1. Bill Kuluris (Psychiatric Nursing) Clinical Co-ordinator G P Mental Health Nurse Program Mental Health Network GPV MHNIP Model

2. Region  Barwon Region consists of 275000 people over the 9,000 square km GP Association Geelong (GPAG)  250+ GP’s  58 Practices  HEADSAPCE Barwon Region (Barwon Health AMHR)  24 ward acute bed service  4 AMH teams  Relatively young service compared to other regions within the state

3. The Region

4. New GPs

5. Referrals per month

6. Age Groups

7. Gender

8. Referrals per Surgery

9. Referrals per day

10. The developments  Extended from a successful GP Clozapine program  April 2008 Federal government allowed for partnerships to occur between State/Territory and ………  Reference group committee  Clinical pathways committee  Support of the College of MH Nurses

11. The guidelines  The Federal MHNIP  Our local Guidelines – GP agreement Practice responsibilities MHT access Patient consent  Credentialing  Discharge guidelines – AMHT  Mental Health Nurse Incentive Program Updates (quarterly)

12. The process  MH Nurse selection, credential v’s best candidate  Visit all 51 GP practices to discuss new incentive  2 day orientation for the 5 successful MH Nurses  4 AMHT  2 week introduction and orientation for each nurses  Professional develop for going credentialing and clinical support for nurses  Intake meeting  2 bulk billing session via Psychiatrist  Location  Sessions

13. Intake Meeting  Consisted of discussing referral  Once uptake started intake occurred twice a week. Psychiatrist only visited on the Thursday  Presenting assessment once completed and decision point thereafter, Jigsaw, Headspace, MHT, Psychologist, NGO  Case conference – set up by MH nurse

14. The Model  Each nurse to potentially complete 10 sessions per week  3.5 hour sessions – assessments 1.5 hours ongoing reviews 45m documentation and driving increase in demand  Intake meeting  Supervision  Ongoing credentialing

15. Where are we now  Looking at implementing new referral process  P/T MH Nurses to assist with leave  Employ youth specific MH Nurse  Psych registrar to become involved  Finalising case mix and case loads  Trying to slow down  Generally happy with achievements over a short period of time