Transcript Dr Aaron Groves - Western Australian Association for Mental Health

Dr Aaron Groves
Principal Clinical Lead
I acknowledge the traditional owners of
the land on which we meet today the
Wajuk people of the Noonygar nation,
their ancestors and people who have
walked the lands before them. I am
proud to work, walk and live on their
lands
WA Mental Health Services Plan
Mandate
Government requires a Services Plan for mental health
services by December 2013 to guide investment decisions
that:
 Responds to the needs of the growing population
 Embeds the key mental health reform directions
 Meets best practice standards and resourcing
benchmarks
 Uses evidence based approach
 Reflects the unique needs of the State
 Informs funding model development
WA Mental Health Services Plan –
Project Governance
Minister for Mental Health
Project Sponsor
Project Sponsors
Commissioner, Mental Health Commission
Executive Director Drug and Alcohol Office
Director General, WA Health
Steering Committee
Principal Clinical Planners
AOD Steering Committee
Project Management Group
Bed-Based
Consultation Group
Community Clinical
Consultation Group
Community Support
Consultation Group
Mr Patrick Marwick
Dr Elizabeth Moore
Mr Joe Calleja
Promotion and
Prevention
Consultation Group
Professor Mike Daube
Consumers , Families
and Carers Reference
Group
Alcohol and Other
Drugs Working Group
Mr Neil Guard
WA Mental Health Services Plan
WA levers for change
Mental Health 2020
 The Plan will support implementation of the
directions outlined in ‘Mental Health 2020: making it
personal and everybody’s business’ which include a
greater focus on individualised supports for people,
improved coordination and more balanced
investment across the mental health sector
Stokes
 The Plan is being developed as part of the WA
Government’s response to recommendations from
the ‘Review of the Admission or referral to and the
discharge and transfer practices of public mental
health facilities /services in Western Australia’ (Stokes
2012)
WA Mental Health Services Plan
Western Australian Drug and Alcohol Planning
 In line with recommendations from the Stokes
Review regarding the need for improved
collaboration between mental health and alcohol
and other drug services and the government’s
announcement to amalgamate the MHC & DAO
the plan will incorporate alcohol and other drug
services planning concurrently being undertaken by
the Drug and Alcohol Office.
National Mental Health Strategy
• In part an acknowledgement of the broader national health reform
agenda, including:
Mental Health Reform agenda and commitment to National Mental
Health Services planning
National Mental Health Policy 1992
National Mental Health Plan, 1992–98
• Medicare Agreements 1993-98
Second National Mental Health Plan,1998–03
• Australian Health Care Agreements 1998-03
National Mental Health Plan 2003–08
• Australian Health Care Agreements 2003-08
COAG National Action Plan for Mental Health 2006-11
National Mental Health Policy 2008
Fourth National Mental Health Plan 2009-14
States and Territory mental health policies, plans and strategies
Current State plans exist in Victoria, NSW, SA, Queensland, ACT
and Tasmania.
The last endorsed WA MH Plan was in 1996.
Fourth National Mental Health Plan
Action 16 in the Fourth National Mental Health Plan: An
agenda for collaborative government action in mental
health 2009-14
• Action 16: Develop a National Mental Service Planning
Framework that establishes targets for the mix and
level of the full range of mental health services, backed
by innovative funding models.
This action is considered one of the foundation actions of
the
•
4th plan and the Commonwealth provided $2
million to NSW and Qld Governments to develop the
framework in collaboration with all jurisdictions
The project is known as the National Mental Health
Service Planning Framework (NMHSPF)
National Mental Health Service Planning Framework
Key objectives
• Nationally consistent - an ‘Australian Average’ estimate
of need, demand and resources
• Flexible and Portable - to suit jurisdictional priorities and
other variations in a user friendly format
• Not all, but many - will not account for every
circumstance or service possibly required
• Not who, but what - will capture the types of care
required, but will not define who is to deliver
• Includes intersectoral linkages with housing,
employment and education
• Evidence & Expertise - identify what services ‘should be’
provided underpinned by evidence
NMHSPF adapts MH-CCP (“muck
up”)
POPULATION AND EPIDEMIOLOGY
DEMAND
SERVICE MAPPING
CARE RATE
CARE PACKAGES
RESOURCE PREDICTIONS
OUPUT PREDICTIONS
