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What’s the Difference? Mental Health Professions Explained

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Where to turn when we require professional mental health support? Many people are becoming more and more aware to attend their GP in the first instance when seeking professional mental health support.  This is a great practice we encourage in terms of initially looking after one’s mental wellbeing.  I think we can also confidently say that your GP will, most likely, complete a mental health care plan and a referral to a Psychologist.  Again, potentially, another very good step.  However, it also depends on your GP’s knowledge, experience and connections to the mental health services around them.  Without knowledge and connection to the right provider, you might be end up having to source your own Psychologist. We want you to know, while Psychological Therapy may be the correct service type for you, there are also many other alternatives. This post explores the true diverse nature of services available, the differences between them and how to check professional registration and rebate statuses of those you are looking to work with. Each day we will introduce a different mental health support type to you. It is important for you to know each profession so you can make an informed decision about the care of yourself or a loved one. At A Path To Follow, we support communities members to find and engage in specialised mental health support. Please reach out if you require support with finding an appropriate and reputable mental health specialist for your or someone you know. Psychologist A Psychologist is a professional trained in the science of how people think, feel, behave and learn. Psychologists work to assess and provide therapy for people struggling with mental health or psychological issues by helping them to understand how their own brains work and its relationship to their feelings and behaviours. Psychologists are regulated in Australia, meaning that for someone to call themselves a Psychologist they must be registered with the Psychology Board of Australia and be listed with the Australian Health Practitioner Regulation Agency. (APHRA) A registered Psychologist will have had 6 years minimum university training and supervised experience.  They can be general providers, with sound knowledge across a broad range of mental health challenges and/or illnesses, or they may specialise in a certain area or areas.  A Clinical Psychologist will attained further qualifications to enable them to participate in research, teaching supervision, etc.  In practical terms their therapy is based in session to session talking, without their role extending to outside session work on behalf or for the client.  For more information on the different forms of Psychology, see here. Medicare and Private Health Psychologists offer Medicare rebates. The gap (amount you will pay), will vary from professional to professional.  Some may offer Bulk Billing if you hold a Health Care Card or Pension or can prove financial hardship. Private Health: Check your fund, type and level of cover. Psychiatrist A Psychiatrist is a medical doctor who has undergone additional training to be qualified to practice Psychiatry and must be registered with the Medical Board of Australia via APHRA.  They have the capacity to complete thorough Assessments, especially for those more serious and complex mental health challenges. A person may have both a Psychologist and a Psychiatrist as part of their care team. While the Psychiatrist may prescribe and manage medication, the Psychologist may use evidence based talking therapy models to assist the client. Medicare and Private Health Psychiatrists offer Medicare rebates. The gap (amount you will pay), will vary from professional to professional.  Some may offer Bulk Billing if you hold a Health Care Card or Pension or can prove financial hardship. Private Health: Check your fund, type and level of cover. Social Worker Social Workers are trained at university in human behaviour, families, social justice and human rights. They can assist people with a range of challenges that may come about for reasons other than mental health challenges. At this stage Social Work is not a registered industry in Australia at the moment. There is a peak body, Australian Association of Social Workers (AASW), but membership with this body is voluntary. At the very least we advise people to ask if their Social Worker would be “eligible” to become a member with the AASW; this ensures they meet the same requirements that paying members have to. Social Workers can provide counselling to individuals in addition to advocacy, referrals and the coordination of services for their clients. Medicare and Private Health                                                                                                                                              No, not at this time.                                                                                                                                    Mental Health Social Worker A Mental Health Social Worker is a Social Worker with additional qualifications in mental health that prepares them to deal with issues relating specifically to mental health challenges and/or illness. Mental Health Social Workers generally have experience in assessing and diagnosing people experiencing mental health related stress and other life challenges.  Mental Health Social Workers are accredited via AASW. Medicare Yes Private Health No   Counsellor A Counsellor works with clients to promote mental health and wellbeing, enhance self-understanding and resolve identified concerns via talking therapy. In Australia you do not have to be registered to practice and there are many different counselling qualifications available. We recommend that you check if your Counsellor

