crisis assessment & treatment (cat) services in victoria · treatment (cat) services and...

CRISIS ASSESSMENT & TREATMENT (CAT) SERVICES IN VICTORIA


The aim of this brochure is to inform the community about public mental health service providers in Victoria. It explains the purpose and role of Crisis Assessment and Treatment (CAT) services and triage; contacting CAT services (including an index of contact numbers, and websites, for CAT services and other relevant agencies throughout Victoria); situations where CAT service clinicians can assist; and how to make complaints.

This brochure has been designed by a number of Monash University Law Students working in the Mental Health Community Development (CD) Group. Past participants of this group have conducted research into police shootings and mental illness, the role of the Coroner’s Court, as well as the criminalisation of mental illness. Through our research, we ascertained that there is some confusion about the role of CAT services, among not only the community, but among related professionals as well. The Springvale Monash Legal Service has made a serious commitment to improving access to justice for marginalised or disadvantaged people. We believe there is significant value in ensuring that the community is informed about mental health service provision.

We have consulted many professionals and related agencies in the production of this brochure. We would like to thank the Mental Health Branch of DHS and various CAT service clinicians who provided valuable time, and crucial feedback for this information brochure.

The following Monash law students have been involved in the information gathering and production of this brochure: Deborah Rea, Ariella Gery, Blake Sabo, Patrick Verhoeven, Simonne Kaplan, Janine Hill-Buxton, Shaun Keogh, Tammy Giouzeppos, Silvana Nastasi and Jade Press.

Dave TaylorCommunity Development Worker Springvale Monash Legal Service Inc.p (03) 9562 3144e [email protected]

Foreword

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This Discussion Paper has been produced by the Springvale Monash Legal Service Inc. and printed with assistance from the Danks Trust.

Title: Crisis Assessment & Treatment (CAT) Services in VictoriaAuthor: Springvale Monash Legal Service Inc.Artwork: Chris Maplestone

© Springvale Monash Legal Service Inc. 2007

This material is copyright. It may be reproduced for legitimate educational or review purposes; copying for other purposes must be authorised by express permission of Springvale Monash Legal Service Inc.


The public mental health system consists of clinical services that are managed by Public Health Services and that provide assessment, diagnosis, treatment and clinical case management to people suffering from serious mental illness and severe mental disorder.

Specialist clinical mental health services in Victoria are provided on an area basis, and are often referred to as area mental health services (AMHS). They include adult mental health services, child and adolescent mental health services, and aged persons mental health services. Each of these service categories provides inpatient psychiatric services, in addition to a range of community-based and residential services.

In each adult AMHS, the ‘front end’ of the mental health service system is comprised of:

• Mental Health triage services: Triage occurs at the first point of contact with mental health services. Triage clinicians provide initial assessment and advice, usually over the telephone. This is expected to be a 24 hour service.

• CAT services: CAT is a community-based outreach service for assessing and treating people suffering from serious mental illness. CAT services have a number of functions, the foremost being:

o Assessment of people in the acute phase of a mental illness;

o Crisis intervention for people in psychiatric crisis to identify problems and alleviate

risks; and

Introduction

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o Short-term, intensive treatment of people with an acute mental illness or mental disorder, in their usual residence, as an alternative to admission to an inpatient unit.

• Enhanced CAT (ECAT) services: ECAT is an Emergency Department-based psychiatric

assessment service.

The CAT service is a part of an AMHS that operates 24 hours and, in most cases, is geographically linked to a mental health inpatient service. Each CAT service may be managed differently depending on the local service environment and catchment area, but all CAT services share the same functions. For example in many rural AMHS, CAT, Mobile Support and Community Care functions are carried out by all community mental health clinicians, while in most metropolitan AMHS, CAT is a separate team, frequently combined with ECAT and triage. The critical factor, however, is that all CAT services have access to the full range of mental health services, and are expected to deliver the same functions.1

1 The above information was taken from the following website: http://www.health.vic.gov.au/mentalhealth/services/adult/index.htm [accessed 9 June 2006]

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CAT services:

• Receive referrals from triage and attend situations where individuals are in the acute stage of their mental illness or in psychiatric crisis;

• conduct initial assessment of problems;

• develop and implement crisis management plans for/with the individual;

• provide further short-term treatment and support during the acute stage of the crisis;

• Facilitate all public psychiatric inpatient admission;2 and

• Facilitate referral to other service providers.

