WA Mental Health Services Plan: A Blueprint for Effective Mental Healthcare

1. The Western Australian Ten Year Mental Health Services Plan: Development updateWAAMH Forum30 October 2013 Dr Aaron Groves Principal Clinical Lead

2. I acknowledge the traditional owners of the land on which we meet today the Wajukpeople of the Noonygarnation, their ancestors and people who have walked the lands before them. I am proud to work, walk and live on their lands

3. WA Mental Health Services PlanMandate • Government requires a Services Plan for mental health services by December 2013 to guide investment decisions that: • Responds to the needs of the growing population • Embeds the key mental health reform directions • Meets best practice standards and resourcing benchmarks • Uses evidence based approach • Reflects the unique needs of the State • Informs funding model development

4. Minister for Mental Health Project Sponsors Commissioner, Mental Health Commission Director General, WA Health Project Sponsor Executive Director Drug and Alcohol Office Steering Committee AOD Steering Committee Principal Clinical Planners Project Management Group • Alcohol and Other Drugs Working Group • Mr Neil Guard Community Support Consultation Group Mr Joe Calleja Consumers , Families and Carers Reference Group • Promotion and Prevention Consultation GroupProfessor Mike Daube • Bed-Based Consultation Group • Mr Patrick Marwick Community Clinical Consultation Group • Dr Elizabeth Moore WA Mental Health Services Plan – Project Governance

5. WA Mental Health Services PlanWA levers for change Mental Health 2020 • The Plan will support implementation of the directions outlined in ‘Mental Health 2020: making it personal and everybody’s business’ which include a greater focus on individualised supports for people, improved coordination and more balanced investment across the mental health sector Stokes • The Plan is being developed as part of the WA Government’s response to recommendations from the ‘Review of the Admission or referral to and the discharge and transfer practices of public mental health facilities /services in Western Australia’ (Stokes 2012)

6. WA Mental Health Services Plan Western Australian Drug and Alcohol Planning • In line with recommendations from the Stokes Review regarding the need for improved collaboration between mental health and alcohol and other drug services and the government’s announcement to amalgamate the MHC & DAO the plan will incorporate alcohol and other drug services planning concurrently being undertaken by the Drug and Alcohol Office.

7. National Mental Health Strategy • In part an acknowledgement of the broader national health reform agenda, including: Mental Health Reform agenda and commitment to National Mental Health Services planning National Mental Health Policy 1992 National Mental Health Plan, 1992–98 • Medicare Agreements 1993-98 Second National Mental Health Plan,1998–03 • Australian Health Care Agreements 1998-03 National Mental Health Plan 2003–08 • Australian Health Care Agreements 2003-08 COAG National Action Plan for Mental Health 2006-11 National Mental Health Policy 2008 Fourth National Mental Health Plan 2009-14 States and Territory mental health policies, plans and strategies Current State plans exist in Victoria, NSW, SA, Queensland, ACT and Tasmania. The last endorsed WA MH Plan was in 1996.

8. Fourth National Mental Health Plan Action 16 in the Fourth National Mental Health Plan: An agendafor collaborative government action in mental health 2009-14 • Action 16: Develop a National Mental Service Planning Framework that establishes targets for the mix and level of the full range of mental health services, backed by innovative funding models. This action is considered one of the foundation actions of the • 4th plan and the Commonwealth provided $2 million to NSW and Qld Governments to develop the framework in collaboration with all jurisdictions The project is known as the National Mental Health Service Planning Framework (NMHSPF)

9. National Mental Health Service Planning Framework Key objectives • Nationally consistent - an ‘Australian Average’ estimate of need, demand and resources • Flexible and Portable - to suit jurisdictional priorities and other variations in a user friendly format • Not all, but many - will not account for every circumstance or service possibly required • Not who, but what - will capture the types of care required, but will not define who is to deliver • Includes intersectoral linkages with housing, employment and education • Evidence & Expertise - identify what services ‘should be’ provided underpinned by evidence

10. NMHSPF adapts MH-CCP (“muck up”) POPULATION AND EPIDEMIOLOGY DEMAND SERVICE MAPPING CARE RATE CARE PACKAGES RESOURCE PREDICTIONS OUPUT PREDICTIONS STAFF PREDICTIONS AND COSTS F

11. NMHSPF POPULATION EPIDEMIOLOGY PREVENTION CARE Concept of prevention Concept of mild illness Concept of moderate illness Concept of severe illness

12. Standard reference epidemiology, Australian Burden of Disease 2007 • Stratified by Severity MILD/ MODERATE/ SEVERE

13. Standard reference epidemiology, Australian Burden of Disease 2007 • (Detailed prevalence of demand by Dxand severity for each age group, eg 18-64)

14. The National MH planning framework methodology can give us a WA Framework that does the following: Enables us to do State-wide population based planning to determine the evidence based ‘blue print’ for Mental Health services into the future including: The detail for the mix and level of services including taxonomies and facilities guidelines The detail for the mix and level of services including standards, care packages & pathways Informing costing for examplecost benchmarking; cost weights; activity based funding models

15. WA Mental Health Service Plan WEEK 8 this week and counting down … • Service Mapping completed and modelling work commenced • Steering Committee & Consultation groups(CG) have met regularly since August and provided with policy context, rationale for national mental health services planning and scope of the work being undertaken • CG Provided with an overview of the process for development of the National Framework and definitions and endorsed the process • Models of service have been reviewed and recommended • Groups have been provided with the key aspects of the methodology for development of the WA Framework and will be provided with a summary of the current WA estimates produced by the model at the next meeting • A series of targeted forums are underway to ensure consideration of populations with unique needs, including consumers, carers and family members ,Aboriginal communities, people living in rural and remote areas, multicultural and youth • Online feedback survey is available on the MHC website

16. To Deliver … WA Mental Health Services Framework • Applies National Mental Health Services Planning Framework to inform and determine the type/quantity of services required for WA • Maps existing services • Identifies gaps and imbalances • Informs and aligns with the WA Health Clinical Services Framework The WA Mental Health Services Plan • Will assist in developing strategic directions and priorities based on demand modelling and expert opinion, balancing short and long terms goals, and ensuring appropriate resource application • Will describe key demand drivers for future mental health service planning in WA and apply them to the WA context to predict future requirements • Will not seek to specify how services will be delivered at a local level – further consultation and consideration of local issues and services is required to determine how to best deliver services at a local level

17. QUESTIONS