1. Mental Health System Reform – What does is mean for me?

3. 2015-2016 2016-2017 2017-2018 2018-2019 2019 What will the PHT be doing? Rethink Actions NDIS Pilot 15-24 NDIS 12-14 1 July 2016 NDIS 25-28 1 Jan 2017 NDIS 4-11 1 July 2017 NDIS 29-34 1 Jan 2018 NDIS 0-3; 35-49 1 July 2018 NDIS 50-64 1 Jan 2019 Get started with the Business Development Package and Organisational Development Toolkit now. Accredited training including full and/or partial qualifications that supported building capacity for the futureBusiness Development PackageOrganisational Development ToolkitAccredited training Work with stakeholders to co-design at least two commissioned services for pilot 2016-17 “Commissioning-like” approach in sub-contracting all other primary mental health services 2016-17. Supporting guidelines and frameworks for a stepped model of primary mental health care for trial/pilot in 2017-18. Actions - immediate to short term (2015– 2016) Actions – medium term (2016-2019) Actions – long term (2019-2025) MENTAL HEALTH REFORM TASMANIA MILESTONES Is your organisation NDIS ready? By July 2019, the NDIS is expected to cover over 10,500 Tasmanians with disability

4. Mental Health Reform Tasmania 2015-2016 NDIAPHT Rethink Mental Health The first stage of the NDIS Tasmania 1 July 2013 for young people, 15 to 24 yrs. The following challenges still to be addressed: the planning and assessment process; the role of advocacy; the flexibility and self-management of plans; the enactment of plans; training and qualifications for support workers; the interface with mainstream services; accommodation and housing. Mental health program consolidation commences. Define the role and scope of public mental health services, community sector organisations, primary health and the private sector and the role they play in an integrated Tasmanian mental health system Regional operational Mental Health and Suicide Prevention Plan (due 6 May 2016) Initiatives include: Participate in the rollout of the NDIS & identify linkages across funding and service provision Define the role and scope of public mental health services, community sector organisations, primary health and the private sector and the role they play in an integrated Tasmanian mental health Tasmanian Suicide Prevention Strategy, a Youth Suicide Prevention Strategy & Suicide Prevention Workforce Development and Training Strategy How do we ensure that our input is part of the reforms?

5. Mental Health Reform Tasmania 2016-2017 NDIAPHT Rethink Mental Health Trial stepped models of care Models of low intensity services for people with mild mental illness. Supporting young people with mental health illness. Innovative funding for people with severe and complex mental illness - ‘opt-in’ arrangements. Engage with Tasmanian Government, mental health providers & primary care for integration, information-sharing & support to improve GP capability for mental health assessment & treatment.. NDIS roll-out 1 July 2016 12 - 14 yrs old 1 Jan 2017 25 - 28 yrs old Actions – medium term (2016-2019) Review Tasmania’s Promotion, Prevention and Early Intervention Framework Work with the Department of Education to promote mental health and resilience through schools including pathways for early intervention Work with PHT to engage with mental health providers & primary care -for to enhance integration, information sharing & support to improve GP capability for mental health assessment and treatment

6. Mental Health Reform Tasmania 2017-2018 Actions – medium term (2016-2019) cont. Implement social marketing/awareness/education campaigns to reduce stigma Embed a person-centred and recovery focused approach in Tasmania’s mental health system Work with the DHHS & DOH to identify linkages, gaps & duplication in services & funding relevant to specific population groups Support the reintroduction of nurses to Tasmanian state schools NDIAPHTRethink Mental Health Will PHNs be provided with the authority and flexibility to develop innovative approaches to meet the needs of the communities they serve… In part the answers will depend on the extent to which PHNs are patient focused, have informed input from the stakeholders they serve. NDIS roll-out 1 July 2017 4 - 11 yrs old 1 Jan 2018 29 - 34 yrs old

7. Mental Health Reform Tasmania 2018-2019 Actions – medium term (2016-2019) cont. Continue commitment to high standards of care and accountability of public mental health services Establish a governance model and monitoring and reporting processes for implementation of the Plan Develop a framework for the review and evaluation of all service and funding agreements NDIAPHTRethink Mental Health Primary Health Tasmania is committed to the following for locally sustainable commissioning of health services: understand the Tasmanian environment define issues to be addressed establish realistic delivery expectations design effective service intervention ensure the highest quality services continuous engagement stepped models of care NDIS roll-out 1 July 2018 1 Jan 2019 0 - 3 yrs old 50 - 64 yrs old 35 - 49 yrs old Governments have agreed to the development of a national approach to quality and safeguards as part of NDIS. People interacting with NDIS can expect consistent standards and safeguards wherever they live in Australia.

8. Mental Health Reform Tasmania 2019  and beyond… …delivering a seamless and integrated mental health service system that provides end to end care, provides support in the right place and at the right time and achieves better outcomes for consumers, their families and carers Rethink Mental Health - Better Mental Health and Wellbeing – A Long-Term Plan for Mental Health in Tasmania 2015-25Rethink Mental Health - Better Mental Health and Wellbeing – A Long-Term Plan for Mental Health in Tasmania 2015-25 NDIAPHT Rethink Mental Health Developing a mental health system that works seamlessly with the NDIS needs the cooperation and inclusion of state and territory governments alongside the Commonwealth – not to mention the non-government and community sector, clinicians, researchers and others. COAG must lead this conversation, but the solutions need to be owned by the broader mental health sector. Every Australian Counts: Exploring Psychosocial Disability and the NDIS (2015) …a shared commitment to taking the next steps to improve system integration and establishing stepped models of mental health support in the community. Mental Health Commissioning Intentions 2016-2017 Consultation Draft

9. Person’s role is active Person is a partner in the treatment plan Clinician collaborates with the person Care is centred on quality-of- life Clinician listens more and talks less Person is more likely to adhere to treatment Community Services Acute Care Family /Carers Health care providers

10. What do the timelines mean to you? Do the reforms meet your expectations for person centred practice? What concerns do you have about the next 3 years and beyond? To embed a person-centred and recovery focused approach in Tasmania’s mental health system. For a seamless and integrated mental health service system that provides end to end care, provides support in the right place and at the right time and achieves better outcomes for consumers, their families and carers. Workshop Questions: