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Introducing Dr Kartikey Agarwal – Medical Director of Perth Clinic’s Acute Admission Program

Kartikey at deskDr Kartikey Agarwal is Medical Director of Perth Clinic’s Acute Admission Program and is a private Consultant Psychiatrist at the Clinic.  He has practiced psychiatry in Western Australia for over a decade, initially as a Registrar at the Alma Street Centre, Fremantle and as Senior Registrar at Royal Perth Hospital, completing the RANZCP clinical exam and gaining admission to Fellowship in 2011.  Since that time, Dr Agarwal has served as Consultant Psychiatrist at both the Alma Street Centre and Graylands Hospital, working across the acute inpatient and early psychosis intervention teams as well as the Stirling region Hospital in the Home (HITH) team. Dr Agarwal is extensively published in the psychiatry and behavioural sciences literature and has attended and contributed to numerous international conferences.  His research interests include pharmacotherapies for schizophrenia and psychological treatments.

The Acute Admission Program at Perth Clinic aims to provide for private patients a gateway to unplanned psychiatric admission in a private hospital setting, responding to patients in acute crisis and often with complex needs who are able to be managed in our 100-bed open facility.  In many cases, the Program enables patients to avoid unnecessary public emergency department attendance and management, thus representing a considerable support to demands placed on the wider health system.  It has operated very successfully since the 1990s, supporting the acute needs of thousands of private mental health patients over that time.

Clinical governance of the Acute Admission Program at Perth Clinic is provided by over a dozen of our Consultant Psychiatrists who participate in the on-call roster, receiving referrals from GPs, public hospitals and community teams as well as directly from the Clinic’s 42 accredited consultant psychiatrists and other referrers.  Patients may be admitted as inpatients or referred on to Perth Clinic’s day hospital (offering a wide range of psychotherapy programs that aim to manage acute crises) or to the Clinic’s domiciliary outreach services.

For further information on our Acute Admissions Program please contact Perth Clinic on 9481 4888 and ask for our Admissions Coordinator.

Emergency Department Nurses – Dinner Club Event

Join us for an insight into Perth Clinic and an opportunity to see the clinic environment.

The event will be held on Wednesday, 21st February 2018 at 6pm and will take place on site at Perth Clinic at 29 Havelock Street, West Perth.

This is an informal event and a three-course dinner will be provided by Perth Clinic’s Executive Chef.

Material included in the discussion will be:

  • Information regarding the various therapy programs and treatments Perth Clinic provides.
  • The referral process for patients being referred from Emergency Departments.
  • Admission criteria and outpatient service.
  • An insight into Perth Clinic and an opportunity to see the Clinic environment.

Numbers are limited. To register your attendance or for further information, please contact Jennie McGuire, Executive Assistant on 9488 2980 or via email at

Mental Health Week

Perth Clinic will be participating in the Australian Private Hospitals Association “Elephant in the Room” campaign again this year. This campaign aims to illustrate the fact that mental health is often the “elephant” in the room that no-one wants to discuss. This year’s campaign will have a focus on anxiety and depression.

During mental health week the inflatable elephant will visit various places such as a GP Practice, an emergency department and an educational institution to distribute flyers and promote Mental Health Week. Photos of the elephant’s journey will be placed on the Australian Private Hospitals Association website and Facebook page.

A range of other activities are planned including a community morning tea, art exhibition and distribution of promotional materials.

For more information about Perth Clinic please see our article in The West Australian.

Transcranial Magnetic Stimulation Program (TMS) Update

Transcranial Magnetic Stimulation (TMS) is a non-invasive medical procedure for the treatment of depression in adults, now an approved treatment for depression in countries including Australia, the United States, Canada, Israel and the United Kingdom. TMS is a mild form of brain stimulation using a magnetic field.

TMS is a relatively new treatment modality in psychiatry, new in the sense that it is becoming increasingly available as a number of the private hospitals take the step in providing this service. Until 2016 there was only one TMS service in WA, operating from the Neurosciences Unit attached to Graylands Hospital. TMS however is not new in the research area. There is now quite an established literature that indicates that TMS is a useful treatment alternative in the management of major depression.

