3/03/2015 NSW EATING DISORDER SERVICE DEVELOPMENT FORUM 23 FEBRUARY 2015 CENTRE FOR EATING AND DIETING DISORDERS Welcome! And thank you for Coming. 1
3/03/2015 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 of 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 2
3/03/2015 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 outpatient options • Level 3: Local Hospital Intervention: medical stabilisation and refeeding • Level 4: Specialist Inpatient Care and Input 3
3/03/2015 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 outreach 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 4
3/03/2015 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) 5
3/03/2015 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…. 6
3/03/2015 Achievements so far • CEDD and the coordination team governing: resources and base documents developed, online 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 7
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