RAMHP Management Report 2 Overview
2
SectionPage
Number
General RAMHP Program Updates 3
Data Considerations 14
RAMHP Updates by Program Component 15
LINK 16
TRAIN 22
INFORM 25
RAMHP Management Report 2 – Oct. – Dec. 2017
This report is intended to provide an update for our key stakeholders on the work being undertaken by the Rural Adversity Mental
Health Program (RAMHP). It is intended that this report will be emailed to key stakeholders and also available on the Program’s
website and that of the Centre for Rural and Remote Mental Health. Please email comments or questions to
Table of Contents
General RAMHP Program Updates
Strategic Directions for RAMHP
• An MOU has been signed with the Pharmacy Guild of NSW to deliver the Pharmacy MHFA
Course across the Guild’s member pharmacies in rural NSW. Planning to deliver this course
will commence in February
• A collaborative session with the Department of Primary Industry’s (DPI) Rural Resilience
Program has been completed. Management teams are currently discussing 5 priorities which
will guide the collaboration between DPI and RAMHP in 2017
• RAMHP will be having a presence at the 2017 Royal Easter Show, this will involve
partnership with the CWA
• RAMHP Coordinator Darcy Budden, will be providing His Excellency General The
Honourable David Hurley AC DSC (Ret’d) with a tour of the PMQ Mental Health facilities in
February 2017
• Discussions have commenced with Suicide Prevention Australia (SPA), to co-produce audio/
and or video interviews via SPA’s Lived Experience Volunteer Network. The ultimate
objective of this project will be that RAMHP & SPA produce a valuable multimedia resource
which encourages people to overcome the barriers to having a conversation with someone
they are worried about.
Recruitment Updates
• Judy Carmody has been appointed to the Program as the RAMHP Coordinator, located in
Goulburn. Judy joins RAMHP from the Family Friendly Mental Health Services Program and
has been a Registered Mental Health Nurse within the Southern LHD for many years. Judy
will join RAMHP in February 2017
• Jennie Keioskie will be relocating from Cooma to Bega, to continue as the second RAMHP
Coordinator for the Southern District
• Stacey Doosey the RAMHP Coordinator based in Inverell has resigned. Recruitment has
commenced to refill her position.
The Rural Adversity Mental Health Program – Tessa Caton
Management Report 2
Highlights
3
• 482 People Linked to Care
Between Oct-Dec 2016, an 8.3%
increase from July-Sept. 2016
• 99 Training Courses delivered
to 2,004 participants
• Workplace Support Skills is
the most commonly delivered
training course
• The Highest Number of Links
continues to be generated
through Community Events
General RAMHP Program Updates
Media Highlights
NOTE: The table above is based on data entered in the RAMHP Formitise App and does not include all media coverage, for example the ABC State-wide drive
interviews are not included. The Communications team is still investigating access to formal media monitoring reports. If available this data will be presented in the
next Quarterly Report.
• The majority of media coverage during this period consisted of radio, print and online. Media topics include the launch of the
Glove Box Guide to Mental Health, Carpe Diem Tour with John Wood, Mental Health Month and Coping with Stress at Christmas
time.
• A successful media campaign with ABC Statewide Drive was rolled out during mental health month increasing awareness of
RAMHP and the role of RAMHP Coordinators across NSW. The interviews with each of the Coordinators (12 in total) were
played throughout October and addressed a wide range of topics related to mental health issues. These included how to access
help and how to have a conversation you are worried about. 4
Chart 1: Number of RAMHP Media Interactions, by LHD, Oct.-Dec. 2016
RAMHP Communication Highlights – Jocelyn Johnston
4
1
5
4
2
8
4
3
4
25
1
2
1
1
5
4
1
2
3
2
2
4
18
3
1
2
6
0 10 20 30 40 50 60 70
Far West
Hunter New England
Mid North Coast
Murrumbidgee
Northern
Southern
Western
Total
Newsletter Newspaper Online Radio TV
General RAMHP Program Updates
Media Highlights – some examples
• The Carpe Diem tour featuring acclaimed actor John Wood was a highly successful media campaign. RAMHP Coordinators
Merilyn Limbrick and Helen Sheather (Murrumbidgee LHD) were an integral part of the tour and promoting it to communities.
