Welcome to this Webinar
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1 Welcome to this Webinar We will commence shortly after 11:30am (Qld time) Instructions: • When you join, please put yourself on mute, turn off the your video and do not share your screen. • Please use the meeting chat window for all questions and comments. • There is a limit of 500 participants in this Zoom webinar. The session will be recorded and shared through Insight and QCMHL should anyone unable to attend on the day.
Transcript of Welcome to this Webinar
1
Welcome to this Webinar
We will commence shortly after 11:30am (Qld time)
Instructions:
• When you join, please put yourself on mute, turn off the your video and do not share your screen.
• Please use the meeting chat window for all questions and comments.
• There is a limit of 500 participants in this Zoom webinar. The session will be recorded and shared through Insight and QCMHL should anyone unable to attend on the day.
Comprehensive Care
Queensland Health Mental Health
Alcohol and Other Drugs
We acknowledge the Traditional Owners of the land on which this event
takes place and pay respect to Elders past and present.
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This map attempts to represent the
language, social or nation groups of
Aboriginal Australia. It shows only the
general locations of larger groupings of
people which may include clans, dialects
or individual languages in a group. It
used published resources from 1988-
1994 and is not intended to be exact, nor
the boundaries fixed. It is not suitable for
native title or other land claims. David R
Horton (creator), © AIATSIS, 1996. No
reproduction without permission. To
purchase a print version visit:
www.aiatsis.ashop.com.au/
We acknowledge the lived experience of those with mental illness, those impacted by suicide or substance use, and the contribution families, friends, carers and staff make to their recovery
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Care (Case) Review Within Comprehensive Care
Dr Jason LeeMedical Director
Mental Health Services Group
Townsville Hospital and Health Services
Session Overview
Purpose and Objective
• Why consumer inclusion matters
• A clinician’s experience of introducing Active Inclusion Reviews
• Preparing for Care (Case) Reviews
• Aboriginal and/or Torres Strait Islander consumers
• A glimpse at a possible future
• Final words from a consumer perspective
Care (Case) Review
A Case Review is a process that provides governance oversight of a
consumer’s care. Participants include relevant members of the MDT,
other stakeholders, and importantly the consumer, carers and family
where possible.
Case Reviews differ from routine clinical meetings that may focus on
certain aspects of a consumer’s care, such as their formulation, care
plan or treatment, by considering congruence and coordination
across these elements, in order to review progress made over the
preceding period of care and to plan the treatment and care to be
delivered over the next period
Care (Case) Review styles
Care (Case) Review functions
Why consumer inclusion matters
Francesca Macaulay and Tegan AmourConsumer Consultant and Peer Worker
Gold Coast Mental Health and Specialist Services
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Why Consumer Inclusion Matters
The Peer Workforce is acknowledged as a
powerful collective voice working in
collaboration with other Mental Health and
Specialist Services staff members to inform
change and continuously contribute to the
evolution of services. Every person matters
and is treated with dignity, respect and equity
in their mental health care.
Language
changes-
Case to Care
Transparency
can support
personal
recovery,
wellness and
resilience
True
Collaboration
with lived
experience
A clinician’s experience of introducing
Active Inclusion Reviews
Keryn Hodder and Joanna LefeberCNC, Gold Coast Mental Health and Specialist Services CNC, Palm Island Community Mental Health Service, Townsville Mental Health Service Group
Active Inclusion: Care (Case) Review
Benefit for Person Accessing Service
• Person Feedback on implementation/Review
• Provide their vision and voice for their journey. Have the people
they want there, being heard as well.
• Lead the conversation, and not having conversations without
them.
• Not have to double up on appointment/care review/discharge
review.
Active Inclusion: Care (Case) Review
Benefit for Clinician
• Actual reduced workload/time:
One appointment for In person
review and Care Review
• More Meaningful Care Review,
not just ‘Ticking the box’
Benefit for Service
• Providing a service that is
Person led.
• Increases productivity and thus
more Consultant/Registrar
Review time
• Meeting KPI of
Person/Consumer
Participation.
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Preparing for Care (Case) Reviews
Dr Jason LeeMedical Director
Mental Health Services Group
Townsville Hospital and Health Services
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Preparing for Care (Case) Reviews
• Meaningful consumer involvement
• Content focus
• Stakeholder consideration
• Document preparation
• Facilities and equipment
• Chair
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Aboriginal and Torres Strait Islander Consumers
Lynette AndersonProgram Manager
Aboriginal and Torres Strait Islander Wellbeing, Assessment and Engagement Service (ATSIWAES)
Townsville Mental Health Services Group
Aboriginal and/or Torres Strait Islander
Consumers
Enabling meaningful support and engagement
Use of the Cultural Information Gathering Tool
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A glimpse at a possible future
Dr Tulha AgaClinical Director Rural and Remote and Aboriginal and Torres Strait Islander Wellbeing
Assessment and Engagement Service
Townsville Mental Health Services Group
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CLINIC MDT AIR
CR -110 MINS
CR -210 MINS
CR -210 MINS
CR -310 MINS
CR -410 MINS
CR
CR
55mins + 5mins
admin
55mins + 5mins
admin
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FUTURE
CR CR
Active Inclusion
Dr Jason LeeMedical Director
Mental Health Services Group
Townsville Hospital and Health Services
Active Inclusion
• Focus on recovery
• Collaborative and empowering
• Improving person’s participation in care
• Recovery-oriented person-centred language
• More effective use of clinical time
• Enhances flexibility for when, where and how Case
Reviews are conducted
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Case Review Resources
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• https://qheps.health.qld.gov.au/mentalhealth/resources/clinicaldocs
• Case Review resource guide
o Appendix 1: Guide to scheduling
• ‘Sandra’ case example
o Case Review documents across phases of care
• Case History Library
• Case Review Videos accessible via
o Comprehensive Care Toolkit
o QCMHL
o Insight
Final words from a consumer perspective
Carmen Delaney and Emma SmithConsumer Consultant and Carer Consultant
Townsville Mental Health Services Group
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True collaboration in care planning builds
and fosters accountability and ownership
with consumers
Empowers the consumer, whilst also
facilitating early detection and
treatment of relapse and supports
consumers to self-manage distress
and recognise early warning signs
Consumer involvement in care planning
Improves therapeutic relationships and
creates less of a power-imbalance
Greater involvement fosters more of a
drive and greater hope with recovery
Best practice consumer
involvement is decision
making ’with’ or ’by’ consumers,
rather than ‘to’, ‘about’ or ‘for’
them
If I am the subject of
the care plan…
Then am I not the
subject matter expert?
Thank you for joining us today!
Please take a moment to complete the survey via the link available in the meeting
chat or as you exit the meeting
