1. Partners in Mind Workshop 17 November 2009

2. I have a dream!

3. Referral Pathways: Who can GPs refer to? How do they refer?
– is there particular paperwork to be used
– is there an intake criteria?
What happens to the patient?
How does the GP become aware of the patient’s journey, their treatment, their medication etc?

4. Events:
Meet & Greet – for health professionals to meet and provide information about their services
Provide Support (utilise existing channels, such as case conferencing)
Education & Training
Explore shared employment arrangements
Provide shared care options

5. Partners in Mind (PIM) Qld Health funded
12 implementation sites across Qld
Statewide Coordinator
What can we achieve?
Strong partnerships
Improved coordination and collaboration
A system more accessible and equitable
Improved mental health outcomes for patients
Decreased avoidable psychiatric hospital admissions

6. PIM Phase Two The dream becomes a reality:
A comprehensive, cohesive and coordinated mental health care environment.
advocate and progress the aims of the PIM initiative
acting as a driving force to implement systemic change

7. Queensland Plan for Mental Health 2007-2017
Priority 2: Improving and integrating the care system
Enhance and develop the continuum of clinical mental health treatment and care for consumers, families and carers

8. The Queensland Framework for Primary Mental Health Care
The Queensland Framework for Primary Mental Health Care has been developed to improve outcomes for people with a mental illness by working towards the “ideal” primary mental health care sector:
“All available resources are utilised as effectively as possible, services are interconnected and work well together to ensure clients can easily navigate the system and do not fall through gaps, services are evidence based and address client needs, the work required to develop linkages is prioritised, funded and supported, funding is provided efficiently and appropriately to local services, and there are enough resources to meet local needs”
The Framework guides system reform and identifies a range of strategies at the local and state level to support a more integrated and effective mental health care system.

9. What is Partners in Mind?
Partners in Mind (PIM) strives towards the “ideal” primary mental health care sector and aims to achieve the objectives in the Framework.
The PIM initiative is one component of the broader Queensland Framework for Primary Mental Health Care.
Specific Focus – DMHS and DGP/GPs/Private practitioners
PIM strives to :
Increase the capacity of the private sector to meet clients’ needs and enhance consumer choice;
Better integrate the public and private mental health care services and improve continuity of care.
Objectives
Improved linkages and increased capacity
Clear roles
Local service provision with a consumer and carer focus
Better understanding and use of available resources and initiatives
Note - PIM is about service delivery reform that organises health services around people’s needs and expectations, to make them more responsive to consumers needs, while producing better outcomes. Service reform in both the public and private sectors.
The PIM initiative has been implemented in seven demonstration sites since 2007 with positive outcomes and feedback. In , QH, MHB will continue to support and fund the implementation of PIM in the 7 demo sites and will expand PIM to additional 5 sites (where the PCLO positions have been allocated). The DGP have received funding in each of PIM sites to support their involvement. GPQ have been provided funding to lead the implementation and will be responsible for the coordination of PIM.

10. Partners in Mind Action Areas
Implement appropriate strategies under the six Action Areas based on needs of local region

11. PIM implementation potential outcomes
Consumers are more frequently engaged with a regular GP
Consumers are more satisfied with the continuity of care and the quality of the service they receive from the mental health sector
GPs are providing more appropriate and effective referrals to other service providers, including the DMHS
GPs are more satisfied with DMHS intake and discharge processes
GPs are more involved in mental health case conferences
GPs and other PMHC service providers are more knowledgeable about referral options and service criteria within the region
GPs have increased confidence and skills in managing mental health clients
GPs have access to timely and effective mental health advice and support
Service providers have a better understanding and use of existing initiatives and resources
DMHSs improve the quality and efficiency of DMHS discharge summaries
DMHS implement improved processes for sharing information with other service providers
DMHS and GPs respect each others roles and those of other key stakeholders
DMHS and DGP have improved relationships and are working in partnership
DMHS and DGP establish a forum, that includes consumer/carer participation, to enable ongoing dialogue between key stakeholders in relation to integrating the public and private sectors (for example, a steering committee or management group)
DMHS and DGP develop and implement a MoU or Partnership Agreement between key mental health stakeholders
Key mental health stakeholders are engaged in the development of the project and help to identify priority areas for action