NOTE: Definition of CRISIS

Psychiatric crisis describes the situation where a person with a mental illness or severe mental disorder experiences thoughts, feelings or behaviours which cause severe distress to him/her and those around him/her requiring immediate psychiatric treatment to assess and manage risk and alleviate distress.3 The acute stage of a mental illness is characterised by infrequent yet severely distressing symptoms that require immediate treatment. This may be the person’s first experience of mental illness, a repeat episode or the worsening of symptoms of an often continuing mental illness.4

The Role of CAT Services

2 See ‘Psychiatric Crisis Assessment and Treatment Services: Guidelines for Service Provision, 1994, p.11’ (Guidelines) for more information

3 Victorian Mental Health Website: http://www.health.vic.gov.au/mentalhealth/termnlgy.htm

4 As above

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CAT services will assist people:

• aged between sixteen to sixty-four years during business hours, and all age groups after hours:

o in the acute phase of a mental illness, or at risk of an acute episode, who require intensive treatment and support from public mental health services;

o in psychiatric crisis due to mental illness or mental disorder

o who require intensive community treatment and support to prevent psychiatric admission

Specialist mental health services are aimed primarily at people suffering from serious mental illness or mental disorder who have associated significant levels of disturbance and psychosocial disability due to their illness or disorder. This includes some people with conditions such as severe personality disorder, severe anxiety disorder, or those who present in situational crisis that may lead to self-harm or inappropriate behaviour towards others, the distinguishing factor being the level of severity of the disturbance and impairment.5 When considering referrals of persons with personality disorder, CAT will take into account the presenting symptoms, the availability of treatment, the involvement of alternative services, the existence of a current management plan, and the likely therapeutic benefit of specific interventions; for example, clinical and research findings have consistently shown that inpatient or compulsory treatment, except for very brief periods, is seldom of sustained therapeutic benefit for persons with personality disorder.

Target Groups for CAT Services

For information on the target group for adult mental health services refer to:

http://www.health.vic.gov.au/mentalhealth/services/adult/index.htm

For information on mental health services catering for those outside of the above age bracket, see Other Victoria Mental Health Services below.

5 See guidelines, p.26

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If you are a GP / private practitioner / police/ family member /individual suffering from mental illness you can call a centralized mental health triage number (contact numbers vary for each region).6 A mental health practitioner will answer the call, attempt to counsel the person suffering from mental illness who is in crisis and obtain all relevant information in order to decide the nature and level of response required. When deciding if a referral should involve action by the CAT service or another part of the mental health service, triage will consider:

1. Whetherthepersoninneedappearstohaveaseriousmentalillnessoraseverementaldisorder

2. Whetherthepersoninneedisexperiencingapsychiatriccrisis

• The immediacy and severity of the situation will be considered.

3. Whetherthepersoninneedisintheacutestageofhis/herillnessordisorder

• The seriousness of the symptoms will be assessed.

4. Risktotheindividualsufferingfrommentalillnessandothers

• High risk situations will be prioritised; and

• In high risk situations, CAT clinicians must consider involving the police, if they are not already in attendance.7

Contacting CAT Services/ Mental

Health Service Providers and

Criteria for Attendance

6 Refer to Contact Details below or go to http://www.health.vic.gov.au/mentalhealth/services/adult/index.htm

7 See guidelines, p.45See guidelines, p.45

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5. RisktoCATservicemembers

• In assessing risk, the on-call worker will consider a number of factors, including

the following:8

o level of agitation;

o explicit acts or threat of violence;

o past history of violence;

o attitude of person to the referral;

o psychiatric history;

o presence of other people, including dependent children;

o role of other people (threatening or supportive);

o physical location of referred person; and

o gender issues.

• In situations of high risk, police involvement must be considered and CAT services may either attend with police or refer the case to police. CAT clinicians and police will be guided by the 2004 ‘Victoria Police- Department of Human Services Mental Health Branch’ Protocol when managing high-risk situations. Generally, police will be responsible for any activity relating to crime

8 See guidelines, p.45See guidelines, p.45

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or threat to other people, and CAT services will be responsible for mental health issues once the situation has been made safe.9

• In some situations of high risk, it may be more appropriate for the person suffering from mental illness to be transported for assessment in the emergency department rather than in the community.

CAT services have finite resources and competing responsibilities. Contacts and referrals are prioritized according to the level of urgency. Attendance at a high-risk situation is a priority and the CAT clinicians attend as soon as practicable. If there is a delay, mental health triage can be contacted for further consultation.10

When contacting CAT services it is helpful to be as specific as possible about the concerns, e.g. behaviours, feelings, distress, risks etc. This will assist CAT services in assessing the nature and urgency of the situation.

