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
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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 treatment31 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 structure
Chapters
• Consumer and Carer participation
• Staying healthy and early intervention
• Children and young people
• Psychological Services (inc. low
intensity, Brisbane MIND and Better
Access)
• People with Severe Mental Illness
• Suicide Prevention
• Alcohol and Other Drugs Treatment
• Crisis Services
• Aboriginal and Torres Strait Islander
communities
Recurring sections within each chapter:• Consumer Participation• Carers/Family• Data & Evaluation• Diversities (CALD, LGBTI, older
people)
System features and enabling actions
Blue Sky – March Symposium
Compiled our learnings from reviews and consultation prior to March and asked our stakeholders for feedback on the vision and features – have we heard you?
Overall vision for the system
9 features of the overall vision
Blue Sky – March Symposium
Participants
• Over 70 stakeholders including people with a lived experience
attended
Process
• Range of activities to gather feedback on:
• Vision
• Features (that form the vision)
• Suggested actions to achieve the features
Outcomes:
• 1 additional feature recommended (9 10)
• A total of 82 actions suggested to achieve features and move
us from where we are now to where we want to be
Blue Sky – post workshop
With stakeholder feedback from the symposium and other
consultation activities, the PHN MHAOD team:
• Revised vision statement
• Developed the 9 features 10
• Developed consistent structure and language for all features
(i.e. A community where…took the focus off the system and
made it about people)
• All 82 actions were analysed and themed
• 10 common themes found across all 82 actions
• Based on themes, developed 10 ‘system enablers’ to achieve
the features of the vision
• Consolidated 82 actions into 47 actions across each ‘system
enabler’
Whole of system vision
Consistent with the Queensland Mental Health
Commission:
Our shared vision is a healthy and inclusive community,
where people experiencing mental health difficulties or
issues related to substance use have a life with
purpose and access to quality care and support
focused on wellness and recovery, in an understanding
and compassionate society
10 system features (that make up the whole of system vision)
Together we seek to build a community where:
1. People have the resources and supports to create and maintain healthy,
meaningful lives
2. People are free from stigma and discrimination
3. People are in charge of their own recovery, and services and supports respond
to what people need
4. People achieve their desired outcomes, assisted by services and supports
when needed
5. People know about and get connected to the right services and supports at the
right time and in the right place
6. People seamlessly access different services and supports as their needs
change
7. People and their needs are understood holistically, and are connected to
broader health and community services that address the social determinants
of health
8. People with lived experience are actively involved in all levels of policy,
planning, delivery and evaluation
9. People, their experience and evidence informs services and supports, and
drives innovation and improvement
10. People have confidence in services and supports that are appropriately
resourced, work collaboratively and maintain a stable, skilled workforce,
including peers and carers
10 system ‘enablers’
(to achieve the features of the whole of system vision)
1. Leadership and governance
2. Lived experience
3. Social determinants
4. Collaboration
5. Communication
6. Funding
7. Service delivery
8. Equity
9. Workforce
10.Research and evaluation
42 actions
to ‘enable’ the system to achieve the features of the
vision
An example
Activity: prioritisation of resources
Next steps - Have your say!
• Provide written comment or complete an online survey
• Do you agree with the vision and the ten ‘features’ of the community
we seek to build?
• Suggested actions to enable this vision to be achieved have been
grouped under enablers
• What are your views on the enablers?
• Provide comments and suggestions on the actions
• In a limited funding environment, what are the priorities for action?
• Some suggested actions need to be tested and further developed -
specific questions in relation to these
• Please feel free to make any other comments of suggestions
Next steps - Have your say!
June 21st – 2nd symposium
August/September - Full draft plan out for consultation
Stay up-to-date: Join mailing list www.brisbanenorthphn.org.au
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