mental health system reform: taipei 3.11.2008 1 |1 | collaborating centre cimh ausmhlp: past present...

Mental health system reform: Taipei 3.11.20081 |

Collaborating Centre

CIMH

ausMHLP:Past present and future

Harry MinasCentre for International Mental HealthMelbourne School of Population Health



CIMH

PeopleWithMentalIllness

Families

CommunityOrganisations

Hospital-basedMental health

services

CommunityMH Services

Primary Care

Non-Health System ComponentsFinance, Education, Employment, Social Affairs, Justice, etc.

Health System

Conceptual & RegulatoryFramework MH Legislation MH Policies & Plans

Money

ImplementationCapability

Inputs & Processes Facilities, equipment and supplies Skilled & motivated staff Information systems

Outcomes and ImpactsImproved health status (recovery and reduced disability)

Improved social inclusion, social and economic participationSatisfaction with services – accessibility, effectiveness, responsiveness, appropriateness

Financial risk protection – illness and treatment do not result in poverty

General Community

Well-informed about MH and illness

Advocacy

RightsHuman rights

Right to treatment & care

ResponsibilitiesSupport for people with

mental illnessReduce stigma & Discrimination



CIMH

ausMHLPausMHLP

1999 Two-week training program for 50 participants from about 12

Asian countries

2001 Establishment, with Harvard medical School, of the International

Mental Health Leadership Program >100 alumni from 18 countries and territories

ausMHLP: 3 groups ausMHLP 2006: Psychiatrists and senior psych registrars ausMHLP 2007: Psychiatrists and senior psych registrars ausMHLP 2008: All relevant disciplines



CIMH

Improving mental health system performanceImproving mental health system performance

Effective mental health system development will: Begin with a clear view of the outcomes that are to be achieved Focus on improving mental health system performance Need to change:

health system characteristics community characteristics, and the quality of interaction between the health system and community

Non-health system factors will determine: whether effective mental health system development is possible and the scale and pace of development



CIMH

ausMHLP: ObjectivesausMHLP: Objectives

The intent of ausMHLP is to fill a significant gap in the training of mental health professionals by developing :

knowledge, skills and confidence of participants to undertake leadership and management roles

Specific teaching objectives are to: Introduce fundamental concepts of leadership, management and

organisational development and their application to administration of mental health services;

Introduce fundamental concepts of public policy and the policy environment in mental health service administration;

Challenge and inspire participants to accept responsibility for providing leadership in addressing priority policy issues;

Increase participants’ understanding of the practical skills needed to provide effective leadership on priority issues at local, state and national levels.



CIMH

ausMHLP: Entry requirementsausMHLP: Entry requirements

Mental health professionals of any discipline currently working in the public mental health system in Australia;

Committed to making a contribution to mental health in Australia at an organisational, system or policy level;

Currently working in formal management, clinical leadership, or other less formal organisational leadership roles;

Individuals who value good communication, who display initiative and creativity in their professional lives but are also able to follow projects through, who are capable of self-reflection, and who enjoy teamwork.



CIMH

ausMHLP: Mode of deliveryausMHLP: Mode of delivery

The program is delivered in four intensive 3 day seminars combining a variety of teaching methods including:

formal didactic teaching of theory and synthesis of relevant empirical research;

structured discussion of reading materials; presentations from, and discussion with, major national and state

level leaders of mental health service development initiatives throughout Australia;

experiential exercises; guided, structured, interactive reflection to connect formal teaching

to participants’ experience, and build understanding and skills; practical workshops tailored to the interests and work settings of

individual participants, a two-day conference.



CIMH

ausMHLP as Award CoursesausMHLP as Award Courses

From 2009 ausMHLP will be re-developed to be offered as an articulated series of Award courses

1. Graduate Certificate in Mental Health System Development

2. Graduate Diploma in Mental Health System Development

3. Master of Mental Health System Development



CIMH

Articulated award coursesArticulated award courses

Master of Mental Health System Development

Minor ThesisGraduate Diploma in Mental Health System Development

1. Mental Health System Research:Quantitative methods

2. Mental Health System Research:Qualitative methods3. Research project

A range of other elective subjects

Graduate Certificate in Mental Health System Development

1.Introduction to leadership and management in mental health services2.Mental health policy and the external environment3.Substantive areas of challenge for leadership in mental health services4.Team building and change management

mental health system reform: taipei 3.11.2008 1 |1 | collaborating centre cimh ausmhlp: past present...

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