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PHaMS Employment & Mental Health Workshop Dorothy Belperio General Manager SA Mind Australia 2 May 2012. About Mind Australia. Largest provider of community managed mental health services in Australia. Services in Vic and SA, shortly to commence in Tasmania.
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PHaMS Employment & Mental Health WorkshopDorothy BelperioGeneral Manager SAMind Australia2 May 2012
About Mind Australia • Largest provider of community managed mental health services in Australia. • Services in Vic and SA, shortly to commence in Tasmania. • Support over 4000 clients per year • Deliver over 300,000 hours of support per year • Employ over 600 staff • Budget of $43 Million • Major provider of Commonwealth funded programs • 10 PHaMS services • 6 Family MH and Respite services • 3 Day to Day Living services
MindWork • 2010 developed a partnership between Mind and Workskil. • Workskil – largest Employment Services provider in South Australia and the 10th largest nationally. Not-for-profit provider. • Workskil identified support needs of people experiencing mental health issues, and difficulty keeping them engaged with employment services. • Established a partnershipand developed an MOU.
MindWork • Service model developed - Workskil focused on employment support - Mind provided psychosocial support • Workskil did not have separate funding. Did have a stream accessible - funds to support people to address barriers to engagement. Fee for service model developed. • Mind provided psychosocial support – 6, 12, 24 sessions. • Clear goals and time limited. Targeted interventions. • Very successful – over 80 clients.
Linking MH and Employment Issues to consider: • Mental health staff can create barriers preventing clients engaging in employment services, due to their care and concern. “they are not ready yet…” “after we have completed all the other activities” • Family can be a barrier – fear of their loved one being hurt, fear of failure, fear that they cannot cope and need protection. • Consumers themselves sometimes reinforce these messages, because it is what they are being told, despite being interested in employment options.
Linking MH and Employment Differences: • systems – models of service, office based versus community, complex systems to navigate and understand in both areas. • philosophies - tensions between approaches – person’s journey, recovery, goals, focus on pathways, structured, time limited. • funding frameworks – employment providers have to meet targets to gain income, not the case with mental health providers. Cycle of funding – changing providers. • language – compliance, breaches, recovery, diagnosis.
What worked? • MOU developed - clear roles and clear governance. • Documented processes of how to refer, what was provided, what was achieved – outcomes. • Client documentation – Mind used Workskil tools ie outcome report, which supported their system reporting requirements. • Mind had staff internally who had worked in employment services – identified them and recruited them to program. They understood both systems, and were able to help clients better understand what was expected of them by the employment provider. • Very targeted supported – area of focus determined together.