1. NDIS AND MENTAL HEALTH THE NATIONAL PICTURE 28 OCTOBER 2013 Mental Health Council of Australia

2. What is the Mental Health Council of Australia? Peak national NGO representing and promoting the interests of the Australian mental health sector Members including national organisations representing: Consumers and carers Special needs groups Public and private mental health professionals Researchers State mental health peak bodies National NGOs

3. MHCA and the NDIS Lobbying for inclusion of mental illness Eligibility and Assessment Working Group Recent advocacy: Legislation, Rules etc Bilateral arrangements and scheme design Sector Development Fund – Capacity Building Project

4. Where are we at? Many unanswered questions Only one launch site actively taking clients Fundamental policy concerns Major implementation challenges

5. Where do we need to head? We need to defend: Flexible access Multiple levels of assistance Recovery principles Consumer and carer inclusion Whole of life support A specialised workforce The NDIS can deliver: Additional resources Long-term commitment Portability Choice and control

6. Key policy issues Scheme design Permanency of impairment Early intervention

7. Commonwealth programs in scope Personal Helpers and Mentors (100%) Partners in Recovery (70%) Day 2 day living (35%) Mental health respite: carer support (50%) Employment services (?)

8. SPMI with complex needs SPMI without complex needs SMI (temporary/episodic?) Need for psychosocial support with or without formal diagnosis 60,000 135,000 420,000 ?

9. SPMI with complex needs SPMI without complex needs SMI (temporary/episodic?) Need for psychosocial support with or without formal diagnosis Personal Helpers and Mentors Now NDIS (current clients) NDIS (future clients) Yes Maybe*No YesMaybe*No YesMaybe*No * NDIS participants have priority Tier 3 Tier 2

10. SPMI with complex needs SPMI without complex needs SMI (temporary/episodic?) Need for psychosocial support with or without formal diagnosis Partners in Recovery Now?NDIS Yes No MaybeNo MaybeNo Tier 3 Tier 2

11. Key policy issues Scheme design Permanency of impairment Early intervention

12. Key implementation issues The assessment process Self-referral Supported decision making Organisational readiness Workforce Pricing

13. What the MHCA is doing Advocacy Policy makers NDIA staff NDIA Board DSS National Mental Health Commission Members and stakeholders

14. What the MHCA is doing Consumer and carer resources from a psychosocial disability perspective Eligibility and permanency of impairment Goal-based planning What might I choose? Case studies Audit of resources for service providers Regular information bulletins Comprehensive online information repository

15. What the MHCA is doing Working groups 1.Eligibility and assessment 2.Monitoring, evaluation and service quality 3.Supported decision making 4.Scheme design, administrative arrangements and workforce 5.Organisational readiness

16. What you can do Join our network Give us your views Contacts: Liz Ruck Travis Gilbert 02 6285 3100 dca@mhca.org.au

17. NDIS AND MENTAL HEALTH THE NATIONAL PICTURE 28 OCTOBER 2013 Mental Health Council of Australia

18. Serious and persistent mental illness with complex interagency needs (Tier 3) Intensive support needs (10%) More than 28 hours/week High support needs (25%) 10 hours/week Medium support needs (10%) 5 hours/week Low support needs (55%) 1.5 hours/week

19. Your views? What does a ‘permanent impairment’ mean in practice? Can it be reconciled with recovery principles? What is the best way to support people who don’t want to participate but would nonetheless benefit? What do you think ‘early intervention’ means in reality? Is your organisation ready? What would help your service be sustainable? What other questions do you need answered most urgently?