Older Adult Mental Health Program
The North Metropolitan Health Service (NMHS) Mental Health Older Adult Mental Health Service is responsible for the delivery of specialist mental health services to the elderly living in the North Metropolitan region of Perth. The Older Adult Program (OAP) operates several Older Adult Mental Health Services (OAMHS) that provide inpatient, therapy services and community services from locations in Joondalup, Osborne Park and Shenton Park. A Geriatric Psychiatry Consultation Liaison Team also provides assessment and treatment planning to both Sir Charles Gairdner Hospital and Osborne Park Hospital.
Inpatient services are located at Osborne Park Hospital and Selby Hospital in Shenton Park. These are 24-hour services and can be contacted by the after-hours numbers contained in the Older Adult Mental Health Services Locality Guide.
Services operate in a program management model with a Clinical Director, Program Manager and Nurse Director as the Executive for the OAP. Each OAMHS is represented on the Program Management Committee which is the governing body for the OAP. Located on the Selby Site, the Program Executive can be contacted during business hours on 9382 0800.
The service teams are multidisciplinary with consultant psychiatry, medical, nursing, occupational therapy, rehabilitation, clinical psychology, social work, physiotherapy, speech pathology, podiatry and dietetic services.
Underpinning the model of care is the practice of person-centred care and a focus on recovery in partnership with patients, consumers and their family and carers.
OAMHS services of the OAP are integrated and provide:
- Information and Triage
- Case management
- Therapy services which includes assessment, rehabilitation, maintenance and treatment
- Inpatient units with the majority of beds authorised under the Mental Health Act
- Physiotherapy assessment and rehabilitation plans
- Carer Liaison and Education Service
- Teaching and Training in Older Adult Mental Health for staff and tertiary students
- Psychiatric and medical diagnosis and assessment
- Wide range of general and mental health nursing assessment, monitoring treatment and discharge planning functions across inpatient, community and day therapy settings
- Social work liaison - support to family and carers with advocacy and Guardianship Board liaison; access to community agencies and residential placement and associated requirements
- Clinical and neuro-cognitive assessments, interventions and behavioural management planning
- Occupational therapy functional assessment and rehabilitation planning
- Assessment and treatment of muscular-skeletal, cardio-respiratory and neurological problems, in collaboration with relevant medical specialists with participation in fitness, mobility and falls risk assessment.
Services interface with many primary care agencies assisting in shared care, case conferencing and treatment planning. Where possible consumers and carers are involved in treatment planning and are encouraged to access carer support services and have representative positions on committees.
The OAP and its OAMHS services have linkages with the:
- Guardianship and Administrative Tribunal
- Office of the Chief Psychiatrist
- Mental Health Tribunal
- Mental Health Advocacy Service
- Non-government and community-managed organisations
- General psychiatry services
- Geriatric medicine - complex referrals
- Private sector - hostels and nursing homes and some private hospitals
- Tertiary education for undergraduate and postgraduate training and teaching
- Professional Interest Groups - Faculty of Old Age Psychiatry RANZCP and Clinical Psychology of Old Age interest group
- Rural catchment areas: Osborne Park - Midwest; Selby Midwest; Clinical Research.
OAMHS services care for older adults suffering from:
- Psychiatric disorder complicated by physical conditions of aging such as physical frailty, degenerative illness or dementia
- Dementia complicated by severe behavioural disturbance
- Newly arising psychiatric conditions in persons 65 years and older.
Services may, when clinically appropriate, see persons younger than 65 years suffering from conditions usually associated with old age.
The provision of service is geared towards semi-urgent and elective referrals, from secondary and tertiary sources including:
- General practitioners
- General hospitals and geriatric medicine units
- General psychiatry services.
To discuss whether a person would benefit from attending the our service or whether they meet our referral criteria, please contact the Triage/Duty Officer in your catchment area between 8.30am and 5.00pm weekdays.
The OAP is not resourced for emergency/after-hours assessments or after-hours inpatient admissions. Should the need arise, after hours emergencies should be directed to the Mental Health Emergency Response Line (MHERL) via 1300 555 788 (local call).
- NMHS OAMHS Service and Suburbs list (PDF)
- NMHS Mental Health Older Adult Referral form (Word format) | (PDF format)