Sunshine Coast Division

1. Sunshine Coast Division Service Delivery – a model GPQ Mental Health Forum March 2009 Jean McRuvie

2. The Division • Formed in 1994 with 4 staff with budget of approx $80,000 working from 1 location • Currently have 30+ staff and 8 contractors • A budget in excess of $4 million • Delivering services from 10 locations • Presently delivering 21+ programs • Covers an area from Gympie to Caloundra – Hinterland to Tin Can Bay • Changed from an Association to a Company Limited by Guarantee in 2008 • ISO 9001-2000 accredited in 2006.

3. Population currently 340,000 plus Population predictions indicate between 2001 and 2021 the population will rise 77% 26% of Queensland's growth in the 0 - 14 year age group will occur in the Sunshine Coast In 2005/06 2.4 million visitors stayed in the region and 4.1 million day visitors enjoyed the attractions of the region There are an estimated 4,000 indigenous residents within the Division boundaries Demographic

4. Population

5. Not what it seems

6. Private health insurance cover

8. No of practices – 128 No of solo practices – 26 No of GPs – 519 275 Practice nurses Female GPs – 166 FWE GPs - 377 The Division

9. GPS – Services to GPs and practices IT NPS Immunisation Palliative care After hours Indigenous health GP, Practice Managers and Practice Nurse networks Health promotion Inter professional learning Chronic disease management FOCUS – Services to patients, GPs and service providers More Allied Health Services ATAPS – Better Outcomes Better Access Alcohol and drug services Suicide prevention Drought counselling Perinatal services Aged care Lifestyle modification Clinical education Youth mental health The Division

10. Lots of other things • Development of formal and informal partnerships • Mental health expo and directory • Mental Health Wellness Centre • Binge drinking project • Smoking cessation project for indigenous people • Lots of work on chronic disease – particularly diabetes • Networks – mental health workers, dual diagnosis workers, youth health consortium, Cooloola Health Services Network

11. FOCUS • Wholly owned subsidiary – FOCUS Personal Health and Therapy. • Reports directly to the Board – operational governance by Advisory Council.

12. RANGE OF LOCATIONS Maroochydore – Nambour – Tewantin – Gympie – FOCUS clinics Maleny Hospital GP surgeries at Tin Can Bay, Currimundi, Landsborough, Mooloola Where we provide services

13. Who are we? MULTI DISCIPLINARY TEAM • General Manager • Clinical Manager • 8 psychologists (4 contractors) • 3 social workers • 2 alcohol and drug clinicians • 1 rural support workers • 1 adolescent and youth counsellor • 1 mental health nurse • 1 clinical nurse • 2 admin support officers

14. Focus – patient consultations 07/08

15. Patient consultations 2001-2008

16. What we did last year – this year to date • 4103 mental health consults • 580 alcohol and drug sessions • 31 group therapy – 152 attendances • 248 Health checks for indigenous and youth • 500+ young people attended health checks • This year: • 184 people have accessed mental health professional development • 36 practice visits – presentations to 114 GPs, practice managers – all 46 aged care facilities visited at least once • 2,457 individual consultations to December 08 • 79 attendances at group therapy sessions

17. Reasons for structural change • Needed more management to cope with increased opportunities • Clinical supervision had to be boosted • Required a structure to position the Division to undertake more direct service delivery • Had to develop systems to meet this demand • Closer monitoring of quality • Increased flexibility of delivery • Development of multi disciplinary team and integration of programs.