• Some examples of key media interactions are presented in Table 1 below. Please note this is a sample only.
Table 1: Overview of Media Interactions
5
Date Media Outlet Topic Spokesperson Link
Throughout
October
ABC Statewide
Drive Mental Health Month
All RAMHP
Coordinators
https://soundcloud.com/abcnsw/sets/
mental-health-month-2016-your
06/10/2016Central Western
DailyGlove Box Guide Launch
RAMHP Coordinators
Merilyn Limbrick and
Helen Sheather
http://www.centralwesterndaily.com.au/st
ory/4210922/mental-health-guide-
launches/?cs=2452
07/10/2016 The LandGlove Box Guide Launch
in OrangeCRRMH
http://www.theland.com.au/story/4213927/
lending-a-helping-hand-photos/
4/11/2016 Condobolin ArgusReach out during difficult
times
RAMHP Coordinator Di
Gillhttp://condobolinargus.com.au/tag/di-gill/
General RAMHP Program Updates
Table 1: Overview of Media Interactions (continued), note this is a sample only
6
Date Media Outlet Topic Spokesperson Link
16/11/2016
Queensland Mental
Health Commission
eNews
Glove Box Guide –
resource sharing RAMHP
Nov 2016
Regional
Development
Central West
eNewsletter
Taking care of yourself
after natural disaster;
Useful mental health
information;
How are you going?.
RAMHP Coordinators Di
Gill and Camilla Kenny
http://www.rdacentralwest.org.au/initiatives/
2016-flood-regional-recovery/
Nov 2016
Northern Exposure
newsletter Nov
Edition
Glove Box Guide
RAMHP Coordinators
Sam Osborne and Steve
Carrigg
08/12/2016 The Macleay ArgusCoping with Christmas
forum
RAMHP Coordinator
Darcy Budden
http://www.macleayargus.com.au/story/434
3461/forum-for-coping-with-christmas/
20/12/2016ABC Mildura and
Swan Hill
Christmas and local
adversity
RAMHP Coordinator
Marie KellyNo link available
General RAMHP Program Updates
RAMHP branded cars – pilot
• Six of the RAMHP leased vehicles now have sign writing with the RAMHP logo (full colour)
on both front doors, as well as the CRRMH and the UoN logos on the rear of the vehicles. We are in the process of collecting
feedback from each of the RAMHP drivers. In December, we received positive feedback from Marie Kelly (Far West LHD).
Comments were as follows:
− People identified Marie was in Broken Hill and on several occasions waved or tooted;
− Marie was approached for resources such as the Glove Box Guide as well as training courses;
− Marie was approached by partner organisations who recognised the RAMHP logo;
− Marie was approached by a school leaver enquiring about the University of Newcastle and courses available
(positive use of UoN brand).
7
New Resources
RAMHP developed five new fact sheets which were launched during mental health month
(October). The fact sheets are available in print format and can be accessed online at
ramhp.com.au.
1. Let’s talk seeing a GP about your mental health
2. Let’s talk where to find help for mental health concerns
3. Let’s talk mental health professionals
4. Lets talk online help for mental health concerns
5. Let’s talk mental health phone services
General RAMHP Program Updates
Online Forums
The following online forums were held in October and December:
• October –Transitioning back to The Land- http://www.theland.com.au/story/4205114/meet-transitional-challenges-head-on/
Panel members: Camilla Kenny, RAMHP Coordinator; Pip Job, NSW DPI and 2014 National and NSW/Act RIRDC Rural Woman
of the Year; Dianne Somerville, RGTC Group
Analytics for this forum: October forum: 450 page views and 239 unique views.
• December – Coping with Christmas- http://www.theland.com.au/story/4323149/learn-how-to-cope-with-christmas-
conflict/?cs=4941
Panel members: Brendan Maher, Chief Executive RU OK?; Dr Addie Wootten, Clinical Psychologist; Naomi Lavery, Senior Social
Worker, Wollemi Kids Unit, Western NSW LHD; Michael Pitt & Sonja Peters, Interrelate
Analytics for this forum: 719 page views and 359 unique views.
