All District Health Boards
FORENSIC MENTAL HEALTH SERVICES –
PRISON SERVICE
MENTAL HEALTH AND ADDICTION
TIER LEVEL THREE
SERVICE SPECIFICATION
STATUS:
MANDATORY
It is compulsory to use this nationwide
service specification when purchasing this
service.
Review History
Date
Published on NSFL
June 2010
Working party review:
February 2010
Amendments: removal of unapproved Purchase Unit
MHFK84, MHFK84A, MHFK84C, MHFK84E. Minor editing
changes for consistency.
February 2011
Amended: clarified reporting requirements
February 2013
Consideration for next Service
Specification Review
Within five years
Note: Contact the Service Specification Programme Manager, National Health Board
Business Unit, Ministry of Health to discuss proposed amendments to the service
specifications and guidance in developing new or updating and revising existing service
specifications.
Nationwide Service Framework Library web site http://www.nsfl.health.govt.nz
FORENSIC MENTAL HEALTH SERVICES – PRISON SERVICE
MENTAL HEALTH AND ADDICTION SERVICES
TIER LEVEL THREE
SERVICE SPECIFICATION
MHF84A, MHF84B, MHF84C, MHF84D, MHF84E
This tier three service specification for Forensic Mental Health Services - Prison Service
(the Service) must be used in conjunction with the tier two Forensic Mental Health
Services service specification and the tier one Mental Health and Addiction Specialist
Services service specification. In addition, it is linked to a range of tier three Forensic
Mental Health service specifications.
The service specification defines Forensic Mental Health Services - Prison Service and its
objectives in the delivery of the Service.
1.
Service Definition
This Service is a multidisciplinary service comprised of specialist clinical staff providing a
specialised service to all prisons within the designated geographical area that includes but
is not limited to the following:

assessment and treatment for prisoners with serious mental illness (whether on
remand or sentenced) who are identified or who may be suspected of suffering from
serious mental illness, who require specialist level mental healthcare

provision of care within the prison setting or alternatively within an inpatient
psychiatric unit, having regard to identified needs and available resources

facilitation of continuity of care for people in receipt of care who need to be engaged
with Adult Mental Health Services, other health and social care agencies including
NGOs, on release. This may include inter-agency coordination

