natsilmh health in culture policy concordance health in cultur… · (a) the fifth national mental...

NationalAboriginalandTorresStraitIslanderLeadershipinMentalHealth2018

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HEALTHINCULTURE–POLICYCONCORDANCE

TheInterconnectednessofAboriginalandTorresStraitIslanderSocialandEmotionalWellbeing,MentalHealthandSuicidePreventionPolicy


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TABLEOFCONTENTS1.INTRODUCTION,p.3.2.ABBREVIATIONS,GLOSSARYANDSOURCESp.4.3.CONCORDANCEp.6onwards.SUBJECTMATTERSASFOLLOWS:SYSTEMARCHITECTUREp.6• Nationalapproach• Targets• Nationalqualitystandards• MedicareBenefitsScheduleuse• Jurisdictionalalignment• Regionalfocus/PHNs• Steppedcare• Overarchingapproachofcomprehensivehealthcare“bestofbothworlds”• AboriginalandTorresStraitIslanderleadershipatsystemandservicelevels• Genuineeng/partnershipwAboriginal&TorresStraitIslandercommunities• PlanningpartnershipswithACCHSs• ACCHSpreferredproviders• Stakeholderpartnerships• Consumer&carerengagementWORKFORCEp.10• Overarchingworkforcestrategy/AboriginalandTorresStraitIslander

workers• UpskillingexistingAboriginalandTorresStraitIslanderworkers• SupportingAboriginalandTorresStraitIslanderstaffinmainstreamsettings• Training/supportallMHservicestaff• Educationsystem• Roleofprofessionalbodies• Peerworkforce• DataEVIDENCEBASE/DATA/RESEARCHp.12• Evidencebase• CulturallyappropriateIndicators• Identification• Datacollection• Evaluationofprogramsandservices• Research• Resources/tools

(a)REGIONALFOCUS

PROMOTIONp.13• Buildoncultureandcommunitystrengths• Buildonfamilystrengths• SupportingtheMH&SEWBofchildrenandyoungpeoplePRIMORDIALPREVENTIONp.14• Communitychallenges/socialdeterminants• AOD• Justice• Parentingprograms• Maternalhealth• ChildsexualabusePRIMARYPREVENTIONANDEARLYDETECTIONp.15• Frontlinegeneral

• Schools• ChildrenOOHC• Police• Youthjusticeofficers• Mentalhealthliteracy/stigmaROLEOFMAINSTREAMINPROMOTIONANDPREVENTIONp.16• RoleofmainstreamAOD• RoleofmainstreamMHservices

(b)SERVICEDELIVERY

INTEGRATIONOFSERVICESp.17• Integratedservices• Referralpathways• Co-locatedservices• Telehealth• MyHealthe-recordsROLEOFACCHS/‘SPECIALISEDAREASOFPRACTICE’p.18• ACCHSpreferredproviders• MH&SEWBTeamsinACCHS/expandedprimaryMHcarerole• Traditionalhealers/specialisedareasofpractice• HealingCSA(childsexualabuse)• HealingFoundationLOWINTENSITYSERVICESp.19• GPs• Focusedpsychstrategies• Lowintensityservices• DigitalMHandhelplinesMAINSTREAMMHSERVICESp.20• Counteringsystemicracism• GovernanceinclusiveofAboriginalandTorresStraitIslanderpeople• Physicalsafety• Mainstreamservicesrespondtocommunityneeds• Consumerfocusedservices• Accessible• Culturalsafetyandcompetenceasclinicalgovernancestandards• Culturalsafetyinservicedelivery• Culturalcompetence-languagebarriers• Hearingloss• Culturalcompetence-general• Proactivelyaddressesracism• Traumainformedcare

SERVICERESPONSETOSEVEREMENTALILLNESSp.23• Rights• Entryprocedures• Treatment• Supportedaccommodation• Continuityofcare• Exitprocedures• Self-managementofmentalhealthconditions• Recovery&rehab.• Children&youngpeople• NDIS/psychosocialdisability

• Carers• RoleofPHNs

PART2:SUICIDEPREVENTION

SYSTEMARCHITECTUREp.26• Nationalapproach• NationalSurveillance• Regionalfocus/PHNs• Empoweringcommunitiestorespondtosuicide• Integratedservices• Workforce• PartnershipwithACCHSs• ACCHSspreferredproviders• Research

PROMOTION&PRIMORDIALPREVENTIONINC.SYSTEMSAPPROACHp.28• Buildoncommunitystrengths/addresschallenges• AODusereduction• Buildonculturalstrengths• Buildonfamilystrengths/addresschallenges• Men’sstrengths• Beststarttolife/schoolandadolescence

PRIMARYANDSELECTIVEPREVENTIONINC.SYSTEMSAPPROACHp.29• Communitycontrolandempowerment• Employcommunitymembers• Meansrestriction• SPliteracy/stigmareduction• Gatekeepersandcommunityresources• Peertopeermentoring• GPs/PHC• Helplines• Trainingoffrontlinestaff• ExitinghospitalEDs• ExitingMHservices• Exitingincarceration• Familiesandchildrenatrisk• Males• Justiceissues• Substancemisuse• Mediaprotocols• Mentalhealth

SERVICES&INDICATEDRESPONSESINC.SYSTEMSAPPROACHp.31• Integratedservices• PartnershipwithACCHSs• ACCHSspreferredproviders• AboriginalandTorresStraitIslanderpeopleemployedinmainstreamservices• Timeprotocols/availability• Culturalsafetyinmainstreamservices• Treatments• Followupcare• Postvention• Datacollections• Evaluation


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1.INTRODUCTION

1.HowtousethisdocumentThisconcordancecomprisesalistofmajorsubjectmattersfoundinAboriginalandTorresStraitIslanderandrelatedsocialandemotionalwellbeing,mentalhealthandsuicidepreventionpolicydocuments.Againsteacharecitationsforwherethesubjectmatterisreferredtoinpolicydocumentsandanextractofrelevanttext.ItisintendedtomakecrossreferencingacrossthelargenumberofdocumentsthattouchonAboriginalandTorresStraitIslanderandrelatedsocialandemotionalwellbeing,mentalhealthandsuicidepreventionpolicyaseasyaspossible,butshouldnotbeusedasasubstituteforthepolicydocumentsthemselves.Pleasenotethatthisconcordanceislimitedtonationallevelpolicydocuments.Overtime,NATSILMHhopetoextendittostateandterritorylevelpolicy.2.TheformalrelationshipsbetweenkeydocumentsintheAboriginalandTorresStraitIslandersocialandemotionalwellbeing,mentalhealthandsuicidepreventionspace.Inadditiontotheconnectionsbetweenvariousdocuments(asillustratedbythisconcordance)thereareadditionalformalrelationshipsbetweenthem,assetoutinthedocumentsthemselves.Whiletheseconnectionsarenumerous,themostimportantaresummarisedasbelow:(a)TheFifthNationalMentalHealthandSuicidePreventionPlan• RecognisestheNationalStrategicFrameworkforAboriginalandTorresStraitIslanderPeople’sMentalHealthandSocialandEmotionalWellbeing2017–2023asaguidingdocumentinimplementation(p.32).• IncludesactiontoimplementtheGayaaDhuwi(ProudSpirit)Declaration(Action12.3p.34).• IsinformedbytheworkoftheAboriginalandTorresStraitIslanderSuicidePreventionEvaluationProject(pp.24,32)andtheNationalAboriginalandTorresStraitIslanderSuicidePreventionStrategy(pp.2,24).• SeekstooperationalisetheCulturalRespectFrameworkforAboriginalandTorresStraitIslanderHealth2016-2026(Action4,Action11).(b)TheNationalStrategicFrameworkforAboriginalandTorresStraitIslanderPeople’sMentalHealthandSocialandEmotionalWellbeing2017–2023• Outcome3.3-toImplementtheNationalAboriginalandTorresStraitIslanderSuicidePreventionStrategy(c)TheNationalAboriginalandTorresStraitIslanderHealthPlanImplementationPlan• RecognisestheNationalStrategicFrameworkforAboriginalandTorresStraitIslanderPeople’sMentalHealthandSocialandEmotionalWellbeing2017–2023;NationalAboriginalandTorresStraitIslanderSuicidePreventionStrategy;andNational

AboriginalandTorresStraitIslanderPeoples’DrugStrategy2014–2019asguidingdocumentsforimplementation(p.8).• IncludestheimplementationoftheNationalAboriginalandTorresStraitIslanderSuicidePreventionStrategyasadeliverableby2018(Strategy1C)(p.15).• SupportstheimplementationoftheCulturalRespectFrameworkforAboriginalandTorresStraitIslanderHealth2016-2026(p.12).


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2.ABBREVIATIONS,GLOSSARYANDSOURCES

Abbreviation Infull/explanation Source5NMHSPP/IP FifthNationalMentalHealthandSuicidePreventionPlananditsImplementationPlan(2017) http://www.coaghealthcouncil.gov.au/Portals/0/Fifth%20National%20Mental%20Health%20and%20Suicide%20Preve

ntion%20Plan.pdfImplementationPlan:http://www.coaghealthcouncil.gov.au/Portals/0/Fifth%20National%20Mental%20Health%20and%20Suicide%20Prevention%20Plan_Implementation%20Plan.pdf

ACCHSs AboriginalCommunityControlledHealthServices AOD AlcoholandOtherDrugServices ATSIMHSPSTOR AboriginalandTorresStraitIslanderMentalHealthandSuicidePreventionSubcommittee.Byaction(iii)ofthe

FifthNationalMentalHealthandSuicidePreventionPlan,thiswillreporttoMHDAPCandwillworkwiththeSuicidePreventionSubcommitteeonthedevelopmentofanationallyagreedapproachtosuicidepreventionforAboriginalandTorresStraitIslanderpeoples,forinclusionintheNationalSuicidePreventionImplementationStrategy.Action11includeseight‘TermsofReference’(TOR)forthebody.

ATSISPEPCRP AboriginalandTorresStraitIslanderSuicidePreventionEvaluationProject,ReportoftheCriticalResponsePilotProject(2017)

http://www.atsispep.sis.uwa.edu.au/__data/assets/pdf_file/0019/3050029/FINAL-CriticalResponsePilotProjectReport-WEB.pdf

ATSISPEPSTW AboriginalandTorresStraitIslanderSuicidePreventionEvaluationProject,SolutionsThatWork–WhattheEvidenceandourPeopleTellUs(2017)

http://www.atsispep.sis.uwa.edu.au/__data/assets/pdf_file/0006/2947299/ATSISPEP-Report-Final-Web.pdf

CulturalRF CulturalRespectFrameworkforAboriginalandTorresStraitIslanderHealth2016-2026 http://www.coaghealthcouncil.gov.au/Portals/0/National%20Cultural%20Respect%20Framework%20for%20Aboriginal%20and%20Torres%20Strait%20Islander%20Health%202016_2026_2.pdf

DrugStrategy NationalAboriginalandTorresStraitIslanderPeoples’DrugStrategy2014–2019acomponentoftheNationalDrugStrategy2017-2026

http://www.nationaldrugstrategy.gov.au/internet/drugstrategy/Publishing.nsf/content/6EE311AA9F620C82CA257EAC0006A8F0/$File/FINAL%20National%20Aboriginal%20and%20Torres%20Strait%20Islander%20Peoples%27%20Drug%20Strategy%202014-2019.pdf

E-mentalHealthstrategy E-mentalHealthStrategyforAustralia(2012) http://www.health.gov.au/internet/main/publishing.nsf/content/7C7B0BFEB985D0EBCA257BF0001BB0A6/$File/emstrat.pdf

GDD GayaaDhuwi(ProudSpirit)DeclarationoftheNationalAboriginalandTorresStraitIslanderLeadershipinMentalHealth

http://natsilmh.org.au/sites/default/files/gayaa_dhuwi_declaration_A4.pdf

IAS IndigenousAdvancementStrategy http://www.indigenous.gov.au/indigenous-advancement-strategyLHD LocalHospitalDistrict,LocalHospitalNetwork Lifespan LifeSpanIntegratedSuicidePrevention(BlackDogInstitute).Therearenineelementsintheoverallapproach. https://www.blackdoginstitute.org.au/research/lifespanMH&SEWBFr NationalStrategicFrameworkforAboriginalandTorresStraitIslanderPeople’sMentalHealthandSocialand

EmotionalWellbeing2017–2023https://pmc.gov.au/resource-centre/indigenous-affairs/national-strategic-framework-mental-health-social-emotional-wellbeing-2017-23

MHDAPC MentalHealthDrugandAlcoholPrincipalCommittee.ThisadvisestheAustralianHealthMinisters’AdvisoryCouncil(AHMAC).Inturn,byaction(i)oftheFifthNationalMentalHealthandSuicidePreventionPlan,itwillbeadvisedbyaSuicidePreventionSubcommitteethatwilldevelopaNationalSuicidePreventionImplementationStrategy.

Action(i)and(ii)FifthNationalMentalHealthandSuicidePreventionPlan

MHS Mentalhealthservices NatStandards–MHServices NationalPracticeStandardsforMentalHealthServices,withspecificimplementationguidelinesaslisted

(2013)http://www.health.gov.au/internet/main/publishing.nsf/content/5D7909E82304E6D2CA257C430004E877/$File/wkstd13.pdf.Specificimplementationguidelinescanbefoundat:http://www.health.gov.au/internet/main/publishing.nsf/content/mental-pubs-i-public

NatStandards–MHWorkforce NationalPracticeStandardsfortheMentalHealthWorkforce(2013) http://www.health.gov.au/internet/main/publishing.nsf/content/5D7909E82304E6D2CA257C430004E877/$File/wkstd13.pdf

NATSIWS NationalAboriginalandTorresStraitIslanderWorkforceStrategy2016-2023 https://www.health.gov.au/internet/main/publishing.nsf/Content/4A716747859075FFCA257BF0001C9608/$File/National-Aboriginal-and-Torres-Strait-Islander-Health-Workforce-Strategic-Framework.pdf

NationalMHWorkforceStrategy NationalMentalHealthWorkforceStrategy(2011) https://www.aihw.gov.au/getmedia/f7a2eaf1-1e9e-43f8-8f03-b705ce38f272/National-mental-health-workforce-strategy-2011.pdf.aspx

NATSIHP/IP NationalAboriginalandTorresStraitIslanderHealthPlan2013-2023anditsImplementationPlan http://www.health.gov.au/natsihpNATSISPS NationalAboriginalandTorresStraitIslanderSuicidePreventionStrategy(2013) http://www.health.gov.au/internet/main/publishing.nsf/content/mental-pub-atsi-suicide-prevention-strategyNewNationalSPStrategy NationalSuicidePreventionImplementationStrategy.Byaction(ii)oftheFifthNationalMentalHealthand

SuicidePreventionPlan,aSuicidePreventionSubcommitteewilldevelopa(new)NationalSuicidePreventionImplementationStrategyforCOAGHealthCouncilendorsement.Page24oftheFifthNationalMentalHealthandSuicidePreventionPlanlists11elementsofthenewNationalSPStrategy.

Action(ii)FifthNationalMentalHealthandSuicidePreventionPlan

NSQHSStandards NationalSafetyandQualityHealthServiceStandards,andUserGuideforAboriginalandTorresStraitIslanderHealth(both2017)

https://www.safetyandquality.gov.au/wp-content/uploads/2017/12/National-Safety-and-Quality-Health-Service-Standards-second-edition.pdfandUserGuide:https://www.safetyandquality.gov.au/wp-content/uploads/2017/12/National-Safety-and-Quality-Health-Service-Standards-User-Guide-for-Aboriginal-and-Torres-Strait-Islander-Health.pdf


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NTRC RoyalCommissionandBoardofInquiryintotheProtectionandDetentionofChildrenintheNorthernTerritory–FindingsandRecommendations(2017)

https://childdetentionnt.royalcommission.gov.au/Documents/Royal-Commission-NT-Findings-and-Recomendations.pdf

PHN PrimaryHealthNetwork PHNGuidelines PHNPrimaryMentalHealthCareFlexibleFundingPoolImplementationGuidance–individualguidelines

named(2016).http://www.health.gov.au/internet/main/publishing.nsf/content/phn-mental_tools

RecoveryFr Anationalframeworkforrecovery-orientedmentalhealthservices(2012)

https://www.health.gov.au/internet/main/publishing.nsf/content/67D17065514CF8E8CA257C1D00017A90/$File/recovgde.pdf

RoyalCommissionCSA RoyalCommissionintoInstitutionalResponsestoChildSexualAbuseFinalReport–Recommendations(2017) https://www.childabuseroyalcommission.gov.au/sites/default/files/final_report_-_recommendations.pdfSEWB Socialandemotionalwellbeing SP Suicideprevention SuicidePreventionSubcommittee Byaction(ii)oftheFifthNationalMentalHealthandSuicidePreventionPlan,theMHDAPCwillbeadvisedbya

SuicidePreventionSubcommitteethatwilldevelopaNationalSuicidePreventionImplementationStrategyforCOAGHealthCouncilendorsement.Priorityareasforconsiderationarelisted.


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3.CONCORDANCE

PART1:MENTALHEALTH/SEWB(somecrossreferencingwithsuicideprevention,butalsoseededicatedsuicidepreventionsectionbelow)

SYSTEMARCHITECTURE

Nationalapproach

5NMHSPP Actioni,p.12 • GovernmentswillestablishaMentalHealthExpertAdvisoryGroup…willadviseAHMAC,throughMHDAPC,on5NMHSPPimplementation/analyseprogress(seealsoAction8)Actioniii,p.13 • AboriginalandTorresStraitIslanderMentalHealthandSuicidePreventionSubcommittee(ATSIMHSPC)–reporttoMHDAPC/AHMAC–(prioritytasksunderAction11listedbelow)

NATSIHP/IP Strategy1D(IP),p.16 • AustralianGovernmentmentalhealth,socialandemotionalwellbeing,alcoholanddruguse,andsuicidepreventionstrategieshavebeencoordinated.CulturalRF Domain5,p.16 • Stakeholderengagementandrelationships:Jointhealthandnon-healthpolicies,programsandservicesatcommunity,stateandnationallevelstoaddressthebroadersocial

determinantsimpactingonhealthTargets GDD Theme3(b),p.5 • LedbyAboriginalandTorresStraitIslanderpeoples,AboriginalandTorresStraitIslandervalues-basedsocialandemotionalwellbeingandmentalhealthtargetsincombinationwith

clinicaltargetsshouldbeadoptedacrossallpartsoftheAustralianmentalhealthsystem.Nationalqualitystandards

MH&SEWBFr Outcome1.1.7,p.29 • Progressinitiativesthatsupportqualityservicedelivery,qualityimprovement…5NMHSPP Action21,p.43 • GovernmentswilldevelopaNationalMentalHealthSafetyandQualityFramework[see–subactions]

Action22,p.44 • GovernmentswilldevelopaMentalHealthsupplementtotheNationalSafetyandQualityHealthServicesStandardsandNSMHSMBSuse MH&SEWBFr Outcome1.1.8,p.29 • Ensurethatworkers,emergingworkforcesandprofessionalservicesqualifyforMBSsubsidies.

Outcome4.2,p.40 • ExpandaccesstoFocusedPsychologicalStrategiesandMHprofessionalsthroughthepooledmentalhealthfundingavailabletoPHNs,andthroughsupportingaccesstoMBS-subsidisedservices.

Jurisdictionalalignment

MH&SEWBFr Outcome1.3,p.31 • Ensureplanningstrategiesincorporatethejointplanningprocessesofthestateandterritory-levelAboriginalandTorresStraitIslanderhealthplanningforaNATSIHP/IP Strategy1D,p.16 • Statesandterritories,theAustralianGovernmentandNACCHOAffiliateshavepreparedandimplementedworkplansthataddressregionalhealthplanprioritiesasrequiredundertheir

respectiveframeworkagreements(e.g.accesstohospital,dentalandsexuallytransmissibleinfectionservices).Regionalfocus/PHNs

NATSIHP/IP Strategy1D,p.15 • Improvedregionalplanningandcoordinationofhealthcareservicesacrosssectorsandproviders.5NMHSPP Action1.1(IP)p5-7 • TheCommonwealthwilldirectPHNstojointlydevelopregionalplanswithLHNsanddirecttopubliclyreleasedraftplansforpubliccomment

Action2.2,p.21 • GovernmentswillworkwithPHNsandLHNstoimplementintegratedplanningandservicedeliveryattheregionallevel.Thiswillinclude:• Engagingwiththelocalcommunity,includingconsumersandcarers,community-managedorganisations,ACCHSs,NDISproviders,theNDIA,privateprovidersandsocialservice

agenciesAction2.3,p.21 • …Undertakingjointregionalmentalhealthneedsassessmenttoidentifygaps,duplicationandinefficienciestoimprovesustainabilityAction2.5,p.21 • …DevelopingjointregionalmentalhealthandsuicidepreventionplansandcommissioningservicesaccordingtothoseplansAction2.7,p.21 • …Developingregion-widemulti-agencyagreements,sharedcarepathways,triageprotocolsandinformation-sharingprotocolstoimproveintegrationandassistconsumersandcarers

tonavigatethesystemPHNGuide Aboriginaland

TorresStraitIslanderMentalHealthServices,p.1

• In2016-17PHNsareexpectedto:o commissionculturallyappropriate,evidencebasedmentalhealthservicesforAboriginalandTorresStraitIslanderpeopletoimproveaccess,complementandlinktoexisting

activitiessuchasdrugandalcoholservices,suicidepreventionand/orbroadersocialandemotionalwellbeingservicesaswellasmainstreamservices.IndoingthisPHNsshould:o engagewithlocalcommunitiesandconsultwithrelevantlocalIndigenousandmainstreamprimaryhealthcareorganisationstoidentifythespecificmentalhealthneedsof

AboriginalandTorresStraitIslanderpeople;o determinethemostappropriatemixofservicedeliverymodalitiesforcommissioningineachregion;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.

• Longerterm,PHNswillbeexpectedto:o establishlinkagesbetweencommissionedandexistingservicestofacilitateajoinedup,integratedapproachtotheprovisionofmentalhealthservices;o supportproviderstodevelopandmaintainculturallyappropriateandsafeservicesthatholisticallymeettheneedsofpatientsandtheirfamilies;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.

DrugStrategy Outcome2.4,p.6 • Interventionsarebasedonlocallyidentifiedneedsandformpartofanintegratedandcross-sectoralapproachattheregionallevel.NATSISPS Outcome4.2,p.38 • Thereisdevelopmentofgovernanceandinfrastructuretoandcapacityforplanningtosupportregionalandlocalcoordinationofsuicideprevention

(i)Investigatefeasibilityofapproachestoregionalcoordinationofsuicidepreventionincluding,butnotlimitedto,rolesofkeygovernmentagenciesandpartners(ii)Identifymodelsforgovernancetosupportinteragencyapproachestocoordinatedsuicideprevention(iii)Developdata,informationandresourcestosupportregionallevelplanningandcoordinationofstrategies(iv)Examinemodelsforpoolingoffundstosupportcoordinatedapproachestoprevention

Steppedcare PHNGuide Steppedcare,p.1 • In2016-17PHNsareexpectedto:o undertakecomprehensiveregionalmentalhealthplanningandidentifyprimarymentalhealthcareservicegapswithinasteppedcareapproach;o developapproachestonewserviceareastobroadentheservicemix,suchaslowintensityservicesandservicesforyoungpeoplewithseverementalillness;o promoteasteppedcareapproachandbettertargetappropriatereferraltomentalhealthandrelatedservices;


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o developlinkageswithandbetweenrelevantservicesandsupports;ando establishmentalhealthspecificclinicalgovernancearrangements.

