A critical factor in driving strategic mental health service system reform is the interplay between a region’s infrastructure, the investment that has already been made, and the degree to which leadership and direction is available for guiding the implementation of strategies to make personalised, place-based approaches to managing mental health a reality.
At a national level, the National Mental Health Commission’s Review of mental health services provides the leadership and structure for reform, and this will help to maximise our opportunity for success at the local level. However, key to achieving bipartisan government objectives is the degree to which a region’s PHN facilitates partnerships and creates collective impact conditions between the primary health provider network – including with state funded public health – and stakeholders from the broader community. Partnerships in the co-design and co-production of a stepped care approach to mental health management is critical if we are to create seamless integrated care across a stepped care continuum.
Level 1 – Whole Population: What will it take to target investment in mental capital, community and personal resilience and self-help?
Level 2 – Children and Youth: What needs to happen to invest in prevention, mental fitness and early intervention?
Level 3 – Low Needs: How should we be providing services that allow universal access for self-directed low intensity therapies, including online and mobile applications, and increased early detection and intervention programs outside of the health system?
Level 4 – Moderate Needs: What will it take to design and implement targeted and integrated clinical and social support with emphasis on recovering and maintaining connection with the workplace and the community?
Level 5 – High Needs: What can we do to enable a person to have personal control and choice of services – including clinical and psychosocial supports and stable housing – that encourage meaningful activity and a connection to the community; coordination and integration with assistance to navigate the system; and a single electronic health record and care plan?
Level 6 – Complex Needs: What is the best way to provide personal and flexible packages of comprehensive health and social care? How do we create one system (not many systems) that responds to the needs of the individuals with a single care plan and eHealth record, and a support and care coordinator (and what should be their role?).
Susan Barron-Hamilton will be Chairing the Mental Health Reform conference, taking place in Sydney this November. Book your place by August 26th to save $400 on ticket prices!