Glove Box Guide Launch
• The 2016 Glove Box Guide to Mental Health was successfully delivered and launched during mental health month (6th
October). The project team were committed to delivering a quality publication in partnership with The Land. Launches were
held around NSW with RAMHP Coordinators as well as an official launch at the Orange City Library. The launch kicked off
with a Social Media video launch with Minister Goward, Professor Perkins and Editor of The Land Andrew Norris and can be
accessed here. Other speakers included Member for Calare Andrew Gee, CRRMH Professor Perkins, Central West Library
Manger Jan Richards and Scott Peterson (contributor to the Guide). Other launches (some of which incorporated the launch of
the Books on Prescription scheme) include:
− Bathurst City Library – 22 October
− Parkes Library – 6 October
− Macquarie Regional Library Dubbo- 18 October
− Macquarie Regional Library Coonabarabran – 13 October
− Grafton Jacaranda Festival December8
General RAMHP Program Updates
9
RAMHP Social Media – Vicky Smyth
The primary means of social media that have been used during the period October – December 2016 have been Facebook and Twitter.
Overview of Facebook data
The following table provides an overview of the key statistics for RAMHPs Facebook page.
Table 2: Overview of RAMHP’s Facebook Page Statistics
Statistic Impact
• 41 new likes were achieved during this period,
bringing the total number of likes to 391
• Increased number of people exposed to RAMHPs’
mental wellbeing promotional information
• Post Publishing declined by 19.9%
• Posting levels returned to a more normal rate following
the intensive campaign in the lead up to the Glove Box
Guide launch
• 129 Facebook posts over this period
• Engagement with posts:
− Reactions 845
− Comments 56
− Shares 197
− Link Clicks 184
• Posting rates returned to a normal level after the
Glove Box Guide launch campaign.
• Interactions with the posts remain high with 1,098
people directly engaging with RAMHP’s mental
wellbeing promotional messages over the period
General RAMHP Program Updates
Figure 1: Top performing posts during the period October – December 2016 .
10
General RAMHP Program Updates
Overview of Twitter Data
The following table provides an overview of key statistics relating to RAMHP’s twitter account during the period October – December 2016.
It should be noted that the decline in the comparative statistics below is due to RAMHP’s twitter account returning to more sustainable
activity levels following the intensive campaign to launch the Glove Box Guide Sept. 2016.
Table 3: Overview of RAMHP’s Twitter Analytics
11
Statistic Impact
• 12 new likes were achieved during this period,
bringing the total number of likes to 228• RAMHP’s Twitter audience continues to increase
• Post Publishing decreased by 78.7% over the period
• Decreased volume of information distributed via the
RAMHP Twitter account after intensive Glove Box
Guide launch campaign
• @mentions decreased by 40.82%
• RAMHP’s volume of twitter mentions has declined in
line with the twitter account returning to more
sustainable levels following the intensive campaign in
Sept.
• 16 Tweets during this period
− @mentions 29
− Replies 5
− Retweets 15
− Tweet likes 27
− Retweet with comment 3
• The social media community have remained engaged
with the content that RAMHP has posted on Twitter.
General RAMHP Program Updates
Overview of Twitter Data
Figure 2: Top performing tweets during the period October – December 2016 .
12
General RAMHP Program Updates
Overview of Social Media Campaigns
Two key social media campaigns were held throughout Oct. Dec. A brief
summary is provided below:
Glove Box Guide to Mental Health 2017 Pre-launch and launch
• Daily Tips
• Coordinator posts on ‘Servicing their Mind’
• Launch video recorded by The Minister for Health Pru Goward, and Mr
David Perkins CEO
• Further posts were generated to share information about the Glove Box
Guides that took place around the state.
Coping with Christmas
• December online forum
• Newspaper Articles
• Radio segments
− Di Gill and Darcy Budden https://soundcloud.com/abcnsw/coping-
with-christmas
• Series of social media posts
− Staying Healthy over Christmas
− Stress
− Stay connected
− Merry Christmas post
− Happy New Year post
− Stress of New Year Resolutions 13
Data Considerations
This Quarterly Report represents the second period of data collected using the RAMHP App.