• LongertermPHNswillbeexpectedto:o implementthecoreelementsofasteppedcareapproachoutlinedinthisguidance;o plan,develop,targetand/orcommissionservicestoachieveanappropriateservicemix;o addressthesixprioritiesidentifiedfortheflexiblefundingpoolwithinasteppedcareapproach;o ensurethemostefficientuseofresourcestodevelopandimplementtimelyservicepathways;o activelypromoteuseoftheDigitalMentalHealthGatewayasacoreelementofasteppedcareapproach;ando supportGPsintheircriticalroleinensuringpeoplearereferredtotherightcareattherighttime.

Overarchingapproachofcomprehensivehealthcare“bestofbothworlds”

5NMHSPP/IP • Manyreferencestoacollaborationwithhealthprofessionalsaroundclinicallyandculturallyappropriatecare.MH&SEWBFr • Manyreferencestoacollaborationwithhealthprofessionalsaroundclinicallyandculturallyappropriatecare.GDD Theme1,p.4 • TheholisticconceptofsocialandemotionalwellbeingincombinationwithclinicalapproachesshouldguideallAboriginalandTorresStraitIslanderMH,healingandSPpolicy

developmentandserviceandprogramdelivery.NATSIHP/IP Strategy1C/IP,p.14 • AboriginalandTorresStraitIslanderpeoplesareabletoaccessculturallyappropriatementalhealthandsocialandemotionalwellbeingservices.CulturalRF Domain4,p.15 • Consumer-centredcare:AboriginalandTorresStraitIslanderpeoplesphilosophiesofholistichealthandwellbeingarerecognisedinhealthpractice,withAboriginalandTorresStrait

Islanderpeoplesknowledge,values,beliefsandculturalneedsandhealthhistoryinformingdecisionmakingaboutclinicaldecisions,pathwaysandongoingcare,includingconsiderationofAboriginalandTorresStraitIslanderpeoplesfamilystructuresandresponsibilities

5NMHSPP Action11,ATSIMHSPS,TOR5,6

• overseethedevelopment,disseminationandpromotionincommunity,hospitalandcustodialsettingsofaresourcethatarticulatesamodelofculturallycompetentAboriginalandTorresStraitIslandermentalhealthcareacrossthehealthcarecontinuumandbringstogether(a)theholisticconceptofsocialandemotionalwellbeingand(b)mainstreamnotionsofsteppedcare,trauma-informedcareandrecovery-orientedpractice

• provideadviceonmodelsofservicedeliverythatembedculturalcapabilityintoallaspectsofclinicalcareandimplementtheCulturalRespectFrameworkforAboriginalandTorresStraitIslanderHealth2016–2026inmentalhealthservices

AboriginalandTorresStraitIslanderleadershipatsystemandservicelevels

5NMHSPP Action10,p.33

• Engagementinplanning…involvementofACCHSand…communities...[thisincludesfor]AboriginalandTorresStraitIslanderpeoplesattheregionallevelAboriginalandTorresStraitIslanderpresenceonPHN/LHDgovernancestructuresandAboriginalandTorresStraitIslanderpeoplesleadershiponlocalMentalHealth/relatedservices

Action12.3,p.34. • PromotingAboriginalandTorresStraitIslanderpeoplesleadership–bysupportingimplementationoftheGayaaDhuwiDeclaration.MH&SEWBFr Outcome1.1,p.27 • IncorporatespecificAboriginalandTorresStraitIslanderpeoples’leadershipinworkforceprogramdevelopment.

Outcome2.1,p.32 • EngageEldersandseniorcommunitymembersinleadershiprolesinaculturally-informedway…• Supportmen’sandwomen’sgroupsandgender-specificpromotionofleadership,SEWBandhealing.

GDD Theme4,p.5

• AboriginalandTorresStraitIslanderpeopleshouldbetrained,employed,empoweredandvaluedto:o leadacrossallpartsoftheAustralianmentalhealthsystemthatarededicatedtoimprovingAboriginalandTorresStraitIslanderwellbeingandmentalhealthandtoreducing

suicide,andinallpartsofthatsystemusedbyAboriginalandTorresStraitIslanderpeoples.o leadinallareasofgovernmentactivitythataffectthewellbeingandmentalhealthofAboriginalandTorresStraitIslanderpeople.

Theme5,p.5 • FourarticlesonsupportinguniqueelementsofAboriginalandTorresStraitIslanderleadership/professionalself-careandsupportsDrugStrategy Outcome1.1,p.5 • Community-controlledAODservicesaresupportedtoleadthedeliveryofprogramstoaddressharmfulAODuse.

Outcome3.2,p.6 • CommunityleadersandElderstakeresponsibilityandaleadingrole,inpartnershipwithgovernment,todesign,deliverandevaluatealcohol,tobaccoandotherdrugsprograms.NATSIHP/IP Strategy4A,p.30 • Youngpeoplehavebeensupportedtobeleaders/rolemodelsintheircommunitiesbyhavingaccesstorolemodelsandmentoringprogrammes(e.g.AboriginalKinshipGroup

(Granniesgroup)),Strategy6D,p.40 • Localeldersandseniorcommunitymemberschampionculturallyappropriatehealthandwellbeingchoices

• Localeldersandseniorcommunitymembersarerecognisedandvaluedasexpertswhocanhelpimprovelocalhealthandwellbeingoutcomes.• Implementationandreviewofleadershipandrolemodel/mentoringprogrammes(e.g.theAboriginalKinshipProgram)hasbeensupported

CulturalRF Domain1,p.12 • GovernanceandLeadership:Recognitionforleadersofculturalsafetyandresponsiveness,highlightingtheiractivityandsharingofbest-practiceinitiativesacrosstheorganisation• Investmentandresources:SustainablefundingandsupportforAboriginalandTorresStraitIslanderhealthstafftodevelop,leadandchampionculturallysafeandresponsivehealth

care

Domain3,p.14 • AboriginalandTorresStraitIslanderleadership:o AboriginalandTorresStraitIslanderleadershipandparticipationindecision-makingandgovernanceatalllevelsoftheAustralianhealthcaresystem,bothwithinAboriginaland

TorresStraitIslander-specificandmainstreamrolesandpositionso CulturalsafetyandresponsivenesseffortsaredirectedandguidedbyAboriginalandTorresStraitIslanderhealthprofessionalsand/orAboriginalandTorresStraitIslanderpeople

withculturalexpertiseand/orauthority• SpecificandtargetedsupporttodevelopexistingandpotentialAboriginalandTorresStraitIslanderleadersacrossalllevelsofhealthservicesandhealthprofessions• CulturallyResponsivehealthworkforce:Healthprofessionalscanidentifytheneedfor,andactivelyseek,advice,assistanceandinputfromAboriginalandTorresStraitIslanderstaff

whoareavailabletoinformculturallyresponsiveserviceprovision


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• AboriginalandTorresStraitIslanderworkforce:AboriginalandTorresStraitIslanderhealthprofessionalsactivelysupportedandretainedinthehealthsystemthroughcapacitybuilding,mentoringinitiativesandongoingcareerprogression,inbothtargetedandmainstreampositions

GenuineEngagementandpartnershipwithAboriginalandTorresStraitIslandercommunities

5NMHSPP/IP Action10.P33

• Engagementinplanning…involvementofACCHSand…communities[andincludes]forAboriginalandTorresStraitIslanderpeoplesattheregionallevelAboriginalandTorresStraitIslanderpresenceonPHN/LHDgovernancestructuresandAboriginalandTorresStraitIslanderleadershiponlocalmentalhealth/relatedservices

Action11,ATSIMHSPSTOR4

• Provideadviceonsuitablegovernanceforservicesandthemostappropriatedistributionofrolesandresponsibilities,recognisingthattherightofAboriginalandTorresStraitIslandercommunitiestoself-determinationliesattheheartofcommunitycontrolintheprovisionofhealthservices

MH&SEWBFr Outcome2.1,p.32 • EngageEldersandseniorcommunitymembersinleadershiprolesinaculturally-informedway…• Supportmen’sandwomen’sgroupsandgender-specificpromotionofleadership...• Supportcommunitygovernancethroughcommunitycontrolledservicestodeliverhealthprogramsandservices.

Outcome1.3,p.31 • FormaliseeffectivepartnershipstoachievethebestpossibleMH&SEWB…outcomesforAboriginalandTorresStraitIslanderpeopleinallregions,includingbyimplementingintegratedplanningandservicedeliveryforAboriginalandTorresStraitIslanderpeopleattheregionallevel.

DrugStrategy Outcome2.2,p.6 • ParticipationofAboriginalandTorresStraitIslanderpeopleusingAODservicesisimproved.PriorityArea3,p.5 • StrengthenpartnershipsbasedonrespectbothwithinandbetweenAboriginalandTorresStraitIslanderpeoples,governmentandmainstreamserviceproviders,includinginlaw

enforcementandhealthorganisations,atalllevelsofplanning,deliveryandevaluation.Outcome3.1,p.6 • Communitydrivenpartnershipsarestrengthenedatthelocalleveltoaddressharmsassociatedwithalcoholandotherdrugs.Outcome3.2,p.6 • CommunityleadersandElderstakeresponsibilityandaleadingrole,inpartnershipwithgovernment,todesign,deliverandevaluatealcohol,tobaccoandotherdrugsprograms.

NATSIHP/IP Strategy5C,p.36 • AboriginalandTorresStraitIslanderadultscontributetothedevelopmentofstrategiesandservicesthatpromotehealthybehaviours,familycohesion,andsocialandemotionalwellbeing,

• ACCHSsarefundedtoengagelocallytoidentifyprioritiesanddevelopresponses.Strategy6D,p.40 • Localeldersandseniorcommunitymembersarerecognisedandvaluedasexpertswhocanhelpimprovelocalhealthandwellbeingoutcomes.

CulturalRF Domain5,p.16

• Participatoryandcollaborativepartnershipswithcommunitiesandavarietyofformalandinformalmechanismsaretofacilitatecommunityinvolvementindevelopingandimplementingculturalsafetyandresponsivenessrelatedactivities

• Governancestructuressupportsystematicandongoingtwo-waycommunicationwithAboriginalandTorresStraitIslandercommunities,particularlyinrelationtopolicydevelopment,programplanning,servicedelivery,evaluationofservices,andqualityimprovements

• CollaborationandpartnershipswithAboriginalandTorresStraitIslandercommunitiestoactivelyrespondtothechallengesfacedwhenengagingwiththehealthservice/systemDomain4,p.15 • GovernancestructuressupportandfacilitatepartnershipswithAboriginalandTorresStraitIslandercommunitiesandhealthconsumerstodesignthewaycareisdelivered

• PolicesandprocessesareestablishedandmaintainedtoincludeAboriginalandTorresStraitIslandercommunitiesandhealthconsumersinpolicydevelopment,serviceplanningandcaredesign

• OrganisationalcommitmenttotrainingofhealthprofessionalstosupportAboriginalandTorresStraitIslanderconsumersinvolvementinhealthcaredesignanddeliveryPHNGuide • SeePrimaryHealthNetworksandAboriginalCommunityControlledHealthOrganisationsGuidingPrinciples(March2016)

PlanningpartnershipswithACCHSs

MH&SEWBFr Outcome1.3,p.31

• EffectivepartnershipsbetweenPHNs/ACCHSs• FormaliseeffectivepartnershipstoachievethebestpossibleMH&SEWB…outcomesforAboriginalandTorresStraitIslanderpeopleinallregions,includingbyimplementingintegrated

planningandservicedeliveryforAboriginalandTorresStraitIslanderpeopleattheregionallevel.• Ensureplanningstrategiesincorporatethejointplanningprocessesofthestateandterritory-levelAboriginalandTorresStraitIslanderhealthplanningfora.

Outcome4.3,p.41 • PrimaryHealthNetworksworkinpartnershipwithAboriginalCommunityControlledHealthServicesonaregionalorothergeographicalbasisto:identifyandmaprelevantservicesandagencies;anddevelop,promoteandregularlyreviewculturallyandclinicallyappropriatepathwaysbetweenthem–inparticular,forthetreatmentoftraumaandemotionalandbehaviouraldifficultiesinchildren.

CulturalRF Domain3,p.14 • PartnershipsestablishedwithACCHSstocollaborateandsharebestpracticeinsupportinghealthprofessionalstoprovideculturallysafeandresponsivehealthservicestocommunitiesDomain5,p.16

• PartnershipswithAboriginalandTorresStraitIslanderorganisationstojointlyrecognise,celebrateandactivelyparticipateinhistoricaleventsofsignificanceandimportantannualeventsthatrecogniseandpromoteculture(e.g.ClosetheGap,NationalReconciliationWeek,MaboDay,NAIDOCWeek,ComingoftheLight,HarmonyDay,andNationalSorryDay)

Domain2,p.13 • WorkingwithlocalAboriginalandTorresStraitIslanderpeopleandorganisations,aswellasinterpreter/translationservices,tosupportcommunicationwithAboriginalandTorresStraitIslanderconsumerstoprovidemoreeffectiveandqualityhealthcare,whileimprovingaccessandpathwaysofcarebetweenorganisationsandmainstreamservices

DrugStrategy Outcome3.1p.6 • Communitydrivenpartnershipsarestrengthenedatthelocalleveltoaddressharmsassociatedwithalcoholandotherdrugs.Outcome3.2,p.6 • CommunityleadersandElderstakeresponsibilityandaleadingrole,inpartnershipwithgovernment,todesign,deliverandevaluatealcohol,tobaccoandotherdrugsprograms.Outcome3.3,p.6 • PartnershipsbetweenAboriginalandTorresStraitIslandercommunity-controlledAODservicesandmainstreamAODservicesareenhancedandstrengthenedOutcome3.4,p.6 • PartnershipsbetweengovernmentandAODserviceproviders(bothcommunity-controlledandmainstreamservices)arebasedonmutualrespectandcommunitystrengths.

NSQHSStandards

Action2.13,p.19 • ThehealthserviceorganisationworksinpartnershipwithAboriginalandTorresStraitIslandercommunitiestomeettheirhealthcareneeds

NSQHSStandardsUserguide

Reabove,keytasks,p.8

• IdentifyAboriginalandTorresStraitIslandercommunitieswithintheorganisation’scatchment,andtherelevantculturalprotocolstoguidebuildingofpartnerships• Identifykeycontacts,eldersandopinionleadersintheAboriginalandTorresStraitIslandercommunitiesandhealthservicesandmakecontactwiththem• EstablishandimplementmechanismsforformingandmaintainingpartnershipswithAboriginalandTorresStraitIslandercommunitiesandrepresentativeorganisations.

Standard4 • TheMHSdeliversservicesthattakeintoaccounttheculturalandsocialdiversityofitsconsumersandmeetstheirneedsandthoseoftheircarersandcommunitythroughoutallphases


9

NatStandardsMHServices

ofcare.Criteria4.2,p.12 • TheMHSwheneverpossibleutilisesavailableandreliabledataonidentifieddiversegroupstodocumentandregularlyreviewtheneedsofitscommunityandcommunicatesthis

informationtostaff.Criteria4.1 • Publicmentalhealthservicesandprivatehospitalsp.18.TheMHSidentifiesthediversegroups[inc.]AboriginalandTorresStraitIslanderpeoplethataccesstheservice.…This

informationshouldbeusedtoplananddevelopculturallycompetentservicesandstrategiestoimproveaccesstotheservice….TheMHSshouldprovideevidencethatitusesmethodssuchas:collaborationwithcommunityhealthandwelfareorganisationsandservicestodeveloplocalprotocolsforAboriginalandTorresStraitIslanderpeople….[and]developrelationshipswithlocalAboriginalandTorresStraitIslandereldersandpeakgroups.

Criteria4.4,p.19 • TheMHSshoulddevelopappropriatepartnershipswithotherserviceproviders,organisationsandprogramswithdiversityexperienceaspartofitscommitmenttoself-determinationforAboriginalandTorresStraitIslanderpeople

ACCHSpreferredproviders

MH&SEWBFr Outcome1.3,p.31 • GivepreferencetofundingACCHSstodelivermentalhealth,suicidepreventionandotherprimaryhealthprogramsandserviceswherefeasible.

Stakeholderpartnerships


• Partnershipswithcommunitygroups,otherhealthorganisationsandprofessionalbodiestoplan,deliverandmonitoreffectivemodelsofservicesandpartnershipsthatimproveAboriginalandTorresStraitIslanderhealthandwellbeing

• Cross-agencyandcross-sectorforumsanddecision-makingbodiesthatincludekeyAboriginalandTorresStraitIslanderpeopleorganisations,agenciesandconsumerstoshareinformation,makedecisions,influence,anddevelopnetworksandtrust

• Jointhealthandnon-healthpolicies,programsandservicesatcommunity,stateandnationallevelstoaddressthebroadersocialdeterminantsimpactingonhealthNatStandardsMHServices

Criteria4.4,p.19 Publicmentalhealthservicesandprivatehospitals:TheMHSshoulddevelopappropriatepartnershipswithotherserviceproviders,organisationsandprogramswithdiversityexperienceaspartofitscommitmenttoself-determinationforAboriginalandTorresStraitIslanderpeople.

Consumer&carerengagement


• ProcessessupportandenableactiveandinformedparticipationbyAboriginalandTorresStraitIslanderconsumersindecisionsabouttheirowncare• ArangeofresourcesusedtoinformAboriginalandTorresStraitIslanderconsumersaboutservicesavailable,theirrightsandthewayinwhichtheycanseekredressofanycomplaints• Designanddeliveryoforganisationalperformancemeasurementandevaluationofservicesincludingorganisationalself-assessmentsofculturalcompetencyactivitiesinvolves

AboriginalandTorresStraitIslanderhealthconsumers• AboriginalandTorresStraitIslanderconsumersareengagedinperformancemeasurementandevaluationofhealthservicesthroughaccessible,culturallyresponsiveandsafe

processes• AboriginalandTorresStraitIslanderhealthconsumersareencouragedtoparticipateinpatientexperiencefeedbackmechanismsaimedat,andusedfor,improvingservicedelivery• GovernancestructuressupportandfacilitatepartnershipswithAboriginalandTorresStraitIslandercommunitiesandhealthconsumerstodesignthewaycareisdelivered• PolicesandprocessesareestablishedandmaintainedtoincludeAboriginalandTorresStraitIslandercommunitiesandhealthconsumersinpolicydevelopment,serviceplanningand

caredesign• OrganisationalcommitmenttotrainingofhealthprofessionalstosupportAboriginalandTorresStraitIslanderconsumersinvolvementinhealthcaredesignanddelivery

5NMHSPP Action23,p.44 • GovernmentwillimplementmonitoringofconsumerandcarerexperiencesofcareNatStandardsMHServices

Standard3 • Consumersandcarersareactivelyinvolvedinthedevelopment,planning,deliveryandevaluationofservices.Criteria3.3 • ImplementationGuidelineforPublicMentalHealthServicesandPrivateHospitals,p.14.Consumersandcarerswhoareinvolvedwithmentalhealthservicesmusthaveaccessto

trainingandsupport…Consumerandcarerparticipationandrepresentationintrainingmustreflecttheethnicandracialdiversityofthepopulationserved.InitiativestoensurethisoccurscouldincludepracticalassistanceforAboriginalandTorresStraitIslanderconsumersandcarers.Thiscouldincludesuchthingsastransporttomeetings,paymentforattendanceortrainingsessionsinruralorremotecommunities.

PHNGuidelines

ConsumerandCarerengagementandparticipation,p.1

• In2016-17PHNSareexpectedto:o establishandfostercollaborativepartnershipswithconsumersandcarers;o identifyandaddressthegoalsofconsumersandcarersateachpointofthecommissioningcycle;o acknowledgethedifferentconsumerneedsacrossasteppedcaremodel,andconsultwiththoseconsumersmostlikelytouseparticularservicetypesontheirneedsandconcerns;o applyprinciplesofco-designwhencommissioningservices,withafocusonrecovery-orientedapproaches;o requireservicestoaccountforculturalandexperientialdifferencesinconsumerandcarerengagementandparticipationstrategies;o supportworkforcedevelopmentandplanning,whichisinclusiveoflivedexperiencetrainersandeducators;o recognisetherightsofconsumersandcarers,andseektoeliminatestigmatisingattitudesanddiscriminationinprimaryhealthcaresettings;ando comprehensivelyidentifyconsumerandcarersupportandadvocacyserviceswithintheregion,aswellasanygaps.

• LongertermPHNswillbeexpectedto:o embedconsumerandcarerco-designthroughoutthecommissioningcycle,includinginneedsassessment;policydevelopment;strategicplanning;prioritisation;procurementof

services;andmonitoringandevaluation;o establishcollaborativepartnershiparrangementswithAboriginalandTorresStraitIslandercommunitiesandtheirhealthandmentalhealthservices;o establishcollaborativepartnershiparrangementswithtransculturalmentalhealthservices,orthealternativesinstatesandterritorieswheresuchservicesdonotexist;ando movetocontractualarrangementswithserviceproviderswhichrequirethemtodemonstratearightsbasedapproachtoconsumersandcarers.


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WORKFORCE

OverarchingWorkforcestrategy/AboriginalandTorresStraitIslanderworkers

5NMHSPP Action31,p.47 • WorkforceDevelopmentProgram-TomeetfutureworkforcesupplyrequirementsanddriverecruitmentandretentionofskilledstaffAction11,ATSIMHSPSTOR6

• ProvideadviceonworkforcedevelopmentinitiativesthatcangrowandsupportanAboriginalandTorresStraitIslanderMHworkforce,incorporateAboriginalandTorresStraitIslanderstaffintomultidisciplinaryteams….

MH&SEWBFr Outcome1.1,p.28 • IncreaseAboriginalandTorresStraitIslanderemploymentacrosstheentireMH&SEWBworkforce,includingpsychologistsandpsychiatrists,speechpathologists,mentalhealthworkersandotherprofessionalsandworkers.

Outcome4.2.p.40 • Ensuretherequiredmixandlevelofspecialistmentalhealthservicesandworkers,paraprofessionalsandprofessionalsrequiredtomeetthementalhealthneedsoftheAboriginalandTorresStraitIslanderpeople,includingspecialistsuicidepreventionservicesforpeopleatriskofsuicide

GDD Theme4,p.5 • AboriginalandTorresStraitIslanderpeopleshouldbetrained,employed,empoweredandvaluedtoworkatalllevelsandacrossallpartsoftheAustralianmentalhealthsystemandamongtheprofessionsthatworkinthatsystem.

NATSIHP/IP Strategy1A,p.11 • CoreservicesframeworkforcomprehensiveprimaryhealthcareandaccesstospecialistmedicalcarehasbeendefinedandconsideredbytheMinisterasamatterofpriority.(Thismodelwillbeinfluencedby,andwilldirectlyinfluence,theAboriginalandTorresStraitIslanderHealthWorkforceStrategicFramework).

