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HOME | ABOUT | SERVICES | HEALTH INFO | RESEARCH | PATIENTS + VISITORS | CAREERS | MEDIA | SUPPORT WCH |
Adolescent Services Enfield Campus (ASEC)ASEC provides a number of services. Click on the links below to access information about these services:
Day ProgramThe Day Program is a statewide service for young people aged 12 to 18 years who are experiencing significant mental health issues which are impacting on their capacity to maintain engagement with school. Common issues for young people referred to the Day Program include:
The Day Program provides an opportunity for young people experiencing emotional difficulties to participate in a therapeutic group program. Young people referred to ASEC have had significant efforts made to enhance their capacity to successfully access mainstream services, however despite these interventions the young people continue to struggle given the challenges they face as a result of often complex and perplexing difficulties. The service is staffed by a multidisciplinary staff team which consists of both mental health professional and teaching staff. The day program uses a Positive Behaviour Support Framework that has emerged out of the applied behaviour analysis field and represents current best practice with this client group. The Positive Behaviour Support Framework provides a structure for understanding behaviours and guides assessment driven intervention that incorporates various child centered models of practice. The therapeutic program supports the development of:
In conjunction with the group program there is on-going individual counselling and family support. Therapeutic aims
Day Program StructureThe day program is Monday to Thursday with young people attending two days a week. The program is divided into two streams. The streams are developed to meet the particular needs of the young people, thus young people with similar issues will be placed in a stream together. The program is offered on a semester basis and attendance is voluntary. Working in partnership At ASEC we are committed to working in partnership with young people and their carers and is an essential component in the group process, individual and family work. Within ASEC staff believe that young people and their carers have a lot of useful ideas to contribute and experience has demonstrated that young people and their families achieve the best possible outcomes and value their experience here at ASEC more when they get to have a say in how the program is run. How to Access Our Service Referrals for the Day Program are accepted from:
All referrals require the consent of the parent or legal guardian and cannot be acted upon until this verbal or written consent is received by Day Program staff. An information package for service providers and young people and their families on the Day Program Referral and Intake Procedure is available from our Administrative Assistants on (08) 8269 3844. Further contact information can be found below. Adolescent Complex Care Unit (ACCU) Incorporating Adolescent Assertive Mobile Outreach Service (AAMOS) and Hospital to Home Transition Team (HHTT). The Adolescent Complex Care Unit (ACCU) provides an evidence-based therapeutic approach to working with young people (12 – 18 years) with severe and complex mental health problems within a recovery oriented framework. ACCU utilises collaborative approaches and integrated services that are accessible and effective in improving the recovery outcomes for young people living in metropolitan Adelaide with severe and complex mental health problems, with a particular emphasis on psychosis. It includes individual case management and a group program. The multidisciplinary team of mental health professionals including Occupational Therapists, Mental Health Nurses, Clinical Psychologists, Social Workers and Child & Adolescent Psychiatrist is based at Adolescent Services Enfield Campus (ASEC). Teaching input is provided by a teacher from Department of Education and Children’s Services (DECS) within the ACCU programs. The case managers aim to provide a collaborative and integrated service that is accessible and effective in improving the recovery outcomes. Case management may involve monitoring of mental state and well being, individual and family support, psycho-education and assistance with a broad range of biological, psychological and social factors affecting recovery. Assistance to young people and their families may include working in collaboration with a range of agencies that support the recovery process (eg. Accommodation, psychosocial rehabilitation, education, vocation, recreation and carer support). The HHTT group program uses the Transitional Rehabilitation Model of Practice and provides an activity based therapeutic group program on the ASEC campus at Enfield. Positive Behaviour Support is incorporated as a guiding framework to clinical practice for staff and to assist young people in managing challenging behaviour and emotional regulation The group program offers a variety of activity based therapeutic sessions to assist young people in their recovery from serious mental health problems. It aims to facilitate skill building appropriate for the young person’s development to assist in recovery. Topics are selected according to the needs of young people and may include
To be eligible for referral to ACCU young people must be:
How to Access Our ServiceReferrals to ACCU are accepted from :
Referral MUST be made in consultation and collaboration with any other existing service providers Verbal or written consent from the parent or legal guardian is also required, unless a Community Treatment Order is in place (CTO). HoursIndividual case management is provided to young people and their families between the hours of 8.45am and 5.00pm Monday to Friday. Group programs are offered during school terms to inpatients and outpatients Monday to Thursday, from 09.45 am to 2.00 pm at the Adolescent Services, Enfield Campus. Contact Information (see below for more contact information)Cheryl Green, Coordinator, Adolescent Complex Care Unit Email green.cheryl@saugov.sa.gov.au
ADOLESCENT ASSERTIVE MOBILE OUTREACH SERVICE (AAMOS)(A service of the Adolescent Complex Care Unit – ACCU)
