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2008 Service Awards

25 January 2008 commemorated the Graylands Selby-Lemnos & Special Care Health Services Service Awards presented by Dr. Nathan Gibson, Head of Clinical Service - Graylands Hospital. "the awards recognised the continuous service of 43 eligible staff members, 21 of which attended the presentation. collectively this group has accumulated over 835 outstanding years of service," said Dr. Gibson. the list below honours our long-standing staff recognised at the 2008 service awards presentation.

40 Years Service

michael o'Kane Nursing services

15 Years

carmela connor rhonda eating Nursing services administration transport services Domestic services murray tod rose mazza anne logan andrew Douglas lazarus heredia Nursing services creative expression centre for arts therapy Nursing services Nursing services roger stone linda thompson primary rehab.Unit Nursing services susan reuvers mary ongarezos lynn chicote pharmacy Nursing services Nursing services Neurosciences medical records Nursing services Nursing services Nursing services social Welfare Nursing services

health in Mind

North metropolitaN area health service meNtal health AUTUMN 2008

35 Years Service

renee mountford pam mikus peter craen Joyce Barrow

a move in the Right Direction

Eight people with a manageable mental illness will live different lives when WA's first Community Options home, located in Kelmscott, opens in June 2008. Community Options housing provides an alternative to long term hospital-based care for people with a mental illness requiring high level support. the community options rehabilitation team implemented intensive, individualised rehabilitation programs to prepare the eight individuals for community living. "our clients developed skills in the areas of budgeting, personal hygiene, meal preparation, utilising public transport, shopping, banking and accessing community facilities and resources," said sandra mun, senior occupational therapist. renae, who has lived in a ward on Graylands campus for six years, is thrilled about the impending move. "i am very excited about living independently in a non-hospital environment. i look forward to cooking my favourite italian dishes, keeping a tidy home and getting out and about ­ using the skills learnt from the wonderful rehabilitation team," said renae. the home is one of four scheduled for completion throughout the Wa metropolitan area this year as part of the state Government's $507 million investment in the WA Mental Health Strategy.

From the Area Exec. Director

As you may know, I have been selected for the position of Area Executive Director, Mental Health at North Metropolitan Area Health Service (NMAHS). I welcome the opportunity to continue working alongside you as we strive towards our common goal of increasing quality services and standards. our attention remains on consolidation and clinical service planning which involves reforming and redesigning services and structures. a rationalised approach was undertaken to examine the restructure of business needs and clinical processes. this major task is the current focus of the mental health Division and Nmahs mental health redevelopment and clinical planning teams. i would like to thank all contributors working on this project, particularly Jenny hoffman (projects manager - Nmahs mental health). resources will be directed towards redistributing mental health inpatient beds to better meet demand and bring services closer to where people live. the redistribution will involve Graylands campus as well as proposed developments scheduled at osborne park, midland health campus, Joondalup and sir charles Gairdner hospital. i am committed to increasing, maintaining and retaining quality workforce levels in an environment where workplace safety is a priority. securing and investing resources into staff development activities, education and training is another key area. the Workforce and occupational health and safety Units were recently expanded and now offer increased staff support. We will soon execute a national campaign to recruit registered mental health nurses to help bridge the workforce deficit gap and the aging nurse population as well as investing in assistants in nursing to enhance our capacity for patient care. i would like to commend and thank mrs. leanne sultan (acting Director operations ­adult program) and Dr. Willem van Wyk (acting clinical Director ­ adult program) for leading the adult program whilst i acted in the executive Director, mental health role. mrs. sultan and Dr. van Wyk will continue in this capacity until 31 July 2008, while a consultative review of the structure of the adult program is undertaken. Going forward, i ask for your continued support as we maintain the momentum we have built and concentrate on delivering tangible outcomes for the people we are most passionate about ­ those living with severe and persistent mental illness. Dr. Ann Hodge Area Executive Director NMAHS Mental Health

30 Years Service

Dianne passamani Jill Binning leon abella sujuk lay

25 Years

marieke Boelen Bev read David Nixon Nursing services catering services engineering services

10 Years

Joanne Foy mary patterson Nursing services Nursing services Neurosciences statewide indigenous mental health service Domestic services Nursing services physiotherapy Nursing services security services occupational therapy

20 Years

ian sharp David Griffiths louis Fernandes Kerry mcmanis Joe mcKay lesley thomas helen Kristianopulos John italiano alan Burgess Nursing services Nursing services Nursing services administration transport services creative expression centre for arts therapy administration Nursing services Domestic services

peter panegyres sam Ninyette

hai ta Geoff seagrott Kevin lau trianta mallis Joe colton michael serich

North metropolitaN area health service meNtal health

the deadline for Winter 2008 issue contributions is 2 June 2008. please email to the editor, lucy monte at [email protected] or send to c/- Nmahs mental health administration, moore house, Graylands campus, Brockway road, mt claremont 6010.

community options rehabilitation assistant Jillian shepherd assists renae with using a bus timetable.