There are a number of considerations which must be taken into account when interpreting the results of this Report (RAMHP
Quarterly Update Oct – Dec 2016). These include:
• Following the first quarter of data from the RAMHP App the RAMHP Evaluation Manager conducted a review of findings and
several amendments were made to the data fields collected through the App. These amendments will refine and improve the
appropriateness and richness of data collected. Of note, RAMHP Coordinators are now able to report greater detail relating to the
types of issues and symptoms they encounter and the types of services and resources they link people to.
Considerations which must be taken into account when interpreting the results of all Reports include:
• Annual leave taken by RAMHP Coordinators during the reporting period may impact on their data presented in this Report.
14
LINK
How Many People Were Linked?
• From October 2016 to December 2016, 482 people were linked
to mental health support services or resources by RAMHP
Coordinators. This is an 8.3% increase from the previous quarter
• The majority of links made (n=277, 57%) were for people seeking
assistance on behalf of someone else 16
Chart 2: Number of Links Jul. – Sept. and Oct. – Dec. 2016,
by Linkage TypeChart 3: Proportion of Links Oct. – Dec. 2016, by Method of
Linkage
Source: RAMHP App Source: RAMHP App
189 205
256277
0
100
200
300
400
500
600
Jul -Sept 2016 Oct - Dec 2016 Jan - Mar 2017
Nu
mb
er
of
Lin
ks
Quarter
Linked someone to services/resources to help someone else
Linked someone to services/resources for themselves
How Did Linking Take Place?
34%
28%
20%
8%
3%1%
5%
I met them at a community event or meeting
They attended training I delivered
I provided linking advice to a professional in mypartnerships/networks
Through phone contact
The ‘person in need’ works for a service in my partnerships/networks
The ‘person in need’ was referred from another service
Other
Note: 11 cases were not included due to missing data fields.
• The majority of links (n=160, 34%) continue to occur when
RAMHP Coordinators attend a community event. Key events
that occurred during this quarter were Mental Health Month which
saw activities across the state, Glove Box Guide launches and
Flood Recover Meetings throughout the Central West.
LINK
What Symptoms Or Issues Were RAMHP Coordinators Assisting With?
17
Chart 4: The Ten Most Frequent Symptoms Identified when Linking, Oct. – Dec. 2016
157
154
141
113
76
71
71
71
70
66
0 20 40 60 80 100 120 140 160 180
Stress
Pre-existing mental health disorder
Symptoms of an emerging mental health disorder
Change in behaviour
Grief and loss
Substance use (not a substance use disorder)
Relationship concerns
Carer related concerns
Physical health concerns
Work or financial concerns
Number of Times Symptom is Selected
Note: A symptom or issue can be selected multiple times (N=1,373).
Source: RAMHP App
• The most common issue or symptom RAMHP Coordinators assisted with were Stress (n=157, 11%), Pre-
existing mental health disorders (n=154, 11%) and/or Symptoms of an emerging mental health disorder
(n=141, 10%)
LINK
What Support Or Resource Were Suggested By RAMHP Coordinators?
18
Chart 5: Number of Times a Type of Support or Resource was Suggested, Oct. – Dec. 2016
Note: A resource or form of support can be selected multiple times (N=1,680)
• The most common support or advice provided by RAMHP Coordinators were visiting their GP (n=310, 18%), providing Printed
Information (n=183, 11%) and/or providing the Mental Health Line number (n=178, 11%)
• Note, there has been a 15% increase in the number of times the Mental Health Line has been suggested.
LINK
C o o r d i n a t o r ' s s t o r i e s f r o m
t h o s e w e h e l p
I received an email from someone I trained.
“Thank you so much for the wonderful
training. I feel so much more confident and
empowered that I am doing the right thing
with people who may need my assistance.”
It’s good to know that I’m helping people to
help others.
I was contacted by a person
connected to a fishing co-op. They
were concerned about a man who
found his brother following his
suicide. I’m working with other
organisations to support fishers
and the wider community around
the impact of fishing industry
reforms.
I supported a woman on several occasions regarding
her adult son. Symptoms included paranoid thoughts,
an escalation in drug use and the woman expressed
that she is fearful of her son. We discussed access to
weapons and I discussed the situation with the
Community Mental Health Team. I provided service
information for Accessline and emergency services.
