NDIS Participant referral form

Instructions: Once completed, please fax, or email a copy of this form to Insight Clinic Mental Health Services. Fax No: (03) 8678 31 41. Email: contact@insightcliniccounselling.com.au. Please attach a copy of the participants NDIS plan along with this form.

Note: Insight Clinic Mental Health Services can attend clients who lives in Melbourne’s North West areas only.

NDIS PARTICIPANT DETAILS

NDIS PLAN DETAILS

First Name and Last Name

NDIS PARTICIPANT NO

DOB

Start Date

End Date

ADDRESS:

Street No and Name

Suburb City/Town

Post Code

State: Choose an item.

FUND MANAGEMENT

Choose an item.

Phone Number Email

NEXT OF KIN DETAILS

Phone Number Email

 

ADDRESS:

Street No and Name Suburb

City/Town Post Code

State: Choose an item.

REASON FOR REFERRAL: (please include primary diagnosis, type of mental health support required. Refer page no:3 & 4 for information regarding item no, rates and clinical expertise)

Click or tap here to enter text.

REFERRING AGENCY DETAILS

First Name and Last Name

Phone Number

Email

ORANISATION DETAILS (If Applicable)

Organisation Name

ADDRESS:

Street No and Name Suburb

City/Town Post Code

YOUR ROLE: (please check the box relevant to your role)

Case Manager

Local Area Co-ordinator

Family

Self – Referred

Support Coordinator

Other (enter details)

BILLING INFORMATION

PLAN MANAGED

Agency Name

Phone Number Email

Agency website

SELF MANAGED

(Please note that invoices are emailed to you for your consideration. If you prefer to receive invoices via post, then please tick the following option no :2)

  1. ☐ Click and enter your Email
  2. ☐ Post to the following address

Street No and Name Suburb

City/Town Post Code

RISK ASSESSMENT (FOR HOME VISITS)

Does the participant require home visit? (please check relevant box)

Yes ☐ No

(If Yes complete this part, otherwise go to next section)

Participant Lives Alone? Yes ☐

No

Are there firearms in the home? Yes ☐

No

Are there any aggressive animals? Yes ☐

No

Anyone at the home has infectious disease? Yes ☐

No

Are there any clutters or tripping hazard? Yes ☐

No

Are there any other risks that affects the therapist’s safety and wellbeing by accessing the property? (If yes, please explain)

Yes ☐

No

Click or tap here to enter text.

Anyone at the home has a history of violence? Yes ☐

No

Anyone at the home has any substance abuse? Yes ☐

No

SERVICE INFORMATION

Insight Clinic Mental Health Services provide NDIS Therapeutic Supports under Core Supports (Capacity Building – Improved Daily Living). Please see our rates as follows. (Our rates are lower than the NDIS PRICE GUIDE)

Item No

Description

Hourly Rate

Remote Rate

Very Remote Rate

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Therapeutic Support – Assessment, Recommendation, Therapy or Training (including Assistive Technology) – Other Therapy

Therapy Include:

  • Cognitive Behaviour Therapy (CBT)
  • Dialectical Behaviour Therapy (DBT)
  • Exposure and Response Prevention Treatment (ERP)
  • Acceptance and Commitment Therapy (ACT)
  • Motivation Interviewing
  • Mindfulness
  • Psychoeducation
  • Life Skills Training.

AUD 180

AUD 250

AUD 270

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Counselling – Counselling to support participant to facilitate self-knowledge, emotional acceptance and growth, and the optimal development of personal resources, to help the participant work towards their personal goals and gain greater insight into their lives.

AUD 150

AUD 170

AUD 190

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15_043_0128_1_3

Provider Travel / Non-Labour Costs

(travel time in minutes / 60 minutes) × $$$ agreed price = Travel Costs

Example:

Travel time: 30 minutes

Agreed Price: AUD 150

Travel Costs: (30/60) X150 = AUD 75

Varies – Please refer to the description.

Varies – Please refer to the description.

Varies – Please refer to the description.

