proposed new camhs structure - cpsu camhs structure aug 2… · proposed new camhs structure....
TRANSCRIPT
Proposed new CAMHS Structure
Pauline McEntee, Director Primary and Population Health, WCHN
Women’s and Children’s Health Network
Background
Women’s and Children’s Health Network
Background
> In June 2012, SA Health Portfolio Executive reaffirmed the decisions to establish: • a single state-wide Child and Adolescent
Mental Health Service (CAMHS) for children and adolescents aged 0 to 15 years of age; and
• youth mental health services (YMHS) for older adolescents and young adults aged 16 to 24 years of age.
Women’s and Children’s Health Network
Model of Care
Women’s and Children’s Health Network
Model of Care
> A Draft state-wide CAMHS Model of Care has been developed
> Feedback was received from unions, stakeholders, staff and consumers and carers. The feedback has been sorted into themes.
Women’s and Children’s Health Network
Model of Care
> General feedback about language, too long versus not enough detail
> Support for; • Working with the child, young person in the
context of their family • Working with schools to support children and
young people • Aboriginal, children under the guardianship of
the Minister children and young people being prioritised
• Flexibility regarding transition of young people when they turn 16 years
• Subspecialty within teams eg early years
Women’s and Children’s Health Network
Model of Care
> Concerns/suggestions regarding; • Interface with the youth system of care that is
not yet developed • Omission of concept of developmental need of
child as critical criteria • Considerable anxiety about changing agencies
when young people are still school age vs concern about hanging on to young people that should be in the youth mental health system
• Omission of bio from bio psychosocial model of assessment and treatment
• Under emphasis of no wrong door approach
Women’s and Children’s Health Network
Model of Care
• Other specific groups that should also be prioritised eg children and young people from low socio economic areas, same sex attracted young people.
• Should be additional subspecialty areas in teams eg Comorbidity, disability, trauma
• Clinical supervision also including professional supervision and reflective practice.
• Inclusion of a flow chart would be useful to understand the client pathway
Women’s and Children’s Health Network
Model of Care
> Questions regarding; • The interface with primary care services who
are to provide support to children and young people with mental health issues
• There are a range of other services that it is important that CAMHS interfaces with and develops partnerships eg youth health services, Medicare Locals, Headspace
• How resourcing issues will be addressed • How workload review will occur.
Women’s and Children’s Health Network
Model of Care
> The feedback is currently being considered for incorporation into the document. Some of the feedback relates to implementation of the model so will be utilised in the development of the implementation plan.
Women’s and Children’s Health Network
Proposed Executive Structure
Women’s and Children’s Health Network
Proposed CAMHS Executive Structure > The proposed CAMHS Executive
Structure aims to emphasise the clinical voice in the organisations’ decision making structure.
> Director CAMHS > Operations Manager for Country and Day
services > Manager Operations for Community
Teams > Nursing Director
Women’s and Children’s Health Network
Proposed CAMHS Executive Structure > The new CAMHS Executive Forum will
also include as membership • the Medical Clinical Director for
CAMHS • One Allied Health principal position • Aboriginal Senior Leadership position .
> These 7 positions will assist the
organisation to meet the objectives of CAMHS within the broader health service region.
Women’s and Children’s Health Network
Executive Members
Operations ManagerCountry & Day
Services
Operations Manager
Metropolitan Services
Operations Manager/Nursing
DirectorInpatient Services
Aboriginal Mental Health Lead
Allied Clinical Health
RepresentativeClinical Director
Snr Consultant Projects &
PartnershipBusiness Manager
APY LandsNorthern Country Hil ls Murray Lands Outer Southern CountryVictor HarborBISASECAboriginal Programs
MarionOnkaparingaPort AdelaideParadiseElizabethC&L TeamDPMEPISYouthLink
Operational RoleBoylan Ward (EMHS)HMH (PIMHS)
Strategic Aboriginal Cultural Lead representative on Executive.
Organisation All ied Health Representative on Executive
Senior Psychiatry and Medical Lead representative on Executive.
Assistant Finance Support
Org Lead/Sponsor Quality and RiskWork Health SafetyChild ProtectionGOMIncredible YearsEarly Years
Org Lead/SponsorQuality and RiskWork Health Safety269 Juvenile JusticeData ManagementHeadspace LeadCALD
Org Lead/SponsorQuality and RiskWork Health SafetyEating DiscordersNat. Disabil ity Insurance Scheme
Org Lead/SponsorQuality and RiskWork Health SafetyAboriginal Wellbeing Group (AWG)Leadership in Divisional Cultural Service Development. Cultural Community Li i
Org Lead/SponsorQuality and RiskWork Health SafetyLeadership in Divisional Clinical DevelopmentCredentiall ing
Org Lead/SponsorQuality and RiskWork Health SafetyCredentiall ingLeadership in Divisional Clinical Development
Org Lead/SponsorQuality and RiskWork Health Safety
Org Lead/SponsorQuality and RiskWork Health Safety
Approx FTE 115 Approx FTE 110 Approx FTE 50 (Line reporting only)
Approx FTE 0.5
DRAFT LINE & OPERATIONAL MANAGEMENT ORGANISATIONAL CHART - CAMHS STATEWIDE SERVICES - 26082013
Cons
umer
and
Car
er In
volv
emen
t
WCHN Chief Executive Officer
Executive Director, Primary Population Health
Divisional Director, Statewide CAMHSOrg Lead:
Completion of CAMHS merger & evaluationStrategic Development & Implementation
Liaison & relationships with other organisations.
