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 Mental Health Commission in collaboration with the Department of Health (DoH) and the North Metropolitan Health Service (NMHS) are planning for the divestment of infrastructure, and decommissioning of services on the Graylands (Graylands) Health Campus and Selby Older Adult Hospital (Selby).
The MHC, DoH and NMHS will, in partnership, 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.
The final decommissioning of existing services at Graylands and Selby is anticipated to occur 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.
To deliver the election commitment of expanding specialist AOD services into rural and remote areas of need as soon as possible, $9.306 million has been reallocated in the 2018-19 Budget from the Royalties for Regions Program to contract services from existing service providers, of up to 33 beds for residential rehabilitation and low medical withdrawal.
There are existing AOD treatment service providers in the South West which have the capacity to provide the South West Services, eliminating the need for the government to fund a purpose built facility.
This will provide a more cost-efficient and expedited solution in establishing residential rehabilitation and low medical withdrawal services in the South West.
In line with the Methamphetamine Action Plan, the MHC has released a Request for Tender from 12 July 2018 to 30 July 2018 and is seeking to expand the number of beds in the South West of Western Australia by up to three (3) low medical withdrawal/stabilisation beds and up to 30 residential alcohol and drug treatment beds. The beds will complement and build on the existing system of AOD treatment and support services across the State.
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).
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 was allocated for the MHC to undertake consultation, analysis and modelling to inform the development of a business case (for consideration as part of the 2019-20 Budget) on AOD service needs in the Kimberley.
The MHC will further explore the demand for AOD services that could be implemented in the Kimberley to support people with AOD problems and will use the funding to undertake expert and stakeholder consultation, analysis and modelling to identify gaps in services.
Consideration will be given to ensuring an appropriate mix of AOD services aligned to the Western Australian Mental Health, Alcohol and Other Drug in the service streams of prevention, community support, community treatment, community bed-based services (including withdrawal and residential rehabilitation services) and hospital based services. The aim of which is to plan for comprehensive and integrated AOD services 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 State 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 with $200,000 to develop a comprehensive, unique and evidence-based model of service and business case, for the establishment of a Recovery College model in Western Australia.
Through an open Expression of Interest process conducted between December 2017 and March 2018, an Expert Panel has been appointed. The Expert Panel is responsible for overseeing the co-design of the model of service for Recovery Colleges in Western Australia, in conjunction with the MHC.
Community Consultation has commenced. Detailed information about this program of works can be found on the Recovery Colleges page.