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Frank Quinlan - Mental Health Council - Keynote Opening Presentation: Defining, Identifying, and Providing Services to People who Experience Psychosocial Disability

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Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. …

Frank Quinlan, Chief Executive Officer, Mental Health Council of Australia delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme.

This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia.

For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndis

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  • 1. IIR Conferences Melbourne December 2013 INTEGRATING MENTAL HEALTH INTO THE NATIONAL DISABILITY INSURANCE SCHEME
  • 2. The Mental Health Council of Australia The peak national NGO representing and promoting the interests of the Australian mental health sector
  • 3. Our discussion today •  •  •  •  Context of mental health Development of the NDIS Opportunities offered by the NDIS Immediate challenges integrating mental health into the NDIS •  Challenges to future provision of mental health services
  • 4. Development of the NDIS •  Introduced the concept of national insurance for disability •  Introduced coverage for psychosocial disability •  Rode on wave of political enthusiasm
  • 5. Insurance a promise of compensation for specific potential future losses in exchange for a periodic payment
  • 6. Psychosocial disability •  involving aspects of both social and psychological behaviour •  of or relating to processes or factors that are both social and psychological in origin
  • 7. Human rights context Importantly, the Convention makes a significant shift away from the medical model of disability towards a social model of disability. This demands the development of different solutions to redress the current situation. Graeme Innes AM
  • 8. Human rights context The Convention recognises that disability is an evolving concept and that disability results from the interaction between persons with impairments and attitudinal and environmental barriers that hinder their full and effective participation in society on an equal basis with others. Graeme Innes AM
  • 9. Opportunities offered by the NDIS
  • 10. Opportunities offered by the NDIS •  Individual choice and control •  Additional resources •  Long-term planning and commitment •  Portability
  • 11. Things to be retained by the NDIS •  Consumer and carer inclusion •  Flexible access •  Multiple levels of assistance •  Recovery principles •  Whole of life support •  A specialised workforce
  • 12. Immediate challenges integrating mental health into the NDIS •  •  •  •  Eligibility Assessment Packaging of services Reforming mental health services
  • 13. Challenges to the future provision of mental health services
  • 14. Serious and persistent mental illness with complex interagency needs 60,000
  • 15. Serious and persistent mental illness with complex interagency needs Serious mental illness 60,000 429,000
  • 16. Serious and persistent mental illness with complex interagency needs Serious mental illness Need for psychosocial support 60,000 429,000 = ?
  • 17. Serious and persistent mental illness with complex interagency needs Serious mental illness Need for psychosocial support 60,000 Tier 3 Tier 2 429,000 = ?
  • 18. 6,000 Intensive support Tier 3 Serious mental illness Need for psychosocial support Tier 2 429,000 = ?
  • 19. 6,000 Intensive support Tier 3 54,000 Serious mental illness Need for psychosocial support Tier 2 429,000 = ?
  • 20. 6,000 54,000 Serious mental illness Need for psychosocial support Intensive support ? Tier 3 Tier 2 429,000 = ?
  • 21. Existing Mental Health Services: (services to everyone) NDIS support: (servicing no one)
  • 22. Existing Mental Health Services: (services to everyone) Personal Helpers and Mentors NDIS support: (servicing no one)
  • 23. Existing Mental Health Services: (services to everyone) Personal Helpers and Mentors Partners in Recovery NDIS support: (servicing no one)
  • 24. Existing Mental Health Services: (services to everyone) Personal Helpers and Mentors Partners in Recovery Mental Health Respite for Carers NDIS support: (servicing no one)
  • 25. Existing Mental Health Services: (services to everyone) Personal Helpers and Mentors Partners in Recovery Mental Health Respite for Carers Day to Day Living NDIS support: (servicing no one)
  • 26. Existing Mental Health Services: (services to everyone) Personal Helpers and Mentors Partners in Recovery Mental Health Respite for Carers Day to Day Living State/Territory Programs NDIS support: (servicing no one)
  • 27. Existing Mental Health Services: serving everyone - NDIS
  • 28. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ???
  • 29. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding
  • 30. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors
  • 31. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 70% Partners in Recovery
  • 32. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 70% Partners in Recovery 50% Mental Health Respite for Carers
  • 33. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 70% Partners in Recovery 50% Mental Health Respite for Carers 35% Day to Day Living
  • 34. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 70% Partners in Recovery 50% Mental Health Respite for Carers 35% Day to Day Living ??% State/Territory Programs
  • 35. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 30% Partners in Recovery 70% Partners in Recovery 50% Mental Health Respite for Carers 35% Day to Day Living ??% State/Territory Programs
  • 36. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 30% Partners in Recovery 70% Partners in Recovery 50% Mental Health Respite for 50% Mental Health Respite Carers for Carers 35% Day to Day Living ??% State/Territory Programs
  • 37. Existing Mental Health Services: serving everyone - NDIS NDIS support: serving 6,000 high intensity T3 54,000 other T3 +T2 - ??? New funding Personal Helpers and Mentors 30% Partners in Recovery 70% Partners in Recovery 50% Mental Health Respite for 50% Mental Health Respite Carers for Carers 65% Day to Day Living 35% Day to Day Living ??% State/Territory Programs
  • 38. Key implementation issues •  The assessment process •  Self-referral •  Supported decision making •  Organisational sustainability •  Workforce •  Monitoring and learning
  • 39. Key policy issues •  Permanency of impairment versus a recovery focus •  Early intervention •  Intended interaction with other programs and services
  • 40. Key actions •  Study to map programs and demand for services (reconciling state and commonwealth programs) •  A service guarantee – that no individual will be worse off – now or in the future •  An advisory group to guide the implementation process
  • 41. IIR Conferences Melbourne December 2013 INTEGRATING MENTAL HEALTH INTO THE NDIS