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Laura Collister, General Manager, Rehabilitation Services, Mental Illness Fellowship Victoria 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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Mental Illness Fellowship Victoria
NDIS Transition Implementation –
making it work
Building better lives for people with a mental illness, their families and friends
Mental Illness Fellowship Victoria
Work with over 4000 people a year providing
community support for people with a mental illness
and their families
Recovery and Advocacy
Programs across Victoria, including Barwon, and
the ACT
Our programs
Outreach Support Employment Housing Sub-acute treatment programs Vocational rehabilitation programs RTO – Return to learning Partners in Recovery Youth and Adult residential rehabilitation PHaMs, including employment PHaMS Carer respite and support Peer led programs: MiRecovery Well Ways Family Education Tobacco Reduction Optimal Health
DCA Transition sites
In Barwon
Youth Residential Rehabilitation services
FaHCSIA funded carer support
In ACT
Vista Vocational Services
NDIS Practical Design Fund
Recovery
“...a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”
Anthony, 1993
NDIS
NDIS Objectives Support the independence and social and economic participation of people with a disability Enable people to exercise choice and control in pursuit of their goals and the planning and delivery of their supports Promote the provision of high quality and innovative supports that enable people with disability to maximise independent lifestyles and full inclusion in the community Raise community awareness of the issues that affect the social and economic participation of people with disability
Old vs. New
Engagement
Internationally there has been a very low uptake of mental health consumers Why – •Inflexible referral/initial appointments •Consumers fear process •Referral processes not clear •Bureaucratic barriers •Yet another person/agency •For some people it will be the mental illness itself hat leads to barriers •Family critical
Person Centered Outcomes
Will individualised funding support consumers to build a better life?
A challenge….
While the rhetoric indicates that people with a disability under Disability Care will be able to choose the services they use, in reality, it looks like they will only be able to choose the services that have been established for them
Isabell Collins
Imagining Better
“All the individuals that participated in the group were stumped
when I initially asked them to think about what they would
want if they had the choice to choose the type of support they
could receive to empower them to have a better life. The real
light bulb moment that occurred in the room was that not one
of these individuals knew what they wanted, not one of them
could put a concrete want down on paper.
Through discussions it became clear that all these individuals
had been so used to taking what they were given, and just
accepting it whether they liked it or not, that they had actually
become submissive in their own lives”
Kelly Helps, miRecovery peer facilitator
Anglicare, WA
Imagining Better
People choose what they know
Services deliver what they know
Thinking beyond what is …..
Limited by low expectations
Limited by practical constraints
Imagining Better
Imagining Better
We do not always know what we want or need
Tasting Life
Time
Creating better
Person-centered
Thinking outside the service system
Using normative means to meet normative needs
Imagining Better
“I feel a new start coming”
“Mind blowing. Life changing. Empowering”
“Very supportive, loving, understanding. Gives
me guides, motivation to have faith in myself,
to become stronger to explore what I face
each day.”
Recovery
“The goal of the recovery process is not to become normal. The goal is to embrace our human vocation of becoming more deeply, more fully human. The goal is not normalisation. The goal is to become the unique, awesome, never to be repeated human being that we are called to be.” Patricia Deegan, p91