Strategy1E,p.17

• AboriginalandcommunitycontrolledandmainstreamhealthsectorworkforcesarecapableofmeetingtheneedsofAboriginalandTorresStraitIslanderpeople• Support,growandincreasethecapabilityoftheworkforce…tomeetcurrentandfutureAboriginalandTorresStraitIslanderhealthneeds• TheNationalAboriginalandTorresStraitIslanderHealthWorkforceStrategicFramework(2011–2015)hasbeenreviewedandanewframeworkdevelopedandimplemented.

DrugStrategy PriorityArea1,p.5

• BuildcapacityandcapabilityoftheAODservicesystem,particularlyAboriginalandTorresStraitIslandercommunity-controlledservicesanditsworkforce,aspartofacross-sectoralapproachwiththemainstreamAODservicestoaddressharmfulAODuse.

Outcome1.3,p.5 • Workforceinitiativesaredevelopedtoenhancethecapacityandcapabilityofcommunity-controlledAODservices.CulturalRF Domain3,p.14

• AboriginalandTorresStraitIslanderpeopleworkinginallareasofthehealthsector,bothclinicalandnon-clinical,andadequateresourcesallocatedoverthelong-termtosupport

targetedemploymentstrategiesandinitiatives• AboriginalandTorresStraitIslanderhealthprofessionalsactivelysupportedandretainedinthehealthsystemthroughcapacitybuilding,mentoringinitiativesandongoingcareer

progression,inbothtargetedandmainstreampositionsNATSIWS Strategy1,p.8 • ImproverecruitmentandretentionofAboriginalandTorresStraitIslanderhealthprofessionalsinclinicalandnon-clinicalrolesacrossallhealthdisciplines(SeeSuggested

mechanisms)NationalMHWorkforceStrategy

p.17(text) • InordertoprovideculturallyappropriateservicesforpeoplefromAboriginalandTorresStraitIslanderandculturallyandlinguisticallydiverse(CALD)backgrounds,theworkforceneedstobetechnicallyandculturallycompetent.Insomesituations,theMHworkforcemaybeabletobedrawnfrompeopleofanappropriateculturalbackground,butinmostsituations,servicestopeoplefromAboriginalandTorresStraitIslanderandCALDbackgroundsareprovidedbyworkersfromadifferentculturalbackgroundwhoneedtrainingandsupporttoensuretheyareculturallyawareandcompetent.

• AboriginalandTorresStraitIslanderMHworkersmayneedsupport,owingtotheirdualrolesatworkandintheirownfamilygroupsandcommunities.Theseworkers,particularlyinremotecommunities,faceparticularpressuresandareoftenoncall24hoursaday,sevendaysaweek.Tocompoundthepressure,theyworkinmanyruralandremoteareasofAustralia,andIndigenousworkersmaynotbeeligibleforhousingandothersupportsmadeavailabletonon-Indigenousstaffandvisitingspecialists.

• Ongoingculturalcompetencein-servicetraining,ratherthanbriefawarenesssessions,wasthefavouredstrategyforbuildingworkforcecapacity.Thegeneralistmentalhealthworkforcemayalsobenefitfromeducationprogramsthatfocusonthesettlementchallengesofnewlyarrivedmigrantsandrefugees,andhowfailuretoovercomethesechallengescandevelopintoacculturationdifficultiesandsubsequentMHdeterioration…

Objective3.3.1,p.28 • WorkwiththeCALDsectorandMHservicestopromotecareeropportunitieswithintheMHsectortomeetthechangingdemographicsofMHpopulations.Objective3.2.1,p.28 • SupportthetrainingofAboriginalandTorresStraitIslandertobecomeMHworkersinarangeofdisciplinesbysupportingandpromotingexistingsuccessfulprogramsandpiloting

newprograms.UpskillingexistingAboriginalandTorresStraitIslanderworkers


• ImprovethestatusofallAboriginalandTorresStraitIslanderMH&SEWBworkers,paraprofessionalsandprofessionalsandovertime,requireworkerstohavequalificationsthatensureprofessionalequity.

• Progressinitiativesthatsupport…workforce-wideup-skilling,includingappropriateclinicalsupervisionofMH&SEWBworkers,paraprofessionalsandprofessionals• Createcareerpathwaysbyreducingbarriersandpathwaystoeducationandtrainingincludingtrainingforemergingprofessionalworkforcesaccreditedworkers,paraprofessionals

andestablishedprofessionalsandprofessions.• Continuetodevelopaccreditationstandardsthataresystematicallymeasurable;anddevelopandsupportpathwaystotraininginexistingworkenvironmentstoincreaseworker

andprofessionalcapacities.NATSIHIP/IP Strategy1E,p.17 • TrainingopportunitiesprovidedtofurtherdeveloptheskillsofstafftomeetcurrentandfutureAboriginalandTorresStraitIslanderhealthserviceneedsandincreaseretention

levels.NATSIWS Strategy2,p.8 • ImprovetheskillsandcapacityoftheAboriginalandTorresStraitIslanderhealthworkforceinclinicalandnon-clinicalrolesacrossallhealthdisciplines(SeeSuggested

mechanisms)NationalMHWorkforceStrategy

Objective1.2.1,p.20 • Providebettercareerpathways,supervision,mentoringandlocumsupportprogramsforAboriginalMHworkersinarangeofsettings.


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SupportingAboriginalandTorresStraitIslanderstaffinmainstreamsettings

NATSIWS Strategy3p9 • Healthandrelatedsectorsbesupportedtoprovideculturally-safeandresponsiveworkplaceenvironmentsfortheAboriginalandTorresStraitIslanderworkforce.(SeeSuggestedmechanisms)

Training/supportallMHservicestaff

NationalMHWorkforceStrategy

Objective1.2.2,p.20 • IncorporatetraininginAboriginalandTorresStraitIslandermentalhealthinMHworkforcetrainingprograms.

NSQHSStandards Action1.21 • ThehealthserviceorganisationhasstrategiestoimprovetheculturalawarenessandculturalcompetencyoftheworkforcetomeettheneedsofitsAboriginalandTorresStraitIslanderpatients

MH&SEWBFr Outcome1.1.10,p.29

• RequireculturalcompetenceofgeneralpractitionersandothermedicalpractitionersinordertoworkeffectivelywithAboriginalandTorresStraitIslanderwithMHproblemsandmentalillness

NATSIHIP/IP Strategy1E,p.17 • TrainingneedsofhealthsectorstaffworkingwithAboriginalandTorresStraitIslanderpeopleshavebeenidentifiedandaddressed,includingthedevelopmentanddeliveryofnewtrainingprogrammes.

5NMHSPP Action12.4,p.34 • TrainingallstaffdeliveringmentalhealthservicestoAboriginalandTorresStraitIslanderpeoples,particularlythoseinforensicsettings,intrauma-informedcare…CulturalRF Domain2,p.13 • Healthstaffhaveaccesstoresourcesandtrainingtoguideandsupportculturallysafecommunicationwithhealthconsumers(e.g.interpreters,liaisonofficers,traditionalhealers,

translatedresourcesandhealthinformationpackages)Domain3,p.14 • Budgetandresourcestosupportadequateculturalsafetyandresponsivenesstrainingofhealthstaffatalllevels(clinicalandnon-clinical)andacrossalldisciplines,including

ongoingprofessionaldevelopment,capacityforself-reflectionandmonitoringofhealthstaffskillsEducationsystem

MH&SEWBFr Outcome1.1.

• Improvenationalaccesstovocationaltraininginkeyevidencebasedtherapies(egcognitivebehaviouraltherapy,dialecticalbehaviouraltherapyandmindfulnesstherapies).• IncreaseAboriginalandTorresStraitIslanderparticipationratesintertiarycourses.• Encouragethedevelop.ofspecialistAboriginalandTorresStraitIslanderMHcourses.• Ensurealignmentofmeasurableprofessionaltrainingandeducationstandardsandserviceaccreditationstandardstoensureasystemwideapproachtoimprovingreportable

capabilitiesforworkingeffectivelywithAboriginalandTorresStraitIslanderpeopleOutcome2.4 • RequireevidencebasedapproachesonMHandwellbeingbeadoptedinearlychildhoodworkerandteachertrainingandcontinuingprofessionaldevelopment.

GDD Theme2,p.4 • Itistheresponsibilityofallmentalhealthprofessionalsandprofessionalassociations,andeducationalinstitutionsandstandard-settingbodiesthatworkinmentalhealth(andalsothoseinareasrelatedtomentalhealth,particularlysuicideprevention)tomaketheirpracticesand/orcurriculumrespectfulandinclusiveofthementalhealthandsuicidepreventionneedsofAboriginalandTorresStraitIslanderpeoples,

CulturalRF Domain3,p.14 • Professionalbodiesandtraininginstitutionsembedculturalcompetencyintheeducationofhealthprofessionals,includingAboriginalculturesandhistoriesandthehistoryofATSIhealth

NATSIWS Strategy4,p.9 • IncreasethenumberofAboriginalandTorresStraitIslanderstudentsstudyingforqualificationsinhealth(SeeSuggestedmechanisms)Strategy5,p.10 • Improvecompletion/graduationandemploymentratesforAboriginalandTorresStraitIslanderhealthstudents(SeeSuggestedmechanisms)

Roleofprofessionalbodies

CulturalRF Domain3,p.14 • Professionalbodiesandtraininginstitutionsembedculturalcompetencyintheeducationofhealthprofessionals,includingAboriginalculturesandhistoriesandthehistoryofATSIhealth

• ProfessionalbodiesprovidetheirmemberswithongoingopportunitiesforgenericandspecificstandardisedprofessionaldevelopmentinculturalsafetyMH&SEWBFr Outcome1.1.

• IncreaseAboriginalandTorresStraitIslanderemploymentacrosstheentireMH&SEWBworkforce,includingpsychologistsandpsychiatrists,speechpathologists,MHworkersand

otherprofessionalsandworkers• Continuetodevelopaccreditationstandardsthataresystematicallymeasurable;anddevelopandsupportpathwaystotraininginexistingworkenvironmentstoincreaseworker

andprofessionalcapacities.• Ensurealignmentofmeasurableprofessionaltrainingandeducationstandardsandserviceaccreditationstandardstoensureasystemwideapproachtoimprovingreportable

capabilitiesforworkingeffectivelywithAboriginalandTorresStraitIslanderpeople• RequireculturalcompetenceofgeneralpractitionersandothermedicalpractitionersinordertoworkeffectivelywithAboriginalandTorresStraitIslanderpeoplewithMH

problemsandmentalillnessOutcome4.2 • IncorporateculturalcompetencyintheprofessionalstandardsandresponsibilitiesofmentalhealthprofessionswithinaSEWBframework.

GDD Theme2,p.4 • Itistheresponsibilityofallmentalhealthprofessionalsandprofessionalassociations,andeducationalinstitutionsandstandard-settingbodiesthatworkinmentalhealth(andalsothoseinareasrelatedtomentalhealth,particularlysuicideprevention)tomaketheirpracticesand/orcurriculumrespectfulandinclusiveofthementalhealthandsuicidepreventionneedsofAboriginalandTorresStraitIslanderpeoples,

Peerworkforce

5NMHSPP Action29,p.47 • GovernmentswilldevelopPeerWorkforceDevelopmentGuidelinesAction30,p.47 • Governmentswillmonitorthegrowthofthenationalpeerworkforce

Data NATSIWS Strategy6,p.10 • Improveinformationforhealthworkforceplanningandpolicydevelopment


12

NationalMHWorkforceStrategy

Objective5.3.3,p.32 • SupportdevelopmentofconsistentmeasuresoftheethnicityandbilingualskillsoftheworkforcetobetterinformworkforceplanningissuesinrelationtoAboriginalandTorresStraitIslanderandCALDpopulations.

EVIDENCEBASE/DATA/RESEARCH

Evidencebase 5NMHSPP Action13,p.34Action13.5,p.34

• GovernmentswillstrengthentheevidencebaseforbetterAboriginalandTorresStraitIslanderMHoutcomes• UtilisingavailablehealthservicesdataandenhancingthosecollectionstoimproveservicesforAboriginalandTorresStraitIslanderpeoples.

MH&SEWBFr Outcome1.2,p.30 • Astrongevidencebase,includingasocialandemotionalwellbeingandmentalhealthresearchagenda,underAboriginalandTorresStraitIslanderleadership(seeactions)NATSIHP/IP Strategy1F,pp.18-19

• Strengthenedevidencebaseofknowledgeacrossthelifecourseandcarecontinuum,inparticularpreventativehealth,includingthefactorsthatimpactonchildhoodhealthanddevelopment.

• Qualityandcompletenessofdatatosupportcontinuedpolicydevelopmentandimprovedservicedesign,planningandevaluation.CulturallyappropriateIndicators

GDD Theme3,p.4 • LedbyAboriginalandTorresStraitIslanderpeoples,allpartsoftheAustralianmentalhealthsystemshoulduseAboriginalandTorresStraitIslandervalues-basedsocialandemotionalwellbeingandmentalhealthoutcomemeasuresincombinationwithclinicalmeasureswhendevelopingevaluationframeworksforAboriginalandTorresStraitIslandermentalhealthandsuicidepreventionservicesandprograms.ThisalsoappliestothedevelopmentofanevidencebaseforAboriginalandTorresStraitIslandersocialandemotionalwellbeing,mentalhealthandsuicideprevention.

MH&SEWBFr Outcome1.2p30 • DevelopculturallyappropriateindicatorstomeasureSEWBDrugStrategy Outcome4.1p6 • Performancemeasuresreflectmeaningfuloutcomesaimedattheindividual,familyandcommunity.

Identification 5NMHSPP Action13.2p34 • EnsuringthatallMHservicesworktoimprovethequalityofidentificationofAboriginalandTorresStraitIslanderpeoplesintheirinformationsystems.NATSIHP/IP Strategy1Fp19 • ImprovedidentificationasAboriginalandTorresStraitIslanderpeoplesindatacollectionsets.NSQHSStandards Action5.8,p.42 • ThehealthserviceorganisationhasprocessestoroutinelyaskpatientsiftheyidentifyasbeingofAboriginaland/orTorresStraitIslanderorigin,andtorecordthisinformationin

administrativeandclinicalinformationsystemsNSQHSStandards–UserGuide

KeyTask5.8,p.3 • ThehealthserviceorganisationhasprocessestoroutinelyaskpatientsiftheyidentifyasbeingofAboriginalandTorresStraitIslanderorigin,andtorecordthisinformationinadministrativeandclinicalinformationsystems

Datacollection

5NMHSPP Action13.4,p.34 • Reviewingexistingdatasetsacrossallsettingsforimproveddatacollectiononthementalhealthandwellbeingof,andtheprevalenceofmentalillnessin,AboriginalandTorresStraitIslanderpeoples

MH&SEWBFr Outcome4.1,p.27 • Supportandcoordinatethedatacollections,measurementandevaluationsrequiredtoinformsystemmonitoring,accountabilityandservicequalityimprovement.• Seealso4.2

DrugStrategy Outcome4.2,p.6 • Datasystemsandqualityassuranceprogramsareinplacetoinforminvestmentinsustainableprogramdelivery.Evaluationofprogramsandservices

5NMHSPP Action13.3,p.34 • EnsuringthatfutureAboriginalandTorresStraitIslanderinvestmentsareproperlyevaluatedtoinformwhatworksCulturalRF Domain6,p.17 • Requirementfornewservices,programsandinitiativestoincludeafocusonculturalsafetyandresponsivenessinprogramevaluations

• Mechanismsinplacefortheidentificationandcollectionofdataandrelevanthealthinformationrelatedtoculturalsafety• Disseminationofculturalsafetyrelatedinformation/datathroughouttheorganisationtoinformplanninganddevelopment• Organisationalassessmentsandauditsareundertakentoidentifylevelsofculturalresponsivenessandsafety,identifygaps,andinformimprovementstrategies• Programandpolicyevaluationsinformthedevelopment,planningandreviewofhealthservices

MH&SEWBFr Outcome1.2,p.30 • Ensurefutureinvestmentsinneworexpandedservicesareproperlyevaluated.Research 5NMHSPP Action28,p.47 • GovernmentswillrequesttheNationalMentalHealthCommissiontoworkincollaborationwiththeNationalHealthandMedicalResearchCouncil,consumersandcarers,states

andterritories,researchfundingbodiesandprominentresearcherstodeveloparesearchstrategytodrivebettertreatmentoutcomesacrossthementalhealthsectorCulturalRF Domain4,p.15 • HealthandhealthsystemsresearchforAboriginalandTorresStraitIslanderpeopleisledbyAboriginalandTorresStraitIslanderpeople,whoareinvolvedasresearchers,partners

anddriversofresearchprioritiesandprojectsDomain6,p.17 • MechanismsareinplacetoidentifyresearchquestionsrelevanttoculturalsafetythatreflectAboriginalandTorresStraitIslanderholisticphilosophiesandviewsofhealthand

wellbeing,andthehealthhistoryofAboriginalandTorresStraitIslanderpeoples• EstablishedcollaborationsandpartnershipswiththeresearcherstoundertakeresearchinculturalsafetyandresponsivenessforAboriginalandTorresStraitIslanderhealth

consumers• Integrateresearchfindings,monitoring,evaluationandknowledgetransferintoallrelevantorganisationalinitiatives• Repositoryofresearchandevaluationestablishedtoshareknowledge,learningsandbestpractice• PolicyandprocessessupportAboriginalandTorresStraitIslanderpeopleandcommunities’participationandleadershipinresearchactivitiesandplanning• StrategiesinplacetoensureanethicalapproachandappropriateethicsapprovalprocessesareundertakenwhenengaginginresearchandevaluationofAboriginalandTorres

StraitIslanderhealthMH&SEWBFr Outcome1.2p.30

• Supportpracticalappliedresearchtoprogressivelyenhanceservicedelivery.• PromoteparticipatoryactionresearchtoprogressivelyempowercommunitiesandrestoreandpromoteSEWB.


13

• EmbedtheprincipleofAboriginalandTorresStraitIslandercommunityleadershipandcontrolofresearchinguidelinesfortheethicalconductofresearchwithAboriginalandTorresStraitIslanderpeople.

Resources/tools

5NMHSPP Action12.1,p.34 • DevelopingcompendiumofAboriginalandTorresStraitIslanderresources,(1)BestpracticeAction12.2,p.34 • PromotingtheuseofculturallyappropriateassessmentandothertoolsandguidelinesAction13.1,p.34 • Establishingaclearinghouseofresources,toolsandprogramevaluationsforallsettingstosupportthedevelopmentofculturallysafemodelsofservicedelivery,includingtheuseof

culturalhealingandtrauma-informedcareAction11,ATSIMHSPSTOR5

• Overseethedevelopment,disseminationandpromotionincommunity,hospitalandcustodialsettingsofaresourcethatarticulatesamodelofculturallycompetentAboriginalandTorresStraitIslanderMHacrossthehealthcarecontinuumandbringstogether(a)theholisticconceptofSEWBand(b)mainstreamnotionsofsteppedcare,trauma-informedcareandrecovery-orientedpractice

MH&SEWBFr Outcome1.2.p.18 • DevelopculturallyappropriateMH&SEWBassessmenttoolsandclinicalpathways,particularlyforchildrenandyoungpeopleOutcome4.1,p.27

• Develop,implementandreviewgoodpracticemodelsforservicedeliverywithstructuredclinicaldecision-makingtoolstosupportconsistentstandardsfordiagnosis,treatmentandrehabilitation.Thisshouldincludetheuseofstandardisedoutcomemeasuresandauditingtoolstoassessthequalityandoutcomesfromtherapyaswellastheprovisionforadequatesupervisionandsupporttoalltherapistsandcaremanagementworkers.

• ExploreculturallyappropriatelowintensitytreatmentpathwaysthatcanbedeliveredbyAboriginalCommunityControlledHealthServices.Complementthesetreatmentoptionsthroughculturallyappropriateself-helpoptionsdeliveredthroughthedigitalmentalhealthgateway.

Outcome5.1,p.30 • Developculturallyadaptedassessmentandtreatmentinformationoptionsforthosewithseverementalillnessandtheirfamiliesandcarers.

REGIONALFOCUS

PROMOTION(seealsothesectiononsuicideprevention,below)

Buildoncultureandcommunitystrengths

MH&SEWBFr Outcome2.1,p.32 • AboriginalandTorresStraitIslandercommunitiesandculturesarestrongandsupportMH&SEWB.• Communitygovernancethroughcommunitycontrolledservicestodeliverhealthprogramsandservices.• Strengthencommunitycohesion,andrestoreandhealconnectionstocultureandcountryincludingthroughreclamationandrevitalization

Outcome2.4,p.35 • Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Strengtheningprideinidentityandculture.CulturalRF Domain2,p.13 • Positivehealthmessagesandprogramsthatrespondtothediversity,strengthsandknowledgeofAboriginalandTorresStraitIslandersocial,cultural,linguistic,gender,religious

andspiritualbackgroundsIAS Cultureand

CapabilityProgramme

• TheCultureandCapabilityProgrammeaimstoincreaselevelsofunderstandingandrespectforIndigenousAustraliansandtheircultures…

Buildonfamilystrengths

MH&SEWBFr Outcome2.2,p.33 • AboriginalandTorresStraitIslanderfamiliesarestrongandsupported• Increasefamily-centricandculturally-safeservicesforfamiliesandcommunities.• SupporttheroleofmenandEldersinfamilylifeandtheraisingofchildreninaculturally-informedway.• Supportsingleparentfamiliesandextendedfamilyandkinsupportnetworks• Supportfamilyre-unificationformembersoftheStolenGenerations,prisoners,childrenremovedfromtheirfamiliesintoout-of-homecare,andyoungpeopleinjuveniledetention.

Outcome3.1.4,p.36

• SupportprogramsformembersoftheStolenGenerationsandtheirfamilies.

IAS ChildrenandSchoolingProgramme

• TheobjectiveoftheChildrenandSchoolingProgrammeistodeliveractivitiestoIndigenouschildren,youthandadultsthat:Supportfamiliestogivechildrenagoodstartinlifethroughimprovedearlychildhooddevelopment,care,educationandschoolreadiness.

RoyalCommissionCSA

Rec12.20,p.40 • Eachstateandterritorygovernment,inconsultationwithappropriateAboriginalandTorresStraitIslanderorganisationsandcommunityrepresentatives,shoulddevelopandimplementplansto:(d)investincommunitycapacitybuildingasarecognisedpartofkinshipcare,inadditiontosupportingindividualcarers,inrecognitionoftheroleofAboriginalandTorresStraitIslandercommunitiesinbringingupchildren.

SupportingtheMH&SEWBofchildrenandyoungpeopleinc.vulnerableyoungpeople

MH&SEWBFr Outcome2.4,p.35 • AboriginalandTorresStraitIslanderchildrenandyoungpeoplegettheservicesandsupporttheyneedtothriveandgrowintomentallyhealthyadults• Ensureaccesstoculturallyappropriatequalitypre-schoolcareandeducationforchildrenaged3and4andpromoteschoolattendance.• Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:

o Strengtheningprideinidentityandculture.o Addressingtheimpactofracismandbuildingresiliencetoracism.

• DevelopstrategicresponsestosupporttheSEWBofchildreninout-of-homecareandestablishappropriateconnectionsbetweenchildprotectionservicesandarangeoffamilyandchild-supportservices.

• SupporttheMH&SEWBofvulnerablechildrenincludingthosewithdisabilitiesandthoseincarerroles.