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osh Matters

The winners of two Occupational Safety & Health competitions, held during Safe Work Australia Week (SWAW) last October, were this year presented with cash prizes of $150.00 each kindly donated by SmartSalary. Congratulations to our prize-winners; Olga Ristovski, Medical Records Senior Clerk at Inner City Mental Health Service (ICMHS) and the Community Recovery Program team at ICMHS. sWaW is an australian Government initiative which aims to encourage all working australians to concentrate on safety in their workplace to reduce death, injury and disease. Dr. ann hodge, area executive Director - mental health, asserts that incorporating safety into everyday work practices is imperative. "We all have a responsibility for workplace safety. every accident that occurs is one accident too many and the onus is on each individual to be continually vigilant about workplace safety, says Dr. hodge. "i would like to thank our osh committee and safety representatives who are instrumental in determining that immediate and long-term issues affecting safety and health are assessed, changed and controlled. thanks also to rhonda lopez, osh consultant, (North metropolitan area health service mental health), who coordinated the competitions on behalf of the osh committee," says Dr. hodge. the competitions comprised of a staff osh Quiz and an osh Workplace activity of the area's choice. From the fifty entries received, Olga won the Staff OSH Quiz by scoring a perfect 100% - showcasing her sound understanding of and commitment to osh principles. the winning osh Workplace activity ­ a training duress drill ­ was developed by osh representative tamsin pagett, senior occupational therapist at icmhs. Four icmhs staff were allocated roles (posing as both clients and staff) and given information which required them to think about the actions they would take during a normal work day.

spotlight On Staff

Some people may think that developing an informed understanding of children or adolescents is an arduous task. In this issue of Health in Mind, we speak to Patrick Marwick - who has dedicated much of his working life to this very cause. patrick is the clinical Director of the child and adolescent mental health services (camhs) program. he leads a number of multidisciplinary teams, within North metropolitan area health service (Nmahs) mental health, who work with families and carers in providing services to infants, children, adolescents and youth with severe mental disorders. Patrick, can you tell me one thing about yourself that you think your work colleagues are not likely to know? i'd have to say my cooking abilities. Depending on seasonal fruits and vegetables, i regularly don an apron to produce homemade wares such as pesto, marmalades, jams, quince jelly and pickled olives. i recently made a number of jars of basil pesto, as basil is just coming into season, and in early spring i regularly produce several dozen jars of cumquat marmalade. i enjoy being able to use local produce in season and prefer to give the products of my efforts as festive gifts to my colleagues - and they appear to have survived the ingestion! over the years i have come to enjoy the contributions of culinary revolutionists like elizabeth David, and our local stars, maggie Beer and stephanie alexander and i can recommend olive connoisseur professor stan Kailis' recipe for pickling olives! i give much credit to Jamie oliver, who i think is partly responsible for the global movement of men into the kitchen! i can recommend the hunters lasagne (incorporating home-made pasta sheets) from Jamie's italian cookbook ­ however this requires dedication as the preparation takes between three to five hours! Can you please outline one of your most significant personal achievements/experiences? Being a parent and grandparent is a very significant part of my life. My son Ben, who has just finished his Ph.D in Archeology at the australian National University in canberra, joined us recently for christmas. spending time with Kaspar, my 13 month grandson, was the best christmas gift i could have wished for. We also celebrated Ben's acceptance of a professorship this year at the University of Washington in the United states of america. i am looking forward to our next family reunion and have mixed feelings about the prospect of Kaspar growing up with an american accent! my daughter Josie is planning to move to london following her admission to the law society as a solicitor on the 2nd april 2008 (also her birthday). she is currently employed with lavan legal specialising in corporate law. sascha, the elder of my two stepsons, has just commenced his second year of legal studies at UWa. as a parent/grandparent i enjoy watching my family members pave their own way in life. i think that their achievements are a credit to their efforts.

mr. Jim thomson, Director ­ area mental health Nursing services, registered Nurse marlene Gailbraith and rosemary hoffman, Graylands campus Nurse Director.

patrick marwick, camhs clinical Director.

osh awards presentation left to right: professor aleksandar Janca, sylvia mieier, Jemmia Wales, Dr. ann hodge, olga ristovski and Dr. Keith Bender.

