Joint Kempsey ‘Place Based’ Planning Moving Toward

Joint Kempsey ‘Place Based’ Planning Moving Toward Mutually Accountable Care One Adolescent/Family At A Time, One Service At A Time Dr. Joanna Sutherland - Specialist Anaesthetist & NCPHN/MNCLHD Director Alan Pretty – Acting Director Mental Health and Integrated Care, MNCLHD Stephen Mann – Director Integration Mid North NSW, NCPHN

Rationale “Most of the problems encountered by children and families are multi-faceted and cannot be addressed by one intervention or agency alone multiple interventions need to be ‘joined up’ and co-ordinated in order to be effective.” From Katz (2007): Community interventions for vulnerable children and families: participation and power.

Aims & Objectives › Evidence/Need informed & locally responsive planning, broad engagement, reform oriented codesign based on shared LHD, PHN/GP, RDN & NGO data & quadruple aim › Community based MH care coordination with group & individual interventions and peer support for 12-18 year olds & their families living in Kempsey LGA › [If local & regional support for ACO/alliance contract] Agree fundholding & performance KPIs & over time reinvest productivity gains into other MH cohorts or locality priorities › Link to H. Pathways, WF development & H. Literacy

Targeting person-centred & collaboratively designed care 12-24 year olds in the Kempsey LGA 3,996 No. (%) 12-24 with Severe MH Diagnosis in Kempsey No (%) of Aboriginal 12-24 year olds with Severe MH Diagnosis in Kempsey 311 (7%) 93 (2%)

Health, Housing, Employment, Education, Community Agencies, Consumers & Carers › IMHpact is a regional stakeholder group of government and and carer representatives which has 15 stakeholders currently › Developed the Mid North Coast Mental Health Integrated Care Collaborative › Dedicated Project Manager & Governance Framework & wanting to support research/reform › Membership open to groups active in the provision of mental health care via Reference and Advisory Groups as well as affiliate membership and the broader community of interest.

Action Plan › Key CEO engagement (AMS/PHN/LHD CEOs & Clinical Leads) by 20 April 2018 › Community/Adolescent engagement & early scoping by 11 May › Focus group data & benefit analysis re: gaps, priorities options & transition/establishment by 30 June › Draft evaluation framework, and [if early funding identified] contractual agreement by 17 Aug › Phase 1 (one child, one service incremental learning) implemented by 3 September › Phase 2 (broader model such as schools/social/justice & WF upskilling) commences by 1 July 2019