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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 • • • • • • 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