What to Expect When a Young Person is Referred to AAMOS. The Adolescent Assertive Mobile Outreach Service (AAMOS) is a team of case managers based at ASEC (Adolescent Services Enfield Campus). AAMOS provides intensive community support, for young people who have serious and complex mental health problems and, in particular, have experienced psychosis. It is a flexible service, available to meet with young people at home or somewhere else in the community where they feel comfortable. The AAMOS team works in partnership with the young person and their support networks to assist in their recovery. The young people who are supported by AAMOS have all experienced a serious mental health problem such as psychosis which may have had significantly affected their lives. Their experience may have affected their schooling, family life, friendships, and everyday living skills. A number of young people working with AAMOS may have used hospital to help their recovery. In AAMOS, each young person has a case manager who will support them to have regular contact with their doctor, manage their medication and meet regularly with other agencies involved in their care. Each young person’s experiences, strengths, needs, and goals are considered to develop a recovery plan that is unique. The AAMOS case manager will assist young people to return to previous activities or set new goals for their future. AAMOS aims to support young people to develop skills, abilities and relationships that will help them to lead lives in which they feel in control, connected to the community and hopeful and optimistic for their futures. Wherever possible, young people and their families will be linked in with a range of other community agencies suited to their individual interests and needs, including education & work options, recreation, and other youth services. Helping young people and families to understand the young person’s mental health issues, and assisting families/carers to identify and resolve various challenges they may experience are all part of the service of AAMOS. As well as regular contact with the case manager, the young person and family may have contact and support from other AAMOS team members. Contact Information (see below for more contact information)Cheryl Green, Coordinator, Adolescent Complex Care Unit Email green.cheryl@saugov.sa.gov.au
THE HOSPITAL TO HOME TRANSITION TEAM (A service of the Adolescent Complex Care Unit - ACCU) The Hospital to Home Transition Team (HHTT) is a statewide service, which works with young people who have severe mental health issues with a particular emphasis on first episode psychosis. Referral will include the identified need for the young person to benefit from attending the group program to address current serious mental health issues. This would indicate a requirement for levels of support significantly over and above those normally supplied by community based services. The age range is from 12 and up to 18 years. HHTT Staffing The HHTT comprises staff from the disciplines of nursing, psychology, occupational therapy and psychiatry who are employees of the Women’s and Children’s Hospital. Teaching input is provided by the Department for Education and Children’s Services. HHTT works closely with the staff of the inpatient unit of the Division of Mental Health and with staff of the Day Program Team, hence ensuring a continuum of care for young people with serious mental health issues. Philosophy We believe that young people deserve respect, that they are individuals with unique experiences, needs, feelings and beliefs and that they have the potential to grow and change. We have confidence in the ability of each young person to take control of and make responsible choices about their lives. Goal of the HHTT The HHTT’s goal is to assist in the maintenance, recovery, development and acquisition of skills for young people with a serious mental illness. The Model of Intervention The clinical model used by the Hospital to Home Transition Team, is the Transitional Rehabilitation Model of practice. It is an eclectic model drawn from the fields of Occupational Therapy, Psychology and Nursing. This model is based extensively on the Model of Human Occupation, the psychiatric rehabilitation approach (McGorry, Edwards et al 1996). The transitional rehabilitation model’s general goals are to assist in the maintenance, recovery, development and acquisition of skills for young people with a severe mental illness. This is achieved through a continuum of care in order for individuals to perform life tasks in their environment. The transitional rehabilitation model is based on four main underpinnings:
Illustrated case examples of young people referred to the Hospital Home Transition Team . Case 1 John is a 14 year old who lives with his mother and two sisters. His father died six months ago. John was an average student, but his school grades have dropped in recent months. He has withdrawn from his friends and family and spends most of his time alone in his bedroom. John looks miserable and has said that he wants to be with his father. John’s local doctor referred him the Women’s and Children’s Hospital where he was admitted and subsequently referred to HHTT by his psychiatrist. Case 2 Barbara is a 16 year old girl who lives with her parents and siblings. She dropped out of school a year ago, after a general decline in her academic performance. Barbara has been using marijuana for the past two years. Her parents notice that over recent weeks Barbara’s level of personal hygiene has declined. They also reported that she appeared distracted at times and would sit staring into space for long periods. Barbara told one of her friends that she believed she had special powers to protect others from evil. Barbara’s parents became concerned about her general behaviour and brought her to WCH casualty, where she was assessed and admitted. A few days later she was referred to HHTT. What does the HHTT do?
Research and Evaluation The HHTT is committed to applying systematic methods to collect substantial meaningful and relevant information to judge according to values, needs, criteria or standards, the extent to which group programs effectively and efficiently meet desirable program goals. To this end, The Co-ordinator of the Adolescent Complex Care Unit (ACCU) is responsible for ensuring staff are involved in the implementation of various programs, groups or projects to evaluate outcomes using the most relevant methodology and measurements available. Project proposals, content and evaluation outcomes are required to be documented using a range of published or unpublished instruments in order to assess their impact on the target population and assist in further service planning and health promotion for adolescents with mental health problems. Referrals Referrals to the HHTT are accepted from:
Referrals can only be acted upon after verbal or written consent of the parents or legal guardian has been received. Additional information including referral forms may be obtained from our Administrative Assistants. Contact Information (see below for more contact information)Cheryl Green, Coordinator, Adolescent Complex Care Unit Email green.cheryl@saugov.sa.gov.au
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