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:
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:
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:
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|
|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
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|