Transcript Document

Frank Quinlan, CEO
FRSA Conference, Canberra, March 2014
THE FUTURE OF SERVICE DELIVERY
TURNING THE CURVE
REFLECTIONS ON MENTAL HEALTH
The Mental Health Council
of Australia
The peak national NGO representing
and promoting the interests of the
Australian mental health sector
Who is the Mental Health
Council of Australia?
• MHCA Members include national
organisations representing consumers,
carers, professional associations,
special needs groups, clinical service
providers, public and private mental
health service providers, researchers
and state/territory community mental
health peak bodies
Our discussion today
•
•
•
Current developments and processes
in mental health reform
Changing influence of consumers and
carers in mental health advocacy
The role of family services in
supporting mental health outcomes
Developments in mental
health
•4th National Mental Health Plan &
uncertainty regarding 5th National Mental
Health Plan
•10 year roadmap for mental health
(now a 7.5 year roadmap)
•2011 budget initiatives
(some still commencing – eg PIR)
•Two National Report Cards on Mental
health and Suicide Prevention
Developments in mental
health
•National Mental Health Commission
review of mental health
•Government’s Commission of Audit
•McClure review of the social security
system
•Government’s review of Medicare Locals
•Implementation of the Partners in
Recovery Program
•Implementation of the NDIS
Development of the NDIS
• Introduced the concept of national
insurance for disability
• Introduced coverage for psychosocial
disability
• Rode on wave of political enthusiasm
Opportunities offered by the
NDIS
• Individual choice and control
• Additional resources
• Long-term planning and commitment
• Portability
Frank Quinlan, CEO
FRSA Conference, Canberra, March 2014
THE FUTURE OF SERVICE DELIVERY
TURNING THE CURVE
REFLECTIONS ON MENTAL HEALTH
Role of consumers and
carers
• Individual choice and control
• Rights based approach - not just to
services, but to a “contributing life”
• Fundamentally driven by outcomes
NOT by activities
Human rights context
Importantly, the Convention makes a
significant shift away from the medical
model of disability towards a social model
of disability. This demands the
development of different solutions to
redress the current situation.
Graeme Innes AM
Human rights context
The Convention recognises that disability is an
evolving concept and that disability results from
the interaction between persons with
impairments and attitudinal and environmental
barriers that hinder their full and effective
participation in society on an equal basis with
others.
Graeme Innes AM
FRSA Conference, Canberra, March 2014
THE FUTURE OF SERVICE DELIVERY
TURNING THE CURVE
REFLECTIONS ON MENTAL HEALTH
What does this mean for
services?
Characterising the emerging system drivers
(from yesterday’s presentation from Gerry Naughtin,
MIND)
Driver
Current
Future
Success
factors
Unique value
proposition
Commonality with
other funded
agencies
Differentiate
d
Understanding
differences and
commonalities
Service delivery
focus
Prescribed by
funder (outputs)
Brand
recognition
and value for
$
Individualise
d
Relationships,
brand and costs
matter
Staff performance
Important
Important
Choice of staff
member
Service user
expectations
Not important
because of
geographical
monopolies
Critical
Understanding
and framing
expectations
Characterising the emerging system drivers
(from yesterday’s presentation from Gerry Naughtin,
MIND)
Driver
Current
Future
Success
Factors
Geographical
Coverage
Prescribed by
funder with
geographical
coverage of
national
programs
Choice of
provider within
regions
Opening up of
service
monopolies
Capacity to
broaden
geographical
reach at
affordable cost
Regulation
Detailed
reporting
accountabilities
Reduction of red
tape
Simplify
accreditation
requirements
Government and
consumer
interest in
service
competency,
popularity and
outcomes
Performance
Outputs and
data reporting
highly prescribed
Focus on
outcomes and
minimum data
requirements
Consumer
satisfaction and
connectivity will
be critical
Characterising the emerging system drivers
(from yesterday’s presentation from Gerry Naughtin,
MIND)
Driver
Current
Future
Success
Factors
Cost
Standardised
unit of funding
Known $ for
defined funding
period
Funding variable
based on
demand
Government and
consumer focus
on value for $
Scale, brand
recognition and
IT systems
Cash flow
Sector funding
Funding to NGO
Opening up
market to
private, statutory
and NGO
agencies
Interest and
costs in
continuing roles
as a service
provider
Measuring outcomes in
family services
• Value for Everyone Report 2013
Measuring outcomes in
mental health?
• National indicators and targets for
mental health
Measuring outcomes…
• More people with poor mental health
will have better physical health and live
longer
• More people have good mental health
and wellbeing
• More people with poor mental health
will live a meaningful and contributing
life
Measuring outcomes…
• More people will have a positive
experience of support, care and
treatment
• Fewer people will experience avoidable
harm
• Fewer people will experience stigma
and discrimination
Implications for Family
Services
• What does all this mean for the role of
family services in mental health?
Role for Family Services
•
Family strengthening
•
Relationship counselling
•
Conflict resolution and management
•
Parenting support
•
Mental health promotion
•
Broader health promotion activities
Role for family services
•
Liaison with community mental health and social and
community services
•
Especially links to housing and employment service
providers
•
Targeting high risk groups – ATSI, CALD, GLBTI
•
Service models built on outcomes rather than
activities
Implications for Family
Services
• What does all this mean for the role of
family services in mental health?
FRSA Conference, Canberra, March 2014
THE FUTURE OF SERVICE DELIVERY
TURNING THE CURVE
REFLECTIONS ON MENTAL HEALTH
What contribution can
family services make?
• What are you doing now?
• What are the barriers?
• What needs to change to overcome
those barriers?
What contribution can
family services make?
• More people with poor mental health
will have better physical health and live
longer
What contribution can
family services make?
• More people have good mental health
and wellbeing
What contribution can
family services make?
• More people with poor mental health
will live a meaningful and contributing
life
What contribution can
family services makes?
• More people will have a positive
experience of support, care and
treatment
What contribution can
family services makes?
• Fewer people will experience avoidable
harm
What contribution can
family services makes?
• Fewer people will experience stigma
and discrimination
FRSA Conference, Canberra, March 2014
THE FUTURE OF SERVICE DELIVERY
TURNING THE CURVE
REFLECTIONS ON MENTAL HEALTH