Partners in Mind

1. Partners in Mind Cathy Beck – March 09

2. PIM Overview • PIM Framework • Demonstration Sites • Summary of Work • Statewide Evaluation • Findings from Local and State level • Recommendations • Where to from here

3. PIM Framework • Developed in 2005-2006, funding Q Health and AGDHA • Reviewed in 2008 with minor changes • Local and statewide tools (elements, outcomes and strategies) • Local : designed to assist service providers to work more effectively together to improve access to and utilisation of resources currently available

4. PIM Framework con’t • State : designed to provide direction for work undertaken at a state level towards fostering the ideal primary mental health care system in Qld • Useful tool for any partnership work occurring in Mental Health. • Implementation funded by Qld Health in 2007 to current date

5. Demonstration Sites • Ipswich & West Moreton DGP and West Moreton DMHS • Capricornia DGP & Central QLD DMHS (Rockhampton) • Central QLD Rural DGP & Central QLD DMHS (Emerald) • GPpartners (DGP) & Royal Brisbane & Women’s Hospital DMHS • Brisbane South/South East Alliance (DGPs) & Princess Alexandra Hospital DMHS • Sunshine Coast DGP & Sunshine Coast and Cooloola DMHS • Townsville General Practice Network & Townsville DMHS

6. Summary of Work • Implementation of MHNIP • Refinement of clinical pathways • MOUs and partnership agreements • GP Liaison position • Hands on attendance at acute care meetings and discharge planning meetings • Linking together of many mental health meetings to come under one common banner • Some comorbidity work

7. Statewide Evaluation • Contracted evaluator (Professor Peter Bycroft and Leanne Dowse) • Short time frames, first interim report due March 09 • Impact and Process Evaluation • Surveys and Interviews • Implementation Sites verses Control Sites

8. Findings from Local Implementation • LOCAL • Each region requires a different implementation process due to their history, specific local needs and resources; • The work of genuine partnership starts from the beginning: - the way stakeholders work at a state level impacts the outcomes- the way the project is rolled out (i.e. people working in partnership or not) impacts the outcomes - the way stakeholders are engaged initially impacts the outcomes • Coordinating this work requires dedicated high level project management and facilitation skills; • Relationship development is “personal” so when staff change the relationships are affected. • (Taken from Peter Bycroft presentation GPQ forum March 09)

9. PIM findings continued • The Framework and the tools are very highly valued and seen as appropriate and effective in achieving the desired outcome/s • People found that working relationships improved in general with mental health service providers • Cooperation and communication between DMHS, DGPs and other NGOs is improved • It is largely about systemic/cultural change and is often achieved through “behind the scenes” activity;

10. PIM findings continued • Systemic/cultural change is a long-term process requiring ongoing commitment; • This work is essential for all stakeholders to build local capacity and better meet client needs. • State evaluation will be covered in more detail between now and the final due date - October 09

11. Recommendations • Statewide rollout • Statewide support from Qld Health and GPQ • Capacity at DGPs to work with DMHS who have a Primary Care Liaison position • Seeding funding to develop partnership councils • Longer term (5 year) funding to enable processes / position to drive integration between DMHS and DGPs and Primary care services • Summary of PIM Framework to one pager • PIM Website

12. Where to from here? • Statewide evaluation – role of QPMHCC • Widening the sample size of people interviewed or surveyed • Working with Queensland Health to identify models to continue roll out • Integration with Primary Mental Health Care Liaison Positions – Q Health • Statewide support and focus on the outcomes • Explore possibility of support from AGDHA

13. Thank you