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Mental Health Planning in Queensland. Dr Aaron Groves Director of Mental Health. 08/04/2011

Mental Health Planning in Queensland. Dr Aaron Groves Director of Mental Health. 08/04/2011. Purpose & Scope of QPMH. The Qld Plan for Mental Health 2007-17 (QPMH): Provides a blueprint for reforming and improving the way we deliver mental health services.

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Mental Health Planning in Queensland. Dr Aaron Groves Director of Mental Health. 08/04/2011

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  1. Mental Health Planning in Queensland. Dr Aaron Groves Director of Mental Health. 08/04/2011

  2. Purpose & Scope of QPMH The Qld Plan for Mental Health 2007-17 (QPMH): • Provides a blueprint for reforming and improving the way we deliver mental health services. • Is a Whole-of-Government plan which includescollaborative actions across a number of Government Departments & sectors. • Provides evidence-based targets for service development. • Is consistent with national mental health initiatives and policies.

  3. The Process • Broad consultation with internal/external stakeholders. • Formation of ‘expert’ groups to provide recommendations about the specific service development required over the next 10 years. • Developed evidence-based parameters for planning of mental health services - Qld Centre for Mental Health Research (QCMHR). • Established planning targets for five core mental health service components using the recommendations provided by the speciality groups and the benchmarks recommended by QCMHR. • Developed theQld Plan for Mental Health 2007-2017 & obtained funding to support implementation of the first stage of the Plan (2007-2011).

  4. Guiding Principles • The QPMH articulates 6 principles to guide and support mental health reform: • Consumer & carer participation • Resilience & recovery • Social inclusion • Collaboration & partnerships • Promotion, prevention & early intervention • Evidence-based

  5. CORE COMPONENT SERVICE ELEMENT PLANNINGTARGET (Benchmark) 20 beds per 100k ACUTE BEDS INPATIENT SERVICES 10 beds per 100k NON ACUTE 10 beds per 100k CLINICAL - 24 HOUR STAFFED ADULT RESIDENTIAL REHABILITATION SERVICES NON CLINICAL, 15 beds per 100k STAFFED 8-24/24 35 beds per 100k SUPERVISED HOSTELS SUPPORTED ACCOMMODATION SUPPORTED PUBLIC 35 beds per 100k HOUSING AMBULATORY CARE 70 FTE per 100k CLINICAL STAFF CLINICAL SERVICES 15% service funding COMMUNITY SUPPORT NGO SUPPORT SERVICES SERVICES Planning Targets

  6. The funding commitment Qld Government investment since 2007

  7. Priorities for Action PRIORITY 1 – Promotion, prevention and early intervention PRIORITY 2 – Improving and integrating the care system PRIORITY 3 – Participation in the community PRIORITY 4 – Coordinating care PRIORITY 5 – Workforce, information quality and safety

  8. Planning Targets of the Queensland Plan for Mental Health 2007-17

  9. Planning Target Assumptions • Targets are a guide only. • They need to be interpreted within the local service context. Districts still need to evaluate the demographics of their own population when considering how staffing targets apply at the district level. • Targets do not take into consideration local needs. • It is assumed that issues specific to the district need local management. • Targets provide a framework to allocated resources to achieve: • a more equitable distribution of services across the state; • improve access to the full spectrum of services; and • improve levels of service provision comparable to national standards. • Targets do not consider prevalence rates in each district. • It is assumed that mental illness is relatively evenly distributed per 100,000 population.

  10. Application of the planning targets • Developed service development plans for each district mental health service: • what services are currently available in each district • what the target level of beds/staff should be by 2017 • what growth is needed to meet the target • Used these plans to guide new resource allocation: • invest new resources to districts/programs that are comparatively less well resourced • implement a system to review new positions (including vacancies of existing staff over time) to ensure that resources are being directed into services

  11. Application of the planning targets • Developed an ongoing relationship with district mental health services to update, review and monitor service development to ensure that staff: • understand the planning targets • understand how the planning targets apply to their service • understand how their service compares to other services • understand what their priorities for service development are

  12. Application of the planning targets • Articulated the principles of mental health reform: • Consumer & carer participation • Resilience & recovery • Social inclusion • Collaboration & partnerships • Promotion, prevention & early intervention • Evidence-based

  13. Application of the planning targets • Identified the priorities for investment: • Promotion, prevention & early intervention • Improving & integrating the care system • Participation in the community • Care coordination • Workforce development, information, quality &safety

  14. Application of the planning targets • Developed service development plans for each district mental health service: • what services are currently available in each district • what the target level of beds/staff should be by 2017 • what growth is needed to meet the target • 4. Used these plans to guide new resource allocation: • invest new resources to districts/programs that are comparatively less well resourced • implement a system to review new positions (including vacancies of existing staff over time) to ensure that resources are being directed into services

  15. Example

  16. Example

  17. Community mental health services

  18. Community mental health services

  19. Community mental health services

  20. Application of the planning targets • 5. Developed an ongoing relationship with district mental health services to update, review, monitor service development. Ensure that staff: • understand the planning targets • understand how the planning targets apply to their service • understand how their service compares to other services • understand what their priorities for service development are

  21. Application of the planning targets Developed an evaluation framework to determine whether investment in mental health is making a difference.

  22. Key Evaluation Questions KEQ1. Was funding expended in the intended way? KEQ2. To what extent has the infrastructure and capacity of the mental health sector increased? KEQ3. Has the quality of the mental health system improved? KEQ4. Have the initiatives impacted on people living with mental illness? KEQ5. Has the mental health of the community improved?

  23. Making Plans - to make plans and project designs brings with it many good sensations; and whoever had the strength to be nothing but a forger of plans his whole life long would be a very happy man: but he would occasionally have to take a rest from his activity by carrying out a plan - and then comes the vexation and sobering up. (Nietzsche, 1878/1986: 231)

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