when access to ACMHT has resulted from referral within MHJHADS (an initial presentation would have been completed at point of entry to other MHJHADS services)Procedure

The Purpose of completing Initial Presentations

To provide triage and preliminary assessment of current mental health issues, current situational issues and risk assessment of all new referrals and self presentations by:

o Providing mental health screening o Determining the nature and urgency of the response required. o Providing referral to mental health services within ACT (and interstate where

appropriate) o Providing appropriate referral options to community and other agencies

external to MHJHADS

Core Components of the Initial Presentation

The following information will be gathered and documented at time of referral or self presentation as per initial presentation template on MHAGIC:

Referrer information (including relationship to the person, and contact number/s for the referrer is especially important if additional information is required and referrer needs to be recontacted).

Person’s demographic information and contact details (especially for new people but also contact details should be checked for current and previously known people including phone numbers and addresses as these may frequently change, current location of the consumer may also be needed for more acute referrals).

Information relating to the presenting problem, including person’s consent, mental state, psychiatric issues, current medication/treatments and social care needs.

Risk assessment must be completed including Suicide Risk Assessment, risk of violence or aggressive behaviour, and any risk issues pertaining to safety and welfare of children (eg. Children of Parent with a Mental Illness- COPMI, or others) including a weapons assessment.



Previous psychiatric history, including information about previous mental health contacts within ACT and interstate. There may be times when clinician should contact other interstate MH services to obtain collateral information to help inform decisions.

Drug and alcohol use, including current use (e.g possible intoxication) and previous history of substance abuse.

Possible co-morbid medical issues that may be influencing presentation (e.g delirium);

Current health care providers already involved in the person’s care including General Practitioner, Private Psychologist, and A&DS workers etc, if known.

Other interested parties who may be able to provide collateral information, where relevant, including family members and carers.

Also see Appendix 1 and 2 : Tips for Effective Telephone Triage and Gathering Basic Telephone Triage Information

Triage Response Categories

The National Triage Scale 2007 has been amended and recognized for use by MHJHADS. (see Appendix A.)

Initial Triage documentation (including Risk Assessment) must be completed for ALL Initial Presentations regardless of allocated Triage Category.

Procedure

1. Triage Category A.Where an emergency services response is required, the ACMHT clinician should either contact ACT Ambulance Service (ACTAS) or Australian Federal Police (AFP) for the caller, or at minimum and only if appropriate, transfer the caller to “000” (to transfer call externally have to enter another “0” ie “0000”).

For example, it is expected that staff would call an ambulance for a person who reports having engaged in significant self-harm (e.g taken an overdose of medications), even if person indicates they could do this themselves. If person or other caller stated they have done this already, at very least it should be confirmed with the relevant emergency service.

2. Triage Category B-DFor initial presentations where it is identified that urgent contact and/or assessment within 2- 48 hours is required, it is appropriate to refer to CATT (via Triage). This handover negotiation should be by phone with an accompanying MHAGIC message. When AFP involvement is necessary or being considered the Mental Health Community Policing Initiative (MHCPI) clinician can also be contacted for support and



information. If person self presents to ACMHT capacity should be sought within the team to provide emergency assessment.

3. Triage Category E-GFor initial presentations where further non-urgent assessment is needed, it is appropriate for the ACMHT clinician to coordinate and arrange the follow up contact for further assessment, formulation and recommendations. This may include further discussion with the MDT or arranging a Duty Officer appointment for a face to face assessment.

For initial presentations where the clinician only needs to provide appropriate information and or referral for the person, the clinician will provide this and contact can be closed in consultation with MDT.

Responsibilities

On receipt of referral person needs to be registered on MHAGIC and Duty Officer to be informed.

On first receipt of a new referral the ACMHT clinician will attempt to contact the referrer and the referred person directly to gather further information if required for initial presentation and risk assessment. Collateral information from carers, nominated person or other parties will be gathered where appropriate.

When a person presents in person the option of a Full Assessment is completed when possible (and within operational resourcing capacity) rather than just an Initial Presentation. All the information required for an effective Initial Presentation and risk assessment is still required.

