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Jane H Roberts GP and Senior Lecturer University of Sunderland RCGP Adolescent Health Group.

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Presentation on theme: "Jane H Roberts GP and Senior Lecturer University of Sunderland RCGP Adolescent Health Group."— Presentation transcript:

1 Jane H Roberts GP and Senior Lecturer University of Sunderland RCGP Adolescent Health Group

2 Churchill Fellow 2010Overview of talk Australian context Adolescent mental health New developments in community based service provision Key findings Conclusions

3 Aboriginal rock paintingsHistorical background Old and new country Aboriginal culture years old 1700s British colony 1850s 6 states – with independent governance 1900 Australian independence 1931 Commonwealth

4 6 th largest country in the world Population 20 million 13 th richest economy

5 4 in 10 young people and increasing rich country with high rates of relative poverty Blended system of healthcare-public /private No registration with GPs. Medicare covers basic services. Eligible from 15 yrs old 2003 and 2007 national reviews MH-IAPT Focus on YP MH and service shake-up

6 Championed by Prof McGorry Funded by Commonwealth (national ) government 2006: National Youth Mental Health Foundation Focused on years in 30 one-stop shops in pop dense areas Aim to address general and mental health, substance + alcohol counselling, education and employment University support-UoMelbourne Orygen

7 Melbourne Sunshine centre Key points Work with existing services –determines local shape + scope GPs role pivotal-but variable interest Youth workers crucial Main focus on MH Less input in Education Training +Employment

8 CAMHS-poorly funded; high rate private psychiatry Inter-state variability re provision and legislation incl. competence regulations Major re-structuring of mental health services in Victoria around 0-11,12-25 yrs Individual models eg Clockwork, Geelong: multi-agency team working, high workload Education: UME-med students in high schools + PCOs: Docs and teens Culturally appropriate services limited

9 Sculpture in AdelaideThe big issues A generalist or specialist service? Encouraging all clinicians to be youth- friendly or create stand –alone services? as a core group? Early intervention or over-medicalization?

10 Champions are essential : youth mental health Advocacy and lobbying lead to funding Role of Academic base : Orygen; DGP, UoM; CAAH; Youth Health Research Interest group, Sydney Pros and cons of a youth focused service- EarIy Intervention effective in long term or diverting limited resources ?

11 Cleland Wildlife ParkKey messages Work closely with client groups: YP, clinicians- what do they want ? Respect local history and geography- context is all important A can-do approach is energizing Youth (mental ) health is everyones business

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