1. Joint Kempsey ‘Place Based’ Planning
Moving Toward Mutually Accountable Care One Adolescent/Family
At A Time, One Service At A Time
Dr. Joanna Sutherland - Specialist Anaesthetist & NCPHN/MNCLHD Director
Alan Pretty – Acting Director Mental Health and Integrated Care, MNCLHD
Stephen Mann – Director Integration Mid North NSW, NCPHN

2. Rationale
“Most of the problems encountered by children and families are multi-faceted and cannot be addressed by one intervention or agency alone… multiple interventions need to be ‘joined up’ and co-ordinated in order to be effective.”
From Katz (2007): Community interventions for vulnerable children and families: participation and power.

3. Aims & Objectives
Evidence/Need informed & locally responsive planning, broad engagement, reform oriented co- design based on shared LHD, PHN/GP, RDN & NGO data & quadruple aim
Community based MH care coordination with group & individual interventions and peer support for year olds & their families living in Kempsey LGA
[If local & regional support for ACO/alliance contract] Agree fundholding & performance KPIs & over time reinvest productivity gains into other MH cohorts or locality priorities
Link to H. Pathways, WF development & H. Literacy

4. Targeting person-centred & collaboratively designed care
12-24 year olds in the Kempsey LGA
No. (%) with Severe MH Diagnosis in Kempsey
No (%) of Aboriginal year olds with Severe MH Diagnosis in Kempsey
3,996
311 (7%)
93 (2%)

5. Health, Housing, Employment, Education, Community Agencies, Consumers & Carers
IMHpact is a regional stakeholder group of government and and carer representatives which has 15 stakeholders currently
Developed the Mid North Coast Mental Health Integrated Care Collaborative
Dedicated Project Manager & Governance Framework & wanting to support research/reform
Membership open to groups active in the provision of mental health care via Reference and Advisory Groups as well as affiliate membership and the broader community of interest.

6. Action Plan
Key CEO engagement (AMS/PHN/LHD CEOs & Clinical Leads) by 20 April 2018
Community/Adolescent engagement & early scoping by 11 May
Focus group data & benefit analysis re: gaps, priorities options & transition/establishment by 30 June
Draft evaluation framework, and [if early funding identified] contractual agreement by 17 Aug
Phase 1 (one child, one service incremental learning) implemented by 3 September
Phase 2 (broader model such as schools/social/justice & WF upskilling) commences by 1 July 2019