1. Mental health system reform: Taipei 3.11.2008 1 |1 | Collaborating Centre CIMH ausMHLP: Past present and future Harry Minas Centre for International Mental Health Melbourne School of Population Health

2. Mental health system reform: Taipei 3.11.2008 2 |2 | Collaborating Centre CIMH People With Mental Illness Families Community Organisations Hospital- based Mental health services Community MH Services Primary Care Non-Health System Components Finance, Education, Employment, Social Affairs, Justice, etc. Health System Conceptual & Regulatory Framework MH Legislation MH Policies & Plans Money Implementation Capability Inputs & Processes Facilities, equipment and supplies Skilled & motivated staff Information systems Outcomes and Impacts Improved health status (recovery and reduced disability) Improved social inclusion, social and economic participation Satisfaction with services – accessibility, effectiveness, responsiveness, appropriateness Financial risk protection – illness and treatment do not result in poverty General Community Well-informed about MH and illness Advocacy Rights Human rights Right to treatment & care Responsibilities Support for people with mental illness Reduce stigma & Discrimination

3. Mental health system reform: Taipei 3.11.2008 3 |3 | Collaborating Centre CIMH ausMHLP 1999 Two-week training program for 50 participants from about 12 Asian countries 2001 Establishment, with Harvard medical School, of the International Mental Health Leadership Program >100 alumni from 18 countries and territories ausMHLP: 3 groups ausMHLP 2006: Psychiatrists and senior psych registrars ausMHLP 2007: Psychiatrists and senior psych registrars ausMHLP 2008: All relevant disciplines

4. Mental health system reform: Taipei 3.11.2008 4 |4 | Collaborating Centre CIMH Improving mental health system performance Effective mental health system development will: Begin with a clear view of the outcomes that are to be achieved Focus on improving mental health system performance Need to change: health system characteristics community characteristics, and the quality of interaction between the health system and community Non-health system factors will determine: whether effective mental health system development is possible and the scale and pace of development

5. Mental health system reform: Taipei 3.11.2008 5 |5 | Collaborating Centre CIMH ausMHLP: Objectives The intent of ausMHLP is to fill a significant gap in the training of mental health professionals by developing : knowledge, skills and confidence of participants to undertake leadership and management roles Specific teaching objectives are to: Introduce fundamental concepts of leadership, management and organisational development and their application to administration of mental health services; Introduce fundamental concepts of public policy and the policy environment in mental health service administration; Challenge and inspire participants to accept responsibility for providing leadership in addressing priority policy issues; Increase participants’ understanding of the practical skills needed to provide effective leadership on priority issues at local, state and national levels.

6. Mental health system reform: Taipei 3.11.2008 6 |6 | Collaborating Centre CIMH ausMHLP: Entry requirements Mental health professionals of any discipline currently working in the public mental health system in Australia; Committed to making a contribution to mental health in Australia at an organisational, system or policy level; Currently working in formal management, clinical leadership, or other less formal organisational leadership roles; Individuals who value good communication, who display initiative and creativity in their professional lives but are also able to follow projects through, who are capable of self-reflection, and who enjoy teamwork.

7. Mental health system reform: Taipei 3.11.2008 7 |7 | Collaborating Centre CIMH ausMHLP: Mode of delivery The program is delivered in four intensive 3 day seminars combining a variety of teaching methods including: formal didactic teaching of theory and synthesis of relevant empirical research; structured discussion of reading materials; presentations from, and discussion with, major national and state level leaders of mental health service development initiatives throughout Australia; experiential exercises; guided, structured, interactive reflection to connect formal teaching to participants’ experience, and build understanding and skills; practical workshops tailored to the interests and work settings of individual participants, a two-day conference.

8. Mental health system reform: Taipei 3.11.2008 8 |8 | Collaborating Centre CIMH ausMHLP as Award Courses From 2009 ausMHLP will be re-developed to be offered as an articulated series of Award courses 1. Graduate Certificate in Mental Health System Development 2. Graduate Diploma in Mental Health System Development 3. Master of Mental Health System Development

9. Mental health system reform: Taipei 3.11.2008 9 |9 | Collaborating Centre CIMH Articulated award courses Master of Mental Health System Development Minor Thesis Graduate Diploma in Mental Health System Development 1. Mental Health System Research: Quantitative methods 2. Mental Health System Research: Qualitative methods 3. Research project A range of other elective subjects Graduate Certificate in Mental Health System Development 1.Introduction to leadership and management in mental health services 2.Mental health policy and the external environment 3.Substantive areas of challenge for leadership in mental health services 4.Team building and change management