Community Care

This page provides information about the following Community Care services:

Adult Community Mental Health Team

Adult Community Mental Health Teams provide multidisciplinary community mental health assessment and treatment services to people aged 18 years and over, who are affected by mental illness, their family/significant others and carers. Each of the three catchment areas within Metro North Mental Health (RBWH, TPCH and Caboolture/Redcliffe/Kilcoy) have dedicated Adult Community Mental Health Teams.  The details for each Adult Community Mental Health Team are provided below.  

NOTE:  There is no direct entry to Adult Community Health Teams. The Acute Care Team at each service is the entry point to all other parts of the mental health service.  Following triage and assessment and/or an inpatient admission, a referral to an Adult Community Health Team may be made.  

Adult Community Health Teams primarily support people with complex mental health disorders such as schizophrenia, psychosis, severe personality disorder and affective disorders complicated by co-morbidities including substance misuse and personality disorders. Adult Community Mental Health Teams provide services to consumers who experience moderate to severe impairment in functioning due to mental illness, and who have difficulty accessing and maintaining psychosocial supports.  

The main services provided by the Mental Health Clinicians of Adult Community Health Team provide include:

  • Providing assertive, recovery-oriented assessment and clinical treatment interventions that minimise the impact of mental illness on consumers, their family/significant others and carers.
  • Facilitating access to a broad range of clinical and non-clinical services to enable consumers to establish, re-establish or reclaim a meaningful life.
  • Working in partnership with consumers to develop their personal support systems and to participate fully in their communities.
  • Engaging with non-government organisations, GPs and other service providers.
  • Supporting families and carers to access the right support at the right time.
  • Maximising goals of recovery and reducing relapse and admissions to inpatient facilities.
  • Working to ensure a smooth transition of care to internal and external service providers.

Adult Community Health Teams operate Monday to Friday, 8.00 am to 4.30 pm.  Consumers being supported by Adult Community Health Teams who need crisis support outside of these hours should contact their local Acute Care Team or present to their nearest Emergency Department.


Mobile Intensive Rehabilitation Team

The Mobile Intensive Rehabilitation Team (MIRT) is a highly responsive, assertive treatment and recovery orientated multidisciplinary service, aimed at improving the quality of life for consumers aged 18 years and over, with complex mental health needs who require intensive support in the community.  Each of the three catchment areas within Metro North Mental Health (RBWH, TPCH and Caboolture/Redcliffe/Kilcoy) have dedicated MIRT services.

NOTE:  There is no direct entry to a Mobile Intensive Rehabilitation Team. A consumer may be referred to a Mobile Intensive Rehabilitation Team from another part of the mental health service such as from an Adult Community Mental Health Team or following an inpatient admission.

MIRT services provide an extended hours service, on an outreach basis, through home visits and other community based interventions, to facilitate rehabilitation and support independent living.  Consumers may be being provided with less intensive mental health service care (through an Adult Community Mental Health Team) when it is considered that they would benefit from a period of higher intensity support to assist in functional recovery.  MIRT consumers usually have a diagnosis of severe and persistent mental illness, for example schizophrenia and other psychotic disorders, severe bipolar disorder, and/or a co-morbid secondary diagnosis of substance abuse and/or severe personality disorder. Consumers usually have severe difficulties in a number of areas including, but not limited to, difficulty remaining engaged with the Mental Health Service, lengthy or multiple admissions, unstable accommodation, deficits in social functioning and deficits in independent living skills.

The main services provided by Mental Health Clinicians of Mobile Intensive Rehabilitation Teams include:

  • Providing intensive, specialist mental health and psychosocial rehabilitation interventions for consumers who have complex mental health needs.
  • Providing preventative help for people to manage crisis situations supporting them in order to reduce relapse and admissions to inpatient facilities.
  • Working with consumers to develop their sense of self efficacy, personal support systems and live independently within their chosen community.
  • Planning, co-ordinating and supporting a range of internal and external services with consumers.

MIRT services operate 7 days per week, across a range of different shifts.  As this is an intensive service, services are targeted to specific consumers and contact is usually organised directly with the consumer, for specific support activities.  Consumers being supported by MIRT who need crisis support outside of these hours should contact their local Acute Care Team or present to their nearest Emergency Department.  

