Summary - a contemporary mental health system that works

In summary stakeholders thought that a mental health system that is contemporary and working well would not feel like a system and it would:

Put the person first

  • Consumers would be seen as people and individuals and not simply as a diagnosis. They would be seen as the whole person and not just their illness. Support would include other areas such as accommodation, relationships, employment and other life domains
  • There would be a focus on meeting the needs of consumers
  • Consumers would be listened to
  • Consumers would have choice and control and would have the information they need to make informed decisions
  • Consumers rights would be protected

Be family friendly and inclusive of families and carers

  • There would be recognition of the central role that carers and families played and they would be included in their family members care
  • It would include and listen to carers who are negotiating on behalf of their family member
  • It would provide support to carers
  • Carers would be able to get help for their family members’

Be based on the ‘lived experience’ and include peer support models and a peer workforce

  • Consumers would able interact and share experiences with other consumers in a variety of ways to support recovery
  • The ‘lived experience’ would be recognised as a specialist area and people with a lived experience would be employed as peer workers within the system

Be welcoming and friendly, respectful and compassionate

  • Respectful of all individuals in the system (consumers, carers, service providers and staff) and compassionate toward consumers and their families and carers
  • Acknowledge the courage that it takes to ask for help
  • Have a compassionate and appropriately skilled workforce

Be non-judgemental

  • People would get help regardless of their issues and it wouldn’t matter if people had alcohol and drug use issues or a personality disorder; they would not be judged and would get the help they need

Be easy to find, easy to access, easy to navigate and easy to exit

  • Services would be easy to find and easy to access
  • People would know how to get help and where to go to get help
  • Support would be available
  • Information could be accessed about mental health and mental health services more broadly not just specialist clinical mental health services
  • Services and support would be easy to access and it would be easy to move within the system and in and out of the system - "Easy in and easy out"
  • People would get the support they need when they are discharged from hospital settings
  • Client pathways would be clear to everyone and it would be easy for people to move through the system to get the services and support they need

Be responsive and consistent

  • People would be able to get help as soon as they needed it and they would be able to get the particular support they need
  • People would be able to get the ongoing support they need when they are discharged from the system or when they move within the system
  • There would be access to specialists when needed
  • Available technology would be used to enhance service response

Be safe

  • Consumers, carers, service providers and staff would all feel safe

Support the workforce

  • The workforce would be supported to meet the needs of consumers and their families and carers

Take a lifespan approach

  • It would support consumers across the lifespan of their illness with a structured approach to the stages from diagnosis and across the continuum of care

Be focussed on care in the community, recovery, wellness and not illness

  • There would be case management, care coordination, follow up and support
  • There would be a greater focus on recovery focusing on a person’s strengths and not their pathology
  • There would be a move away from hospital focussed care to care in the community
  • There would be appropriate long-term supported accommodation options
  • There would be a stepped model of care
    • People could step-up and get more support when they needed it and step-down from support when they felt ready
    • There would be ‘in-between services’ available when needed, well before people get to their "worst point"
  • The importance of physical health and the links between physical health and mental health would be acknowledged and addressed

Be focussed on promotion, prevention and early intervention

  • There would be a greater focus on promotion and prevention across the lifespan and at all levels of service
  • Early intervention would be prioritised
  • There would be more education in schools and increased community awareness about mental health and mental illness

Reduce stigma

  • There would be compassion and a greater awareness of mental health and mental ill-health

Be coordinated and integrated

  • All the different parts of the system would talk to each other and work together
  • Shared data and records
  • Enable public-private integration of service delivery facilitating increased linkages with the private sector to maximise consumer choice
  • A statewide gateway-type entry point for the whole system as a means for providing a more seamless and statewide consistent model of care and service delivery
  • The gap between alcohol and drug services and mental health services would be bridged
  • Consultation liaison models of care to facilitate access to specialist mental health services for GPs, private providers and or across specific areas of e.g. diagnosis eating disorders, specialist dual disability