Transcript Slide 1

Uniting Care Mental Health
Uniting Care Mental Health
• Uniting Care Mental Health (UCMH) provides a diverse
range of community based, psycho-social rehabilitation,
counselling, support and accommodation services aimed
at young people and adults, and families and carers of
those with a mental illness.
• This diversity allows UCMH to deliver services with a
broad spectrum and level of complexity, providing
programs that address mild to moderate psychological
distress, through to those aimed at providing mental
health accommodation support services for those with
severe and persistent mental illness with very high
support needs. This provides UCMH with the ability to
titrate services according to need and provide a suite of
service options for the client internally.
Uniting Care Mental Health
• Also promotes mental health literacy across communities
through a wide range of education and training programs
aimed at health professionals, service providers, corporate
organisations and community members
• UCMH currently provides a range of services across greater
Sydney, Auburn and Parramatta, Baulkham Hills Shire, Blue
Mountains and Lithgow and Hawkesbury, and north to the
Hornsby, Ku-Ring Gai, Northern Sydney and the Central
Coast.
• Specialist division of Parramatta Mission
• Funding through both Commonwealth and state departments,
primarily NSW Health , Fahcsia and Department of Health
and Ageing, Responsible Gambling Fund, Divisions of GPs
• Fully accredited with the Quality Improvement Council of
Australia
Staffing Profile
• Staff profile includes registered clinicians from
various disciplines, as well as non clinical staff
(vocational certificates in community services,
mental health and AOD) and volunteer
telephone counsellors
• Contracted staff (indepenedant contractors)
such as general practitioners, clinical and
registered psychologists, occupational therapists
and social workers for our general practices
• Commonwealth funded Mental Health Nurse
Incentive Program
Staffing Profile
• Staff includes consumer consultants who
provide systemic (policy and procedures,
program development and review, UCMH
consumer representatives to various consumer
forums) and individual advocacy.
• Internal and external clinical supervisors
• Quality Improvement Unit
• Education and Training Unit (priority for
professional workforce development)
UCMH Services
• Housing and Support Initiative (HASI 2, 3B,4A,
4B West, 4B North ( Western Sydney and
Northern Sydney/ Central Coast
• Headspace Mt Druitt
• Personal Helpers and Mentors program
(PHAMS), Parramatta, Hawkesbury
• Mental Health Families and Carers Program
Phase 1 and 2 ( Western Sydney region)
UCMH Services
• Integrated Service Programs (severe and
complex mental health, forensic mental health)
NSW Health ( Western Sydney)
• Mental Health Supported Accommodation
programs
• Parramatta Leisure Club ( vocational/ living skill
program for clients with mental illness)
• Day to Day Living in the Community (
vocational/ living skill program for clients with
mental illness)
UCMH Services
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UCMH Education and Training Unit
Lifeline Western Sydney Telephone Counselling
Problem Gambling Counselling
Peri-natal Counselling (ATAPS)
Financial Counselling
Consumer Consultancy Service
Integration model
• Holistic approach to consumers/ clients
• UCMH provides diverse, yet complementary range of
services
• Multiple entry points to system
• Clinical and risk assessment of client/consumer to
determine needs/collaborative treatment plan
• Baseline data and outcome measures
• UCMH Clinical Governance Committee ensures clinical
framework and consistancy
• UCMH Quality Improvement Committee
• UCMH provides services through a recovery philosophy
and social inclusion model
Partnerships
• UCMH partners with a wide variety of organisations and
providers such as NSW Health, Divisions of General
Practice, NSW Department of Housing, University of
Western Sydney and TAFE.
• Most important is the collaborative partnership between
UCMH and the consumer/client to develop
consumer/client initiated meaningful goals that UCMH
can assist in facilitating
• State funded programs have been extensively evaluated
through an independent evaluator (University of NSW),
hence their have been further funding rounds.. Provide
the data required for each stakeholder. Reduced $$$
spent on health care, increased quality of life and access
into specialised and mainstream services, increased
satisfaction of families and carers
Challenges for the NGO sector
• Over the last 20 years, there has been inadequate
resourcing of the community mental health sector to
compensate for the decrease in institutional care.
• Community services are ideally placed to promote and
enable social inclusion through providing community
integration opportunities in their daily work.
• The allocation of funding for psychosocial rehabilitation
and recovery focused programs to the NGO sector has
highlighted a need for cultural change, and considered
strategic development for both NGOs and state based
public mental health services.
