Presentation on theme: "PRISON HEALTH Closing the Gap on Indigenous Health Outcomes."— Presentation transcript:
PRISON HEALTH Closing the Gap on Indigenous Health Outcomes
COAG Closing the Gap in Indigenous Health National Partnership Agreement Under the NPA the Commonwealth and State and Territory governments committed to undertaking substantial expenditures over four years 2009/10 – 2013/14 to address the gap in health outcomes experienced by Aboriginal people. The Western Australian Government committed $117.43 million in new expenditure over four years.
COAG Closing the Gap in Indigenous Health National Partnership Agreement Five Priority Areas: tackling smoking; providing a health transition to adulthood; making Indigenous health everyones business; delivering effective primary health care services; and better coordinating the patient journey through the health care system
WA Implementation In accordance with the NPA, the Western Australian Implementation Plan presented strategies consistent with the five priority areas Prison Health was identified as a priority under Making Indigenous health everyones business
Allocation of Funds $9.78m under Making indigenous health everyones business $7.2m was quarantined for prison health
Aboriginal Prisoner Health - why a priority? In 2008 Aboriginal people represent only 2.3% of the total population, yet Aboriginal people represent on average 17% of the prison population except in Western Australia and the Northern Territory where they account for 43% and 84%. 2 2 http://www.creativespirits.info/aboriginalculture/law/aboriginal-prison-rates.html#ixzz1IjEFlbhd http://www.creativespirits.info/aboriginalculture/law/aboriginal-prison-rates.html#ixzz1IjEFlbhd 2008 Review of Prison Health Services by WA Health & DCS identified the poor health status of Aboriginal prisoners Community consultations in Western Australia also supported the need for better prisoner health, in particular social and emotional well being & drug and alcohol.
Aboriginal Prisoner Health - why a priority? A study in 2006 of the mortality and morbidity of prisoners in WA after release identified that Aboriginal prisoners have multiple, long standing health issues… with the major finding that there is a greater risk of death and hospitalisation in Indigenous prisoners than the general population of WA. 1 1 Hobbs, M; et al. 2006 Mortality and morbidity in prisoners after release from prison in Western Australia 1995 -2003. Trends and Issues in crime and criminal justice 320: Australian Institute of Criminology
Recommended Service Model Through-care model providing coordination/case management, linking with community health services and some in-reach services, with a focus on chronic disease, alcohol and drugs and mental health Number of FTE based on the number of prisoners exiting the prison Service provider would be located near the custodial setting Partnership with the Department of Corrective Services
Services Developed Aboriginal Health Planning Forums were invited to submit proposals based on the recommended service model All 9 Aboriginal Health Planning Forums submitted locally developed proposals. Service Agreements were finalised for each of the 9 regions and funds released for respective contracts during November 2010 to April 2011
RegionService ProviderFunding to 2013 KimberleyKimberley Aboriginal Medical Service Council $1,270,402.00 PilbaraMawarnkarra Health Service$ 707,130.00 GoldfieldsBega Garnbirringu Health Service$ 700,000.00 MidwestGeraldton Aboriginal Medical Service $ 776,468.00 WheatbeltHolyoake Wheatbelt community Drug Service Team $ 272,516,00 Great SouthernWACHS Great Southern Aboriginal Health Service $ 350,489.00 South WestSouth West Aboriginal Medical Service $ 301,596.00 South MetropolitanSouth Metropolitan Area Public Health Unit $1,489,680.00 North MetropolitanNorth Metropolitan Area Public Health Unit $ 924,434.00 Total$6,442,226.00 State- wide Coordination & Management WACHS Aboriginal Health Improvement Unit $ 316,269.00 Total$6,758,495.00 Regional Allocations
Statewide Support - Prison Health Program Manager The Statewide Aboriginal Health Planning forum endorsed a Prison Health Program Manager be appointed within WACHS. The Prison Health Program Manager will: support program implementation, coordination, monitoring and evaluation provide a conduit to the Department of Corrective Services
Partnerships Negotiations with the Department of Corrective Services to establish an MOU between WACHS and DCS. Department of Corrective Services is working directly with the service providers to develop local MOUs. The Department of Corrective Services has invited WACHS to join their Non Government Services Board. The State-wide Aboriginal Health Planning Forum has extended an invitation to the Department of Corrective Services to join the forum as a member.