Integrating Mental Health Promotion A New Dimension in Drug & Alcohol Service Delivery.

IntegratingMental Health Promotion

A New Dimension in Drug & Alcohol Service Delivery

1. The Organization - MDECC

2. The Strategic Framework (2007-2010)

3. The Project Plan

The Organization

MDECC

History

Philosophy

Model of Service Delivery

Programs

MDECC Model of Service Delivery

CONTINUUM OF DRUG USE 

No drug use………experimental use……….regular use………problematic Health Promotion Intervention CounsellingCommunity Education Harm Reduction

Treatment 

The Strategic Framework

“ Integrating Mental Health Promotion” (2007-2010)

Key Priority Areas Building & Strengthening Mental Health Promotion Addressing Co-Existing Drug & Alcohol & Mental Health

Problems Peer Education Growth & Sustainability Maintaining & Enhancing Agency Governance Workforce Development & Support

Revised Model of Service Delivery

Revised Model of Service Delivery 

CONTINUUM OF DRUG USE 

No drug use………experimental use……….regular use………problematic Health Promotion Intervention CounsellingCommunity Education Harm Reduction

Treatment 

Mental Health Promotion  

The Project Plan

Implementation of Key Components Workforce Development & Support Building & Strengthening Mental Health

Promotion into Existing Drug & Alcohol Programs (Peer Education)

Clear direction/non prescriptive Flexibility – community development Allowing for staff autonomy & ownership

Importance of Culture & Climate & Shared Vision

Organisational culture Shared values/beliefs Innovation Motivated/passionate Embrace change

Reflection: Leadership Leadership for organisational change Enhancement of health service Provide leadership in terms of consultation, planning,

vision, and strategies

FOCUS on “here and now” – learnt that staff on the ground think 3 months forward

STRATEGY: Annual operational plan “too big” Bring down to quarterly activities Reward small achievements!

Reflection: Management Human Relations approach Systemic Theory Provides for a supportive environment whilst still

providing structure/direction Encourages staff participation in decision-making Common criticism in the literature that it dismisses

conflict within the organisation as being non-productive Need to balance organisational goals with individual

workers’ goals

Promote Learning Environment Build trust, supportive culture Key focus area in plan – staff professional development and

support in regards to mental health promotion Need skills/knowledge to implement change required Need support/mentoring to apply theory to practice Identified professional development needs via performance

reviews Developed CoMorbidity Professional Development Plan

(individual/team) supported with Commonwealth funding Autonomy to identify own options to meet learning needs Developed pre/post survey to assess professional learning &

support outcomes

 Developing Leadership & Management Skills

 Challenges:

Time Constraints Lack of supportive infrastructure in the NGO sector Changing Roles of Management (administrative vs

service delivery balance)

Reflection:

Lack of insight/understanding by non-management roles

 Project Achievements

  Establishment of local mental health/drug and alcohol network

Mental health resource developed in partnership with mental health/drug and alcohol network (to be published January 2009)

Consultation/needs assessment with clients, families, community to inform program development

Increased community education programs delivered in regards to drugs and alcohol and mental health

Implementation of the Dual Diagnosis Capability in Addiction Tool (DDCAT) to assess current agency capability across program areas

Urban Development Pilot Project completed in 2008 – integrating mental health promotion into MDECC’s Drug Peer Education Model

 Project Achievements

CoMorbidity – Enhanced Services Grant (Commonwealth Dept of Health & Ageing)

Amphetamine Type Stimulants Program Grant Recipient (Commonwealth Dept of Health & Ageing

Staff CoMorbidity professional development plan developed and supported by Commonwealth funding

Group mentoring provided to program staff by Mental Health Consultant

Pending recruitment of Staff Specialist/RMO Psychiatrist to provide onsite mental health assessments at MDECC

Revised Drug & Alcohol Counsellor position to include service development in regards to CoMorbidity

Expanded MDECC service delivery to include a secondary site dedicated to Health Promotion

 Policy & Advocacy Leadership

Another dimension in health service delivery

Multi levels – community, agency, NGO sector, Government level, political agenda

Network of Alcohol & Drug Agencies (NADA) – Policy & Advocacy Subcommittee

Proactive agendas of health promotion & CoMorbidity

Responsive agendas of compliance overburden, adequate & sustainable resourcing for the NGO sector

Desired Outcomes

Leadership for Organisational Change Contribution to Drug & Alcohol/Mental

Health Reform Agenda A New Dimension in Health Service

Delivery

Kerri LawrenceManager, [email protected]