Challenges for the NGO sector
• Rapid expansion in the NGO community mental
health sector
• Professional development for the NGO sector as
it attempts to recruit and train the workforce
required for these initiatives
• Role delineation issues and blurring can/have
occurred between NGO/public providers as we
all navigate this new landscape
• Often lack of understanding within public sector
of the roles, skill set, priorities and strategic
direction of the NGO community mental health
sector
Challenges to the NGO sector
• Infrastructure development… office space, IT
development, management skill set
• Laborious data and reporting structures to
funding bodies due to rapid expansion, multiple
funding bodies
• Lack of standardisation about service delivery
from funding bodies can produce innovation, but
also dilution of core philosophy
• Expansion of consumer movement needs
research and support (consumer workers) (risk
assessments,countertransference) etc
Headspace Mt Druitt
aim of headspace
The aim of headspace is to reduce the burden of disease
amongst young people aged 12–25 caused by mental
health and related substance use problems.
The emphasis will be on:
• promoting early identification and effective,
evidence-based interventions
• improved access to mental health services
• specialist providers and primary health care
working together within an accessible
and integrated service framework
Why headspace?
Key statistics
 Mental health problems and/or problematic substance use is the most important
health issue affecting young Australians
 Approximately 14% of 12-17 yr olds & 27% of 18-25 yr olds experience these
problems each year
 Over 75% of all serious mental problems emerge before the age of 25 years
 Up to 50% of substance use problems are preceded by mental health issues in
young people
 High suicide rates in early - mid adulthood are related to untreated mental health
problems in the late teenage and early adult years
 Overall, mental health & substance use disorders account for 60-70% of the burden
of disease among 15-24 yr olds
 Currently only 1 in 4 young people experiencing mental health problems receives
professional help. Amongst young people with the most severe mental health
problems only 50% receive professional help
How is headspace doing this?
 Establishing 30 x headspace services across
the country. 10 x headspace services were
funded in 2007, and a further 20 x headspace
service were funded in 2008.
 Providing a youth friendly, accessible website
that delivers health information, advise and
support
A new paradigm in youth services
 Re-orientating services and
maximising the use of existing
resources
 Bridging the gap between
mental health, drug health,
primary care and educational,
social recovery and vocational
services
 Increasing the capacity to see more
young people and provide specialist
services via the development of a
private practice model
Government
Youth
NGO
Private
What is a headspace service?
 A youth friendly, community based health service for young
people aged 12 – 25 years and their families “a one stop shop”
 Broadly focused multi-disciplinary services that can see young
people for a wide range of concerns, from general health to more
specific concerns by way of engaging and identifying young
people at risk of mental health issues
 An integrated service staffed by G.Ps, counsellors, mental health
clinicians, drug and alcohol workers, vocational workers and other
professionals who have expertise in working with young people
 A locally run service that has been set up by a consortium of
organisations that understand the local community
What services are delivered?
 Intake, triage, assessment & facilitated referrals to a broad range
of existing services for general health, mental health, and drug
health
 Support and facilitated referrals to educational, vocational &
employment
 Community awareness campaigns to build the capacity of the
community to detect and act on the early warning signs of mental
health, and to promote well being in young people
 Delivery of specialist evidence based training programs to build
the capacity of service providers who work with young people
 Youth and carer participation to assist in service planning, delivery
and evaluation
The headspace model
Service
Integration &
coordination
Intake,
triage and
facilitated
referrals
Co-location
& sessional
services
Private
practice
model
Who is headspace Mt Druitt?
 Uniting Care Mental Health (Lead Agency)
 Sydney West Area Adolescent Mental Health
 Sydney West Area Drug and Alcohol
 Sydney West Area Adolescent Team
 WentWest Division of General Practice Limited
 Blacktown City Council
 TAFE NSW Western Sydney Institute
Community services role in social
inclusion and recovery
• Developed and managed in the community with aim of improving
the lives of community members.
• Vehicles of community participation
• Access funding from a range of sources, which supports
organisational diversity in program choices for consumers/clients
• Involved in prevention, early intervention and relapse prevention
• Interactive and consultative - make links with other organisations,
businesses and public services
• Vehicles for community education and community development –
work to reduce stigma
• The nature of community services sits with the ideals of
achieving social inclusion
Funded Mental Health Partnership
Goals
• In relation to funded community based mental health
services, the goals tend to focus upon:
• Enhanced quality of life.. Recovery philosophy and
meaningfulness
• Increase in social connectedness and social inclusion
• Improved access to mainstream services
• Reduction in demand for emergency and acute services
• Reduction in hospitalisations
• Increase in successful accommodation and tenancies