I talked with a woman at a Community
Information Day about concerns amongst
community elders relating to drug use and
underage driving in their community. I linked
them to the Police Aboriginal Liaison Officer.
I linked a woman who was experiencing high levels
of stress relating to her daughter who has a
provisional diagnosis of autism and is at boarding
school. I provided the Glove Box Guide, website and
online support and information about the Royal Far
West service which helps children in rural areas.
A man who attended my training
approached me to talk about his
concerns for an elderly friend. He
described the man as socially
isolated and experiencing suicide
ideation. I recommended their GP
and ways to increase social
connection such as Men’s Shed.
When I presented at a local
Aboriginal Medical Service it
became apparent that one of their
clients was likely experiencing
psychotic symptoms. I suggested
the Mental Health Line and their
GP.
19
TRAIN
How Much Training Was Delivered?
• From October to December 2016, 99 training courses were
provided by RAMHP Coordinators. The most common training
course delivered was Workplace Support Skills (n=33, 33%)
• Whilst the number of training courses has declined, the total
number of training participants has increased. This indicates
efficiency improvements with greater engagement and attendance
at RAMHP training sessions.
• From October to December 2016, RAMHP Coordinators delivered
training to 2,004 participants
• On average each course contained 20 people
20
Chart 6: Number of Training Courses Delivered, by Course Type,
Jul. – Sept. and Oct. – Dec. 2016 Chart 7: Number of Training Participants, Jul. – Sept. and Oct. –
Dec. 2016
Source: RAMHP App
Source: RAMHP App
16 20
2933
2920
3325
107
99
0
20
40
60
80
100
120
Jul -Sept 2016 Oct - Dec 2016 Jan - Mar 2017
No
Tra
inin
g C
ou
rse
s
Quarter
CSS WSS Tailored Training
MHFA HISS Total
1,808 2,004
0
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250
Jul -Sept 2016 Oct - Dec 2016 Jan - Mar 2017
Num
ber
of Tra
inin
g P
art
icip
ants
Total number of training participants across all training courses
TRAIN
• Training courses were predominantly comprised of a number of different disciplines employed by Mental health (n=14, 14%), General
Community Members (n=14, 14%) and Physical health (n=12, 12%) sectors
Who Did RAMHP Coordinators Train?
Examples of Organisations
Trained
• Australian Lifeguard Service
• Bullinah Aboriginal Health Service
• Red Cross
• Boreal Quarry
• Tenterfield Social Development
Committee
• Maclean District Hospital
Emergency Department
• TAFE
• Centrelink
• Soft Landings (social enterprise)
• Bega Valley Suicide Prevention
Network
• Rural Assistance Authority
• Pharmacy Guild
• Roads and Maritime Board
• Yalbillinga Child Care
• Mission Australia
21
Chart 8: Number of Training Courses, Audience Type, Oct. – Dec. 2016
Source: RAMHP App
1
1
2
2
3
4
4
7
7
8
9
11
12
14
14
0 2 4 6 8 10 12 14 16
Consumers (of mental health and other services)
Other
Aboriginal
Employment
Youth
Carers
Disability
Other government or council
Primary industry
Mixed welfare services
Community group or organisation
Education
Physical health (eg medical)
General Community Members
Mental health
Number of Training Courses
Au
die
nce T
yp
e
INFORM
What Audiences Were Reached Through Community
Events?
22
• General Community (n=71, 69%) and Farming (n=11, 11%)
focused events remain the most common community events
attended by RAMHP Coordinators
Chart 9: Coordinator Attendance at Community Events, by
Audience Type, Oct. – Dec. 2016
Source: RAMHP App
Note: Events which are attended by more than one RAMHP Coordinator
are recorded more than once in the chart above
1
1
1
2
2
3
3
3
5
11
71
0 10 20 30 40 50 60 70 80
Health staff and stakeholders
Men
Teachers
Aboriginal
Parents
Consumers
Women
Youth
Students
Farming
General community
Coordinator Attendance at Community Events
Audie
nce T
ype
If you have any questions regarding the content of this Report, please contact:
Tessa Caton
Partnerships Manager, RAMHP
Ph: 0484 339 996
Email: [email protected]