Step 1 of 11 9% COMMUNITY SURVEY You may skip to parts of the survey that are most relevant or important to you. No questions are compulsory. Central and Eastern Sydney Regional Mental Health and Suicide Prevention Plan Thank you for taking the time to give us your thoughts about the Draft Actions in the Central and Eastern Sydney Regional Mental Health and Suicide Prevention Plan. The Central and Eastern Sydney Regional Mental Health and Suicide Prevention Plan (the Regional Plan) is an agreement about what needs to change, by when, how and who will be responsible for making the change happen. The Regional Plan has a 3-year focus (2019-2022) and will help to ensure that we have mental health system that: Promotes mental and physical health and wellbeing; Prevents mental ill health and distress, and provides timely early intervention; Detects mental illness early and enables recovery; Provides effective, appropriate, timely and integrated treatment and support. The draft actions for each priority area are included as you progress through the survey. If you would like to see the complete set of draft actions - CLICK HERE. This survey is private and confidential and the information will only be used for the purposes of developing and refining this Regional Mental Health and Suicide Prevention Plan. Save and Continue Later How old are you?*0 - 56 - 1213 - 1819 - 2526 - 3536 - 4546 - 5556 - 6566 - 7576 - 8586+Postcode*Gender IdentityDo you have lived experience of mental ill-health, suicidal thoughts or attempts?YesNoWould rather not sayAre you the carer or family member of someone who has a lived experience of mental ill-health, suicidal thoughts or attempts?YesNoWould rather not sayAre you a service provider or clinician?Yes, I work in the mental health sectorYes, I work in a related sector (eg., healthcare, social care, housing, emergency services)NeitherWhat is your cultural background?Do you identify as a priority population (tick all that apply)? Aboriginal Torres Strait Islander A child or young person A culturally and linguistically diverse person An older person A person who is or has been homeless or at risk of homelessness? A person with co-existing drug and alcohol issues A person who is lesbian, gay, bisexual, transgender and/or queer A person who has a disability A person experiencing chronic ill health A parent who has experienced perinatal mental health issues A person who has left a custodial arrangement A refugee and asylum seeker No, none of the above Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area One - An Accessible and Equitable System. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA ONE - AN ACCESSIBLE & EQUITABLE SYSTEM Objective: People in Central and Eastern Sydney have access to the information and services they need, when they need them. Importantly, this priority area reinforces a commitment to a service system that adopts a no wrong door approach. SERVICE AWARENESS 1.1 - Promote the various mental health service directories available for use by local communities (including Head to Health). 1.2 - Provide clearer information and undertake a communication campaign about services available for people to use in a crisis. 1.3 - Prioritise funding (and advocate for more funding) for services and resources that assist consumers, carers and families to navigate the system. 1.4 - Continue to build and promote healthcare pathways, so that GPs and other stakeholders have information about services available throughout the region. Pathways will include health, social and other support services (e.g., peer support groups). 1.5 - Explore how to make information about local health pathways more readily available to community members. SERVICE AVAILABILITY 1.6 - Use the National Mental Health Service Planning Framework (NMHSPF) to determine the mix of services needed for the population and work collaboratively to achieve service levels that match community needs. 1.7 - Continue to build a system around Stepped Care and regularly evaluate progress. 1.8 - Encourage services to provide a “no wrong door” approach to people who are not eligible for their service- wherever possible, the service provides support to find a suitable alternative service. 1.9 - Promote and support evidence-based virtual and telehealth services to expand access. SERVICE RESPONSIVENESS 1.10 - Maintain an expectation of compliance and/or accreditation with the National Standards for Mental Health Services. 1.11 - Undertake a range of community training and skill development initiatives to improve consumer and carer confidence in shared decision making. 1.12 - Promote and advance the use of experience of care measures and involve people with a lived experience (e.g., Peer Workers and Lived Experience Researchers) to plan and implement improvements. This will include use of: The Your Experience of Service (YES) survey The NSW Agency for Clinical Innovation (ACI) Patient Reported Outcome Measures (PROMs) and The NSW ACI Patient Reported Experience Measures (PREMs) and carer experience surveys. 1.13 - Facilitate service design, implementation, delivery and evaluation that is co-designed by people with a lived experience and carers- and provide support so that participation is meaningful, including through remuneration for time, access to mentoring and training. 1.14 - Engage Lived Experience Researchers as part of the quality improvement cycle (from problem identification through to solution implementation). 1.15 - New service models will be piloted and evaluated, using peer researchers where possible. 1.16 - Explore and establish benchmarks for recovery orientated culture to inform ongoing quality improvement. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Two - Improving the Mental Health of Priority Population Groups. