National Mental Health Consumer & Carer Forum submission - submitted to the Senate Community Affairs Committee Enquiry into Commonwealth Funding and Administration of Mental Health Services.

Extract from Submission::
It will be imperative that the budget initiatives:
  • support the implementation of the Fourth National Mental Health Plan in guiding recovery based approaches to mental health
  • acknowledge the considerable change management initiatives required to implement a recovery approach to the development and implementation of mental health services
  •  include effective mechanisms to utilise the expertise of mental health consumers and carers to inform the implementation process and involve them in service design and implementation in an ongoing way
  • include effective mechanisms to better integrate with disability and community support services and draw from their experience in the provision of psychosocial disability support as an essential element of holistic mental health care
  • are monitored closely to ensure that they are implemented in the most strategic way, capitalising on current evidence about what does and doesn’t work in mental health
  • are informed by identified population needs
  • become a very first step in ongoing reform in the sector, and that ongoing policy includes acknowledgment that more key areas will need to be addressed before the foundation for reforming the mental health system can be considered complete
  • build on the COAG National Action Plan on Mental Health 2006-11 and any further COAG initiatives.
In this submission the NMHCCF will discuss the importance of the formation of partnerships with consumers and carers as part of a process to drive the implementation of recovery focussed reforms in mental health and will highlight some of the major gaps that need to be addressed to ensure that this first round of mental health reform initiatives are successful.

Download:: Carer Submission to Senate 
 
 
Suicide in Australia

Key points
  • In Australia, 2132 deaths were as a result of suicide in 2009—six deaths per day.[1]
  • Even though suicide deaths are relatively small (out of a total of 140 760 registered deaths), it is a leading cause of death, ranked 14th in 2009 (the same as in 2000) but, more significantly, ranked 10th as a cause of death amongst males.
  • Suicide is predominantly a male cause of death with 76.6 per cent of all suicide deaths in 2009.
  • In 2009, the median age of suicide deaths was 43.4 years for males and 44.9 for females. In comparison, the median age of all deaths is 77.8 years for males and 83.9 for females.
  • In 2009, suicide was the leading cause of death for young people aged 15–24 with almost a quarter (22 per cent) of all deaths within this group as a result of suicide.
  • In 2007, the number of people who had serious thoughts about taking their own life was 368 100 and 65 300 had attempted suicide—equivalent to 179 attempts per day.
  • Suicide deaths are significantly higher for Indigenous Australians. Suicide accounted for four per cent of all Indigenous deaths in 2009 (97 deaths) compared to 1.5 per cent for the total population.
Download or read report::
Suicide Data in Australia
A report prepared by the Parliamentary Library of Australia
 
 
Background Note from Austrlaian Parliamentery Library
Introduction
This Background Note provides two concordances. One concordance lists the proportion of people in each Local Government Area (LGA) that fall within each Commonwealth electoral division while the other concordance lists the proportion of people in each Statistical Local Area (SLA) that fall within each Commonwealth electoral division. The concordances are based on the 2010 edition of the Australian Standard Geographic Classification (ASGC) as published by the Australian Bureau of Statistics (ABS).[1] The concordances incorporate the current electoral boundaries, i.e. those in force at the federal election of August 2010.

The concordances were generated by processing the 2006 Census population figures for Census Collection Districts (CCDs). Each CCD was allocated to the relevant SLA, LGA and electoral division of best fit.
Download::
Table 1a - Local Government Area by electoral division
 

Table 1b - Electoral division by Local Government Area
Table 2a - Statistical Local Area by electoral division
Table 2b - Electoral division by Statistical Local Area
 
 
Caring for Older Australians Public inquiry This inquiry has concluded. The final report was released on 8 August 2011.

In undertaking the inquiry, the Commission had developed options for further structural reform of the aged care system so it can meet the challenges facing it in coming decades. In particular, the Commission had:
  • examined the social, clinical and institutional aspects of aged care in Australia, building on the substantial base of existing reviews into this sector
  • addressed the interests of special needs groups
  • developed regulatory and funding options for residential and community aged care (including the Home and Community Care program)
  • examined the future workforce requirements of the aged care sector
  • recommended a path for transitioning from the current regulatory arrangements to a new system that ensures continuity of care and allows the sector time to adjust
  • examined whether the regulation of retirement specific living options should be aligned more closely with the rest of the aged care sector
  • assessed the fiscal implications of any change in aged care roles and responsibilities.
In the course of the inquiry, the Commission consulted widely with older Australians, their carers, aged care providers, government agencies and other interested parties.

