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"Disgraceful treatment"

About: Fiona Stanley Hospital / Emergency Department

(as a parent/guardian),

Recently my child arrived at Fiona Stanley Hospital (FSH) with 2 Police Officers. Fortunately, Trans Perth Officers had successfully managed to stop them from taking their own life. Once my child was referred to the Emergency Ward, the routine medical checks were swiftly & efficiently carried out. Unfortunately, I believe this is where the efficiency stopped.

As well as depression, my child also suffers from severe anxiety which seemed to have been rapidly increasing due to the situations and people coming and going in the Emergency Ward. After 12 hours of waiting to see the on-duty specialist, their anxiety was through the roof and wanted to check themselves out.

Just after 12 hours, a specialist came to see my child and asked basic questions as to how they were feeling and what triggered them to harm themselves. The specialist stated that they were so busy and didn’t think there were any available beds. I advised them that under no circumstances should they even consider discharging my child as there was every chance they would attempt to take their life again upon release. The specialist advised that they would need to speak with their Senior and come back to us.

After 14 hours of being in the Emergency Ward the Senior Specialist came and spoke with my child, asking similar questions as previous; if they had a job, why didn’t they have a job, how much marijuana they smoked, how they managed to pay for it on Centrelink, that they really had to take responsibility if they wanted help and several other judgemental remarks in regards to my child's lifestyle.

Please note, it is not that I disagree with the remarks, merely that this was not the time to be lecturing someone when someone had just attempted to take their own life.

Eventually, they came back to say they had no beds available and that their previous offer of a bed in the Young Adult ward was not an option as I believe my child would not fit in there. They then said we would need to wait until a bed became available either in FSH or another. My child at this point was worse than when we arrived and their anxiety was through the roof and stated that they could not cope with going to another hospital and certainly not the one that was suggested.

The Specialist then continued to actually argue with my child, saying how would they know what it was like if they had never been. This went on for several minutes when my child said, "there is no point in me being here, I should never have come". The Specialist then, in my opinion, smugly stated: “of course there was a point, you are still alive aren’t you?", who then proceeded to say that this wasn’t my child's catchment area anyway, and so it went on.

Please note, the fact that my child was alive was in no way shape or form thanks to the Specialist or FSH, it was thanks to the compassion of the 2 Trans Perth Officer and the 2 Policemen.

At one stage we were advised we would be transferred to the short stay ward where it was quieter and hopefully calm the anxiety... 4 hours later we were still there and 4 different patients came into Emergency and then I believe were subsequently transferred to the short stay. Needless to say, we were never transferred.

Twenty-two hours after arriving at the hospital, we were visited by a new on-duty Specialist. By which time, my child advised them that they just want to check themselves out as they couldn’t cope anymore. I again advised the Specialist that my child was in no fit state to be discharged, to which they replied they could not stop my child. I advised, that of course they could - as I believe my child was not thinking rationally and not in a position to make good decisions.

I asked what the follow up would be in regards to my child's wellbeing after they were released, to which I was informed they would call them? Really...? and if they never answered the phone, if they left the hospital and immediately attempted to take their own life… where is the good in a phone call?

Needless to say, my child discharged themselves after 24 hours of being in FSH. I believe they left feeling worse than when they entered physically and emotionally and feeling totally uncared for and worthless.

Thank you, FSH for your uncaring, unprofessional, judgemental and in my opinion, a sickening experience. I sincerely hope no other person, regardless of stature, ever has to experience this disgraceful treatment. This was the first time my child had ever been willing to seek help. Since discharging themselves my child cannot bring themselves to seek any further help from anyone and the depression is worse than before. I would like to also assure you that if anything happens to my child in the near future I will be holding Fiona Stanley Hospital fully accountable.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 4 years ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 9/03/2020 at 5:41 PM
Published on Care Opinion at 5:42 PM


picture of Neil Doverty

Dear 4evahope,

Firstly I wanted to let you know that I am sorry to hear about your child’s depression and anxiety which led to an attempt to take their own life. I am also very sorry that your child felt judged and that staff were uncaring and unprofessional when you both presented to the Emergency Department (ED) at Fiona Stanley Hospital (FSH). We certainly do not want our patients to ever feel that they are uncared for or unworthy and I unreservedly apologise this was your experience. EDs are difficult places for patients with a mental illness, particularly when the patient is in distress and awaiting assessment by a specialist. When patients with mental illness present to EDs they are first seen at triage, then by the ED team who will make a decision regarding referral to the Mental Health Liaison Service for assessment and management planning. The mental health team consist of initial nursing and or registrar assessment and then if required a Consultant Psychiatrist assessment.

I apologise that it took several hours before these assessments occurred and that a youth bed was not available at FSH, or the second youth unit in WA which resulted in the extended length of stay in the ED.

It is understandable that your child and you have felt frustrated and disappointed by the lengthy wait times for a mental health bed and this is an issue that mental health services across the State report on weekly to the Minister of Health.

The Emergency Short Stay Unit (ESSU) is a 15 bed unit for patients that require some short observation in ED, and who are not requiring a hospital admission. ESSU is generally in high demand, it is hard to comment if this was the case during your admission without further details.

There are currently ongoing efforts and strategies underway to reduce the length of stay in the ED, and more are constantly being explored with the support of frontline staff as well as the Chief Executive of South Metropolitan Health Service.

You have also mentioned that a follow-up plan was not provided for your child and this is concerning. We would like to look into all the circumstances surrounding your experience, I encourage you to contact the Fiona Stanley Hospital Patient & Family Liaison service on 6152 4013 to allow us to do this and to ensure adequate support is provided to your child.

Thank you for the time you’ve taken alert us to your concerns.

Kind regards,

Neil Doverty

Executive Director

Fiona Stanley Fremantle Hospitals Group

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