Transcript DOCppt_grey - Australian Association of Social Workers

Ivan Frkovic
Dept of Communities – Mental Health
THE COMMUNITY MENTAL
HEALTH SECTOR
– Thinking outside the square
The Community Mental Health Sector
‘Thinking outside the Square’
7 November 2009
Ivan Frkovic; Catherine Hewitt; Gaynor Ellis
Community Mental Health Branch
Department of Communities
Roles & Responsibilities in Mental Health
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2007
Machinery of Government changes in 2007 realigned responsibility for mental
health services in Queensland:
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Unique arrangement and different to other Australian jurisdictions.
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2009
The 2009 re-alignment of government agencies provides an additional opportunity
for mental health within the new Department of Communities, particularly in terms of
integrated services responses at the service delivery level and across the new
Social Development cluster of agencies.
3
Existing Programs
Housing and Support Program (HASP)
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A cross-departmental initiative involving Queensland Health and the Department of
Communities, (Housing and Homelessness Services and Disability Services).
The program supports people with a psychiatric disability to transition from Queensland
Health acute and extended treatment facilities to sustainable community living in social
housing.
Project 300 (P300)
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Supports people with a psychiatric disability to transition from Queensland Health
extended treatment facilities to community living.
Since the program began, Project 300 has supported over 300 people with a psychiatric
disability to transition back into community living.
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Existing Programs (continued)
Resident Support Program
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Supporting people with a range of disabilities, including psychiatric disability (up
to 70%) who reside in boarding houses and hostels with personal care and
community linking.
Mental Health NGO Funding Program (from Q Health)
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e.g. community awareness and education, early intervention, family and peer
support, information and referral, counselling, independent living and social
support, and training and organisational development.
New Mental Health Initiatives
• Transitional Recovery Program (TRP)
•
This program provides ongoing assessment, treatment and psycho-social
rehabilitation to assist people with mental illness to live successfully in the
community, thereby reducing the need for hospital re-admission.
• Resident Recovery Program (RRP)
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Expands the range of support provided to vulnerable people with a mental
illness living in boarding houses or hostels or moving from these facilities to
their own homes through:
– developing skills to self manage mental and general health care;
– improving social interaction and community inclusion; and
– assisting with linking to vocational/employment support or other meaningful
occupation.
New Mental Health Initiatives (continued)
Consumer Operated Services (COS)
•
provides short-term support through flexible peer-operated support and
accommodation for individuals in crisis situations or in need of respite.
•
In 2009-10 the first funded consumer operated service will commence in the
Greater Brisbane Region.
Transition from Correctional Facilities (TFCF)
•
funds non-government organisations to provide non-clinical support to people
with a mental illness transitioning from correctional facilities to the community.
New Mental Health Initiatives (continued)
Social Firms
•
This program supports viable business plans and strategies to create employment
options for people living with mental illness who would otherwise have difficulty
gaining and maintaining employment.
Young People’s Initiative (YPI)
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will provide safe and supportive community-based care focused on early
intervention for young people aged between 15 and 25 years who are experiencing
the early signs and symptoms of mental illness.
New Mental Health Initiatives (continued)
Recovery Oriented Mentoring Project (ROMP)
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Two Geographical Areas – Sunshine Coast and Greater Brisbane
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Multi-Sectoral Collaboration - DSQ, NGOs, QH, People with a lived experience and/or
family members.
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–
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Sunshine Coast - 26 participants
- Brisbane - 38 participants
12 NGO representatives, 3 DSQ, 9 QH - 24 NGO, 1 DSQ, 13 Q
Training - five days of non-sequential training around concepts of ‘Recovery’
Mentoring – six months of mentoring where each participant is supported to
undertake a self directed learning project and meets monthly with other group
members
Sector Development and Learning - wide dissemination of learning and materials
from individual projects
External Evaluation
Trainee Facilitator Development and Support
RECOVERY PARADIGM
Provides an understanding of how the
context in which we understand mental
illness impacts and effects the way in
which we respond to it.
QUEENSLAND GOVERNMENT
POSITION PAPER ON RECOVERY 2005
Recovery is the journey toward a new and valued
sense of identity, role and purpose outside the
parameters of mental illness; and living well despite
any limitations resulting from the illness, its treatment,
and personal and environmental conditions.
BODIES OF KNOWLEDGE
Dominant Paradigm
Professional
Medical
Nursing
Occupational
Therapy
Social
Work
Psychology
Objective
Less/Dominant Paradigm
Lived Experience
Traditional
Society
Knowledge
Recovery
Based
Practice Alternatives
Knowledge
Personal
Knowledge
Family and
Community
Knowledge
Subjective
Adapted from Canadian framework of Support 1989 & Glover H , 2001
What is Recovery?
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Recovery is a process, not a place.
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It is about recovering what was lost: rights, roles, responsibilities, decisions,
potential and support.
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It is not about symptom elimination, but about what an individual wants,
how s/he can get there, and how others can help/support them to get there.
Laurie Curtis (1998)
What is Recovery?
• It is about rekindling hope for a productive present and a
rewarding future -and believing that one deserves it.
• Recovery involves people having a personal vision of the life
they want to live, seeing and changing patterns, discovering
symptoms can be managed and doing it, finding new ways and
reasons, doing more of what works and less of what doesn't.
• Recovery is about reclaiming the roles of a "healthy" person,
rather than a "sick" person. Recovery is about getting there.
Laurie Curtis (1998)
Recovery and Social Work Practice
1. Hope – believe that mental illness is not a permanent state; (Human Dignity
and Worth)
2. Active Sense of Self – appreciate parts that contribute to my wellness
(Potential of individuals – service to humanity)
3. Personal Responsibility & Control – ‘out of control’ to being ‘in control’
(linked to lack of resources, fear, skills, support) ( Human Needs – Social
Justice)
4. Discovery – finding oneself, purpose in life outside the illness, participating in
activities that contribute to wellness. (Integrity of social work practice)
5. Connectedness – regaining connection with others and social roles,
transcending the role of patient (Social Justice, Competence, Awareness of
Discrimination)
Thank you
Questions?