Since 2016, the Victorian place-based suicide prevention trials have been a flagship initiative o... more Since 2016, the Victorian place-based suicide prevention trials have been a flagship initiative of the Victorian Government to prevent and respond to suicide in local communities. The trials have expanded our evidence base in relation to the risk and protective factors related to suicide, raised community awareness and understanding of suicide, and improved our knowledge of how to work together at a local level to design and develop coordinated responses.
There is increasing recognition of the need for ‘safe spaces’ in the community for people in emot... more There is increasing recognition of the need for ‘safe spaces’ in the community for people in emotional distress and for those who need support and advice to be available and accessible, particularly at times when other services and supports may be unavailable. A ‘mental health café’ 1 can provide a safe, inclusive and non-clinical space for community members with mental health concerns to seek peer support, offering an alternative to presenting at the emergency department with (non-emergency) mental health issues.
A recent report from the Australia Prevention Partnership Centre concluded that opportunities to ... more A recent report from the Australia Prevention Partnership Centre concluded that opportunities to prevent sub-acute pain from transitioning to chronic pain are sometimes missed in the primary care setting. The factors they identified to drive improvement are: • access to multidisciplinary care • improving consumer health literacy • care navigation. The aim of this project was to undertake a rapid contextual mapping of pain recovery services in primary care in the metropolitan Melbourne Primary Health Network catchment. The PHN was particularly interested to identify services that: (a) align with the biopsychosocial model of pain management and (b) can deliver care within the clinical window of 6-12 weeks post an acute pain event. The PHN wished to identify how recovery from pain in the post-acute / sub-acute phase can be better achieved in primary care by integrating person-centred, collaborative, interdisciplinary care approaches to reduce the risk of progression to a chronic pain state.
The Macedon Ranges Suicide Prevention Action Group identified a need for improved services and su... more The Macedon Ranges Suicide Prevention Action Group identified a need for improved services and supports for people living with mental illness. Supported by the Macedon Ranges Suicide Prevention trial site, a rapid scoping, feasibility and co-design project was completed to develop a potential model for volunteer community support. This report provides a description of the recommended model and business case, including implementation components, risk assessment, costing and outcomes. There is a strong case to be made for the trialling of a community support model, comprised of a peer support component and a community connections component. The model will be staffed by professionals and supported by volunteers, including people with lived experience of mental illness in both groups.
Social prescribing enables primary health providers to address the wider social determinants of h... more Social prescribing enables primary health providers to address the wider social determinants of health by referring patients whose health is affected by non-medical factors (such as housing, financial stress or loneliness) to a range of community-based services, with the support of a link worker. Much of the experience and evidence base about social prescribing emerges from the United Kingdom and New Zealand. There is exciting evidence emerging such as improved individual wellbeing and quality of life; reduced need for hospital and GP care and improved provider satisfaction; and increased volunteering and use of community assets. This Stage 1 scoping study sought to explore the feasibility of introducing a social prescribing program in Latrobe Valley and identifying the conditions necessary for trial.
The Partners in Recovery (PiR) program has been working for almost
three years to drive a fundame... more The Partners in Recovery (PiR) program has been working for almost three years to drive a fundamental shift in the way mental health programs and services are delivered. Addressing complex and persisting mental health problems requires the mental health and broader service systems to be working well together. The interactions and relationships among the elements that characterise the entire system need to be robust and sustainable in order to work towards better client outcomes. The PiR approach is driven by systems thinking and strategic partnerships at all levels, with a primary focus on addressing the issues that arise as a result of the gaps and barriers in the current service system. The embedding of systems change work into the practice of PiR is fundamental to achieving service integration and provides additional value to the experience for consumers and the system of PiR.
Using the Organisational Strategy for Improvement Matrix (OSIM) to support a Victorian community ... more Using the Organisational Strategy for Improvement Matrix (OSIM) to support a Victorian community based palliative care service to develop organisational capability for continuous improvement and innovation
Improving access to reproductive and sexual health services for young people: A service coordinat... more Improving access to reproductive and sexual health services for young people: A service coordination guide for primary health care providers in Victoria focuses on: • Improving the coordination of services for young people, by providing information that health and community service providers need to support the development of partnerships to respond to the reproductive and sexual health needs of young people. • Having the conversation with young people, by providing health and community service providers with guidance regarding the reproductive and sexual health conversation with young people.
