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TRANSCRIPT
Service Mapping Rapid Phone Survey of Community
Organisations Delivering
Alcohol and Other Drug Services in the
Central Queensland, Wide Bay, Sunshine
Coast PHN catchment
2
CONTENTS Executive Summary ....................................................................................................................... 3
Background and Objectives of Service Mapping ........................................................................... 4
Rapid Phone Survey—Methods .................................................................................................... 4
Survey Sample ............................................................................................................................... 6
AoD Specialist Services .................................................................................................................. 6
AoD Service Providers ................................................................................................................... 7
AoD Services Delivered................................................................................................................ 11
Staff Delivering AoD Treatment Services .................................................................................... 16
Funding for AoD Services ............................................................................................................ 18
3
Out of 65 MH and AoD organisations that
responded to the survey, 14 deliver AoD
services. Central Queensland and Wide Bay are
each served by three providers, while five
organisations operate in the Sunshine Coast.
The most common source of funding for AoD
services was the Commonwealth government
(reported by 10 out of 14 providers), followed
by State government (8). Only one provider
received private funding and none reported
funding from local government or philanthropic
sources.
Community organisations in the PHN engage
156 AoD treatment staff, 55 of which are
independent contractors, 59 full-time, 25 part-
time and 17 as casual workers. Most providers
(9 out of 14) reported less than 10 AoD
treatment staff.
Most organisations (8 out of 13) – excluding
residential, on-line and phone services –
operate during business hours. AoD was the
primary focus for nine organisations and the
majority of organisations (10) have been
operating for more than 11 years.
Out of 14 providers, 11 have been rated as
possessing dual diagnosis capability through
external assessors and the same number
reported holding at least one external
accreditation.
All but one provider (13) deliver case
management and coordination, 12 offer
counselling, 11 screening and brief
interventions and seven offer after care
services. Withdrawal management is offered by
six organisations, with two of them offering it
as a stand-alone service.
On average every month 439 clients in the
PHN receive counselling services, 400 receive
screening/brief interventions, 25 receive
withdrawal management – as a stand alone
service – and 17 are served by day-stay
rehabilitation programmes.
Residential rehabilitation is provided by three
organisations (2 in Central Queensland and 1 in
the Sunshine Coast), while two providers
deliver day-stay rehabilitation programmes.
Across the PHN catchment there are 46 beds
available, with nine treatment staff required for
the day shift and five for the night shift.
Most providers (12 out of 14) offer AoD
services at the practitioner’s office and through
a phone line, while only one organisation offers
on-line services.
The most common source of referral for AoD
clients was self-referral (reported by 5 out of
14 providers), followed by correctional services
(4 out of 14 providers).
EXECUTIVE SUMMARY A rapid phone survey of community organisations delivering mental health and suicide
prevention (MH) and alcohol and other drug treatment (AoD) services was undertaken during
August-September 2016. It collected basic information about community providers and the
services they deliver in the PHN catchment.
4
BACKGROUND AND OBJECTIVES OF SERVICE In the context of mental health and suicide prevention (MH) and alcohol and other drug treatment
services (AoD), the PHN plays a pivotal role in the development of the corresponding regional plans
and commissioning of primary care services for the population.
To inform these activities and the work undertaken by the Regional Mental Health and Alcohol and
Drug Strategic Collaboratives in Central Queensland, Sunshine Coast and Wide Bay, the PHN
surveyed community organisations delivering mental health and AoD services in the PHN
catchment.
The objective of the survey was to collect basic information about these providers and the services
they deliver. Specifically, the survey sought information regarding:
The scope of services provided, including the type of services, opening hours, and
geographic catchment
Main target populations and sources of referral
The qualifications of the staff delivering services
Main sources of funding
RAPID PHONE SURVEY - METHODS Time and budget considerations led to a survey design that could be undertaken at low cost, over
the phone and in a short time frame.
A draft survey instrument was developed in early July 2016 and reviewed by local experts. They
were requested to provide feedback on the overall content of the survey.
After securing expert feedback, the survey instrument was adjusted and tested over the phone
with a few service providers before making final changes.
