1. Equally well in Victoria Physical Health Framework for Specialist Mental Health Services Maggie Toko – CEO VMIAC Marie Piu – CEO Tandem Anna Love – Chief Mental Health Nurse March 2019

2. National and international
Equally Well in Victoria Development
A potted history of activities associated with physical health of mental health consumers
National and international
WA - Nurse practitioner protocols for managing the
Physical health of mental health patients
NSW Health Physical Health Mental Health Handbook
UK - NHS Improving the physical
health of people
with mental health
problems:
Actions for MH nurses
NSW - MHC Evidence guide for
Physical health & mental wellbeing
NSW Health Physical Health Mental Health Handbook
1979
Carer Handbook
2018
Physical health fact sheet for families
General Screening Forms
Clinician Handbook
Aus. -National Mental Health Commission. Equally Well Consensus Statement
Wall Chart - Metabolic Syndrome
Today
Euro Union Mental health Physical health charter
Physical health fact sheet for consumers
Consumer-Diary
Psychosocial Assessment Booklet
Aus. - Healthy Active Lives consensus statement
UK - NHS Improving the physical health of people with serious mental illness toolkit
GP handbook
NSW Health Physical Health Care of Mental Health Consumers
Guidelines
WA Clinical Guidelines for the Physical
Care of Mental Health Consumers
Aus. - National summit addressing the premature death of people with a mental illness
NZ - Equally Well Frame/work for collab. action
Aus. - 5th National Mental Health Plan
Policy Directive
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
DRAFT Chief Psychiatrist’s Guideline: Recognising and responding to physical deterioration in mental health inpatient units
Because MH Matters – 10 Year Mental Health Plan
MAC Mental Health Report - Improving the physical health of people with severe mental illness
DHHS Budget bid. Improving the physical health of people with severe mental illness - UNSUCCESSFUL
Victoria’s 10 year Mental Health Plan
Mental health & physical activity State-wide Forum
State-wide Forum
improving the physical health of mental health consumers.
DHHS Victoria

3. Equally Well in Victoria Data

4. Equally Well in Victoria Development
Where to start?
Clinical mental health
Community services
Primary care
Health promotion
/prevention
Guideline vs framework
Directions vs practical
Who are our partners?
Consumers
Carers
Clinicians
Community services
Professional organisations
Academics
What’s the scope?
Robust debate
Comfort vs innovation
Biomedical vs recovery
For clinicians vs for person

5. Victoria's Specialist Mental Health Services’ initiatives
Equally Well in Victoria The approach
VMIAC’s input
Tandem’s input
Victoria's Specialist Mental Health Services’ initiatives
Existing material developed across Australia and worldwide
A case for change: a Victorian study of the interplay of mental illness on cardiovascular health from a consumer’s perspective
Teresa Kelly RN, MHN, PhD Candidate, Department of Nursing, School of Health Sciences, The University of Melbourne, and Professor Suresh Sundram, Unit Head, Adult Psychiatry, Monash Medical Centre, Department of Psychiatry, School of Clinical Sciences, Monash University.

6. Equally Well in Victoria The framework

7. Equally Well in Victoria The framework in action

8. Equally Well in Victoria The framework in action

9. Equally Well in Victoria The framework in action

10. Equally Well in Victoria The framework in action
Understanding the consumer’s perspective or journey
Links to recovery goals
When the consumer is ready to make changes to …
When the consumer is not yet ready to make changes to

11. Equally Well in Victoria The framework in action
Workforce considerations
Health promotion messages
Practice tips for age groups

12. Equally Well in Victoria Implementation and next steps
Victorian Department of Health and Human Services
Existing strategies
Equally well implementation resources
Showcase and promote Victorian success stories
Implementation committee
A five year plan
A focus on priority areas
What we already have in place
What we need to seek new resources for

13. Equally Well in Victoria Implementation and next steps
Putting consumer views front and centre
Priorities:
Psychiatrists must improve informed consent practices and reduce prescribing risky medication
Increase access to safer treatments (therapy)
Equity of health services (we can learn a lot from leading oncology services)
Next steps: We need to see funding commitments and much more data

14. Equally Well in Victoria Implementation and next steps
Carer perspectives
Family and friends are recognised as:
an integral part of recovery  from onset of illness
uniquely placed to provide useful assistance in addressing physical health problems
having invaluable insights to offer as part of the team.
Family and friends are provided:
information, education and support regarding physical health issues that may arise with illness and medication
guidance on how to communicate about sensitive health issues with family members
practical strategies that can easily improve physical health
an opportunity to engage in discussion about any issues arising of concern
support to look after their own physical health and wellbeing
Tandem looks forward to the implementation of this framework in Victoria and a future where Victorians are equally well regardless of their mental health status.
Tandem held focus groups and interviews with Tandem members asking questions to provide insight into physical activity and wellbeing for those living with mental health issues, through the lens of family and friends (mental health carers).
Themes that emerged
Physical and mental health systems do not operate in an integrated way
It should be an urgent priority for the mental health system to work to alleviate adverse effects of the medications that are the mainstay of the current model of care in the mental health system
Families would like to see increased focus in mental health service on preventative and pro-active measures for physical health and wellbeing.
Research confirms that family and friends often provide:
The bulk of support are uniquely placed to impact lifestyle and overall wellbeing of those they support
Their perspective  on discussions and strategies to develop and implement lifestyle interventions are invaluable
Family carers need information, education and support regarding physical health problems from onset
Guidance on how to communicate sensitive health issues with family members and provide practical strategies that can easily improve physical health
Support to look after their own physical health and wellbeing
Ultimately, family carers want holistic and integrated approaches to patient wellbeing.
Tandem is pleased to work with the OCP and OCN in the development of this framework as it is an important step in addressing the inequity in the physical health and wellbeing of consumers and their families. We look forward to the implementation of this framework in Victoria and a future where Victorians are equally well regardless of their mental health status.

15. Equally Well in Victoria Thank you