Mental Health Planning in
Queensland.
Dr Aaron Groves
Director of Mental Health.
08/04/2011
Second Stage of the Queensland
Plan for Mental Health
2012 –2017
Best made plans
Queensland Mental Health Natural Disaster
Recovery Plan 2011-13
• During summer 2010-11, Queensland experienced
unprecedented devastation as a result of floods and
Cyclone Yasi.
• In recognition of the significant immediate and long-term
mental health needs of Queenslanders as a result of the
severe weather events, the Queensland Mental Health
Natural Disaster Recovery Plan 2011-2013 has been
developed to provide a blueprint for government, nongovernment and community mental health disaster
recovery responses.
Queensland Mental Health Natural Disaster
Recovery Plan 2011-13
• WHO predicts that in the 12 months post emergency,
prevalence of severe mental disorder (such as Post
Traumatic Stress Disorder (PTSD), psychosis, severe
depression and severe disabling anxiety) will increase by
1%, and mild or moderate mental disorder ( PTSD,
depression and anxiety) will increase in prevalence by
between 5 and 10%.
• Progress towards the Plan’s targets for improved mental
health of Queenslanders will be significantly challenged by
the effects of the natural disasters. A significant increase
in demand for public mental health services in Queensland
over the next 12-24 months is predicted.
Queensland Mental Health Natural Disaster
Recovery Plan 2011-13
• QH has developed a model which uses population data,
flood and cyclone maps, expert advice and best available
evidence to make predictions as to the likely impacts of the
natural disasters on the mental health of Queenslanders
and estimate the level of public mental health resources
needed to provide a recovery response.
Queensland Mental Health Natural Disaster
Recovery Plan 2011-13
• The model estimates the number of community mental
health positions needed to work in Mental Health Trauma
Recovery Services (MHTRS) in the 10 Health Service
Districts most affected by the natural disasters.
• A clinical model of service delivery for MHTRS has been
developed. The model assumes a similar expansion in the
provision of primary mental health care.
• Additional resources to respond to the challenge of the
natural disasters will ensure that services can continue to
meet the needs of current consumers and that progress
towards addressing unmet needs is not impacted.
Overall Perceptions of Care
Cons umer Satis faction Index
50
NOT AT ALL
SATISFIED
NEUTRAL
VERY
SATISFIED
100
66
68
72
69
77
75
73
75
Acute A
Acute B
Extended A
Extended B
Community A
Community B
CYMHS A
CYMHS B
0
SERVICE SETTING
Quality and Appropriateness
Cons umer Satis faction Index
50
NOT AT ALL
SATISFIED
NEUTRAL
VERY
SATISFIED
100
67
69
72
69
79
75
77
81
Acute A
Acute B
Extended A
Extended B
Community A
Community B
CYMHS A
CYMHS B
0
SERVICE SETTING
Responses to "I felt safe while I was in hospital"
100%
Agree or Strongly Agree
Dis agree or Strongly Dis agree
90%
80%
70%
75%
73%
70%
60%
54%
50%
40%
30%
20%
10%
18%
16%
7%
9%
0%
Acute A
Acute B
Extended A
SERVICE SETTING
Extended B
Responses to "Overall, I feel better"
100%
Agree or Strongly Agree
Dis agree or Strongly Dis agree
90%
80%
81%
75%
70%
69%
69%
67%
60%
63%
54%
50%
50%
40%
30%
20%
10%
12%
10%
4%
18%
15%
10%
13%
8%
0%
Acute A
Acute B
Extended A
Extended B
Community A
SERVICE SETTING
Community B
CYMHS A
CYMHS B
PRIORITY 5
Workforce, information, quality and safety
Initiatives under this priority area include:
• Implementation of the revised National Standards for Mental Health Services 2010
• Recruitment –
Established 3 Undergraduate Support Officer
positions to market mental health careers.
Expanded medical trainee support
Developed a suite of marketing and promotional
materials
A framework for the development and implementation of practice that
guides continuous quality improvement in mental health services
Dual Diagnosis Clinical Guidelines
•The Dual Diagnosis
Clinical Guidelines and
Clinican Tool Kit will
guide MHS and ATODS
clinicians in the
provision of safe,
effective and holistic
care for people with
dual diagnosis.
THE CLINICAL REFORM INITIATIVE WORKING TOGETHER TO CHANGE: PROJECT MODEL
Assessing Clinical Service
Delivery
Planning for Change in
Clinical Service Delivery
Assessment Tools
Tools for change
National Key Performance Indicators
Support for strategic change
management planning
Mental Health Directorate Clinical Audits
Patient Safety Data
Past Service Reviews
Service Capacity Assessment
Local Consultations
MHD consultations
Policy alignment & adherence
Local HR data
MHSO Activity Data
Coronial recommendations
Collaborative Strategic Planning for Change
Local Information Collections
Working Together to Change Service Review
Population based data
Other National Initiatives and Reforms
Legislation, Standards, Policies and Guidelines
Fourth National Mental Health Plan 2009-14
Queensland Plan for Mental Health 2007-17
State-wide CIMHA Data
Staff education, training and
development
Discipline specific resources for staff
skill development and support
MHD Leadership development
initiatives
Recruitment strategies
Models of Service Delivery
Facilitation of corporate support for
managing HR/ Industrial issues
Policy development and implementation
Support for information collection and
use
Mental Health State-wide Advisory
Groups, Clinical Clusters and
Collaboratives
Resources to support priority projects
Local Resources
CSCF Mapping
Recovery Orientated Service measure
Peer Support
Governance Measurement
Service Integration: establishment of
partnerships
Mental Health Act Audits
Infrastructure Guidelines
WCLC Staff Survey
Evaluation
Supporting
Change
Facilitation & coordination of state-wide
projects to address areas of need
ACHS Accreditation Reports
Clinical Services Capability Framework
Implementing Change in Clinical
Service Delivery
Ongoing Support for Review and Planning
Supporting Clinical
Service Delivery
Benchmarking: ACHS, Collaboratives,
Benchmarking Unit
National Mental Health Standards
Queensland Health State-wide Mental Health Models of Service Delivery
Delivering Clinical
Services
Policy is easy, the trick is in the
implementation
• The first 25 years are always the hardest
• If anyone would like a copy of this
presentation you can also contact
meredith_lee@health.qld.gov.au