As part of the initial Mental Health and Alcohol and other Drugs Needs Assessments conducted in
early 2016, a list of organisations delivering these services in the PHN catchment was compiled
through sources such as the Queensland Health QFinder directory and lists compiled by Partners in
Recovery Consortiums and the National Health Service Directory. The initial listing included 98
community organisations that could potentially be delivering MH and AoD services in the region.
Further information secured through the web, and when possible confirmed over the phone,
verified that out of the original listing of 98 community providers 17 did not identify as a MH and/
or AoD service, two had closed down, one was no longer funded to provide MH and/or AoD
services and one did not deliver services in the PHN catchment. This led to a survey sample of 77
currently active MH and/or AoD services.
A letter requesting participation in the survey was sent to service providers and interviewers
contacted them to request an appointment with the service manager or whoever else was
identified as the best respondent for the survey.
The vast majority of interviews took place in the first three weeks of August, but some providers
were only available for interview in September.
5
Interviews were undertaken over the phone by a supervisor and two interviewers, and lasted on
average 15 to 20 minutes. Survey data was cleaned and validated during September.
The survey instrument included 96 questions with 40 relating to MH and 56 to AoD services. They
covered operating years of the organisation delivering services, scope and volume of services
offered, geographical catchment, treatment staff and funding.
Survey questions sought information that respondents had at their fingertips and were able to
provide over the phone. Only ball-park estimates of service volume and staff numbers were thus
requested.
6
This survey focuses on non-government organisations delivering specialist Alcohol and other Drug
services.
How are these services defined?
These services focus specifically on individuals whose level of substance use exposes them
to significant risk.
They include treatments to address substance dependence, problematic substance use,
maintenance and stabilisation services.
Though these services can respond to a range of issues, their primary focus and concern is
addressing the client’s substance use.
Source: Queensland Alcohol and other Drug Treatment Service Delivery Framework March 2015
AoD SPECIALIST SERVICES
SURVEY SAMPLE
MH & AoD SURVEY SAMPLE (1)
Services Delivered PHN(2)
Central Queensland
Wide Bay
Sunshine Coast
Mental Health Only
51 14 23 27
AoD Only 3 1 0 2
Both MH & AoD
11(3) 3 3 5
No Response 12 5 6 1
TOTAL 77 23 32 35
Notes: (1) Interviewed providers might deliver services other than MH or AoD. (2) Some providers deliver across several regions, so totals do not add up to the PHN (3) Two providers answered the AoD section of the survey but did not complete the MH section
In total 77 active MH and/or AoD community
service providers were identified in the PHN
region. Of these, 12 (16%) could not be
contacted or were not available for
interview.
The non-response rate was highest in Central
Queensland (22%), followed by Wide Bay
(18%). All but one of the Sunshine Coast
service providers were available for
interview.
Most providers deliver services across
various LGAs in the same regional area.
However, a few MH providers operate in
several regions. One delivers services in both
Central Queensland and Wide Bay. Three
operate in Wide Bay and the Sunshine Coast.
Out of the 65 service providers surveyed in
the PHN, 62 deliver MH with 51 delivering
MH and not AoD services. These results are
discussed in the accompanying report.
The survey identified 14 AoD service
providers, 11 of which deliver both MH and
AoD services.
7
The survey collected information on
community AoD services supplied by non-
government organisations (NGOs). It does
not include AoD services offered by
hospitals, public organisations, and private
providers.
Out of 65 organisations that reported that
they currently deliver MH and/or AoD
services, 14 delivered AoD services across
the PHN. The majority (11) delivered both
MH and AoD services, with the remaining
three exclusively delivering AoD services.
The Sunshine Coast region with a population
of 384,338, is served by seven providers (i.e.
1 per 54,905 people).
Central Queensland, the PHN region with the
highest rates of alcohol life time risk, has
four AoD providers delivering services to
233,747 people (i.e. 1 per 58,437 people).
The Wide Bay population (205,900) is served
by four AoD providers (1 per 68,633 people).
AoD SERVICE
PROVIDERS
8
More providers deliver services in large
population centres such as the Sunshine
Coast (282,822 population and 6 AoD
providers) and Rockhampton (83,439
population and 4 AoD providers).