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA TWO - IMPROVING THE MENTAL HEALTH OF PRIORITY POPULATION GROUPS Objective: The service system delivers informed and responsive services that meet the diverse needs of our community. The priority groups identified are: Children and young people Culturally and linguistically diverse communities Older people People who are homeless People experiencing mental illness People with co-existing drug and alcohol issues People who are lesbian, gay, bisexual, transgender and/or queer People experiencing a disability People experiencing chronic ill health Parents experiencing perinatal mental health issues People leaving custodial arrangements Refugee and asylum seekers 2.1 - Be informed by the experiences and service needs of people who are part of a priority population group and: 2.1.1 - Work with peak bodies and lived experience representatives to develop service models and referral + transitional care pathways that are safe, appropriate and relevant. 2.1.2 - Address discrimination and stigma within the health and mental health workforce through strong lived experience leadership, workforce diversity and education opportunities. 2.1.3 - Grow the proportion of the workforce who identify as being part of a priority population group (e.g., Aboriginal and Torres Strait Islander, LGBTIQ, CALD). 2.2 - Develop healthcare pathways for general practice and other providers regarding assessment and treatment for priority population groups within a stepped care approach and: 2.2.1 - Develop healthcare pathways that focus on the critical transition points between mental health and other key services: Between youth services to adult services. From out of home care settings to family of origin or independent living. From hospital to community. From AOD rehabilitation settings to community. Between public, private and community managed mental health services. Throughout the perinatal stages for parents. Between custodial settings and community. Between mental health services and disability services. 2.3 - Facilitate professional development activities focussed on working therapeutically with priority population groups- this includes supporting the development of new training programs. 2.4 - Establish and/or promote additional clinical / consultancy services to enhance quality of care provided by general practice, mental health services, drug health services, hospital emergency departments and community services. 2.5 - Explore opportunities to integrated services with public and community housing where many tenants experience mental health issues- with a focus on areas where there is a gap in services. 2.6 - Encourage the use of Accessible Mental Health Services for People with an Intellectual Disability: A Guide for Providers and facilitate professional development in the recognition, assessment, referral pathways and treatment for clinicians working with people with an intellectual disability and mental health issues. 2.7 - Support the implementation the NSW Older People's Mental Health Services SERVICE PLAN 2017-2027. 2.8 - Establish and formalise a region-wide collaborative structure focussed on improved mental health outcomes for people at risk of entering or leaving custodial arrangements. The collaboration will focus on supporting existing diversionary efforts and supporting transition to community for people who experience mental health issues. 2.9 - Improve the identification rate for people from priority populations through simple registration processes including traditional methods such as forms and technologies. CULTURALLY AND LINGUISTICALLY DIVERSE COMMUNITIES 2.10 - Enhance partnerships and improve communication with the Transcultural Mental Health Centre (TMHC) and The NSW Service for the Treatment and Rehabilitation of Torture and Trauma Victims (STARTTS). 2.11 - Establish and maintain effective links with Community Managed Organisations (CMOs) that provide initial support for refugees and asylum seekers to enhance the provision and coordination of services. 2.12 - Continue to facilitate and prioritise cultural competency training for mental health staff and general practice. 2.13 - Implement the Transcultural Assessment Module developed by the TMHC for outcome assessments and care planning in conjunction with the Transcultural Referral Guide and the Assessment Checklist. 2.14 - Promote access to and use of interpreters and enhance the provision of interpreter services where gaps are identified. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Three - The Physical Health of People with Mental Illness. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA THREE - THE PHYSICAL HEALTH OF PEOPLE WITH MENTAL ILLNESS Objective: Services work together with consumers and implement actions that will improve quality of life and life expectancy for people with mental health issues. INVESTING IN PROMISING PRACTICE 3.1 - Bring together and work alongside local services to explore how they can expand their service models to improve their focus on physical health and their engagement with General Practice. 3.2 - Advocate for funding to introduce more service models that deliver multi-disciplinary comprehensive care in close collaboration with General Practice. 3.3 - Explore and define the role of Peer Workers in supporting improved physical health outcomes- recognising the strong connection between peer support, social interaction and physical activity. EXCELLENCE IN PRIMARY CARE 3.4 - Seek opportunities to build partnerships between specialist mental health services, general practice, pharmacy and community services — to support the early detection and treatment of physical illness, prevention of chronic disease, and promotion of a healthy lifestyle. 