The Integrated Mental Health Atlas of Western New South Wales Commercial in Confidence June 2017 1 THIS PAGE IS INTENTIONALLY LEFT BLANK i Disclaimer Inherent Limitations The Menzies Centre for Health Policy, University of Sydney and ConNetica has prepared this report at the request of Western NSW Primary Health Network (WNSW PHN) in our capacity as consultants and in accordance with the terms and conditions of contract provided by WNSW PHN. The report is solely for the purpose and use of the WNSW PHN (ABN 59 605 922 156). The report has been prepared through a consultancy process using specific methods outlined in the Framework section of this report. The Menzies Centre for Health Policy, University of Sydney and ConNetica have relied upon the information obtained through the consultancy as being accurate. Reasonable efforts have been made to obtain information from service providers across the region. The information, statements, statistics and commentary (together the “information”) contained in this report has been prepared by The Menzies Centre for Health Policy, University of Sydney and ConNetica from publicly available materials, materials provided by WNSW PHN, and various Mental Health and Alcohol and Other Drug service providers. The Menzies Centre for Health Policy, University of Sydney and ConNetica have not undertaken any auditing or other forms of testing to verify accuracy, completeness or reasonableness of the information provided or obtained. Accordingly, whilst the information presented in this report is provided in good faith, The Menzies Centre for Health Policy, University of Sydney and ConNetica can accept no responsibility for any errors or omissions in the information provided by other parties, nor the effect of any such error on our analysis, discussion or recommendations. Suggested Citation Hopkins, J., Salvador-Carulla, L., Stretton, A., Bell, T., McLoughlin, L., Mendoza, J. & Salinas-Perez, J. A. (2017). The Integrated Mental Health Atlas of Western NSW – Version for public comments. The Menzies Centre for Health Policy, University of Sydney and ConNetica. ISBN: XXXXXXXXXXXX The Integrated Mental Health Atlas of Western NSW - Version for public comments by The Menzies Centre for Health Policy, University of Sydney and ConNetica is licensed under a Creative Commons Attribution – Non-Commercial – Share Alike 4.0 International License. Permissions beyond the scope of this license may be available at https://www.connetica.com.au/contact/. ii Acknowledgements Projects such as this do not come together without substantial support from a range of people. We give our thanks to the stakeholders who generously gave us their time and patiently handled our repeated requests for additional information and clarification. We particularly want to thank Susan Daly and the Far West Local Health District and Jason Crisp and the Western NSW Local Health District for all the support they have provided. The Menzies Centre for Health Policy, University of Sydney would also like to acknowledge and thank Honorary Professor Luis Salvador-Carulla, PSICOST Scientific Association, Loyola University and ConNetica Consulting for support on this project. Your contribution, combined experience and insights have helped build this Atlas, which we hope will be a useful reference document to guide future service planning and initiatives to best support the communities of Western New South Wales. Authors Principal Investigator: Honorary Professor Luis Salvador-Carulla, Menzies Centre for Health Policy, University of Sydney. Co-investigators: Adjunct Professor John Mendoza, ConNetica. Janet Hopkins, Senior Consultant, ConNetica. Alex Stretton, Research Consultant, ConNetica. Larisa McLoughlin, Research Consultant, ConNetica. Cailin Maas, University of Sydney. Tianxi Xu, University of Sydney. PO Box 484 Moffat Beach Qld 4551 P: 07 5491 5456 W: www.connetica.com.au ABN: 76 124 523 815 iii THIS PAGE HAS INTENTIONALLY BEEN LEFT BLANK iv Table of Contents 1. Introduction .......................................................................................................... 1 1.1 What are Integrated Atlases .................................................................................................. 1 2. Framework ............................................................................................................ 4 2.1 How was the Integrated Atlas of Mental Health Assembled? ................................................ 4 2.2 Basic Stable Inputs of Care ................................................................................................... 4 2.3 Inclusion Criteria .................................................................................................................. 13 2.4 Atlas Development Process ................................................................................................ 14 3. Western NSW PHN Catchment ......................................................................... 18 3.1 Population Health and Sociodemographic Indicators .......................................................... 21 4. Mental Health Data for the WNSW PHN Region .............................................. 42 5. Mental Health Services in the WNSW PHN Region ......................................... 49 5.1 Overview .............................................................................................................................. 49 5.2 Regional Mental Health Helplines ....................................................................................... 51 5.3 Child and Adolescent Mental Health Services ..................................................................... 52 5.4 Adult Mental Health Services .............................................................................................. 58 5.5 Older Adult Mental Health Services ..................................................................................... 77 5.6 Non-age Related Specific Populations ................................................................................ 80 5.7 Patterns of Mental Health Care across the WNSW PHN Region ........................................ 82 5.8 Workforce Capacity – Mental Health ................................................................................... 84 6. Alcohol and Other Drugs Data for NSW ........................................................... 85 7. Alcohol and Other Drug Services in the WNSW PHN Region ........................ 91 7.1 Overview .............................................................................................................................. 91 7.2 Child and Adolescent AOD Services ................................................................................... 93 7.3 Adult AOD Services ............................................................................................................. 94 7.4 Older Adult AOD Services ................................................................................................. 102 7.5 AOD Care for Non-Age Related Specific Populations ....................................................... 103 7.6 Patterns of AOD Care in the WNSW PHN Region ............................................................ 104 7.7 Workforce Capacity – AOD ............................................................................................... 106 8. National and International Comparisons ....................................................... 107 8.1 National Comparatives ...................................................................................................... 107 8.2 Placement Capacity - National Comparisons .................................................................... 115 8.3 International Comparatives ............................................................................................. 116 8.4 Placement Capacity Residential Care – International Comparisons ................................. 120 9. Discussion ........................................................................................................ 121 10. Study Limitations ............................................................................................. 126 v 11. Future Steps ..................................................................................................... 127 12. Conclusion ........................................................................................................ 128 List of Tables TABLE 1 Basic Stable Input of Care Criteria ........................................................................................... 5 TABLE 2 Planning Areas within the WNSW PHN Region ..................................................................... 19 TABLE 3 Atlas Population Grouping ..................................................................................................... 21 TABLE 4 Demographic Factors Examined ............................................................................................ 21 TABLE 5 Demographic Factors in WNSW PHN ................................................................................... 22 TABLE 6 Socioeconomic Factors Examined ......................................................................................... 27 TABLE 7 Socioeconomic Factors in the WNSW PHN Region .............................................................. 28 TABLE 8 Health and Mortality Indicators Examined ............................................................................. 36 TABLE 9 Health and Mortality in the WNSW PHN Region