Two of the Sunshine Coast AoD providers
also deliver services in Gympie. Another
provider also operates in Gympie, one of the
most economically deprived LGAs in the
PHN.
LGAs with smaller populations in Central
Queensland are served by at least one of the
providers delivering services in
Rockhampton.
In Wide Bay, one AoD service provider
operates across the three LGAs. Additionally,
Fraser Coast and Bundaberg are each served
by one provider that did not report
delivering services across other LGAs.
Out of the 14 providers surveyed, nine noted
that some of their clients come from areas
outside their geographic catchment.
However for most (i.e. 7 out of 9), the
proportion of these outside clients was
relatively small (i.e. less than 10%).
GEOGRAPHICAL CATCHMENT
OF AoD SERVICES
Local Government Areas – Number of providers delivering AoD services
Central Queensland
Banana 1
Central Highlands 2
Gladstone 2
Livingstone 1
Rockhampton 4
Woorabinda 1
Sunshine Coast
Gympie 3
Noosa 0
Sunshine Coast LGA 6
Wide Bay
Bundaberg 2
Fraser Coast 2
North Burnett 1
Note: Providers operate across more than one LGA, so totals do not add up to region or PHN
All Local Government Areas in the PHN, except Noosa – whose population
might potentially be served by Sunshine Coast providers – have at least
one organisation delivering AoD services in the PHN catchment.
9
Although it is difficult to capture how
consolidated the sector is, the survey
suggests a relatively consolidated supply of
AoD services.
Out of the 14 organisations surveyed, AoD
was the primary focus for nine and the
secondary focus for five.
The vast majority of surveyed providers
have been operating in the community for
more than 11 years.
SERVICE FOCUS AND
OPERATING YEARS
DUAL DIAGNOSIS CAPABILITY
Best practice suggests that dual diagnosis
(i.e. the co-ocurrence of mental illness and
AoD use) is most effectively addressed
through integrated treatment.
The majority of AoD providers in the PHN
(11) have been rated as possessing dual
diagnosis capability through an external
assessor. This includes all the providers in
the Sunshine Coast area (7) and two each in
Central Queensland and Wide Bay.
The two organisations without dual
diagnosis capability rating in the sample
were located in Central Queensland.
The remaining provider – in Wide Bay – was
rated through self-assessment.
10
In the PHN, three providers – all in the
Sunshine Coast – reported holding no
external accreditation; five organisations
had one and the remaining six had two or
more.
The most common accreditation was ISO
(held by 7 out of 11), followed by ACHS
(held by 3 out of 11).
Additionally, two organisations (in Central
Queensland and Sunshine Coast) have
received external recognition from the
Australasian Therapeutic Communities
Association (ATCA) - not included in the
external accreditations in graph.
EXTERNAL ACCREDITATION
AoD Providers - Number of Accreditations
None One Two Three Four Total
Wide Bay 0 2 0 1 0 3
Central Queensland 0 2 1 0 1 4
Sunshine Coast 3 1 2 1 0 7
Total PHN 3 5 3 2 1 14
Key:
QIC Quality Improvement Council
ISO International Organisation for Standardisations
ACHS The Australian Council on Health Care Standards
SAI Global (Business Excellence Framework)
Other includes National MH Standards, Human Services Quality
Framework, NGO quality and performance framework and AGPAL
11
Screening and Brief Interventions:
Commonly consist of a single time-limited
session of information, assessment and advice
that aims to motivate individuals to change
their behaviour.
Withdrawal Management :
Supports people to stop or reduce AoD use,
often after a period of long or frequent use.
Can be offered either as a stand-alone service
or integrated with other services provided such
as rehabilitation.
Counselling outside of Rehabilitation
Programmes:
Involves a trained professional providing advice
or counsel to an individual about their drug
and/or alcohol use. Aims to provide the client
with the necessary psychological and physical
resources to change drug/alcohol use
behaviours.
Day stay rehabilitation and other intensive
non-residential programmes:
These programmes require individuals to
participate in daily counselling, psychological,
legal, financial and physical support
programmes while continuing to live in their
own homes.
