Youth Mental Health

NMHS Mental Health, Public Health and Dental Services (MHPHDS) Youth Mental Health work collaboratively to provide a range of services to improve the mental health and wellbeing of young people across Perth.

The WA Mental Health Commission (WA MHC) defines youth as aged 16 to 24. Youth Mental Health works closely with Adult Mental Health Services and Child & Adolescent Mental Health Services to provide mental health services to young people with serious mental health disorders within the youth age cohort.

Youth Mental Health services are outlined below:

YouthReach South is a specialist mental health service providing counselling, therapy and case management to young people aged 13-24 years in the South Metropolitan area with serious mental health problems and barriers to accessing mainstream services. Barriers typically include homelessness and transience, limited support networks, cultural barriers including ATSI identity and marginalisation due to diverse sexuality and gender.

YouthReach South provides a welcoming, trauma-informed, flexible approach with assertive outreach to support engagement. Services are provided by clinical psychologists, social workers, clinical nurses and ATSI mental health practitioners, with limited psychiatry services also available.

Services offered

  • Assessment
  • Intensive case management and psychosocial support
  • Assertive outreach
  • Evidence based counselling, psychotherapy and psycho-education
  • Transitional support
  • Consultative advice and support to other agencies including collaborative clinical interventions and projects
  • In-reach to the state-wide homeless youth facility – Ngatti (includes: comprehensive psychiatric care, medication prescribing, metabolic screening and depot administration)

Referral information for Youth Axis, YouthLink and YouthReach South:

  • An integrated triage and entry process exist between YouthLink, YouthReach South and Youth Axis
  • Type referral details in an Electronic Referral form (Word) and send to the Service by email
  • Hand write referral details in this Referral form (PDF) which needs to be printed, scanned and sent to the Service by email
  • Referrals/Triage phone: 1300 362 569
  • Email referral form to: youthmhtriage@health.wa.gov.au
  • Fax referral form to: (08) 9287 5762

Contact us

Tel: (08) 9499 4274
Fax: (08) 9287 5760 
Hours: 08:30 to 16:30 Monday to Friday
Location: Level 2/25 Wentworth Parade, Success WA 6164

Youth Axis provides an early intervention service for young people presenting with ultra-high risk of psychosis and/or features of an emotionally unstable personality disorder. Youth Axis targets young people who have not had extensive treatment by a specialist mental health service for these presenting problems, and will see people for up to 6 months.

The following criteria must be met to be eligible for service:

 

Meets all criteria: Plus either:
  • The young person is residing in stable accommodation in the Perth Metropolitan area
  • 16 to 24 years old
  • Willing to accept help
  • Early intervention

 

Exclusion Criteria:

  • Continual psychotic symptoms for more than 7 days
  • Needs are better met by another service

Ultra-high risk of psychosis. Unusual and out of character thoughts and /or behaviour.

OR:

Features of an emotionally unstable personality disorder (which include a combination of):

  • suicidal ideation and/or self-harming
  • risk taking / impulsivity
  • emotional instability
  • impaired sense of self
  • impairment in interpersonal functioning
  • separation insecurity: fears of abandonment by significant others

 

Services offered

  • Assessment
  • Evidence based counselling, skills-based therapy and psycho-education
  • Psychosocial support
  • Outreach
  • Transitional support
  • Consultative advice and support to other agencies including collaborative clinical interventions and projects

Referral information for Youth Axis, YouthLink and YouthReach South:

  • An integrated triage and entry process exist between YouthLink, YouthReach South and Youth Axis
  • Type referral details in an Electronic Referral form (Word) and send to the Service by email
  • Hand write referral details in this Referral form (PDF) which needs to be printed, scanned and sent to the Service by email
  • Referrals/Triage phone: 1300 362 569
  • Email referral form to: youthmhtriage@health.wa.gov.au
  • Fax referral form to: (08) 9287 5762

Contact us

Tel: (08) 9287 5700
Fax: (08) 9287 5760
Hours: 08:30 to 16:30 Monday to Friday
Location: 32-34 Salvado Road, Wembley WA 6014

Youth Hospital in the Home (Youth-HITH) is an eight-bed service that provides short term intensive management for up to 14 days in the patient’s home or usual place of residence that would otherwise be delivered within a hospital as an admitted inpatient.

The service model is based on the principles of the National Framework for Recovery-Oriented Mental Health Services relating to patient-focused service delivery and Trauma Informed Care. Care and treatment offered is patient-centred, with carer/family collaboration, multidisciplinary, comprehensive and collaborative. The multidisciplinary team consists of a Consultant Psychiatrist, Medical Officer, Mental Health Nurses, and Allied Health staff.  Youth-HITH clinicians work in partnership with the individual and their families or carers to provide intensive support, education and guidance to all parties. Where possible, clinicians work with the patient’s general practitioner (GP) and other service providers to enable maximum communication and continuity of care.

How the service operates

Clinicians conduct the initial assessment interview in the most appropriate environment, in collaboration with the consumer, their family or carer and other services as required. An agreed treatment plan is developed, which includes a crisis plan.

Clinicians visit the home every day to review and monitor treatment and progress. Counselling and information is typically provided to the consumer or carer on a daily basis to help develop a better understanding of the illness experience and to improve existing coping skills. Youth-HITH patients may also have a psychiatry/medication review in the home if indicated.

Who is eligible?

Young people:

  • Aged 16-24 years who are experiencing an acute phase of mental illness and require short-term support (up to 14 days)
  • Low to moderate risk
  • Residing in the North Metropolitan Mental Health Catchment Areas and have stable accommodation
  • Able to give consent and are willing to accept Youth-HITH as an alternative to hospital

Who can refer?

