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Partnership in Mind Framework Implementation: Enhancing Mental Health Services in Queensland

Explore the PIM Framework developed to improve access to mental health resources in Queensland through local and statewide partnerships. Understand the impact, findings, and recommendations from demonstration sites for better integration.

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Partnership in Mind Framework Implementation: Enhancing Mental Health Services in Queensland

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Presentation Transcript

  1. Partners in Mind Cathy Beck – March 09

  2. PIM Overview • PIM Framework • Demonstration Sites • Summary of Work • Statewide Evaluation • Findings from Local and State level • Recommendations • Where to from here

  3. PIM Framework • Developed in 2005-2006, funding Q Health and AGDHA • Reviewed in 2008 with minor changes • Local and statewide tools (elements, outcomes and strategies) • Local : designed to assist service providers to work more effectively together to improve access to and utilisation of resources currently available

  4. PIM Framework con’t • State : designed to provide direction for work undertaken at a state level towards fostering the ideal primary mental health care system in Qld • Useful tool for any partnership work occurring in Mental Health. • Implementation funded by Qld Health in 2007 to current date

  5. Demonstration Sites • Ipswich & West Moreton DGP and West Moreton DMHS • Capricornia DGP & Central QLD DMHS (Rockhampton) • Central QLD Rural DGP & Central QLD DMHS (Emerald) • GPpartners (DGP) & Royal Brisbane & Women’s Hospital DMHS • Brisbane South/South East Alliance (DGPs) & Princess Alexandra Hospital DMHS • Sunshine Coast DGP & Sunshine Coast and Cooloola DMHS • Townsville General Practice Network & Townsville DMHS

  6. Summary of Work • Implementation of MHNIP • Refinement of clinical pathways • MOUs and partnership agreements • GP Liaison position • Hands on attendance at acute care meetings and discharge planning meetings • Linking together of many mental health meetings to come under one common banner • Some comorbidity work

  7. Statewide Evaluation • Contracted evaluator (Professor Peter Bycroft and Leanne Dowse) • Short time frames, first interim report due March 09 • Impact and Process Evaluation • Surveys and Interviews • Implementation Sites verses Control Sites

  8. Findings from Local Implementation • LOCAL • Each region requires a different implementation process due to their history, specific local needs and resources; • The work of genuine partnership starts from the beginning: - the way stakeholders work at a state level impacts the outcomes- the way the project is rolled out (i.e. people working in partnership or not) impacts the outcomes - the way stakeholders are engaged initially impacts the outcomes • Coordinating this work requires dedicated high level project management and facilitation skills; • Relationship development is “personal” so when staff change the relationships are affected. • (Taken from Peter Bycroft presentation GPQ forum March 09)

  9. PIM findings continued • The Framework and the tools are very highly valued and seen as appropriate and effective in achieving the desired outcome/s • People found that working relationships improved in general with mental health service providers • Cooperation and communication between DMHS, DGPs and other NGOs is improved • It is largely about systemic/cultural change and is often achieved through “behind the scenes” activity;

  10. PIM findings continued • Systemic/cultural change is a long-term process requiring ongoing commitment; • This work is essential for all stakeholders to build local capacity and better meet client needs. • State evaluation will be covered in more detail between now and the final due date - October 09

  11. Recommendations • Statewide rollout • Statewide support from Qld Health and GPQ • Capacity at DGPs to work with DMHS who have a Primary Care Liaison position • Seeding funding to develop partnership councils • Longer term (5 year) funding to enable processes / position to drive integration between DMHS and DGPs and Primary care services • Summary of PIM Framework to one pager • PIM Website

  12. Where to from here? • Statewide evaluation – role of QPMHCC • Widening the sample size of people interviewed or surveyed • Working with Queensland Health to identify models to continue roll out • Integration with Primary Mental Health Care Liaison Positions – Q Health • Statewide support and focus on the outcomes • Explore possibility of support from AGDHA

  13. Thank you

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