Mental Health System Experiences

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I Survived I am not ashamed. I will not sit quietly any longer. I am not ashamed to tell you my story. To tell you of my hospitalisation, where I experienced the very best and very worst of our mental health system, A system plagued with misunderstood children trying to be heard, A system full of passionate nurses working to help these children, A system that has failed so many in the worst way, A system that denies care to some of those who need it most, A system full of doctors who might tell me that my urge to kill myself and the voices in my head are just a product of my drug use and my friends that I “have to pull my socks up” and “just be positive” And that night I lost my faith, I said “I’m no longer believing in a system that tell me that my problems are just fake”. Kyle’s Journey-Part 1 My first brush with Emergency Mental Health That night I was brushed off and told to go home; “sleep it off”. Turned away by the system that is supposed to be there for those in need. Scared, suicidal and exhausted I left the hospital that first night with my mum feeling as though nobody even wanted to understand what was going on in my head. I left the hospital in the most chaotically peaceful state that one could find themselves in. Chaotic in the way that I was scared, sad. I felt betrayed by a system I always knew was not perfect but felt at least could do its job. The peace I found when I left the hospital was not that of serenity and calm, but rather a peacefulness within my brain that I had given up on myself, on my life. I no longer had anything to worry about because soon I would take my own life and this would all be over. My Family; My Life Line The coming days was a series of naps mixed with tantrums, panic attacks and whatever self-harm I could bring to myself without being caught by the watchful and caring eyes of my parents. I was compelled by the voices in my head to take my own life, that by me being gone, so would all the pain and destruction I bring to myself and those around me. That wasn’t my family’s plan though; they pushed me; they saved my life. The compassion and love I received from each of my immediate family members gave me some strength to continue on through my life, which at this point seemed to be a never-ending maze of sadness and sorrow. It wasn’t all up from there though; my time in the system had only just begun… I spent about a week at home before my first home visit from an outreach Psychiatric team (CATT). After a half hour talk with the two incredibly good men working for the outreach program it was decided that I should be taken back into hospital for further assessment and treatment. At this stage they thought I was experiencing early onset psychosis. A somewhat broken system with shining lights I was taken back to the same hospital I had been sent away from just the week before, although this time I was treated far better because of the call ahead by the outreach team. I spent one long night in the emergency room getting bits and pieces of sleep, an incredibly sarcastic smile and “back again?” from the mental health clinician who had turned me away last time. I was made to feel like a burden, like the bed I was taking was unjustified and could be better used somewhere else. And do I agree the bed that night could have been used better for someone else with a physical health problem? Yes, in an ideal world, a supportive and professional mental health system could stand alone and could have prevented my first and second presentation to emergency. We already tried the other options we had; private, public… Too risky, not risky enough… In an ideal world there would also be an emergency room just for mental health issues; in turn allowing the specialists from each hospital to focus on their actual specialist area, creating more opportunity for doctors to genuinely be able to treat an illness and traumatic incidents. Experiences, such as mine, might decrease exponentially. Austin Awesome The next morning I was transported to The Austin’s Children’s Psychiatric Ward where I would spend the next 4 days. As I arrived in the psych ward any cord in my jumpers and pants had to be removed, as well as all my shoelaces. My bag was searched and my Phone was taken. I remember looking at my parents. The look of distress on their faces, especially mum’s, made the situation even scarier. I spent my first night literally trapped inside a panic attack; crying and just wanting to be at home. Despite my troublesome first night and an urgent, pleading phone call to my parents to bring me home, my experience at The Austin, for the most part, was extremely positive. They boasted modern facilities, including a bedroom for each child, a small school and a decent sized outdoor area with tennis courts. There was a great games room with a pool table, massage chairs and gym equipment. As well as these facilities the case workers, nurses and doctors were incredibly good and clearly trained and experienced at dealing with and helping teens with mental health issues. The Austin provided me with an amazing team that, in my short time there, truly helped me and gave me some good strategies for dealing with my mental ill health. Unfortunately, these gems are very rare and can only benefit very few children, for too short a time. After 4 days at the Austin I felt as though I had started my journey to recovery and was looking forward to what

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