integrated-services
integrated-services

Delivering integrated services

Overview

Increasingly, healthcare policy drivers, including mental health, suicide prevention and alcohol and other drug treatment services, call for a more coherent service system with better integrated services that can deliver improved responses for service users. For example, the Queensland Mental Health Commission’s Strategic Plan proposed that ‘integrated and holistic responses are best achieved through strong, effective and outcome-focused partnerships’. Service integration is critical to this Plan and is essential to the effective delivery of our stepped care framework. Chapter five of Planning for Wellbeing is focused in delivering integrated services.

Key documents

Planning for Wellbeing - Year one implementation report

Queensland framework for the development of the mental health lived experience workforce

Queensland Health Mental Health Framework Peer Workforce Support & Development

The Fifth National Mental Health and Suicide Prevention Plan

National Drug Strategy

Shifting Minds - Queensland Mental Health, Alcohol and Other Drugs Strategic Plan

Objectives and actions

5.1.1

Explore and leverage opportunities for expanding provision of community-managed mental health and alcohol and other drug treatment services.

Planned completion

Ongoing

Status

On track

Updated

5.1.2

Focus funding investment and service delivery on those groups in most need, including specific population groups, geographic communities and diagnosis groups.

Planned completion

Ongoing

Status

On track

Updated

5.2.1

Identify options to expand virtual and/or physical ‘hubs’ for people seeking mental health support and referral, including options incorporating peer service navigators

Planned completion

Ongoing

Status

Completed

Updated

5.2.2

Expand implementation of the electronic triage and referral tool for mental health (‘rediCASE’), to support GPs and service providers to connect people to the services that are right for them

Planned completion

Ongoing

Status

On track

Updated

5.2.3

Trial the Initial Assessment and Referral protocols for PHNs, to support GPs and service providers to connect people to the services that are right for them

Planned completion

Ongoing

Status

Completed

Updated

5.2.4

Using our stepped care framework, ensure regular review of needs of consumers accessing mental health services and connect consumers to services that best meet their changing needs and circumstances

Planned completion

Ongoing

Status

On track

Updated

5.2.5

Strengthen our approaches to service delivery in the areas of recovery, harm minimisation and trauma-informed practice

Planned completion

Ongoing

Status

On track

Updated

5.2.6

Explore and develop shared approaches to clinical governance mechanisms to allow for agreed care pathways, referral mechanisms, quality processes and review of adverse events

Planned completion

Ongoing

Status

On track

Updated

5.3.1

Review and align My Mental Health, and HealthPathways, in the context of Head to Health, to ensure services are well promoted and readily accessible.

Planned completion

Ongoing

Status

Completed

Updated

5.3.2

Explore the development of an electronic shared record that can be accessed by service consumers, the HHS, primary healthcare practitioners and NGOs

Planned completion

Ongoing

Status

On track

5.3.3

Review and further develop a clinical care pathway for people experiencing both mental illness and substance use issues.

Planned completion

2020/2021

Status

On track

5.3.4

Explore the need for establishing a care pathway for people experiencing mental illness and intellectual disability or autism.

Planned completion

2021/2022

Status

On track

5.3.5

Develop and implement a mechanism for the mental health, suicide prevention and alcohol and other drug treatment sectors to effectively and efficiently engage with broader health and human service sectors.

Planned completion

No date set

Status

On hold

5.3.6

Advocate for an integrated, streamlined national approach to reporting regimes both across mental health, suicide prevention and alcohol and other drug treatment services and between regions.

Planned completion

No date set

Status

On hold

5.3.7

Explore options for working with organisations delivering responses to eating disorders to inform and further develop regional service delivery models

Planned completion

2021/2022

Status

Not started

5.4.1

Conduct a Brisbane North workforce needs assessment for the mental health, suicide prevention and alcohol and other drug treatment services sectors, including for the peer workforce.

Planned completion

No date set

Status

Not started

5.4.2

Develop and implement a strategy addressing the above workforce’s identified needs.

Planned completion

No date set

Status

Not started

5.4.3

Facilitate access by the above workforce to discipline-specific, evidence-informed training, including on trauma-informed care, recovery-oriented practice, harm minimisation and family-inclusive practice.

Planned completion

No date set

Status

Not started

5.4.4

Create opportunities for the above workforce to network, build relationships, improve referral approaches and work in partnership.

Planned completion

Ongoing

Status

On track

5.4.5

Expand and develop the Indigenous workforce and peer workforce in mental health, suicide prevention and alcohol and other drug treatment services.

Planned completion

Ongoing

Status

On track

5.4.6

Facilitate access to training for generalist health, social services, justice and education workers in specific skills relating to mental health and alcohol and other drug use (e.g. Certificate IV in Mental Health, Certificate IV in Mental Health Peer Work or Mental Health First Aid)

Planned completion

Ongoing

Status

On track

Updated

Governance

The Strategic Coordination Group (SCG) is the overarching governance mechanism for the Regional Plan, providing oversight and guidance across the whole Plan – including implementation, monitoring, review and evaluation.  The SCG has direct oversight over implementation of Chapter Four – Commissioning Services and Chapter Five – Delivering Integrated Services within Planning for Wellbeing.