STAFF PREDICTIONS AND COSTS
F
NMHSPF
POPULATION EPIDEMIOLOGY
PREVENTION
Concept of
prevention
CARE
Concept of mild
illness
Concept of
moderate illness
Concept of severe
illness
• Standard reference epidemiology, Australian Burden
of Disease 2007
• Stratified by Severity MILD/ MODERATE/
SEVERE
Prevalence
Age 0-17
Age 18-64
Age 65+
All Ages
WELL
84.6%
81.6%
85.2%
82.8%
AUS Pop 2011 WELL
Age 0-17
4,302,811
Age 18-64
11,551,923
Age 65+
2,621,864
All Ages
18,476,597
MILD
8.8%
9.9%
7.9%
9.4%
NMHSPF
MODERATE
4.4%
5.0%
4.1%
4.8%
SEVERE
2.3%
3.5%
2.8%
3.1%
MILD MODERATE SEVERE
446,133
224,704
115,348
1,405,930
710,775
489,770
242,769
126,443
85,463
2,094,832 1,061,922
690,581
ILL
15.4%
18.4%
14.8%
17.2%
TOTAL
100%
100%
100%
100.0%
ILL
TOTAL
786,186 5,088,997
2,606,475 14,158,397
454,675 3,076,539
3,847,336 22,323,933
• Standard reference epidemiology, Australian Burden
of Disease 2007
• (Detailed prevalence of demand by Dx and
severity for each age group, eg 18-64)
NMHSPF AGES 18-64 (Demand, Numbers, AUS, 2011)
Dx=PRIMARY Diagnosis (MI)
J02 Schizophrenia
J04 Bipolar Disorder
J03 Anxiety/Depression
J05 Personality Disorder, isolated
J06 Anorexia Nervosa
J06 Bulimia Nervosa
J07a ADHD
SMHWB(C&A) - Balance
Subtotal (Dx of Primary MI)
Dx=PRIMARY Diagnosis (non-MI)
J07b Autism - Excess over K09
J07b Asperger’s Syndrome + PDD (nos)
K01 Dementia - BPSD
K09 Intellectual Disability-MI
J01a Alcohol-MI
J01b Heroin-MI
J01c Benzodiazepines-MI
J01d Cannabis-MI
J01e Stimulants-MI
Subtotal (Dx with MI Concurrent)
Dx (N)
85,200
91,288
1,670,300
401,466
10,929
10,673
14,966
2,284,822
Dx (N)
44,498
17,392
10,140
303,714
898,997
49,924
52,625
252,434
72,773
1,702,498
TOTAL MI TREATMENT DEMAND for NMHSPF
Tx-MI(N)
85,200
91,288
1,097,625
245,697
10,164
9,926
9,835
1,549,736
Tx-MI(N)
7,594
4,315
63,950
82,708
13,451
9,683
23,224
6,695
211,619
Tx-MILD(N)
477,228
129,807
4,276
611,312
Tx-MILD(N)
3,302
1,521
27,804
35,960
5,848
4,210
10,097
2,911
91,653
Tx-MOD(N)
381,783
103,846
3,060
2,988
3,421
495,098
Tx-MOD(N)
2,641
1,416
22,243
28,768
4,679
3,368
8,078
2,329
73,522
Tx-SEV(N)
85,200
91,288
238,614
12,044
7,104
6,937
2,138
443,326
Tx-SEV(N)
1,651
1,378
13,902
17,980
2,924
2,105
5,049
1,455
46,444
1,761,355
702,965
568,620
489,770
The National MH planning framework methodology can
give us a WA Framework that does the following:
Enables us to do State-wide population based planning to determine
the evidence based ‘blue print’ for Mental Health services into the
future including:
The detail for the mix and level of services including taxonomies and
facilities guidelines
The detail for the mix and level of services including standards, care
packages & pathways
Informing costing for example cost benchmarking; cost weights;
activity based funding models
WA Mental Health Service Plan
WEEK 8 this week and counting down …
 Service Mapping completed and modelling work commenced
 Steering Committee & Consultation groups(CG) have met regularly
since August and provided with policy context, rationale for national
mental health services planning and scope of the work being
undertaken
 CG Provided with an overview of the process for development of the
National Framework and definitions and endorsed the process
 Models of service have been reviewed and recommended
 Groups have been provided with the key aspects of the methodology
for development of the WA Framework and will be provided with a
summary of the current WA estimates produced by the model at the
next meeting
 A series of targeted forums are underway to ensure consideration of
populations with unique needs, including consumers, carers and family
members ,Aboriginal communities, people living in rural and remote
areas, multicultural and youth
 Online feedback survey is available on the MHC website
To Deliver …
WA Mental Health Services Framework
 Applies National Mental Health Services Planning Framework to inform and
determine the type/quantity of services required for WA
 Maps existing services
 Identifies gaps and imbalances
 Informs and aligns with the WA Health Clinical Services Framework
The WA Mental Health Services Plan
 Will assist in developing strategic directions and priorities based on demand
modelling and expert opinion, balancing short and long terms goals, and ensuring
appropriate resource application
 Will describe key demand drivers for future mental health service planning in WA
and apply them to the WA context to predict future requirements
 Will not seek to specify how services will be delivered at a local level – further
consultation and consideration of local issues and services is required to determine
how to best deliver services at a local level
QUESTIONS