Cancer Council NSW has been developing and trialling an organisational change framework to addres... more Cancer Council NSW has been developing and trialling an organisational change framework to address tobacco use within community service organisations through the Tackling Tobacco program. The project has produced a toolkit with an organisational change model that is designed to support organisations across the spectrum of readiness for change in addressing smoking.
Quit Victoria, with agreement from Cancer Council NSW, has initiated a project to adapt and test the Tackling Tobacco model, tools and resources in Victorian mental health settings. Three Victorian mental health services – Orygen Youth Health, EACH Social and Community Health, and Melbourne Health will pilot the model across five sites and inform a potential roll out in the Victorian public mental health sector. This project explored the enablers, barriers and requirements for embedding smoking cessation across each organisation. The analysis assessed the suitability of the organisational change model for the Victorian context and identified potential modifications.
Looking towards the future and the introduction of consumer-directed care (CDC) into Australian r... more Looking towards the future and the introduction of consumer-directed care (CDC) into Australian residential care settings, RACFs have begun early initiatives which allow residents to participate in appraising the care they receive through their own dedicated staff team. This enables a more participatory and partnered approach to care, while supporting ongoing monitoring and formal assessment to ensure that care arrangements continue to be appropriate and quality improvement. Some services are in negotiations about how best to design and deliver this feedback loop, including using smart technologies to support those with reduced decision-making capacities. One of the more acute challenges in this space is the development of sensitive strategies to address communication barriers such as cognitive impairment and/or other capacity issues. This is particularly important for the residents participating in sensitive care programs, to ensure that vulnerable residents are not disadvantaged under any new consumer-directed care initiatives. Currently, there is limited agreement on appropriate consumer-directed care models and approaches nor evidence of efficacy in Australian residential contexts.
The purpose of this paper is to inform future Victorian alcohol and other drug (AOD) sector refor... more The purpose of this paper is to inform future Victorian alcohol and other drug (AOD) sector reform, Budget and Expenditure Review Committee submissions and other funding mechanisms by presenting: a. benchmarked costings for Victorian AOD residential treatment programs b. optimal cost models for adult and youth residential withdrawal and rehabilitation programs
Does the implementation of an Early Intervention Palliative and Supportive Care Clinic for people... more Does the implementation of an Early Intervention Palliative and Supportive Care Clinic for people early in their illness trajectory improve access to community palliative care services thus increasing their ability to make informed choices, experience improved outcomes and be cared for in their place of choice throughout their illness whilst also improving?
The LGBTI inclusive practice for community health services project was a partnership between the ... more The LGBTI inclusive practice for community health services project was a partnership between the DHHS Diversity and Office for Disability unit and the Primary and Community Health unit. The project forms part of the Victorian Government’s commitment to promote inclusive and equitable access to health and human services for LGBTI people The project developed, piloted and evaluated a resource suite to promote LGBTI inclusive and responsive service planning and practice within CHSs. It aligned with and built on the foundations of the online DHHS resource Rainbow eQuality Guide , developed to assist mainstream health and community service agencies identify and adopt inclusive practices and become more responsive to the health and wellbeing needs of LGBTI individuals and communities. The resource suite aimed to support a whole of organisation approach to identifying issues faced by LGBTI people accessing health and human services and improving organisations’ responsiveness. They were to be adaptable to use by a diverse range of community health services irrespective of their size, location and experience in implementing similar initiatives.
This pilot project has taken place in the context of reforms in
both primary health care and the ... more This pilot project has taken place in the context of reforms in both primary health care and the out of home care (OOHC) sector, designed to strengthen person-centred care, particularly for people living with complex and chronic health conditions and improve the health and wellbeing outcomes for vulnerable children and young people in Victoria.
In response to recommendations from a previous phase of work, Optimising general practice to meet the needs of young people in residential care: a needs assessment (2016), a new model of care was developed for piloting in three locations in south eastern Melbourne.
This model tested the system response required to address the following needs: • improved service accessibility and responsiveness to the needs of OOHC youth • strengthened residential staff commitment to brokering young people’s access to health services • improved youth engagement with health and health services • improved data custodianship and integration across Child Protection, OOHC and care teams.
The approach selected for trial to address the system access barriers for youth was the establishment of a medical home relationship: every young person in residential care should have a ‘medical home’ to provide continuity of health care. Ideally, the medical home is a multidisciplinary health clinic which is child and adolescent friendly.