14

Outcome2.3,p34 • Infantsgetthebestpossibledevelopmentalstarttolifeandmentalhealthincludingthestrengtheningofuniversalmaternalandchildhealthservices.• Facilitatethemeasurementofdevelopmentalmilestonesofinfants.• Facilitatehealthchecksthroughinfancyandchildhood,particularlyforconditionsassociatedwithemotionalandbehaviouralproblemssuchashearinglossresultingfromchronic

otitismedia.• Supportthementalhealthandsocialandemotionalwellbeingofchildrenwithcognitiveanddevelopmentalimpairmentsanddisabilities.• ContinueimplementingtheNationalEarlyChildhoodDevelopmentStrategy,

NATSIHP/IP

Part3,p.30

ChildhoodHealthandDevelopment• 4A.Youngpeoplehaveavoiceinthedevelopmentandimplementationofprogrammesandpoliciesthatareaffectingthem.• 4B.Youngpeoplearesupportedtoberesilientandmakeinformedandhealthychoicesaboutliving,includingbeingproudofidentityandculture.• 4D.Youngpeoplehavegoodeducationandgoodemploymentprospects.

• Part4,-AdolescentandYouthHealthIAS Childrenand

SchoolingProgramme

• ThedesiredoutcomesoftheChildrenandSchoolingProgrammeinclude,butarenotlimitedto:o IncreasingaccessandparticipationofIndigenouschildreninearlychildhoodcareandeducation.o Increasingschoolattendanceandimprovingeducationaloutcomes,includingliteracyandnumeracy.o IncreasingYear12orequivalentattainment,includingvocationaltrainingandeducation.

PRIMORDIALPREVENTION(seealsothesectiononsuicideprevention,below)

Communitychallenges/socialdeterminants

MH&SEWBFr Outcome2.1,p.32 • AboriginalandTorresStraitIslandercommunitiesandculturesarestrongandsupportMH&SEWB• Empowercommunitiestoidentifyandaddresschallenges.• Encouragepracticaloutcomes,suchasemploymentofcommunitymembers,schoolattendanceandeducationalattainment.

IAS • SafetyandWellbeingProgramme• Jobs,LandandEconomyProgramme• RemoteAustraliaStrategiesProgramme

CulturalRF Domain5,p.16 • Jointhealthandnon-healthpolicies,programsandservicesatcommunity,stateandnationallevelstoaddressthebroadersocialdeterminantsimpactingonhealthAOD MH&SEWBFr Outcome2.1 • Supportcommunitiesthatwishtorestrictalcoholsupplyanduseamongtheirmembers.

• Encouragealcoholreductionstrategies,includingmainstreampolicyanalysisofpotentialpricingleversandtaxationoptions.Outcome2.4,p.35 • Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Culturallyandageappropriatealcoholanddrug

usepreventionand/orreduction.DrugStrategy

PriorityArea2 • Increaseaccesstoafullrangeofculturallyresponsiveandappropriateprograms,includingpreventionandinterventionsaimedatthelocalneedsofindividuals,familiesandcommunitiestoaddressharmfulAODuse.

Outcome2.1,p.6 • CulturallyappropriateAboriginalandTorresStraitIslanderprogramsandservicesaresupportedthataddresspreventionprograms,theimpactofalcohol,tobaccoandotherdrugsonindividualsandfamilies,andwithintheircommunities.

NATSIHP/IP Strategy4C,p.30 • Youngpeopleareabletoaccessculturallyappropriateandnon-racistservicesthataddresshealthriskbehaviours.Justice MH&SEWBFr Outcome2.4,p.35 • Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Reducingyoungpeople’scontactwiththecriminal

justicesystem.DrugStrategy PriorityArea3,p.5 • StrengthenpartnershipsbasedonrespectbothwithinandbetweenAboriginalandTorresStraitIslanderpeoples,governmentandmainstreamserviceproviders,includingin

lawenforcementandhealthorganisations,atalllevelsofplanning,deliveryandevaluation.Outcome3.5,p.6 • CurrentandemergingissuesassociatedwithAODuseandthecriminaljusticesystemareeffectivelyaddressed.

NTRC Rec15.1,p.33 • (2)Ontheadmissionofachildoryoungpersontoadetentioncentre:..(b)mentalhealthscreeningbeadopted,andifmentalhealthissuesareidentifiedinthatprocessorinthepre-sentencereportormedicalandhealthassessment,amentalhealthplanbedevelopedandongoingcounsellingforeachdetaineeincludingcontinuingtreatmentafterreleasebemadeavailable

• (3)Thecomprehensivemedicalandhealthassessmentrequiredtobecarriedout,shouldinclude;(a).anassessmentofbothphysicalandmentalhealth,and(b).abehaviouralquestionnairetodeterminewhetheraformalassessmentforFetalAlcoholSpectrumDisordershouldbeconducted,andifsodeterminedandifthedetaineehasnotpreviouslybeenthesubjectofaformalassessment,thatassessmenttobeconducted.

• (4)TheNorthernTerritoryGovernment:(a)ensurethatculturallycompetentandage-appropriatehealthprofessionalsdeliverservicestochildrenandyoungpeopleindetention(b)inconsultationwithAboriginalCommunityControlledOrganisations,revisehealthmanualsandtoolstoensuretheyareculturallyappropriate.

Rec24.1

• Anintegrated,evidence-basedthroughcareservicebeestablishedforchildrenandyoungpeopleindetentiontodeliver:adequateplanningforreleaseincluding,asappropriate,safeandstableaccommodation,accesstophysicalandMHsupport,accesstosubstanceabuseprograms,assistancewitheducationand/oremployment

RoyalCommissionCSA

Rec15.5,p.46 • Respondingtochildren’sdifferentneeds:StateandterritorygovernmentsshouldconsiderfurtherstrategiesthatprovidefortheculturalsafetyofAboriginalandTorresStraitIslanderchildreninyouthdetentionincluding:a.recruitinganddevelopingAboriginalandTorresStraitIslanderstafftoworkatalllevelsoftheyouthjusticesystem,includinginkeyrolesincomplainthandlingsystems


15

b.providingaccesstointerpreters,particularlywithrespecttoinductionandeducationprograms,andaccessinginternalandexternalcomplainthandlingsystemsc.ensuringthatallyouthdetentionfacilitieshaveculturallyappropriatepoliciesandproceduresthatfacilitateconnectionwithfamily,communityandculture,andreflectan

understandingof,andrespectfor,culturalpracticesindifferentclangroupsd.employing,trainingandprofessionallydevelopingculturallycompetentstaffwhounderstandtheparticularneedsandexperiencesofAboriginalandTorresStraitIslander

children,includingthespecificbarriersthatAboriginalandTorresStraitIslanderchildrenfaceindisclosingsexualabuse.Parentingprograms

MH&SEWBFr Outcome2.2,p.33 • AboriginalandTorresStraitIslanderfamiliesarestrongandsupported• Supportfamiliesbyprovidingaccesstoparentingprogramsandservicesinrelationtoearlychildhooddevelopment,familysupport,healthandwellbeing,alcoholandother

drugs.Outcome2.3p.34 • Facilitateattachmentandsecurityinchildhoodbyincreasingaccesstoappropriateparentingprograms.

NATSIHP/IP

Strategy2C,p22/24. • ExtendedfamilyarrangementsinAboriginalandTorresStraitIslandercommunitiesareacknowledgedandaccessbroadenedtoparenting,childcareandearlylearningenvironmentprogrammesandservices

• Mothers,fathersandcarershaveaccesstopositiveparentinginformationandsupportservices• Aboriginalhealthpartnershipforumswithstatesandterritorieswillconsidertheincorporationofparentingprogrammesintheirrespectiveactionplans.

Part2,p.21 • SeePart2ingeneral–MaternalHealthandParentingMaternalhealth

M&SEWBFr Outcome2.3

• Supportpregnantwomen,particularlythosewithsubstanceabusedisorders,tohelpstopsmokingandalcoholconsumptiontopreventFASDandincreasethebirthweightofinfants.

• Broadenantenatalcaretoincludesupportforperinataldepressionscreeningandinterventionstrategiestoreducematernalstress.NATSIHP/IP

Strategy2A,pp.21-22

• AboriginalandTorresStraitIslandermothershaveaccesstoculturallyappropriatehealthpromotionprogrammesbeforeandduringpregnancy.• Newmothersandfathershaveaccesstopreconceptionandantenatalhealthpromotionprogrammes(e.g.targetingsmokingandtheuseofalcoholandotherdrugsin

pregnancy).Strategy2B,p.24

• AboriginalandTorresStraitIslandermothersandfathershaveaccesstoaffordable,culturallyappropriateandhigh-qualityantenatalandpostnatalservices.• Mothers,fathersandcarershaveaccesstoantenatalandpostnatalservicesthataddresswellbeing,perinataldepression,maternalstress,smoking,alcoholandotherdrugs,and

nutrition(consistentwiththeNationalAntenatalCareGuidelines),andprovidesupportforbreastfeeding,routinescreeningandantenatalcare.• Supportintegratedservicesmodelsthroughearlychildhoodcommunityhubs.

SeePart2ingeneral–MaternalHealthandParentingChildsexualabuse

RoyalCommissionCSA

Rec6.1,p.4 TheAustralianGovernmentshouldestablishamechanismtooverseethedevelopmentandimplementationofanationalstrategytopreventchildsexualabuse…Rec6.3,p.5 Thedesignandimplementationoftheseinitiativesshouldconsider:tailoringandtargetinginitiativestoreach,engageandprovideaccesstoallcommunities,includingchildren,

AboriginalandTorresStraitIslandercommunities,…andregionalandremotecommunities

PRIMARYPREVENTIONANDEARLYDETECTION

Frontlinegeneral

NationalMHStrategy

Objective4.1.2,p.14 • FacilitateaccesstoAboriginalandTorresStraitIslanderMHfirst-aidtrainingforthefront-lineworkforceofagenciesworkinginrural,regionalandremoteareas.

MH&SEWBFr Outcome3.3,p.38 • MHandrelatedproblemsaredetectedatearlystagesandtheirprogressionprevented• IncreaseMHliteracyandtraumasensitivityinfront-lineservices,particularlythosethatworkwithAboriginalandTorresStraitIslanderchildrenandyoungpeople.

Schools MH&SEWBFr Outcome2.4,p.35 • AdapttrainingresourcesandinclusionstrategiesforAboriginalandTorresStraitIslanderstudentsandfamiliesinmainstreamprogramssuchasKidsMatterandMindMatters.• Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:

o CulturallyandageappropriateAODusepreventionand/orreduction.o CulturallyandageappropriateSP.o Helpseekingbehaviourandde-stigmatisationofMHproblems.o Strengtheningprideinidentityandculture.o Reducingbullyinganditsmentalhealthimpacts.o Reducingyoungpeople’scontactwiththecriminaljusticesystem.o Addressingtheimpactofracismandbuildingresiliencetoracism.

ChildrenOOHC

NTRC Rec35.1,p.55 • FurtherresearchbeundertakenintheNorthernTerritorytounderstandthecharacteristicsandneedsofchildrenandyoungpeoplewhohavebeeninbothoutofhomecareanddetention,toidentifythesizeandcharacteristicsofthecrossoverissue,tomeasuretheprevalenceoftrauma-relatedmentalhealthissueswithinthisgroup,andtoidentifythetypeofneedandservicerequirementsforthisgroup.

RoyalCommissionCSA

Rec12.20,p.40 • Eachstateandterritorygovernment,inconsultationwithappropriateAboriginalandTorresStraitIslanderorganisationsandcommunityrepresentatives,shoulddevelopandimplementplansto:(a)fullyimplementtheAboriginalandTorresStraitIslanderChildPlacementPrinciple(b)improvecommunityandchildprotectionsectorunderstandingoftheintentandscopeoftheprinciple(c)developoutcomemeasuresthatallowquantificationandreportingontheextentofthefullapplicationoftheprinciple,andevaluationofitsimpactonchildsafetyandthe

reunificationofAboriginalandTorresStraitIslanderchildrenwiththeirfamilies


16

(d)investincommunitycapacitybuildingasarecognisedpartofkinshipcare,inadditiontosupportingindividualcarers,inrecognitionoftheroleofAboriginalandTorresStraitIslandercommunitiesinbringingupchildren.

Police NTRC Rec25.1(5),p.40 • AllNorthernTerritoryPolicereceivetraininginyouthjusticewhichcontainscomponentsaboutchildhoodandadolescentbraindevelopment,theimpactofcognitiveandintellectualdisabilitiesincludingFASDandtheeffectsoftrauma,includingintergenerationaltrauma.

Youthjusticeofficers

NTRC Rec20.1,p.36 • Theselectioncriteriaforayouthjusticeofficerbeamendedtoincludedemonstratedexperienceworkingwithvulnerableyoungpeopleincludinganunderstandingofchildandadolescentdevelopment,issueswithdruguse,poverty,culturalidentity,MHanddisability.

20.3,p.37 • Youthjusticeofficersparticipateininductiontrainingbeforecommencingworkinyouthdetentioncentreswhichincludesatleastthefollowing:…o traumainformedpracticeo culturalawarenesso drugandalcoholawarenesso MHissues

RoyalCommissionCSA

Rec15.5,p.46 Respondingtochildren’sdifferentneeds• StateandterritorygovernmentsshouldconsiderfurtherstrategiesthatprovidefortheculturalsafetyofAboriginalandTorresStraitIslanderchildreninyouthdetentionincluding:• a.recruitinganddevelopingAboriginalandTorresStraitIslanderstafftoworkatalllevelsoftheyouthjusticesystem,includinginkeyrolesincomplainthandlingsystems• c.ensuringthatallyouthdetentionfacilitieshaveculturallyappropriatepoliciesandproceduresthatfacilitateconnectionwithfamily,communityandculture,andreflectan

understandingof,andrespectfor,culturalpracticesindifferentclangroups• d.employing,trainingandprofessionallydevelopingculturallycompetentstaffwhounderstandtheparticularneedsandexperiencesofAboriginalandTorresStraitIslander

children,includingthespecificbarriersthatAboriginalandTorresStraitIslanderchildrenfaceindisclosingsexualabuse.Mentalhealthliteracy/stigma

5NMHSPP/IP Action18,p.40 • ActiontoreduceMHproblemstigmaanddiscrimination…Thiswill:accountforthespecificexperienceofAboriginalandTorresStraitIslanderpeopleM&SEWBFr Outcome3.3,p.38 • EnsurecommunitiesandfamilieshaveabetterunderstandingoftheimportanceandroleofMHservicesandtheimpactofmentalillnessincludingbyencouragingnaturalhelpers

andhelp-seekingbehaviour.• WorkinpartnershipwithACCHSstodevelopaculturallyappropriatetargetedcommunicationsstrategy,includingmentalhealthpromotionmaterials,foradaptationby

communitiestoraisementalhealthliteracyandde-stigmatisementalhealthconditions.NATSIHP/IP Strategy1C,p.13

• Whole-of-lifecyclehealthinterventionsareaccessibleandhaveastrongfocusonpreventionandearlyinterventiontopreventmentalhealthconditionsandillness,chronichealth

conditionsandinjuriesfromoccurring,includingdisability• Increasingfocusonpreventionandearlyinterventionstrategies,improvedpatientjourneysandcontinuityofserviceshasreducedriskofchronicconditions,mentalillnessand

injuryoccurringandensuredclinicallycompetent,qualityandaccessiblecarehasbeenprovided.• Preventionandearlyinterventionprogrammes(includingprogrammesthatfocusonchronicdiseases,e.g.includingdiabetes,cancer,hearthealth oral,earandeyehealth;mental

healthconditionsandillness suicidepreventiontobaccoandalcoholanddruguse)havebeendeveloped,supportedandimplemented.Strategy1D,p.17

• SupportforAboriginalandTorresStraitIslanderpeoplestoengagewithhealthpreventionprogrammeshasbeenprovided---• Existinglocal,regional,stateandterritoryactivityhasbeenreviewedtoassesshealthliteracyandacoordinatedstrategytoaddresshealthliteracyimplemented.

ROLEOFMAINSTREAMINPROMOTIONANDPREVENTION

RoleofmainstreamAOD

NationalDrugStrategy

Outcome1.2,p.5 • MainstreamAODservicesaresupportedtodeliverprogramstoaddressharmfulAODuseinAboriginalandTorresStraitIslandercommunities,familiesandindividuals.

RoleofmainstreamMHservices

NationalStandards-MHServicesImplementationGuidelinesforPublicMentalHealthServicesandPrivateHospitals

Developmentofactivities(Criterion5.1)

• p.22.Itisimportanttounderstandtheneedsofourculturallyandsociallydiversepopulation.Anymentalhealthpromotionandpreventioninitiativesneedtobedesignedforculturallyandsociallydiversepopulationgroups;StrategiesforAboriginalandTorresStraitIslanderpopulationsshouldbeinformedbytheNationalStrategicFrameworkforAboriginalandTorresStraitIslanderHealth(2003–2013)[nowNATSIHP?]andbasedonestablishedpartnershipswithAboriginalandTorresStraitIslanderstakeholders.

Appropriateactivities(Criterion5.2)

• p.23.TheMHSshouldconsiderthefollowingstepswhenaddressingthisstandard:o establishandmaintainpartnershipswithcarers,consumersandrelevantstakeholders,toshareandcombineresourceso establishandmaintainmechanismsforconsumerandcarerstoparticipateinthedevelopment,implementationandevaluationofpromotionandpreventionactivitieso developaplanthatincludesgoals,objectives,actionsandevaluationstrategies.

• WithinAboriginalandTorresStraitIslanderpopulationsandsettings,relevantcommunity,consumerandorganisationstakeholdersmustbeincludedinthedevelopingimplementationplans.ThesemustberesponsivetoAboriginalandTorresStraitIslanderdiversityandreflectalocal,strengths-basedapproach,withculturallyadaptedtrainingforearlyidentificationandresourcesandsupportforprimarycareandfirstcontactproviders.

Collaborativepartnerships(Criterion5.3)

• p.23.Collaborativepartnershipsshouldbedevelopedwitharangeofinternalandexternalstakeholders• Thesepartnershipsmeanresourcescanbesharedtopromoteandpreventmentalhealthissues• p.24.Eachservicemustdemonstratepartnershipswhichfosterpromotionandpreventionactivitiesandshowcollaborationatallstagesofdevelopmentandimplementation.

Examplesofsectorsandsettingsinclude:…AboriginalandTorresStraitIslandergroups• p.25.Strategiestopromoteawarenessoftherelationshipbetweenmentalandphysicalhealthshouldbeculturallyappropriate

Accountability(Criterion5.5)

• p.26.TheMHSshouldensurethatthepositionsidentifiedtoprogressmentalhealthpromotionandpreventioninAboriginalandTorresStraitIslandersettingsaregivensufficientinformationabout,andlinksto,AboriginalandTorresStraitIslanderpopulations.


17

Workforce(Criterion5.6)

• p26.Workforcedevelopmentonmentalhealthpromotionandpreventionincludes…attentiontoneedsofIndigenouspeople,familiesandcommunities,andmechanismsforconsultationwithIndigenousstakeholders.

SERVICEDELIVERY

INTEGRATIONOFSERVICES

Integratedservices

5NMHSPP PriorityArea5,p.36 • ImprovingphysicalhealthofpeoplewithMH(withactions)andreducingearlymortalityMH&SEWBFr Outcome4.1.p.39 • Integrateclinicalandnon-clinicalserviceswhoworkwithchildrenandyoungpeopleincludingchildandadolescentmentalhealthservicesandheadspacetobettersupporttheir

needsandreducesuicide.Outcome4.1,p.39 • IntegrateMHandotherrelatedareasservicesdeliveredbyACCHSandotherhealthproviders,includingculturalhealers.Outcome4.3,p.29 • Coordinateandintegratementalhealth,socialandemotionalwellbeing,substancemisuse,suicidepreventionandsocialhealthservicesandprogramstoensureclientsexperience

seamlesstransitionsbetweenthem.DrugStrategy Outcome1.4,p.6 • Cross-sectoraleffortissupportedandenhancedtoensureanintegratedapproach.

NatStandards-MHServices

Standard9,p.20

• TheMHScollaborateswithanddevelopspartnershipswithininitsownorganisationandexternallywithotherserviceproviderstofacilitatecoordinatedandintegratedservicesforconsumersandcarers.

Criterion9.5,p.33 Implementationguidelinesforprivateofficebasedmentalhealthpractices-TheMHSworksincollaborationwithotherrelatedserviceproviders.Examplesoflinkageandpartnershipagreementsinclude:AboriginalandTorresStraitIslandergroups

NATSISPS(SP) Outcome3.2,p.35 • Integratedservices,includingtargetedandindicatedservicesforfamiliesandindividuals,areavailableinAboriginalandTorresStraitIslanderhealingcentresorothercommunitycentres

• (i)Developanddisseminatemodelsforservicesthatcombinespecifictargetedandindicatedservicesincentresprovidingintegratedwellbeingservices• (ii)Strengthenthefocusonearlyinterventionandsuicidepreventionwithinintegratedservices• (iii)Buildinter-sectoralandprofessionallinkstosupportintegratedservices

Outcome4.3,p.38

• Thereareagreementstosupportcollaborativeapproachestojointcasemanagementtoensurecontinuityofservicesandsupportsforhigherriskclients• (i)Pilotandevaluatespecificmultidisciplinaryapproachestoserviceprovisionforvulnerableindividualsandfamilies• (ii)Investigatefeasibilityofspecificmemorandaofunderstandingtoenablejointapproachestocasemanagement• (iii)ClarifyagencyresponsibilitiesforinteragencycoordinationofcareforhighriskAboriginalandTorresStraitIslanderclientsandfamilies

RoyalCommissionCSA

Rec9.7,p.31 • PHNs,withintheirroletocommissionjoineduplocalprimarycareservices,shouldsupportsexualassaultservicestoworkcollaborativelywithkeyservicessuchasdisability-specificservices,AboriginalandTorresStraitIslanderservices,CALDservices,youthjustice,agedcareandchildandyouthservicestobettermeettheneedsofvictimsandsurvivors.

Referralpathways

5NMHSPP Action10,p.33 • ReferralpathwaysbetweenGPs,ACCHS,SEWBservices,AODservices,andMH/physicalhealthservicesAction11,ATSIMHSPSTOR3

• identifyinnovativestrategies,suchastheuseofcarenavigatorsandsinglecareplans,toimproveserviceintegration,supportcontinuityofcareacrosshealthservicesettingsandconnectAboriginalandTorresStraitIslanderwithcommunity-basedsocialsupport(non-health)services

MH&SEWBFr Outcome1.3,p.31 • Joinupassessmentprocessesandreferralpathways…Outcome4.3,p.41

• EffectiveclienttransitionsacrosstheMHsystem• Coordinateandintegratementalhealth,socialandemotionalwellbeing,substancemisuse,suicidepreventionandsocialhealthservicesandprogramstoensureclientsexperience

seamlesstransitionsbetweenthem• PHNsworkinpartnershipwithACCHSsonaregionalorothergeographicalbasisto:identifyandmaprelevantservicesandagencies;anddevelop,promoteandregularlyreview

culturallyandclinicallyappropriatepathwaysbetweenthem–inparticular,forthetreatmentoftraumaandemotionalandbehaviouraldifficultiesinchildren.NATSIHP/IP Strategy1D,p.16 • Improvedregionalplanningandcoordinationofhealthcareservicesacrosssectorsandproviders

• Formalmechanisms(e.g.partnerships)forcooperationbetweengovernments,ACCHOs,PHNs,privatesectorandotherserviceproviderstoimprovepatientjourneys• ExistingaccreditationarrangementstopromoteimprovedpatientjourneysforAboriginalandTorresStraitIslanderinsecondaryandtertiarycarehavebeenimplemented,

monitoredandreviewed.Co-locatedServices

5NMHSPP Action11,ATSIMHSPSTOR2

• Provideadviceonmodelsforco-locatedorflexibleservicearrangementsthatpromoteSEWBinc.factors,includingaperson’sconnectiontocountry,spirituality,ancestry,kinshipandcommunity

MH&SEWBFr Outcome1.3,p.31 • Improveserviceequityforruralandremotecommunitiesandforunder-servicedpopulations,includingthroughplace-basedmodelsofcareOutcome5.2,p.43 • Supportpeoplewithmentalillness,theirfamiliesandcarerstoliveincommunitiesincludingthroughcommunitymentalhealthsupportprograms.

