department of human services child and youth mental health service redesign demonstration projects...
TRANSCRIPT
Department of Human Services
Child and Youth Mental Health Service Child and Youth Mental Health Service Redesign Demonstration ProjectsRedesign Demonstration Projects
Information SessionThursday 4 September 2008
HousekeepingHousekeeping
• Please check that your contact details are correct at the desk
• Structure of session:– Background to the Mental Health Reform
Strategy and Demonstration Projects– The submission process– The selection process– The implementation process– Questions
Please note:Please note:
• The information contained in this presentation aims to clarify key aspects of the submission brief in discussion with prospective lead agencies. The submission brief contains the complete description of all DHS requirements and therefore remains the primary source of information in relation to the demonstration projects.
• In recognition of the competitive nature of this submission process, the DHS undertakes to use standards of probity and transparency normally associated with public tendering processes.
Project teamProject team
• Bill MacDonald, Manager Child and Youth Mental Health Services, Operations Branch, Mental Health and Drugs Division, Department of Human Services (ph 03-9096 7971; email [email protected]).
• Gilbert Van Hoeydonck, Project Leader, Child and Youth Mental Health Services, Operations Branch, Mental Health and Drugs Division, Department of Human Services (ph. 03-9096 7905; email [email protected]).
Mental health reform strategyMental health reform strategy
• A whole-of-government reform initiative• May 2008 Green Paper: Because mental
health matters• Final Reform Strategy paper to be
completed by the end of 2008• The finalised Strategy will provide the
context for project activities
Focus areas for reformFocus areas for reform
• Prevention• Early intervention• Access• Specialist care• Complex clients• Workforce• Partnerships
Strategic prioritiesStrategic priorities
• Priority focus on children, young people and families– Early in life– Early in illness– Early in episode
• Focus Area 2 – Early Intervention• Other action areas relevant
Focus Area 2 – Early interventionFocus Area 2 – Early intervention
• Strengthen capacity for early identification and intervention through universal services.
• Provide earlier and age-appropriate treatment and support for children and young people with emerging or existing mental health problems and their families.
• Deliver appropriate mental health support for particular groups of vulnerable young people.
• Build stronger, more resilient families where there is risk related to mental health problems or a combined mental health and drug and alcohol problem.
Demonstration projectsDemonstration projects
• Seeding mental health reform• Two four-year projects (2008-2012)• One rural, one metropolitan project• Need to develop or strengthen partnerships
within and between services: – Submissions accepted only from multi-service
consortia– Strong emphasis upon collaboration with primary
care providers, education and other human service providers throughout the projects
Aim (part A section 2)Aim (part A section 2)
• Reduce the prevalence of untreated mental health problems and disorders across the 0-25 age group within the designated catchment area by providing earlier recognition and timely responses to a larger number of children and young people with a broader range of mental health problems and disorders.
Seeding significant reformSeeding significant reform
• The demonstration projects will critically re-examine:– who should receive services and from
whom,– the timing of service engagement and
support,– the type of interventions delivered,– the way that services are organised; and– the location of service outlets.
Scope of reform (2.2)Scope of reform (2.2)
• Remove barriers within and between services• Better age-appropriate integrated responses
across clinical and PDRSS • New early intervention services for 0-12 and
12-25 years with primary care• Age-appropriate partnerships• Better respond to vulnerable young people
including child protection and youth justice
Expected outcomes include (2.3 & 4):Expected outcomes include (2.3 & 4):
• Increased numbers being seen with a broader range of problems across the age range
• Earlier and age-appropriate interventions• Services provided from familiar local settings that
are easier to access and use• Broader range of treatment options• Improved continuity of care across service types
and programs• Recovery-focused care, where clinical and non-
clinical services work together to address whole-of-life circumstances
Initial priority areasInitial priority areas
• In the first instance, consortia will be required to focus on two priority areas in planning demonstration activity to ensure general system readiness to respond early: – Expanding assessment of and responsiveness to
pre-school and primary school aged children who display early signs of social, emotional and behavioural problems.
– Developing strategies to better engage adolescents and young adults 12-25 years with a broader range of moderate to severe mental health problems, including co-occurring drug and alcohol problems.
Potential strategiesPotential strategies
• Regional needs analysis and mapping and planning of services.
• Use a clear project management and change management framework.
• Build partnerships.• Target service gaps, areas of high need.• Foster integrated service provision while
providing differentiated responses to the specific needs of the various age groups.
Service reform principles (2.4)Service reform principles (2.4)
• Outcome Focus• Reform agenda• Shared responsibility• Early intervention• Recovery orientation• Consumer-centred approach• Evidence based planning and practice
Involving consumers and carersInvolving consumers and carers
• A consumer-centred approach is one of the service reform principles.
• Reform needs to be planned with and for consumers, carers and families.
• Adequate advocacy and participation mechanisms to be implemented for children, adolescents, young adults and their families.
Project catchment (2.6)Project catchment (2.6)
• Sub-regional to regional• One or more PCP or AMHS catchments• Practical• Metro 100,000 to 200,000• Rural 50,000 to 100,000• Final catchment size to be agreed.