The key benefits of a medical home for vulnerable young people living in residential OOHC include:
• comprehensive, whole-person care, including continuity of care, clinical integration & ehealth technologies • relational approach to care • shared decision-making, self-management and empowerment • sensitivity to vulnerability and risk factors • accessibility • team-based care • local healthcare pathways • accountability, and systematic continuous quality improvement • opportunities for patient participation in service co-design.
The pilot trialled three different approaches to the medical home model to compare varying levels of flexibility in primary health delivery that could cater to the needs of the target group:
1. General practice as medical home (outreach to residential settings) - Dandenong 2. General practice as medical home (practice-based, existing preferred provider) - Elwood 3. headspace centre as medical home (outreach) – Frankston.
In each model: • Residential youth were engaged and assigned a care coordinator/navigator • Clinical secondary consultation for residential staff was provided • A collaborative and integrated shared care approach for ongoing care was developed.
The design of the pilot models emerged from the prior needs assessment and were responsive to each residential house site’s needs and circumstances.
The review explored existing smoking cessation practices, and identified opportunities to improve... more The review explored existing smoking cessation practices, and identified opportunities to improve cessation support provided to clients in the AOD system; and identified enablers and barriers to implementing a systematic approach to smoking cessation in the AOD system and the once-off and recurrent resources required.
Evaluating the first 12 months of a dedicated staffing model in a dementia specific residential c... more Evaluating the first 12 months of a dedicated staffing model in a dementia specific residential community
Since 2016, the Victorian place-based suicide prevention trials have been a flagship initiative o... more Since 2016, the Victorian place-based suicide prevention trials have been a flagship initiative of the Victorian Government to prevent and respond to suicide in local communities. The trials have expanded our evidence base in relation to the risk and protective factors related to suicide, raised community awareness and understanding of suicide, and improved our knowledge of how to work together at a local level to design and develop coordinated responses.
There is increasing recognition of the need for ‘safe spaces’ in the community for people in emot... more There is increasing recognition of the need for ‘safe spaces’ in the community for people in emotional distress and for those who need support and advice to be available and accessible, particularly at times when other services and supports may be unavailable. A ‘mental health café’ 1 can provide a safe, inclusive and non-clinical space for community members with mental health concerns to seek peer support, offering an alternative to presenting at the emergency department with (non-emergency) mental health issues.
A recent report from the Australia Prevention Partnership Centre concluded that opportunities to ... more A recent report from the Australia Prevention Partnership Centre concluded that opportunities to prevent sub-acute pain from transitioning to chronic pain are sometimes missed in the primary care setting. The factors they identified to drive improvement are: • access to multidisciplinary care • improving consumer health literacy • care navigation. The aim of this project was to undertake a rapid contextual mapping of pain recovery services in primary care in the metropolitan Melbourne Primary Health Network catchment. The PHN was particularly interested to identify services that: (a) align with the biopsychosocial model of pain management and (b) can deliver care within the clinical window of 6-12 weeks post an acute pain event. The PHN wished to identify how recovery from pain in the post-acute / sub-acute phase can be better achieved in primary care by integrating person-centred, collaborative, interdisciplinary care approaches to reduce the risk of progression to a chronic pain state.
The Macedon Ranges Suicide Prevention Action Group identified a need for improved services and su... more The Macedon Ranges Suicide Prevention Action Group identified a need for improved services and supports for people living with mental illness. Supported by the Macedon Ranges Suicide Prevention trial site, a rapid scoping, feasibility and co-design project was completed to develop a potential model for volunteer community support. This report provides a description of the recommended model and business case, including implementation components, risk assessment, costing and outcomes. There is a strong case to be made for the trialling of a community support model, comprised of a peer support component and a community connections component. The model will be staffed by professionals and supported by volunteers, including people with lived experience of mental illness in both groups.
Social prescribing enables primary health providers to address the wider social determinants of h... more Social prescribing enables primary health providers to address the wider social determinants of health by referring patients whose health is affected by non-medical factors (such as housing, financial stress or loneliness) to a range of community-based services, with the support of a link worker. Much of the experience and evidence base about social prescribing emerges from the United Kingdom and New Zealand. There is exciting evidence emerging such as improved individual wellbeing and quality of life; reduced need for hospital and GP care and improved provider satisfaction; and increased volunteering and use of community assets. This Stage 1 scoping study sought to explore the feasibility of introducing a social prescribing program in Latrobe Valley and identifying the conditions necessary for trial.