Residential Rehabilitation:
Intensive treatment programmes that aim to
provide a therapeutic environment in which
behaviour change and major lifestyle
adjustments can occur. A large focus of these
programmes is to develop a range of strategies
to assist the development of coping and life
skills through addressing the behaviours of
addiction.
Aftercare/follow-up Services:
Provide vocational, financial and/or social
support to individuals once they have
completed a recovery or rehabilitation
programme.
Case Management, Care Planning
and Coordination:
Involves a range of treatment interventions
ranging from short-term engagement to
longer-term counselling and support.
Individuals collaborate with case managers
through a comprehensive assessment of
individual care planning, service facilitation,
outcome monitoring, and advocacy.
AoD SERVICES DELIVERED
Taxonomy of AoD services
12
One of the main objectives of the survey was to capture the number of providers delivering
different types of community AoD services across the PHN catchment.
All but one provider in the Sunshine Coast (13), provide case management and coordination.
The majority of AoD providers in the PHN also offer counselling (12 out of 14) and screening/brief
interventions (11 out of 14).
After care services are provided by seven organisations, including four (out of 7) in the Sunshine
Coast, two (out of 3) in Wide Bay and one (out of 4) in Central Queensland.
Withdrawal management integrated and/or as a stand-alone service is delivered by six
organisations in the PHN. They include all three providers in Wide Bay, half of the providers in
Central Queensland (i.e. 2 out of 4) and just one provider in the Sunshine Coast.
As a stand-alone service, withdrawal management is delivered by two providers, one each in Wide
Bay and Central Queensland.
Out of 14 AoD providers, three offer residential rehabilitation with two in Central Queensland and
one in the Sunshine Coast. Wide Bay does not have any residential rehabilitation facility.
Day-stay rehabilitation programmes are offered by two providers, one each in Wide Bay and
Central Queensland.
TYPES OF AoD SERVICES DELIVERED
13
The survey aimed to capture ball-park estimates of volume of AoD services delivered in the PHN
catchment.
Approximate estimates of the average number of clients receiving AoD services every month was
available for counselling, screening/briefing intervention, day-stay rehabilitation and withdrawal
management. They broadly reflect the number of providers delivering those services in each
region.
For counselling, it was estimated that over 439 clients receive services across the PHN each month.
A similar estimate, i.e. 400 clients every month receive screening/brief intervention.
The vast majority of counselling (75%) and screening/brief interventions (70%) clients were in the
Sunshine Coast.
Counselling services were delivered to similar number of clients in Central Queensland (52) and
Wide Bay (56).
A slightly higher number of clients in Central Queensland (64) received screening services when
compared to Wide Bay (55).
On average 25 clients receive withdrawal management – as stand alone services – and 17 receive
day-stay rehabilitation every month across the PHN.
These services are mostly delivered in Central Queensland, that is, 20 out of 25 clients for
withdrawal management (i.e. 80%) and 7 out of 12 (i.e. 71%) for day-stay rehabilitation. The
remaining clients receive services in Wide Bay.
VOLUME OF SERVICES
AoD Services - Approximate Number of Clients per Month
Screening % Withdrawal - Stand-Alone % Counselling %
Day-Stay Rehab %
Wide Bay 55 14% 20 80% 56 13% 12 71%
Central Queensland 64 16% 5 20% 52 12% 5 29%
Sunshine Coast 281 70% 0 0% 331 75% 0 0%
Total PHN 400 25 439 17
14
Number of beds and staff numbers for day
and night shifts are used to capture the
capacity of residential rehabilitation services
in the PHN.
In total 46 beds are available in the PHN
catchment, with nine treatment staff
required for the day shift and five for the
night shift.
The majority of beds (27 out of 46, i.e. 59%)
are in the Sunshine Coast area. The
remaining beds (19, i.e. 41%) are in Central
Queensland, with no residential
rehabilitation services provided in Wide Bay.
RESIDENTIAL REHABILITATION
TREATMENT SETTINGS FOR
AoD SERVICES
Most providers across the PHN (12 out of
14) offer AoD services at the practitioner’s
office and through a phone-line.