Telehealth NATSIHP/IP Strategy1E,p.17 • Standardsfortheuseoftele-healthstrategieshavebeendeveloped.MyHealthe-records

5NMHSPP Action11,ATSIMHSPSTOR8

• ProvideadviceonculturallyappropriatedigitalservicedeliveryandstrategiestoassistAboriginalandTorresStraitIslanderpeoplestoregisterforMyHealthRecordandtounderstandthebenefitsofshareddata.

Action10,p.33 • Sharingpatientinformationtosupportintegration.MH&SEWBFr Outcome1.3,p.19 • FacilitatecontinuityofcareandinformationsharingbetweenservicesthroughtheuseoftheMyHealthRecord.

Outcome4.3,p.41

• Effectiveclienttransitionsacrossthementalhealthsystem(Strategy)


18

• Facilitaterobustsystemsofcommunicationbetweenmentalhealthservicesandprograms,includingmovingtowardsshareduseofdigitalrecords,utilisingtheMyHealthRecordasappropriate.

NATSIHP/IP Strategy1E,p.17 • Healthsectorstaffhaveongoingaccesstoelectronicinformationandreferralsources.E-mentalHealthstrategy

p.17 • TheE-MentalHealthSupportServicewillplayakeyroleinthedevelopmentandexpansionofthee-mentalhealthsector.Itwillhavearangeofresponsibilities,includingbutnotlimitedto:cliniciansupport,includingpromotionofe-mentalhealthservicestohealthprofessionals,andworkforcetrainingincludingsupportforIndigenousmentalhealthworkers


Criteria4.4,p.19 • Implementationguidelines–Publicmentalhealthservicesandprivatehospitals-Theconsumers’healthrecordshouldincludedetailsoftheuseofliaisonstafforotherrelatedserviceproviders.

ROLEOFACCHS/‘SPECIALISEDAREASOFPRACTICE’

ACCHSpreferredproviders

MH&SEWBFr Outcome1.3,p.31 • GivepreferencetofundingACCHSstodelivermentalhealth,suicidepreventionandotherprimaryhealthprogramsandserviceswherefeasible.DrugStrategy PriorityArea1,p.5 • BuildcapacityandcapabilityoftheAODservicesystem,particularlyAboriginalandTorresStraitIslandercommunity-controlledservicesanditsworkforce,aspartofacross-sectoral

approachwiththemainstreamAODservicestoaddressharmfulAODuse.MH&SEWBTeamsinACCHS/expandedprimaryMHcarerole

NATSIHP/IP Strategy1A,p.10

• ACCHOsaresupportedtoprovidehigh-quality,comprehensiveandaccountableservicesthatarelocallyresponsivetoidentifiedAboriginalandTorresStraitIslanderhealthneeds.• Healthneeds(includingmentalhealthandrelatedneeds),workforcecapabilityandcapacityofservicestoaddressthem,havebeensystematicallyassessed:

o Methodologytomaphealthneeds,workforcecapabilityandservicecapacityhasbeendeveloped.Focuswillbetargetedtoareaswithpoorhealthoutcomesandinadequateservices.Systematicassessmentofhealthoutcomes/needs,workforcecapabilityandservicecapacityundertakentoinformthedevelopmentofthecoreservicesmodel,futureworkforcerequirementsandinvestmentandcapacitybuildingpriorities.

o NationalContinuousQualityImprovementFrameworkforAboriginalandTorresStraitIslanderPrimaryHealthCarehasbeenimplementedtosupportthehealthsectortouseclinicaldataforhealthplanningtoimprovehealthpracticeandservicedelivery.

• Fundingmethodologiesthatrespondtoidentifiedhealthandservicecapabilityneeds,andfosterlocalautonomyandpartnerships,havebeendeveloped,implementedandreviewed.

• CoreservicesframeworkforcomprehensiveprimaryhealthcareandaccesstospecialistmedicalcarehasbeendefinedandconsideredbytheMinisterasamatterofpriority. Thismodelwillbeinfluencedby,andwilldirectlyinfluence,theAboriginalandTorresStraitIslanderHealthWorkforceStrategicFramework.

Strategy1C,p.14 • Healthassessments,includingmentalhealth,aremaximisedacrossthelifecycletopromoteearlydetection,managementandclinicalcare.5NMHSPP/IP Action11,

ATSIMHSPSTOR6• ProvideadviceonworkforcedevelopmentinitiativesthatcangrowandsupportanAboriginalandTorresStraitIslanderMHworkforce,incorporateAboriginalandTorresStrait

IslanderHealthworkforcestaffintomultidisciplinaryteams….MH&SEWBFr Outcome1.1,p.28 • GiveprioritysupporttothefurtherdevelopmentofsocialandemotionalwellbeingteamswithinACCHSs[seealsoAppendix3].

Outcome2.2,p.33 • Increasefamily-centricandculturally-safeservicesforfamiliesandcommunities.Outcome3.3,p.38

• SupportACCHSs,GPsandfrontlineservicestodetectpeopleatriskofMHproblemsandmakeappropriatereferrals.• Developasuiteofculturallyadapted,validatedMH&SEWBscreeningtoolsforuseacrossthelifecoursebyACCHSandGPs

Outcome4.1,p.39 • IntegrateMHandotherrelatedareasservicesdeliveredbyACCHSandotherhealthproviders,includingculturalhealers.• ExploreculturallyappropriatelowintensitytreatmentpathwaysthatcanbedeliveredbyACCHS.Complementthesetreatmentoptionsthroughculturallyappropriateself-help

optionsdeliveredthroughthedigitalmentalhealthgateway.Outcome4.2 • EstablishSEWBteamsinAboriginalandTorresStraitIslanderprimaryhealthcareservices(includingACCHS)linkedtoAboriginalandTorresStraitIslanderspecialistMHservices

IAS CultureandCapabilityProgrammep45

• CapableIndigenousorganisationswithstrongleadershipthatareconnectedtotheircommunitiescanfacilitatedeliveryofhighqualityservicesandcommunitydevelopmentinitiativestoIndigenousAustralians.

NATSISPS(SP) Outcome3.2p33 • Integratedservices,includingtargetedandindicatedservicesforfamiliesandindividuals,areavailableinAboriginalandTorresStraitIslanderhealingcentresorothercommunitycentres

Traditionalhealers/specialisedareasofpractice

MH&SEWBFr Outcome1.1,p.29 • Recognisetraditionalhealers,EldersandotherculturalhealersasanessentialpartoftheoverallSEWBandMHareasworkforce.Outcome3.1,p.36

• Accesstotraditionalandcontemporaryhealingpracticeso DevelopculturallyappropriatetreatmentpathwayswithinaSEWBframework.o Supportaccesstotraditionalandcontemporaryhealingpracticesandhealers.o SupporttraditionalandcontemporaryhealingpracticeslikethatoftheNgangkari,culturalhealersandEldersalongsideothermentalhealthandrelatedservices.

Outcome4.1,p.39 • IntegrateMHandotherrelatedareasservicesdeliveredbyACCHSandotherhealthproviders,includingculturalhealers.Outcome5.1

• Ensureaccess[ofpeoplewithseverementalillness]toculturallyandclinicallyappropriatetreatments,includingwithElders,traditionalhealers,culturalhealersandinterpreters.• Developculturallyadaptedassessmentandtreatmentinformationoptionsforthosewithseverementalillnessandtheirfamiliesandcarers.

5NMHSPP Action12.2p34 • increasingknowledgeofSEWBconcepts,improvingtheculturalcompetence…ofmainstreamprovidersandimproveaccesstoculturalhealersGDD Theme1,p.4 • AboriginalandTorresStraitIslanderconceptsofSEWB,MHandhealingshouldberecognisedacrossallpartsoftheAustralianmentalhealthsystem,andinsomecircumstances

supportspecialisedareasofpractice,• Acrosstheirlifespan,AboriginalandTorresStraitIslanderpeoplewithwellbeingormentalhealthproblemsmusthaveaccesstoculturalhealersandhealingmethods.

DrugStrategy Outcome3.2,p.6 • CommunityleadersandElderstakeresponsibilityandaleadingrole,inpartnershipwithgovernment,todesign,deliverandevaluatealcohol,tobaccoandotherdrugsprograms.


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NATSIHP/IP Strategy6D,p.40 • LocalEldersandseniorcommunitymemberschampionculturallyappropriatehealthandwellbeingchoices• Localeldersandseniorcommunitymembersarerecognisedandvaluedasexpertswhocanhelpimprovelocalhealthandwellbeingoutcomes.• WorkforcestrategygivesconsiderationtohowthehealthsectorcanworkcollaborativelywithtraditionalhealersandutilisetheCommunityDevelopmentProgrammeworkforce.

CulturalRF Domain3,p.14 • Culturalknowledge,expertiseandskillsofAboriginalandTorresStraitIslanderhealthprofessionalsarereflectedinhealthservicemodelsandpractice• Organisationidentifiesandremuneratesculturalprofessionals(culturalbrokers,traditionalhealers,etc.)toassistinunderstandinghealthbeliefsandpracticesofAboriginaland

TorresStraitIslanderpeopleNatStandards-MHWorkforce

Standard3-Meetingdiverseneeds,p.14

• Thementalhealthpractitioner:(11)Liaisesandworkscollaborativelywithculturallyandlinguisticallyappropriatecarepartnerssuchasreligiousministers,spiritualleaders,traditionalhealers,localcommunity-basedorganisations,AboriginalandTorresStraitIslanderhealthandMHworkers,healthconsumeradvocates,interpreters,bilingualcounsellorsandotherresourceswhereappropriate

HealingCSA RoyalCommissionCSA

Rec9.2,p.30 • TheAustralianGovernmentandstateandterritorygovernmentsshouldfundAboriginalandTorresStraitIslanderhealingapproachesasanongoing,integralpartofadvocacyandsupportandtherapeutictreatmentservicesystemresponsesforvictimsandsurvivorsofchildsexualabuse.Theseapproachesshouldbeevaluatedinaccordancewithculturallyappropriatemethodologies,tocontributetoevidenceofbestpractice.

HealingFoundation

MH&SEWBFr Outcome2.1,p.33 • ContinuesupportfortheNationalAboriginalandTorresStraitIslanderHealingFoundation(Exampleaction).

LOWINTENSITYSERVICES

GPs MH&SEWBFr Outcome3.3,p.38

• SupportACCHSs,GPsandfrontlineservicestodetectpeopleatriskofMHproblemsandmakeappropriatereferrals.• Developasuiteofculturallyadapted,validatedMH&SEWBscreeningtoolsforuseacrossthelifecoursebyACCHSandGPs

Outcome4.1,p39 • SupportGPsinundertakingassessmentstoensureAboriginalandTorresStraitIslanderpeopleareappropriatelyreferredtoservicesusingMHTreatmentPlans.• EnsureaccesstoGP-prescribedMHmedications.

Focusedpsychstrategies

PHNGuidelines

PsychologicaltherapiesprovidedbyMHpractitionerstounderservicedgroups,p.1

• In2016-17PHNsareexpectedto:o undertakecomprehensiveregionalmentalhealthplanningandidentifypsychologicaltherapyservicegaps;o ensureservicecontinuityforexistingclients(whereclinicallyappropriatetoneeds)inthefirstyear,notingthatthismayinvolvecontinuationofexistingarrangements(e.g.

AccesstoAlliedPsychologicalServices;ATAPS)tominimisedisruptionstoservicesinthefirstyear;o collectdataonprovisionofpsychologicaltherapyservicesforunderservicedgroups;o promoteawarenesswithincommissioningarrangementsoftargetedrecipients,referralpathwaysandserviceparameters;o considerwaystoachievemorecostefficientandtargetedservicedelivery,includingwhereappropriatereferralofindividualstolowintensityservices;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.

• LongertermPHNswillbeexpectedto:o commissionpsychologicaltherapyservicesforpeopleinunderservicedgroupstoaddressidentifiedgapsandreviewaccessbythesegroups;o ensuremostefficientuseofresourcesandhighlevelofservicequality;o developandimplementefficientandtimelyservicepathways;o integratecommissionedserviceswithotherinterventionlevelswithinasteppedcareapproach;o supportgeneralpractitioners(GPs)intheircriticalroleinensuringpeopletobereferredtotherightcareattherighttime;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.

MH&SEWBFramework

Outcome4.2(4) • ExpandaccesstoFocusedPsychologicalStrategiesandMHprofessionalsthroughthepooledmentalhealthfundingavailabletoPHNs,andthroughsupportingaccesstoMBS-subsidisedservices.

Lowintensityservices

PHNGuidelines

Lowintensityservices,p.1

• In2016-17PHNsareexpectedto:o definetargetpopulationgroupsforlowintensitymentalhealthservicesintheirregionalmentalhealthandsuicidepreventionplanning;o commencethedevelopmentofappropriatelowintensitymentalhealthservicemodelsfortheirregion;ando commenceeducatingconsumersandprovidersonlowintensityservices,includingtargetedrecipients,referralpathwaysandserviceparameters.

• LongertermPHNswillbeexpectedto:o commissionlowintensitymentalhealthservicestoimprovethetargetingofpsychologicalinterventionstomostappropriatelysupportpeoplewith,oratriskof,mildmental

illnessaspartofasteppedcareapproachtomentalhealthservicedelivery;ando helptopromotetheDigitalMentalHealthGateway.


• ExploreculturallyappropriatelowintensitytreatmentpathwaysthatcanbedeliveredbyACCHSs.Complementthesetreatmentoptionsthroughculturallyappropriateself-helpoptionsdeliveredthroughthedigitalmentalhealthgateway.

DigitalMHandhelplines

5NMHSPP Action2.6,p.21 • DigitalmentalhealthAction32,p.47 • NationalDigitalMentalHealthFramework

MH&SEWBFR Outcome4.1,p.39 • ExploreculturallyappropriatelowintensitytreatmentpathwaysthatcanbedeliveredbyACCHS.Complementthesetreatmentoptionsthroughculturallyappropriateself-helpoptionsdeliveredthroughthedigitalmentalhealthgateway.

CulturalRF Domain2,p.13 • Technology(e.g.audio-visualandsocialmedia)andelectronichealthtoolsutilisedtodeliverhealthinformationatthetime,intheplace,andinmultipleformatsandlanguagesto


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meetconsumerneeds

MAINSTREAMMHSERVICES

Counteringsystemicracism

NATSIHP/IP • VisionStrategy1B,p.12

• Systemicracismanddiscriminationisbetterunderstood,addressedandprevented• Mainstreamhealthservicesaresupportedtoprovideclinicallycompetent,culturallysafe,accessible,accountableandresponsiveservicestoAboriginalandTorresStraitIslander

peopleinahealthsystemthatisfreeofracismandinequality• Systemleversandaccountabilitymechanismsestablishedforaddressingracismanddiscriminationhavebeendevelopedandtheirimplementationpromoted.

CulturalRF

Domain1,p.12 • OrganisationanditsleadershiprecogniseandacknowledgethatracismanddiscriminationarekeysocialdeterminantsofhealthforAboriginalandTorresStraitIslanderpeople• Policiesandprocessesforidentifyingandreportingracismanddiscriminationinhealthservicesareinplaceandpromotedtoconsumersandhealthstaff• Structuresandmechanismssupportpromptactionbyorganisationswhenracismanddiscriminationisreported,andregularfeedbackonorganisations’strategiestoaddress

racismanddiscriminationisprovidedtoconsumersandhealthstaffGDD Theme1,p.4 • Acrosstheirlifespan,AboriginalandTorresStraitIslanderpeopleshouldhaveaccesstoaffordable,appropriateandculturallysafeandcompetentmentalhealthandsuicide

preventionprograms,servicesandprofessionalswithoutdirectorindirectdiscriminationGovernanceinclusiveofAboriginalandTorresStraitIslanderpeople

NationalStandards–MHServices

Criterion4.2 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.18-TheMHSshouldhavedocumentedevidencetoshow:howtheservice’srelevantcommitteesandworkinggroupsconsultwithandrepresentAboriginalandTorresStraitIslandercommunities

• ImplementationguidelinesforNon-governmentCommunityServices,p.34-Responsesshouldaddressattitudinal,physical,andproceduralbarriers.Evidencethatthiscriterionismetcouldinclude:boardmembershipandstaffingreflectingcommunitydiversity

Physicalsafety


Standard2,p.9 • TheactivitiesandenvironmentoftheMHSaresafeforconsumers,carers,families,visitors,staffanditscommunity

Mainstreamservicesrespondtocommunityneeds

NSQHSStandards Action1.2,p.6 • Thegoverningbodyensuresthattheorganisation’ssafetyandqualityprioritiesaddressthespecifichealthneedsofAboriginalandTorresStraitIslanderpeopleAction1..4,p.6 • Thehealthserviceorganisationimplementsandmonitorsstrategiestomeettheorganisation’ssafetyandqualityprioritiesforAboriginalandTorresStraitIslanderpeople


Criterion4.2 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.18• TheMHSshouldhavedocumentedevidencetoshow:

o theprovisionoftrainingtoallstaff,includingmanagement,onthediversityofneedswithinitscatchmentandonculturallycompetentservicedeliveryo howtheservice’srelevantcommitteesandworkinggroupsconsultwithandrepresentAboriginalandTorresStraitIslandercommunitieso howandwhentheMHSengagesinterpreters.

• Policies,proceduresandworkpracticesthatrecognise,andareresponsiveto,theneedsoftheMHScommunityinclude…identifyingthesocialandculturalcustomsandvaluesofAboriginalandTorresStraitIslanderpeopleinthecommunity

• ImplementationGuidelinesforNon-governmentCommunityServices,p.34• Responsesshouldaddressattitudinal,physical,andproceduralbarriers.Evidencethatthiscriterionismetcouldinclude:

o respectforandresponsivenesstodiversityinservicedeliveryprinciplesandvaluesstatementso documentingthatstaffhavebeentrainedincrossculturalawarenesso documentingtheuseofinterpreterswithconsumersandcarerswhoarenotproficientinEnglishorwhoaredeafo boardmembershipandstaffingreflectingcommunitydiversityo specialistpositionsintheorganisation,forexampleculturallyandlinguisticallydiverseandAboriginalandTorresStraitIslanderliaisonstaff

• ImplementationGuidelinesforPrivateOffice-basedMentalHealthPractices,p.15• TheMHSshouldhavedocumentedevidencetoshow:

o howconsultationandrepresentationofAboriginalandTorresStraitIslandercommunitiesaresoughtwithintheservice’srelevantcommitteesandworkinggroupso howandwhentheMHSengagesinterpreters.

• Policies,proceduresandworkpracticesthatrecogniseandareresponsivetotheneedsoftheMHScommunityinclude:thesocialandculturalcustomsandvaluesofAboriginalandTorresStraitIslanderpeopleidentifiedwithinitscommunity

Consumerfocusedservices


Standard6,p,14 • ConsumershavetherighttocomprehensiveandintegratedMHcarethatmeetstheirindividualneedsandachievesthebestpossibleoutcomeintermsoftheirrecovery.

Criterion6.7,p.14 • ImplementationGuidelinesforPrivateOffice-basedMentalHealthPracticesp.23-Eachconsumerparticipatesfullyinthedevelopmentoftheindividualtreatment,careandrecoveryplan...ForAboriginalandTorresStraitIslanderpeopleinvolvementofcommunityandfamilymaybeessentialinthedevelopmentofsuchplans.

Accessible NationalStandards–MHServices

Criterion10.2.1,p.22 • TheMHSisaccessibletotheindividualandmeetstheneedsofitscommunityinatimelymanner.Criterion10.2.1

• ImplementationGuidelinesforNon-governmentCommunityServices,Serviceprovidersshouldpayparticularattentiontothediversityofitsindividuals:[inc.]AboriginalandTorresStraitIslanderpeople


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Culturalsafetyandcompetenceasclinicalgovernancestandards

NSQHSStandards Action1.33p.12 • ThehealthserviceorganisationdemonstratesawelcomingenvironmentthatrecognisestheimportanceoftheculturalbeliefsandpracticesofAboriginalandTorresStraitIslanderpeople

NSQHSStandards–AboriginalandTorresStraitislanderUserGuide

KeyTask(KT)1.2,p.3 • Thegoverningbodyensuresthattheorganisation’ssafetyandqualityprioritiesaddressthespecifichealthneedsofAboriginalandTorresStraitIslanderpeopleKT1.4,p.3 • Thehealthserviceorganisationimplementsandmonitorsstrategiestomeettheorganisation’ssafetyandqualityprioritiesforAboriginalandTorresStraitIslanderpeopleKT1.21,p.3 • ThehealthserviceorganisationhasstrategiestoimprovetheculturalawarenessandculturalcompetencyoftheworkforcetomeettheneedsofitsAboriginalandTorresStrait

IslanderpatientsKT1.33,p.3 • ThehealthserviceorganisationdemonstratesawelcomingenvironmentthatrecognisestheimportanceofculturalbeliefsandpracticesofAboriginalandTorresStraitIslander

peopleCulturalsafetyinservicedelivery

5NMHSPP/IP Action11,ATSIMHSPSTOR7

• ProvideadviceonmodelsofservicedeliverythatembedculturalcapabilityintoallaspectsofclinicalcareandimplementtheCulturalRespectFrameworkinMHservices

Strategy10,p.14 • OperationalisingtheCulturalRespectFramework…MH&SEWBFr • CulturalsafetyisamajorfocusNATSIHP/IP Strategy1B,p.12 • Indicatorsformeasuringculturalsafety,suchasdischargefromhospitalswithoutmedicaladvice,andeliminationofthedifferentialsinaccesstobestpracticeclinicalcarefor

AboriginalandTorresStraitIslanderpatientsirrespectiveofgeographyandsocioeconomicstatuswillbeconsideredinthepreparationofthedatadevelopmentplan• Guidanceontheprovisionofclinicallycompetentandculturallysafeservices(includingMH)hasbeenprovidedandimplemented.

