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