NSW Older People’s Mental Health Services SERVICE PLAN ...

1 NSW Older People s Mental Health Services SERVICE plan 2017-2027 SummaryThis plan is intended to guide NSW Older people s Mental Health (OPMH) Services overthe next ten years. Pressure on these specialist Services will grow as the population agesand the number of Older people with complex Mental Health problems increases. ThePlan outlines the purpose, scope, target group and key elements of OPMH Services , thecontext in which they operate and current developments in the SERVICE environment. Itidentifies evidence-based SERVICE models and key strategic priorities for thedevelopment, delivery and improvement of OPMH typeGuidelineDocument numberGL2017_022 Publication date13 December 2017 Author branchMental HealthBranch contact(02) 9391 9262 ReplacesGL2006_013 Review date13 December 2022 Policy manualNot applicableFile numberH17/91635 StatusActiveFunctional groupClinical/Patient Services - Aged Care, Mental HealthApplies toBoard Governed Statutory Health Corporations, Local Health Districts, Ministry of Health ,Specialty Network Governed Statutory Health CorporationsDistributed toMinistry of Health , Public Health SystemAudienceService managers and clinicians of NSW Older People s Mental Health Services , serviceplanners and policy makersGuidelineSecretary, NSW HealthThis Policy Directive may be varied, withdrawn or replaced at any time.

2 Compliance with this directive is mandatoryfor NSW Health and is a condition of subsidy for public Health organisations. GUIDELINE SUMMARY GL2017_022 Issue date: December-2017 Page 1 of 2 NSW Older PEOPLE S Mental Health Services SERVICE plan 2017- 2027 PURPOSE The OPMH SERVICE plan outlines the purpose, scope and key elements of NSW Older People s Mental Health (OPMH) Services , the target group for these Services , the context in which they operate, and current developments in the SERVICE environment. The plan identifies evidence-based SERVICE models and key strategic priorities for the development, delivery and improvement of these Services . It will guide OPMH Services over the next ten years, seeking to ensure that OPMH Services continue to develop and improve, to meet the needs of Older people with Mental Health problems, and to provide consistent, high-quality Services across NSW.

3 More broadly, the plan also promotes key linkages and partnerships to enhance Mental Health care and support for Older people across NSW. KEY PRINCIPLES The plan recognises and supports the impetus in NSW Mental Health Services towards recovery-oriented care and practice. It is underpinned by the principles of improving the accessibility of OPMH Services , promoting consistent good practice in OPMH Services , and supporting effective and appropriate care for Older people with Mental illness. The plan has been informed by work being done at the state and national level in the Mental Health and/or aged care space. It aligns with key national and state standards and policy frameworks. USE OF THE GUIDELINE The intended audience of the plan is OPMH SERVICE managers, clinicians, SERVICE planners and policy makers. It focuses on the delivery of care for Older people with Mental illness by inpatient and community OPMH Services in NSW Local Health Districts.

4 An implementation plan is proposed to guide the NSW Ministry of Health and LHD OPMH Services in pursuing the strategic directions outlined in the plan over the next ten years. The plan will also be relevant for adult Mental Health Services and other partner Services such as GPs and Primary Health Networks, aged Health Services and aged care Services . REVISION HISTORY Version Approved by Amendment notes December 2017 (GL2017_022) Deputy Secretary, Strategy and Resources Covers the period 2017-2027 August 2006 (GL2006_013) Director-General New document. GUIDELINE SUMMARY GL2017_022 Issue date: December-2017 Page 2 of 2 ATTACHMENTS 1. NSW Older People s Mental Health Services SERVICE plan 2017-2027 NSW Older People s Mental Health ServicesSERVICE plan 2017 2027 NSW Ministry of Health 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY.

5 (02) 9391 9900 by: NSW Ministry of HealthThis work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of NSW Ministry for Health acknowledges the traditional custodians of the lands across NSW. We acknowledge that we live and work on Aboriginal lands. We pay our respects to Elders past and present and to all Aboriginal people. NSW Ministry of Health 2017 SHPN (OHMR) 170674 ISBN 978-1-76000-768-3 (print); 978-1-76000-769-0 (online)Further copies of this document can be downloaded from December 2017 NSW Health NSW SERVICE plan for OPMH Services iForewordAs NSW Minister for Mental Health and Minister for Ageing, I m pleased to support this ten-year plan for Older people s Mental Health Services across NSW.

