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"Lack of Mental Health Services"

About: Derby Hospital / General Ward

(as the patient),

My partner has long standing diagnosed PTSD. Last week in I had to call 000 to assist with getting my partner to Derby Hospital for their own safety after a serious mental health breakdown with suicidal intentions due to their PTSD. The Paramedic (Rich) and Orderly (Steve) were wonderful in making them feel safe, heard and understood. They reassured my partner that going with them in the ambulance to Derby Hospital was their best option for help through this crisis.

Once in ED my partner was treated by the doctors and nurses with respect and dignity in their fragile state. They were also then seen by a lovely nurse (Lewis) from Derby Mental Health to discuss an immediate plan for overnight and then follow up with these services. The plan was for my partner to stay as an inpatient overnight with medication onboard to ensure their safety and wellbeing. I cannot fault the care that my partner was given up to this point by all involved and would like to extend my gratitude to the staff for their care and compassion. 

My partner was then transferred to the General Ward and this is where the lack of mental health services in Derby Hospital were once again highlighted. It was a very busy evening on the ward but due to different patient acuities there were no single or even double rooms available for my partner to be placed in so they were admitted to a very busy and noisy room of four patients and not a calm quiet area that would be more suitable for a patient with mental health issues having a situational crisis.

Again, the staff could not be faulted on the ward for the care they extended to my partner but were at a loss as to what to do when I spoke to them regarding the triggering nature of the room they were in. There were constant loud alarms going off in one patient's cubicle and another one had the tv remote so loud it was vibrating through the speaker and causing an awful noise in the entire room. This was definitely not an environment conducive to the wellbeing of a patient suffering from triggering PTSD.

Even though my partner was highly medicated and a falls risk when standing they were still becoming agitated to a point that I knew if they stayed there, there was a distinct possibility of them becoming enraged. In an enraged state my partner can become a risk to themself and others even though unintentional. For this reason I had to make the decision to leave the hospital and take them home even at the risk to themself or possibly myself. Here lies the problem. There is not suitable care or respite in Derby and a distinct lack across the Kimberley for those with mental health issues in a situational crisis or their NOK to provide adequate safe care for their loved ones. Basically, I was on my own to care for my partner as I believe the hospital is not suitably equipped with fit for purpose mental health facilities or rooms. The staff just didn't know what to do or how to help and there was no plan B. 

Since that night we have had further contact with Derby Mental Health for a referral for my partner to stay at a mental health facility in Perth for further help as Mabu Liyan was not deemed suitable for them. So until a placement becomes available, I like so many other families are on my own to support and guide my partner. Boab Health also has a long waiting list and may not be available until a couple of months for psychological counselling services. As I need to continue to work to pay my bills, I am trying to juggle keeping my partner safe whilst not being at home to support them. We have a very high suicide rate and people requiring mental health services in the Kimberley and our hospitals need to be upgraded to facilitate this type of care before more lives are lost. 

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Responses

Response from Tammie Joseph, WK Operations Manager, West Kimberley, WACHS - Kimberley last month
Tammie Joseph
WK Operations Manager, West Kimberley,
WACHS - Kimberley
Submitted on 17/04/2025 at 11:26 AM
Published on Care Opinion Australia at 11:38 AM


Dear craterwh91,

Thank you for taking time to share your experience. We appreciate that this has been a really distressing experience for you and your partner.

We are glad to hear that the staff of Derby hospital approached the situation with care and made you and your partner feel safe and understood. This is so important and with your consent we would like to share this positive feedback with the staff who looked after your partner on the day. I’m pleased to hear you also received services from Derby Mental health during their time in the Emergency Department and that follow up care was planned appropriately.

We’re sorry to hear that the experience when admitted was not as pleasant. We can appreciate that having a private room would have assisted in the care of your partner. Unfortunately, this was not possible on this occasion. We understand how this must’ve been very distressing, and we understand you making the choice to leave was not made lightly.

We acknowledge Derby does not currently have an after-hours mental health service outside of presenting to ED, which can make accessing support during a crisis more difficult. The options for afterhours mental health support are predominantly via telehealth or telephone. This includes Rurallink 1800 552 002 or by phoning the police and requesting to speak with someone on the Mental health Emergency Responds Line (MHERL). Alternatively an e-mental health service such as someone.health may be helpful. This service provides bulk billed online psychology services with a minimal waitlist after providing a GP referral and a mental health care plan through supportive scheduled appointments. While we understand that seeing someone in person face -to- face is often more reassuring than speaking to someone online or over the phone, crisis lines and online providers remain an important point of contact and service for those with mental health needs.

Derby does have limited options outside of the community mental health team and unfortunately doesn’t have a residential mental health facility for people in crisis, which further limits local options for safe, supportive environment during acute episodes. Mabu Liyan at Broome Hospital is an option for specific people with acute severe or complex mental health issues however I understand in this instance, it was not deemed suitable for your partner. We are aware that the Mental Health Commission has committed to building and funding a six bed Step Up Step Down Facility in Broome. Step Up Step Down Facilities provide short term residential support for those being discharged from inpatient care, or those in the community experiencing mental health needs that would benefit from short term increased support. I hope that in the future this facility would be an option for you and your partner to consider and we are sorry that this is not an option currently.

We really appreciate you sharing your experiences with us. Supportive family is pivotal in these situations, not only for support but also advocating on their behalf when they may be unable to do so themselves.

Your feedback is invaluable, as it can help us improve and ensure we are at the highest standard of care for all our patients. Once again, thank you for taking the time to share you experience with us.

If you would like to discuss any further, please call me on 08 9193 3333, and ask to speak with myself.

Kind Regards,

Tammie Joseph

Operations Manager

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