Appropriate coordination of workforce will ensure processes for initial presentations are commenced as soon as possible, preferably before close of business. If incomplete at close of business, the initial presentation processes will be continued the next working day where appropriate or handed over to afterhour’s services if indicated.

Triage responses will be decided on at time of completing the initial presentation and actioned (eg booked full Ax, referred to NGO, transferred to CATT). To support decision making, advice can be sort from senior clinicians, Team Leader or psychiatrists if needed.

An initial presentation should not be considered completed until the essential information has been gathered, it is possible to assign a triage category and a recommendation has been made with regards to an appropriate course of action.

New referrals where initial presentation processes have not been completed will only be brought to the Daily Clinical Meeting if there are complications with completing initial presentation processes and MDTR discussion is needed to formulate action



plan. Consultation with senior clinician, Team Leader or psychiatrist should occur at first point in these situations rather than in the Daily Clinical Meeting.

Initial presentations referred to the community team for follow up will be documented in MHAGIC and noted in the following Daily Clinical Meeting, as per the Daily Clinical Meeting SOP, for MDTR oversight or assistance if needed.

For initial presentations which require referral and indicate the need for interstate follow up, will be facilitated by the ACMHT community mental health team.

Clear feedback will be provided to the referrer regarding the triage response allocated and the action to be taken.

Additional Considerations

GP Referrals: Where a General Practitioner requests a consultation with a Psychiatrist it is appropriate for the following actions to occur prior to booking an appointment with a psychiatrist:

o Clinician to contact GP to gather further information if required.o Where indicated, the Clinician can discuss with the GP other options such as

GP phone consultation with psychiatrist rather than appointment, non-medical clinician assessment with psychiatrist oversight as per daily clinical meeting MDTR, or provide advice on other mental health sector options such as Medicare rebated psychologist and community organisations.

Evaluation

Outcome Measures Presentation of Initial Presentations at Daily Clinical Meetings Clinical Documentation Audits Riskman reports Data analysis on triage response and initial presentation outcome.

Method Triage performance is evaluated through regular presentation of Initial Presentations

at Daily clinical Meetings Triage performance is evaluated through regular Clinical Documentation Audits Triage performance is also analysed via Riskman reporting of incidents

Related Legislation, Policies and Standards

LegislationMental Health Act 2015PoliciesMHJHADS SOP Triage Category of Responsehttp://inhealth/PPR/Policy%20and%20Plans%20Register/Triage%20Category%20of%20Response%20Policy.pdf


http://inhealth/PPR/Policy%20and%20Plans%20Register/Triage%20Category%20of%20Response%20Policy.pdf

http://inhealth/PPR/Policy%20and%20Plans%20Register/Triage%20Category%20of%20Response%20Policy.pdf


MHJHADS Suicidal Behaviour Treatment and Care of consumers who display suicidal behaviour SOPhttp://inhealth/PPR/Policy%20and%20Plans%20Register/Suicidal%20Behaviour%20Treatment%20and%20Care%20of%20Consumers%20who%20display%20suicidal%20behaviour.docxStandards National standards for Mental Health Services 2010http://www.health.gov.au/internet/main/publishing.nsf/content/DA71C0838BA6411BCA2577A0001AAC32/$File/servst10v2.pdfMental Health Statement of Rights and Responsibilities 1991 http://www.health.gov.au/internet/main/publishing.nsf/Content/39D2C6FD61BE3219CA257244008382BA/$File/rigat3.pdf

Attachments

Attachment 1: Mental Health ACT Triage ScaleAttachment 2: Tips for Effective Telephone Triage Attachment 3: Gathering Basic Telephone Triage InformationAttachment 4: Contact list for commonly used numbers for Triage

Disclaimer: This document has been developed by Health Directorate, <Name of Division/ Branch/Unit> specifically for its own use. Use of this document and any reliance on the information contained therein by any third party is at his or her own risk and Health Directorate assumes no responsibility whatsoever.

