Laporan kunjungan ke Orygen Youth Health oyh.org.au Melbourne Australia

1. List of Organisations
1. VEOHRC (2) – 5 August
2. DHHS (2) – 6 August
3. Headspace – 12 August
4. Beyondblue – 12 August
5. Orygen Youth Health –
13 August
6. North East Area MH
Service – Austin Hospital
– 13 August
7. SANE Australia – 19
August
8. Mental Illness Fellowship,
PARC – 19 August
9. Tandem – 20 August
10. MIND Australia and
Austin Community
Recovery Program – 20
August

2. Orygen Youth Health
Group

3. Objective(s)
• to deliver high-quality evidence-based
treatment for young people 15–24 years old
and their families who are living with mental
disorders in the western and north-western
areas of Melbourne

4. Beneficiaries
• Offering comprehensive mental health service
for youth, from acute service, continuing care,
and psychosocial recovery
• Youth with mental problems get the service as
they need, a specific service that unique to
young people , offering by mental health
professionals (psychiatrists, nurses,
occupational therapists, clinical psychologists
or social workers)

5. Scope of Service(s)
1. Acute services :
a. Psychiatric triage
objectives : to obtain a comprehensive overview of the young
person's mental state and risk
b. Crisis support
objectives : to give an immediate response in crisis situation.
Service :
- support
- face-to-face support
- outreach
- assessment to determine wether the young person should be
treated at Orygen or be referred
c. Inpatient care
Objectives : to give inpatient services for a short time
focus : getting people better and home as soon as possible,
encourages young people and families to be involved in this
process.
make young people feel as comfortable as possible

6. Scope of Service(s)
2. Continuing care
 outpatient care
4 programs :
a. EPPIC (early Psychosis Prevention and Intervention Cantre)  to
facilitate the early identification and treatment of
psychosis and therefore reduce the disruption to the young
person’s functioning and psychosocial development.
b. YMC (Youth Mood Clinic) : works with young people experiencing
depression, bipolar II disorder (non-psychotic bipolar disorder) and
severe anxiety disorders such as anxiety and obsessive compulsive
disorder
c. PACE (personal Assessment and Crisis Evaluation) : works with young
people who might be at risk of developing psychosis. By
identifying people who are at risk of psychosis and providing them
with appropriate treatment
d. HYPE (Helping Young People Early) : prevention and early
intervention program for young people who have experienced
longstanding instability with their emotions, interpersonal
relationships, sense of self, and behaviour

7. Scope of Service(s)
3. Psychosocial recovery program
 - Group Program,
- Family Peer Support Program,
- Youth Participation Program,
- Educational and Vocational Recovery
Programs

8. Training and comunication
• To improve the understanding of mental
health issues in young people
• to promote the capacity of services and the
general public in supporting young people
• Work together with :
health services, schools, drug and alcohol
services, and community groups within the
catchment area.

9. Outcome(s) of Services
• Early detection of psychosis
• Support for youth and family
• Early intervention of mental disorder
• Crisis intervention
• Improving outcome for mental health in youth

10. Group Lesson Learnts

11. Ideas for Implementing in Indonesia
• In indonesia, there was no service :
- in early condition (early psychotic/EPPIC and ultra high
risk for developing a psychotic spectrum disorder/PACE)
- Specific services for youth : (child and adolescence
psychiatry : for people under 18 years) : what about
people 18-25 years?
good idea to improve the quality of service for youth
• Marzoeki Mahdi Psychiatric hospital : already has
collaboration with education dictrict office and health
district office (child and adolescence program )  satgas
remaja sehat jiwa (mental health task group) : high school
students be trained of mental health to become peer
counselor for their friends
 early detection and referral system : peer – primary care –
psychiatric hospital

12. Ideas of implementing in Indonesia
• Specific treatment for youth, with the lowest
dose at first, so the youth get the benefit with
minimal adverse effect
• Service outreach specific for youth

13. Challenges vs Opportunities for
Implementing in Indonesia
Chellenges Opportunities Strategy to Overcome
Regulation issues Mental health law Implementing goverment regulation in
promotive, preventive, curatif and
rehabilitative in all group of age, including
for youth
Financing issues National funding
for psychiatric
hospital service
Allocating funding resources to improve the
new service for youth, to complete child and
adolescence psychiatric service

14. Challenges vs Opportunities for
Implementing in Indonesia
Chellenges Opportunities Strategy to Overcome
Coordination and
Collaboration issues
Collaboration with
education office, health
district office in chils and
adolescence program
Improving the collaboration with
MOU, arranger program together
: promoting, preventing, early
detection, referral system
Human Resources - Mental health team in
psychiatric hospital
- Mental health team in
primary care (MDs,
nurses, cadres whom
already be trained in
mental health)
Coordination of care in
comprehensive mental health
care, including to youth people

15. Challenges vs Opportunities for
Implementing in Indonesia
Chellenges Opportunities Strategy to Overcome
Services MH services in psychiatric
hospital, MH services in
primary care, health
services in other sector
- Develop new services in youth
people
-Improving collaboration with
health district office and primary
care
-Improving collaboration with
other sector
Infrastructure Outpatient
infrastructures
Optimlizing infrastructure
Monitoring and
Evaluation (including
data system)
- Data base youth with
mental problems
- Data base services
Improving data base systems
Monitoring and evaluation

16. TERIMA KASIH – THANK YOU