Transcript Child & Adolescent Psychiatric Stabilization Unit

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Child & Adolescent Psychiatric
Stabilization Unit
Ron Knight: Chair, Surrey Hospital & Outpatient
Centre Foundation
Andy Libbiter: Executive Director - Mental Health
& Substance Use Fraser Health
Presentation Outline
1. Background
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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
What is Mental Illness?
A wide range of disorders that affect mood, thinking,
behaviour
The major groupings for children / youth:
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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
Mental Health in Children and Youth
• 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
Rate of Incidence
Fraser Health - The Largest Population of
Young People in BC Live Here
Estimated Prevalence of Mental Illness
2013
2020
2030
Total 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
15,010
15,292
17,209
Approximately 3% cope with emerging serious mental
illness (schizophrenia, bipolar disorder) [emergence in
adolescence, with exception of childhood schizophrenia]
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
Continuum of Mental Health Services for
Children, Youth and Young Adults
HEALTH
PROMOTION
AND
PREVENTION
PRIMARY/
SHARED CARE
EARLY
PSYCHOSIS
INTERVENTION
URGENT/
EMERGENT/
CRISIS
CHILD & YOUTH
CRISIS
PROGRAM
COMMUNITY/
OUTPATIENT
CHILD & YOUTH
MENTAL
HEALTH MCFD
EARLY
PSYCHOSIS
INTERVENTION
MINDCHECK.CA
YOUTH
CONCURRENT
DISORDERS
SERVICES
SPEAK UP
EATING
DISORDERS
CHILD & YOUTH
MENTAL
HEALTH MCFD
CHILD & YOUTH
OUTPATIENT
PSYCHIATRY
CLINICS
REHABILITATION/
DAY TREATMENT
ACUTE INPATIENT/
HOME BASED
TREATMENT
ADOLESCENT
DAY
TREATMENT
PROGRAM
(SOUTH, EAST)
ADOLESCENT
PSYCHIATRIC
UNIT
SMH
YOUTH DAY
TREATMENT
PROGRAM
(NORTH)
ACUTE
TERTIARY
TIMBER CREEK
(2 EPI BEDS)
CLUBHOUSE
WITHOUT
WALLS –
RECREATION
THERAPY
(SOUTH)
ACUTE HOME
BASED
TREATMENT
(LANGLEY &
WHITE ROCK –
AGES 17 AND
UP)
MENTAL HEALTH HOUSING
CHELSEY HOUSE
FRASER NORTH YSIL
Services provide and administered by MCFD in italics
ORIOLE LODGE
DELTA SIL & YSIL
IRIS HOUSE
SURREY/WHITE ROCK YSIL
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?