Attachment 1: NATIONAL TRIAGE RATING SCALE (Adapted for MHJHADS)

CODE/

DESCRIPTION

RESPONSE TYPE/TIME TO FACE-TO-FACE CONTACT

TYPICAL PRESENTATIONS MENTAL HEALTH SERVICE ACTION/RESPONSE

ADDITIONAL ACTIONS TO BE CONSIDERED

A Emergenc Overdose Clinician to notify Keeping caller on line


http://www.health.gov.au/internet/main/publishing.nsf/Content/39D2C6FD61BE3219CA257244008382BA/$File/rigat3.pdf

http://www.health.gov.au/internet/main/publishing.nsf/Content/39D2C6FD61BE3219CA257244008382BA/$File/rigat3.pdf

http://www.health.gov.au/internet/main/publishing.nsf/content/1FE72FD78779BB44CA2572060026BC9E/$File/rights.pdf

http://www.health.gov.au/internet/main/publishing.nsf/content/DA71C0838BA6411BCA2577A0001AAC32/$File/servst10v2.pdf

http://www.health.gov.au/internet/main/publishing.nsf/content/DA71C0838BA6411BCA2577A0001AAC32/$File/servst10v2.pdf

http://www.health.gov.au/internet/main/publishing.nsf/Content/mental-pubs-n-servst10

http://inhealth/PPR/Policy%20and%20Plans%20Register/Suicidal%20Behaviour%20Treatment%20and%20Care%20of%20Consumers%20who%20display%20suicidal%20behaviour.docx




Current actions endangering self or othersCRISIS

y services responseIMMEDIATE REFERRAL

Other medical emergency Siege Suicide attempt/serious self-harm in

progress Violence/threats of violence and

possession of weapon

ambulance, police and/or fire brigade

until emergency services arriveCATT notification/attendanceNotification of other relevant services (e.g. child protection)

BVery high risk of imminent harm to self or othersCRISIS

Crisis mental health responseWITHIN 2 HOURS

Acute suicidal ideation or risk of harm to others with clear plan and means and/or history of self-harm or aggression

Very high risk behaviour associated with perceptual/thought disturbance, delirium, dementia, or impaired impulse control

Crisis assessment requested by Police under Section 10 of MH Act

Face-to-face assessmentThe venue of this assessment is to be determined by the identified risk factors.

Providing or arranging support for consumer and/or carer while awaiting face-to-face response (e.g. telephone support/therapy; alternative provider response)Telephone secondary consultation to other service provider while awaiting face-to-face response

CHigh risk of harm to self or others and/or high distress, especially in absence of capable supportsPRIORITY

Urgent mental health response2 – 12 HOURS

Rapidly increasing symptoms of psychosis and/or severe mood disorder

High risk behaviour associated with perceptual/thought disturbance, delirium, dementia, or impaired impulse control

Unable to care for self or dependents or perform activities of daily living

Known consumer requiring urgent intervention to prevent or contain relapse

Face-to-face assessment within 12 HOURSANDtelephone follow-up within ONE HOUR of triage contact

As aboveObtaining collateral/additional information from relevant others

DModerate risk of harm and/or significant distressPRIORITY

Semi-urgent mental health response12 – 48 HOURS

Significant client/carer distress associated with serious mental illness (including mood/anxiety disorder) but not suicidal

Early psychosis symptoms Requires priority face-to-face

assessment in order to clarify diagnostic status

Known consumer requiring priority treatment or review

Face-to-face assessment

As above

ELow risk of harm in short term or moderate risk with high support/ stabilising

Non-urgent mental health responseWITHIN 14 DAYS

Requires specialist mental health assessment but is stable and at low risk of harm in waiting period

Other service providers able to manage the person until MHS appointment (with or without MHS phone support)

Known consumer requiring non-urgent review, treatment or follow-up

Face-to-face assessment

As above



factorsDEFERREDFReferral: not requiring face-to-face response from MHS in this instanceREFERRED

Referral or advice to contact alternative service provider

Other services (e.g. GPs, private mental health practitioners, ACAS) more appropriate to person’s current needs

Symptoms of mild to moderate depressive, anxiety, adjustment and/or developmental disorder

Early cognitive changes in an older person

Clinician to provide formal or informal referral to an alternative service provider or advice to attend a particular type of service provider

Facilitating appointment with alternative provider (subject to consent/privacy requirements), especially if alternative intervention is time-critical

