Presentation on theme: "Closing the Gap on Indigenous Health Outcomes"— Presentation transcript:
1 Closing the Gap on Indigenous Health Outcomes PRISON HEALTHClosing the Gap on Indigenous Health Outcomes
2 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 $ million in new expenditure over four years.
3 COAG Closing the Gap in Indigenous Health National Partnership Agreement Five Priority Areas:tackling smoking;providing a health transition to adulthood;making Indigenous health everyone’s business;delivering effective primary health care services; andbetter coordinating the patient journey through the health care system
4 WA ImplementationIn accordance with the NPA, the Western Australian Implementation Plan presented strategies consistent with the five priority areasPrison Health was identified as a priority under “Making Indigenous health everyone’s business”
5 Allocation of Funds$9.78m under “Making indigenous health everyone’s business”$7.2m was quarantined for prison health
6 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 2http://www.creativespirits.info/aboriginalculture/law/aboriginal-prison-rates.html#ixzz1IjEFlbhd2008 Review of Prison Health Services by WA Health & DCS identified the poor health status of Aboriginal prisonersCommunity consultations in Western Australia also supported the need for better prisoner health, in particular social and emotional well being & drug and alcohol.
7 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.”11Hobbs, M; et al Mortality and morbidity in prisoners after release from prison in Western Australia Trends and Issues in crime and criminal justice 320: Australian Institute of Criminology
8 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 healthNumber of FTE based on the number of prisoners exiting the prisonService provider would be located near the custodial settingPartnership with the Department of Corrective Services
9 Services DevelopedAboriginal Health Planning Forums were invited to submit proposals based on the recommended service modelAll 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
10 Regional Allocations Region Service Provider Funding to 2013 Kimberley Kimberley Aboriginal Medical Service Council$1,270,402.00PilbaraMawarnkarra Health Service$ 707,130.00GoldfieldsBega Garnbirringu Health Service$ 700,000.00MidwestGeraldton Aboriginal Medical Service$ 776,468.00WheatbeltHolyoake Wheatbelt community Drug Service Team$ 272,516,00Great SouthernWACHS Great Southern Aboriginal Health Service$ 350,489.00South WestSouth West Aboriginal Medical Service$ 301,596.00South MetropolitanSouth Metropolitan Area Public Health Unit$1,489,680.00North MetropolitanNorth Metropolitan Area Public Health Unit$ 924,434.00Total$6,442,226.00State- wide Coordination & ManagementWACHS Aboriginal Health Improvement Unit$ 316,269.00$6,758,495.00
11 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 evaluationprovide a conduit to the Department of Corrective Services
12 PartnershipsNegotiations 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.