Navigating the mental health system for young people
Navigating the mental health system to find the right care for a young person in distress can feel overwhelming. Our mental health system is complex and just figuring out where the entry door is can be a major hurdle. It can be a stressful experience when your child needs help the most, but you're not alone – there are people and resources out there to help you through it.
Unlike physical health problems such as a broken bone, we know what to expect – a trip to the hospital, x-rays, blood tests and then medicines or surgery, and maybe some physio.
But what about mental health? Where to go? What is the right care? Is hospital needed? Who is the right professional or organisation to see?
Navigating mental health care can sometimes be tricky, but with the right knowledge and support, you can find the help you need.
Navigating the system
If you do need to access the mental health system, here are ways to navigate it:
See your GP: Your first step will likely be to a GP - they are the most important gateway into the mental health system. They can assess the situation, provide initial advice and referrals to a psychologist or psychiatrist if required. They may also provide a Mental Health Treatment Plan, which may give you access to Medicare rebates for therapy sessions. GPs are also usually aware of multiple support groups available to both parents and young people within the community. Make sure you go armed with as much information about the changes you have noticed and your specific concerns.
Accessing specialist care: Depending on your level of need, you might be referred to a psychiatrist, a psychologist, or a counsellor. When choosing a mental health specialist, consider their professional qualification and areas of expertise, their approach and whether you and the young person feel comfortable with them – trust and rapport are important in effective treatment. If one specialist isn’t the right fit, it’s okay to try another.
Community and crisis services: There are many community and crisis services that provide free mental health support, such as Lifeline, Beyond Blue, Kids Helpline and Headspace, as well as public sector child and adolescent mental health services (CAMHS) that are available throughout Australia.
Talk to the school: Many schools have counsellors who can help. Depending on the situation, involving the school can provide your young one with an extra layer of support.
Medibank health insurance customers also have access to the 24/7 Medibank mental health support service, which includes phone and online chat with a mental health professional for guidance on questions and what to do next
Signs to look out for:
Has their behaviour changed recently, if so, was there a particular occasion that you can identify?
Do they seem anxious, are there changes on their mood such as sadness?
Any change in sleeping patterns?
Are they looking after their appearance, i.e. showering, changing dirty clothes?
Are they eating more/less?
Do they communicate with you or seem disengaged?
Do they seem preoccupied?
Has their eye contact changed when you speak to them?
Have they become socially withdrawn?
Whilst the above questions are important it is equally important to establish if their friendships have changed, has a teacher or school counsellor been involved with helping them at school? If not, then this is a pathway to explore.
What can you do to support your loved one?
Take heart - as there are some things that can make what seem impossible more workable.
Firstly, show support. Just by being there, listening as a family can be one of the most important steps that can be taken. Families can be the most important part of the support and recovery team.
Secondly, try to understand what the problem is by talking to your young person without judgment or criticism. They may not want to talk, but you have shown that you are available. Make sure they know this. But don’t interrogate them or get into solution mode, they may not want to open up, and that’s okay.
Become informed. Being informed means you can ask questions to test if the proposed care makes sense. Do as much research into resources as you can and ask questions.
Talk to a trusted friend or family member. They can listen, offer support, and help you explore your options.
Some tips
Be proactive. Don't wait for things to get worse before seeking help.
Be an advocate for your young person and yourself. You have the right to be heard.
Don't be afraid to ask for help. Remember, many people experience mental health challenges, and (as challenging as they might be to find) there are resources available to support you. Some may be expensive, so remember to ask about cost if this is a factor for you.
Be open and honest with your GP and mental health professionals, remembering to include (if possible) your young person in any discussions. This can be hard as it may involve disclosing your concerns to a stranger, sharing your experiences and concerns is essential for effective treatment. Often a problem shared is a problem halved.
Our mental health system is far from perfect, and many people struggle to find the right care at the right time. But you need to persist, be inclusive of your young person, and more than anything, show them how important their health and safety is to you as a parent. Oh, and make sure to look after yourself as well.