Other common treatment settings are the
client’s residence, outreach and non-
residential facilities (8 out 14). Only one
provider in the Sunshine Coast, offers on-
line services.
AoD Residential Rehabilitation - Service Capacity
Beds Staff Day shift
Staff Night Shift
Wide Bay 0 0 0
Central Queensland 19 6 4
Sunshine Coast 27 3 1
Total PHN 46 9 5
AoD Services - Treatment Settings
Practitioner's office Phone-line
Client's residence Outreach
Non-residential Facility
Residential Facility On-line
Wide Bay 3 2 2 2 3 1 0
Central Queensland 4 3 2 3 3 2 0
Sunshine Coast 5 7 4 3 2 2 1
Total 12 12 8 8 8 5 1
15
To examine the availability of AoD services
during and out of business hours, the survey
requested information on the operating
hours of AoD services, excluding those that
are residential or delivered over the phone
and on-line.
Out of 13 providers who answered this
question, eight operate during business
hours (4 in the Sunshine Coast and 2 each in
Wide Bay and Central Queensland).
Two organisations regularly deliver services
during extended business hours while one
has more limited operating hours during
weekdays.
The remaining two organisations (1 each in
Wide Bay and Central Queensland) deliver
AoD services 24/7.
OPERATING HOURS FOR AoD
SERVICES
MAIN SOURCES OF REFERRAL FOR CLIENTS OF AoD SERVICES
To understand the main sources of referral for clients of AoD services in the PHN catchment, the
survey requested respondents to identify the top three sources of referral for their clients.
Out of 14 AoD providers, five noted that the most common source of referral was self-referral.
For the three providers in Wide Bay, the most common source of referral was either self-referral
(2) or family (1).
For two providers, both in the Sunshine Coast, the most common source of referral was health
services.
Correctional services was the most
common source of referral for four
providers (2 in the Sunshine Coast
and 2 in Central Queensland).
Police diversion was the most
common source of referral for one
provider in Central Queensland
while Court diversion was the most
common for one provider in the
Sunshine Coast.
Operating hours of AoD services.
Limited Business Hours
Business Hours
Extended Business Hours 24/7 Total
Wide Bay 0 2 0 1 3
Central Queensland 0 2 1 1 4
Sunshine Coast 1 4 1 0 6
Total 1 8 2 2 13
16
With a view to capturing the capacity of the AoD sector in the PHN catchment, the survey
estimates numbers of staff currently engaged to deliver AoD treatment services to clients,
excluding corporate support staff, such as managers or accountants.
Although data on full-time equivalent staff were not available, the survey estimates numbers of
full-time, part-time, casual and independent contractors delivering AoD treatment services.
A total of 156 staff deliver services in the region. Independent contractors – all in the Sunshine
Coast – represent a third of the workforce (55 staff, 35%).
Full-time staff (59 out of 156) represent 38% of the workforce in the region.
The majority of the full-time staff delivering AoD services (34 out of 59) are engaged in Central
Queensland, followed by Wide Bay (14) and the Sunshine Coast (11).
Approximately 16% of the workforce are part-time workers (25 out of 156) , with the vast majority
(22) working in the Sunshine Coast.
Casual staff represents 11% of the AoD workforce (17 out of 156) with the vast majority (10)
engaged in Central Queensland.
STAFF DELIVERING AoD TREATMENT SERVICES
AoD Staff Numbers – Total Across Providers
Full-Time Part-time Casual Contractors Sub-total Region
Wide Bay 14 2 2 0 18
Central Queensland 34 1 10 0 45
Sunshine Coast 11 22 5 55 93
Total PHN 59 25 17 55 156
Most providers in the PHN (9 out of 14)
have less than 10 AoD treatment staff.
Out of 14 providers, one (in the Sunshine
Coast) has over 25 AoD treatment staff and
four (3 of which in Central Queensland and
1 in the Sunshine Coast) have between 10
to 25.