GAdvice or information only/ Service provider consultation/ MHS requires more informationINQUIRY OR CHAT

Advice or information onlyORMore information needed

Consumer/carer requiring advice or opportunity to talk

Service provider requiring telephone consultation/advice

Issue not requiring mental health or other services

Mental health service awaiting possible further contact

More information needed to determine whether MHS intervention is required

Clinician to provide consultation, advice and/or brief counselling if requiredAND/ORMental health service to collect further information over telephone

Making follow-up telephone contact as a courtesy



Attachment 2: TIPS FOR EFFECTIVE TELEPHONE TRIAGE

(adapted from Mental Health Branch Department of Human Services, VIC which was in turn adapted from Bendigo Health Psychiatric Services Mental Health Triage Orientation Program, Knight & Lenten, 2006)

6 steps for effective triage:

Introduce yourself by name and open communication channels with a warm and receptive greeting such as “....Community Mental Health Team. Good morning/afternoon/evening, (clinician’s first name) speaking…etc..”. Explain the triage process to the caller.

Perform the interview and complete documentation requirements –see section above “Core Components of Initial Triage Assessment” and use Initial Presentation document and specific Risk Assessment tools to help guide questioning.

Make the triage decision and explain reasons for same

Offer advice according to the established response category.

Incorporate follow-up plans when concluding the call, including offer for caller to recontact Mental Health in future or in interim as required.

Review the call and finalise documentation on Mhagic

Other suggestions for conducting triage:

Remember the caller/client’s name (write it down), and use during interview

Give caller sufficient time to explain situation

Be aware of “how” the person is talking, not only the content as sometimes people may be unable to clearly articulate the mental health issues at hand, but their level of distress on phone may give some indication that these issues are quite acute

Restate questions if answers are ambiguous

Refine your ability to elicit information needed to make a triage decision through questioning- use open-ended questions and offer suggestions to spur the caller’s memory

Be aware of your voice tone and use of language- maintain an even, unhurried tone of voice and maintain a courteous manner at all times (this is particularly important when a caller disagrees with the triage decision and in such circumstances callers should be offered the opportunity to have such decisions reviewed)



Be aware of barriers to effective telephone communication- including semantic barriers, such as use of jargon, cultural and language barriers, as well as personal assumptions and preconceptions;

Ask callers to repeat or summarise instructions/advice when given and suggest they write them down also. Ask callers whether they are comfortable with the topics discussed and advice given (and document where plans are agreed upon);

Encourage caller to call back if the situation changes or further assistance is required;

Document the call, not necessarily “word for word”, but summarizing the main issues described, particularly around presentation described, risk issues, decision and plan.



Attachment 3: GATHERING BASIC TRIAGE INFORMATION

1. GREETING

Q. “........ Community Mental Health Team, (clinician’s first name) speaking. How may I help you? etc..”.

2. IDENTIFYING CALLER and DEMOGRAPHIC INFORMATIONQ. “Who am I speaking to?”

Suggestion 1: Ensure you get full name of caller and, if referring someone else, their relationship to client and contact details.

Referrer name: Relationship to client (if not the client themselves calling): Phone number of referrer (especially, important if worker needs to call them back to

get further information about referral) :

Client demographic details:Name:Phone number: Address:Current location (if not at home):

Suggestion 2 Some consumers may actually be located interstate at time of call, so check their current location early in conversation, and then refer to appropriate service. For example, if living in Qbyn/Yass may be more appropriate to refer to Greater Southern Area Mental Health Service on 1800 677 114. If located elsewhere in Australia, may need to use internet to find appropriate mental health service – e.g “Google, “nearest major suburb/town name” and “mental health service” and should be able to find local service, otherwise look on state health website.

NOTE!!!: However, if someone from interstate calls and is in immediate crisis (e.g engaging in self-harm or threatening serious self-harm) a call should be made to “000” immediately to ensure they get assistance, rather than rely upon them to do so- a note of this contact should be documented, even briefly, in Mhagic under the “anon male” or “anon female” client record.

