The role of the Hospital Liaison is to work primarily out of the Trail Regional Hospital providing services to youth age 13 to 23 who have been admitted to Emergency, Daly or Pediatrics with Mental Health and or Addiction related concerns.
The goal of this position is to enhance and strengthen services to youth by providing increased co-ordination between the Medical Community, Youth Addictions and Child and Youth Mental Health. This is done by offering youth and their families support and brief intervention counselling, assessing referral options, discharge planning and following the youth within 30 days of discharge (if possible).
Once A Referral Is Received
• Meet with youth and provide intervention counselling, support, advocacy, and referral
• Meet with Parents and/or Guardians (if available)
• Meet with Doctors, Psychiatrist, Nurses, and Social Workers (varies with each case)
• Contact all Case Workers attached to the Youth
• Develop In-Hospital Care Plan and Discharge Plan
• Continue counselling relationship with youth until discharged
ER – All youth seen for Mental Health and/or Addictions not requiring admittance into other areas of the Hospital
PED’S – All youth 13 – 16 requiring servicers for Mental Health and/or Addictions not requiring admittance into the Daly or as an alternative to the Daly
DALY – All youth 17 – 23 requiring services for Mental Health Psychiatric services
ICU – All youth requiring services for Mental Health and/or Addictions and are unable to be seen in any of the other units due to level of medical care needed.
Youth Seen Only In Emergency
When a Youth is admitted to the Emergency Room (ER) a referral will be sent by the Doctor, ER Nurse, or Mental Health and Addictions (MHAD) Nurse. The Hospital Liaison (HL) will see the Youth in the ER and begin the Counselling, Assessment Process and Additional services referrals. In the event that a Youth is admitted to the ER late at night, or when the HL cannot respond, the referral is done over the phone and a paper referral is faxed to the Freedom Quest Regional Office. In such situations, the Hospital Liaison will provide above noted services on an outpatient basis.
Client Discharge And Follow Up
Before a youth is discharged from an area in the Kootenay Boundary Regional Hospital (KBRH) a discharge plan is made by Medical Staff that details the referrals to other services and a client follow up plan.
Following discharge, this plan allows the HL the opportunity to contact both the Youth once discharged and the referral Service Provider(s) to ensure that contact and follow through has been completed.
The co-ordination and discharge planning is not only beneficial to the client, but to the Service Providers as well.
This process has allowed for the gap or overlapping of services to be eliminated and for all Service Providers involved to work together to ensure the discharge plan is effective, and implement any changes when necessary.
The HL also tracks the Youth by making contact immediately upon hospital admittance and within 30 days after discharge. Should the Youth be unavailable for contact the Service Providers will be contacted instead.
It is important to note that this is a voluntary program, and youth can refuse service at any time.
Communication Is Key
Once a referral is received, communication between medical staff, Freedom Quest, and all necessary support services begins as soon as possible, offering youth immediate support and identification of needs and options. Having service providers discuss and co-ordinate the best options for youth and the family members as soon as possible. It must also be noted that the level of team work in supporting youth in the hospital by all service providers and medical teams is truly void of exclusion.
All co-ordination is to the best interest of the client and very inclusive of all services available. This co-ordination may also include the RCMP and schools, both of which have been very open to working together to offer as many supports for the youth as possible.
• Of the 84 young clients seen, 58% were female and 42% were male
• Of the 84 young clients seen 76% continued receiving services they were referred to, while 24% are no longer receiving services.
• Of the 76% continuing to receive services, 72% of those are receiving services from Freedom Quest, MCFD, CYMH, and community agencies