RAMHP Quarterly Update

Oct – Dec 2016

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

tessa.caton@newcastle.edu.au

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

RAMHP Updates by Program Component

15

LINK TRAIN INFORM

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: tessa.caton@newcastle.edu.au