3. ANNONYMOUS CONSUMERS: Sometimes consumers may not wish to give their names due to concerns for privacy or confidentiality or other purpose, and these contacts can be recorded in the “anon male” and “anon female” files on Mhagic. If concerned about the immediate safety of an individual who refuses to give or is unable to give identifying information, call AFP to notify of contact as they may be able to “trace call”

5. PRESENTING PROBLEM:Essentially, your existing skills as a mental health clinician performing a mental state examination and risk assessment/s should be used when taking a triage call although



obviously your inability to sight the client means that often further face-to-face assessment may be required to complete this process.

Callers may have a variety of concerns ranging from simply seeking information to being in acute emotional distress. However, the main categories of clients who may require mental health assistance, more immediately, include:

5.1 Consumers engaged in or threatening self-harm/suicidal behaviours and/or significant aggression or violence, regardless of mental health issues.

NOTE: Questions around suicide and thoughts of self-harm should be asked of all callers regardless if presenting problem does not appear specifically related to this.

5.1.1 If a person is engaged in significant self-harm or attempting suicide, the first response by the Triage worker should be to call “000” immediately (e.g reported overdose call “000” and ask for ACT Ambulance Service- ACTAS; or someone behaving in a physically violent or significantly aggressive manner towards others, call “000” and request Australian Federal Police- AFP- attendance) DO NOT simply rely on the caller to notify these services, regardless of if they appear responsible or able to perform this function. Sometimes a joint AFP/ACTAS response may be required.

If AFP or ACTAS are called they should be alerted to any potential risk issues related to these consumers and any past psychiatric history that may be relevant, if known at all.

5.1.2 If an individual is having intense thoughts about self-harm or suicide but has not yet attempted self-harm, attempt in first instance to speak to the consumer directly (especially if they were not the initial caller or referrer). If unable to speak to consumer within timely manner, it is always best to err on the side of caution and request welfare check by AFP calling “131 444” and supplying them with relevant available information about the consumer.

Suggestion 4: Some key questions to ask about thoughts of self-harm or suicide?

(Also see Suicide Risk Assessment Forms A & B for more information)

- What thoughts are they having? (eg. Passive thoughts such as “I wish I would never wake up” vs more Active Thoughts “I’m going to hang myself” or voices (command hallucinations perhaps) instructing them to harm themselves”

- When did these thoughts begin and how frequent are they?(e.g first time tonight and persistent vs chronic suicidal ideation occurring a couple of times week)

- Do they have a plan of how you might hurt yourself? (e.g take overdose of pills)

- Do they have access to means to carry out such a plan? (e.g stockpile of pills for overdose, hose for car if thinking of carbon monoxide poisoning)

- Do they think it is likely that they would harm themselves in this way?



- When do they think they might do this? (some unknown time in distant future vs within the next few minutes)

- Is there anything which is preventing them from acting on these thoughts? (e.g thoughts about impact on family, religious beliefs, present company)

- Do they have a previous history of self-harm? Obtain details of this, if so. - Are they home alone or is there someone with them? If so, it is recommended that

you speak with this other person for more information and to formulate safety plan.

- Have they been consuming any substances such as alcohol and drugs? These may impact on their mental state and increase their impulsivity or risk of self-harm

- Do they think they can keep themself safe until the worker can speak to them further? Are they willing or able to work with Mental Health to manage these thoughts. Where appropriate, do they have prn medications which may assist. Can we offer workers to call them back, if needed or should we be exploring means to transport to hospital now.

- Is there anything that they can do that will might help you feel better right now? (e.g watching a bit of television, listening to music, trying some relaxation, prn medication etc)

- What is their tone of voice?- e.g Does the caller sound flat, distressed vs a conversational in tone of voice.

The answers to these questions will assist you in determining whether or not the person will be safe enough until contact by MH. Some consumers, especially those who call themselves, may be ambivalent about self-harm/suicide as reflected by the fact that most are calling to seek assistance and the aim of the Triage worker should be to work with them to develop a plan of safety.

If you have doubts about the ability of the consumer to keep themselves safe before being able to consult with a senior clinician or Team leader, always err on side of caution and request welfare check by AFP by calling “131 444”; or if individual is agreeable and considered appropriate, request presentation to nearest Emergency Department (if necessary, may be appropriate to offer taxi voucher for same).

