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Plan 2015–2025

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Plan 2015–2025 THE WESTERN AUSTRALIAN MENTAL HEALTH, ALCOHOL AND OTHER DRUG SERVICES Plan 2015–2025 Contents MINISTER’S STATEMENT ................................................................................................... 2 IMPORTANT NOTICE ............................................................................................................... 3 OVERVIEW ........................................................................................................................... 5 1 INTRODUCTION ....................................................................................................... 10 2 THE NEED FOR CHANGE ........................................................................................ 14 3 IF WE DO NOT CHANGE THE SYSTEM ................................................................... 17 4 HOW WE WILL PROGRESS ..................................................................................... 19 5 THE PLAN MATRIX ................................................................................................... 22 6 PREVENTION AND PROMOTION ............................................................................ 25 7 COMMUNITY SUPPORT SERVICES ........................................................................ 30 8 COMMUNITY TREATMENT SERVICES .................................................................... 37 9 COMMUNITY BED BASED SERVICES ..................................................................... 44 10 HOSPITAL BASED SERVICES ................................................................................. 49 11 SPECIALISED STATE-WIDE SERVICES .................................................................. 58 12 FORENSIC SERVICES ............................................................................................. 65 13 SYSTEM IMPROVEMENT AND SUPPORTING CHANGE ........................................ 73 14 SUMMARY AND CONCLUSION ................................................................................ 88 APPENDIX A ...................................................................................................................... 89 APPENDIX B ................................................................................................................... 100 APPENDIX C ................................................................................................................... 105 APPENDIX D ................................................................................................................... 107 APPENDIX E ................................................................................................................... 111 APPENDIX F .................................................................................................................... 116 APPENDIX G ................................................................................................................... 121 APPENDIX H ................................................................................................................... 126 REFERENCES ................................................................................................................. 127 The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 Page 1 MINISTER’S STATEMENT Consumers and their families in Western Australia should have access to personalised, modern and high quality services that are close to their homes. The Government has recognised this and has made mental health, alcohol and other drug services a high priority since 2008. Over the past six years we have seen the establishment of the ministerial portfolio for mental health, the creation of the Mental Health Commission and a record 68% increase in investment in the mental health, alcohol and other drug services sector. The Mental Health Commission has set up mechanisms to strengthen the voice of mental health consumers’ and in 2014 the Mental Health Bill passed through both houses of Parliament, which will further drive reform. In addition, we have seen the expansion of a range of evidence based alcohol and drug services and internationally renowned prevention campaigns. Substantial change has already taken place, but we have much more to achieve. Extensive transformation and significant investment is required to address decades of accumulated poor targeting and under investment. Unfortunately, individuals with mental health, alcohol and other drug problems still too often experience poor outcomes as a result of a service system that does not meet their needs. The current system is complex and difficult to navigate therefore many consumers are left unsure how to access the help they require. Looking forward, we need to resource the system properly and progress system wide improvement to achieve better outcomes for individuals, families and the broader community. Despite these challenges, staff have remained committed and there are examples of great innovation. I admire, and am extremely grateful for, the unwavering dedication shown by staff who work in a system that often makes their jobs challenging. I am therefore pleased to present the Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 (the Plan), which has been developed by the Mental Health Commission, the Drug and Alcohol Office and the Department of Health. The Department of Corrective Services was also involved in developing the forensic component of the Plan. Combining research, evidence, expert opinion, world’s-best practice and some of the latest planning tools, we are now able to estimate the optimal mix of services required for our growing population over the next ten years. The Plan is bold and sets an ambitious agenda that all levels of Government, the private and not for profit sectors, consumers, and families need to work together to achieve. We need to enhance prevention programs and strategies, intervene early and increase community based services to reduce reliance on an outdated system consisting of expensive hospital beds and substantially improve the ability of consumers and their families to navigate the system. I would like to thank the many people who have had input into the Plan’s development. I especially thank those with lived experience of mental health, alcohol and other drug problems, their families and supporters. Yours sincerely MINISTER FOR MENTAL HEALTH Hon Helen Morton MLC The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 Page 2 IMPORTANT NOTICE The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025, articulates the overall intentions regarding service development and transformation of mental health, alcohol and other drug services over the next ten years. The actions contained within this document and the subsequent investment required is dependent on Government’s fiscal capacity and is subject to normal Government approval through budgetary processes. The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 Page 3 VISION Our vision, as outlined in the Plan, is to build a Western Australian mental health, alcohol and other drug service system that: prevents and reduces mental health problems, suicide and suicide attempts; prevents and reduces the adverse impacts of alcohol and other drugs; promotes positive mental health; and enables everyone to work together to encourage and support people who experience mental health, alcohol and other drug problems to stay in the community, out of hospital and live a satisfying, hopeful and contributing life. The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 Page 4 OVERVIEW Why do we need a new Plan? The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 (the Plan) has been developed to address mental health, alcohol and other drug needs in the Western Australian community. The development of the Plan was the principal recommendation of the 2012 report by Professor Bryant Stokes, Review of the admission or referral to and the discharge and transfer practices of public mental health facilities/services in Western Australia, undertaken in a response to suicide of people who had been discharged from mental health services in Western Australia. There are good examples of excellence in service delivery, with further initiatives committed by this Government. These achievements are a result of previous investment in public, private and not-for-profit organisations. We also acknowledge and recognise the efforts of our dedicated workforce. However, the current system is often overwhelmed due to substantial unmet demand for services, particularly in community based services. This can have a negative impact on the stress and morale of staff who are working in a very strained environment. The alcohol and other drug service system is considered to be more balanced (compared to the mental health system), however the supply is well short of demand. This makes it difficult to effectively prevent and reduce harm from alcohol and other drugs, and provide treatment and support to those who experience problems with alcohol and other drug use when and where they need it. At present, expenditure on mental health services is heavily concentrated on expensive clinical services at the acute end of the service spectrum. Many individuals have little choice but to rely on costly emergency department and inpatient services, irrespective of whether this is the most appropriate type of care. Survey results
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