our involvement. We like to work closely with referrers and in most cases referring professionals will continue to be involved with the family after our involvement. Points to Remember The referred child is the primary client, although it is common for more than one child in a family to be referred. Any services offered to other family members are aimed at improving the mental health of the referred client(s). Other family members become clients only as this directly relates to the referred child. Should family members require health intervention for themselves then a referral to another service can be arranged. The family is defined as those persons with whom the referred child lives. Other family members such as non-custodial parents are involved in the assessment and treatment process to an extent appropriate to the familys living environment and level of contact with these family members. Coral Tree generally does not become involved until after family law court and custody issues have been resolved. Should a conflict of interest arise between family members, CTFS will always put the interests of the referred child first. As a family friendly health environment, the use of alcohol and non prescribed medications is not permitted. If this is a concern please discuss with allocated staff. All families and staff have a right to a safe environment, so violence is not acceptable. If violence is one of the reasons for a child being referred then this issue would be a priority for development of strategies aimed at managing this risk. The clinical team at Coral Tree are all professional staff and are mandatory reporters with respect to child protection legislation. This means we have to report to the Department of Community Services any concerns about risk of harm to children. Coral Tree Family Service A unit of Northern Sydney Central Coast Child and Adolescent Mental Health Service NSCCH5112C/MAY06 Coral Tree Family Service Badajoz Road North Ryde 2113 Ph 02 9887 5830 fax 02 9887 2941 www.nsh.nsw.gov.au/services/coraltree/index.html Where We Are Located: Coral Tree Family Service Badajoz Road North Ryde 2113 Ph 02 9887 5830 fax 02 9887 2941 Who We Are and Whom Do We Help? Coral Tree Family Service is a clinical service consisting of child psychiatrists, psychologists, registered nurses, social workers, and other mental health care professionals. We are committed to providing a family orientated mental health service for children with emotional and behavioural difficulties from throughout NSW. The service provides treatment to primary school aged children whose difficulties are generally long standing and have not improved through less intensive interventions. Our treatment is provided in the context of the childs family or other consistent care givers. There are two main components to Coral Tree: 1. Family Admissions These are planned four night residential stays at Coral Tree for the whole family, from Monday through to Friday. All members of the family have timetabled appointments which include being seen as a family, individually and as parents, as well as attending parenting groups and other activities. We are able to provide an environment that allows families an opportunity to explore alternative ways of relating. Parents are encouraged to try additional ways of coping with the challenge of parenting and understanding and responding to their childs particular needs. Up to 3 families stay at Coral Tree each week creating a small community with a shared purpose. Each family agrees on their own goals and an allocated clinical team works closely with the family in coaching and assisting them work towards these goals. During term time the primary school age children in each family attend the special education program at the onsite Arndell School. It is common for families to return for a follow-up admission generally after a period of several months. 2. School Placement For local families where the child resides within 40 kms of Coral Tree and where there are substantial concerns both at home and school, the child can be referred for conjoint health and education involvement. This service provides outpatient work to the family approximately fortnightly while the child attends a special education place at the onsite Arndell School. If considered helpful and once the family is engaged in therapeutic family work, the child may be offered individual therapy. This service is able to provide 12 places for children up to and including year 4 and generally provides treatment over a 6-18 month period. It is generally expected that families who access this service will also have a family admission prior to or soon after acceptance. What Should Families Expect? Every family is unique and we therefore strive to treat each family according to their particular needs, and with respect and sensitivity. We see the childs family as those persons who are their usual carers living in the same household, in a reasonably stable configuration. All families are assessed on an outpatient basis prior to interventions being provided. For families living in regional and country areas this may be done by telehealth, a facility that provides video linkage. These assessments provide an opportunity for both the family and Coral Tree staff to meet and discuss concerns as well as identifying if our service is able to provide the appropriate intervention best suited to the needs of your child and family. We take a family focused approach as the concerns and behavioural difficulties have usually had an effect on everyone in the family. We acknowledge that parents are experts in knowing their own children and we strive to work in partnership to help parents broaden their range of skills/strategies for managing all of their children. Once a family has been accepted into the programme they have 2 allocated staff members assigned to them, a care coordinator and a clinician, who will provide family therapy throughout a familys involvement with our service. Other members of the team become involved as necessary and may see family members individually and run groups. An individualised treatment plan is then developed that includes input from all family members as well as Coral Tree staff, with a strong focus on setting and achieving goals. The child is actively recruited into the process so their experience, fears and wishes can be considered, and so they can become active collaborators in therapeutic change. What Should Referrers Expect? As a specialised service, families are usually referred after local interventions have been trialled. For this reason Coral Tree requires that the referral be made by a professional working in health, education or welfare. We request that all referrals be initiated by a call to the service to speak to an Intake Officer on (02) 9887 5830. Following discussion regarding appropriateness, local service involvement and timeframes, Intake Forms are sent out to gather specific information. Once these forms are received the family is seen for a brief assessment. For Family Admissions, referrals are accepted from a range of professionals, but to ensure continuity of care following our brief intervention, a local clinical service needs to be involved with the child and family before and after the familys admission. It is preferred that this service makes the referral. For school placement, referrals are accepted
College of Physicians and Surgeons of Alberta QB1803-01472 Certified Record of Proceedings - Illegal sabotage of Alberta Cancer Therapy Programs and abuse (physical violence, harassment, verbal abuse) of frontline healthcare staff by Alberta NDP and their AHS and CPSA Officials, covered-up by CPSA