still waiting …. child & adolescent psychiatric stabilization unit ron knight: chair, surrey...
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Still waiting …
Child & Adolescent Psychiatric Stabilization Unit
Ron Knight: Chair, Surrey Hospital & Outpatient Centre Foundation
Andy Libbiter: Executive Director - Mental Health & Substance Use Fraser Health
1. Background• What is mental illness?• Mental illness incidence in young people• Demographic context for Fraser Health• Current service configuration• Increasing demand: ER admission and visit rates
2. CAPSU Description & Benefits
3. Timelines
Presentation Outline
What is Mental Illness?A wide range of disorders that affect mood, thinking, behaviour
The major groupings for children / youth: • Anxiety disorders• Mood disorders including bipolar disorder• Schizophrenia/psychotic disorders• Substance use and dependency disorders• Behavioural disorders • Eating disorders
Early recognition + appropriate response can minimize the impact of mental illness
• Half of all lifetime cases of mental illness begin by 14, and three-quarters have begun by age 24
• Severe mental illnesses typically present in late adolescence and early adulthood
• Mental illness peaks when young people are most vulnerable• Complex period of biological, cognitive and psychosocial
development• Identity development, building relationships with family and
friends• Educational and vocational goals embarked upon
Mental Health in Children and Youth
Rate of Incidence
Estimated Prevalence of Mental Illness 2013 2020 2030Total Fraser Health residents 0-24 years old 500,317 509,734 576,956
17-20% may experience mild-moderate mental health issues which can be appropriately addressed through access to primary care services
85,054 – 100,063
86,655 – 101,947
98,083 – 115,391
7-10% will require a range of secondary services to address moderate mental health issues (anxiety, depression)
35,022 – 50,032
35,681 – 50,973
40,387 – 57,696
Approximately 3% cope with emerging serious mental illness (schizophrenia, bipolar disorder) [emergence in adolescence, with exception of childhood schizophrenia]
15,010 15,292 17,209
Fraser Health - The Largest Population of Young People in BC Live Here
Mental Health Services for Children & Youth in Fraser Health
• Community mental health services for children & youth are provided by the Ministry of Children & Family Development
• Acute care, Crisis Response, Adolescent Day Treatment services are provided by Fraser Health
MENTAL HEALTH HOUSING
CHELSEY HOUSE ORIOLE LODGE IRIS HOUSEFRASER NORTH YSIL DELTA SIL & YSIL SURREY/WHITE ROCK YSIL
HEALTH PROMOTION
AND PREVENTION
PRIMARY/SHARED CARE
URGENT/EMERGENT/
CRISIS
COMMUNITY/ OUTPATIENT
REHABILITATION/ DAY TREATMENT
ACUTE INPATIENT/HOME BASED TREATMENT
EARLY PSYCHOSIS
INTERVENTION
MINDCHECK.CA
SPEAK UP
CHILD & YOUTH MENTAL
HEALTH MCFD
CHILD & YOUTHCRISIS
PROGRAM
CHILD & YOUTH MENTAL
HEALTH MCFD
EARLY PSYCHOSIS
INTERVENTION
YOUTH CONCURRENT
DISORDERS SERVICES
EATING DISORDERS
CHILD & YOUTH OUTPATIENT PSYCHIATRY
CLINICS
ADOLESCENT DAY
TREATMENT PROGRAM
(SOUTH, EAST)
YOUTH DAY TREATMENT PROGRAM (NORTH)
CLUBHOUSE WITHOUT WALLS –
RECREATION THERAPY (SOUTH)
ADOLESCENT PSYCHIATRIC
UNITSMH
ACUTE TERTIARY
TIMBER CREEK (2 EPI BEDS)
ACUTE HOME BASED
TREATMENT (LANGLEY &
WHITE ROCK – AGES 17 AND
UP)
Services provide and administered by MCFD in italics
Continuum of Mental Health Services for Children, Youth and Young Adults
Child & Youth Mental Health Admissions to FH Hospitals
Emergency Department Mental Health Visits By Children and Youth
How are We Responding to Increasing Demands?
• Increased Collaboration - Fraser Health and Ministry of Children & Family Development
• Provincial Collaborative process
• Enhanced Child Youth Crisis Response Service
• Establish a Child & Adolescent Psychiatric Stabilization Unit (CAPSU)
10-Bed Child & Adolescent Psychiatric Stabilization Unit (CAPSU)
• Short stay assessment and crisis stabilization • children and youth age 6 - 17 years in acute psychiatric
crisis requiring urgent hospital intervention• Rapid turnover: 5-7 day length of stay• Capacity to manage high acuity and elopement for
at-risk patients• Specialized multidisciplinary team with dedicated
child and adolescent psychiatrists• Will operate 24 / 7
Benefits of CAPSU
• Improved response for children and youth in acute psychiatric crises
• matching of treatment to need
• Reduced admissions of children and youth to unsuitable and unsafe environments
• Reduced congestion in Emergency Departments and reduced waitlist for the Adolescent Psychiatric Unit
Timelines & Location
• The Child & Adolescent Psychiatric Stabilization Unit will be located on the SMH campus
• We anticipate CAPSU opening September 2016
With Your Help…We can build a specialized unit to provide timely and appropriate
care 24/7
Questions?
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