Treatment Process

I can best help people who are interested in becoming more safe, empowered and compassionate and engaged with truly living despite the many obstacles they may be facing. I AM UNABLE TO OFFER A CRISIS SERVICE and if you are in/or are likely to be in crisis, I will need you to be willing to access support from the people to whom you have the safest and closest psychological connections and/or the many community crisis services that are available. These include:

The Crisis Assessment and treatment team (CATT)- Phone 1800 629 354

https://www.mindhealthconnect.org.au/crisis-management

Lifeline Canberra - Phone 131 114

http://www.act.lifeline.org.au/Volunteer/telephone-crisis-support

Beyond Blue Support Line Phone 1300 22 4636

https://www.beyondblue.org.au/about-us/contact-us

Blue Knot Foundation Helpline  -1300 657 380

 http://www.blueknot.org.au/Helpline

If you wish to work with me, we will need to work as a collaborative team. I will have responsibilities and so will you.

Clinician’s responsibilities

  1. Self-care and safety
  2. Ethical and responsible behaviour
  3.  Explicit and clear treatment frame work
  4. Suitable knowledge and resources
  5.  Integrity of therapeutic space
  6. Clear, collaborative and specific treatment goals
  7. Monitoring the intensity, pace, timing and focus of treatment work
  8. Taking timely responsibility for all clinical administrative work
  9. Honouring the schedule of treatment terms  

Client’s responsibilities

  1. Safety for self and other people
  2. Being fully present during consultations or owning times of disconnection
  3. Commitment to treatment goals
  4. Undertaking negotiated tasks outside of sessions
  5.  Ethical and responsible behaviour
  6. Monitoring the intensity, pace, timing and focus of treatment
  7.  Honouring the schedule of treatment terms (see below)
  8.  Paying each account within a 30 days of the relevant consultation unless otherwise negotiated

First contact

If you contacted me by phone or email, I will have referred you to this website. I will tell you when you contact if I can offer you a consultation time within the next month to six weeks. If not, I will suggest you go back to your referring practitioner for other options if you do not already have them. You may choose to wait and, if so, I will offer you times for the future and place you on a cancellation list probably for a one off time until a series of times becomes available.

 If I cannot see you, here is link for criteria to consider in selecting a mental health professional (see link)

If we proceed, I will generally offer a series of six consultations times - normally about a fortnight apart. This is to ensure continuity of care. You can cancel or postpone any appointment, at any time, with a minimum of a full 24 hours notice preferably given by phone and email. A full consultation fee will be charged without this cancellation notice of a full 24 hours. I am not able to hold proposed appointment times open so please confirm ASAP. Otherwise, I will offer these times to other people who are waiting. Sometimes in such a situation, this will mean that I will not be able to see you for the foreseeable future.

If you wish to proceed please read

1.     The schedule of treatment terms (see link)

2.      The Intake form  (see link)

3.     Journal pro forma (see link)

 Please return your intake responses by email at least a couple of days before our first scheduled appointment time with as much information as is possible for you.

Health Insurance Issues

Medicare

In order to enable you to claim a Medicare rebate you will need a GP mental health care treatment plan from your treating General Practitioner. I will need a copy of the plan and its details to facilitate this process. The payments and rebates can all be done electronically. You will be potentially eligible for 6 + 4 consultations in any one calendar year under the current legislation.

I charge the fee is that recommended by my professional Body – The Australian Psychological Society (APS) - currently $246.00 per consultation, until the next review on 30/6/18. You will receive approximately $125.00 in Medicare rebate per consultation. I will give you a paper tax invoice in the first session and once you have paid on line, I will send you an electronic receipt with all relevant details by email. You will need to visit Medicare or alternatively download the Medicare app to have the rebate directly paid into your bank account.

Private health Insurance

This will normally require a referral from your GP and you will need to enquire about any rebates available from your private health insurer. Not all health insurance companies offer a rebate for private psychological treatment and many require that you are already insured for “extras” cover.

Treatment Goals

I do my very best to help people to negotiate and implement best practice treatment goals and interventions. These interventions are delivered in a warm, respectful, professional, theoretically and research-informed manner. They are co-designed with you to make real sense in the context of you and your reasons for seeking assistance. We will negotiate these goals during our first consultation and these goals and our progress towards them will be regularly reviewed.

Negotiated tasks between consultations

You will be asked to complete some tasks between consultations to allow us to maximise the benefit of treatment. You will also be asked to make a note (electronically or manually) of these agreed tasks.

Ending of Treatment Consultations

  1. Mutual agreement after treatment has concluded. This process is discussed fully by mutual agreement over time and occurs when people feel that they have enough personal power to be “living” their treatment goals more often, that not.
  2.  Client/Patient choice when offered appointments have not been confirmed and there are not other times available in the foreseeable future. This might also occur when there is not “a good fit’ between my style of working and/or my unique personal and therapeutic presence. In such cases the client has chosen not to continue (terminate) by cancelling proposed times.   
  3. Clinician initiated when the person in the client/patient role has consistently not fulfilled their client patient responsibilities (see Client Responsibilities above).

When treatment in this practice ends earlier than anticipated, the person is invited and encouraged to consult their referring treatment professional for other suitable options.

Wellness information page

Information on well being, including initial stabilisation resources, is available on this site and can be freely downloaded.

There are  resources on ageing, anger, anxiety, depression, eating disorders, environmental advocacy, gambling, grief and loss, illness, legal issues, life-planning, meditation and yoga, pain (chronic), parenting, relationships, self-care for professionals, sleep, substances, suicide prevention, time management, trauma and dissociation, the wisdom traditions and guiding ethical principles and values. 

Stabilisation Resources

I recommend the work and resources of Tara Brach, a psychologist and meditation teacher whom I have heard speak. I have also listened to her being interviewed. She is a really lovely woman and a very wise and embodied teacher. In emotional suffering Tara poses questions of holding attention with investigation and heart.

This process is called RAIN for

  • Recognise
  • Allow
  • Investigate
  • Nourish

In the investigation (the third part of the RAIN acronym) you might ask some of the following questions:

Questions

  • Who would I be if I didn’t think there was something terribly wrong with me?
  • What am I believing?
  • Where is it situated in in my body?
  • What does that this part of me most need?

Then offer what is needed.

Here is a link to Tara Brach’s Meditation: the RAIN of Self-compassion

https://www.tarabrach.com/meditation-the-rain-of-self-compassion/

Here are some additional resources to help you stabilise

Facing Feelings 
http://www.cci.health.wa.gov.au/resources/infopax.cfm?Info_ID=54

On grounding and emotional regulation 
http://www.ipcommunications.com.au/pdfs/cwsh08-handout-grounding.pdf

Helpful and unhelpful thinking styles

http://www.cci.health.wa.gov.au/docs/ACFE1D0.pdf
http://www.getselfhelp.co.uk/unhelpful.htm

Sleep

http://www.cci.health.wa.gov.au/resources/minipax.cfm?mini_ID=25

Mindfulness

There is an excellent 8 - week audio mindfulness course that will help with you with living more in the present.

http://www.audible.com.au/pd/Health-Personal-Development/Mindfulness-Audiobook/B00FEZPH5O    

Reasons to meditate

https://www.psychologytoday.com/blog/feeling-it/201309/20-scientific-reasons-start-meditating-today

Building self-compassion 

http://www.cci.health.wa.gov.au/resources/infopax.cfm?Info_ID=57

 © J Higgins 2017