CulturalRespectFramework

Domain1,p.12 • Organisationalleadershipactivelymodelsculturalsafetyandresponsivenessbystaffatalllevelsandacrosstheorganisation• Formalorganisationalcommitmenttoimprovingculturalsafetyandresponsivenessisvisibleinallaspectsofcorebusiness,includingvisionandmissionstatements,organisational

principlesandvalues,andcontinuousimprovementactivities• Executive-levelresponsibilityforimplementingandmonitoringculturalsafetyandresponsivenessacrosshealthorganisationsandsystemsagainsthealthoutcomes• Recognitionforleadersofculturalsafetyandresponsiveness,highlightingtheiractivityandsharingofbest-practiceinitiativesacrosstheorganisation• Recogniseandcelebratehistoricaleventsofsignificanceandimportantannualevents(e.g.ClosetheGap,MaboDay,etc.)asanormalpartofbusiness• Organisationalpolicytosupportculturallysafeandresponsivepracticeinhealthservicesandsystems,includingparticularsupportfortrainingandprofessionaldevelopment

towardsculturalcapabilities• Procurementpoliciesbindassessmentofproviders,andprovisionofprocuredservices,toculturalsafetystandards• Datacollectioncapacityandmandatedperformanceindicatorstoensureculturalsafetytargetsarebeingachievedandservicedeliveryisimproving• Resourcesandmaterialsprovidedtoinformallstaff,aswellasAboriginalandTorresStraitIslanderpeople,abouttheculturalsafetyandresponsivenessefforts• AdequatefundinginvestmentandresourcingforAboriginalandTorresStraitIslanderculturalsafetyinitiativesandrelatedserviceimprovementsacrossalllevelsofthe

organisationDomain2,p.13

• OrganisationalcommitmentrecognisingdiversityofAboriginalandTorresStraitIslandercommunitiesandconsumers• AllhealthprofessionalshavetheopportunitytoparticipateinAboriginalandTorresStraitIslanderculturaleventstofostergreaterunderstandingofsocialandculturalissuesto

informholisticpractice• OrganisationalresourcescommittedtoregularlyinformingthecommunityaboutculturalsafetyandresponsivenessprogressandinnovationsCulturallysafeandresponsive

environmentsaredeveloped(e.g.specificliterature,artworks,flags,postersanddecor)andphysicalenvironmentdesignedwithconsiderationforAboriginalandTorresStraitIslanderconsumers

Domain3,p.14 • Budgetandresourcestosupportadequateculturalsafetyandresponsivenesstrainingofhealthstaffatalllevels(clinicalandnon-clinical)andacrossalldisciplines,includingongoingprofessionaldevelopment,capacityforself-reflectionandmonitoringofhealthstaffskills

• Healthprofessionalscanidentifytheneedfor,andactivelyseek,advice,assistanceandinputfromAboriginalandTorresstraitIslanderstaffwhoareavailabletoinformculturallyresponsiveserviceprovision

• PartnershipsestablishedwithACCHOstocollaborateandsharebestpracticeinsupportinghealthprofessionalstoprovideculturallysafeandresponsivehealthservicestocommunities

Domain6,p.17

• Organisationsconductinitialandongoingorganisationalassessmentsofculturalsafetyandresponsivenessrelatedactivities,andareencouragedtointegrateculturalandlinguisticresponsivenessrelatedmeasuresintotheirinternalaudits,performanceimprovementprograms,patientsatisfactionassessments,andoutcomesbasedevaluations

NationalStandardsMHworkforce

Standard3 • Thesocial,cultural,linguistic,spiritualandgenderdiversityofpeople,familiesandcarersareactivelyandrespectfullyrespondedtobymentalhealthpractitioners,incorporatingthosedifferencesintotheirpractice.

Culturalcompetence-languagebarriers

CulturalRespectFramework

Domain2,p.13 • Mechanismsandprocessestorespondto,andsupport,thelinguisticdiversityofAboriginalandTorresstraitIslanderconsumers• AboriginalandTorresStraitIslandercultureandlanguagesareconsideredindecision-makingabouthealthcareneeds—includingtheuseofinterpreterandsupportservices—atall

pointsofcontactthroughouttheconsumerjourney,particularlywheninformedconsentisrequired• Healthstaffhaveaccesstoresourcesandtrainingtoguideandsupportculturallysafecommunicationwithhealthconsumers(e.g.interpreters,liaisonofficers,traditionalhealers,

translatedresourcesandhealthinformationpackages)• Communicationpathwaysareestablishedtoshareexamplesofbestpracticehealthliteracyandimprovedcommunicationthroughouthealthservices,settingsandsectors• WorkingwithlocalAboriginalandTorresstraitIslanderpeopleandorganisations,aswellasinterpreter/translationservices,tosupportcommunicationwithAboriginalandTorres

straitIslanderconsumerstoprovidemoreeffectiveandqualityhealthcare,whileimprovingaccessandpathwaysofcarebetweenorganisationsandmainstreamservices


22

MH&SEWBFr Outcome3.3,p.38 • Supportaccesstoculturalliaisonofficersandlanguageinterpreters(Seealso4.2.6/4.3.4)NationalStandards-MHWorkforce

Standard3,p.14 • TheMHpractitioner:10.Communicateseffectivelywiththepersonand,whererelevant,withfamilymembersand/orcarersthroughtheassistanceofAboriginalandTorresstraitIslanderhealthand/orMHprofessionals,interpreterservicesandbilingualcounsellors11.Liaisesandworkscollaborativelywithculturallyandlinguisticallyappropriatecarepartnerssuchasreligiousministers,spiritualleaders,traditionalhealers,localcommunity-basedorganisations,AboriginalandTorresstraitIslanderhealthandMHworkers,healthconsumeradvocates,interpreters,bilingualcounsellorsandotherresourceswhereappropriate

Standard4 • TheMHpractitioner:UsesculturallysensitivelanguageandpreferredterminologyinlinewithcurrentpolicydirectivesNationalStandards–MHServices

Criterion4.2 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.18TheMHSshouldhavedocumentedevidencetoshow:howandwhentheMHSengagesinterpreters.

• ImplementationGuidelinesforNon-governmentCommunityServices,p.34.Responsesshouldaddressattitudinal,physical,andproceduralbarriers.Evidencethatthiscriterionismetcouldinclude:documentingtheuseofinterpreterswithconsumersandcarerswhoarenotproficientinEnglishorwhoaredeaf

• ImplementationGuidelinesforPrivateOffice-basedMentalHealthPractices.p.15TheMHSshouldhavedocumentedevidencetoshow:howandwhentheMHSengagesinterpreters.

Criterion4.4 • TheMHShasdemonstratedknowledgeofandengagementwithotherserviceprovidersororganisationswithdiversityexpertise/programsrelevanttotheuniqueneedsofitscommunity.

• ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.19.TheMHSneedstodemonstratethatithaspoliciesandproceduresthatallowaccesstoprofessionalservices—suchasinterpreters,AboriginalandTorresstraitIslanderhealthworkers,(etc)…TheMHSneedstoshowhowandwhenitwillengageinterpretersorbilingualworkerstofacilitateculturallyappropriateassessment,diagnosisandtreatment.

• ImplementationGuidelinesforPrivateOffice-basedMentalHealthPractices.p.16.Theuseofinterpretersorbilingualworkersneedstobecoordinatedinconsultationwiththeconsumerandcarertoensureitisculturallysensitive.

• ImplementationguidelinesforNon-governmentCommunityServicesp.35.Staffshouldknowhowtoaccessspecialistservicessuchasinterpreters(includingAuslaninterpreters),and…AboriginalandTorresstraitIslanderhealthworkers.

Hearingloss NationalMHServiceStandards

Criterion4.4 • ImplementationguidelinesforNon-governmentCommunityServices,p.35.Staffshouldknowhowtoaccessspecialistservicessuchasinterpreters(includingAuslaninterpreters),and…AboriginalandTorresStraitIslanderhealthworkers.

Criterion4.2,p34 • Responsesshouldaddressattitudinal,physical,andproceduralbarriers.Evidencethatthiscriterionismetcouldinclude:documentingtheuseofinterpreterswithconsumersandcarerswhoarenotproficientinEnglishorwhoaredeaf

Culturalcompetence-general

5MHSPP/IP Action12.2,p.34 • increasingknowledgeofSEWBconcepts,improvingtheculturalcompetence…ofmainstreamproviders MH&SEWBFr Outcome1.1,p.29 • RequireculturalcompetenceofgeneralpractitionersandothermedicalpractitionersinordertoworkeffectivelywithAboriginalandTorresStraitIslanderpeoplewithMH

problemsandmentalillness.Outcome4.2,p.40 • Culturallyandclinicallyappropriatespecialistmentalhealthcareisavailableaccordingtoneed

• IncorporateculturalcompetencyintheprofessionalstandardsandresponsibilitiesofmentalhealthprofessionswithinaSEWBframework.NATSIHP/IP Strategy1B,p.12 • Mainstreamhealthservicesaresupportedtoprovideclinicallycompetent,culturallysafe,accessible,accountableandresponsiveservicestoAboriginalandTorresStraitIslander

peoplesinahealthsystemthatisfreeofracismandinequality.• Guidanceontheprovisionofclinicallycompetentandculturallysafeservices(includingMH)hasbeenprovidedandimplemented.

CulturalRF Domain3,p.14 • Budgetandresourcestosupportadequateculturalsafetyandresponsivenesstrainingofhealthstaffatalllevels(clinicalandnon-clinical)andacrossalldisciplines,includingongoingprofessionaldevelopment,capacityforself-reflectionandmonitoringofhealthstaffskills

Domain4p15 • Designanddeliveryoforganisationalperformancemeasurementandevaluationofservicesincludingorganisationalself-assessmentsofculturalcompetencyactivitiesinvolvesAboriginalandTorresstraitIslanderhealthconsumers

• AboriginalandTorresstraitIslanderconsumersareengagedinperformancemeasurementandevaluationofhealthservicesthroughaccessible,culturallyresponsiveandsafeprocesses

NationalStandards-MHWorkforce

Standard4,p.14

• ByworkingwithAboriginalandTorresStraitIslanderpeoples,familiesandcommunities,MHpractitionersactivelyandrespectfullyreducebarrierstoaccess,provideculturallysecuresystemsofcare,andimproveSEWB.

• TheMHpractitioner:o DevelopsanunderstandingofAboriginalandTorresStraitIslanderhistory,andparticularlytheimpactofcolonisationonpresentdaygrief,lossandtraumaandits

complexityo Communicatesinaculturallysensitiveandrespectfulway,beingawareofpotentialmistrustofgovernmentandotherserviceprovidersasaresultofpasthistoryo Implementsculturallyspecificpracticesasdescribedinrelevantnational,stateandlocalguidelines,policiesandframeworksthatpertaintoworkingwithAboriginaland

TorresStraitIslanderRespectfullycollectsandrecordsinformationidentifyingAboriginalandTorresStraitIslanderstatusinlinewithcurrentpolicydirectiveso WorksincollaborationwithAboriginalandTorresStraitIslanderculturaladvisorswhereappropriateregardingappropriatecareandengagesmeaningfullytodevelop

culturallyappropriatecareincollaborationwiththesesupportnetworkso SeekstounderstandandworkwithinlocalculturalprotocolsandkinshipstructuresofAboriginalandTorresStraitIslandercommunitieso RespectfullyfollowsIndigenousprotocolsincommunitycontexts,suchastheprocessofvouchinginwhichoneorsomeofthecommunitymembersattesttotheperson

wishingtoenterthecommunity


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NatStandards-MHservices

Standard4,p.12 • 4.1-TheMHSidentifiesthediversegroups…(inc.)AboriginalandTorresStraitIslanderpeople...thataccesstheservice.• 4.2-TheMHSwheneverpossibleutilisesavailableandreliabledataonidentifieddiversegroupstodocumentandregularlyreviewtheneedsofitscommunityandcommunicates

thisinformationtostaff.• 4.3-Planningandserviceimplementationensuresdifferencesandvaluesofitscommunityarerecognisedandincorporatedasrequired.• 4.4-TheMHShasdemonstratedknowledgeofandengagementwithotherserviceprovidersororganisationswithdiversityexpertise/programsrelevanttotheuniqueneedsofits

community.• 4.5-Staffaretrainedtoaccessinformationandresourcestoprovideservicesthatareappropriatetothediverseneedsofitsconsumers.


Criterion4.3 AboriginalandTorresStraitIslander.20.• TheMHSneedstodemonstratethatstaffcanaccessculturalcompetencytraininginMH,andprovidestatisticsonthepercentageofstaffwhoannuallyattendthistraining.• TheMHS,whereavailableandappropriate,shouldintegratetheuseof…AboriginalandTorresStraitIslanderliaisonstaffintoservicedelivery.• TheMHSshouldappointculturalguidesappropriatetotheircommunitiesandwhoareaccessibletoallstaffmembers.• Evidenceincludes

o evidenceofpartnershipswiththeAboriginalandTorresStraitIslandercommunityo servicelevelagreementswithotherproviderssuchasAboriginalandTorresStraitIslandermedicalservices,divisionsofgeneralpracticeorRoyalFlyingDoctorServiceo developmentofmeasuresforculturalcompetencyofstaffo externalmonitoringofnon-discriminatorypracticebycarersandconsumersandAboriginalandTorresStraitIslandercommunitygroups.

• ImplementationGuidelinesforPrivateOffice-basedMentalHealthPractices.p17.TheMHSneedstodemonstratethatstaffareabletoaccessculturalcompetencytraininginMH

andprovidedocumentationshowingthepercentageofstaffwhoannuallyattendthistraining.TheMHS,whenitisappropriate,shouldintegratetheuseofavailableculturallyandlinguisticallydiverseAboriginalandTorresStraitIslanderliaisonstaffintoservicedelivery.

Proactivelyaddressesracismetc


Standard4.6,p.12

• TheMHSaddressesissuesassociatedwithprejudice,biasanddiscriminationinregardstoitsownstafftoensurenon-discriminatorypracticesandequitableaccesstoservices.

Traumainformedcare

5NMHSPP Action12.4.p.34 TrainingallstaffdeliveringMHservicestoAboriginalandTorresstraitIslanderpeoples,particularlythoseinforensicsettings,intrauma-informedcare…

SERVICERESPONSETOSEVEREMENTALILLNESS

Rights NatStandards–MHServices

Standard1,p.7 • Therightsandresponsibilitiesofpeopleaffectedbymentalhealthproblemsand/ormentalillnessareupheldbytheMHSandaredocumented,prominentlydisplayed,appliedandpromotedthroughoutallphasesofcare.


• ThatthehumanrightsofAboriginalandTorresStraitIslanderpeoplelivingwithseverementalillnessarerespected• AboriginalandTorresstraitIslanderpeoplelivingwithseverementalillnessareentitledtoprotectionsaspeoplewithmentalillnessasprovidedbythe1991UnitedNations’

PrinciplesfortheProtectionofPersonswithMentalIllnessandfortheImprovementofMentalHealthCare;the2006UnitedNationsConventionontheRightsofPersonswithDisabilities;andequalprotectionunderthe2012MentalHealthStatementofRightsandResponsibilitiesofAustralia’sNationalMentalHealthStrategy.

MentalHealthStrategy

• SeeMentalHealthStatementofRightsandResponsibilities

Entryprocedures

NatStandards–MHServices

Criterion10.3.1,p.54

• ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.54TheentryprocesstotheMHSmeetstheneedsofitscommunityandfacilitatestimelinessofentryandongoingassessment...TheMHSshouldhaveadocumentedentrypolicyandprocedurewhichincludesbutisnotlimitedto:ensuringtheneedsofAboriginalandTorresStraitIslanderpersons…areaddressedintheentryprocess&theuseofinterpreters

Treatment MH&SEWBFr Outcome5.1p425.1

• Ensureaccesstoculturallyandclinicallyappropriatetreatments,includingwithElders,traditionalhealers,culturalhealersandinterpreters.• Developculturallyadaptedassessmentandtreatmentinformationoptionsforthosewithseverementalillnessandtheirfamiliesandcarers.


Standard10.5,p.26 • TheMHSprovidesaccesstoarangeofevidencebasedtreatmentsandfacilitatesaccesstorehabilitationandsupportprogramswhichaddressthespecificneedsofconsumersandpromotestheirrecovery

Criterion10.5.2,p.26

• TreatmentandservicesprovidedbytheMHSareresponsivetothechangingneedsofconsumersduringtheirepisodesofcarethataddressacuteneeds,promoterehabilitationandsupportrecovery.

• ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.61.TreatmentoptionsneedtoaddressAboriginalandTorresStraitIslanderpersons…Inruralandremotesettingspractitionersmustensureprocessesforfrequentmonitoring(throughprimarycareorwellbeingservices)toidentifyandrespondtoAboriginalandTorresStraitIslanderconsumerneeds.

• ImplementationguidelinesforNon-governmentCommunityServices,p.79.ServiceoptionsneedtoaddressAboriginalandTorresStraitIslanderpersons,Evidencethatthiscriterionismetcouldinclude:havingspecialistpositionsintheorganisation,forexample…AboriginalandTorresStraitIslanderliaisonstaff

Supportedaccomm.


Criterion10.5.16 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.66.MHservicesoperatinginareaswithsignificantAboriginalandTorresStraitIslanderpopulationsshouldensurethatsupportedandtransitionalaccommodationoptionsappropriatetoIndigenousconsumersareavailable.Thisincludesflexibleoptionsinregionalcentresclosetospecialistandtertiaryservices,whichareconnectedwithin-communityoptions.


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MH&SEWBFr Outcome5.1p.42 • EnsuretheSEWBofAboriginalandTorresStraitIslanderpeoplewithseverementalillnessissupported,includingwithinpsychiatrichospitalsandinsupportedaccommodationfacilities.

Continuityofcare


Criterion10.5.9 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p64.BecauseoftheburdenofsocialadversityandcomorbidityinsomeAboriginalandTorresStraitIslandercommunities,diverseagenciesandorganisationsareinvolvedinongoingcare.TheMHSshouldensurecoordinationandcommunicationacrosstheservicesandsectors.

Exitprocedures


Criterion2.11 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.12.Thereshouldbearegularriskassessmentofconsumers...Consumersareatgreatestriskintimesoftransitionbetweensettingsortransferofcare…JointriskassessmentsbetweentheMHS,non-governmentorganisations,localcommunitiesandprimaryhealthservicesorAboriginalandTorresStraitIslandermedicalservicesareoftenappropriatewhenresponsibilityforcareisbeingtransferredorjointlymanaged.

Criterion10.6

• ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.68.Theintentofthiscriterionistoensurethatmentalhealthservices(MHS)havepolicyandproceduresonhowtoassistconsumerswhentheyexittheserviceandthatconsumersareprovidedwithsufficientinformationonhowtore-entertheserviceif/and/orwhenrequired…Theconsumer’sexitfrom,follow-upandre-entrytotheserviceisthejointresponsibilityoftheprivatementalhealthservice,theprivatepsychiatristandthegeneralpractitioner...Inruralandremotesettingsthisresponsibilitydemandsinvolvementofthementalhealthservice,theprimarycareserviceorAboriginalandTorresStraitIslandercommunitycontrolledorganisation,andotherrelevantproviders.Thismayincludegeneralpractitioners.

SelfmanagmtMHconditions


Criterion10.5.13 • TheMHSmustensurethataccesstoappropriateprogramsisavailableandthatthisisinsettingswhereconsumersarenotisolated.ThisisparticularlyrelevantforruralandremoteAboriginalandTorresStraitIslanderpopulations.Thismayrequirethatcarersarepresentorabletovisit,oradditionalresourcesmayberequiredforAboriginalandTorresStraitIslanderconsumerstomaintaincommunitycontact.

Recovery&rehab.

RecoveryFr Capability2Bp.49 • Recovery-orientedpracticeandservicedeliverywithAboriginalandTorresStraitIslanderpeoplemustrecognisetheresilience,strengthsandcreativityofAboriginalandTorresStraitIslanderpeople,understandIndigenousculturalperspectives,acknowledgecollectiveexperiencesofracismanddisempowerment,andunderstandthelegacyofcolonisationandpoliciesthatseparatedpeoplefromtheirfamilies,culture,languageandland.More-seepp49&33

MH&SEWBFr Outcome5.2p31

• AboriginalandTorresStraitIslanderpeopleinrecoveryareabletoaccesssupportservicesinanequitableway,accordingtoneed,withinSEWBframework.Strategies:o Assistyoungpeopleupwithmentalillnesstomeettheireducationaland/orvocationalgoalsandmaintainfriendshipnetworks.o Supportadultsinrecoverytomaintainemploymentandfamilyresponsibilities.o SupportculturallyappropriaterehabilitationforAboriginalandTorresStraitIslanderpeoplewithseverementalillness.o EnsurerecoveryisfacilitatedwithinaSEWBframework.o Supportpeoplewithmentalillness,theirfamiliesandcarerstoliveincommunitiesincludingthroughcommunitymentalhealthsupportprograms.


Standard10,p.21

• TheMHSincorporatesrecoveryprinciplesintoservicedelivery,cultureandpracticeprovidingconsumerswithaccessandreferraltoarangeofprogramsthatwillsupportsustainablerecovery.

Criterion10.1.3

• ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.47.ItisimportantthatpractitionersworkinginAboriginalandTorresStraitIslandersettingsknowhowtoaccessappropriateinformationandidentifyconsumers’strengthsandabilities

Criterion10.1.4

• (Asabove)p.48.Autonomyshouldbeunderstoodinasocialandculturalcontext,particularlyforIndigenousconsumersandcarers.ServicesandpractitionersshouldhaveaccesstotrainingresourceswhichexploreautonomyincontextsappropriatetoAboriginalandTorresStraitIslanderpeopleandsuggestwaystosupportthisinlocalpractice

Criterion10.1.5 • (Asabove)p.48.ExamplesofstrategiesthattheMHScanusetopromotetherightsofindividualswithmentalillnesstosocialinclusionandcitizenshipinclude:ensuringpractitionersknowabout,andcanengagewith,relevantwork,recreationalandfamily-focusedagenciesandactivitiesinAboriginalandTorresStraitIslandersettings,includingbothconventionalandtraditionalactivitiesandpractices.

Criterion10.1.9 • (Asabove)p.50.TheMHSshouldbeawareofcommunityservicesthatmaysupportconsumers.Thesecouldinclude:AboriginalandTorresStraitIslanderservicesgroupsChildren&youngpeople

MH&SEWBFr Outcome1.3,p.31 • Childrenandyoungpeoplewithoratriskofmentalillness(prioritygroup).Outcome4.1,p.39

• Integrateclinicalandnon-clinicalserviceswhoworkwithchildrenandyoungpeopleincludingchildandadolescentmentalhealthservicesandheadspacetobettersupporttheirneedsandreducesuicide.

Outcome5.2,p.43 • Assistyoungpeopleupwithmentalillnesstomeettheireducationaland/orvocationalgoalsandmaintainfriendshipnetworks.PHNGuidelines

ChildandYouthMHServices,p.1

• In2016-17PHNsareexpectedto:o maintainservicedeliverywithinheadspacecentres,inlinewiththeexistingheadspaceservicedeliverymodel;o improvetheintegrationofheadspacecentreswithbroaderprimarymentalhealthcareservices;physicalhealthservices;drugandalcoholservices;andsocialandvocational

supportservices;o commencethedevelopmentanddeliveryofevidence-basedearlyinterventionservicesforyoungpeoplewith,oratriskof,severementalillness;o supportservicecontinuityforchildrenandyoungpeopleformerlyprovidedunderATAPSandothermentalhealthprograms;o liaisewithrelevantlocalorganisationsinthecontextoffutureregionalplanning,includingthosedeliveringFamilyMentalHealthSupportServices(FMHSS),earlychildhood

services,schoolsandtertiaryandvocationalproviders;ando whererelevant,supporttransitionarrangementsassociatedwithservicesformerlyfundedundertheEarlyPsychosisYouthServicesprogram.

