1. Prepared by Matthew Trindall Clinical Leader Aboriginal Mental Health South Eastern Sydney Local Health District 2016 Local solutions: Improving Aboriginal mental health through innovation and collaboration

2. Acknowledgement of Country

3. Overview Acknowledgement of Country and introduction Innovation and Collaboration Demographics La Perouse Patient Journey Historical Overview La Perouse Community Health Centre Integrated Care and Aboriginal Mental Health

4. “Coming together is a beginning, Keeping together is progress; Working together is success” (Henry Ford) Innovation and Collaboration Source Google Images

5. Aboriginal people account for 0.8% of the total population 838,416 Northern sector: 3264 Southern sector: 3026 Demographics: SESLHD 2011 Source (SESLHD Intranet)

6. First Nation People: Bidgigal and Kameygal people of the Eora Nation Located in Sydney’s south-east, the La Perouse peninsula forms the northern headland of Botany Bay La Perouse mission established in the early 1880’s Self regulating community after the 1967 referendum Local attractions: Museum, Bare Island (http://www.historyofaboriginalsydney.edu.au/southccoast al)http://www.historyofaboriginalsydney.edu.au/southccoast al La Perouse

7. Patient Journey La Perouse – Community Case Management – Maroubra Centre MH Unit – Prince of Wales MH Rehabilitation – Bondi Junction Langton Centre AOD – Surry Hills Redfern AMS GP

8. La Perouse Community Health Centre Overview Community Consultation Prince Henry Service relocated from Little Bay to Prince of Wales 2001 Community Health Centre 2006 La Perouse LALC and SESLHD partnership Mental Health – 2007 Primary Health Service conducted on scheduled days each week Staffed by Centre Manager, Administration Staff

9. NSW Aboriginal Mental Health and Well Being Policy 2006-2010 : Strategy One : Partnerships – Strong working relationships Strategy Two: Accessible and responsive services Strategy Three: Mental health care for all ages: priority groups NSW Aboriginal Health Plan 2013-2023 Strategy One: Building trust through partnerships Strategy Two: Implementing what works and building the evidence Strategy Three: Ensuring integrated planning and service delivery Strategy Four: Providing culturally safe work environments and health services Strategic Framework - Aims

10. Occurs each Wednesday from 12:00 – 17:00pm Co-located services on Wednesday include – Langton Centre – AOD service for SESLHD Redfern AMS – GP Service Legal Aid Aftercare: NEMI-AHASI Partners in Recovery Aboriginal Healing Program – 14:00 – 16:00pm (15 EOI participants) Workshops: Mental Health Education, Recovery College Work Development Orders - Registered Clinic

11. Aboriginal Mental Health Worker – Registered Nurse Clinical Leader Aboriginal Mental Health Social Worker -.1 FTE Consultant Psychiatrist -.1 FTE Trainee Aboriginal Mental Health Worker Student placements Specialities as needed – KBIM etc Mental Health Clinic - Multidisciplinary Team

12. 33 current and ongoing consumers: over 220 recorded since recording in 2010 Referrals: Self, 3 rd Party, internal and external Triage Mental Health Assessments KPI’s: Physical Health, standardised activities Allocation Medical assessment and reviews Clinical Review Discharge planning External Referrals Operation - Clinical

13. Primary Health Network Partners In Recovery Langton Centre – AOD service Redfern AMS – GP service NEMI – AHASI Legal Aid Recovery College Prince of Wales – Primary Health Services La Perouse Aboriginal Mental Health Partnerships

14. Accessible and culturally appropriate mental health service Initial engagement with an Aboriginal clinician Increase the number of Aboriginal consumers accessing mental health services Referrals to appropriate support services internal and external Transitioning Aboriginal consumers through the mental health system Improve mental health literacy Strengthening of partnerships Outcomes

15. Referral: State Wide Mental Health Line: 1800 011 511 Phone triage: Details taken over phone Criteria: Suitability based on criteria Allocation to mental health worker based on needs Determination of treatment by clinical coordinators/psychiatry Biomedical, clinical and treatment focus Mainstream Mental Health Service

16. Prescriptive Rigid Time Limited Criteria Mental Illness and or Disorder Terminology – Language Misdiagnosis Risk adverse Biomedical focus Flexible Aboriginal Mental Health Clinicians Culturally Appropriate Transitional Face to Face – Appointments, referrals No access barriers Holistic model Local Aboriginal Mental Health Clinic Comparisons

17. Education – Recovery College Health Link – Consumer Advisory Group Partnerships – formal and informal; Sydney Metropolitan Local Aboriginal Health Partnership Agreement Commitment from SESLHD Replicate model at other facilities – Health One; Sutherland Hospital Organisational change – redesign and restructure Funding Sustainability and Succession

18. Positives outweigh the negatives Similar models exist in other LHD’s – Evidence, Benchmarking Without the clinic Aboriginal consumers unlikely to engage with mainstream mental health services Aligns with strategic frameworks and policies Continued quality improvement of the clinic Conclusion

19. Thank you Matthew Trindall – South Eastern Sydney Local Health District Matthew.Trindall@health.nsw.gov.au Phone: 93668711, Mobile: 0401712465