THE FUTURE OF SERVICE DELIVERY TURNING THE CURVEREFLECTIONS ON MENTAL HEALTH

Frank Quinlan, CEOFRSA Conference, Canberra, March 2014

The Mental Health Council of Australia

The peak national NGO representing and promoting the interests of the Australian mental health sector

Who is the Mental Health Council of

Australia?• MHCA Members include national

organisations representing consumers, carers, professional associations, special needs groups, clinical service providers, public and private mental health service providers, researchers and state/territory community mental health peak bodies

Our discussion today

• Current developments and processes in mental health reform

• Changing influence of consumers and carers in mental health advocacy

• The role of family services in supporting mental health outcomes

Developments in mental health

•4th National Mental Health Plan & uncertainty regarding 5th National Mental Health Plan

•10 year roadmap for mental health(now a 7.5 year roadmap)

•2011 budget initiatives(some still commencing – eg PIR)

•Two National Report Cards on Mental health and Suicide Prevention

Developments in mental health

•National Mental Health Commission review of mental health

•Government’s Commission of Audit•McClure review of the social security system

•Government’s review of Medicare Locals

•Implementation of the Partners in Recovery Program

•Implementation of the NDIS

Development of the NDIS

• Introduced the concept of national insurance for disability

• Introduced coverage for psychosocial disability

• Rode on wave of political enthusiasm

Opportunities offered by the NDIS

• Individual choice and control• Additional resources• Long-term planning and commitment• Portability

THE FUTURE OF SERVICE DELIVERY TURNING THE CURVEREFLECTIONS ON MENTAL HEALTH

Frank Quinlan, CEOFRSA Conference, Canberra, March 2014

Role of consumers and carers

• Individual choice and control• Rights based approach - not just to

services, but to a “contributing life”• Fundamentally driven by outcomes

NOT by activities

Human rights context

Importantly, the Convention makes a significant shift away from the medical model of disability towards a social model of disability. This demands the development of different solutions to redress the current situation. Graeme Innes AM

Human rights contextThe Convention recognises that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others. Graeme Innes AM

THE FUTURE OF SERVICE DELIVERY TURNING THE CURVEREFLECTIONS ON MENTAL HEALTH

FRSA Conference, Canberra, March 2014

What does this mean for services?

Characterising the emerging system drivers(from yesterday’s presentation from Gerry Naughtin, MIND)

Driver Current Future Success factors

Unique value proposition

Commonality with other funded agencies

Differentiated

Understanding differences and commonalities

Service delivery focus

Prescribed by funder (outputs)

Brand recognition and value for $Individualised

Relationships, brand and costs matter

Staff performance

Important Important Choice of staff member

Service user expectations

Not important because of geographical monopolies

Critical Understanding and framing expectations

Characterising the emerging system drivers(from yesterday’s presentation from Gerry Naughtin, MIND)

Driver Current Future Success Factors

Geographical Coverage

Prescribed by funder with geographical coverage of national programs

Choice of provider within regionsOpening up of service monopolies

Capacity to broaden geographical reach at affordable cost

Regulation Detailed reporting accountabilities

Reduction of red tape Simplify accreditation requirements

Government and consumer interest in service competency, popularity and outcomes

Performance Outputs and data reporting highly prescribed

Focus on outcomes and minimum data requirements

Consumer satisfaction and connectivity will be critical

Characterising the emerging system drivers(from yesterday’s presentation from Gerry Naughtin, MIND)

Driver Current Future Success Factors

Cost Standardisedunit of funding Known $ for defined funding period

Funding variable based on demand Government and consumer focus on value for $

Scale, brand recognition and IT systemsCash flow

Sector funding Funding to NGO

Opening up market to private, statutory and NGO agencies

Interest and costs in continuing roles as a service provider

Measuring outcomes in family services

• Value for Everyone Report 2013

Measuring outcomes in mental health?

• National indicators and targets for mental health

Measuring outcomes…

• More people with poor mental health will have better physical health and live longer

• More people have good mental health and wellbeing

• More people with poor mental health will live a meaningful and contributing life

Measuring outcomes…

• More people will have a positive experience of support, care and treatment

• Fewer people will experience avoidable harm

• Fewer people will experience stigma and discrimination

Implications for Family Services

• What does all this mean for the role of family services in mental health?

Role for Family Services

• Family strengthening

• Relationship counselling

• Conflict resolution and management

• Parenting support

• Mental health promotion

• Broader health promotion activities

Role for family services

• Liaison with community mental health and social and community services

• Especially links to housing and employment service providers

• Targeting high risk groups – ATSI, CALD, GLBTI

• Service models built on outcomes rather than activities

Implications for Family Services

• What does all this mean for the role of family services in mental health?

THE FUTURE OF SERVICE DELIVERY TURNING THE CURVEREFLECTIONS ON MENTAL HEALTH

FRSA Conference, Canberra, March 2014

What contribution can family services make?

• What are you doing now?• What are the barriers?• What needs to change to overcome

those barriers?

What contribution can family services make?

• More people with poor mental health will have better physical health and live longer

What contribution can family services make?

• More people have good mental health and wellbeing

What contribution can family services make?

• More people with poor mental health will live a meaningful and contributing life

What contribution can family services makes?

• More people will have a positive experience of support, care and treatment

What contribution can family services makes?

• Fewer people will experience avoidable harm

What contribution can family services makes?

• Fewer people will experience stigma and discrimination

THE FUTURE OF SERVICE DELIVERY TURNING THE CURVEREFLECTIONS ON MENTAL HEALTH

FRSA Conference, Canberra, March 2014