3.5 - Expand consumer access to comprehensive and multidisciplinary health expertise in partnership with GPs and including Exercise Physiologists, Physiotherapists, Dieticians, Speech Therapists, Pharmacists and Occupational Therapists. 3.6 - Promote and expand healthy lifestyle programs including exercise, weight loss and smoking cessation programs. 3.7 - Prioritise training for GPs and practice nurses on the risks and benefits of medications (including nicotine replacement therapy), and how to communicate these risks/benefits with consumers, carers and family members. 3.8 - Provide community education and disseminate resources for consumers, carers and family members that help them to create a meaningful dialogue with GPs, pharmacists and other health professionals about medication, allied health and lifestyle changes. 3.9 - Identify and introduce strategies that encourage timely and relevant communication across general practice, other primary care, specialist and community managed organisations. EQUALLY WELL The Equally Well Consensus Statement outlines six essential elements and a range of actions that provide guidance to health service organisations to improve the quality of life of people living with mental health issues. By pledging to the principles of the Consensus Statement organisations will collectively bridge the life expectancy gap between people living with mental health issues and the general population. 3.10 - Support and uphold the principles of the Equally Well Consensus Statement and play an active role in the implementation of Equally Well actions, with a focus on those actions identified as requiring regional leadership: 3.10.1 - Working together to coordinate and integrate specialist mental health services, general practice and community services — to support the early detection and treatment of physical illness, prevention of chronic disease and promotion of a healthy lifestyle. 3.10.2 - Prioritise (or advocate for) funding to help provide targeted, personalised lifestyle care packages, and coordinated care. 3.10.3 - Continue to guide, facilitate and establish care planning and collaborative care mechanisms to improve local integration and facilitate better coordination of relevant services for physical and mental health care. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Four - Aboriginal Mental Health and Suicide Prevention. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA FOUR - ABORIGINAL MENTAL HEALTH AND SUICIDE PREVENTION Objective: Aboriginal and Torres Strait Islander Peoples experience improved emotional wellbeing and have improved access to, and experience with, mental health and wellbeing services. Overarching commitment: to support the implementation of Gayaa Dhuwi- a declaration on Aboriginal and Torres Strait Islander leadership across all parts of the mental health system to achieve the highest attainable standard of mental health and suicide prevention outcomes for Aboriginal and Torres Strait Islander peoples. ABORIGINAL KNOWLEDGE AND WISDOM DRIVING SERVICE DESIGN AND DELIVERY 4.1 - Support and advocate for funding for service models that are informed by and consistent with the Aboriginal Social and Emotional Wellbeing Framework. 4.2 - Support Aboriginal community members, leaders, Elders, Aboriginal Community-Controlled organisations and peak bodies to take the lead in designing and delivering services. 4.3 - Ensure that there is strong presence of Aboriginal and Torres Strait Islander leadership on local mental health service and related area service governance structures. 4.4 - Enhance responsiveness to new or emerging issues within Aboriginal communities by establishing and continuing to build upon formal and informal partnerships, engagement and consultation mechanisms with communities. 4.5 - Invest in training delivered by Aboriginal Instructors for staff involved in the delivery of mental health services across a variety of settings. Training will incorporate historical, cultural and contemporary experiences of trauma. 4.6 - Service providers are encouraged and supported to partner with Aboriginal communities to develop a suicide prevention and response plans. 4.7 - Service providers are encouraged and supported to partner with Aboriginal communities to develop strategies for improving engagement with Aboriginal communities. 4.8 - Partner with Aboriginal leaders to develop strategies that can be applied during the commissioning process to determine suitability of providers seeking to deliver services to Aboriginal Peoples. INVESTING IN THE ABORIGINAL COMMUNITY AND WORKFORCE 4.9 - Partner with Aboriginal communities to explore opportunities to grow the Aboriginal mental health and peer workforce and locate Aboriginal workers at key transition points within the system (e.g., leaving hospital settings, release discharge from custodial arrangements, during perinatal stages). 4.10 - Utilise service models that engage the Aboriginal mental health workforce and ensure that training, supervision and mentoring arrangements are formalised and in place to adequately support this workforce. 4.11 - Support education, supervision and mentoring for Aboriginal mental health clinical leaders, educators and clinicians. 4.12 - Work with Aboriginal community members to identify and implement activities that help them to continue to support each other (particularly Elders and older community members who provide incredible and invaluable support to younger people in the community). > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Five - Suicide Prevention. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA FIVE - SUICIDE PREVENTION Objective: Integrated and coordinated suicide prevention activities across multiple sectors and settings, using a systems approach to prevent suicide attempts and reduce suicide deaths. Overarching commitment: To support the implementation of the Strategic Framework for Suicide Prevention in NSW 2018-2023. A SYSTEMS APPROACH TO PREVENTION 5.1 - Prioritise resources (and advocate for more funding) to implement an integrated, systems approach to suicide prevention and invest in: Surveillance — coordinate access to better, more timely information about suicide deaths and attempts that occur in Central and Eastern Sydney. This means information and data would be available in days and weeks- rather than months and years. Means restriction — reduce the availability and accessibility of the means to suicide. This will include expanded or new partnerships with Local Councils, Emergency Services and transport providers throughout the region. Media — promote local implementation of media guidelines to support responsible reporting of suicide in print, broadcasting and social media. Access to services — promote increased access to comprehensive services for those vulnerable and remove barriers to care. This will include a focus on services available for people (as well as carers and families) experiencing a crisis. Training and education — maintain and facilitate a comprehensive training program for identified gatekeepers. Gatekeepers are approachable and respected community members, such as GPs, sports coaches, teachers, emergency services personnel, youth workers, clergy, pharmacists, aged care workers, leaders of community groups and others who are likely to be in contact with individuals at risk of suicide. Treatment — improve the quality of care and access to therapeutic interventions. This will include equipping general practice to identify and provide evidence-based support for people in distress. This also includes exploring options to expand the availability of the Peer Workforce for people at risk of suicide or following an attempt. Crisis intervention — equip and support communities to respond safely to suicide-crises with appropriate and protective activities and interventions. Postvention — improve responses to individuals who have attempted suicide and advocate for additional funding to expand successful post-hospital service models. In the future, services will be designed to better target carers and family members who have been bereaved by suicide. Awareness — reinforce and support public information campaigns to improve the knowledge that suicides are preventable. Stigma reduction — promote the importance of talking honestly about mental health and the importance of using of mental health services. Oversight and coordination — prioritise suicide prevention and work with key stakeholders to coordinate needs assessment, planning and responses. ALTERNATIVES TO HOSPITAL 5.2 - Advocate for investment in a broader range of service options for Central and Eastern Sydney that includes: A less restrictive care environment and protocol. Delivery in a comfortable and safe environment in the community (rather than a hospital). World-class therapy- including cognitive behavioural therapy for the suicidal person and dialectical behavioural therapy. A strong multi-disciplinary team with specialist mental health support and consultation liaison available 24/7 including access to psychiatry and medical care, and peer support. Practical support to address underlying issues such as accommodation, employment, personal finances, contributing to distress. Safety planning led by the individual and supported by families, carers and friends. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Six - Integrated Services. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA SIX - INTEGRATED SERVICES Objective: The service system works in an integrated way at the regional level to plan and deliver services that are tailored to the needs of consumers and carers is easier for consumers and carers to navigate and is delivered in the most effective and efficient way possible. SERVICES WORKING TOGETHER 6.1 - Implement a regional coordination function to: Connect state and commonwealth funded health service providers (e.g. LHDs/LHNs, PHNs, General Practice and CMOs) to plan and deliver integrated models of care. Develop and/or strengthen existing region-wide multi-agency agreements to improve integration. Ensure seamless continuity of care across acuity and care settings. Examine innovative funding models, such as joint commissioning of services and packages of care and support. Explore opportunities to focus on prevention, early intervention and recovery. LOW INTENSITY SERVICES 6.2 - Support the expansion of easy to access low intensity mental health services. A range of evidence-based models will be available within the region including models appropriate for a range of community groups (e.g., people from culturally and linguistically diverse communities, older people living in Residential Aged Care Facilities). 6.3 - Increase awareness and uptake of low intensity services-targeting communities most at risk of psychological distress including identified priority population groups. 6.4 - Low intensity services will complement the variety of interventions available through the Digital Mental Health Gateway, using the resources within the Gateway to: supplement local services target people who may benefit from early intervention using the Gateway as a step-down option supporting people to minimise the risk of relapse following exit from local services. 6.5 - Low intensity interventions will have streamlined and simple referral arrangements and step up/down protocols supporting people whose treatment needs change, avoiding re-referral and re-entry in to the system. MODERATE INTENSITY SERVICES 6.6 - Provide access to an improved amount and range of psychological therapies for people from under-serviced and priority population groups. 