David Butt - National Mental Health Commission - Opening presentation

25 November 2015

Report of the National Review of Mental Health Programmes and Services 3rd National Mental Health Conference Mental Health and the NDIS

Contributing Lives, Thriving Communities

[There are a] large number and variety of service providers that contribute to the complexity of the mental health system. In this context the coordination of an individual’s care and support across the different systems is a challenging task.

Community Services and Health Industry Skills Council

1. People with lived experience, their families and other support people are engaged and involved at all levels —“nothing about us without us”.

2. Person (and family) centred design principles: holistic, and inclusive – contributing lives, thriving communities (Social determinants).

3. A new system architecture – national leadership with regionally/locally co-designed and implemented responses.

4. Stepped care matched to need – focus on populations, with particular focus on a healthy start to life.

5. Shift focus to more efficient and effective “upstream” services and supports – prevention, early intervention and recovery.

6. Realise productivity and economic growth opportunities.

Key principles which underpin review recommendations

Design of a person-centred approach

Stepped care, where services are matched to individual need

Annual distribution of mental ill-health in Australia

Economic impact

1 Estimate based on AIHW (2014) and Medibank and Nous Group (2013); 2 Harvey et al (2014); 3 NMHC (2014); 4 AIHW (2014)

Commonwealth role: National leadership, regional integration

• Anxiety/uncertainty

• Short term contracts

• Debate about recovery focus

• Disappearance of programs

• Query significance of Information Linkages & Capacity Building tier

Issues

• Clarify NDIS eligibility criteria for scheme access

• Ensure assessment is sensitive to the range of psychosocial need

• Ensure a seamless response/continuity of support for those both in and out of the scheme – “no clients will be disadvantaged”

• Ensure continued service provision in transition

• Ensure there is no gap in service provision across level of need and across geographic regions

Challenges

• Engage and partner with those with lived experience, their families and carers, and the broader sector

• Act locally - integrate local area services

• Measure and demonstrate success in a timely way – ensure data is about the person

• Cross portfolio engagement: ensure psycho-social, clinical and other systems work together

Challenges cont.

• Governments need to recognise that where people who are currently being supported by programs which are being cashed into the NDIS miss out on eligibility this is their problem, not the NDIA’s (as long as the NDIA has its assessment processes right)

• Deal with these issues or pressure will be on to grow the NDIA

• Use real time interoperable NDIS data to advise on gaps simultaneously – not at end of process

Challenges cont.

The most significant gap … is the effectiveness of the outcome monitoring. Across both Commonwealth and state-provided and funded services, there is a failure to capture meaningful data and measures (including consumer feedback). Murrumbidgee Medicare Local

• Ensure mental health gets priority it deserves

• Emphasise social, emotional and cultural perspectives but also opportunities for increased productivity and economic growth

• Operate as cohesive sector in support of transformation of system

• Speak with one voice and you will be heard

Role of Mental Health sector

Next steps