12. Roles and Responsibilities Queensland Health, Mental Health Branch & General Practice Queensland
State-wide PIM Coordinator;
Leadership, expertise and ongoing support regarding the PIM initiative, and its implementation, to each of the sites;
Facilitate sharing of good practice, for example through workshops and the PIM website;
Wide-spread dissemination of the project outcomes and learnings;
Conduct statewide evaluation of PIM and oversee the PIM statewide evaluation process;
Conduct a review of the Framework document;
Actively represent the PIM initiative and its stakeholders at a state level;
Foster state level linkages with mental health stakeholders;
Identifying opportunities for collaboration with other initiatives;
Liaise with QH/GPQ about project progress;
Advise QH on future directions and report on progress for each of the implementation sites.
Statewide representation and advocacy etc

13. What is the Role of the District Mental Health Service?
Primary Care Liaison Officers (PCLOs) are responsible for leading the implementation of the PIM initiative within their DMHS.
Facilitate systemic reform across the DMHS in relation to better integrating the public and private mental health sectors and improving continuity of care.
Work towards increasing the capacity of private mental health care service providers, in particular GPs, to respond to the needs of people with mental health problems and disorders.
PCLOs work collaboratively with the local Division of General Practice (DGP) to determine strategies to be implemented within the PIM action areas.
The target population of this role includes consumer and carers, the District Mental Health Service clinicians and managers, and private mental health care service providers (including GPs, DGP, private psychiatrists, psychologists, nurses, social workers and occupational therapists) within a specified catchment area.

14. What is the Role of the Division of General Practice?
The PCLO will lead the implementation of PIM in partnership with the local DGP.
QH has provided funding to the DGP within each of the PIM sites to support their involvement and ensure they have capacity to progress the local implementation plan
Assist implementation of local strategies, facilitate access to GPs, provide specialist knowledge regarding primary mental health care services and provide insight into the “other side”.

15. What is expected of the DMHS and DGP?
DMHS and DGP remain jointly accountable for project outcomes
Sign and submit Partnership Agreement
Steering committee
Clarify roles and responsibilities
Strive towards aims of PIM and the Qld Framework for PMHC
Engage in collaboration between local DGP, GPs and DMHS to support aims and objectives of PIM
Engage in joint planning to determine priority areas
Develop a joint local implementation plan clearly stipulates aims, strategies, outcomes, evaluation and person responsible.
Implement and progress local implementation plan
Responsible for meeting reporting requirements
Local Implementation Plan (DMHS)
Financial Reports (DGP)
Comply with evaluation requirements of PIM
Participate in PIM Workshops

16. Reporting Requirements and Templates
Partnership Agreement
- extended due date 11th December 2009
Local Implementation Plan
Financial Reports
Temperature Checklist
Evaluation

17. Local Implementation Plan Template

18. Temperature Checklist Template

19. Support Site Visits Website PIM Planning and Implementation Guide
Templates
Workshops
How much support do you want? and what kind of support?

20. Partners in Mind Steering Committee
The Partners in Mind Steering Committee will provide expert advice and guidance regarding the integration of the public and private mental health sectors.
The Partners in Mind Steering Committee will:
assist in the establishment of a consistent statewide approach to standards, quality and service delivery regarding the integration of the public and private mental health sectors
provide a forum for consultation regarding the integration of the public and private sectors
provide expert advise and direction
provide a forum to raise and discuss operational issues
support the implementation of PIM at a state level
identify and review statewide pieces of work that will assist the implementation of PIM
provide advice regarding policy and planning to MHB and GPQ, and make recommendations on emerging issues
ensure activities are aligned with the strategic directions of the Queensland Plan for Mental Health (QPMH)
build strategic partnerships with key stakeholders that can inform mental health policy.

21. Questions?

22. Thank you