ANNEX 2: THE INTEGRATED MENTAL HEALTH ATLAS OF THE SOUTH EASTERN SYDNEY LOCAL HEALTH DISTRICT AUTHORS UNIVERSITY OF SYDNEY PROF. LUIS SALVADOR-CARULLA (CHIEF INVESTIGATOR-HEAD OF THE PROJECT) MS. KATHERINE HOPMAN (ASSOCIATE RESEARCHER) MS. CAILIN MAAS (SERVICE ASSESSMENT; GEOGRAPHICAL INFORMATION SYSTEMS) DR. ANA FERNANDEZ (COORDINATOR. ASSESSMENT OF THE SERVICES) DR. TIANXI XU (RESEARCH ASSISTANT) MS. MARYANNE COURTENAY FURST (RESEARCH ASSISTANT) UNIVERSIDAD LOYOLA ANDALUCÍA (SPAIN) DR. JAVIER ALVAREZ-GALVEZ (VISITING RESEARCHER) DR. JOSE A. SALINAS-PEREZ (GEOGRAPHICAL INFORMATION SYSTEMS) FRENCH NATIONAL INSTITUTE OF HEALTH AND MEDICAL RESEARCH (INSERM), PARIS UNIVERSITY HOSPITALS (AP-HP) DR. AMÉLIE PRIGENT (RESEARCH ASSISTANT) MS. CORALIE GANDRÉ (RESEARCH ASSISTANT) DOI: ISBN: 978-1-74210-412-6 ACKNOWLEDGMENTS We are grateful to all the service providers who participated in this study. We want to thank all the Steering Committee members who have helped us to contact the services and understand the territory in South Eastern Sydney: Catherine Goodwin, Alex Carson, Peter McGeorge, Victoria Civils-Wood, Terry Cayley, Amanda Kupronow, and Jennifer Montgomery. We would like to acknowledge the international collaboration of the Psicost Scientific Association and Universidad Loyola Andalucia (Spain); and the French National Institute of Health and Medical Research (INSERM), Paris University Hospitals (AP-HP). SUGGESTED CITATION Furst, M.C.; Salinas-Perez, J.A.; Hopman, K.; Maas, C.; Fernandez, A.; Xu, T.; Alvarez-Galvez, J.; Prigent, A.; Gandré, C.; Salvador-Carulla, L. (2016). The Integrated Mental Health Atlas of the Central and Eastern Sydney PHN Region. Annex 2: South Eastern Sydney Local Health District. Mental Health Policy Unit. Brain and Mind Centre. Faculty of Health Sciences. University of Sydney. 30 December 2016. 1 CONTENTS INDEX OF FIGURES ............................................................................................................................................................................ 4 INDEX OF TABLES .............................................................................................................................................................................. 5 ABBREVIATIONS ................................................................................................................................................................................ 7 EXECUTIVE SUMMARY ...................................................................................................................................................................... 9 1. FRAMEWORK .......................................................................................................................................................................... 10 1.1. WHAT ARE INTEGRATED MENTAL HEALTH ATLASES? .................................................................................................. 11 1.2. HOW WAS THE INTEGRATED ATLAS OF MENTAL HEALTH ASSEMBLED?...................................................................... 11 1.3. WHAT ARE BASIC STABLE INPUTS OF CARE (BSIC)? ...................................................................................................... 12 2. MAPPING THE AREA: SOCIO AND ECONOMIC INDICATORS ................................................................................................... 14 2.1 THE BOUNDARIES AND JURISDICTION .......................................................................................................................... 14 2.2 SOCIOECONOMIC INDICATORS ..................................................................................................................................... 15 3 DESCRIBING THE SERVICES PROVIDING CARE FOR PEOPLE WITH A LIVED EXPERIENCE OF MENTAL ILLNESS ...................... 28 3.1 GENERAL DESCRIPTION ................................................................................................................................................. 28 3.2 ADULTS .......................................................................................................................................................................... 40 3.2.1 RESIDENTIAL CARE .................................................................................................................................................... 40 3.2.2 DAY CARE .................................................................................................................................................................. 47 3.2.3 OUTPATIENT CARE .................................................................................................................................................... 50 3.2.4 ACCESSIBILITY SERVICES ........................................................................................................................................... 64 3.2.5 INFORMATION AND GUIDANCE................................................................................................................................ 69 3.2.6 SELF AND VOLUNTARY SUPPORT .............................................................................................................................. 70 3.3 AGE SPECIFIC POPULATIONS ......................................................................................................................................... 71 3.3.1 SERVICES FOR CHILDREN AND ADOLESCENTS .......................................................................................................... 71 3.3.2 TRANSITION TO ADULTHOOD ................................................................................................................................... 72 3.3.3 SERVICES FOR OLDER PEOPLE ................................................................................................................................... 74 3.4 NON-AGE RELATED SPECIFIC POPULATIONS................................................................................................................. 75 3.4.1 GENDER SPECIFIC SERVICES ...................................................................................................................................... 75 3.4.2 SERVICES FOR CARERS .............................................................................................................................................. 77 3.4.3 SERVICES FOR PARENTS WITH MENTAL ILLNESS ...................................................................................................... 77 3.4.4 SERVICES FOR OFFENDERS ....................................................................................................................................... 78 3.4.5 MULTICULTURAL SERVICES ....................................................................................................................................... 79 3.4.6 SERVICES FOR ABORIGINAL AND TORRES STRAIT ISLANDER PEOPLES ..................................................................... 80 3.4.7 HOMELESSNESS SERVICES ........................................................................................................................................ 81 4 MAPPING MENTAL HEALTH SERVICES .................................................................................................................................... 81 2 5 DESCRIPTION OF THE PATTERN OF CARE IN THE SESLHD ...................................................................................................... 86 6 INTERNATIONAL COMPARISONS ............................................................................................................................................ 94 6.1 NORTHERN EUROPE COMMUNITY MENTAL CARE MODEL .......................................................................................... 95 6.2 SOUTHERN EUROPE MODEL OF MENTAL HEALTH CARE .............................................................................................. 99 6.3 ENGLISH SYSTEM ......................................................................................................................................................... 102 6.4 PLACEMENT CAPACITY- CROSS-NATIONAL COMPARISONS ........................................................................................ 104 6.4.1 RESIDENTIAL CARE ...................................................................................................................................................... 104 6.4.2 DAY CARE ................................................................................................................................................................ 104 7 DISCUSSION .......................................................................................................................................................................... 105 7.1 BOUNDARIES AND SOCIAL AND DEMOGRAPHIC CHARACTERISTICS OF THE SESLHD ................................................ 105 7.2 KEY CHARACTERISTICS OF THE MENTAL HEALTH SYSTEM IN THE SESLHD ................................................................. 107 7.2.1 RESIDENTIAL CARE .................................................................................................................................................. 108 7.2.2 OUTPATIENT CARE .................................................................................................................................................. 111 7.2.3 DAY CARE ...............................................................................................................................................................