20141205 community engagement conference
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Shaking Up the Delivery of Traditional Mental Health Services. Several primary health care organizations (PHCOs) have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services
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20141205 community engagement conference
- 1. AML Alliance gratefully acknowledges the financial and other support of the Australian Government Department of Health. Healthy Minds: Partnering to improve access, integration and efficiency in primary mental health care
- 2. Overview • Background • Process • Outcomes – access, integration, efficiency • Key Learnings
- 3. Background • North Coast NSW • ATAPS & Better Access
- 4. Process • Interviews • Expressions of Interest • More interviews
- 5. CSO Name Location/s Client Group Nortec Employment & Training Ballina, Lismore, Grafton Disadvantaged and disabled job seekers Bullinah Aboriginal Health Service Lismore, Cabbage Tree Island Aboriginal community from Ballina and surrounds Heartfelt House Wollongbar Adult survivors of childhood sexual abuse Rekindle the Spirit Lismore Aboriginal people, mainly women, suffering from overcrowding / family violence, or dealing with child protection issues Youth Connections Lismore Young people who are homeless or at risk of homelessness The Winsome Hotel & Soup Kitchen Lismore Marginalised and homeless people Casino Aboriginal Medical Service Casino Aboriginal community from Casino and surrounds Casino Family Support Service Casino Disadvantaged children, young people and their families Clarence River Women’s Refuge and Outreach Service Grafton Women and children escaping domestic and family violence New School of Arts Neighbourhood House Grafton Disadvantaged and vulnerable children Coffs Harbour Support Services Coffs Harbour People with a disability
- 6. CSO Name Location/s Client Group Early Childhood Intervention Program Coffs Harbour Pre-school aged children with developmental delays or other disabilities CHESS Coffs Harbour Jobseekers with a disability ETC Enterprise & Training Coffs Harbour, Kempsey Jobseekers Warrina Women’s & Children’s Refuge Coffs Harbour Women and children escaping domestic violence Bellingen Neighbourhood Centre Bellingen, Dorrigo Vulnerable young people with mental health or sexual health issues YP Space Kempsey Young people 14-25 who are homeless or at risk of homelessness Domestic & Family Violence Specialist Service Port Macquarie Women and children escaping domestic violence New Horizons Tweed Heads Homeless people and jobseekers with a disability The Family Centre Tweed Heads, Pottsville Vulnerable children and families Murwillumbah Community Centre Murwillumbah Homeless and at risk of homelessness Fred’s Place Tweed Heads Homeless
- 7. Eric Van den Bosche Clinical Psychologist Co-located Murwillumbah Community Centre Kylie Dowse Port Macquarie Domestic Violence Service Michael Edmondson Registered Psychologist Co-located The Family Centre
- 8. Efficiency $- $20 $40 $60 $80 $100 $120 $140 Other Private Practice Healthy Minds Remuneration Per Session Rent Take Home
Notes de l'éditeur
- I’m Megan Lawrance Program Manager for Healthy Minds at North Coast Medicare Local. Healthy Minds is a mental health program delivered from the NSW/ QLD border down to Port Macquarie, where I am based. Medicare Locals, commonwealth funding access, quality, integration Approach in mental health Aim to demonstrate we can integrate without a cent
- I will begin by giving you some background information about the Medicare Local, and the specific funding sources which are used for this program. I will then talk about the process used to develop and implement Healthy Minds, and about how the model has achieved improved access, integration and efficiency, then finally, I’ll share with you some of our key learnings through this process.
- narrow area, its length is more than 500km a long way. sees higher than average psychological distress lower rates mental health services higher levels of socio-economic disadvantage challenging and important fields Two key funding sources primary care space Better Access and ATAPS. Although small differences both aimed low to moderate, both GP referral, and both10 sessions of focussed psychological strategies delivered by mental health professionals. Better Access universally available Medicare Benefits Schedule anyone diagnosis whereas ATAPS distributed via Medicare Locals our job make sure improves access for people who can’t access Better Access. year ago started think about access & how improve it for people who need it the most. seemed if someone wherewithall GP, could access Better Access, weren’t really the people we most wanted to help. dilemma… how use ATAPS (GP referral),support people don’t know need help, transport or funds see GP first place? Evaluations Better Access after all not reach low income
- So first thing ask. interviewed 15 and 20 PP what system need provide support particularly vulnerable Team provide psychosocial couldn’t as PP. Plenty organisations talked to them - desperate expertise MHP EOI process across region these some org responded –more over page 35 in 70+ sites then EOI PMHPs helped interview process suitable team, client group. benefits of this arrangement? hoping organisations private practitioners co-present their perspective Instead, managed catch conversations camera.
- 35 in 70+ sites then EOI PMHPs helped interview process suitable team, client group. benefits of this arrangement? hoping organisations private practitioners co-present their perspective Instead, managed catch conversations camera.
- 35 in 70+ sites then EOI PMHPs helped interview process suitable team, client group. benefits of this arrangement? hoping organisations private practitioners co-present their perspective Instead, managed catch conversations camera.
- So, let me introduce you to some of our fabulous stakeholders in this program. Eric Van den Bosche is a clinical psychologist, and was selected to work with the Murwillumbah Community Centre. The Community Centre provides a number of services, including housing support for people are homeless, and is located in a park in the centre of Murwillumbah which is home to a number of these people. Kylie Dowse is the Service Manager at the Domestic Violence Service in Port Macquarie, and we have had a private practitioner working with them for a number of months now. Michael Edmonson has been located at the The Family Centre in Tweed Heads and Murwillumbah for around 6 months. The Family Centre supports vulnerable children and families, particularly where children are at risk of removal for their parents’ care.
- cost reduction ML arrangement. organisation provide room free of charge PP no overheads. reduce payment PPs by proportion similar overhead payment –average 30%. decided match rate Better Access. PP isn’t disadvantaged bulk-bill clients. allows unlimited number people seen within organisations.