5.2 Consumers experiencing psychotic phenomena:Sometimes symptoms of psychotic illness may be reported by caller and evidence of symptomatology may become evident in course of conversation and hence Triage caller must be aware to note these as evidenced. It is important when receiving such calls to be mindful of the level of distress of the caller as an indicator of the acuity, whether it is the client themselves or a family member or friend calling.

Again, performing mental state examination based on listening to client (if they are the caller or available to speak to) or through direct questioning about the key symptoms of psychosis such as:



Hallucinations- e.g are they hearing any voices or seeing any persons/objects that they think might not be there. Especially, important if person may be experiencing command hallucinations to hurt themselves or others. Delusions- e.g callers expressing unusual or odd beliefs, ideas of reference from TV and other media. Speech- poverty of speech vs pressured speech etcThought disorder- e.g tangentiality, poverty of thought content etcCognitive functioning- e.g difficulties in attention, concentration or memory, orientation to time, person and place. Insight- does the client have awareness and understanding of their possible mental health problems and are they willing to get helpD&A use- current and historically

NOTE: As with all presentations, it is important to assess risk of self-harm and violence as shown in sections above.

Suggestion 5: Some consumers may experience some “baseline” level of psychotic symptoms so it is worthwhile to check recent notes/assessments for existing or previous Mental Health consumers to determine if this presentation fits with previous contacts or represents an exacerbation in their illness.

However, particular caution should be exhibited when receiving calls from or about individuals who have no previous known history of psychotic illness as they could be experiencing “first episode psychosis”- particularly younger individuals. Hence, such consumers should be treated with a lower threshold for assessment and may require to be presented to ED for comprehensive medical review and psychiatric assessment, regardless of suspected aetiology of presentation.

Again, performing mental state examination based on listening to client or through direct questioning the key symptoms of psychotic episode such as:

Hallucinations- e.g are they hearing any voices or seeing any persons/objects that they think might not be there. Especially, important if person may be experiencing command hallucinations to hurt themselves or others. Delusions- e.g callers expressing unusual or odd beliefs, ideas of reference from TV and other media. Speech- poverty of speech vs pressured speech etcThought disorder- e.g tangentiality, poverty of thought content etcCognitive functioning- e.g difficulties in attention, concentration or memory, orientation to time, person and place. Insight- does the client have awareness and understanding of their possible mental health problems and are they willing to get helpD&A use- current and historically

NOTE: As with all presentations, it is important to assess risk of self-harm and violence as shown in sections above.

5.3 Consumers experiencing depression



As well as suicide risk, explore characteristic symptoms of depression and ask questions directly around issues such as:- sleep, appetite, feelings of hopelessness, guilt, libido, concentration/memory, energy and fatigue, negative thinking etc



Attachment 4: CONTACT LIST OF COMMONLY USED NUMBERS FOR TRIAGE

Emergency Services (Police, Fire, Ambulance) 000For non-emergency follow-up:Australian Federal Police Communications 131444ACT Ambulance Service 62079900

Poison Information Centre (24hr) 131126Care and Protection-Mandatory Reporting Line 1300 556 728Care and Protection-Urgent A/H support 62690222

Crisis Assessment and Treatment Team (CATT)Mental Health Triage 62051065, 1800 629 354MHCPI CATT Clinician 0408 486 781Mental Health Triage, Staff Only 62442380

Mental Health Assessment UnitMHAU 61745680CNC 04766770975

HospitalsThe Canberra Hospital Switch 62442222Hospital Switch Internal-Call 9Emergency Dept. Clerical 62442611Emergency Dept Triage 62442322

Calvary Hospital Switch 62016111Calvary Emergency Department 62016111Calvary Ward 2N 62016022

Adult Mental Health UnitAMHU LDU 61745445AMHU HDU 61745437Bed Flow Co-coordinator 0434601263CNC 0409 393 889

Community Mental Health ServicesMental Health Administration 62051313City CMHT 62051338Belconnen CMHT 62051110, 62051126Woden CMHT 62051488Tuggeranong CMHT 62052777Child & Adolescent MHS Triage 6205 1971Forensic Services 62051551


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