Inpatient Care

This page contains information of the following inpatient services:


Adult Acute Mental Health Inpatient Units

Adult Acute Mental Health Inpatient Units (Adult Acute Inpatient Units) provide short to medium term, 24 hour inpatient assessment and treatment services for people experiencing serious episodes of mental illness, who cannot be adequately supported in the community environment.  Each of the three catchment areas within Metro North Mental Health (RBWH, TPCH and Caboolture/Redcliffe/Kilcoy) has several Adult Acute Inpatient Units.

Adult Acute Inpatient Units provide care to all people aged 18 years and over, who are experiencing an acute episode of mental illness. In the Metro North area, there are no specialised acute older person’s inpatient units so people aged 65 years and over are admitted to Adult Acute Inpatient Units.  Consumers younger than 18 years of age may be admitted to Adult Acute Inpatient Units in exceptional circumstances following a comprehensive assessment which determines that it is safe and appropriate for the young person.

NOTE:  There are a limited number of acute mental health inpatient unit beds for young people under 18 years of age.   If a young person requires an admission, he/she may be admitted to the RBWH Adolescent Unit (14 years and older) if there is a bed available or possibly admitted to another health service that has age specific inpatient services e.g. Logan.    Only in exceptional circumstances would a young person be admitted to an adult inpatient unit.  In such cases, an assessment of risk and need would be done and additional supervision/support would be put in place.

Adult Acute Inpatient Units admit both voluntary and involuntary consumers.  Involuntary consumers are those persons who are admitted under the provisions of the Mental Health Act 2016 and who are required to receive treatment. During an admission, a consumer’s status can change between voluntary and involuntary depending on risk factors, treatment plans and the consumer’s response to treatment.   Information about the Mental Health Act 2016 and involuntary treatment can be found here.

Within each Adult Acute Inpatient Unit, there are a small number of beds dedicated to providing more intensive treatment.  These areas are called either Psychiatric Intensive Care Units (PICU) or High Dependency Units (HDU).  There are times when consumers are moved to the PICU/HDU area for their own safety and the safety of other consumers.  Treatment and supervision is at an intensive level until such a time that the consumer can be transitioned to the open unit areas and treatment can continue.  
The treating team is a multidisciplinary team that usually consists of a Consultant Psychiatrist, a Registrar, nursing staff and allied health staff.  Specialist positions e.g. Indigenous Mental Health Worker or Dual Diagnosis Co-ordinator may also contribute as part of the multidisciplinary team.

Early in the admission, an estimated date of discharge will be determined by the treatment team and in consultation with the consumer and their family/carers as relevant.  The estimated date of discharge is used as a guide for treatment goals and for discharge planning. By having a date in mind, this means that the treating team can support the consumer to plan for what support they will need when they are discharged.

All Queensland Adult Acute Inpatient Units are locked.  Voluntary consumers are able to leave the unit in consultation with nursing staff.  Involuntary consumers are only able to leave the unit according to leave provisions that are determined as part of the provisions of the Mental Health Act 2016.  

NOTE:  There is no direct entry to an Acute Inpatient Unit.  A consumer may be admitted to an Acute Inpatient Unit from another part of the mental health service such as from the Acute Care Team (including via assessment at an Emergency Department) or from a Community Care Team.


Adolescent Inpatient Unit - RBWH

The Adolescent Unit provides assessment and treatment services to adolescents aged 14 years to 18 years living in the Metro North area and other areas of Queensland as required.  There is a close working relationship with the Child and Youth Mental Health Services (CYMHS).  

NOTE:  There is no direct entry to the Adolescent Unit.  A consumer may be admitted to the Adolescent Unit from another part of the mental health service such as the Child and Youth Mental Health Service or from the Emergency Department.  

NOTE:  There are a limited number of acute mental health inpatient unit beds for young people under 18 years of age.   If a young person requires an admission, he/she may be admitted to the RBWH Adolescent Unit (14 years and older) if there is a bed available or possibly admitted to another health service that has age specific inpatient services e.g. Logan.    Only in exceptional circumstances would a young person be admitted to an adult inpatient unit.  In such cases, an assessment of risk and need would be done and additional supervision/support would be put in place.

 

Extended Treatment – Community Care Units

Community Care Units (CCUs) are for adult consumers aged 18 to 65 years (consumers out side of this age range may be accepted on a case by case basis) who have a severe and persistent mental illness and whose symptoms substantially impair their psychosocial function and the capacity for independent living. Community Care Units are community based facilities for mental health consumers who are in recovery, but require additional support and life skills to successfully transition to independent community living. Each of the three catchment areas within Metro North Mental Health (RBWH, TPCH and Caboolture/Redcliffe/Kilcoy) has a 20 bed Community Care Unit.  

NOTE:  There is no direct entry to a Community Care Unit.  A consumer may be referred to a Community Care Unit from another part of the mental health service such as from the Mobile Intensive Rehabilitation Team, the Secure Mental Health Rehabilitation Unit or a Community Care Team.

Community Care Units offer an opportunity for consumers to learn or re-learn living skills and to develop the skills to enhance their levels of independence and community integration.  Community Care Units are set up as independent accommodation units, with the mental health service providing 24 hour mental health care, peer support and rehabilitation services.  Length of stay is over a medium to long term time frame (6 months to two years) and part of the rehabilitation and recovery model is the engagement of consumers to develop sustainable relationships with peers, family/carers and/or other supports to enable meaningful participation in their own community.


Extended Treatment – Secure Mental Health Rehabilitation Unit

Secure Mental Health Rehabilitation Units (SMHRU) provide a safe and structured environment for medium to long term inpatient treatment and rehabilitation for consumers with persistent and disabling symptoms of mental illness, who cannot be adequately supported in other inpatient settings.  The SMHRU provide 24 hour clinical support for adult consumers generally over the age of 18 years with persistent and disabling symptoms of mental illness. Consumers usually have complex mental health issues e.g. schizophrenia/related psychosis drug and alcohol disorders, complex trauma and clinically significant deficits in psychosocial functioning and they are subject to involuntary treatment under the provisions of the Mental Health Act 2000. Information about the Mental Health Act 2016 and involuntary treatment can be found here.

SMHRU are intended to target people with complex needs who are unable to be adequately treated in less restrictive settings, due to symptoms of mental illness, and associated issues of behaviour and risk which indicate a need for rehabilitation.  Therefore, SMHRUs are locked facilities.  Consumers are only able to leave the unit according to leave provisions that are determined as part of the provisions of the Mental Health Act 2016.  Length of stay varies, but is usually at least 12 months, to assist consumers to recover from mental illness and to gain the skills needed to live in a less restrictive setting.

NOTE:  There is no direct entry to a Secure Mental Health Rehabilitation Unit.  A consumer may be referred to a Secure Mental Health Unit from another part of the mental health service such as from the Mobile Intensive Rehabilitation Team, the Community Care Unit or a Community Care Team.

Consultation Liaison Psychiatry Service

Each hospital service within the Metro North area has a Consultation Liaison Psychiatry Service which provides specialist mental health consultation, assessment and advice for people who are admitted to the non-mental health areas of the hospital.  For example, a woman who is admitted to maternity may require an assessment for mental health issues.