The Partners in Recovery (PiR) program has been working for almost
three years to drive a fundame... more The Partners in Recovery (PiR) program has been working for almost three years to drive a fundamental shift in the way mental health programs and services are delivered. Addressing complex and persisting mental health problems requires the mental health and broader service systems to be working well together. The interactions and relationships among the elements that characterise the entire system need to be robust and sustainable in order to work towards better client outcomes. The PiR approach is driven by systems thinking and strategic partnerships at all levels, with a primary focus on addressing the issues that arise as a result of the gaps and barriers in the current service system. The embedding of systems change work into the practice of PiR is fundamental to achieving service integration and provides additional value to the experience for consumers and the system of PiR.
Using the Organisational Strategy for Improvement Matrix (OSIM) to support a Victorian community ... more Using the Organisational Strategy for Improvement Matrix (OSIM) to support a Victorian community based palliative care service to develop organisational capability for continuous improvement and innovation
Improving access to reproductive and sexual health services for young people: A service coordinat... more Improving access to reproductive and sexual health services for young people: A service coordination guide for primary health care providers in Victoria focuses on: • Improving the coordination of services for young people, by providing information that health and community service providers need to support the development of partnerships to respond to the reproductive and sexual health needs of young people. • Having the conversation with young people, by providing health and community service providers with guidance regarding the reproductive and sexual health conversation with young people.
Cancer Council NSW has been developing and trialling an organisational change framework to addres... more Cancer Council NSW has been developing and trialling an organisational change framework to address tobacco use within community service organisations through the Tackling Tobacco program. The project has produced a toolkit with an organisational change model that is designed to support organisations across the spectrum of readiness for change in addressing smoking.
Quit Victoria, with agreement from Cancer Council NSW, has initiated a project to adapt and test the Tackling Tobacco model, tools and resources in Victorian mental health settings. Three Victorian mental health services – Orygen Youth Health, EACH Social and Community Health, and Melbourne Health will pilot the model across five sites and inform a potential roll out in the Victorian public mental health sector. This project explored the enablers, barriers and requirements for embedding smoking cessation across each organisation. The analysis assessed the suitability of the organisational change model for the Victorian context and identified potential modifications.
Looking towards the future and the introduction of consumer-directed care (CDC) into Australian r... more Looking towards the future and the introduction of consumer-directed care (CDC) into Australian residential care settings, RACFs have begun early initiatives which allow residents to participate in appraising the care they receive through their own dedicated staff team. This enables a more participatory and partnered approach to care, while supporting ongoing monitoring and formal assessment to ensure that care arrangements continue to be appropriate and quality improvement. Some services are in negotiations about how best to design and deliver this feedback loop, including using smart technologies to support those with reduced decision-making capacities. One of the more acute challenges in this space is the development of sensitive strategies to address communication barriers such as cognitive impairment and/or other capacity issues. This is particularly important for the residents participating in sensitive care programs, to ensure that vulnerable residents are not disadvantaged under any new consumer-directed care initiatives. Currently, there is limited agreement on appropriate consumer-directed care models and approaches nor evidence of efficacy in Australian residential contexts.
The purpose of this paper is to inform future Victorian alcohol and other drug (AOD) sector refor... more The purpose of this paper is to inform future Victorian alcohol and other drug (AOD) sector reform, Budget and Expenditure Review Committee submissions and other funding mechanisms by presenting: a. benchmarked costings for Victorian AOD residential treatment programs b. optimal cost models for adult and youth residential withdrawal and rehabilitation programs
Does the implementation of an Early Intervention Palliative and Supportive Care Clinic for people... more Does the implementation of an Early Intervention Palliative and Supportive Care Clinic for people early in their illness trajectory improve access to community palliative care services thus increasing their ability to make informed choices, experience improved outcomes and be cared for in their place of choice throughout their illness whilst also improving?