Women’s and Children’s Health Network
Tier
1Ti
er 2
Tier
3Ti
er4
Tier
5
Tier
6
DRAFT CAMHS Mental Health Governance Structure - 06082013
Executive Director, Primary Population Health
Mental Health Executive Committee(Fortnightly)
MENTAL HEALTH EXECUTIVE COMMITTEECAMHS Director (Chair)Ops Mgr Country & Day Services Ops Mgr Metro Nursing Director/Ops ManagerAboriginal Mental Health LeadAllied Clinical Health RepresentativeClinical Director
Business Manager (In attendance)PA to Director (Support)Snr Consultant Projects & Partnerships (Exec Officer)
COMBINED LEADERSHIP COMMITTEECAMHS Director (Chair)Members of Operations CommitteeMembers of Clinical Caucus
PA to Director (Support)
Clinical Caucus(Monthly)
Operations(2 Monthy)
Combined LeadershipCommittee(Quarterly)
CLINICAL CAUCUSChair to be electedCAMHS Director Aboriginal Mental Health Lead Clinical DirectorAllied Health Clinical Representatives (each discipline)Nursing Director/Ops ManagerSnr Consultant Projects & Partnerships (Exec Officer) Expression of Interest for other members (x 4)
12 plus EO
OPERATIONSChair - Ops Mgr (rotate quarterly)CAMHS Director Ops Mgr Country & Day Services Country & Day Services Clinical Reps x 2Ops Mgr MetroMetro Clinical Reps x 2 Nursing Director/Ops Manager Inpatient ServicesInpatient Clinical Reps x 2Snr Consultant Projects & PartnershipsBusiness Manager
PA to Ops Mgr (Support) rotate quarterly
Ops Mgr Country & Day ServicesManagers from all teams (fortnightly or monthly)
2 clinical reps
Ops Mgr Metro ServicesManagers from all teams(fortnightly or monthly)
2 clinical reps
Nursing Director/Ops ManagerInpatient Services
Managers from all teams (fortnightly or monthly)
2 clinical reps
Team Meetings(6 teams)
(weekly/fortnightly)
Team Meetings(9 teams)
(weekly/fortnightly)
Team Meetings(4 teams)
(weekly/fortnightly)
WCHN Chief Executive Officer
Women’s and Children’s Health Network
Clinical Caucus
Women’s and Children’s Health Network
Clinical Caucus
> To further support Clinical Leadership, the proposed CAMHS structure will include a Clinical Caucus.
> As an extended arm of the State-wide Mental Health Clinical Network, the CAMHS Clinical Caucus will be responsible for the provision of clinical advice and leadership
> The CAMHS Clinical Caucus will elect a Chair and one member who will both be the CAMHS representatives on the State-wide Mental Health Clinical Network
Women’s and Children’s Health Network
Professional Structure
Women’s and Children’s Health Network
Professional Structure
> The proposed professional structure aims to ensure that all professional staff within the organisation have clear lines of access to professional supervision and support.
> Principal level professional positions across the organisation will provide professional leadership and expert clinical practice both within their designated profession and across the organisation.
Women’s and Children’s Health Network
DRAFT PROPOSED PROFESSIONAL REPORTING LINES CHART - CAMHS STATEWIDE SERVICES - 210813
Medical Consultants / Registrars/RMO's Consultants Clinical Director WCHN Exec Director
Medical
EN & RN1
AHP1 Social Worker
AHP 1 OT
AHP 1 Psychologist
CN, ACSC, RN2
AHP2 Social Worker
AHP 2 OT
AHP 2 Psychologist
CSC, CPC, EF, RN3
AHP3 Social Worker
AHP 3 Psychologist
Proposed Nursing Director 5.3
Proposed AHP4 Social Worker
Proposed AHP 3/4 OT
Proposed AHP 4 Psychologist
WCHN Exec Director Nursing & Midwifery
WCHN Regional Director, All ied Health
AS02/Ops Aboriginal
Worker
AS01Administration
AS03/Ops Aboriginal
Worker
AS02 Administration
AS04/OpsAboriginal Wellbeing
Worker
AS03 Administration
AS05/Ops Aboriginal Wellbeing
AS04 Administration
AS06 Cultural / Wellbeing / Principal Aboriginal
Mental Health
AS05 Administration
Nurse Practi tioner/RN4
AHP 1 Speech Pathology AHP 2 Speech Pathology Proposed AHP 3/4 Speech Pathology
Proposed AS07 Aboriginal Mental
Health Lead
Cultural Lead / WCHN Director
Aboriginal Services
ADMINISTRATIVE REPRESENTATION
CULTURAL REPRESENTATION
AS06 Administration
AS07 Administration
AS08Administration
Women’s and Children’s Health Network
Information sessions and next steps
Women’s and Children’s Health Network
Information Sessions
> A number of information sessions will be run over the next 2 weeks to inform staff of the proposed structure
> All unions are invited and welcome to attend any of these sessions
Women’s and Children’s Health Network
Feedback
> Feedback is sought on the proposed structure by Friday 20th September 2013
> Feedback can be provided online via [email protected]
> All feedback will be considered.
Women’s and Children’s Health Network
Next Steps
> Following consideration of feedback, further consultation will occur as to further review of the proposed structure/ implementation of the proposed structure.
> Human Resource Principles developed in consultation with the relevant unions, will guide the implementation of the new structures.
Women’s and Children’s Health Network
Questions?
Women’s and Children’s Health Network