9 http://www.health.vic.gov.au/mentalhealth/police/protocol-police.pdf p.23 [accessed 26 September 2006]

10 Consultation with metropolitan CAT 1, 3, 4, 5 (September 2005 �� February 2006)Consultation with metropolitan CAT 1, 3, 4, 5 (September 2005 �� February 2006)

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GP / private practitioner / police/ family member / individual suffering from mental illness calls the centralised mental health

triage number in their catchment area

Triage will:

• obtain all relevant information • talk to the individual o Are they willing to converse via phone? o Can triage calm them down? o Conduct preliminary assessment • conduct risk assessment of: o Self harm o Harm to others o Harm to CAT service members

• determine the immediacy of the situation

• determine whether attendance by a CAT service is required? o Are police required? o Should police attend alone if the situation is dangerous?

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Procedural Diagram

Contact or refer to relevant service if the individual’s situation is not

within CAT service jurisdiction.

Organise for CAT service to

attend or for admission

by another method.

If the situation is dangerous,

CAT may need to

attend with the police.


When triage contacts the CAT service, the on-duty CAT for the specific catchment area will attend to the situation. If there is no need for police involvement, the CAT service will assess the individual in acute crisis and manage the circumstances, which may include:

• Conducting a detailed assessment of the individual to determine:

o The mental health of the individual and psychiatric treatment requirements;

o The level of support available;

o Additional support required to maintain the individual in the community;

o The level of risk of harm to self/others and management strategies, including

notification to protective services and notification to police and persons at risk in certain circumstances.

• Assessing the individual in crisiswith input from the individual themselves;

• Comprehensive interviews and discussions with family/carers and significant others to gather information about the individual, their illness and support needs;

• Contacting and referring them to other relevant services if the individual is not suitable for CAT services (for example, Drug and Alcohol services);11

Assessment and Treatment

Procedures

11 Consultation with metropolitan CAT 4 (September 2005 �� February 2006)

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• Organising inpatient admission if appropriate, otherwise, determining appropriate assistance

for them;

• Providing short-term support(usually a couple of weeks). Frequent and intensive contact is provided on an outreach basis during the period of psychiatric crisis. This is often maintained until such time as care of the individual suffering from mental illness is transferred to the appropriate community mental health service case manager, GP or other agency as agreed by the treating team;

o Medical practitioners are part of CAT services and are available for consultation, assessment, treatment advice and the prescription and review of medication

where necessary.

• Frequently supervising their clients with regard to the taking of medication, especially post release from hospital;

• Providing crisis intervention, which may involve telephone or face-to-face crisis counselling, arranging urgent medical assessment/review or treatment, negotiating with family members/carers or friends regarding problems and liaison with other agencies or service providers;

• Monitoring the needs of carers, giving some attention to the longer-term implications of their caring role;

o Speaking privately with carers about their views and needs and provide assistance to carers wherever possible;

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o Providing information to them and their family members/carers regarding nature of the mental illness, prognosis, treatment options, medication effects and side effects and service options; and

o If necessary, transporting them to hospital.

In some situations there may be limits to what can be achieved by clinical mental health intervention. Clinicians then advise and/or arrange other appropriate services for the person.

• Response times vary depending on the urgency of the situation and the size of the catchment area. The average response time for acute crisis ranges from 1-3 hours.

• CAT services are heavily utilized, so priorities have to be established according to the urgency of the situation. Life threatening situations will be responded to first.

• CATservicesarenotanemergencyresponsegroupinthesamewayasthepoliceandambulanceservices. In the case of an emergency, where urgent and immediate assistance is required, call 000.

• CATservicesgenerallydonotattendsituationswherethepresentationispredominatelyasocialcrisis(e.g.domesticviolence)orclearlydrugs,

Response Times

CAT Services Cannot Assist

in the Following Situations

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alcoholorviolence-related. If there is a suspected mental health component and a CAT service does attend the situation, staff may wait for a police escort to accompany them. CAT services often consult with staff from other organisations who can assist in these types of situations.

• CATcliniciansdonotconductthoroughphysicalexaminations.CAT clinical staff refer individuals suffering from mental illness to a medical practitioner when a physical examination is required.

