Women's and Children's Hospital, Adelaide
Boylan Ward Model of Intervention

Child and Adolescent Mental Health Services (CAMHS)

Boylan Ward Model of Intervention

The model of intervention used within Boylan Ward consists of three phases:
  • Assessment
  • Treatment Planning and Implementation
  • Support and Follow-up

Assessment

During the period of assessment the patient and treating team work together to identify goals for treatment. The development of the therapeutic relationship assists in this process.

Assessment proceeds on a continuum. Self-assessment, self-report, clinical observation and standardised assessments may be used to determine current levels of functioning. Understanding the individuals functioning in the wider family and social systems is crucial to the assessment process, hence assessment also includes information gathering from an individual's wider family, school/work and social environment. It is important to determine the degree to which a young person's development has been interrupted due to the illness.

Treatment Planning and Implementation

Treatment is a graded process which begins with simple goals and moves toward more complex goals. Simple goals such as gaining mastery over the immediate environment are achieved by establishing meaningful and therapeutic relationships with the treating team and by engaging in basic self-care tasks and activities which promote maintenance of existing skills. Once these simple goals are achieved, individuals are encouraged to participate more actively in making decisions about future treatment options.

As individuals become actively engaged in the treatment process, recovery and development of skills begin to be addressed more specifically. At that point goals will be negotiated collaboratively with the treating team. This is accomplished by engagement in daily living skills and participation in group activities including attending the Hospital School Services for school age young people, while greater re-engagement within their wider environmental and social systems is fostered. Individuals then proceed along the continuum of care.  The treating team may change in the support and follow up phase.

At an appropriate point in the treatment planning and implementation phase, patients are discharged from hospital care and return to their home environment. Boylan Ward staff are actively engaged in facilitating this process of transition, and through the Assertive Collaborative Discharge Continuity (ACDC) all patients are contact within 7 days  post discharge to ensure that follow up plan on leaving the ward  is on track. This ensures that all patients are provided with clinical support if required if follow up appointments are not within seven days of discharge.

During the patients  hospital stay, medical staff  with the support of the multi disciplinary team oversee the case management process for patients. CAMHS case workers and other government and Non-Government organisations such as headspace, private practitioners are included in the care plan through ward rounds, phone contact, telehealth and family  and case discussions. Referral processes are also facilitated through the work of the multi-disciplinary team and followed up through the ACDC overseen by the Boylan Nurse Consultant.

As the young people move closer to discharge, the case management will be referred to an appropriate community agency or transferred back to the primary worker in the community agency.

Support and Follow-up

As individuals gain increased competence and confidence within their environment the need for ongoing involvement with Boylan Ward diminishes. Ceasing to be involved with Boylan staff is generally a joint decision between the young person, the family and the staff involved and may be negotiated at any phase.

last modified: 13 Jul 2017