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How are PHNs Personalising the Mental Health System?
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Procurement of services
The role of PHNs Population health Undertake population health needs assessment * Identify service gaps Local priorities Plan health services based upon identified need Service integration With GPs Across health system With established local and national clinical bodies Clinical councils Community advisory committees Procurement of services Undertake purchasing activities Integrate care across the entire health system Only provide services where demonstrable market failure exists
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Collaboration with System Partners
PHN LHDs NGOs SHNs CMOs Research orgs ACCO, AHOs GP AHP Carers NDIS providers Lived experience
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Six Key Mental Health Priorities
Targeting of low intensity psychological interventions Early intervention for children and young people Provision of psychological therapies (underserviced) People experiencing severe mental illness in primary care A regional approach to suicide prevention Enhancement and integration of Aboriginal and Torres Strait Islander mental health services
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How is CESPHN supporting choice and control?
Stepped care Commissioning of services Regional planning Co-design of service models and solutions Trailing new models of care and services Information, education and training
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Stepped care Assesses needs of an individual
Identifies evidence based interventions Matches needs of the individual to the right intensity of intervention Ensures care is working for the person through adequate follow up and monitoring Allows flexibility to move across service levels to support recovery
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Stepped Care Principles
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Commissioning Evaluation * Your Experience of Service
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Regional planning Needs assessment Planning to meet needs
Include people with lived experience, their families and carers Focus on underserviced, at risk, populations for whom services are often inaccessible. Identify primary mental health care gaps
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New Economics Foundation, 2011
“Designing and delivering services and systems in an equal and reciprocal relationship between professionals, people using services, their families and their community” New Economics Foundation, 2011
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Co-design Best practice for service design
Acknowledging consumers, carers, families and community know what works best for them Maximising decision making opportunities for participants Genuine partnerships Capacity building
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Services we commission
Provide a broad mix and range of services to meet community needs. Address demand, and provide individuals with choice and service options Recovery focused and person centred Funded to deliver better outcomes Provide improved access, clearer referral processes, extended service hours, flexible modes of delivery Ensure links to primary care, specialist supports, and social supports as required by the individual
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Commissioned Services Examples
Mindfulness Coaching services Mental Health First Aid Training Aboriginal and Torres Strait Islander mental health services Psychological support services for underserviced and hard to reach groups Early intervention for severe mental illness Suicide prevention initiatives Group therapy headspace centres Mental Health Nurse Incentive Program Multidisciplinary teams
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Trial New Models of Care
Lead PHN site for stepped care and low intensity mental health services Match service to needs (stepped care) Develop, test and share models of low intensity interventions
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Trial of a GP Practice Stepped Care Clinic
Partnership with Blackdog Institute, GPs, CESPHN Online screening tool in waiting room Identifying adults with anxiety and depression recommending evidence based stepped care treatment (matching to needs/preference) monitor progress and provide feedback.
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Trial in five headspace centres with Synergy Online Ecosystem
Online assessment tool, links young people to appropriate support, monitor progress and outcomes
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Education and Information
Support our primary health care workforce through continuing professional development and information sessions Stepped care Low intensity treatments Developing mental health treatment plans Suicide prevention Severe and enduring mental illness Trauma informed and recovery oriented practice
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Website
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Website
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For more information Visit our website www.cesphn.org.au
Kogarah Office Level 3, 15 Kensington St Kogarah NSW 2217 P: F: Ashfield Office Level 1,158 Liverpool Rd Ashfield NSW 2131 P: F:
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