• The Mental Health Act 1986 (the ‘Act’) provides a legislative framework for the care, treatment and protection of people suffering from a mental illness in Victoria.12

• CAT services cannot confine an individual in an enclosed space, except in emergency situations

where it is necessary for the personal safety of the individual or others. In most cases, this will occur only in Emergency Departments. Where a

person is secluded in an Emergency Department in accordance with the Act, regular reviews and examination of the patient are mandatory.

Secluding or confining an individual should only occur after an assessment and in the absence of

other alternatives.13

• Consent to treatment, including prescribing and administering medication is sought by CAT

service members. Where the individual suffering from mental illness is unable to consent,

consideration will be given to the need for

CAT Service Powers

12 Information concerning the act can be found at: http://www.health.vic.gov.au/mentalhealth/mh-act/ The Mental Health Act 1986 can be found at the following link: http://www.austlii.edu.au/cgi-bin/download.cgi/download/au/legis/vic/consol_act/mha1986128.rtf

13 S. 82 of the Mental Health Act 1986 (Vic) deals with seclusion. It can be downloaded from: http://www.austlii.edu.au/au/legis/vic/consol_act/mha1986128.txt/cgi-bin/download.cgi/download/au/legis/vic/ consol_act/mha1986128.rtf

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involuntary treatment. If the individual is an involuntary patient and the psychiatrist believes

a particular treatment is necessary, they may receive specific medical treatment even if they refuse

to consent.14

• In certain circumstances under the Act, CAT clinicians can enter a private dwelling without

the permission of the legal occupant. This is limited to when someone has been recommended for involuntary treatment or is absent without leave

or there are imminent risk concerns. CAT clinicians will rarely exercise this right without a police officer in attendance.15

The following services generally operate during business hours. They provide some functions similar to a CAT service for the groups they work with in the community. All referrals accepted outside business hours will be handled by an appropriate CAT service.

Specialist child and adolescent mental health services are provided for children up to 18 years of age with serious emotional disturbance. There is an intensive outreach program in all areas to manage and support adolescents who display substantial and prolonged psychological disturbance and have complex needs including at-risk and suicidal behaviours. In situations of psychiatric crisis, contact the triage in your area. If the crisis occurs after hours the triage will pass all referrals to CAT services. In an emergency call 000.

Other Victorian Mental Health

Services

Child and Adolescent

Mental Health Services

(0-18 years)

14 Publications indicating patients rights (and consent to treatment and informed consent) can be found at: http://www.health.vic.gov.au/mentalhealth/patientrights/index.htm7 See guidelines, p.45See guidelines, p.45

15 Discussion with workers from Victorian Mental Health Branch, DHS, 6 October 2006. For more information, see: http://www.health.vic.gov.au/mentalhealth/police/protocol-police.pdf

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These services are primarily for people with long-standing mental illness who are over 65 years of age or who have developed illnesses such as depression and psychosis in later life. Aged mental health services are delivered in multidisciplinary teams for community based assessment, treatment and case management. In situations of psychiatric crisis, contact the triage in your area. In an emergency call 000.

HOPS provide a specialist clinical and treatment response for people who do not engage readily with mental health services. HOPS work in partnership with homeless persons’ services and use assertive outreach to locate and engage with their clients to create a pathway out of homelessness, by providing early and appropriate treatment. HOPS link clients into the mental health service system, including access to long-term housing augmented with outreach support, and improve the coordination and working relationships between mental health and homeless persons’ services. HOPS also provide assessment and secondary consultation to homeless persons’ services and other mental health workers. HOPS are not currently available in all catchment areas.

Homeless Outreach

Psychiatric Services (HOPS)

Aged Persons Mental Health

Services (65+ years)

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• Various avenues exist for clients who wish to complain about a mental health matter involving a CAT service. A good place to start is the:

o Health Service and/or the Area Mental Health Service Manager, through the complaints process.

• Other avenues for making a complaint include:

o Health Services Commissioner;o Chief Psychiatrist;o Public Advocate; ando Community Visitors.

• Organisations that may be able to assist with a complaint include:

o Victorian Mental Illness Awareness Council;o Mental Health Legal Centre;o Victorian Legal Aid;o Public Advocate; ando Community Legal Centres.

• See below for contact details.