consultation, liaison and assistance with treatment planning provided to prison health
care staff and other agencies such as the Probation Service regarding people with
severe behavioural problems and no mental health problems.
2.
Service Objectives
2.1
General
The objective of this Service is to enable prisoners to access a level of mental healthcare
reasonably equivalent to that available to the general population of New Zealand.
2.2 Māori Health
Refer to the tier one Mental Health and Addiction Services service specification.
3.
Service Users
The Service users will be people that meet the assessment criteria for Forensic Mental
Health services. Young people should be transitioning to adult services up to their 20th
birthday if developmentally appropriate.
4.
Access
The Service is accessed by referral from prison primary health care providers.
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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5.
Service Components
5.1 Processes
The processes include but are not limited to the following: assessment, consultation,
treatment, intervention, rehabilitation, liaison, advocacy and support, review process, and
discharge.
5.2 Settings
The Service is provided in prison based settings.
5.3 Key Inputs
Refer to the tier two Forensic Mental Health Services service specification.
5.4. Pacific Health
Refer to the tier one Mental Health and Addiction Services service specification.
6.
Service Linkages
Linkages include, but are not limited to the following:
Service Provider
Nature of
Linkage
Accountabilities
Other providers of Mental
Health and addiction services
and general health
Referral,
liaison,
consultation
Work with other relevant professionals
and agencies in the care of the Service
user.
Other providers of services to
people under the Justice
system
Referral,
liaison,
networking,
collaboration
Work collaboratively with other providers
eg, Department of Corrections, Prisons,
Courts
7.
Exclusions
Refer to tier one Mental Health and Addiction Services .service specification.
8.
Quality Requirements
Refer to the tier one Mental Health and Addiction Services service specification.
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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9.
Purchase Units and Reporting Requirements
9.1 Purchase Units are defined in the joint DHB and Ministry’s Nationwide Service
Framework Purchase Unit Data Dictionary. The following Purchase Units apply to the
Service.
PU Code
PU Description
PU Definition
PU Measure
PU Measure
Definition
Payment
Systems
MHF84A
Forensic Mental
Health – Prison
Mental Health
Service – Senior
medical staff
Multidisciplinary service
comprised of specialist
clinical staff to enable
prisoners to access a
level of mental healthcare
reasonably equivalent to
that available to the
general population of
New Zealand. The
service is provided by
senior medical staff, a
component of the
multidisciplinary team.
FTE
Full-time equivalent
staff member
(clinical or nonclinical) involved in
direct delivery of
services to
consumers.
Exclude time that is
formally devoted to
administrative or
management
functions e.g. halftime coordination of
a community team.
Sector
Services
MHF84B
Forensic Mental
Health – Prison
Mental Health
Service – Junior
medical staff
Multidisciplinary service
comprised of specialist
clinical staff to enable
prisoners to access a
level of mental healthcare
reasonably equivalent to
that available to the
general population of
New Zealand. The
service is provided by
junior medical staff, a
component of the
multidisciplinary team.
FTE
As above
Sector
Services
MHF84C
Forensic Mental
Health – Prison
Mental Health
Service –
Nurses & allied
health
Multidisciplinary service
comprised of specialist
clinical staff to enable
prisoners to access a
level of mental healthcare
reasonably equivalent to
that available to the
general population of
New Zealand. The
service is provided by
nurses and allied health
staff, a component of the
multidisciplinary team.
FTE
As above
Sector
Services
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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PU Code
PU Description
PU Definition
PU Measure
PU Measure
Definition
Payment
Systems
MHF84D
Forensic Mental
Health – Prison
Mental Health
Service – Nonclinical staff
Multidisciplinary service
comprised of specialist
clinical staff to enable
prisoners to access a
level of mental healthcare
reasonably equivalent to
that available to the
general population of
New Zealand. The
service is provided by
non-clinical staff, a
component of the
multidisciplinary team.
FTE
As above
Sector
Services
MHF84E
Forensic Mental
Health Prison
Mental Health
Service –
Cultural staff
Multidisciplinary service
comprised of specialist
clinical staff to enable
prisoners to access a
level of mental healthcare
reasonably equivalent to
that available to the
general population of
New Zealand. The
service is provided by
cultural staff, a
component of the
multidisciplinary team.
FTE
As above
Sector
Services
9.2
Reporting
Details of any additional information to be collected and the frequency of reporting to
Sector Services Contract Management System are as specified and documented by the
Funder in the Provider Specific Schedule of the contract.
The Service must comply with the requirements of national data collections: PRIMHD.
Prior to the Services satisfactorily reporting to PRIMHD, the following information will be
reported to:
The Performance Reporting Team, Sector Services
Ministry of Health
Private Bag 1942 Dunedin 9054.
Email performance_reporting@moh.govt.nz.
Prior to PRIMHD Reporting to Sector Services, Ministry of Health:
Frequency
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Monthly
Data
First face-to-face contact with individual/family
Follow up face-to-face contact with individual/family
Group sessions delivered
Face-to-face contact group
Consultation/liaison contact
Consultation/liaison training sessions
Number completed support needs assessments
Number of people supported by services at end of period
(by NZ Maori, Pacific Island, Other)
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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Monthly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Six
monthly
Six
monthly
Annually
Number of people supported by services during month (by
NZ Maori, Pacific Island, Other)
Senior medical FTE
Junior medical FTE
Nursing and allied FTE
Non clinical FTE
Cultural FTE
Peer support FTE
Staff turnover ratio
Average length of stay
Number of suicides of current clients
Number of NGO Board member changes (NGOs only)
Number of NGO Governance meetings held (NGOs only)
Number of FTEs in each of these groups:

Medical

Nursing

Psychology

Occupational Therapy

Social Work

Maori Mental Health

Other
When the Service is satisfactorily reporting to PRIMHD, and agreement is reached with the
DHB, only the following information needs to be reported to
The Performance Reporting Team, Sector Services
Ministry of Health
Private Bag 1942 Dunedin 9054.
Email performance_reporting@moh.govt.nz.
After PRIMHD Reporting to Sector Services, Ministry of Health:
Frequency
Monthly
Monthly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Quarterly
Six monthly
Six monthly
Annually
Data
Group sessions delivered
Consultation/liaison training sessions
Senior medical FTEs
Junior medical FTE
Nursing and allied FTE
Non clinical FTE
Cultural FTE
Peer support FTE
Staff turnover ratio
Number of suicides of current clients
Number of NGO Board member changes (NGOs only)
Number of NGO Governance meetings held (NGOs only)
Number. of FTEs in each of these groups:

Medical

Nursing

Psychology
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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



Occupational Therapy
Social Work
Maori Mental Health
Other
Forensic Mental Health Prison Mental Health Service, Mental Health and Addiction Services service
specification tier three February 2010
Nationwide Service Framework
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