6 Older people s Mental Health is a significant priority for the NSW hear much about the ageing of Australia s population. By 2030, 20% of the people living in NSW will be aged 65 years or over. It is important to take a positive approach to ageing, and to value the diverse life experiences of Older people, their strengths and ongoing potential for growth, their goals and their preferences. Growing old is not a disease, and Older people are often very , like people of any age, Older people can experience Mental illness. Some people develop a Mental illness as they age, while others grow Older with a Mental illness that developed earlier in their lives. Some of these Older people will need care from specialist Mental Health clinical July 2017, I had the privilege of launching the NSW Mental Health Commission s Living Well in Later Life documents. These documents were developed to progress reform in Older people s Mental Health care and support, and to promote the wellbeing of Older people living in NSW.

7 This plan for Older people s Mental Health clinical Services addresses some of the key priorities identified in the Commission s documents. In particular, it promotes a focus on increasing specialist community clinical Services to address population need, expanding partnership SERVICE delivery models between Mental Health Services and non-government residential aged care Services , and adopting recovery-oriented approaches in Older people s Mental Health care and that Older people with a Mental Health issue can live a better life, and participate in their communities is a commitment of the NSW Government under the NSW Mental Health reforms. Over the next 12 months, new funding of $ million will support recruitment of approximately 15 new fulltime specialist community-based clinicians right across NSW and within Justice Health . This builds on previous funding of $5 million from 2016-17 for Older people s Mental Health community clinical Services , which supported recruitment of over 30 new fulltime equivalent clinicians in six local Health districts, promoting more equal access to care across NSW Government has provided funding for the expansion of Mental Health -residential aged care partnership Services in a number of local Health districts under the first stage of the Pathways to Community Living Initiative another key Mental Health reform strategy.

8 Mental Health reform funding will also support the rollout of Mental Health First Aid for Older People across NSW, aimed at promoting greater understanding and recognition of Mental Health issues in Older people, and access to , these funding enhancements support the implementation of key directions in this plan to expand community clinical Services and Mental Health -residential aged care partnership Services . Investment in this area by the Government will mean that Older people with Mental illness or Mental distress and their families will receive improved community Mental Health care and support, better access to Services across NSW and importantly more specialist assessment and care, plan , and the associated funding, is part of the NSW Government s commitment to a decade-long, whole-of-government reform of Mental Health care. These reforms put people not processes at the centre of the Mental Health care system.

9 The Hon Tanya Davies MP Minister for Mental Health Minister for Ageing ii NSW Health NSW SERVICE plan for OPMH ServicesAcknowledgementsThe NSW SERVICE plan for Older People s Mental Health (OPMH) Services 2017-2027 is the work of many people. Broad consultation informed the development of the plan . We acknowledge the consumers and carers who participated in the consultation workshops and the clinicians, organisations and individuals who provided feedback and guidance. The NSW Health Specialist Mental Health Services for Older People (SMHSOP) Advisory Group, OPMH Working Group, and Aboriginal and CALD OPMH Working Groups also contributed significantly to the development of the plan . The OPMH Policy Unit of the Mental Health Branch, NSW Ministry of Health led the development of this plan , with advice and input from the Project Team. The NSW Ministry of Health would particularly like to thank the members of the Project Team for their efforts and TeamDr Kate Jackson Director, OPMH Policy Unit, Mental Health Branch, NSW Ministry of HealthMs Kate Middleton Senior Policy Officer, OPMH Policy Unit, Mental Health Branch, NSW Ministry of HealthDr John Dobrohotoff Clinical Advisor, OPMH Policy Unit, Mental Health Branch, NSW Ministry of HealthDr Roderick McKay Clinical Advisor, OPMH Policy Unit, Mental Health Branch, NSW Ministry of HealthMs Sharyn McGee Consumer consultantDr Louisa Norrie Old Age Psychiatrist, St Vincent s Hospital Ms Raichel Green SMHSOP Coordinator (metropolitan), Central Coast Local Health DistrictMr Ian Rawson SMHSOP Coordinator (rural)

10 , Western NSW Local Health District NSW Health NSW SERVICE plan for OPMH Services iiiContentsForeword ..iAcknowledgements ..iiExecutive 1: Introduction .. Mental illness in Older people .. A new plan for OPMH Services .. Scope of the plan .. Outline of the plan .. Our goal and guiding principles .. Our aims .. OPMH Services target group ..6 Section 2: Strategic policy and planning context .. Policy context .. The current picture: overview of OPMH Services , staff and consumers .. What our community told us .. Current challenges, strategic drivers and implications for OPMH Services .. Population groups with specific needs ..18 Section 3: OPMH SERVICE delivery model and strategic directions.