Young people may be referred from specialised mental health inpatient units, Inpatient services, Community Mental Health Teams, Child and Adolescent Mental Health Services, Adult Community Mental Health Services, Youth Mental Health, Emergency Departments and private Psychiatrists.

Referral information for Youth Hospital in the Home:

Contact us

Tel: (08) 6159 6436
Fax: (08) 6159 6388
Hours: 08:00 to 20:30 Monday to Sunday
Location: Gascoyne House, Mt Claremont WA  6010

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterised by a persistent pattern of inattention and/or hyperactivity, as well as forgetfulness, poor impulse control or impulsivity and distractibility.

ADHD is generally considered a persistent and chronic condition, although medication and other therapies may effectively treat symptoms. ADHD may adversely affect learning, socio-emotional development and overall functioning.

YACADS provides specialist ADHD assessment and treatment services to respond to the needs of 18 to 64 year olds with ADHD and co-occurring conditions.

People referred to YACADS must be case managed by Youth or Adult Public Mental Health Service providers.

YACADS will provide:

  • Assessment
  • Advice to inform care-planning
  • Treatment and prescribing (in cases where stimulant medication is indicated, for example when there has been no substance use in the past six months)
  • Consultation liaison to mental health service staff within community health care settings to support the management of young people and adults with mental health conditions who also have ADHD.

Admission Criteria

  • 18 to 64 years of age with an established diagnosis of ADHD and/or a significant history of moderately or severely debilitating attentional difficulties and hyperactivity consistent with ADHD, with complex presentations;

AND

  • A co-occurring Axis 1 or Axis 2 diagnosed mental illness, which is being case managed by Youth and Adult Public Mental Health Service providers. Eligible conditions include but are not exclusive to:
    • Depression
    • Anxiety
    • Psychotic disorders
    • Personality disorders.

Assessment Process

Once referrals have been accepted, an appointment will be offered to the individual and community case managers are requested to attend the first part of the initial appointment (usually with the Consultant Psychiatrist). Case managers may be contacted prior to the appointment and asked to provide further collateral which will be useful in determining an ADHD diagnosis. The assessment process may take several appointments over weeks and it is important to attend all the appointments.

Neuropsychology testing is necessary to confirm an ADHD diagnosis by YACADS. These tests may need to be spread out over several appointments and the individual will be advised of this during the assessment process. Please let YACADS know if there are any special requirements we need to consider when making these appointments. After the assessment process the individual will be informed of the outcome and case managers are invited to participate in care-planning.

Referral information for Youth and Adult Complex Attentional Disorders Service

Contact us

Tel: (08) 9227 4300
Fax: (08) 9328 5911 
Hours: 08:30 to 16:30 Monday to Friday
Location: 223 James Street, Northbridge WA 6003

The Gender Pathways Service (GPS) within YouthLink can be accessed state-wide and provides specialist gender diversity consultation, training, community development, referral information and assessment for suitability and readiness for gender affirming medical treatment such as hormones and/or surgery.

Transgender and gender diverse youth are at elevated risk of suicide, self-harm, homelessness and other mental health and psychosocial difficulties. The GPS aims to improve the mental, social, and physical health outcomes for gender diverse youth by increasing capacity within services to provide gender-affirming care and to facilitate access to medical interventions to address gender dysphoria through specialist assessment.

The GPS provides:

  • Specialist assessments to ascertain diagnosis and suitability for gender affirming medical interventions for gender diverse youth, aged between 17 and 24 years, presenting with:
    • complex mental health/neurodevelopmental disorders AND/OR
    • having experienced significant barriers to accessing gender affirming care.
  • Referral for ongoing mental health and psychosocial support for youth with gender issues.
  • Consultation to mental health providers, professional bodies and organisations around issues relating to gender diverse youth.
  • Education and training in the youth sector to increase inclusive and gender affirming practices.
  • Peer consultation and education to develop capacity to complete assessment for readiness for gender affirming medical interventions.
  • Peer education and consultation to mental health service staff to support the management of young people with gender issues who also present with mental health and/or neurodevelopmental disorders.
  • Development of psychoeducational resources/support materials related to social and medical gender transition.

Note: The GPS does not provide ongoing mental health support or case management. A referral to a Youth Mental Health service, in addition to a referral to the GPS, would be advised if the young person is likely to require ongoing mental health support and meets the criteria for YouthLink, YouthReach South or Youth Axis.

Assessment follows the World Professional Association for Transgender Health standards of care guidelines.

Admission Criteria for Assessment

  • 17-24 years of age (inclusive)
  • Gender questioning /gender-diverse identity
  • Seeking assessment to determine suitability for readiness for medical intervention/s to address gender dysphoria. Gender dysphoria refers to the distress that may accompany the incongruence between an individual’s experienced or expressed gender and their sex assigned at birth
  • Presenting with co-occurring complex mental health and/or neurodevelopmental concerns, AND/OR
  • Experiencing heightened distress due to facing significant barriers to accessing assessment needed to pursue gender affirming medical interventions
  • Must be experiencing significant barriers in accessing these assessments elsewhere

Exclusion Criteria

  • Is eligible for/is a current client of the Gender Diversity Service at Perth Children’s Hospital.
  • Has capacity to/is accessing private psychiatry/mental health services that can complete assessment
  • Currently accessing gender-affirming hormone therapy (not applicable if the young person is seeking assessment for surgery).

Referral information for Gender Pathways Service

Contact us

Tel: (08) 9227 4300
Fax: (08) 9328 5911 
Hours: 08:30 to 16:30 Monday to Friday
Location: 223 James Street, Northbridge WA 6003

Last Updated: 16/02/2021