 

Homeless Health Outreach Team

The Homeless Health Outreach Team (HHOT) is a specialist, assertive outreach service providing treatment to individuals or families who are homeless, who have mental health and/or drug and alcohol concerns and who are not linked in to, or have difficulty in maintaining links with, existing services.  The service provides services to people within a 5 km range of the General Post Office (GPO) in Brisbane City.

The priority group for these services is those who are primary or secondary homeless – this means people without conventional accommodation (e.g. sleeping in parks, squatting, living on the street) or people who frequently move from one type of temporary accommodation to another (e.g. emergency accommodation, youth refuges, those staying temporarily with other families).  

Referrals can be made DIRECTLY to the Homeless Health Outreach Team (they do not have to go via the Acute Care Team).   

Contact details for the HHOT Intake:
Phone: 07 3834 1673


Child and Youth Mental Health Service

The Child and Youth Mental Health Service (CYMHS) provides multidisciplinary community mental health services for children and adolescents up to the age of 18 years, who are experiencing psychological distress and/or a mental disorder,  and their families/carers. Consumers engaged with CYMHS will present with a range of mental health problems and/or disorders, but predominantly, they will have diagnoses such as depression, anxiety disorders, adjustment disorders, attachment disorders, developmental disorders and behavioural disorders including complex attention deficit hyperactivity disorder and conduct disorder. Many consumers will also present with peer and family problems, which can exacerbate mental health problems and disorders.

In the Metro North area, CYMHS services are provided out of Caboolture and Redcliffe Mental Health Services for that catchment area and provided by the Children’s Hospital Queensland for the TPCH and RBWH catchment areas.   CYMHS services are located at Redcliffe, Caboolture, Nundah, Keperra and Strathpine.

Note: Also see Entry Point: Special Age Groups


Older Persons Mental Health Team

The Older Persons Mental Health Team provide multidisciplinary community mental health assessment and treatment services for the different and varying needs of older people with mental illness. While many older people will continue to access adult mental health and mainstream services, special expertise is required in the assessment, diagnosis, monitoring and treatment of people who have a mental illness or disorder, when it is complicated by problems and illnesses related to ageing.

Older persons’ mental health services are provided for individuals primarily over the age of 65 years (and over 67 years at the Royal Brisbane Womens Hospital) who have:

  • late onset mental illness;
  • early onset severe mental illness complicated by functional impairments associated with ageing; or
  • severe mental illness as a complication of dementia or other age-related illnesses.

Services may be provided to individuals under 65 years who are in the above population targets and have coexisting:

  • co-morbid chronic cognitive and physical disorders resulting in impairment of basic
  • activities of daily living; or
  • existing involvement with aged care services.

Service provision by the Older Persons Mental Health Team is not just on the basis of age, or diagnosis, but is based on the individual’s overall presenting situation.  This is particularly important for Aboriginal and Torres Strait Islander people’s who have significantly higher rates of age related complex health issues and subsequently may require services at a considerably earlier age.

Each of the three catchment areas within MNMH (RBWH, TPCH and Caboolture/Redcliffe/Kilcoy) has dedicated Older Persons Mental Health Teams.

Note: Also see Entry Point: Special Age Groups


Early Psychosis Team

The Early Psychosis Team provides early detection and treatment for young people aged 15 – 24 years who are at risk of, or are experiencing, early psychosis.  In the Metro North area, the Early Psychosis Team is a small team of specialist clinicians who provide information, advice, evidence-based clinical interventions and support to families/carers across the catchment area.  At this stage, there are only a small number of specialist positions who can respond in the Metro North catchment areas.  The primary aim of the Early Psychosis Team is to ensure that there is early intervention with young people at the highest risk, being the transitional period between youth and adulthood.   
        

Perinatal Mental Health Service

In the Metro North area, the Perinatal Mental Health Service is a small team of specialist clinicians who provide information, advice, evidence-based clinical interventions and support to pregnant women and mothers of infants who may have a mental illness or who develop emotional and psychological issues associated with pregnancy and birth.  At this stage, there are only a small number of specialist positions who can respond in the Metro North catchment areas.  The primary aim of the Perinatal Mental Health Service is to identify and treat those at risk as early as possible in order to ensure the wellbeing of the mother, infant and other family members. Prevention can be facilitated by the identification of women at risk in the antenatal period.

Further information about perinatal mental health can be found via The Queensland Centre for Perinatal and Infant Mental Health.