AoD Providers - Classification as per staff levels
1 or 2 3 to 9 10 to 25 Over 25
Wide Bay 1 2 0 0
Central Queensland 0 1 3 0
Sunshine Coast 3 2 1 1
Total PHN 4 5 4 1
17
DISTRIBUTION OF AoD TREATMENT STAFF
Most AoD staff are engaged as full-time workers in Wide Bay (78%) and Central Queensland (76%).
In the Sunshine Coast, 59% of staff are independent contractors.
The majority of AoD providers in the PHN
engaged Social Workers (7 out of 14
providers) and AoD workers (8 out of 14)
Out of 14 providers, nine reported other
professions – i.e. not listed in other
professional categories in graph – as one of
the qualifications of their AoD staff. It is likely
that they include student placements.
Out of the 14 providers surveyed, four did not
provide information on the most common
qualification of their AoD treatment staff.
There is variability in terms of the most
common staff qualification across providers.
Social worker, AoD worker and other
professionals were chosen as the most
common staff qualification by two providers.
The remaining four providers each reported
General Practitioner, Nurse, Psychologist and
staff with a Diploma or Certificate II/IV as the
most common qualification amongst their
staff.
QUALIFICATIONS OF
STAFF DELIVERING AoD
TREATMENT SERVICES
Most Common Staff Qualifications re-ported by Providers
Most common staff qualification N=
AoD worker 2
Social Worker 2
Other Professionals * 2
Diploma/Certificate 1
Psychologist 1
Nurses 1
GP 1
Missing information 4
18
FUNDING FOR AoD SERVICES Out of 14 providers, 10 reported the Commonwealth and eight the State government as sources of
funding for their AoD services.
None of the surveyed providers received funding from Local government or philanthropies and only
one received private funding.
AoD Providers - Funding Sources
Commonwealth State
Government Local
Government Private Philanthropic
Wide Bay 2 1 0 0 0
Central Queensland 3 2 0 1 0
Sunshine Coast 5 5 0 0 0
Total PHN 10 8 0 1 0
TARGETED POPULATION FUNDING
Targeted funding for delivering AoD services to vulnerable populations was common across
providers in the PHN, though some groups were more commonly targeted than others.
All surveyed providers in Wide Bay (3) and Central Queensland (4) received targeted funding for
Aboriginal and Torres Strait Islander people as only two out of seven did in the Sunshine Coast.
Out of 14 providers, five reported funding for delivering services to populations from economically
disadvantaged backgrounds and youth.
Only two providers (one in Wide Bay and one in Central Queensland) reported funding targeting
forensic populations.
Number of AoD Providers Receiving Targeted Funding for Vulnerable Populations
Wide Bay Central
Queensland Sunshine Coast PHN
Aboriginal and Torres Strait Island People 3 4 2 9
Econ. Disadvantaged 2 2 1 5
Pregnant Women 1 2 1 4
Women 1 2 0 3
Men 1 2 0 3
Children 1 2 1 4
Youth 2 2 1 5
Ageing 1 2 1 4
LGBTI 1 2 1 4
CALD 1 2 1 4
Rural/Remote 1 2 1 4
Forensic 1 1 0 2
19
TARGETED GEOGRAPHICAL FUNDING
Out of 14 providers, six received funding for targeting their delivery of AoD services to specific
geographical areas.
This includes three (out of 4) providers in Central Queensland, two (out of 3) in Wide Bay and one
(out of 7) in the Sunshine Coast.
AoD Providers Receiving Targeted Funding for Geographical Areas
No Yes Total
Wide Bay 1 2 3
Central Queensland 1 3 4
Sunshine Coast 6 1 7
Total PHN 8 6 14
20
The PHN sincerely thanks the organisations and individuals who participated in the survey for their
generosity in providing information to enable the PHN to build a picture of current services across
the region. The information presented in this report will be used by the PHN in relation to plan-
ning and commissioning services and to support the integrated delivery of mental health and
suicide prevention services within the community.
While the Australian Government Department of Health has contributed to the funding of this material, the information contained in it does not
necessarily reflect the views of the Australian Government and is not advice that is provided, or information that is endorsed, by the Australian
Government. The Australian Government is not responsible in negligence or otherwise for any injury, loss or damage however arising from the
use of or reliance on the information provided herein.