Outcome Statements for the Community Managed Mental Health Sector Sue Nye Mental Health Commission May 2012

Why outcomes are important A focus on individuals families and carers Good outcomes require changed behaviour from users. Strength based/asset approaches Information Age. People informed Individual/family become the “integrator” More innovation, ownership and responsive service delivery

Why outcomes are important (Cont) They describe the results for a good life and provide ‘goal posts’ for services and supports Faster diffusion Provide reassurance about increased accountability A move away from outputs “Putting the Public First”: Government-wide reform Towards 2020 – individual focus, choice, a better life.

Outcome Development Process Began with 2020 consultations Whole of sector outcome workshops mid 2011 to March 2012 Combined Country forums Establishment of Outcomes working group Book of Proceedings Outcome Measurement of Community Based Mental Health Services in W.A.; Literature and Concept Summary Discussion Paper for the Non Government Mental Health Sector; Developing Outcome Statements

What would a better life look like for me? Three key questions: –What would a better life look like for me? –How would I know if services and supports were contributing (to a better life)? –What would service providers need to change or do differently? Summary of key themes to the question What would a better life look like for me?

Emergent Themes Work and Financial Security Education, Sport and Art Activities and Hobbies In Charge, Resilient, Having Choice Support from People with a Lived Experience (Paid and Unpaid) A Safe and Comfortable Home Rights Physical and Emotional, Psychological, Health and Wellbeing A Social Life, Relationships Good Clinical Support

What are the Outcome Statements 1. Health, wellbeing and recovery 2. A home and financial security 3. Relationships 4. Recovery, learning and growth 5. Rights, respect, choice and control 6. Community belonging

What Did We Learn Encourage conversations away from “Service Land” Don’t separate stakeholders Expect and plan for an “Integrity Gap” If you want buy in and you want to get it right you need service users to lead this work Share stories that inspire Engagement needs to be meaningful, interactive and ongoing Promote prototypes and go with the energy

What Did We Learn (cont) Change Management needs champions that receive high level support Focus on results for people and what makes a good life for all of us Organic processes that make lots of time for conversations Cannot be achieved by service providers alone

Self Directed Services Co design and self direction is the new norm - people will determine their own destiny Highly individualised and person centred services Reliance on informal supports, not formal services keeps us safe People write a goal focussed plan and a personalised budget In practice people buy supports more than services

Next Steps In partnership with people with mental illness, families, carers and service providers we will: support agencies from now and June 2013 to embed the outcome statements into practice Begin consultations on the: –development of measures for the outcome statements –a means of assessing implementation of the standards From June 2013 …….