Using the National Mental Health Service Planning Framework to support an integrated approach to regional mental health planning in Queensland, Australia

Wright, Eryn; Leitch, Elizabeth; Fjeldsoe, Kevin; Diminic, Sandra; Gossip, Kate; Hudson, Patricia; Whiteford, Harvey

doi:10.1071/py20150

Cited by 9 publications

(8 citation statements)

References 3 publications

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“…This problem has been identified as a major source of systematic bias in international health service research [ 49 ]. As an example, the “National Mental Health Service Planning Framework” adopted by the Department of Health in Australia has shown terminological problems when compared to DESDE in the description of “psychosocial/rehabilitation” services [ 50 ] and in its practical use to map the availability of local care provided by the NGO sector [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT

et al. 2023

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Urbanisation presents specific mental health challenges, requiring a better understanding of service availability in urban areas for mental health care planning. Our objective is to analyse patterns of urban mental healthcare provision in Australia, and compare these with relevant national and international regions to inform urban mental healthcare policy and planning. Following a health ecosystems approach, we use a standardised service classification instrument, the Description and Evaluation of Services and DirectoriEs (DESDE), and Mental Health Care Atlases, to compare the availability, bed capacity and diversity of services providing specialised mental health or psychosocial care that are universally accessible (ie provided at no or low cost only in all relevant care sectors in four Australian and three international urban regions. We used a heuristics approach and an homogeneity test. Applicability to local policy was assessed using the Adoption Impact Ladder. Community care was less developed in Australia than internationally, except in the case of residential care in Australian Capital Territory, our reference area. Alternatives to hospitalisation were scarce across all regions. The Atlas was applicable to regional and local mental health planning. Differences in pattern of care between regions has implications for planning, equality of access to care and prioritisation of resources. An ecosystems approach is relevant to service planning in mental healthcare at local level.

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Section: Discussionmentioning

confidence: 99%

Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT

et al. 2023

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“…In this respect, an independent assessment of the optimal service evaluation system should be conducted comparing the DESDE-LTC system used in this study, which has demonstrated its usability in analysis of system evolution, with the NMHSPF. The only published paper citing use of the NMHSPF for regional mapping was unable to provide a description of the NGO sector in the mapped region (Wright et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

“…. in the absence of standardised reporting and detailed information on the number of sessions and specific types of services being provided' (Wright et al, 2021). Yet, mapping the landscape of service provision before and after a reform is vital to understand the effects of major disruption and provider response (Gash et al, n.d.) and to assess the impact on implementation of a plan or strategy (Fernandez et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Regional evolution of psychosocial services in Australia before and after the implementation of the National Disability Insurance Scheme

Salvador‐Carulla

Furst

Gillespie

et al. 2022

Aust N Z J Psychiatry

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Objectives: This paper compares the evolution of the psychosocial sector in two Australian regions pre and post introduction of the National Disability Insurance Scheme – a major reform to the financing, planning and provision of disability services in Australia, intended to create greater competition and efficiency in the market, and more choice for service users. Methods: We used a standardised service classification instrument based on a health ecosystems approach to assess service availability and diversity of psychosocial services provided by non-government organisations in two Primary Health Network regions. Results: We identified very different evolutionary pathways in the two regions. Service availability increased in Western Sydney but decreased in the Australian Capital Territory. The diversity of services available did not increase in either Primary Health Network 4 years after the reform. Many services were experiencing ongoing funding uncertainty. Conclusion: Assumptions of increased efficiency through organisational scaling up, and a greater diversity in range of service availability were not borne out. Implications: This study shows the urgent need for evaluation of the effects of the NDIS on the provision of psychosocial care in Australia. Four years after the implementation of the NDIS at vast expense key objectives not been met for consumers or for the system as a whole, and an environment of uncertainty has been created for providers. It demonstrates the importance of standardised service mapping to monitor the effects of major reforms on mental health care as well as the need for a focus at the local level.

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“…The Australian National Mental Health Services Planning Framework (NMHSPF) is one example of an integrated planning tool that estimates the resources required to deliver the optimal mix of mental health services to a population [ 50 ]. In Australia, it is critical that the NMHSPF, which currently does not plan for suicide and crisis, let alone the implications of recent paradigm shifts, is revised to take account of, and recognise, suicide and crisis, as well as the shift in paradigm impacting service activity, and increases in presentations.…”

Section: The Paradox At a System Planning And Strategy Levelmentioning

confidence: 99%

The Paradox of Suicide Prevention

Turner

Pisani

Sveticic

et al. 2022

IJERPH

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The recognition that we cannot use risk stratification (high, medium, low) to predict suicide or to allocate resources has led to a paradigm shift in suicide prevention efforts. There are challenges in adapting to these new paradigms, including reluctance of clinicians and services to move away from traditional risk categorisations; and conversely, the risk of a pendulum swing in which the focus of care swings from one approach to determining service priority and focus (e.g., diagnosis, formulation, risk and clinical care) to a new focus (e.g., suicide specific and non-clinical care), potentially supplanting the previous approach. This paper argues that the Prevention Paradox provides a useful mental model to support a shift in paradigm, whilst maintaining a balanced approach that incorporates new paradigms within the effective aspects of existing ones. The Prevention Paradox highlights the seemingly paradoxical situation where the greatest burden of disease or death is caused by those at low to moderate risk due their larger numbers. Current planning frameworks and resources do not support successful or sustainable adoption of these new approaches, leading to missed opportunities to prevent suicidal behaviours in healthcare. Adopting systems approaches to suicide prevention, such as the Zero Suicide Framework, implemented in a large mental health service in Australia and presented in this paper as a case study, can support a balanced approach of population- and individual-based suicide prevention efforts. Results demonstrate significant reductions in re-presentations with suicide attempts for consumers receiving this model of care; however, the increasing numbers of placements compromise the capacity of clinical teams to complete all components of standardised pathway of care. This highlights the need for review of resource planning frameworks and ongoing evaluations of the critical aspects of the interventions.

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Using the National Mental Health Service Planning Framework to support an integrated approach to regional mental health planning in Queensland, Australia

Cited by 9 publications

References 3 publications

Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT

Patterns of mental health care provision in urban areas: A comparative analysis for local policy in the ACT

Regional evolution of psychosocial services in Australia before and after the implementation of the National Disability Insurance Scheme

The Paradox of Suicide Prevention

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