“Community partnerships for better mental health and recovery” Advanced Care Directives Working Group Karen Blake Consumer & Carer Participation Officer Mental Health Community Coalition ACT

“Community partnerships for better mental health and recovery” Overview Brief history of the Advanced Care Directives Working Group Implementation Issues Implementation Strategy to date

“Community partnerships for better mental health and recovery” Brief History Issue raised at MHCC ACT Consumer & Carer Caucus by Deb Merrit, Consumer Consultant, Mental Health ACT Group of around 10 Mental Health Consumers meet about every 3 weeks Invited Mental Health Carers to comment Developed an holistic view of the implementation issues for discussion and action.

“Community partnerships for better mental health and recovery” Implementation Issues Advanced Directives (“Advanced Agreements”) Legislature Mental Health Act (under Review) Privacy Legislation Policy on Co-morbidity (if necessary contact other health professionals) ‘Alert’ on MHAGIC Practitioner accountability and promotion ‘Power’ to over ride Agreement Early intervention and treatment at earliest point in care planning Clinical ‘System’ Policies and Protocols Practitioner engagement, recognition and promotion Use as a treatment and recovery tool ‘Alert’ on MHAGIC Access to Advanced Agreement in a Crisis Relevance of Advance Agreement on admission Policy on Advanced Directives recognition Training on Advanced Directive usage for public and private clinicians MH Consumers Complexities in completion of Agreement for Consumer Wallet sized “Alert” cards or bracelets Encouragement to and currency of Advanced Directive Awareness raising of Emergency Services + Consumers and Carers Is an empowerment tool for Consumers MH Carers Awareness raising of Emergency Services + Consumers and Carers If applicable, the inclusion of a Carer element on the agreement as part of the care planning

“Community partnerships for better mental health and recovery” Implementation Strategy Legislature (Mental Health Act Review) –Formulate a draft options paper –Inclusion in MHCC ACT and MHCN response –Included as part of the Act Review Quarterly Forum held in February 2008.

“Community partnerships for better mental health and recovery” Clinical ‘systems’ policies and processes –Review current information provided in MHACT on Advanced Agreements –Review current brochure –Consult Team Leaders in MH ACT to discuss promotion with staff –Investigation of an ‘alert’ on MHAGIC –Develop policy on Advanced Agreement recognition –Training on Advanced Agreement usage developed Implementation Strategy

“Community partnerships for better mental health and recovery” Consumers –Develop and implement Mental Health Crisis Card –Simplified process for completion –Provide an MHCN ‘drop-in’ for Consumers to discuss issues –Awareness raising for emergency services, clinicians and practitioners. Implementation Strategy

“Community partnerships for better mental health and recovery” Carers –Invited to join working group –Included carer element on the Advanced Agreement as part of the care planning process (if applicable) –Awareness raising of Crisis Cards to ACT Mental Health Carers Implementation Strategy

“Community partnerships for better mental health and recovery” Implementation Legislature Mental Health Act (under Review) Advanced Directives (“Advanced Agreements”) Clinical ‘System’ Policies and Protocols MH Consumers MH Carers

“Community partnerships for better mental health and recovery” Thank you Questions?