Mental Health Needs Assessment - Brisbane North ... • Aboriginal and Torres Strait Islander and culturally

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  • Brisbane North PHN gratefully acknowledges the financial and other support from the Australian Government Department of Health.

    Regional Plan – mental health, suicide prevention,

    drug and alcohol treatment 31 May 2017

  • PHN role in mental health, suicide

    prevention and alcohol and other drugs

    treatment

  • Existing Funding

    Access to Allied Psychological Services (ATAPS)

    headspace Centres

    Mental Health Nurse Incentive Program (MHNIP)

    Suicide Prevention (community funding)

    Early Psychosis Youth Services

    New Funding

    Indigenous Mental Health Services

    New Funding

    AOD Treatment

    2018-19: Flexible pool of funding used to commission:

    1. Low intensity early intervention services

    2. Child & youth services

    3. Services for hard to reach groups

    4. Care packages for severe & complex

    5. Community-based suicide prevention

    6. Indigenous mental health services

  • Transition plan: July 2016 – June 2018

    Decommissioning

    Decommissioning

    Jun 16 Jan 17 Jul 17 Jan 18 Jun 18

    Ensure continuity of existing

    Transitional new services

    Commissioning process for the New World

    THE

    CURRENT

    WORLD

    Procurement for the New World

    Abbreviated

    commissioning

    process

  • Metro North Mental Health

    strategic directions

  • Queensland Health Reform Agenda

    • My Health, Queensland’s Future: Advancing Health

    2026

    • Connecting Care to Recovery 2016 – 2021

    • 5 Priority areas

     Service Access (right service, right time)

     Workforce Development (skills & scope)

     Use of ICT for clinical practice enhancement &

    service performance

     Early identification and intervention for suicide

    risk

     Strengthening rights (New MH Act)

  • Metro North HHS - Health Strategy

    “The health of high needs groups

    will be improved through the

    provision of care that is timely,

    targeted, accessible and

    coordinated”

  • Identified High Needs Groups

    Metro North population groups that have complex care

    needs requiring additional and/or specific care are:

    • older people

    • children and young people

    • people with mental illness and/or alcohol and

    other drug dependence

    • alcohol and other drug dependence

    • people with a disability

    • Aboriginal and Torres Strait Islander and culturally

    and linguistically diverse communities.

  • Linking key groups to service reform?

    • Addressing the needs of those who have complex

    needs or experience the poorest health outcomes in

    our communities is essential.

    • Different expectations and experiences of health

    services exist - often culturally or socially

    determined, including stigma.

    • Engagement requires identification of appropriate

    conduits to engage with consumers and communities

    • Actions require tailored activities and targeted

    services.

  • What we know about our region ?

    • People with mental illness do not always experience

    coordinated care when needed.

    • Some people are admitted to hospital or remain in

    our hospital when they could be better supported in a

    less restrictive environment in the community.

    • We understand many people with alcohol and other

    drug dependence also have a mental illness.

  • What we know about our region ?

    • Effective coordination of services is required for

    people with comorbid mental health and alcohol and

    drug issues as well as for those who experience

    comorbid physical health issues.

    • We recognise people with alcohol and other drug

    dependence are vulnerable, have complex needs

    and require additional specific strategies

    complementary to those identified for people with a

    mental illness.

  • Key Strategies

    • Be leaders in delivering evidence based quality

    care to people with mental illness and/or alcohol and

    other drug dependence.

    • Increase access to recovery focused mental health

    and alcohol and drug services available in the

    region.

    • Elevate the focus on physical health,

    psychological and social wellbeing to support

    consumers and carers in their recovery journey.

  • Key strategies

    • Work with partners to increase and facilitate access

    to a broader range of whole of life services, including

    community based alternatives to hospital admission

    and provision of meaningful vocational opportunities.

    • Be leaders in quality health care and service

    activities by delivering extensive and inclusive

    education, training and research programs.

  • Commitment through Action

    • Provide alternatives to hospital admission and

    support recovery of consumers through additional

    step up/step down facilities across MNHHS.

    • Build on existing relationships with emergency

    services in joint responses to persons who may be at

    risk/in crisis, including Co-Responder models,

    implemented in priority areas of need.

  • Commitment through Action

    • Collaborate with partners to develop and implement

    service models and associated care pathways for

    inpatient services that meet the needs of older

    people with a mental illness.

    • Strengthen community resources particularly in

    the northern part of MNHHS to improve service

    responsiveness to people with mental illness and

    people with alcohol and other drug dependence.

  • Commitment through Action

    • Expand perinatal mental health services across

    specialist community & inpatient services.

    • Integrate inpatient and community AOD services

    & unify clinical and operational governance

    structures for improved performance outcomes.

    • Collaborate with partners to grow capacity and

    capability of addiction services including alcohol

    withdrawal management for adults & young people.

  • Regional Plan

  • Mental Health Systems

    Primary Mental Health Care

    ($12mil)

    Hospitals

    ($172mil)

    Disability Services

    NDIS

    Primary Care

    MBS/PBS

    Human Services

    MBS/PBS • GPMHTP - $11mil • Psych - $57mil • Antipsychotics - $15mil • Antidepressants - $11mil

  • Background

    • Requirement for all PHNs to produce a regional plan,

    developed and agreed with HHSs and other

    stakeholders

    • A plan for and by the region about what we all will

    do together to improve quality, coordination and

    integration (not just a plan about what the PHN will

    do)

    • Not just primary care – also wider community

    services, hospital services, private sector

    • Developed with and by stakeholders, including

    consumers and carers

  • Background

    • Due to be released in October/November 2017

    • Plan will set out a 5 year vision for the mental health,

    suicide prevention and alcohol and other drugs

    treatment service systems

    • Detailed action plans for next 2 years

    • Developed jointly by Brisbane North PHN and Metro

    North Hospital and Health Service, with:

    • people with a lived experience

    • consumers

    • carers

    • service providers

    Provide an agreed blueprint for service and system development in the coming years

  • Engagement Plan

    Severe & complex mental

    illness

    Child & youth

    Staying healthy

    Suicide prevention

    Alcohol and other drugs

    Psychological services

    Regional Planning - Systems focused, big picture

    Aboriginal and Torres Strait Islander health

    & wellbeing

    Big Thinking; Local Planning

    Symposia

    Big Thinking; Local Planning

    Symposia

    Stream based engagement - Specific needs for each ‘stream’

    Stakeholder engagement as required

    March 2017 June 2017March-May 2017

  • Bringing it all together – plan structure

    Needs + context – overview of current health

    needs in Brisbane North, the current service

    response and the policy environment

    System features + enablers and actions – our

    shared vision and the actions that will enable us to

    achieve it

    Lived experience participation – opportunities

    and support for people with a lived experience to

    participate policy, planning, delivery and evaluation

    Services planning statement – projected health

    need and required service response and priorities

    for service investment

    Performance indicators – how we will know if

    things are getting better

  • Bringing it all together – plan structu