Project outputs and timelines (2.8)Project outputs and timelines (2.8)
• Appointment of a project co-ordinator (Dec 2008)• Development of a work plan (end Dec 2008)• Development of a Reform Action Plan (June 2009)
– Draft Plan March 2009– Endorsed by Consortia/RD and MH&D Division– June 2008
• Implementation of the Reform Action Plan– Staged approach– Commence 1 July 2009– Revision of the Reform Action Plan continues over time
Submission process (Part B -5)Submission process (Part B -5)
• Consortia to include, at a minimum:– CAMHS– Adult Mental Health Service– PDRSS– Primary Health entity
• Use template provided (Part D – p.26)• CEO sign-off for each consortium
organisation• Deadline is 4:30pm on 17 October 2008
Points to address in the submission Points to address in the submission (Part D – Part 2)(Part D – Part 2)• Provide an outline of:
– the proposed project area including areas of high need– how the project would be planned and developed locally to work in
this area– how a practical, workable, collaborative and cross sector approach
could be developed in accord with the service reform principles– the services to be involved, the extent of service reform being
envisaged and the outcomes that you are aiming for– the capacity of the consortium to achieve these reforms - including
the readiness of the consortium, the capacity of the mental health services and partner agencies to deliver the outcomes. Address both project management and service reform aspects
– how it would be implemented, managed and monitored in accord with the service specifications.
• Address all other requirements of the submission brief!
Key Selection Criteria (part B – 6)Key Selection Criteria (part B – 6)
• Understanding of mental health reform• Needs and outcome targets• Capacity• Readiness• Financial and technical• Staffing and employment
Submission and selection timelinesSubmission and selection timelines
• 22 Aug 2008: demonstration projects announced• 4 Sept 2008: information session at DHS• Sept/Oct 2008: establish consortium, develop
submission, obtain CEO sign-off• 17 October 2008: closing date for submissions• Week commencing 27 Oct 2008: interviews• 7 Nov 2008: selection process completed; successful
consortia announced, • November 2008: $150K one-off provided for project
management
Selection processSelection process
• DHS target dates are:– Shortlisting completed by 24 October.– Interview shortlisted consortia in the week
commencing 27 October 2008.– Advise successful consortia by 7 November
2008.• Selection panel to comprise
representatives from relevant departments and agencies
Funding (2.10)Funding (2.10)
• The CAMHS or AMHS in the consortium is to be the fund holder.
• Funding will flow through a variation to the existing Service Agreement between DHS and the health service:– $150K upon confirmation of successful consortium;– pro-rata funding for 2008-09 as required by local
Reform Action Plan; and– full-year funding from 2009-10 through 2011-12 of
up to $1.9M p.a. for the metropolitan project and up to $900K p.a. for the rural project.
Service development grants (2.11)Service development grants (2.11)
• Consortia must submit in accord with requirements of the brief (0-25)
• Selection criteria will be used• Consortia can highlight area for service
development activity in submission• Successful project consortia will not be
eligible• Work plan will be required
Project structuresProject structures
Project Management Group
Project Team
Statewide Advisory Group
Rural Regional Partnership Group
Metropolitan Regional Partnership Group
Consortium 1
Consortium 2
Project Support:
Communication Strategies
Workforce Development
Evaluation Tender
Executive Director Mental Health and
Drugs Division
Regional Partnership Group (2.12)Regional Partnership Group (2.12)
• Chaired by the DHS Regional Director• Representation of relevant programs/
sectors• Advises on the Reform Action Plan• RD signs off the Reform Action Plan • Receives reports and provides advice
during the implementation phase
Role of the lead agency/fund holderRole of the lead agency/fund holder
• Area Mental Health Service– Bring together a consortium – minimum core mandatory
membership and submission signed off by CEOs– Lead collaborative planning process in the development of
the Reform Action Plan– Maintain effective working relationships with the Regional
Partnership Group– Work closely with the Mental Health and Drugs Division in
the development and delivery of the projects– Actively monitor and report on activity, progress, outcomes– Account to the Mental Health and Drugs Division for project
funds – Manage the project deliverables in accord with the project
specifications and the mental health reform strategy.
Evaluation (4)Evaluation (4)
• The Mental Health & Drugs Division will appoint an evaluation contractor – assist DHS and the consortia on data
collection, benchmarking, monitoring and measuring outcomes
– Assist consortia with regular monitoring and reporting on project progress
– Provide an independent summative evaluation of the process and its outcomes by early 2012.
Workforce developmentWorkforce development
• The Mental Health & Drugs Division will identify training needs in consultation with consortia and the Statewide Advisory Group.
• Work with existing training providers to plan and roll out workforce development program to support reform directions.
• Training needs of staff in demonstration projects as the initial priority.
QuestionsQuestions
• All answers to the questions raised during this information session will be written up, emailed to registered participants and uploaded to the website of the Mental Health and Drugs Division of DHS at http://www.dhs.vic.gov.au/mhd/index.htm