Outcome Statements for the Community Managed Mental

Health Sector

Sue Nye

Mental Health CommissionMay 2012

Why outcomes are important

1.

2.

3.

4.

5.

6.

A focus on individuals families and carers

Good outcomes require changed behaviour from users.

Strength based/asset approaches

Information Age. People informed

Individual/family become the “integrator”

More innovation, ownership and responsive service delivery

Why outcomes are important (Cont)

7.

8.

9.10.11.

12.

They describe the results for a good life and provide ‘goal posts’ for services and supportsFaster diffusionProvide reassurance about increased accountabilityA move away from outputs“Putting the Public First”: Government-wide

reformTowards 2020 – individual focus, choice, a better life.

Outcome Development Process

• Began with 2020 consultations • Whole of sector outcome workshops mid 2011 to

March 2012• Combined Country forums • Establishment of Outcomes working group• Book of Proceedings• Outcome Measurement of Community Based

Mental Health Services in W.A.; Literature and Concept Summary

• Discussion Paper for the Non Government Mental Health Sector; Developing Outcome Statements

What would a better life look like for me?

Three key questions:

– What would a better life look like for me?– How would I know if services and supports were

contributing (to a better life)?– What would service providers need to change or

do differently?

Summary of key themes to the questionWhat would a better life look like for me?

Emergent Themes

Work and Financial Security

Education, Sport and Art Activities and Hobbies

In Charge, Resilient, Having Choice

Support from People with a Lived Experience (Paid and Unpaid)

A Safe and Comfortable Home

Rights

Physical and Emotional, Psychological, Health and Wellbeing

A Social Life, Relationships

Good Clinical Support

What are the Outcome Statements

1. Health, wellbeing and recovery2. A home and financial security3. Relationships4. Recovery, learning and growth5. Rights, respect, choice and control6. Community belonging

What Did We Learn

• Encourage conversations away from “Service Land”

• Don’t separate stakeholders• Expect and plan for an “Integrity Gap”• If you want buy in and you want to get it right you

need service users to lead this work• Share stories that inspire • Engagement needs to be meaningful, interactive

and ongoing• Promote prototypes and go with the energy

What Did We Learn (cont)

• Change Management needs champions that receive high level support

• Focus on results for people and what makes a good life for all of us

• Organic processes that make lots of time for conversations

• Cannot be achieved by service providers alone

Self Directed Services• Co design and self direction is the new norm -

people will determine their own destiny• Highly individualised and person centred services• Reliance on informal supports, not formal services

keeps us safe• People write a goal focussed plan and a

personalised budget • In practice people buy supports more than services

Next StepsIn partnership with people with mental illness, families,

carers and service providers we will:• support agencies from now and June 2013 to embed the

outcome statements into practice• Begin consultations on the:

– development of measures for the outcome statements– a means of assessing implementation of the

standards• From June 2013 …….