seeker access to mental health support services HealthWest Primary - - PowerPoint PPT Presentation

2018 & Beyond…..refugee and asylum seeker access to mental health support services

HealthWest Primary Care Partnership

24 November 2016

Robyn Humphries Assistant Director Mental Health│Community Support Health Service Performance and Programs

What is the NDIS?

• The biggest social policy reform in Australia since Medicare in 1975
• A once in a generation opportunity to transform support for Australians

living with disability

• A new way of delivering disability support – psychiatric disability,

intellectual disability, physical disability, developmental disability

• Insurance approach – reasonable and necessary support
• National coverage, locally delivered

What the NDIS is not…………

• It is not about diagnosis or health condition – it is about functional

impairment and disability

• It is not a service system – it is an insurance scheme
• It is not about treatment or a substitute for health services – it is about

disability support

• It is not means tested
• It is not capped – there is no waiting list
• It is not about keeping people as disabled as possible – it is about

support to enable recovery and attainment of goals

Benefits for Victoria

• Funding in Victoria’s disability system will increase – by 2019, $5.1

billion investment will be made by Victoria in support for people with disabilities.

• Improvement to Victoria’s economy: disability sector workforce

expected to double the current size to 48,000.

• By July 2019, it is estimated that 105,000 Victorians will have

transitioned to the scheme including 76,000 clients from the existing Victorian specialist disability and mainstream systems that will be replaced by the NDIS

North Eastern Melbourne Area – Sub-Area Phasing Schedule

Activities to transition Jul-16 Aug- 16 Sep- 16 Oct- 16 Nov- 16 Dec- 16 Jan- 17 Feb- 17 Mar- 17 Apr- 17 May- 17 Jun- 17 DSR and ECIS Waitlist Shared Supported Accommodation Individual Support Packages ECIS Student Transport Attendant Care Future for Young Adults Other disability activities* Mental Health (MHCSS) Home and Community Care (HACC) New clients Commonwealth – Young People in Residential aged care & Home Care * Other disability activities include: community and facility based respite, flexible support packages, outreach, behaviour intervention services, case management, recreation, therapy and independent living training.

Existing clients:

• est. 7,281 over 12 months to 30 June 2017

New clients:

• est. 2,595 by 30 June 2019 (majority over first 18 months)

Roll Out Schedule North Eastern Melbourne Central Highlands Loddon Outer Eastern Melbourne Inner East Melbourne Ovens Murray Inner Gippsland Western District Bayside Peninsula Hume Moreland

Roll Out Schedule

Southern Melbourne √ Brimbank Melton √ Western Melbourne Goulburn Mallee

A word about language A paradigm shift .….

• Health …….. disability
• Strengths …….. impairment
• Recovery …….. permanent
• Episodic …….. Lifetime

Each participant will have an Individual Plan

Individual goals and aspirations Informal, Mainstream and Community supports NDIS Funded Supports

MHCSS programs…….. ‘Defined’ Programs

• Individualised Client Support Packages
• Adult Residential Rehabilitation
• Supported Accommodation Services (3 exclusions)

Out of Scope

• Youth Residential Rehabilitation
• Statewide Services
• Intake assessment
• Catchment based planning
• Aboriginal Community Controlled Health Organisations
• Three Supported Accommodation Services

Under Consideration

• Mutual Support and Self-Help
• Planned Respite

What to expect ……..

• Consumers who are currently receiving support from MHCSS will

become participants in the NDIS if they meet residency and age criteria

• Continuity of support for current consumers who do not meet age and

residency criteria

• Consumers on the MHCSS waiting list will receive assistance to

prepare for NDIS access request

• Other consumers, and their families, will need assistance from health

service providers to access the NDIS

• Greater range of supports and more flexibility in how and when

support is provided

• High levels of participant and family satisfaction

What to expect…….

The market is expected to double and to change

We expect to see a shift in the type of supports provided Example: Committed supports by support category (Vic Barwon)

• Assistance with daily life

represents 70% of funded supports.

• As the scheme matures, it is

expected that participants will experience increasing levels of independence in daily life through investment in other categories such as assistive technologies and innovative community participation.

What to expect………..

The workforce needs to grow in response

What to expect………..

A significant increase in the number of people accessing disability support

NDIS Interface with Health Services

Role of mental health and other health service providers includes:

• Assisting consumers and their family/carers to understand what the

NDIS is and how it might support them in their recovery.

• Providing consumers with the evidence they need to prove they meet

the disability requirements and supporting eligible consumers to connect with the NDIS.

• Coordination of treatment and support – with NDIS planner and care

coordinator

• Sharing information when necessary (with consumer consent):
• when a consumer is undergoing access and planning
• routine review of NDIS plan
• change in circumstances

Is there a gap?

• Only residents of Australia are eligible for the NDIS
• Non-residents will continue to receive health care services,

including mental health services

• Clinical mental health services will continue to provide necessary

psychosocial support for persons/patients in circumstances where:

• The person is not an Australian resident
• The person is not ready/not willing to access the

NDIS

• The person does not meet the disability requirement
• f the NDIS
• Victoria will continue to provide ‘human’ services in a reformed

service system – family services, child protection, family violence, housing, homelessness, drug and alcohol……..

What will be different?

• Delineation of health intervention and psychosocial disability support
• ‘re-calibration’ of specialist clinical mental health services:
• Scope of core business
• Workforce composition
• Interface with NDIS
• Need to ensure that Victorians eligible for the NDIS are supported to

access the scheme

• The social support needs of people with mental illness must be met by

universal human services

Broader reform agenda in Victoria

• As well as transition to the NDIS, a great deal of other reform activity is underway which is

being led by, or significantly contributed to by DHHS.

• The ambitious reform agenda seeks to address some of the most pressing social issues in

Victoria, including family violence, child and family vulnerability and homelessness. These reforms include:

• Roadmap for Reform: Strong families, safe children
• Social housing and homelessness reforms
• 10-Year Mental Health Plan
• Health2040
• Education State
• The government’s response to the Royal Commission into Family Violence will have an

impact on the entire health and human services system – not just family violence services. Ensuring the interconnection of the reforms is vital.

• Future directions of the department will therefore be influenced heavily by the government’s

reform agenda more broadly

More information…….

• http://www.ndis.gov.au/
• http://www.ndis.vic.gov.au/
• robyn.humphries@dhhs.vic.gov.au