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 and reinvestment of mental health services and progression of divestment activities at the Graylands Hospital site
As part of the 2019-20 Budget process, funding of $3 million has been allocated to the Department of Health (DoH) to undertake detailed planning for the decommissioning and reconfiguration of mental health services and progression of divestment activities at the Graylands Hospital site.
This planning will be done in collaboration with the Mental Health Commission (MHC), and the North Metropolitan Health Service (NMHS). Further planning for the decommissioning and reinvestment of services from Selby Older Adult (Selby) Hospital is also required.
New services are likely to include a combination of inpatient services, community bed-based services, and community support (accommodation options).
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 of Graylands and Selby campuses, relocation of clinical and non‑clinical services as required, and the establishment of contemporary replacement 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.
Addressing Youth Mental Health and Alcohol and Other Drug-Related Issues
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 drugs (AOD) in planning for future services. It articulates the need for age appropriate services across the service spectrum and identifies that young people are particularly at greater risk of poor health and mental health outcomes because of their age and stage of physical, neurological, psychological and social development.
In addressing youth mental health and AOD-related issues, the MHC, in collaboration with the DoH and HSPs are progressing the development of a dedicated youth service stream including addressing the different youth cohort age ranges specific to the mental health and AOD sectors. Options are being examined to improve the provision of services to individuals who are experiencing co-occurring mental health and AOD issues.
In addition, in 2018-19, the MHC provided the Child and Adolescent Health Service with a total of $62 million for the delivery of specialist child and adolescent mental health services. 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 alcohol and other drug (AOD) services into rural and remote areas of need.
In line with the election commitment, the MHC released a Request for Tender from 12 to 30 July 2018 to expand the number of beds in the South West of Western Australia. The completed tender process has enabled access to residential AOD treatment in the South West region to be expanded with a total of 41 residential AOD treatment beds and three low medical withdrawal beds being made available for local people. $11.375 million has been committed to fund the 44 beds over four years.
Palmerston Association will provide services through 21 residential rehabilitation beds in total, fully utilising its facility in Brunswick.
Cyrenian House will provide services through a total of 20 residential rehabilitation beds (of those, 12 are Aboriginal residential rehabilitation beds) and three low medical withdrawal beds at the Blackwood River Clinic facility in Nannup.
All beds became operational as at 30 June 2019. The beds will complement and build on the existing system of AOD treatment and support services across the State.
This establishment of these services 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 committed to a statewide, integrated Methamphetamine Action Plan to reduce the demand, supply and harm from methamphetamine use, including allocating $45 million of new and existing funding over four years to deliver the key initiatives outlined in the election.
As part of this, funding of $200,000 was allocated from the Royalties for Regions (RfR) Program for the MHC to identify and undertake planning regarding gaps in alcohol and other drug (AOD) treatment services in the Kimberley.
The MHC contracted the Nous Group (Nous) to undertake stakeholder consultation in 2018, to inform the development of AOD and co-occurring mental health services in the Kimberley region. The Consultation Summary Report on AOD Services in the Kimberley (the Report) was prepared by Nous and outlines key themes that were raised by stakeholders throughout the consultation.
Opportunities to further enhance AOD services in the Kimberley region are presented through the Report, with eight key areas identified as existing gaps in service. These key areas are: harm reduction and personal support; consultation and liaison services; low-medical withdrawal; complex high-medical withdrawal; community day treatment programs (adult and youth); safe places for intoxicated people (youth); residential rehabilitation (youth); and post residential rehabilitation (youth).
As part of the 2019-20 Budget the State Government has allocated $11.5 million over the forward estimates to expand AOD treatment services in the Kimberley region including:
- $9.2 million for the development of a comprehensive, specialist AOD service for young people with complex needs that includes residential rehabilitation, low medical withdrawal and stabilisation, and day programs (including ‘on-country’ programs, family intervention, co-occurring mental health and AOD, and links with other existing service providers in the Kimberley); and
- $2.3 million for the provision of four adult low medical withdrawal beds to support withdrawal to take place in the Kimberley region, given that these services do not formally exist in the Kimberley region.
Nous have been engaged by the MHC to lead the co-design process of the model of service for the comprehensive AOD service for young people with complex needs. A literature review outlining service models for young people with AOD and co-occurring issues has been completed and can be found here. Consultation with key stakeholders, including young people in the Kimberley, will inform the development of the model.
The open Tender process for the adult low medical withdrawal beds was open from 8 November 2019 to 24 January 2020. It is anticipated that the beds will be operational mid-2020.
In addition to this, the State Government has committed $20.1 million through RfR, to continue core treatment and prevention services in the Pilbara and Kimberley through the North West Drug and Alcohol Support Program.
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).
As part of the 2019-20 State Budget process, the establishment of Recovery Colleges in Western Australia, will be progressed with funding of $3.6 million.
A tender has been released and is available at www.tenders.wa.gov.au. The tender process will run from 7 June 2019 to 1 August 2019.
Safe Haven Cafés
Two Safe Haven Cafés are set to open in Western Australia mid-2020, providing an alternative to emergency departments for people with mental health issues experiencing distress.
The Safe Haven Cafés will be located at Royal Perth Hospital and Kununurra District Hospital.
Safe Haven Cafés work alongside emergency departments during after-hours and are for people experiencing mental health issues. They offer peer-based support for those who may otherwise attend emergency departments, but do not need intensive clinical and medical support.
Providing alternatives to emergency departments for people with mental health, alcohol and other drug issues is identified as one of the immediate priorities in the WA State Priorities Mental Health, Alcohol and Other Drugs 2020-2024. It was also a recommendation of the Sustainable Health Review.