Download::
Caring for Older Australians - Overview (PDF - 1065 Kb)

Volume 1 - Caring for Older Australians - Inquiry report (PDF - 1558 Kb)
Volume 2 - Caring for Older Australians - Inquiry report (PDF - 3134 Kb)
 
 
On Thursday 11 August 2011, both Keiran Booth and myself (Warren Jenkins) attended  a Forum, conducted by the Mental Health Council Australia (MHCA), as part of a discussion of how to implement some of the federal government’s new budget initiatives for mental health.
The  Background paper (download below) , sets out the proposal for increased coordinated care for people living in the community with complex care needs.

In brief the paper and proposal sets out  –
  1. $549 million will be spent over 5 years
  2. This will target the top 24,000 people experiencing severe mental illness
  3. An open tender process will be established per region (in the first part of 2012)
  4. This will be achieved by the establishment of Care Facilitators
  5. Already funded federal programs such as PHAMS will be well placed for this funding
  6. Effective partnerships across a range of service providers will be essential.
The forum was attended by approximately 60 people, a number representing larger welfare providers such as Anglicare, Salvos and Catholic Social Services, as well as specific mental health organizations such as MIFA, Mind Australia and ourselves.

Download:
Background Paper Coordinated Care Measure - MHCA forum.doc
Discussion Paper Flexible Care Packages .pdf
 
 
For the first time, Australia has a National Carer Strategy – the second element of the Australian Government’s National Carer Recognition Framework.  Along with the Carer Recognition Act 2010, the National Carer Strategy strengthens our commitment to recognise and respond to the needs of carers so that they have rights, choices, opportunities and capabilities to participate in economic, social and community life.

The National Carer Strategy contains a vision, an aim and six important priority areas for action – recognition and respect, information and access, economic security, services for carers, education and training and health and wellbeing.  Collectively, these priority areas outline how the contribution of Australia’s carers will be better valued, supported and shared.

The National Carer Strategy builds on what the Australian Government already provides for carers and complements reforms to improve supports provided through the aged care, disability, mental health, primary health care, hospital and community care systems.

The Strategy was developed in consultation with carers, state and territory governments, service providers and peak organisations.

Download: National Carer Strategy PDF [1MB]


 
 
Disability Care and Support Inquiry report This inquiry report was released on 10 August 2011.Download:: Full report
 
 
The Victorian Department of Health has released, August 2011, The Framework for Recovery-oriented Practice.
The framework identifies the principles, capabilities, practices and leadership that should underpin a recovery-oriented approach to mental health service delivery.
See also: Warren Jenkins submission on behalf of MHCAA to Federal Health Dept urging greater emphasis on Recovery models.
Download::Framework for Recovery-oriented Practice
 
 
National Mental Health Consumer & Carer Forum Submission submitted to the Senate Community Affairs Committee Enquiry into Commonwealth Funding and Administration of Mental Health Services.
Extract::
It will be imperative that the budget initiatives:
  • support the implementation of the Fourth National Mental Health Plan in guiding recovery based approaches to mental health
  • acknowledge the considerable change management initiatives required to implement a recovery approach to the development and implementation of mental health services
  • include effective mechanisms to utilise the expertise of mental health consumers and carers to inform the implementation process and involve them in service design and implementation in an ongoing way
  • include effective mechanisms to better integrate with disability and community support services and draw from their experience in the provision of psychosocial disability support as an essential element of holistic mental health care
  • are monitored closely to ensure that they are implemented in the most strategic way, capitalising on current evidence about what does and doesn’t work in mental health
  • are informed by identified population needs
  • become a very first step in ongoing reform in the sector, and that ongoing policy includes acknowledgment that more key areas will need to be addressed before the foundation for reforming the mental health system can be considered complete
  • build on the COAG National Action Plan on Mental Health 2006-11 and any further COAG initiatives.
In this submission the NMHCCF will discuss the importance of the formation of partnerships with consumers and carers as part of a process to drive the implementation of recovery focussed reforms in mental health and will highlight some of the major gaps that need to be addressed to ensure that this first round of mental health reform initiatives are successful.

Download:: National Mental Health Consumer & Carer Forum Submission