• Longerterm,PHNswillbeexpectedto:o supportthebroaderrolloutofevidence-basedearlyinterventionservicesforchildrenandyoungpeoplewith,oratriskof,severementalillness;o promoteresourcesforclinicalandnon-clinicalprofessionalsavailableunderthenewchildmentalhealthworkforceinitiative;o promotelocalpartnershipsbetweenprimarymentalhealthcareservicesandtheeducationsector;and


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o workwithLHNs,CAMHS,AMHS,FMHSSsandotherregionalorganisationstoensureappropriatepathwaysforreferralandsupportareavailableforchildrenandyoungpeoplewithoratriskofmentalillnessinthecontextofimplementationofregionalmentalhealthandsuicidepreventionplans.

NDIS/psychosocialdisability

5NMHSPP Action6 • PsychosocialsupportthroughtheNDIS/thosenotqualifyforNDISNATSIHP/IP Strategy1C,p.14 • AboriginalandTorresStraitIslanderwithadisabilityandtheirfamiliesandcarershaveaccesstocommunity-baseddisabilityandrespitecareservices.

• Deliverablesby2018:ImplementationoftheNDISMH&SEWBFr Outcome1.3,p.31 • Peoplewithseverementalillness,includingbytheNDIS(prioritygroup). Outcome5.3,p.44 • AboriginalandTorresStraitIslanderlivingwithpsychosocialdisabilityareabletoaccesstheNDISandothersupportservicesinanequitableway,accordingtoneed,andwithina

SEWBframework• EnsurethattheNDIShasAboriginalandTorresStraitIslanderpeopleasaprioritygroupandthatprovidersarecapableofworkinginaculturallycompetentmannerandwithina

SEWBframework.Whereappropriateservicesdonotexist,supportAboriginalandTorresStraitIslanderbusinessestoprovidetheservices.• DeterminehowtheSEWBofpeoplewithapsychosocialdisabilitycanbesupported.

Carers MH&SEWBFr Outcome2.4,p.35 • SupporttheMH&SEWBofvulnerablechildrenincludingthosewithdisabilitiesandthoseincarerroles.Outcome5.1,p.42 • Developculturallyadaptedassessmentandtreatmentinformationoptionsforthosewithseverementalillnessandtheirfamiliesandcarers.Outcome5.2,p.43 • Supportpeoplewithmentalillness,theirfamiliesandcarerstoliveincommunitiesincludingthroughcommunitymentalhealthsupportprograms.Outcome5.3,p.44 • EnsurethatcarerrespiteandothersupportprogramshaveAboriginalandTorresStraitIslandercarersasaprioritygroupandthattheyhavereachintocommunities.


Standard7,p.16 • TheMHSrecognises,respects,valuesandsupportstheimportanceofcarerstothewellbeing,treatment,andrecoveryofpeoplewithamentalillness.Criterion7.1 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.31Identificationofcarers

• ImplementationGuidelinesforPrivateOfficebasedMentalHealthPractices,pp.26-27.o ConsiderationoftheroleoftheextendedfamilyandofthegreatercommunitymustalsobetakenintoaccountwhenworkingwithAboriginalandTorresStraitIslander

people…o CultureandthesocialbehavioursinfluenceAboriginalandTorresStraitIslanderpeoples’decisionsaboutwhenandwhytheyseekservices.Thisincludesacceptanceor

rejectionoftreatmentandthelikelihoodofadherencetotreatmentandfollow-up,thelikelysuccessofpreventionandhealthpromotionstrategies,theconsumer’sassessmentofthequalityofcareandtheirviewsaboutthehealthserviceanditsstaff.HelpfromAboriginalhealthworkersandcultural‘guides’isvitalinestablishingmeaningfulcontactwithfamiliesinruralandremotecommunities.

o AmongAboriginalandTorresStraitIslandercarerscanincludeindividualmembersofafamilywhomaynotnecessarilybebloodrelativesandskingroupsandcanembraceentirecommunities.Adifferentdefinitionof‘carer’applies.Identificationofcarerscanthereforebedifficultandflexibilityinrecordingcarerinformationhastobeapplied.

Criterion7.2,p.16 • TheMHSimplementsandmaintainsongoingengagementwithcarersaspartnersinthedeliveryofcareassoonaspossibleinallepisodesofcare.Criterion7.5,p.16 • TheMHSconsiderstheneedsofcarersinrelationtoAboriginalandTorresStraitIslanderpeopleCriterion7.14 • ImplementationGuidelines–PublicMentalHealthServicesandPrivateHospitals,p.35.InvolvingAboriginalandTorresStraitIslandercarersinthedeliveryofmentalMHhelpsa

servicelearnaboutwhatAboriginalpeoplevalueandhowstaffandcarerscanworkwiththesevaluestoachievebetterservicesforclients.ExamplesofhowtoensureAboriginalandTorresStraitIslanderpeopleareinvolvedascarersinclude:o providingfinancialandotherpracticalassistancetoattendo holdingmeetingso ensuringparticipationininterviewpanelso reviewingdraftpolicieso providinginputatorientationprogramso participatinginserviceplanningdayso participatinginanonymousreviewsofcomplaints.

• ItmaybenecessarytoactivelyreachouttocommunitiestoinvolveAboriginalandTorresStraitIslandercarerswholiveinruralandremoteAustralia.Thisengagementwithruralandremotecommunitieswillultimatelybeproductive.

• ImplementationGuidelinesforPrivateOfficebasedMentalHealthPractices,p.28.TheorganisationanddeliveryofMHSmustoccurwithinaframeworkthatsensitivelyunitesATSIculturalrights,viewsandvaluesandthescienceofhumanservices.KnowledgeofwhatAboriginalandTorresStraitIslanderpeoplevalueandhowMHSstaffandcarerscanworkwiththesevaluestoachievebetterservicesforclientswillbehelpedbyhavingAboriginalandTorresStraitIslandercarersparticipate.

RoleofPHNs PHNGuidelines

PrimaryMHCareServicesforpeoplewithseverementalillnessSevereMentalIllness,p.1

• In2016-17PHNsareexpectedto:o commencethedevelopmentanddeliveryofservicesforyoungpeoplewith,atoratriskof,severementalillness;o commissionmentalhealthnursingservicestosupportclinicalcarecoordinationforpeoplewithseverementalillness,ensuringservicecontinuitytoexistingMHNIPclientsand

developingnewservicesinthoseareaswithallocatedgrowth;o encourageGPsandotherregionalproviderstoaddressthephysicalhealthinequitiesofindividualswithseverementalillnesswithintheregion;o promotethebetterintegrationofprimarycareserviceswithcommunitybasedprivatepsychiatryservicesandstatementalhealthservicesforpeoplewithseveremental

illnessinthecontextofthedevelopmentofregionalMentalHealthandSuicidePreventionPlans;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.Inaddition,asmallnumberoflead

PHNshavebeeninvitedtotrialmodelsofinnovativefundingtosupportclinicalcarepackagesforindividualswithsevereandcomplexmentalillness.


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• LongertermPHNswillbeexpectedto:o informedbythelessonsfromPHNleadsites,developandcommissionclinicalmentalhealthservicestosupporttheneedsofpeoplewithsevereandcomplexmentalillness

whoarebestmanagedinprimaryhealthcare;o promotetheuseofasinglemultiagencycareplanforpeoplewithsevereandcomplexmentalillness,tohelplinkprovidersacrossmultipleservicesinvolvedinanindividual’s

careandtopromoteamedicalhomeapproach;o engagewiththeprivatementalhealthcaresectortoensurelinksareinplacewithprivatehospitalsandpsychologicalservicestosupportcarecoordination;ando ensurereferralpathwaysareinplacetoenableandsupportpatientstoseamlesslytransitionbetweenservicesastheirneedschange.

PART2:SUICIDEPREVENTION(somerepetitionfromabove)

SYSTEMARCHITECTURE

Nationalapproach

NATSISPS Outcome4.1,p.38

• Multi-sectoralcoordinationofSPisestablishedandsustainedacrosslevelsandsectorsofgovernmentinjurisdictions,regionsandcommunitiesIdentifypriorityareasforhorizontalandverticalalignmentofSPactivityatCommonwealthandstatelevels

• (ii)Developajointactionplanacrosslevelsandsectorsofgovernmentforthe[NATSISPS]• (iii)Developstrategiesforalignmentbetweenkeypolicyframeworksrelatingtoalcohol,MH,ClosingtheGap,AboriginalandTorresStraitIslanderearlychildhoodandAboriginal

andTorresStraitIslandereducationNATSIHP/IP Strategy1D,p.16 • AustGovtMH&SEWB,AOD,andSPstrategieshavebeencoordinated.5NMHSPP/IP Action4(imp)p.11 • SuicidePreventionSubcommittee(i.e.Actionii)willleadthedevelopmentoftheNationalSPImplementationStrategy.Thiswillincludeafocuson…“11elements”(below).

Action11,ATSIMHSPSTOR1

• ToadviseonanationallyagreedapproachtosuicidepreventionforAboriginalandTorresStraitIslanderpeoplesforinclusioninthenewNationalSPImplementationStrategy

CulturalRF Domain5,p.16 • Jointhealthandnon-healthpolicies,programsandservicesatcommunity,stateandnationallevelstoaddressthebroadersocialdeterminantsimpactingonhealthNationalSurveillance

NATSISPS Outcome1.4 • Highlevelsofsuicideandself-harmincommunitiesareidentifiedandmonitoredtofacilitateaplannedresponse.• (i)Standardisedmethodsforassessmentandrecordingofsuicidalbehaviourandself-harmarereviewedforadoptionbyprimaryhealthcareandspecialistmentalhealthservices• (ii)Primaryhealthcareandcommunityservicesimplementprotocolsformentalhealthassessmentandrecordingdataonself-harm

5NMHSPP p.24,11elementsnewNationalSPImplementationStrategy

• Surveillance

ATSISPEPCRP Rec. • RealtimesuicidedataRegionalfocus/PHNs

NATSISPS Outcome4.2,p.38 • ThereisdevelopmentofgovernanceandinfrastructuretoandcapacityforplanningtosupportregionalandlocalcoordinationofSuicideprevention• (i)InvestigatefeasibilityofapproachestoregionalcoordinationofSPincluding,butnotlimitedto,rolesofkeygovernmentagenciesandpartners• (ii)IdentifymodelsforgovernancetosupportinteragencyapproachestocoordinatedSP• (iii)Developdata,informationandresourcestosupportregionallevelplanningandcoordinationofstrategies• (iv)Examinemodelsforpoolingoffundstosupportcoordinatedapproachestoprevention

NATSIHP/IP Strategy1D,p16 • Improvedregionalplanningandcoordinationofhealthcareservicesacrosssectorsandproviders.5NMHSPP Action10,p.33 • RegionalplanstoconnectculturallyinformedAboriginalandTorresStraitIslanderSPandpostventionserviceslocallyMH&SEWBFr Outcome4.3,p.41 • CoordinateandintegrateMH&SEWBsubstancemisuse,SPandsocialhealthservicesandprogramstoensureclientsexperienceseamlesstransitionsbetweenthemPHNGuidelines RegionalApproach

toSuicidePreventionp.1

• In2016-17PHNsareexpectedto:o undertakeplanningofcommunity-basedsuicidepreventionactivity,throughamoreintegratedandsystems-basedapproachinpartnershipwithLocalHospitalNetworks

(LHNs)andotherlocalorganisations;o commencecommissioningofcommunity-basedsuicidepreventionactivitieswithinthecontextofthisplan;ando undertakeplanningandcommissioningofcommunity-basedsuicidepreventionactivitiesforAboriginalandTorresStraitIslanderpeoplethatareintegratedwithdrugand

alcoholservices,mentalhealthservicesandsocialandemotionalwellbeingservices.• LongertermPHNswillbeexpectedto:

o ensurethereisagreementwithintheregion,includingwithLHNs,abouttheneedtosupportperson-centredfollow-upcaretoindividualswhohaveself-harmedorattemptedsuicide,andthatthereisnoambiguityintheresponsibilityforprovisionofthiscare;

o continuecommissioningofcommunity-basedsuicidepreventionactivities,includingforAboriginalandTorresStraitIslanderpeople;ando buildthecapacityofprimarycareservicestosupportpeopleatriskofsuicide.

Empoweringcommunitiestorespondtosuicide

NATSISPS Outcome1.1,p.28 • Communitieshavethecapacitytoinitiate,plan,leadandsustainstrategiestopromotecommunityawarenessandtodevelopandimplementcommunitysuicidepreventionplans(ii)Developinformationandresourceguidesforcoordinatingcommunityactiontopreventsuicide

Outcome1.5,p.28 • Communitiesareassistedtoplanandimplementacomprehensiveresponsetosuicideandself-harmthatincludesbothshort–termandlong-termearlyinterventionandpreventionactivity.


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ATSISPEPSTW p.3(Table) • Communityempowerment,development,ownership*• Community-specificresponses*

Lifespan-9SystemsApproachStrategies

• Engagingthecommunityandprovidingopportunitiestobepartofthechange

Integratedservices

• Seealsointegrationinthecontextofmentalhealthservicesabove5NMHSPP/IP Action4 • Toadviseonimprovingrelationshipsbetweenprovidersincludingemergencyservices(SuicidePreventionSubcommitteepriorityfocus)NATSISPS Outcome3.2 • Buildinter-sectoralandprofessionallinkstosupportintegratedservices

• Integratedservices,includingtargetedandindicatedservicesforfamiliesandindividuals,areavailableinAboriginalandTorresStraitIslanderhealingcentresorothercommunitycentres

• Developanddisseminatemodelsforservicesthatcombinespecifictargetedandindicatedservicesincentresprovidingintegratedwellbeingservices• Strengthenthefocusonearlyinterventionandsuicidepreventionwithinintegratedservices• Buildinter-sectoralandprofessionallinkstosupportintegratedservices

Outcome4.2 • Coordinatedsuicidepreventionstrategiesaresupportedbyimprovedcommunitysectorcapacity,basedonpartnershipsbetweenservices,agenciesandcommunities• Thereisdevelopmentofgovernanceandinfrastructuretoandcapacityforplanningtosupportregionalandlocalcoordinationofsuicideprevention• Identifymodelsforgovernancetosupportinteragencyapproachestocoordinatedsuicideprevention• Examinemodelsforpoolingoffundstosupportcoordinatedapproachestoprevention

Outcome4.3

• Thereareagreementstosupportcollaborativeapproachestojointcasemanagementtoensurecontinuityofservicesandsupportsforhigherriskclients• Pilotandevaluatespecificmultidisciplinaryapproachestoserviceprovisionforvulnerableindividualsandfamilies• Investigatefeasibilityofspecificmemorandaofunderstandingtoenablejointapproachestocasemanagement• ClarifyagencyresponsibilitiesforinteragencycoordinationofcareforhighriskAboriginalandTorresStraitIslanderclientsandfamilies

ATSISPEPSTW p.3 • Cross-agencycollaborationWorkforce MH&SEWBFr Outcome4.2,p.40 • Culturallyandclinicallyappropriatespecialistmentalhealthcareisavailableaccordingtoneed

• EnsuretherequiredmixandlevelofspecialistMHservicesandworkers,paraprofessionalsandprofessionalsrequiredtomeettheMHneedsoftheAboriginalandTorresStraitIslanderpeople,includingspecialistSPservicesforpeopleatriskofsuicide

NATSISPS Outcome4.4,p.38 • (ii)Establishpartnershipsbetweengovernmentsandthecommunitysectortodevelopandtrainthepreventionworkforceacrosshealth,educationandcommunityservicesPartnershipwithACCHSs

NATSISPS Outcome3.4,p.35 • TherearelinksandpartnershipsbetweenmainstreamspecialistmentalhealthandwellbeingservicesandAboriginalandTorresStraitIslanderwellbeingservicesandcommunityorganisations

• (i)IdentifyopportunitiesforcomplementaryserviceprovisionarrangementsandreferrallinkagesbetweenmainstreamservicesandAboriginalandTorresStraitIslandercommunityservicestocoordinatetheprovisionoftargetedpreventiveservices

• (ii)DeveloplocalpartnershipsbetweenexistingservicessuchasheadspacecentresandATSIcommunitySEWBservicesOutcome4.4,p.38 • CoordinatedSPstrategiesaresupportedbyimprovedcommunitysectorcapacity,basedonpartnershipsbetweenservices,agenciesandcommunities

• (i)BuildthecapacityofAboriginalandTorresStraitIslanderorganisationstosustainpartnershipswithgovtsandotherorganisationsATSISPEPSTW p.3(Table) • PartnershipswithcommunityorganisationsandACCHS*

ACCHSspreferredproviders

MH&SEWBFr Outcome1.3,p.31 • GivepreferencetofundingACCHSstodeliverMH,SPandotherprimaryhealthprogramsandserviceswherefeasible.

Research NATSISPS Outcome4.4,p.38 • (iii)Developoptionsforpreventionresearchpartnershipsbetweenthecommunitysector,non-governmentorganisationsandresearchandtrainingsectorstobuildcapacityinsuicideprevention

PROMOTIONANDPRIMORDIALPREVENTION–INC.ELEMENTSOFSYSTEMSAPPROACH

Buildoncommunitystrengths/addresschallenges

NATSISPS Outcome1.1p.26 • Communitieshavethecapacitytoinitiate,plan,leadandsustainstrategiestopromotecommunityawarenessandtodevelopandimplementcommunitySPplans.ATSISPEPSTW p.3(Table) • Communityempowerment,development,ownership*

• Community-specificresponses*• Addressingcommunitychallenges,poverty,socialdeterminantsofhealth*• InvolvementofElders*

MH&SEWBFr Outcome2.1,p.32 • AboriginalandTorresStraitIslandercommunitiesandculturesarestrongandsupportMH&SEWB• Empowercommunitiestoidentifyandaddresschallenges.• Communitygovernancethroughcommunitycontrolledservicestodeliverhealthprogramsandservices.• Encouragepracticaloutcomes,suchasemploymentofcommunitymembers,schoolattendanceandeducationalattainment.

IAS • SafetyandWellbeingProgramme• Jobs,LandandEconomyProgramme


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• RemoteAustraliaStrategiesProgrammeCulturalRF Domain5,p.16 • Jointhealthandnon-healthpolicies,programsandservicesatcommunity,stateandnationallevelstoaddressthebroadersocialdeterminantsimpactingonhealth

AODusereduction

ATSISPEPSTW p.3(Table) • Alcohol/drugusereduction*NATSISPS Outcome3.5,p.33 • ThereareintegratedandcollaborativeapproachesacrosssectorsrespondingtoAboriginalandTorresStraitIslanderwhoareathighrisk,suchaspeopleexperiencingmental

illness,substancemisuse,incarceration,domesticviolence,etc.MH&SEWBFr Outcome2.1.6,

p.32• Supportcommunitiesthatwishtorestrictalcoholsupplyanduseamongtheirmembers.

Outcome2.1.8,p.33

• Encouragealcoholreductionstrategies,includingmainstreampolicyanalysisofpotentialpricingleversandtaxationoptions.

Outcome2.4.2,p.35

• Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Culturallyandageappropriatealcoholanddrugusepreventionand/orreduction.

DrugStrategy

PriorityArea2,p.5

• Increaseaccesstoafullrangeofculturallyresponsiveandappropriateprograms,includingpreventionandinterventionsaimedatthelocalneedsofindividuals,familiesandcommunitiestoaddressharmfulAODuse.

Outcome2.1,p.6 • CulturallyappropriateAboriginalandTorresStraitIslanderprogramsandservicesaresupportedthataddresspreventionprograms,theimpactofalcohol,tobaccoandotherdrugsonindividualsandfamilies,andwithintheircommunities.

Buildonculturalstrengths

NATSISPS Outcome2.1,p.31 • Thereareculturallyappropriatecommunityactivitiestoengageyouth,buildculturalstrengths,leadership,lifeskillsandsocialcompetencies• (i)Developcriteriaforsupportofculturalprograms• (ii)Reviewevidenceforeffectivenessofculture-basedinitiativesandevaluateculturalstrengthsprograms

ATSISPEPSTW p.3(Table) • InvolvementofElders*• Culturalframework*• Culturalelements–buildingidentity,SEWB,healing*• Culturebeingtaughtinschools• Connectingtoculture/country/Elders*

M&SEWBFr Outcome2.12.1.3,p.32

• AboriginalandTorresStraitIslandercommunitiesandculturesarestrongandsupportMH&SEWB.• Strengthencommunitycohesion,andrestoreandhealconnectionstocultureandcountryincludingthroughreclamationandrevitalization

Outcome2.4.6,p.35

• Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Strengtheningprideinidentityandculture.

CulturalRF Domain2,p.13 • Positivehealthmessagesandprogramsthatrespondtothediversity,strengthsandknowledgeofAboriginalandTorresStraitIslandersocial,cultural,linguistic,gender,religiousandspiritualbackgrounds

IAS CultureandCapabilityProgramme,p.45

• TheobjectivesoftheCultureandCapabilityProgrammeareto:Supporttheexpression,engagementandconservationofIndigenousculture.

Buildonfamilystrengths/addresschallenges

NATSISPS Outcome1.5,p.28 • (i)IdentifyappropriateearlyinterventionprogramsthathavebeenadaptedforAboriginalandTorresStraitIslanderfamiliesOutcome2.3,p.31

• Long-term,sustainablepreventionstrategiesthatbuildresilienceandpromotesocialandemotionalwellbeingarespecificallydevelopedforAboriginalandTorresStraitIslanderfamiliesandchildren

• (i)Developculturallyappropriatestrategiesforfamilyengagementinwellbeingprogramsinmultiplesettings• (ii)MakeparentingprogramsadaptedforAboriginalandTorresStraitIslanderpeoplesmoreavailableinuniversalandtargetedmodestostrengthenparentingskillsandtoimprove

behavioural,developmentalandmentalhealthoutcomesamongchildren• (iii)DevelopfamilyfocusedinterventionsforAboriginalandTorresStraitIslanderparentsandchildreninpartnershipwithchildcarecentresandschools• (iv)DisseminateinformationonmodelsofeffectiveearlyinterventionandpreventionforAboriginalandTorresStraitIslanderfamilies,parentsandchildren

MH&SEWBFr Outcome2.2

• AboriginalandTorresStraitIslanderfamiliesarestrongandsupported• Increasefamily-centricandculturally-safeservicesforfamiliesandcommunities.• SupporttheroleofmenandEldersinfamilylifeandtheraisingofchildreninaculturally-informedway.• Supportsingleparentfamiliesandextendedfamilyandkinsupportnetworks• Supportfamilyre-unificationformembersoftheStolenGenerations,prisoners,childrenremovedfromtheirfamiliesintoout-of-homecare,andyoungpeopleinjuvenile

detention.Outcome3.1,p.36 • SupportprogramsformembersoftheStolenGenerationsandtheirfamilies.