Insight Clinic Mental Health Services is a registered NDIS Service Provider. We extend our services to both Young People (Age 12+) and Adults. All the services that insight clinic offers are LGTBQA friendly.

Our Expertise:

  • Anger and Violence
  • Borderline Personality Disorder
  • Bipolar Affective Disorders
  • Complex Post Traumatic Stress Disorder
  • Disenfranchised, Complex and Prolonged Grief
  • Domestic Violence
  • Family and Work-Related Stress
  • Obsessive and Compulsive Disorder
  • Offending behaviours
  • Post-Traumatic Stress Disorder
  • Self-Harm and Suicidal Ideation

All enquiries to be directed to Mrs Smitha Sugathan (Director/Principal Practitioner) on Ph: 03-8560 18 26.

For more information please visit: https://insightcliniccounselling.com.au/

 

Suicide Prevention

Suicide is a major growing health concern in Australia.

Some little known facts about suicide

  • As per the Australian State and Territory suicide data 2016 over a five year period from 2012 to 2016, the average number of suicide deaths per year was 2,795.
  • Suicide is approximately three times higher in males, which is consistent across every state and territory of Australia.
  • Overall, the age-specific suicide rate in 2016 was highest in men aged 85 or above (34.0 per 100,000), which has been the age group with the highest rate since 2011.

Suicide can be preventable! But how, when?

Ongoing periods of low mood, ruminations and worries that leads to suicide provoking thoughts. Sadly, after a period of rumination and worries, the individual comes to the conclusion that the world will be a better place without them and the individual get obsessed with suicidal ideation which can lead them to act on it.

The likelihood of attempting or committing suicide is also depends on the plans that the individual makes about suicide and how easily accessible these plans are to those individuals. Also, the risk escalates if the person had previous attempts of suicide and the desensitization from such actions. If you are worried about yourself or someone close to you it is important to seek help early.

Unfortunately, an average house hold is fully potential to cause significant harm to an individual due to the easy access to lethal objects and hazardous chemicals/substances. It is impossible to remove them all, but we can still do some ground works to reduce the risks. This includes,

  • Fire arms: Due to the impulsive nature of suicidal ideation, storing fire arm in house hold and its easy access can be lethal. Keep them away or lock them up.
  • Drugs, Medications and Alcohol: unfortunately, certain prescription drugs with the combination of alcohol and illicit drugs can cause instant death. Limit the number of pills available each day. Keep them away or lock them up. It’s ideal to ban street drugs all together.
  • House hold Products: House hold cleaning chemicals including bleach, pesticides and insecticides needs to be kept away or locked securely. This also includes any sharp objects including kitchen knives to be removed or locked up.

Feeling like not yourself?

It is important to seek help at the early stages. Please talk to a Mental Health Professional or a person that you trust.

If you feel that you are at high risks of self-harm or suicides or having thoughts about such, please reach out for help on the following phone numbers. They are available 24/7.

For Emergency Call 000

Life Line – 13 11 14

Beyond Blue – 1300 22 4636

Kids Help Line – 1800 55 1800

Mens Line – 1300 78 99 78

Suicide call back service – 1300 659 467

Suicide Line Victoria – 1300 651 251

Disenfranchised Grief

A person who suffers from disenfranchised grief believes that their grief is unacceptable and wrong and they are not allowed to grieve. They also experience a lot of shame in talking about the grief and fear judgment from others. This makes the grief prolonged and long lasting. People at times experience an unbearable amount of emotional pain as they are grieving secretly.

A number of sufferers of Disenfranchised Grief complain about people minimising on their grief.  This is one of those not well explored grief but unfortunately a lot of people suffer in the darkness.

Some examples of disenfranchised grief include but not limited to;

  • Loss/death of a pet animal
  • Loss/ death of a secret relationship
  • Diagnosis of certain medical conditions (e.g. AIDS)
  • Death of a co-worker/ associate
  • Death due to child abuse (perpetrator grief)
  • Grief following abortion
  • Grief following adoption
  • Death of a helping professional
  • Loss of health and disability
  • Loss of certain possessions
  • Imprisonment following a crime

Whatever the grief is, there is always a hope. There is no need to suffer in the silence any more.