this requires the ongoing development and reform of referral and clinical pathways as a framework for better access to mental health services and providing a holistic approach to consumer care. If you had a CAMHS wish list ­ what would be on it? how much time do you have? camhs has a limited capacity to provide services. current resources and service delivery models facilitate a capacity to provide services to 1% of the target population. We know that 5% of the children and adolescent population group will experience severe mental disorder. Clearly there is insufficient capacity to provide services to all of those likely to experience an episode of severe disorder; hence it is critical to ensure that the most severe, most complex and most acute presentations have priority for services. We are in the process of examining our current models of service delivery to ensure that our services are directed towards where they are most needed. if i had a magic wand ­ i would extend our services to reach the full 5% children and adolescent population group in need of our services and also look at how those with lower needs can access services. We need further investment in dedicated specialist mental health services for infants. We now have access to a large body of evidence regarding early years' development and have evidence based interventions available to assist young parents and infants with early developmental problems and attachment difficulties. evidence suggests that early intervention may prevent the development of more severe disorder in adolescence or early adulthood. i would like camhs to be able to provide a broader range of specialist services to aboriginal and torres strait islander (atsi) and other culturally diverse groups that have a higher prevalence of mental disorders per head of population. We are beginning to understand that children and young people and their families from atsi and culturally and linguistically diverse backgrounds have particular problems accessing traditional clinic based services. in this regard i'm keen to develop evidence based approaches which are more accessible and effective for these special needs populations. i would also focus to develop stronger links and specialist programs with the Department for child protection (Dcp). this would lead to better assessment outcomes for children and young people in care. the Ford report recommendations provide us with an impetus to more effectively address the needs of children and young people in care. this requires the development of strong partnerships with DCP and a significant investment in specialist staff as well as training and up-skilling current staff. stepping out of dream mode ­ the current policy on mental health services for children and adolescents "From Infancy to Young Adulthood" aims to provide specialist mental health services to 2% of the target population. This would be a significant improvement. i must have run out of wishes by now surely?

issues such as advising other staff of their movements, wearing duress pendants, writing the names of all staff present on the white-board and locking staff offices were raised. the participants, (four icmhs staff and a security company) found the exercise to be very beneficial as it involved testing the duress alarm system and the knowledge of staff in an emergency situation. The drill identified areas in need of improvement which resulted in icmhs community recovery program reviewing its drill policies. so what will the community recovery program team do with the money, health in mind asks? "tasmin, who is currently on leave, is due to be married and as she was pivotal in coordinating the activity ­ we will contribute the prize money towards a wedding gift for her," says Jemmia Wales, coordinator & senior occupational therapist at icmhs. Dr. Keith Bender (head of service - icmhs) and professor aleksandar Janca (consultant psychiatrist ­ community recovery program) are commended for enforcing a strong osh culture in the workplace ­ clearly demonstrated by icmhs winning both of the osh competitions.

Golden anniversary Achievement

A large congregation of past and present staff attended an afternoon tea on 25 February 2008 to recognise Registered Nurse Marlene Gailbraith's 50 years of service at Graylands Campus. The golden anniversary was marked with a commemorative gold watch and a certificate of service presented by Dr. ann hodge, area executive Director, mental health. "A fifty year commitment of professional service is no ordinary feat ­ let alone in an area as demanding and constantly changing as mental health. We are extremely privileged to have such a dedicated long standing member of staff achieve this milestone," said Dr. hodge. "i commenced work at Graylands in 1958 at a time when there was one psychiatrist and one doctor. We had 90 female nursing staff attending to 900 female patients. We also had 1000 male patients. today the ratios are very different and the patients receive more personalised care in a much improved environment," said marlene.

What key drivers lead you to pursue your area of professional expertise? i am highly motivated towards the provision of excellence in public health services ­ especially for the most disadvantaged members of our community. i believe service delivery should adopt an evidence based epidemiological approach to target, plan and prioritise resources more effectively to meet mental health consumer needs. We are working to ensure that Nmahs camhs strives to improve services from the point of entry to services to discharge.

long time colleague associate professor Jim thomson, Director ­ area mental health Nursing services, says marlene is renowned for her love of a good laugh and enjoys practical jokes. He recalled, during his address, the day when he went to Marlene's ward and walked up to her prized fish tank and plunged his hand into it pulling out a goldfish ­ which he mimicked to swallow. "Marlene couldn't believe what she had seen at first until she realised that the `goldfish' was a sliver of carefully concealed carrot. We laughed for a long time after," said Jim.

When asked about her retirement plans, a strong-minded response followed. "if i didn't enjoy working at Graylands ­ i wouldn't have stayed so long. i'm not going anywhere soon," asserts marlene.

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