Mental Health Council of Australia
NDIS AND MENTAL HEALTH
THE NATIONAL PICTURE
28 OCTOBER 2013
What is the Mental Health Council of Australia?
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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
MHCA and the NDIS
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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
Where are we at?
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Many unanswered questions
Only one launch site actively taking clients
Fundamental policy concerns
Major implementation challenges
Where do we need to head?
We need to defend:
The NDIS can deliver:
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Flexible access
Multiple levels of
assistance
Recovery principles
Consumer and carer
inclusion
Whole of life support
A specialised workforce
Additional resources
Long-term commitment
Portability
Choice and control
Key policy issues
• Scheme design
• Permanency of impairment
• Early intervention
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 (?)
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
?
Tier 3
Tier 2
Now
NDIS
(current
clients)
NDIS
(future
clients)
Yes
Yes
Yes
SPMI without complex needs
Yes
Maybe*
No
SMI (temporary/episodic?)
Yes
Maybe*
No
Yes
Maybe*
No
SPMI with complex needs
Need for psychosocial support
with or without formal diagnosis
* NDIS participants have priority
Personal Helpers and Mentors
Tier 3
Tier 2
Now?
NDIS
Yes
Yes
SPMI without complex needs
No
No
SMI (temporary/episodic?)
Maybe
No
Maybe
No
SPMI with complex needs
Need for psychosocial support
with or without formal diagnosis
Partners in Recovery
Key policy issues
• Scheme design
• Permanency of impairment
• Early intervention
Key implementation issues
• The assessment process
• Self-referral
• Supported decision making
• Organisational readiness
• Workforce
• Pricing
What the MHCA is doing
Advocacy
• Policy makers
• NDIA staff
• NDIA Board
• DSS
• National Mental Health Commission
• Members and stakeholders
What the MHCA is doing
• Consumer and carer resources from a
psychosocial disability perspective
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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
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
What you can do
• Join our network
• Give us your views
Contacts:
Liz Ruck
Travis Gilbert
02 6285 3100
dca@mhca.org.au
Mental Health Council of Australia
NDIS AND MENTAL HEALTH
THE NATIONAL PICTURE
28 OCTOBER 2013
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
Your views?
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What does a ‘permanent impairment’ mean in
practice? Can it be reconciled with recovery
principles?
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What is the best way to support people who don’t
want to participate but would nonetheless benefit?
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What do you think ‘early intervention’ means in
reality?
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Is your organisation ready? What would help your
service be sustainable?
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What other questions do you need answered most
urgently?