Departments

BDP Community Team

The BDP Community Team is an amalgamation of two separate statewide outreach teams that work in close collaboration to address the psychiatric or emotional needs of persons with severe cognitive disability.

Community Brain Disorders Assessment & Treatment Service (CBDATS)

This is a 4.2 EFT multi-disciplinary team that is currently staffed by:

  • psychiatry
  • nursing
  • neuropsychology
  • social work
  • occupational therapy

The team's focus is primarily on clients who suffer severe cognitive and psychiatric disability and associated clinical and systemic complexity. Each referral is handled in an individualized and flexible way, aiming to achieve a number of possible outcomes including:

  • improved treatment of psychiatric symptoms
  • optimization of services & supports for the client
  • support and education for the referrer, family or carers
  • assistance with complex questions such the appropriateness of restrictive interventions

The team has extensive knowledge of the Victorian mental health and disability sector, and is often asked to assist in developing collaborative arrangements between workers in these sectors.

Being positioned as a statewide service, the team's primary objective is to assist other (local) services, though it often provides more direct assistance when there are genuine service gaps that need to be worked through.

The team also provides services to a small number of compensable clients when they are unable to source appropriate services via the private health sector.

ABI Behaviour Consultancy (ABIBC)

This team consists of 4.0 EFT neuropsychologists and 0.2 psychiatrist funded by the Victorian Disability Services (DHS) who work exclusively with non-compensable clients to provide a range of services such as:

  • direct behaviour interventions or "positive behaviour support"
  • secondary consultation
  • education & training

The team is subject to some restrictions in its selection criteria due to contractual arrangements with DHS, and their work is typically more focused and less broad compared to CBDATS.

The decision as to whether a client is assigned to CBDATS or the ABI Behaviour Consultancy (or both occasionally) is made internally after assessing the information given at the point of referral. Some similarities and differences between the teams are summarised below:

Element CBDATS ABI Behaviour Consultancy
Age criterion 16-64 18-64
Brain impairment criterion Unrestricted & can include clients with neurodegenerative disorders  Restricted to clients with non degenerative acquired brain inury (ABI) such as traumatic, hypoxic or stroke related brain injury
Mental health factors CBDATS focuses on clients who either have a diagnosable psychiatric disorder or mental health issues that might benefit from engagement by a mental health service.

Most cases get registered in the Victorian Mental Health database

Focuses on clients with "behaviours of concern" who don't meet diagnostic criteria for a psychiatric disorder or entry into a mental health service.

No clients get registered in the Victorian Mental Health database

Compensable clients
(eg TAC) 
Accepted
Typically 10-20% of referrals
Not accepted due to contractual arrangement with DHS
Neuropsychological testing Yes, but only undertaken by the team's neuropsychologist if there is a clinical indication (not done for routine diagnostic reasons) Yes, but only undertaken by the team's neuropsychologist if there is a clinical indication (not done for routine diagnostic reasons)
Provision of (structured) education Provision of education is a small but significant role of CBDATS, though it varies depending on demand and clinical priorities. Delivery of a minimum quota of structured education is a contractual expectation of the ABI Behaviour Consultancy
Funding State, Mental Health Branch State, Disability Branch (DHS)
Accreditation NSQHS, NSMHS NSQHS, NSMHS, DHS