The effectiveness of TMS is well established, with response rates being between 40 and 50%, similar to the response rate to antidepressants in patients with treatment-resistant depression. TMS does not require an anaesthetic and is usually well tolerated with no cognitive side effects. This means patients can generally return to their normal daily activities after the treatment. The most commonly reported side effect is headache which generally are mild and diminish over the course of the treatment.

In July 2016 Perth Clinic expanded its treatment program to include a TMS service which is offered to patients who have been referred for treatment of depression. TMS therapy can be attended as an inpatient or day patient depending on the needs of the patient. For further information on the program and the process for referral please contact our Admissions Coordinator on 94814888.

Graduate Nurse Rebecca Rich wins Prestigious HESTA Award

Perth Clinic Graduate Nurse, Rebecca Rich, was named the 2017 winner of the Outstanding Graduate of the Year Award. The HESTA Nursing and Midwifery Award ceremony, bringing together all national finalists, was held in Brisbane on 10 May 2017 .

Media reports noted that “Rebecca is recognised for her commitment to achieving patient-centred care in mental health nursing as well as proactively taking part in formal and informal education to improve her skills. Committed to quality care, Rebecca has completed online training with Children of Parents with Mental Illness (COPMI), a short course in Borderline Personality Disorder and completed the ‘Mandatory Reporting Program’ with the Department of Child Protection. She has also completed training in Dialectical Behaviour Therapy and is involved in delivering DBT interventions at the Clinic. Rebecca treats her patients with compassion and empathy, providing responsive holistic care above the expected norm. She passionately works to change the perception of mental health and strives to improve and have a measurable impact on her patients’ health outcomes”.

Excellence Recognised at Accreditation Review

At the end of October 2015 Perth Clinic was audited by Global-Mark against three sets of standards:
• ISO 9001:2008 Quality management systems – Requirements;
• Australian Commission on Safety and Quality. National Safety and Quality Health Service Standards, 2011 and
• National Standards for Mental Health Services, 2010.

The Clinic achieved full accreditation to all three sets of standards with no recommendations. Additionally 16 “Met with Merit” ratings were awarded for having a robust quality and risk management system, strong focus on improving patient safety and quality of care, involvement of patients and supporters, patient monitoring (clinical deterioration), clinical handover and medication information to patients.
The Clinic is pleased with the result and will continue to pursue our mission “We strive to provide the best in psychiatric care”.

Perth Clinic Celebrates Mental Health Week

Perth Clinic commenced celebrations for mental health week with the opening of an art exhibition by Anita from Dignity and Mental Health. Art work completed as part of our group therapy and art therapy programs were on display. Art Therapist, Marilyn Davis-Moore said that the artists had welcomed the opportunity to display their talents.



National Mental Health Commission launches report card

The Chair and Commissioners launched the Report Card in Sydney at an event hosted by well known journalist, Jessica Rowe. The event included an open Q&A forum with the Commission to discuss the annual Report Card and the broader work of the Commission.

The report card has been produced in response to community feedback about the need for a new approach to information and reporting in mental health by people with lived experience of mental health issues, their families and other support people, along with the broader community. According to the Commission’s publicity material, this first report card will rely heavily on existing data and information. It will set the scene and provide a framework for future reports. Further, the Commission has reported that what separates the report card from other reporting by the Commission is that there will be a whole-of-life approach, spanning housing and homelessness, physical health, employment, education, relationships, family and child support, community participation and justice.

To view the Report Card and find further information on the Commission’s work refer to the National Mental Health Commission website.

Publication. ‘Walking the Black Dog’

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Based on the author’s own experience of overcoming depression and along with her powerful illustrations, Walking the Black Dog has wide appeal, not only for children who may themselves have depression. It can also help children understand what is happening to their friends or family.

“The illustrations in this layout make it particularly suitable to younger readers and there is a paucity of literature for them in particular. Thus, it will have a broad appeal and be useful to people suffering from depression and their family members. More broadly, it will help people in the general population understand more about depression and the difficulties associated with it.”

Professor David Castle, St Vincent’s Mental Health, The University of Melbourne.