Mental Health, Justice Health, Alcohol and Drug Service

Mental Health Services

Child and Adolescent Mental Health Services redesign

Child and Adolescent Mental Health Service (CAMHS) has a commitment to develop and strengthen collaborativepractice with key stakeholders and to support the participation of people and carers at all system levels. CAMHS partners with and provides secondary consultation, psycho-education sessions, conjoint group work and networks with multiple and diverse stakeholder groups within the mental health sector, education sector, primary health care environment and children services. CAMHS engages and seeks the participation of parents, young people and children in many ways. Some examples of this are consumer and carer feedback, the consumer and carer feedback survey, participation in the routine evaluation of group programs and the participation on reference groups. Another example is the Perinatal Mental Health Consultation Service providing numerous education sessions to key stakeholders over the past 12 months. It has provided support for a former client to speak about her experience with postpartum psychosis, at the International Marce Society conference in Melbourne on 10 and 11 October 2013. It also provided support for a former client to speak about her lived experience with postpartum psychosis, at Queen Elizabeth II Family Centre on 7 April 2014.

A CAMHS consumer consultant has been employed full-time. CAMHS continues to regularly report to the CAMHS consultative committee, which includes constituents from across the mental health, education, justice and children services sectors.

Adult Mental Health Model of Care Steering Committee

The Adult Mental Health Model of Care Steering Committee was established to provide leadership to the development of an Adult Mental Health Service model of care (AMHS MoC), including the UCPH Health Infrastructure Project (HIP). Key partners in this steering committee include the peak bodies ACT Mental Health Consumer Network, Carers ACT and the Mental Health Community Coalition of the ACT. One of the main functions of this committee is to ensure community members and consumers are engaged in the development of the AMHS MoC. Representatives from over 20 consumer, carer and community agencies have been involved in a number of the working groups for the AMHS MoC.

National Disability Insurance Scheme Implementation Steering Committee

In preparation for the commencement of the National Disability Insurance Scheme (NDIS) in the ACT on 1 July 2014,Mental Health, Justice Health Alcohol and Drug Service established an NDIS Implementation Steering Committee todevelop pathways to assist those NDIS-eligible and non-eligible consumers post implementation and to identify any issuesthat may arise for the people accessing these services, as well as potential impacts on service delivery. Key partners in thissteering committee include the peak bodies ACT Mental Health Consumer Network, Carers ACT and the Mental HealthCommunity Coalition of the ACT. There has already been one MHJHADS-led workshop, on 10 June 2014. A large numberof community sector agency representatives were present to share their knowledge and resources to help identify andassist consumers in accessing the NDIS.

University of Canberra Public Hospital user groups and working groups

As part of the planning for the UCPH, user groups and working groups have been established for the development of both the MoCs and the building plans for both the Adult Mental Health Day Service and the Adult Mental Health Rehabilitation Unit. These groups meet monthly and include representatives from the peak bodies ACT Mental Health Consumer Network, Carers ACT and the Mental Health Community Coalition ACT. Internally, consumer consultants have also been involved in these groups. As part of this planning, forums were also held in April and October 2013 for Brian Hennessy Rehabilitation Centre (BHRC) staff, consumers and carers to discuss the transition of rehabilitation services from BHRC to UCPH.

Havelock Housing Association

A Memorandum of Understanding (MOU) was signed in May 2014 between MHJHADS and Havelock Housing Association (HHA) to further develop the collaborative relationship between the services. This MOU recognises the complementary role these services play in the provision of care and support for people who experience mental health issues. Provisions within the MOU assist AMHS to work with HHA in facilitating medium-term accommodation options for clients through the HHA program after they are discharged. These people will continue to be clinically supported by AMHS. HHA will assist with applications to Housing ACT for long-term housing options.

General practitioner liaison

A registered nurse commenced in the newly-created role of MHJHADS General Practitioner Liaison (GP Liaison) on 23 June 2014. This position will play a key role in clients’ transitions from mental health services to community-based primary care services. The GP Liaison will promote and foster relationships between AMHS and GPs and Medicare Local. AMHS community teams will be supported in identifying people who may be suitable to transition to primary care and community support systems, and it is hoped that linkages with GPs and other providers will be better facilitated. In addition, the GP Liaison will be well placed to contribute to the work being undertaken with clients, and their families and support systems, to assist in the transition to primary care, including providing information and education on appropriate community-based services.