Client Complaints

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Metropolitan Services

Central EastThis area covers: Manningham, Monash-Waverly West, Whitehorse-Box Hill and Whitehorse-Nunawading WestPsychiatric triage: 1300 721 927

Central East CAT ServiceLevel 1 43 Carrington RoadBox Hill VIC 3128 1300 721 927

Inner SouthThis area covers Melbourne (Part), Port Philip, Stonnington (Windsor) and Glen Eira (Caulfield)Psychiatric Triage: 1300 363 746

Inner South CAT ServiceThe AlfredPO Box 315Prahran VIC 3181

Inner Urban EastThis area includes Yarra and BoroondaraPsychiatric Triage: 1300 558 862

Clarendon Community Mental Health Centre – CAT service52 Albert StreetEast Melbourne VIC 3002(03) 9417 5696 AH 1300 558 862

Inner South EastThis area covers Greater Dandenong, Casey, Cardinia, and Frankston-EastPsychiatric triage: 1300 369 012

Dandenong CAT service145-151 Cleeland StreetDandenong VIC 31751300 369 012

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Contact Details

Mentalhealthtriageserviceprovidesinformation,assessmentandreferralforallagegroups24hoursaday,7daysaweek.TriagecanmobiliseaCATresponseifrequired.


Inner WestThis area covers Mooney Valley and MelbournePsychiatric Triage: 1300 304 407

Inner West Area Mental Health Service / Waratah Clinic– CAT Servicec/o 2nd Floor, 641 Mount Alexander RdMonee Ponds VIC 3039(03) 9377 3400 AH (03) 9342 7000

Mid WestThis area covers Melton and BrimbankPsychiatric triage: 1300 859 764

Mid West CAT ServiceHarvester Clinic4A Devonshire RoadSunshine VIC 3020(03) 9288 7000 AH: 1300 859 764

Middle SouthThis area covers Bayside and KingstonPsychiatric Triage: 1300 369 012Dandenong HospitalDavid StreetDandenong VIC 3175

Middle South CAT ServiceMonash Medical Centre246 Clayton RoadClayton VIC 31681300 369 012

North EastThis area covers Nillumbik and BanyulePsychiatric triage:

• 8.30am – 5.00pm Monday –Friday: (03) 9450 9000

• All other times: 9496 5000

North Eastern CAT ServicePO Box 464Heidelberg VIC 3084(03) 9450 9000 AH: (03) 9496 5000

North WestThis area covers Hume and MorelandPsychiatric triage: 1300 768 073

North West CAT Service35 Johnstone Street Broadmeadows VIC 30471300 768 073

NorthernThis area covers Whittlesea and DarebinPsychiatric triage: 1300 650 295

Northern CAT Service185 Cooper StreetEpping VIC 30761300 650 295

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Outer EastThis area covers Maroondah, Knox, Yarra Ranges and Whitehorse-Nunawading EastPsychiatric Triage: 1300 721 927

Maroondah hospital & Outer East CAT ServiceC/o- Maroondah HospitalMount Dandenong RdRingwood East VIC 3135Triage (03) 9847 4700 Current CAT Clients (03) 9847 4777

PeninsulaThis area covers Mornington Peninsula, French Island, Kingston-South and Frankston-West.Psychiatric Triage: 1300 792 977

Peninsula Community Mental Health Service – CAT Service15/17Davey StreetFrankston VIC 3199(03) 9784 6999 AH: 1300 792 977

South WestThis area covers Wyndham, Hobsons Bay and Maribyrnong.Psychiatric Triage: 1300 657 259

CAT Services; Werribee Mercy Mental Health program; Wyndham Health Service117-129 Warringa CresHoppers Crossing VIC 30291300 657 259

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Regional and Rural Services

BarwonThis area covers Greater Geelong, Queenscliff, Surf Coast, Colac-Otway, Corangamite (part) and Golden Plains (part).Psychiatric triage: (03) 5226 7410

Barwon Mental Health Service TriageSwanston CentreCnr Swanston and Myers StreetsGeelong VIC 3220(03) 5226 7410

GippslandThis area covers East Gippsland, Wellington, Baw Baw, Bass Coast, Latrobe and South Gippsland.Psychiatric Triage: 1300 363 322

Latrobe Regional Hospital Community Mental Health and CAT Services in Traralgon, Sale, Bairnsdale, Yarram, Orbost, Korumburra, Warragul and Wonthaggi.For all services contact:1300 363 322 or (03) 5128 0100

GlenelgThis area covers Glenelg, Southern Grampians, Moyne, Warrnambool and Coranagamite-North regions.Psychiatric Triage: 1800 808 284