6.7 - Investigate opportunities to expand referral pathways across the region ensuring that self-referrals and referrals from a range of professionals are encouraged. MULTI-AGENCY CARE 6.8 - Address the barriers encountered by people experiencing severe and complex mental health issues when accessing therapeutic interventions (including psychological interventions, peer support, group-based interventions and psycho-social supports) within primary care. 6.9 - Implement strategies that provide options for people with severe and complex mental health issues who are ineligible for NDIS and prioritise this group for alternative service models. 6.10 - Use NDIS uptake data to understand if eligible individuals with psycho-social disability are gaining access to the NDIS and work closely with key agencies to develop strategies that improve access to the NDIS for eligible individuals. 6.11 - Continue to support shared care arrangements between LHDs/LHNs, GPs and Aboriginal Medical Services to support optimal mental health and physical health outcomes. 6.12 - Advocate for funding to introduce more multi-service hubs where a range of mental health, general health, living skills, and social service needs can be addressed in one place. 6.13 - Explore opportunities to embed mental health services within general practices to improve the experience of care for the consumer and enhance opportunities for multi-disciplinary shared care. SPECIALIST AND HOSPITAL SERVICES 6.14 - Invest in systems that improve the timeliness and relevance of communication between hospitals, LHDs/LHNs, GPs, specialists, and CMOs to improve the quality of care experienced by consumers who access multiple services. 6.15 - In collaboration with each LHD/LHN, the NSW Ministry of Health, GPs, specialists and CMOs (where appropriate), develop strategies for improving clinical handover processes. 6.16 - Continue to resource psychiatry consultation liaison and assessment services for general practice. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later In this section, we would like your thoughts about the actions in Priority Area Seven - Workforce. On this page, you can see the draft actions. We will then ask you some questions about these draft actions. PRIORITY AREA SEVEN – WORKFORCE Objective: The workforce is skilled, experienced, and supported to deliver high quality mental health care and support in a way that is valued by consumers, carers and family members and results in optimal recovery outcomes. WORKFORCE CAPACITY AND CAPABILITY 7.1 - Explore ways to increase workforce capacity in the region in instances of workforce shortage (priorities include peer workers, Aboriginal and child mental health professionals, and the community sector mental health workforce). 7.2 - Promote and increase the proportion of mental health professionals from diverse backgrounds delivering services across the region (e.g., bi-lingual mental health professionals). 7.3 - Increase the capacity and capability of key stakeholders (particularly GPs) to assess, navigate, refer and provide services in a stepped care approach. 7.4 - Continue to facilitate mental health and suicide prevention focussed continual professional that is informed by workforce priorities and development needs. 7.5 - Facilitate and support activities that improve workforce and sector capacity and capability to refer in to and/or deliver NDIS services. THE PEER WORKFORCE 7.6 - Define local benchmarks, adopt relevant guidelines and seek opportunities to grow and improve access to the peer workforce- with a focus on peer workers in community settings at key transition points. 7.7 - Develop a multi-agency strategy to better support and connect Peer Workers across the region, and facilitate access to training, supervision, mentoring and support. This strategy will be consistent with the policies of the NSW and National Mental Health Commissions. 7.8 - Advocate for funding for Peer Workers to be available to provide support to consumers, carers and family members during a presentation to an Emergency Department. SYSTEM LEVEL ENABLERS 7.9 - Support the priority actions identified in the NSW Mental Health Workforce Plan and work together to ensure the workforce is experienced, skilled and supported. 7.10 - Use the National Mental Health Services Planning Framework to analyse and determine the workforce required to meet changing and growing population treatment needs. 7.11 - Monitor the growth of the Peer Workforce and Aboriginal Mental Health Workforce, adjusting strategies as required to meet performance benchmarks. > QUESTIONSAre any changes to the actions required?YesNoIf yes, what are they?Are there any actions that are missing?YesNoIf yes, what are they?Should any actions be removed?Which actions are most important to you? Why?Which actions are the least important? Why? Save and Continue Later ADDITIONAL COMMENTSAre there any comments or additional feedback you would like to provide about this Mental Health & Suicide Prevention Regional Plan?YesNoAdditional comments Save and Continue Later Thank you for participating in this survey. Your input will help us to finalise the Regional Plan. The Regional Plan will be available from July onwards on the Central and Eastern Sydney Primary Health Network website. You can also choose to leave your name and email here and we can send you a copy when it is ready. If you have any questions about this survey or the Regional Mental Health and Suicide Prevention Plan please email firstname.lastname@example.org.Your nameYour email address Please send me the final survey Please email me a copy of the final survey once it is complete. PhoneThis field is for validation purposes and should be left unchanged. Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.