The LGBTI inclusive practice for community health services project was a partnership between the ... more The LGBTI inclusive practice for community health services project was a partnership between the DHHS Diversity and Office for Disability unit and the Primary and Community Health unit. The project forms part of the Victorian Government’s commitment to promote inclusive and equitable access to health and human services for LGBTI people The project developed, piloted and evaluated a resource suite to promote LGBTI inclusive and responsive service planning and practice within CHSs. It aligned with and built on the foundations of the online DHHS resource Rainbow eQuality Guide , developed to assist mainstream health and community service agencies identify and adopt inclusive practices and become more responsive to the health and wellbeing needs of LGBTI individuals and communities. The resource suite aimed to support a whole of organisation approach to identifying issues faced by LGBTI people accessing health and human services and improving organisations’ responsiveness. They were to be adaptable to use by a diverse range of community health services irrespective of their size, location and experience in implementing similar initiatives.
This pilot project has taken place in the context of reforms in
both primary health care and the ... more This pilot project has taken place in the context of reforms in both primary health care and the out of home care (OOHC) sector, designed to strengthen person-centred care, particularly for people living with complex and chronic health conditions and improve the health and wellbeing outcomes for vulnerable children and young people in Victoria.
In response to recommendations from a previous phase of work, Optimising general practice to meet the needs of young people in residential care: a needs assessment (2016), a new model of care was developed for piloting in three locations in south eastern Melbourne.
This model tested the system response required to address the following needs: • improved service accessibility and responsiveness to the needs of OOHC youth • strengthened residential staff commitment to brokering young people’s access to health services • improved youth engagement with health and health services • improved data custodianship and integration across Child Protection, OOHC and care teams.
The approach selected for trial to address the system access barriers for youth was the establishment of a medical home relationship: every young person in residential care should have a ‘medical home’ to provide continuity of health care. Ideally, the medical home is a multidisciplinary health clinic which is child and adolescent friendly.
The key benefits of a medical home for vulnerable young people living in residential OOHC include:
• comprehensive, whole-person care, including continuity of care, clinical integration & ehealth technologies • relational approach to care • shared decision-making, self-management and empowerment • sensitivity to vulnerability and risk factors • accessibility • team-based care • local healthcare pathways • accountability, and systematic continuous quality improvement • opportunities for patient participation in service co-design.
The pilot trialled three different approaches to the medical home model to compare varying levels of flexibility in primary health delivery that could cater to the needs of the target group:
1. General practice as medical home (outreach to residential settings) - Dandenong 2. General practice as medical home (practice-based, existing preferred provider) - Elwood 3. headspace centre as medical home (outreach) – Frankston.
In each model: • Residential youth were engaged and assigned a care coordinator/navigator • Clinical secondary consultation for residential staff was provided • A collaborative and integrated shared care approach for ongoing care was developed.
The design of the pilot models emerged from the prior needs assessment and were responsive to each residential house site’s needs and circumstances.
The review explored existing smoking cessation practices, and identified opportunities to improve... more The review explored existing smoking cessation practices, and identified opportunities to improve cessation support provided to clients in the AOD system; and identified enablers and barriers to implementing a systematic approach to smoking cessation in the AOD system and the once-off and recurrent resources required.
Evaluating the first 12 months of a dedicated staffing model in a dementia specific residential c... more Evaluating the first 12 months of a dedicated staffing model in a dementia specific residential community
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Papers by Jo Grzelinska
develop coordinated responses.
café’ 1 can provide a safe, inclusive and non-clinical space for community members with mental health concerns to seek peer support, offering an alternative to presenting at the emergency department with (non-emergency) mental health issues.
• access to multidisciplinary care
• improving consumer health literacy
• care navigation.
The aim of this project was to undertake a rapid contextual mapping of pain recovery services in primary care in the metropolitan Melbourne Primary Health Network catchment. The PHN was particularly interested to identify services that: (a) align with the biopsychosocial model of pain management and (b) can deliver care within the clinical window of 6-12 weeks post an acute pain event. The PHN wished to identify how recovery from pain in the post-acute / sub-acute phase can be better achieved in primary care by integrating person-centred, collaborative, interdisciplinary care approaches to reduce the risk of progression to a chronic pain state.
There is a strong case to be made for the trialling of a community support model, comprised of a peer support component and a community connections component. The model will be staffed by professionals and supported by volunteers, including people with lived experience of mental illness in both groups.
three years to drive a fundamental shift in the way mental health
programs and services are delivered. Addressing complex and
persisting mental health problems requires the mental health
and broader service systems to be working well together. The
interactions and relationships among the elements that characterise
the entire system need to be robust and sustainable in order to
work towards better client outcomes. The PiR approach is driven
by systems thinking and strategic partnerships at all levels, with a
primary focus on addressing the issues that arise as a result of the
gaps and barriers in the current service system. The embedding
of systems change work into the practice of PiR is fundamental
to achieving service integration and provides additional value to
the experience for consumers and the system of PiR.
