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Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia. For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndis
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INTEGRATING MENTAL HEALTH INTO THE NATIONAL DISABILITY INSURANCE SCHEME
IIR Conferences Melbourne December 2013
The Mental Health Council of Australia
The peak national NGO representing and promoting the interests of the Australian mental health sector
Our discussion today
• Context of mental health • Development of the NDIS • Opportunities offered by the NDIS • Immediate challenges integrating
mental health into the NDIS • Challenges to future provision of
mental health services
Development of the NDIS
• Introduced the concept of national insurance for disability
• Introduced coverage for psychosocial disability
• Rode on wave of political enthusiasm
Insurance
a promise of compensation for specific potential future losses in exchange for a periodic payment
Psychosocial disability
• involving aspects of both social and psychological behaviour
• of or relating to processes or factors that are both social and psychological in origin
Human rights context
Importantly, the Convention makes a significant shift away from the medical model of disability towards a social model of disability. This demands the development of different solutions to redress the current situation. Graeme Innes AM
Human rights context
The Convention recognises that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others. Graeme Innes AM
Opportunities offered by the NDIS
Opportunities offered by the NDIS
• Individual choice and control • Additional resources • Long-term planning and commitment • Portability
Things to be retained by the NDIS
• Consumer and carer inclusion • Flexible access • Multiple levels of assistance • Recovery principles • Whole of life support • A specialised workforce
Immediate challenges integrating mental health into the NDIS
• Eligibility • Assessment • Packaging of services • Reforming mental health services
Challenges to the future provision of mental health
services
Serious and persistent mental illness with complex interagency needs 60,000
Serious and persistent mental illness with complex interagency needs 60,000
429,000 Serious mental illness
Serious and persistent mental illness with complex interagency needs
Need for psychosocial support
60,000
429,000 Serious mental illness
= ?
Serious and persistent mental illness with complex interagency needs
Need for psychosocial support
60,000
429,000 Serious mental illness
= ?
Tier 3
Tier 2
Intensive support
Need for psychosocial support
6,000
429,000 Serious mental illness
= ?
Tier 3
Tier 2
Intensive support
Need for psychosocial support
6,000
429,000 Serious mental illness
= ?
Tier 3
Tier 2
54,000
Intensive support
Need for psychosocial support
6,000
429,000 Serious mental illness
= ?
Tier 3
Tier 2
54,000 ?
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Personal Helpers and Mentors
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Personal Helpers and Mentors Partners in Recovery
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Personal Helpers and Mentors Partners in Recovery
Mental Health Respite for Carers
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Personal Helpers and Mentors Partners in Recovery
Mental Health Respite for Carers Day to Day Living
Existing Mental Health Services: (services to everyone)
NDIS support: (servicing no one)
Personal Helpers and Mentors Partners in Recovery
Mental Health Respite for Carers Day to Day Living
State/Territory Programs
Existing Mental Health Services: serving everyone - NDIS
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors 70% Partners in Recovery
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors 70% Partners in Recovery
50% Mental Health Respite for Carers
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors 70% Partners in Recovery
50% Mental Health Respite for Carers 35% Day to Day Living
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors 70% Partners in Recovery
50% Mental Health Respite for Carers 35% Day to Day Living
??% State/Territory Programs
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors
30% Partners in Recovery 70% Partners in Recovery
50% Mental Health Respite for Carers 35% Day to Day Living
??% State/Territory Programs
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors
30% Partners in Recovery 70% Partners in Recovery
50% Mental Health Respite for Carers
50% Mental Health Respite for Carers 35% Day to Day Living
??% State/Territory Programs
Existing Mental Health Services: serving everyone - NDIS
NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
New funding
Personal Helpers and Mentors
30% Partners in Recovery 70% Partners in Recovery
50% Mental Health Respite for Carers
50% Mental Health Respite for Carers
65% Day to Day Living 35% Day to Day Living
??% State/Territory Programs
Key implementation issues
• The assessment process
• Self-referral
• Supported decision making
• Organisational sustainability
• Workforce
• Monitoring and learning
Key policy issues
• Permanency of impairment versus a recovery focus
• Early intervention • Intended interaction with other
programs and services
Key actions
• Study to map programs and demand for services (reconciling state and commonwealth programs)
• A service guarantee – that no individual will be worse off – now or in the future
• An advisory group to guide the implementation process
INTEGRATING MENTAL HEALTH INTO THE NDIS
IIR Conferences Melbourne December 2013
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