Welcome! And thank you for Coming. 1 3/03/2015 Service Plan - - PDF document

3/03/2015 1

NSW EATING DISORDER SERVICE DEVELOPMENT FORUM

23 FEBRUARY 2015

CENTRE FOR EATING AND DIETING DISORDERS

Welcome! And thank you for Coming.

3/03/2015 2

Service Plan

• September 2013 Minister Skinner and Humphries

launched plan and a set of enhancements for Eating Disorders in NSW

• Eating disorders form part of the core business of the

LHD

• Integrating health care needs of people with EDs into

current health and mental health streams within LHDs

• Health practitioners across all subspecialties understand

and accept responsibility

• LHDs need establish models of care that support a

significant degree of self-sufficiency in provision of range

• f services for people with eating disorders

Service Plan

• Acknowledged need for limited specialist

services: hubs of expertise providing end point treatment options within the network, with spokes for outreach, training and supervision

• Acknowledged need for centralised

support, resource development and management

3/03/2015 3

Why a Service Plan?

• For the person and their family and carers
• You are treating eating disorders anyway,

they are presenting all over the system

• Ad-hoc approaches have left LHD staff

feeling overwhelmed, unwilling and under- resourced, planning is needed

Levels of Care

• Level 1: general practitioners, Medicare

Locals, community mental health services, Headspace and NGOs

• Level 2: ‘Specialist’ community and
• utpatient options
• Level 3: Local Hospital Intervention:

medical stabilisation and refeeding

• Level 4: Specialist Inpatient Care and

Input

3/03/2015 4

Specialist Services to be Developed

• Expand Adult Tertiary Eating Disorder Service
• RPA will open a 9 Beds Specialist Unit
• Outreach capacity; telehealth and supervision
• Tertiary component: developing workforce expertise
• Establish C&A Day Program
• Governed by SCHN, located at Butterfly House in Crows Nest
• 5 day program 12 places for 10-18 year olds with family support
• Outreach capacity: telehealth, supervision and training
• Abridged residential programs for rural/regional families
• Establish Adult Day Program at HNE
• 8 Adult specialist places 4-5 days per week
• Hub of expertise for the large LHD, linked with coordinator
• Will take referrals from whole Northern network, and provide limited
• utreach to support cases in that network

Strategic Directions from The Plan

1. Locally Led: LHD to develop service and workforce plans, implement pathways, establish models of care, provide access to multiple levels of care 2. Centrally Supported: LHDs require support to do so, advice, base documents, guidelines, evidence based literature, training programs & resources and avenues for clinical support 3. Hubs of Expertise: end point treatment options with spokes reaching back out to the community to support local capacity, train and supervise

3/03/2015 5

Staged Process

• The implementation of The Plan will be a

staged project.

• Stage 1: 2013-2015
• Stage 2: 2015-2018
• Stage 3: 2019 and beyond

Stage 1

• Stage 1 (2013-2015) includes:

– For the LHD:

• Identify local access points and services for people with

eating disorders in your LHD, as well as pathways to statewide services beyond your LHD

• Identify major gaps in services and pathways for people with

eating disorders in your LHD

• Develop a Local service plan for eating disorders with

workforce development plan (Strategy 1)

– Centralised support from CEDD and coordination team, and the development and dissemination of a range of service and workforce resources (Strategy 2) – Commencement of the enhanced specialist services funded alongside The Plan (Strategy 3)

3/03/2015 6

Stage 2

• Implementing the Service Plan Locally
• LHD:

– Establishing Local Pathways to care – Implementing Models of Care Locally – Implementing Standardised Policies and Procedures – Increasing Local Capacity: Workforce Development and Training

• CEDD & Coordination Team:

– In short to support these activities and provide base documents & templates for standard P&P, conduct broad scale training – Respond to Integrated Training and Outreach Strategy

• HUBS:

– Focusing on tertiary component of delivery – Responding to Integrated Training and Outreach Strategy

Beyond…..

• Addressing access for residents to all levels of

care

• Primary Care
• Addressing early intervention (already integrated)
• Addressing the needs of families and carers

(already integrated)

• For the LHD…
• CEDD and coordination team…
• Hubs….

3/03/2015 7

Achievements so far

• CEDD and the coordination team governing:

resources and base documents developed,

• nline training programs, advice and support to

LHDs as they progress local plans, clinical management support, workforce development plans

• NSW Service Plan for People with Eating

Disorders Implementation Steering Committee convened Implementation Plan written

• Number of LHDs have convened working

parties, identified a local lead, and drafted plans 25K+ by 2016 How to help ? Please :

• direct AN cases to our website angi.qimr.edu.au
• pin up our poster in your clinic
• hand our flyers to cases
• contact us at angi@qimr.edu.au
• free call 1800 257 159