WA Seclusion and Restraint Data: 2020-2021 Financial Year, and Trends 2016-2021

Featured

The Chief Psychiatrist is committed to reducing working towards the elimination of restrictive practices, seclusion and restraint, in Western Australia (WA).  In order to promote transparency in the use of restrictive practices in WA, the Chief Psychiatrist has committed to publishing the rates of seclusion and restraint bi-annually for each authorised mental health service.

The rates of seclusion and restraint for the 2020–2021 financial year (1 July 2020 – 30 June 2021), alongside trends from 2016-2021 are now available.

WA Seclusion and Restraint Data: 2020-2021 Financial Year

WA Seclusion Data: 2016-2021

WA Restraint Data: 2016-2021

Additional data can be found here: WA Seclusion and Restraint Data

Chief Psychiatrist’s Annual Report 2020-21

The Chief Psychiatrist’s Annual Report 2020-21 has been tabled in WA Parliament.

The 2020-21 financial year has been a busy and effective one for the Chief Psychiatrist and his staff, and this report explicitly details the activities of the Office and its value to the WA community.  Past Annual Reports have concentrated on the usual activities of the Chief Psychiatrist from a program perspective, as well as on the statutory reporting requirements.  Our quality data is always reflected in the Annual Report.  However, this report takes a further step in looking at the systemic view by reflecting on the needs of the mental health sector in Western Australia (WA) and the role the Chief Psychiatrist has played in ensuring safe high-quality mental health treatment and care.

‘Ensuring Safe and High Quality Mental Health Care’
Annual Report of the Chief Psychiatrist of Western Australia
1 July 2020 – 30 June 2021

If you would like to provide feedback about the Chief Psychiatrist’s Annual Report 2020, please follow this link – Chief Psychiatrist’s Annual Report 2020 Feedback.

Best Practice Guideline for Transfer of Care for Mental Health Patients Moving Between States and Territories

The Best Practice Guideline for Transfer of Care for Mental Health Patients Moving Between States and Territories is now available.

This non-mandatory best practice guideline is applicable to all Health Service Providers and Contracted Health Entities that provide public mental health care including care that is provided in an Emergency Department.

It informs the assessment, treatment planning and transfer of care for people who have had contact with, or been treated by, mental health services in other states and territories, both those who have permanently relocated to WA and those temporarily in the state. It also informs the transfer of care for people who are moving from WA to another state or territory, both permanently and temporarily.

Those external to WA Health who cannot access the intranet link can request a copy of the document via @CSD, Mental Health Unit.

Email: mhu.csd@health.wa.gov.au

WA Seclusion and Restraint Data: Quarters 1&2, 2020-2021 Financial Year

The Chief Psychiatrist is committed to reducing working towards the elimination of restrictive practices, seclusion and restraint, in Western Australia (WA).  In order to promote transparency in the use of restrictive practices in WA, the Chief Psychiatrist has committed to publishing the rates of seclusion and restraint bi-annually for each authorised mental health service.

The rates of seclusion and restraint for Q1 and Q2 of the 2020 – 2021 financial year (1 July 2020 – 31 December 2020) are now available.

WA Seclusion and Restraint Data: Quarters 1&2 2020-2021 Financial Year

Additional data can be found here: WA Seclusion and Restraint Data

WA Historical Seclusion and Restraint Data

The Chief Psychiatrist is committed to reducing working towards the elimination of restrictive practices, seclusion and restraint, in Western Australia (WA).  In order to promote transparency in the use of restrictive practices in WA, the Chief Psychiatrist has committed to publishing the rates of seclusion and restraint bi-annually for each authorised mental health service.

The historical rates of seclusion and restraint for the 2016 – 2017 financial year (1 July 2016 – 30 June 2017), and the 2017 – 2018 financial year (1 July 2017 – 30 June 2018), alongside charts showing trends in these data from 2016 – 2020 are now available.

See WA Seclusion and Restraint Data here

Chief Mental Health Advocate

The Chief Mental Health Advocate, Ms Debora Colvin, stepped down from that role last Friday after a distinguished 13 years in the role.

She has forged an Advocacy Service with an incredibly strong integrity of model. Under her sage leadership, MHAS has been a true beacon for system accountability and a never-dimmed light on the path towards critical rights for the most vulnerable individuals in our community. Our collective thanks must go to Debora, with best wishes for her future.

