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General Practice as Part of
the Solution
Mental Health and
Alcohol and Other Drugs
Presentation - Michelle Powell and Dr James Courts
Mental health and alcohol and other drug reform Lesley Maher
Table discussion/session
Completion of evaluation
Lucky Ticket draw
Mental Health
What is the mental health reform?
• Federal Government engaged the National
Mental Health Commission (NMHC) to review
mental health programs
• NMHC released report in November 2014
• Australian Government response to report
released in November 2015
Reform is about …. localised services
delivered through Primary Health Networks
• Identify needs and challenges that are specific to
communities that do not always fit the one-size-fits-all
model of service delivery run from Canberra.
• PHNs will be put in charge of commissioning the mental
health services they consider necessary and
appropriate to the needs of their local communities,
rather than them being contracted at a fragmented
national level in Canberra.
Stepped Care Approach
At risk groups
Mild mental
(self help
mental illness
and access to
Severe and
mental illness
• What do we need to achieve?
• What services are relevant?
• What are the typical workforce requirements?
Mental Health
Six focus areas:
• Youth, including children
 2016/17 and 2017/18 commissioning headspace
• Indigenous (mental health and suicide)
 new funding from 2016/17
• Suicide prevention
 2016/17 commissioning Wesley Mission to continue
Expanded Horizons Program
Mental Health
• Low intensity services
online resources
• Hard to reach groups (under serviced)
children under 12
people experiencing, or at risk, of homelessness
women experiencing perinatal depression
people from CALD backgrounds
Indigenous men
ATAPS services
• Severe and complex
packages of care (in 2018/19)
Packages of Care (funded from 2018/19)
• For the first time, Australians with a severe and complex mental illness
will also have access to an integrated care package tailored to their
individual needs.
• A package would see people identified by health professionals as having
complex care needs eligible to access a package of integrated health
services, provided by a multi-disciplinary team, including: comprehensive
assessment and care-coordination support; psychological services;
mental health nursing; drug and alcohol services; vocational assistance;
and peer support.
• GPs will play a key role in relation to these packages of care.
• This will be a learning experience for us all, the PHN will support GP’s and
multi-disciplinary team members along the way.
GCPHN Response
In Progress
In Progress
(to be completed
by end of June)
(to be completed
by end of June)
To be
in July
To be
in August
Needs assessment
Data from population
and sector profile
Evidence based data
eg: service usage,
hospital admissions etc
Needs Assessment
What are the service gaps on the
Gold Coast?
Prioritises GCPHN purchase of
services to meet identified gaps
What is service design?
Comprehensive service reviews of existing services:
 Determining clinical effectiveness
 Measuring program outcomes
 Efficiency of service models
Identifying gaps and barriers where no services exist or
where existing services could be funded to provide
Alcohol and Drug
Alcohol and other Drugs
• Commonwealth Government announcement regarding
ICE Taskforce funding – December 2015
• Funding broadened to alcohol and other drug treatment
services, including ICE
• Same process in relation to planning and service design
as for mental health
Alcohol and other Drugs
In scope treatment services for AoD funding:
Early intervention targeting less problematic drug use,
including brief intervention
Withdrawal management with pathways to post acutewithdrawal support and relapse prevention
Residential rehabilitation with pathways to post
rehabilitation support and relapse prevention
Alcohol and other Drugs
Day stay rehabilitation and other intensive nonresidential programmes
Post rehabilitation support and relapse prevention
Case management, care planning and coordination
Supporting the workforce undertaking these service
types through activities that promote joined up
assessment processes and referral pathways and
support continuous quality improvement, evidence
based treatment and service integration and