Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and...

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INTEGRATING MENTAL HEALTH INTO THE NATIONAL DISABILITY INSURANCE SCHEME IIR Conferences Melbourne December 2013

description

Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia. For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndis

Transcript of Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and...

Page 1: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

INTEGRATING MENTAL HEALTH INTO THE NATIONAL DISABILITY INSURANCE SCHEME

IIR Conferences Melbourne December 2013

Page 2: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

The Mental Health Council of Australia

The peak national NGO representing and promoting the interests of the Australian mental health sector

Page 3: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Our discussion today

•  Context of mental health •  Development of the NDIS •  Opportunities offered by the NDIS •  Immediate challenges integrating

mental health into the NDIS •  Challenges to future provision of

mental health services

Page 4: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 5: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 6: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Development of the NDIS

•  Introduced the concept of national insurance for disability

•  Introduced coverage for psychosocial disability

•  Rode on wave of political enthusiasm

Page 7: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Insurance

a promise of compensation for specific potential future losses in exchange for a periodic payment

Page 8: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Psychosocial disability

•  involving aspects of both social and psychological behaviour

•  of or relating to processes or factors that are both social and psychological in origin

Page 9: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 10: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

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

Page 11: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

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

Page 12: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 13: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Opportunities offered by the NDIS

Page 14: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 15: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Opportunities offered by the NDIS

•  Individual choice and control •  Additional resources •  Long-term planning and commitment •  Portability

Page 16: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Things to be retained by the NDIS

•  Consumer and carer inclusion •  Flexible access •  Multiple levels of assistance •  Recovery principles •  Whole of life support •  A specialised workforce

Page 17: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Immediate challenges integrating mental health into the NDIS

•  Eligibility •  Assessment •  Packaging of services •  Reforming mental health services

Page 18: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Challenges to the future provision of mental health

services

Page 19: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Serious and persistent mental illness with complex interagency needs 60,000

Page 20: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Serious and persistent mental illness with complex interagency needs 60,000

429,000 Serious mental illness

Page 21: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Serious and persistent mental illness with complex interagency needs

Need for psychosocial support

60,000

429,000 Serious mental illness

= ?

Page 22: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Serious and persistent mental illness with complex interagency needs

Need for psychosocial support

60,000

429,000 Serious mental illness

= ?

Tier 3

Tier 2

Page 23: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Intensive support

Need for psychosocial support

6,000

429,000 Serious mental illness

= ?

Tier 3

Tier 2

Page 24: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Intensive support

Need for psychosocial support

6,000

429,000 Serious mental illness

= ?

Tier 3

Tier 2

54,000

Page 25: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Intensive support

Need for psychosocial support

6,000

429,000 Serious mental illness

= ?

Tier 3

Tier 2

54,000 ?

Page 26: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Page 27: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Personal Helpers and Mentors

Page 28: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Personal Helpers and Mentors Partners in Recovery

Page 29: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Personal Helpers and Mentors Partners in Recovery

Mental Health Respite for Carers

Page 30: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Personal Helpers and Mentors Partners in Recovery

Mental Health Respite for Carers Day to Day Living

Page 31: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: (services to everyone)

NDIS support: (servicing no one)

Personal Helpers and Mentors Partners in Recovery

Mental Health Respite for Carers Day to Day Living

State/Territory Programs

Page 32: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 33: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

Page 34: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

Page 35: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Page 36: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors

Page 37: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors 70% Partners in Recovery

Page 38: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors 70% Partners in Recovery

50% Mental Health Respite for Carers

Page 39: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors 70% Partners in Recovery

50% Mental Health Respite for Carers 35% Day to Day Living

Page 40: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors 70% Partners in Recovery

50% Mental Health Respite for Carers 35% Day to Day Living

??% State/Territory Programs

Page 41: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors

30% Partners in Recovery 70% Partners in Recovery

50% Mental Health Respite for Carers 35% Day to Day Living

??% State/Territory Programs

Page 42: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors

30% Partners in Recovery 70% Partners in Recovery

50% Mental Health Respite for Carers

50% Mental Health Respite for Carers 35% Day to Day Living

??% State/Territory Programs

Page 43: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Existing Mental Health Services: serving everyone - NDIS

NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???

New funding

Personal Helpers and Mentors

30% Partners in Recovery 70% Partners in Recovery

50% Mental Health Respite for Carers

50% Mental Health Respite for Carers

65% Day to Day Living 35% Day to Day Living

??% State/Territory Programs

Page 44: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Key implementation issues

•  The assessment process

•  Self-referral

•  Supported decision making

•  Organisational sustainability

•  Workforce

•  Monitoring and learning

Page 45: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Key policy issues

•  Permanency of impairment versus a recovery focus

•  Early intervention •  Intended interaction with other

programs and services

Page 46: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

Key actions

•  Study to map programs and demand for services (reconciling state and commonwealth programs)

•  A service guarantee – that no individual will be worse off – now or in the future

•  An advisory group to guide the implementation process

Page 47: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability
Page 48: Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

INTEGRATING MENTAL HEALTH INTO THE NDIS

IIR Conferences Melbourne December 2013