We warmly welcome Ms Sarah Pollock as the new Chief Mental Health Advocate, and I look forward to working with her and the MHAS under her leadership.

Dr Nathan Gibson
Chief Psychiatrist WA

Chief Psychiatrist’s Review Report: Building rehabilitation and recovery services for people with severe enduring mental illness and complex needs – including those with challenging behaviour

In response to mounting concern from clinicians and families about the quality of current services, the Chief Psychiatrist instigated a formal review into the treatment and care of people with a serious, enduring mental illness and complex needs.

The Review found that although WA has some of the components of a rehabilitation and recovery service system, there are some very significant gaps, services are fragmented and there is limited access to specialist rehabilitation treatment and care.

Ten recommendations have been made to develop a comprehensive, integrated rehabilitation service system to effectively meet the needs of these individuals and their families.

Chief Psychiatrist’s Audiovisual Communication Guidelines for Mental Health Infection Control Directions (No.2)

The Chief Psychiatrist has issued this guideline for the use of audiovisual communication in response to the requirement of the Mental Health Infection Control Directions. These Directions were  issued under the Public Health Act 2016.

The Direction enables Audio Visual Communication to be used when conducting MHA 2014 section 48 examinations & MHA section 79 examination assessment criteria in the  prescribed specified situations.

It is essential that all medical practitioners and AMHPs read the attached Audio-Visual Communication guideline and the Mental Health Infection Control Directions (No.2) which were effective from 2 September 2020.

Should you have any queries, please discuss with your service Clinical Lead in the first instance.

Chief Psychiatrist’s Guideline: Audiovisual Communication (December 2020)

Mental Health Infection Control Directions (No. 2) (September 2020)

Chief Psychiatrist’s Review into the Treatment of Ms Kate Savage by Child and Adolescent Mental Health Services

The Chief Psychiatrist was requested by the Minister for Mental Health to undertake a Review into the tragic death of Ms Kate Savage, age 13 years.  The scope of this Review also considered any gaps in mental health service provision for this cohort of children.

Kate’s death cannot be rationalised.  This was and is an unimaginable loss for Kate’s family.

The Review identified a huge surge in demand for Child and Adolescent Mental Health Services (CAMHS) in recent years.  CAMHS development has not kept pace, and this has placed significant pressure on clinical staff and the WA community. It is critical to provide mental health treatment services for young children, as well as for older adolescents – if we do not provide this early life care, we will condemn a generation to worsening mental health throughout their lives.

Seven recommendations have been made, which will facilitate improved care in the short term, and also, importantly, create steps to rebuild CAMHS.  

Report: Chief Psychiatrist’s Review into the Treatment of Ms Kate Savage by Child and Adolescent Mental Health Services

Guidelines to improve sexual safety in mental health services launched at Fiona Stanley Hospital, Mental Health Unit

  • The Chief Psychiatrist is responsible for setting and overseeing the standards of care provided by mental health services to consumers in WA.
  • Ensuring people accessing mental health services feel and are sexually safe is essential to their recovery.
  • The Chief Psychiatrist has developed Guidelines for the Sexual Safety of Consumers of Mental Health Services in Western Australia, which provide guidance and practical strategies to improve sexual safety in mental health services.
  • The guidelines were launched by the Honourable Alanna Clohesy MLC, Parliamentary Secretary for Mental Health
  • The launch was well-attended by clinical service leads, health and mental health agencies and community sector representatives, and consumer and carer representatives.

Sexual safety refers to being and feeling psychologically and physically safe, including being free of, and feeling safe from behaviour of a sexual nature that is unwanted, or makes another person feel uncomfortable, afraid or unsafe.

The Guidelines are aimed at ensuring that all people- consumers, their families, visitors and staff- are sexually safe in WA mental health services. The guidelines are part of a commitment to providing person-centred, recovery-focused and trauma-informed care, through developing best practice guidelines for mental health services. They were developed through wide consultation with consumers, carers, community members and clinicians.

While they apply to mental health services under the Chief Psychiatrist’s remit, all services in WA who provide therapy or support for individuals with mental illness are strongly encouraged to use the Guidelines to improve sexual safety within their agency.  

The Guidelines are available on the Chief Psychiatrist’s website – Chief Psychiatrist’s Sexual Safety Guidelines. Copies are available by emailing reception@ocp.wa.gov.au  (please note mental health services under the remit of the Chief Psychiatrist will receive copies in the mail)