Alcohol and Drug Services

Alcohol and Drug Service forums

Consumers are actively involved in the clinical governance, business planning meeting and smoke-free environment implementation group. Six representatives from alcohol and other drug sector organisations, including consumer advocacy groups, attend. Good working networks and rapport have been established, with consumer voices having an influence on business, service delivery models and policy planning.

Alcohol overdose smart phone app development

Following the development of the Alcohol Overdose business card, this information has been incorporated into a smart phone application. Client groups have provided feedback in sessions (approximately 15 clients in total) and focus groups with the Youth Coalition are being arranged.

Drug Action Week 2014 survey

A survey was conducted during a barbeque for Drug Action Week, to seek client suggestions for future Health Promotion activities. Thirty-eight responses were received. This is an important process for opportunistic client engagement.

Justice Health Services

Forensic Mental Health Services

The Forensic Mental Health Services team engages with and supports clients in the community setting in a number of ways. The service seeks to support those clients in the community with a forensic history to remain mentally well and help minimise the risk of recidivism due to mental illness.

Clinicians at the Alexander Maconochie Centre (AMC) follow up with clinically-managed clients within seven days of their release into the community, and liaise with community mental health teams, justice and community services and non-government organisations for continuation of care. The Senior Clinician AMC fulfils the role of steward for the Detention Exit Community Mental Health Outreach Program (DECMHOP). DECMHOP is a newly-contracted program facilitated by the Mental Illness Fellowship of Victoria in conjunction with ACT Health, which offers mentally ill clients three months of intensive community support upon release from custody.

Bimberi Youth Justice Centre

Clinicians at Bimberi follow up with clinically-managed clients within seven days of their release into the community, and liaise with community mental health teams, Canberra Youth Justice, Care and Protection Services, non-government organisations and families for continuation of care.

A framework has been established for meetings with clinicians, consultant psychiatrists and young people's families at Bimberi. To date approximately 20 meetings have taken place.

Court Assessment and Liaison Service

The Court Assessment and Liaison Service provides mental health assessment services for the ACT Magistrates Court.Clinicians are available to assess those before the Court to ascertain the need for immediate psychiatric treatment and care or the requirement for community mental health follow-up.

Forensic Mental Health Services provides court-ordered psychiatric and psychological forensic reports for the ACT courts' consideration. This service is open to both those in custody and those in the community. In 2013-14, 138 forensic court reports were completed.

Forensic Community Outreach Service

The Forensic Community Outreach Service (FCOS) provides comprehensive risk assessment for clients of ACT community mental health teams. In 2013-14, 39 risk assessments were completed. FCOS also has a limited capacity to provide community clinical management for clients with moderate to severe mental illnesses who are (or who are at risk of being) in contact with law enforcement agencies because of aggressive or violent behaviour. The service seeks to support those clients in the community with a forensic history to remain mentally well and help minimise the risk of recidivism due to mental illness. In 2013-14, 383 clinical reviews were conducted. The service includes providing ACAT with clinical reports and documentation when considering community psychiatric treatment or restriction orders.

Justice Health Primary Health Service

The Chronic Diseases Nurse from the AMC Primary Health Service has begun to run a nurse-led Hepatitis C clinic on a fortnightly basis for detainees after their release, at the withdrawal unit located at the Canberra Hospital.

The Clinical Director for Justice Health Services participates in a fortnightly teleconference with Directions, Hepatitis ACT and Winnunga Nimmityjah Aboriginal Health Service to discuss issues and to provide a regular communication forum with Primary Health Services about detainee health and wellbeing issues.

Secure Mental Health Unit

As part of the development of the Secure Mental Health Unit MoC and preliminary sketch plans, there has been extensive community engagement, including a number of forums with peak stakeholders, community information sessions and regular newsletters. Thirteen submissions were received, and all feedback and questions from the information forums and focus groups were documented on a register and themed. Feedback relevant to the MoC was incorporated in the final version. The MoC on the ACT Health website and the invitation to provide feedback have been promoted through newspaper advertisements and ACT Health social media.

A document was developed to include all of the received feedback and was placed on the ACT Health website.