Men’sstrengths

NATSISPS Outcome2.2,p.31 • Lifepromotionandresilience-buildingstrategiesaredeveloped;accesstowellbeingservicesamongAboriginalandTorresStraitIslandermalesisimproved,• (iii)Developstrategiestopromotethestrengthsofelders,fathersandothermenaspositiverolemodelsabletocontributetothewellbeingofcommunity,familiesandyouth

Beststarttolife/school

NATSISPS Outcome2.1,p.31 • Thereareculturallyappropriatecommunityactivitiestoengageyouth,buildculturalstrengths,leadership,lifeskillsandsocialcompetencies• (iii)Developschoolandcommunity-basedlifeskillsprogramsforadolescents• (iv)Promoteleadershipthroughyouthforumsandactivitiestorecogniseachievementsofyoungpeople


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andadolescence

• (v)DevelopmodelsoftrainingandskillsdevelopmentforpeersasnaturalhelpersOutcome2.3,p.31 • (v)Identifyschool-basedstrategiestocounterbullying,racialdiscriminationandlateralviolence

MH&SEWBFr Outcome2.3/2.4

• SeeingeneralOutcomes2.3/2.4• Supportchildrenandyoungpeople’sstrongconnectiontocultureandsenseofbelongingincommunities,familiesandfriendshipnetworksasawaytosupporttheirresilienceand

tohelpprotectagainstsuicide.NATSIHP/IP

Part4 • 4A.Youngpeoplehaveavoiceinthedevelopmentandimplementationofprogrammesandpoliciesthatareaffectingthem.• 4B.Youngpeoplearesupportedtoberesilientandmakeinformedandhealthychoicesaboutliving,includingbeingproudofidentityandculture.• 4D.Youngpeoplehavegoodeducationandgoodemploymentprospects.

ATSISPEPSTW p.3(Table) • School-basedpeersupportandmentalhealthliteracyprograms• Programstoengage/divert,includingsport*


• Promotinghelp-seeking,mentalhealthandresilienceinschools

IAS • ChildrenandSchoolingProgramme

PRIMARYANDSELECTIVEPREVENTION–INC.ELEMENTSOFSYSTEMSAPPROACH

Communitycontrolandempowermt.

NATSISPS Outcome1.1,p.28 • Communitieshavethecapacitytoinitiate,plan,leadandsustainstrategiestopromotecommunityawarenessandtodevelopandimplementcommunitySPplans.• (i)Identifycommunitiesandregions(byexpressionofinterest)toworkshopmodelsforcommunityaction• (ii)Developinformationandresourceguidesforcoordinatingcommunityactiontopreventsuicide• (iii)Reviewanddisseminateinformationonbestpracticemodelsforcommunitysuicideprevention• (iv)Developspecificstrategiesregardingaccesstomethodsandmeansofsuicideinthecommunity

ATSISPEPSTW p.3(Table) • Communityempowerment,development,ownership*• Community-specificresponses*• InvolvementofElders*

GDD Theme4,p.5

• AboriginalandTorresStraitIslanderpeopleshouldbetrained,employed,empoweredandvaluedtoleadacrossallpartsoftheAustralianmentalhealthsystemthatarededicatedtoimprovingAboriginalandTorresStraitIslanderwellbeingandmentalhealthandtoreducingsuicide,andinallpartsofthatsystemusedbyAboriginalandTorresStraitIslanderpeoples

Employcommunitymembers

ATSISPEPSTW p.3(Table) • Employmentofcommunitymembers/peerworkforce*GDD Theme4,p.5 • AboriginalandTorresStraitIslanderpeopleshouldbetrained,employed,empoweredandvaluedtoworkatalllevelsandacrossallpartsoftheAustralianmentalhealthsystem

andamongtheprofessionsthatworkinthatsystem.Meansrestriction

NATSISPS Outcome1.1,p.28 • (iv)Developspecificstrategiesregardingaccesstomethodsandmeansofsuicideinthecommunity5NMHSPP p.24,11elements

newNationalSPStrategy

• Meansrestriction

ATSISPEPSTW p.3(Table) • ReducingaccesstolethalmeansofsuicideLifespan-9SystemsApproachStrategies

• Improvingsafetyandreducingaccesstomeansofsuicide

SPliteracy/stigmareduction

ATSISPEPSTW p.3(Table) • Awarenessraisingprogramsaboutsuiciderisk/useofDVDswithnoassumptionofliteracy*Lifespan-9SystemsApproachStrategies

• Trainingthecommunitytorecogniseandrespondtosuicidality

5NMHSPP p.24-11elementsnewNationalSPStrategy

• Stigmareduction—promotetheuseofMHservices

MH&SEWBFr Outcome2.4,p.23 • Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Helpseekingbehaviourandde-stigmatisationofmentalhealthproblems.

Gatekeepersandcommunityresources

NATSIHP/IP Strategy1C,p.13 • Preventionandearlyinterventionprogrammes(includingprogrammesthatfocusonchronicdiseases,e.g.includingdiabetes,cancer,hearthealth oral,earandeyehealth;mentalhealthconditionsandillnesssuicidepreventiontobaccoandalcoholanddruguse)havebeendeveloped,supportedandimplemented.

NATSISPS Outcome1.3p.28 • Thereisaccesstocommunity-basedprogramstoimprovesuicideawarenessamong“gatekeepers”and“naturalhelpers”incommunitiesaffectedbyself-harmandsuicide.Outcome1.2p.28 • MaterialsandresourcesareavailablethatareappropriatefortheneedsofAboriginalandTorresStraitIslanderpeoplesindiversecommunitysettings.

• (i)Identifyresourcegapsandneeds• (ii)ReviewandextendAboriginalandTorresStraitIslanderlanguagetrainingprogramsformentalhealthandsocialandemotionalwellbeing(iii)Produceresourcematerialsin

diverseformatsforusebyAboriginalandTorresStraitIslanderpeopleindifferentcommunitycontexts,includingthosewithAboriginalandTorresStraitIslanderlanguages


30

5NMHSPP p.24-11elementsnewNationalSPStrategy

• Trainingandeducation–maintaincomprehensivetrainingprogramsforidentifiedgatekeepers• Awareness–establishpublicinformationcampaignstosupporttheunderstandingthatsuicidesarepreventable

ATSISPEPSTW p.3(Table) • Gatekeepertraining–Indigenous-specific*Peertopeermentoring

ATSISPEPSTW p.3(Table) • Peer-to-peermentoring,andeducationandleadershiponsuicideprevention*• Employmentofcommunitymembers/peerworkforce*• School-basedpeersupportandmentalhealthliteracyprograms

GPs/PHC NATSISPS Outcome2.4,p.32 • (iii)Examinestrategiestoimprovethepreventivecapacityofprimaryhealthcare,includingGPservices,routinedeliveryofmentalhealthassessments,counselling,etcATSISPEPSTW p.3(Table) • Trainingoffrontlinestaff/GPsindetectingdepressionandsuicideriskLifespan-9SystemsApproachStrategies

• Equippingprimarycaretoidentifyandsupportpeopleindistress

Helplines NATSISPS Outcome2.4 • ReviewandremodelKidsHelplineandLifelinecounsellingservicestoprovideappropriateservicesforAboriginalandTorresStraitIslanderpeopleineachstateandterritoryTrainingoffrontlinestaff

ATSISPEPSTW p.3(Table) • Trainingoffrontlinestaff/GPsindetectingdepressionandsuicideriskLifespan-9SystemsApproachStrategies

• Improvingthecompetencyandconfidenceoffrontlineworkerstodealworkerstodealwithsuicidalcrisis

ExitinghospitalEDs

NATSISPS Outcome3.1,p.35 • (iii)DevelopstrategiestoimproveAboriginalandTorresStraitIslanderidentification,assessmentofsuiciderisk,psychosocialassessmentandculturallyinformeddischargeprotocolsforhospitalemergencydepartments

ExitingMHservices


Criterion2.11 • GuidanceforImplementation–PublicMentalHealthServicesandPrivatehospitalsp.12.Thereshouldbearegularriskassessmentofconsumers...Consumersareatgreatestriskintimesoftransitionbetweensettingsortransferofcare…JointriskassessmentsbetweentheMHS,non-governmentorganisations,localcommunitiesandprimaryhealthservicesorAboriginalandTorresStraitIslandermedicalservicesareoftenappropriatewhenresponsibilityforcareisbeingtransferredorjointlymanaged.

Exitingincarceration

NTRC Rec24.1,p.40

• Anintegrated,evidence-basedthroughcareservicebeestablishedforchildrenandyoungpeopleindetentiontodeliver:adequateplanningforreleaseincluding,asappropriate,safeandstableaccommodation,accesstophysicalandMHsupport,accesstosubstanceabuseprograms,assistancewitheducationand/oremployment

Familiesandchildrenatrisk

NATSISPS Outcome3.5,p.36 • ThereareintegratedandcollaborativeapproachesacrosssectorsrespondingtoAboriginalandTorresStraitIslanderpeoplewhoareathighrisk,suchaspeopleexperiencingmentalillness,substancemisuse,incarceration,domesticviolence,etc

Outcome3.6,p.36 • Thereiscapacitytoidentifychildrenwithearlyoremergingriskofconduct,behaviouralanddevelopmentalproblemsandoptionsforreferralofchildrenandfamiliesatmoderateandhighrisk,includingfamilieswithcomplexmultipleneeds,toculturallyadaptedtherapeuticprograms.

• (i)Providetrainingforchildhealthandearlyeducationstafftoassistthemineffectivelyidentifyingandrespondingtobehaviouralandearlymentalhealthproblemsatchildcare,preschoolandschool

• (ii)Engageat-riskparentstoprovideparentingandfamilysupportviaaccesstohealth,earlyeducationandchildcareservicesaswellaschildprotectionservices• (iii)TrialandimplementculturallyadaptedtherapeuticfamilyinterventionsforAboriginalandTorresStraitIslanderparentsandchildren• (iv)Developstrategiestoidentifyandreduceriskassociatedwithchildprotectioninterventions,includingchildremoval,fostercareandkinshipcareandpracticesofchild

placementv• (v)Improveidentificationoffoetalalcoholsyndromedisorderandotherdevelopmentalimpairmentsinchildren• (vi)Developinformationandresourcestoassisthealthandsocialandemotionalwellbeingpractitionerstorespondtofamilysuicidalbehaviourandfamilymentalillness

Outcome1.5,p.28 • (ii)Buildpartnershipswithschools,communitycouncilsandotheragenciestodeliverearlyinterventionandpreventionprogramsforparents,childrenandat-riskyouthATSISPEPSTW p.3(Table) • School-basedpeersupportandmentalhealthliteracyprograms

• Programstoengage/divert,includingsport*Lifespan-9SystemsApproachStrategies

• Promotinghelp-seeking,mentalhealthandresilienceinschools

MH&SEWBFr Outcome4.1,p.27 • Integrateclinicalandnon-clinicalserviceswhoworkwithchildrenandyoungpeopleincludingchildandadolescentmentalhealthservicesandheadspacetobettersupporttheirneedsandreducesuicide.

NATSISPS

Outcome2.3,p.31

• Identifyschool-basedstrategiestocounterbullying,racialdiscriminationandlateralviolence

Outcome2.4,p.23

• RequireevidencebasedapproachesonMHandwellbeingbeadoptedinearlychildhoodworkerandteachertrainingandcontinuingprofessionaldevelopment.• Adaptend-to-endschoolbasedMH&SEWBprogramsforAboriginalandTorresStraitIslanderchildrenthatincludeafocuson:Culturallyandageappropriatesuicideprevention.

Males NATSISPS Outcome2.2,p.31

• Lifepromotionandresilience-buildingstrategiesaredeveloped;accesstowellbeingservicesamongAboriginalandTorresStraitIslandermalesisimproved• (i)Developstrategies,includinginformationandmentalhealthpromotionstrategies,topromoteuseofgeneralhealthandwellbeingservicesandspecialistservicesbymen• (ii)Identifyanddisseminategoodpracticesformen’sself-helpgroups• (iii)Developstrategiestopromotethestrengthsofelders,fathersandothermenaspositiverolemodelsabletocontributetothewellbeingofcommunity,familiesandyouth


31

Justiceissues NATSISPS Outcome3.5,p.36

• ThereareintegratedandcollaborativeapproachesacrosssectorsrespondingtoAboriginalandTorresStraitIslanderwhoareathighrisk,suchaspeopleexperiencingmentalillness,substancemisuse,incarceration,domesticviolence,etc.

• (i)Developpartnershipprogramstobuildlinksbetweenresidential/custodialsettingsandcommunitysupport(suchastransitionfromprisontocommunityorfromalcoholrehabilitationtocommunityreintegration)

• (ii)ProvidespecificSPandassessmenttrainingforstaffinhighrisksettingswhoworkwithAboriginalandTorresStraitIslanderclients• (iii)Identifyalternativestocommunityreintegrationwherereturntocommunityisnotdesirable

Substancemisuse

NATSISPS Outcome3.5,p.36 • ThereareintegratedandcollaborativeapproachesacrosssectorsrespondingtoAboriginalandTorresStraitIslanderwhoareathighrisk,suchaspeopleexperiencingmentalillness,substancemisuse,incarceration,domesticviolence,etc.

Mediaprotocols

5NMHSPP p.2411elementsnewNationalSPStrategy

• Mediaprotocols

ATSISPEPSTW p.3(Table) • ResponsiblesuicidereportingbythemediaLifespan-9SystemsApproachStrategies

• Encouragingsafeandpurposefulmediareporting

Mentalhealth NATSISPS Outcome3.5p36 • ThereareintegratedandcollaborativeapproachesacrosssectorsrespondingtoAboriginalandTorresStraitIslanderwhoareathighrisk,suchaspeopleexperiencingmentalillness,substancemisuse,incarceration,domesticviolence,etc

NATSIHP/IP Strategy1Cp13 • Whole-of-lifecyclehealthinterventionsareaccessibleandhaveastrongfocusonpreventionandearlyinterventiontopreventmentalhealthconditionsandillness,chronichealthconditionsandinjuriesfromoccurring,includingdisability,

SERVICES&INDICATEDRESPONSESINC.SYSTEMSAPPROACH

Integratedservices

• Seealsointegrationinrelationtomentalhealthservices-above5NMHSPP/IP Action4,Suicide

PreventionSubcommitteepriorityfocus

• Toadviseonimprovingrelationshipsbetweenproviders,includingemergencyservices

NATSISPS Outcome3.2,p.35 • Integratedservices,includingtargetedandindicatedservicesforfamiliesandindividuals,areavailableinAboriginalandTorresStraitIslanderhealingcentresorothercommunitycentres

• (i)Developanddisseminatemodelsforservicesthatcombinespecifictargetedandindicatedservicesincentresprovidingintegratedwellbeingservices• (ii)Strengthenthefocusonearlyinterventionandsuicidepreventionwithinintegratedservices• (iii)Buildinter-sectoralandprofessionallinkstosupportintegratedservices• • (iv)Developandevaluatemodelsforinterdisciplinarypracticeinmentalhealthandearlyintervention• (v)InvestigateinnovativemodelsforpartnershipsbetweenspecialistMHandwellbeingservices(egheadspace)andAboriginalandTorresStraitIslanderwellbeingservicesand

communityorganisationsOutcome4.4,p.38Outcome4.2,p.38

• Coordinatedsuicidepreventionstrategiesaresupportedbyimprovedcommunitysectorcapacity,basedonpartnershipsbetweenservices,agenciesandcommunities

• Thereisdevelopmentofgovernanceandinfrastructuretoandcapacityforplanningtosupportregionalandlocalcoordinationofsuicideprevention• (i)Identifymodelsforgovernancetosupportinteragencyapproachestocoordinatedsuicideprevention• (iv)Examinemodelsforpoolingoffundstosupportcoordinatedapproachestoprevention

Outcome4.3,p.38

• Thereareagreementstosupportcollaborativeapproachestojointcasemanagementtoensurecontinuityofservicesandsupportsforhigherriskclients• (i)Pilotandevaluatespecificmultidisciplinaryapproachestoserviceprovisionforvulnerableindividualsandfamilies• (ii)Investigatefeasibilityofspecificmemorandaofunderstandingtoenablejointapproachestocasemanagement• (iii)ClarifyagencyresponsibilitiesforinteragencycoordinationofcareforhighriskAboriginalandTorresStraitIslanderclientsandfamilies

ATSISPEPSTW p.3(Table) • Cross-agencycollaboration• Clearreferralpathways*

5NMHSPP/IP p.24,11elementsnewNationalSPStrategy

• Oversightandcoordination–utiliseinstitutesoragenciestopromoteandcoordinateresearch,trainingandservicedeliveryinresponsetosuicidalbehaviours

PartnershipwithACCHSs

MH&SEWBFr Outcome1.3 • EffectivepartnershipsbetweenPHNs/ACCHS(Strategy)NATSISPS Outcome3.4,p.35 • TherearelinksandpartnershipsbetweenmainstreamspecialistmentalhealthandwellbeingservicesandAboriginalandTorresStraitIslanderwellbeingservicesandcommunity

organisations


32

• (i)IdentifyopportunitiesforcomplementaryserviceprovisionarrangementsandreferrallinkagesbetweenmainstreamservicesandAboriginalandTorresStraitIslandercommunityservicestocoordinatetheprovisionoftargetedpreventiveservices

• (ii)DeveloplocalpartnershipsbetweenexistingservicessuchasheadspacecentresandAboriginalandTorresStraitIslandercommunitySEWBservicesOutcome4.4,p.38 • CoordinatedSPstrategiesaresupportedbyimprovedcommunitysectorcapacity,basedonpartnershipsbetweenservices,agenciesandcommunities

• (i)BuildthecapacityofAboriginalandTorresStraitIslanderorganisationstosustainpartnershipswithgovtsandotherorganisationsATSISPEPSTW p.3(Table) • PartnershipswithcommunityorganisationsandACCHS*

ACCHSspreferredproviders

MH&SEWBFr Outcome1.3,p.19 • GivepreferencetofundingACCHSstodeliverMH,SPandotherprimaryhealthprogramsandserviceswherefeasible.NATSISPS Outcome3.2,p.35 • Integratedservices,includingtargetedandindicatedservicesforfamiliesandindividuals,areavailableinAboriginalandTorresStraitIslanderhealingcentresorothercommunity

centresOutcome4.4,p.38 • Coordinatedsuicidepreventionstrategiesaresupportedbyimprovedcommunitysectorcapacity,basedonpartnershipsbetweenservices,agenciesandcommunities

AboriginalandTorresStraitIslanderpeopleemployedinmainstreamservices

NATSISPS Outcome3.3 • Targetedandindicatedservices,includingemergencyservices,areculturallyappropriate.TheyaredeliveredbyAboriginalandTorresStraitIslanderpersonnelandengageAboriginalandTorresStraitIslanderclientsandfamilies

• EmployAboriginalandTorresStraitIslanderpersonnelinoutreach,follow-upandengagementroles

Timeprotocols/availability

ATSISPEPSTW p.3(Table) • 24/7availability*• Timeprotocols*(seealsoATAPSGuidelinesforATSOSPServices)• Awarenessofcriticalriskperiodsandresponsivenessatthosetimes*

Culturalsafetyinmainstreamservices

NATSISPS Outcome3.3 • Targetedandindicatedservices,includingemergencyservices,areculturallyappropriate.• DevelopAboriginalandTorresStraitIslanderI-specificprotocolsandtrainingfortargetedandindicatedservices• Expandavailabilityofappropriateculturalawarenesstrainingformainstreamservices


• Accesstoservices–promoteincreasedaccesstocomprehensiveservicesforthosevulnerabletosuicidalbehavioursandremovebarrierstocare

Action4,p.25 • Governmentswill,throughtheSuicidePreventionSubcommitteeofMHDAPC,developaNationalSuicidePreventionImplementationStrategythatoperationalisesthe11elementsabove,takingintoaccountexistingstrategies,plansandactivities,withapriorityfocuson:andfocuson…improvingculturalsafetyacrossallservicesettings

ATSISPEPSTW p.3(Table) • Culturalcompetenceofstaff/mandatorytrainingrequirements(Clinicalelement)5NMHSPP Action4,Suicide


• Improvingculturalsafetyacrossallservicesettings

Treatments NATSISPS Outcome3.1p.35 • ThereisaccesstoeffectivetargetedandspecialistservicesbyAboriginalandTorresStraitIslanderpeoplewhoareatriskofsuicideorself-harm• (i)MapserviceutilisationandbarriersforAboriginalandTorresStraitIslanderpeopleseekingtoaccesstargetedandindicatedservicesinregionsandcommunities• (ii)Identifybarrierstoaccessandutilisationanddevelopstrategiestoimproveaccesstoreferralnetworks,AboriginalandTorresStraitIslanderinformation,liaison,flexibilityand

responsiveness5NMHSPP/IP p.24,11elements


• Treatment–improvethequalityofclinicalcareandevidencebasedclinicalinterventionsespeciallyforindividualswhopresenttohospitalfollowingasuicideattempt

ATSISPEPSTW p.3(Table) • Highqualityandculturallyappropriatetreatments*Lifespan-9SystemsApproachStrategies

• Usingevidencebasedtreatmentforsuicidality

Followupcare 5NMHSPP/IP Action4,SuicidePreventionSubcommitteepriorityfocus/

• Providingconsistentandtimelyfollowupcareforpeoplewhohaveattemptedsuicideoratriskofsuicide

ATSISPEPSTW p.3(Table) • Continuingcare/assertiveoutreachpostemergencydepartmentafterasuicideattempt*5NMHSPP/IP p.24,11elements


• Treatment–improvethequalityofclinicalcareandevidencebasedclinicalinterventionsespeciallyforindividualswhopresenttohospitalfollowingasuicideattempt


• Improvingemergencyandfollowupcareforsuicidalcrisis


33

Postvention NATSISPS Outcome1.6,p.29 • Mentalhealthservicesandcommunityorganisationsareabletoprovideappropriatepostventionresponsestosupportindividualsandfamiliesaffectedbysuicide.• (i)DevelopprotocolsforcommunicationbetweenspecialistmentalhealthservicesandAboriginalandTorresStraitIslanderfamiliesregardinginterventionneedsandsupport

followingbereavement• (ii)Buildcapacityofcommunitymembersandcommunity-basedpersonneltoleadpostventionresponsestobereavement• (iii)Developinnovativestrategiesforbereavementsupportincludingpracticalassistancewithhousing,finances,workandchildren’sneeds,psychologicalsupportandcounselling• (iv)DevelopculturallyappropriatebestpracticetherapeuticoptionsforrespondingtotraumaticbereavementandcomplicatedgriefamongAboriginalandTorresStraitIslander

people• (v)SupportdevelopmentofpartnershipsbetweencommunitiesandNGOstosupportemergencyresponseindiversesettings• (vi)Emergencyresponseshouldbeconsistentwithbestpractice(basedonsystematicreviewofresearchonsuicidebereavementfirstresponsesandemergenciessuchas

VictorianbushfiresandQueenslandfloods)ATSISPEPSTW p.3(Table) • CrisisresponseteamsafterasuicidePostvention*

• SeealsoRecommendationsoftheATSISPEPCriticalResponseProjectReport5NMHSPP/IP Action4,Suicide


• Providingtimelyfollowupsupportforpeopleaffectedbysuicide


• Crisisintervention–ensurethatcommunitieshavethecapacitytorespondtocriseswithappropriateinterventions• Postvention–improveresponsetoandcaringforthoseaffectedbysuicideandsuicideattempts

Datacollections

5NMHSPP Action4,SuicidePreventionSubcommitteepriorityfocus

• improveddatacollections-evidence-baseon‘whatworks’

ATSISPEPSTW p.3(Table) • DatacollectionsEvaluation ATSISPEPSTW p.3(Table) • Indicatorsforevaluation

• Disseminationoflearnings