Community mental health step up/step down services
Community-based mental health step up/step down services are being commissioned by the Mental Health Commission in several areas of the State to better support local communities. They are a key component of our work towards the Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015 – 2025.
Detailed information about this program of works can be found on the step up/step down services page.
Decommissioning of Mental Health Services at Graylands Hospital and Selby Hospital
The North Metropolitan Health Service (NMHS) in partnership with the Mental Health Commission (MHC) and the Department of Health are progressing the planning for the decommissioning of services on the Graylands Hospital and Selby Hospital campuses. Subject to Cabinet approval, the NMHS in partnership with the MHC and the Department of Health will implement project governance arrangements. This will include: engagement with key stakeholders including consumers and carers; develop detailed project plans; and develop business cases to deliver a staged divestment Graylands and Selby campuses, relocation of clinical and non‑clinical services as required, and the establishment of contemporary replacement services which may include a combination of community bed-based services, community support (accommodation) services, and inpatient services.
This progression towards the closure of Graylands and Selby will meet action 45 of the Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025:
- commence the process of divestment of services on the Graylands and Selby hospital campuses.
It is anticipated, as outlined in the Plan, that the complete closure of Graylands and Selby facilities will be achieved by the end of 2025.
Youth Mental Health
The Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025 (the Plan) recognises the specific developmental challenges for young people, particularly with regard to mental health and alcohol and other drug (AOD) in planning for future services; articulates the need for age appropriate services across the service spectrum; and identifies that young people are particularly at risk of poor outcomes because of their age and stage of physical, neurological, psychological and social development.
As such the MHC is currently working with the Department of Health (as lead agency) and Health Service Providers in progressing a needs analysis for youth mental health in Western Australia. This includes consideration of where and how current mental health youth services should be built on and new services commissioned to adequately cater for the State’s 16 to 24 year olds.
In 2016-17, the MHC provided the Child and Adolescent Health Service with a total of $59.5 million for child and adolescent services. In addition, as part of the 2017 election the State Government has committed to providing funding to the MHC totalling $400,000 over three years to deliver the 3 Tier Youth Mental Health Program in the Peel area. The Program includes awareness raising, school workshops and counselling sessions in the Peel area and will be delivered by a non-government organisation.
This project works towards action 28 of the Plan:
- build on current youth services and commission new youth services to establish a dedicated youth community treatment service stream.
Alcohol and Other Drug Residential Rehabilitation and Treatment Services in the South West
In line with the Methamphetamine Action Plan, the State Government has committed to expand specialist AOD services into rural and remote areas of need and open a specialised rehabilitation services in the South West.
Royalties for Regions funding of $17.97 million over three years has been allocated in the 2017-18 Budget, comprising capital and recurrent funding, to commence operations of a 33 bed residential rehabilitation service in the South West in 2020-21.
This establishment of the service will aid in meeting actions 42 and 43 of the Western Australian Mental Health, Alcohol and Other Drug Services Plan 2015-2025:
- commence the development and implementation of a residential alcohol and other drug treatment and rehabilitation service (30 beds) for Aboriginal people and their families in the south of the State.
- commence the development and implementation of a new alcohol and other drug residential treatment and rehabilitation service in the South West (36 beds).
Options to expand the number of low medical withdrawal and residential rehabilitation beds in the South West will include identification of need, access to other support services and availability of facilities. As a first step, the MHC has released a Request for Registration of Interest (ROI) to gauge the level of interest with the AOD sector for the provision of service(s) in the South West. The MHC is considering the information received through the ROI process to inform any future procurement processes.
Alcohol and other Drug Residential Rehabilitation and Treatment Services in the Kimberley
The State Government has committed to the implementation of the Methamphetamine Action Plan, which includes the expansion of specialist AOD treatment services in the Kimberley.
As part of the 2017-18 Budget, Royalties for Regions funding of $200,000 has been allocated for the MHC to undertake consultation, analysis and modelling to inform the development of a business case on AOD service needs in the Kimberley.
The MHC will further explore the demand for residential services and other treatment services that could be implemented in the Kimberley to support people with AOD problems and will use the funding in 2017-18 to undertake expert and stakeholder consultation, analysis and modelling to identify gaps in services.
A business case is required for the funding of the appropriate mix of prevention, community treatment, withdrawal, residential rehabilitation and hospital services to provide a comprehensive and integrated AOD service in the Kimberley.
Service providers, the local community and other stakeholders will be consulted in 2018 to identify the appropriate mix of services.
As part of the 2017 election, the State Government committed to developing Recovery Colleges in Wanneroo and on, or near, the Royal Perth Hospital site (the exact locations will be determined through the planning process). In the 2017-18 Budget, the State Government provided the Mental Health Commission (MHC) with $200,000, to develop a comprehensive, unique and evidence-based model of service and business case including funding, for the establishment of a Recovery College model in Western Australia.
Recovery Colleges complement existing mental health, and alcohol and other drug (AOD) support services by enabling self-directed recovery and mental health, and AOD learning opportunities in a safe and welcoming place. Recovery Colleges aim to support individual recovery through creating an education platform, and a reduction of stigma relating to mental health, and AOD problems.
There are many models of service for Recovery Colleges including a previous Business Model coordinated by the Western Australian Association for Mental Health (WAAMH). The MHC will commission a Literature Review to assist in identifying the range of service models available. This will assist in ensuring the best evidence-based and informed approach is used to develop a unique model of service for Western Australia.
The model of service will consider the provision of learning opportunities about recovery and wellbeing designed for: people with mental health and co-occurring AOD issues, their families and carers; staff of mental health service providers; and staff and volunteers of non-government service providers.
The MHC will progress the development of a comprehensive model of service for Recovery Colleges through a co-design and consultation process with a broad range of stakeholders including consumers, their families and carers, and workers from non-government organisations and health service providers.
This process will include the establishment of an Expert Panel through an Expression of Interest (EOI) process which closed on 5 January 2018. The Expert Panel will consist of a range of representatives that will facilitate the co-design of the model of service in conjunction with the MHC. The Expert Panel will be convened in early 2018.
Once the co-designed model of service is developed, the MHC will finalise a formal business case to meet the 2019-20 Budget process requirements.