• Improving the coordination of services for young people, by providing information that health and community service providers need to support the development of partnerships to respond to the reproductive and sexual health needs of young people.
• Having the conversation with young people, by providing health and community service providers with guidance regarding the reproductive and sexual health conversation with young people.
Quit Victoria, with agreement from Cancer Council NSW, has initiated a project to adapt and test the Tackling Tobacco model, tools and resources in Victorian mental health settings. Three Victorian mental health services – Orygen Youth Health, EACH Social and Community Health, and Melbourne Health will pilot the model across five sites and inform a potential roll out in the Victorian public mental health sector.
This project explored the enablers, barriers and requirements for embedding smoking cessation across each organisation. The analysis assessed the suitability of the organisational change model for the Victorian context and identified potential modifications.
Some services are in negotiations about how best to design and deliver this feedback loop, including using smart technologies to support those with reduced decision-making capacities. One of the more acute challenges in this space is the development of sensitive strategies to address communication barriers such as cognitive impairment and/or other capacity issues. This is particularly important for the residents participating in sensitive care programs, to ensure that vulnerable residents are not disadvantaged under any new consumer-directed care initiatives.
Currently, there is limited agreement on appropriate consumer-directed care models and approaches nor evidence of efficacy in Australian residential contexts.
a. benchmarked costings for Victorian AOD residential treatment programs
b. optimal cost models for adult and youth residential withdrawal and rehabilitation programs
The project developed, piloted and evaluated a resource suite to promote LGBTI inclusive and responsive service planning and practice within CHSs. It aligned with and built on the foundations of the online DHHS resource Rainbow eQuality Guide , developed to assist mainstream health and community service agencies identify and adopt inclusive practices and become more responsive to the health and wellbeing needs of LGBTI individuals and communities.
The resource suite aimed to support a whole of organisation approach to identifying issues faced by LGBTI people accessing health and human services and improving organisations’ responsiveness. They were to be adaptable to use by a diverse range of community health services irrespective of their size, location and experience in implementing similar initiatives.
both primary health care and the out of home care (OOHC)
sector, designed to strengthen person-centred care, particularly
for people living with complex and chronic health conditions
and improve the health and wellbeing outcomes for vulnerable
children and young people in Victoria.
In response to recommendations from a previous phase of
work, Optimising general practice to meet the needs of young
people in residential care: a needs assessment (2016), a new
model of care was developed for piloting in three locations in
south eastern Melbourne.
This model tested the system response required to address the
following needs:
• improved service accessibility and responsiveness to the
needs of OOHC youth
• strengthened residential staff commitment to brokering
young people’s access to health services
• improved youth engagement with health and health
services
• improved data custodianship and integration across
Child Protection, OOHC and care teams.
The approach selected for trial to address the system access
barriers for youth was the establishment of a medical home
relationship: every young person in residential care should
have a ‘medical home’ to provide continuity of health care.
Ideally, the medical home is a multidisciplinary health clinic
which is child and adolescent friendly.
The key benefits of a medical home for vulnerable young
people living in residential OOHC include:
• comprehensive, whole-person care, including continuity
of care, clinical integration & ehealth technologies
• relational approach to care
• shared decision-making, self-management and
empowerment
• sensitivity to vulnerability and risk factors
• accessibility
• team-based care
• local healthcare pathways
• accountability, and systematic continuous quality
improvement
• opportunities for patient participation in service
co-design.
The pilot trialled three different approaches to the medical
home model to compare varying levels of flexibility in primary
health delivery that could cater to the needs of the target
group:
1. General practice as medical home (outreach to
residential settings) - Dandenong
2. General practice as medical home (practice-based,
existing preferred provider) - Elwood
3. headspace centre as medical home (outreach) –
Frankston.
In each model:
• Residential youth were engaged and assigned a care
coordinator/navigator
• Clinical secondary consultation for residential staff was
provided
• A collaborative and integrated shared care approach for
ongoing care was developed.
