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Better Choices. Better Lives. WESTERN AUSTRALIAN MENTAL HEALTH, ALCOHOL and OTHER DRUG SERVICES PLAN 2015–2025

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Better Choices. Better Lives. WESTERN AUSTRALIAN MENTAL HEALTH, ALCOHOL and OTHER DRUG SERVICES PLAN 2015–2025 Better Choices. Better Lives. WESTERN AUSTRALIAN MENTAL HEALTH, ALCOHOL AND OTHER DRUG SERVICES PLAN 2015–2025 cover form, see other file © 2015 State of Western Australia You may copy, distribute, display, download and otherwise freely deal with this work for any purpose, provided that you attribute the Mental Health Commission of Western Australia as the owner. However, you must obtain permission if you wish to (a) charge others for access to the work (other than at cost), (b) include the work in advertising or product for sale, (c) modify the work or (d) publish the work to a website. This document is available on our website: www.mhc.wa.gov.au ISBN: 978-0-9944434-0-3 This document may be cited as: Western Australian Mental Health Commission (2015). Better Choices. Better Lives. Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025. Perth, Western Australian Mental Health Commission. Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025 1 CONTENTS Overview ........................................................................................................................6 Guiding principles and what we hope to achieve .....................................................10 Consultation ................................................................................................................13 The need for change ...................................................................................................16 Age appropriate services across the service spectrum ..........................................24 Turning the system around .........................................................................................27 PREVENTION ...........................................................................................................28 Keeping people connected and close to home ........................................................35 COMMUNITY SUPPORT SERVICES ........................................................................36 COMMUNITY TREATMENT SERVICES .....................................................................44 COMMUNITY BED-BASED SERVICES ......................................................................55 Acute and specialised care for those who need it ...................................................63 HOSPITAL-BASED SERVICES ...................................................................................64 SPECIALISED STATEWIDE SERVICES ......................................................................75 FORENSIC SERVICES ..............................................................................................83 Services by region ....................................................................................................101 System-wide reform ..................................................................................................139 RECOVERY-ORIENTED PRACTICE ........................................................................ 141 CO-PRODUCTION AND CO-DESIGN WITH CONSUMERS, FAMILIES AND CARERS .........................................................................................143 SUPPORTING THE VOICE OF CLINICIANS AND HEALTH WORKERS ..................144 ADVOCACY ............................................................................................................145 INDIVIDUALISED FUNDING ....................................................................................146 ABORIGINAL PEOPLE ............................................................................................ 147 CULTURAL AND SOCIAL DIVERSITY .....................................................................150 SYSTEM INTEGRATION AND NAVIGATION ............................................................ 151 ORGANISATIONAL EFFECTIVENESS AND EFFICIENCY .........................................159 RESEARCH AND EVALUATION ..............................................................................160 WORKFORCE ......................................................................................................... 161 INFORMATION AND COMMUNICATION TECHNOLOGY ........................................163 CAPITAL INFRASTRUCTURE..................................................................................165 A partnership approach to implementing reform ...................................................167 Summary and conclusion ......................................................................................... 173 Appendices ................................................................................................................ 174 APPENDIX A – SUMMARY OF ACTIONS................................................................ 174 APPENDIX B – EVALUATION, REPORTING AND ACCOUNTABILITY .....................188 APPENDIX C – GOVERNANCE ...............................................................................198 APPENDIX D – HOW THE PLAN WAS DEVELOPED ..............................................199 APPENDIX E – THE WESTERN AUSTRALIAN SERVICES FRAMEWORK ...............208 APPENDIX F – COSTING ........................................................................................ 214 References ................................................................................................................. 218 Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025 2 NOTE FROM THE MINISTER 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 Despite these challenges, staff have has made mental health, alcohol and remained committed and there are other drug services a high priority since examples of great innovation. I admire, 2008. Over the past six years we have and am extremely grateful for, the seen the establishment of the ministerial unwavering dedication shown by staff who portfolio for mental health, the creation work in a system that often makes their of the Mental Health Commission and a jobs challenging. record 68 per cent increase in investment I am therefore pleased to present the in the mental health, alcohol and other Western Australian Mental Health, Alcohol drug services sector. The Mental Health and Other Drug Services Plan 2015–2025 Commission has set up mechanisms (Plan), which has been developed by to strengthen the voice of mental health the Mental Health Commission, the consumers and in 2014 the Mental Health former Drug and Alcohol Office and the Bill passed through both houses of Department of Health. The Department of Corrective Services was also involved Parliament, which will further drive reform. in developing the forensic component of In addition, we have seen the expansion the Plan. Combining research, evidence, of a range of evidence-based alcohol expert opinion, world’s best practice and drug services and internationally and some of the latest planning tools, renowned prevention campaigns. we are now able to estimate the optimal Substantial change has already taken mix of services required for our growing place, but we have much more to achieve. population over the next ten years. Extensive transformation and significant The reform will require all levels of investment is required to address decades government, the private and non- of accumulated poor targeting and under- government sector as well as clinicians, investment. consumers, families, and carers to work Unfortunately, individuals with mental together. The Plan provides us with a clear direction, guiding our investment in capital health, alcohol and other drug problems and other resources, our policy and still too often experience poor outcomes process development and implementation. as a result of a service system that does not meet their needs. The current system I believe we are all working towards the is complex and difficult to navigate, same vision and, we will continue to work together for real changes at a whole of therefore many consumers are left unsure system level and for those people with an how to access the help they require. alcohol or drug problem, mental disorder Looking forward, we need to resource the or illness and their families and carers. system properly and progress system- wide improvement to achieve better outcomes for individuals, families and the broader community. Hon Helen Morton MLC Minister for Mental Health Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025 3 NOTE FROM THE COMMISSIONER I am proud to release the final Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015–2025 (Plan). The purpose of the Plan is to provide the State with a clear picture of the optimal mix and level of mental health, alcohol and other drug services required for the population of Western Australia. This is a valuable document as for the The implementation of the Plan over the first time the mental health, alcohol and next ten years will require partnerships other drug sector is able to quantify gaps with all key stakeholders including all in services and identify areas where levels of Government, private and non- investment and reform is required, through government, health and non-health the use of nationally agreed, evidence- sectors, clinicians, consumers, families based modelling tools. I am committed to and carers. The Plan tells us how we ensuring this document has bi-partisan need to grow the system by articulating support and trust future Governments will
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