Membership

Anna Davis

Director, Mental Health Strategy and Planning

Queensland Health, Mental Health Alcohol and Other Drugs Branch

Brett Emmerson

Executive Director

Metro North Mental Health Service

Carmel Nelson

Clinical Director

Institute for Urban Indigenous Health

Donna Stone

Executive Assistant

Brisbane North PHN

Hellie Fox-Taylor

Lived Experience Representative (Mental illness)

n/a

Jacklyn Whybrow

Acting Chief Executive Officer

Queensland Alliance for Mental Health Ltd

Jennifer Egan

Director

Metro North Hospital and Health Service

Kathy Faulkner

Priority Communities Manager

Brisbane North PHN

Leshay Chong

Regional Social Health Manager

Institute for Urban Indigenous Health

Lesley McDonald

Lived Experience Representative (Carer)

n/a

Mark Fairbairn

Operations Director

Metro North Mental Health Service

Naomi Laauli

Manager | Mental Health Reform

Brisbane North PHN

Paul Martin

Executive Manager | Mental Health Alcohol and Other Drugs

Brisbane North PHN

Rebecca Lang

Chief Executive Officer

Queensland Network of Alcohol and Other Drug Agencies

Sandra Eyre

Senior Director

Queensland Health, Mental Health Alcohol and Other Drugs Branch

Shirley Anastasi

Director of Governance and Quality Management

Metro North Mental Health Service

Tonita Taylor

Program Development Officer | Regional Plan

Brisbane North PHN

Viv Kissane

Lived Experience Representative (Mental illness)

n/a

Achievements

Planning for Wellbeing highlights the imperative to shift towards a more coherent service system with integrated services – to facilitate effective responses to the diverse range of healthcare needs that people experience.  This shift towards integration is a key driver in both the Fifth National Mental Health and Suicide Prevention Plan [1] and National Drug Strategy [2] as well in Queensland Mental Health Commission’s Strategic Plan – Shifting Minds [3]

Chapter five of Planning for Wellbeing is focused on objectives that will lead to greater integration of services.  A summary of the key achievements against the four shared objectives is included below.

 

[1] Council of Australian Governments – Fifth National Mental Health and Suicide Prevention Plan
[2] Australian Government Department of Health – National Drug Strategy
[3] Queensland Mental Health Commission – Shifting Minds Strategic Plan

Summary of Achievements

The actions to achieve this objective are focused on activity to better target services to vulnerable populations.  The last 12 months has seen the establishment of a number of new services in the region, including:

  • Specialised Brisbane MIND services targeting hard-to-reach populations
  • Integrated mental health service hubs providing clinical and psychosocial support to people with severe mental illness
  • Hospital to Home services providing community-based psychosocial support services to people who have accessed HHS services.

Each of these new services represents a shift to services that are better targeted, and embedded within community organisations that can support integration by facilitating connections to complementary services as needed.

The actions to achieve this objective are focused on improvements in service delivery that result from more collaborative and integrated working.  Key achievements include the establishment of integrated mental health hubs in the region and the development and implementation of an electronic triage and referral tool to facilitate both initial and ongoing connection to appropriate services that exist in the region.

The actions to better align and integrate services are a mix of strategic activities – such as advocating for national alignment of all reporting regimes across mental health, suicide prevention and alcohol and other drug treatment services; and more localised activities – such as review and alignment of the content on various platforms, such as the My Mental Health [1] website, HealthPathways [2] and the national Head to Health [3] website.

Some localised work is already underway, including reviewing and redesigning the My Mental Health website to ensure alignment of content across various platforms and the consistent promotion of available services; as well as creating opportunities for the range of agencies who are funded to deliver services to people to come together – to get to know each other, share information about what they deliver, strengthen referral pathways, and collaboratively address issues as they arise.  This includes agencies who deliver mental health, suicide prevention and alcohol and other drug treatment services – irrespective of funder.

[1] https://www.mymentalhealth.org.au/
[2] https://brisbanenorthphn.org.au/practice-support/the-healthpathways-program
[3] https://headtohealth.gov.au/

The actions to achieve this objective are focused on growing and strengthening the workforce in the region.  Of notable achievement has been the development of the Queensland Framework for the Development of the Mental Health Lived Experience Workforce [1], as well as the Queensland Health Mental Health Framework Peer Workforce Support and Development 2019 [2].  These Frameworks provide guidance to support the development and expansion of the lived experience workforce across the State.

Table 5 presents an overview of the 20 actions that were considered necessary to achieve the four shared objectives in this chapter, noting their expected year of completion, and progress to date.

[1] Queensland Mental Health Commission – Lived Experience Workforce Framework
[2] Queensland Health Mental Health Framework Peer Workforce Support and Development (2019)

Success stories

Get involved

If you would like to know more about Planning for Wellbeing, or if you’re interested in getting involved, please drop us a line – we’d love to hear from you.