Insight clinic can help with grief that is disenfranchised. All the sessions at insight clinic are bulk billed.  If you don’t feel comfortable, you don’t have to discuss with your GP about your disenfranchised grief to be eligible for a care plan. Just say to GP that you are not at your normal self and you need to speak to a mental health professional.

Self Care

Self-care – Why is it so important?

Mental health issues are largely preventable with proper self-care. A good self-care plan can help you to manage stress, boost your productivity and wellbeing.

It is important to fill your day with pleasant activities. Pleasant activities promote positive thoughts and thus to build hope. It brings significant changes to your brain chemistry and produces those neurotransmitters (found in between brain cells) which are responsible for the sense of happiness. When you engage in pleasant activities daily, it boosts your immune system to fight against diseases and also brings positive thoughts and attitude. A healthy mind is very resistant to stress and consequently achieve optimum mental health.

Neurotransmitters found in between the brain cells

Why hesitate, add some of these pleasant activities to your diary;

  • Morning walk:Start your day with 10-20 minutes of morning walk (Helps to clear your mind)
  • Meditate:Releases a lot of endorphins into your brain producing a sense of calmness and control.  (You can find some audio clips on how to meditate in the resources section of this website)
  • Music:Listening to music (a natural way to produce dopamine(Neurotransmitter) for harmless excitement)
  • Lunch:Avoid spending a whole day at your work desk. Why not taking a lunch outside and enjoy! (removing the scenery and stimulate your taste buds even for a short period of time can enhance your mood)
  • Gifts:Plan a surprise gift to those who are special to you (A good way to enhance the feeling of thrill in a safe way)
  • Act of Compassion:Feed the homeless (Act of compassion is the key to happiness)
  • Smile: Smile, whenever you can even if you don’t feel like (the stretch of the muscles around your lips when you smile trick with your brain chemicals) Try now!
  • Exercise: Exercises promote the production of endorphins (Neurotransmitters). It helps you to reduce stress, calms overactive brain, reduces rumination and worries and promotes healthy body and mind.
  • Have a bed time routine:A good night sleep can influence your body’s metabolism greatly. Practices sleep hygiene. (Sleep hygiene resources can be accessible in this website)

Well! The list is never ending. Why not exploring and making a list of your own pleasure activities, which are unique to you. A good search in the google can also give you hundreds of ideas. Let the fun of planning begin!

 

Obsessive and Compulsive Disorder

Obsessive and Compulsive Disorder – OCD

OCD can occur in any age groups regardless of gender at any stages in their life. The disorder is characterized by intense fear and obsessive irrational thoughts that lead to compulsive behaviours to relieve the anxiety resulted from the obsessive thoughts. The sufferers usually know that their fears are irrational, however, struggles to get in terms with the discomfort that they suffer.

Some examples include;

  • Fear that the house might get into fire (obsessive thoughts) and checking and double checking the gas stove has been turned off (compulsive behaviours)
  • Fear that something awful might happen (obsessive thoughts) and performing certain rituals (excessively arranging things in order, counting etc.) to avoid bad luck (compulsive behaviours)
  • Fear of contamination (obsessive thoughts) and performing excessive washing (compulsive behaviours)
  • Fear about a potential for a terminal illness (obsessive thoughts) and performing self-checks, readings, and frequent visit to health clinics (compulsive behaviours)

An episode of OCD appears as follows;

Exposure and Response Prevention- ERP

ERP is one of that Cognitive Behaviour Therapy – CBT  techniques used to treat OCD. With effective treatment, OCD can be well managed.

Insight Clinic Provides Bulk Billed ERP treatment for their clients. All you need is a care plan and referral from your GP. You do not need a diagnosis to get treatment.  If you are worried that these obsessive and compulsive behaviours interfere with your ability to enjoy a reasonable life, Insight clinic can help!

Borderline Personality Disorder

Borderline Personality Disorder (BPD)

BPD is a serious mental health condition where the sufferer experiences significant emotional pain and carries self-harm and suicide risks.  There are several myths and stigma about this disorder that makes many of the sufferers not to seek diagnosis and treatment. The avoidance of diagnosis and treatment can make the symptoms worse. In fact, through proper diagnosis and treatment, BPD sufferers can improve from their symptoms and can lead a promising and successful life.