CAT Services in Camperdown, Hamilton, Portland and Warrnambool. For all areas contact:1800 808 284 or (03) 5563 1222

Goulbourn & SouthernThis area covers Greater Shepparton, Strathbogie, Mitchell, Murrindindi and Moira-East.Psychiatric triage: 1300 369 005

Goulbourn Valley Area Mental Health Service – Assessment Response TeamMonash StreetShepparton VIC 3630(03) 5832 2111

Seymour Community Mental Health Service22 Moyle StreetSeymour VIC 3660(03) 5735 0333

GrampiansThis area covers Hindmarsh, West Wimmera, Horsham, Yarriambiack, Northern Grampians, Ararat, Hepburn, Pyrenees, Ballarat, Moorabool and Golden Plains-North WestPsychiatric Triage: 1300 661 323

Loddon Campaspe / Southern Mallee RegionThis area covers Gannawarra, Buloke, Campaspe, Central Goldfields, Loddon, Greater Bendigo, Mount Alexander, Macedon Ranges and Swan Hill.

CAT services in Strathdale, Castlemaine, Echuca, and Maryborough.For all areas contact: 1300 363 788

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North Eastern HumeThis area covers: Wodonga: Towong, Wodonga, Indigo and Keiwa ValleyWangaratta: Alpine Wangaratta, Benalla, Mansfield and East Moira.Psychiatric Triage:

• Wodonga 1300 881 104

• Wangaratta 1300 783 347

Contact CAT Services in Wangaratta, Benalla and Wodonga via closest triage service above.

Northern MalleeThis area covers Mildura, Swan Hill, Robinvale and Ouyen.Psychiatric Triage: 1300 366 375

Northern Mallee CAT ServiceOntario AveMildura, VIC 3500(03) 5022 3500

Forensic Mental Health Services

The Victorian Institute of Forensic Mental Health – ForensicareThomas Embling HospitalYarra Bend RoadFairfield, VIC 3078(03) 9495 91001300 650 345www.forensicare.vic.gov.au

Community Forensic Mental Health Services200 Sydney RoadBrunswick, VIC 3056(03) 9356 8500

Legal Services

Federation of Community Legal CentresSuite 11, 1st Floor54 Victoria StreetCarlton South VIC 3053(03) 9652 1500

Victoria Legal Aid (Melbourne)350 Queen St Melbourne VIC 3000 GPO Box 4380 Melbourne VIC 3001 (03) 9269 02341800 677 402http://www.legalaid.vic.gov.au/Index.cfm

Mental Health Legal Centre IncLevel 4, 520 Collins StreetMelbourne, VIC 3000(03) 9629 4422 OR 1800 555 887www.communitylaw.org.au/mental_health

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Complaints & Investigations

The Chief PsychiatristDepartment of Human Services50 Lonsdale StreetMelbourne VIC 3000Chief Psychiatrist Inquiry Line: 1300 767 299

Health Services CommissionerComplaints and Information30th Floor, 570 Bourke StMelbourne VIC 3000(03) 8601 5200 or 1800 136 066www.health.vic.gov.au/hsc

The Public Advocate5th Floor, 436 Lonsdale StMelbourne VIC 30001300 309 337www.publicadvocate.vic.gov.au

The OmbudsmanLevel 9 459 Collins St (North Tower)Melbourne VIC 3000(03) 9613 6222 or 1800 806 314www.ombudsmen.vic.gov.au

Mental Health Review Board30th Floor, 570 Bourke StMelbourne VIC 3000(03) 8601 5370 or 1800 242 703www.mhrb.vic.gov.au

Mental Health Awareness Groups

SANE AustraliaPO Box 226South Melbourne, VIC 3205(03) 9682 5933 or 1800 187 263www.sane.org

Mental Illness Fellowship VictoriaFairfield Place, 276 Heidelberg RoadFairfield, VIC 3078(03) 8486 4200www.mifellowship.org

Victorian Mental Illness Awareness Council (VMIAC)23 Weston StreetBrunswick, VIC 3056(03) 9387 8317www.vmiac.com.au/

Spectrum (provides information & assistance regarding personality disorder) 4 Bona Street Ringwood East 3135 PO Box 135 Ringwood East 3135 (03) 9871 3900Email: [email protected]

Useful Websites

For an index of services available go to:

http://www.health.vic.gov.au/mentalhealth/services/index.htm

Information on your Area Mental Health Service contact details go to:

http://www.health.vic.gov.au/mentalhealth/services/adult/

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