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Mental Health

Mental health

Mental health

Individuals with a mental illness can experience high rates of disability, morbidity and mortality (e.g. suicide), as well as stigma, social isolation, poorer physical health, alcohol and substance misuse issues, and an increased risk of homelessness. These issues result in large and ongoing personal, social and economic costs. Improved coordination of services and increased early intervention have the potential to have a very large, positive impact on the health system and other sectors.

Alcohol and other drugs

Alcohol and other drugs

Alcohol and other drugs has been identified as a national priority and, based on available data, an emerging need for Brisbane South PHN. Rates of drug use, particularly methamphetamine (i.e. ice), have grown recently on a national level and regional data on treatment usage suggests that ice has become an area of concern for the Brisbane South PHN region.

MHAOD priorities

MHAOD priorities

PHNs have been given responsibility by the Department of Health to lead mental health, suicide prevention and alcohol and other drugs planning, commissioning and integration of services at a regional level to improve outcomes for people with, or at risk of, mental illness and/or suicide. Brisbane South PHN will co-design local solutions to meet local needs by working with local communities, consumers, carers, health professionals, hospitals and community mental health providers.

Below are six key objectives and priority areas set by the Department. These will be achieved through significant reform of primary mental health care to create a continuum of primary mental health care services, with in a person-centred, Stepped Care Approach.

  1. improve targeting of psychological interventions to most appropriately support people with mild mental illness at the local level through the development and/or commissioning of low intensity mental health services
  2. support region-specific child and youth mental health services
  3. psychological therapies delivered by mental health professionals to under-serviced and/or hard to reach groups
  4. clinical care coordination for people with severe and complex mental illness
  5. encourage and promote a regional approach to suicide prevention activities
  6. enhance and better integrate Aboriginal and Torres Strait Islander mental health services at a local level facilitating a joined up approach with other closely connected services including social and emotional wellbeing, suicide prevention and alcohol and other drug services.

 

Diagram: Brisbane South PHN’s Stepped Care Approach Model

It is recognised that the mental health treatment journey may not be a linear process and individuals may not move between steps in an orderly fashion. As per the diagram above, ‘Stepped Care’ is a conceptual model that explains a typical process and like any model there are exceptions to the rules. The principles of ‘stepped care’ however don’t waiver, providing the right level of care at the right time is the best approach for the individual and for the system.

Brisbane South PHN commissioned services

Brisbane South PHN commissioned services

Brisbane South have commissioned evidence-based primary mental health care services in line with a best practice Stepped Care approach and are consistent with the Department’s six key objectives and priorities.

Click on the priority areas for a profile of each of the Brisbane South MHAOD commissioned services:

  • low intensity mental health services
  • child and youth mental health services
  • psychological therapies delivered by mental health professionals to under-serviced and/or hard to reach groups
  • severe and complex
  • suicide prevention
  • Aboriginal and Torres Strait Islander mental health services.

For additional information, please contact the MHAOD team via mhaod@bsphn.org.au

MHAOD Reform Process

MHAOD Reform Process

The Australian Government Response to Contributing Lives, Thriving Communities – Review of Mental Health Programmes and Services was released in late 2015, followed by the National Ice Action Strategy. Both documents outline key guiding principles for Commonwealth-led reform in the mental health and alcohol and other drugs (MHAOD) funding streams, in addition to a general plan for phased implementation commencing in January 2016 until 30 June 2019.

The overall intent of mental health and alcohol and other drug (MHAOD) reform is to:

  • ensure resources meet the needs of the community through PHN-led local decision making and planning in collaboration with community and sector stakeholders
  • 
better utilise primary healthcare in addition to the existing NGO sector to achieve effective integration and coordination
  • build effective system architecture to ensure people can access the right service at the right time in the most appropriate setting
  • ensure the MHAOD system is person-centred (Stepped Care Approach) and meets individual needs
  • where possible, shift focus to prevention and early intervention.
MHAOD reform process so far

MHAOD reform process so far

  • November, 2014: National Mental Health Commission released Contributing Lives, Thriving communities: Report of the National Review of Mental Health Programmes and Services
  • November, 2015: Australian Government Response to Contributing Lives, Thriving Communities – Review of Mental Health Programmes and Services
  • March, 2016: Brisbane South PHN presented ‘The Future of Mental Health in Brisbane South: the road map to mental health reform’ for consultation at the Brisbane South PHN Forum. Developed the Brisbane South PHN Whole of Region Needs Assessment.

Commencing in 2016/17 Brisbane South PHN achieved the following milestones

Maintained existing business as usual for already existing mental health programs, including:

  • Partners in Recovery (Severe and Complex)
  • Access to Allied Psychological Therapies (mild/moderate)

Took carriage of and maintained a suite of new mental health programs, including:

  • A community based suicide prevention program for the Culturally and Linguistically Diverse (CALD) community
  • The Mental Health Nurse Incentive Program (MHNIP) – Severe and Complex
  • Four Headspace sites in the Brisbane South PHN region (Child and Youth Mental Health)

Newly commissioned a broad range of mental health and alcohol and other drug treatment services, including:

  • Low intensity psychological services for both the general population and the CALD community
  • Alcohol and other drug treatment services for the general community
  • A sector collaborative to enhance the coordination and effectiveness of the Brisbane South PHN AOD treatment sector
  • Aboriginal and Torres Strait Islander Social and Emotional Wellbeing Services (addressing mental health, suicide prevention and alcohol and other drug needs of the community), and
  • Suicide prevention services aimed at reducing avoidable hospital admissions

Continued effort on improving mental health services in the Brisbane South PHN

In 2017/18 Brisbane South PHN are continuing to reform primary mental health care through:

  • Undertaking an annual mental health and suicide prevention Needs Assessment
  • Developing an evidence-based Regional Mental Health and Suicide Prevention Plan (developed jointly with the mental health sector).
  • Improving the overall effectiveness of the Psychological Therapies Program (formerly ATAPS) to better meet the mild/moderate mental health needs of the community
  • Enhancing the reach, accessibility and integration of MHNIP services to have greater impact in the community for people with severe and complex mental health concerns.
Key documents on Brisbane South PHNs reform journey

 

FAQs

 

When are funding opportunities advertised for health providers and other organisations and how do I apply?
When are funding opportunities advertised for health providers and other organisations and how do I apply? 

Brisbane South PHN releases funding opportunities via www.bsphn.org.au To keep informed about upcoming funding opportunities and how to apply please subscribe to our newsletter where all opportunities are broadcast to the region.

Can I feed in to the Brisbane PHN mental health planning cycle to ensure important issues facing community are identified?

Can I feed in to the Brisbane PHN mental health planning cycle to ensure important issues facing community are identified?

Brisbane South PHN will be developing an integrated regional mental health plan in 2017/18 in addition to refreshing the whole of regional health needs assessment. To keep informed about upcoming consultation opportunities please subscribe to our newsletter (www.bsphn.org.au) where all opportunities are broadcast to the region. Have your say on current health in the Brisbane South region by visiting www.bsphn.org.au

For patients in crisis please refer to:

Lifeline 13 11 14
Kids Helpline 1800 55 1800
Suicide Call Back Service 1300 659 467
Or call your local emergency service 000