Recent research shows that 85% of the time the condition is developed as a result of long-term exposure to childhood trauma resulted from a dysfunctional family atmosphere and 15% of the time biological factors contribute to the development of BPD.

Symptoms of Borderline Personality Disorder Include;

  • Fear of abandonment and rejection: BPD sufferers are terrified of being abandoned or rejected. They often act in a way to stop this perceived or real abandonment by acting in a frantic way (e.g. begging to stay, getting overly clingy, and engages in self-sabotaging behaviours to make the other person stay in the relationship). In some occasions, people avoid attachment to avoid the possibility of getting hurt and even abandoned.
  • Intense and unstable relationships: BPD sufferers tend to have intense short-lived intimate relationships. Because of the rapid mood swings, they may idealise someone close to them and the next moment they may devalue this person. Due to this mood instability, individuals struggle to maintain healthy intimate and other close relationships.
  • Unstable self-image: individuals struggle to maintain a clear self-image. A number of times they view themselves as evil and hate themselves. At times they feel good about themselves. This unstable self-image sometimes manifests as signs of depression. Due to the changes in self-image, people often struggle to maintain goals in life. This causes frequent changes in study, jobs, friends, lovers, values, and even sexual identity.
  • Impulsive behaviours: when you feel low or down, you might engage in thrill-seeking behaviours which are extremely risky including, reckless driving, impulsive spending, binge or restricted eating, risky or unprotected sexual behaviours, shoplift and polysubstance use.
  • Self-Harm and Suicidal ideation: Due to the experience of intense emotional pain and the struggles they experience to let out these emotions in a healthy way, individuals tend to resort self-harm or suicidal behaviours, threats, gestures or even attempts to gain relief from their painful emotional experiences.
  • Mood Swings: triggers that other people might brush off can cause intense emotional swings within BPD sufferers. These mood swings are intense but short-lived, unlike bipolar disorders.
  • Chronic feelings of emptiness: people often complain that they feel like an empty shell or a hollow object. They feel “nothing” or “nobody”. As these emotions are uncomfortable to BPD sufferers, they tend to rely on substances or risky sexual behaviours to experience a relief, however, reported of feeling not satisfied after.
  • Explosive anger: BPD sufferers often experience intense short-lived rage, where they often engage in abusive and violent behaviours towards people who are close to them or at times destroy objects. They also spend a lot of time being angry at them.
  • Paranoia and Dissociation: Due to childhood traumatic experiences, the reliving of such experiences in adulthood and the strongly entrenched beliefs that develop from such experiences, BPD sufferers often feel suspicious about the motives of other people. This causes trust issues. When under stress they may also lose touch with reality – the experienced is known as ‘Dissociation’. During dissociation, they may temporally feel spaced out, confused or even feel an outside of their body experience.

Dialectical Behaviour Therapy – DBT

DBT is considered one of those many treatments that found to be very effective in Treating BPD. The specialty of this therapy is, it is developed by Professor Marsha Linehan, who is a psychologist diagnosed with BPD and hence, she knows what works best.

Insight Clinic offers short term (10 sessions) fully bulk billed DBT sessions for its clients with no out of pocket expenses. All you need is a referral and care plan from your local GP. You don’t need a diagnosis to be eligible for the treatment. If you suspect that you suffer from BPD, and then talk to your GP and Insight Clinic does a preliminary assessment and commences the treatment. If you do not qualify for a diagnosis, then insight clinic will advise you other possible diagnosis and offer other potential treatment options.

If you feel that you are at high risks of self-harm or suicides or having thoughts about such, please reach out for help on the following phone numbers. They are available 24/7.

Life Line – 13 11 14

Beyond Blue – 1300 22 4636

Kids Help Line – 1800 55 1800

Mens Line – 1300 78 99 78

Suicide call back service – 1300 659 467

Suicide Line Victoria – 1300 651 251