The design of the pilot models emerged from the prior needs
assessment and were responsive to each residential house
site’s needs and circumstances.
develop coordinated responses.
café’ 1 can provide a safe, inclusive and non-clinical space for community members with mental health concerns to seek peer support, offering an alternative to presenting at the emergency department with (non-emergency) mental health issues.
• access to multidisciplinary care
• improving consumer health literacy
• care navigation.
The aim of this project was to undertake a rapid contextual mapping of pain recovery services in primary care in the metropolitan Melbourne Primary Health Network catchment. The PHN was particularly interested to identify services that: (a) align with the biopsychosocial model of pain management and (b) can deliver care within the clinical window of 6-12 weeks post an acute pain event. The PHN wished to identify how recovery from pain in the post-acute / sub-acute phase can be better achieved in primary care by integrating person-centred, collaborative, interdisciplinary care approaches to reduce the risk of progression to a chronic pain state.
There is a strong case to be made for the trialling of a community support model, comprised of a peer support component and a community connections component. The model will be staffed by professionals and supported by volunteers, including people with lived experience of mental illness in both groups.
three years to drive a fundamental shift in the way mental health
programs and services are delivered. Addressing complex and
persisting mental health problems requires the mental health
and broader service systems to be working well together. The
interactions and relationships among the elements that characterise
the entire system need to be robust and sustainable in order to
work towards better client outcomes. The PiR approach is driven
by systems thinking and strategic partnerships at all levels, with a
primary focus on addressing the issues that arise as a result of the
gaps and barriers in the current service system. The embedding
of systems change work into the practice of PiR is fundamental
to achieving service integration and provides additional value to
the experience for consumers and the system of PiR.
• Improving the coordination of services for young people, by providing information that health and community service providers need to support the development of partnerships to respond to the reproductive and sexual health needs of young people.
• Having the conversation with young people, by providing health and community service providers with guidance regarding the reproductive and sexual health conversation with young people.
Quit Victoria, with agreement from Cancer Council NSW, has initiated a project to adapt and test the Tackling Tobacco model, tools and resources in Victorian mental health settings. Three Victorian mental health services – Orygen Youth Health, EACH Social and Community Health, and Melbourne Health will pilot the model across five sites and inform a potential roll out in the Victorian public mental health sector.
This project explored the enablers, barriers and requirements for embedding smoking cessation across each organisation. The analysis assessed the suitability of the organisational change model for the Victorian context and identified potential modifications.
Some services are in negotiations about how best to design and deliver this feedback loop, including using smart technologies to support those with reduced decision-making capacities. One of the more acute challenges in this space is the development of sensitive strategies to address communication barriers such as cognitive impairment and/or other capacity issues. This is particularly important for the residents participating in sensitive care programs, to ensure that vulnerable residents are not disadvantaged under any new consumer-directed care initiatives.
Currently, there is limited agreement on appropriate consumer-directed care models and approaches nor evidence of efficacy in Australian residential contexts.
a. benchmarked costings for Victorian AOD residential treatment programs
b. optimal cost models for adult and youth residential withdrawal and rehabilitation programs
The project developed, piloted and evaluated a resource suite to promote LGBTI inclusive and responsive service planning and practice within CHSs. It aligned with and built on the foundations of the online DHHS resource Rainbow eQuality Guide , developed to assist mainstream health and community service agencies identify and adopt inclusive practices and become more responsive to the health and wellbeing needs of LGBTI individuals and communities.
The resource suite aimed to support a whole of organisation approach to identifying issues faced by LGBTI people accessing health and human services and improving organisations’ responsiveness. They were to be adaptable to use by a diverse range of community health services irrespective of their size, location and experience in implementing similar initiatives.
both primary health care and the out of home care (OOHC)
sector, designed to strengthen person-centred care, particularly
for people living with complex and chronic health conditions
and improve the health and wellbeing outcomes for vulnerable
children and young people in Victoria.
In response to recommendations from a previous phase of
work, Optimising general practice to meet the needs of young
people in residential care: a needs assessment (2016), a new
model of care was developed for piloting in three locations in
south eastern Melbourne.
This model tested the system response required to address the
following needs:
• improved service accessibility and responsiveness to the
needs of OOHC youth
• strengthened residential staff commitment to brokering
young people’s access to health services
• improved youth engagement with health and health
services
• improved data custodianship and integration across
Child Protection, OOHC and care teams.
The approach selected for trial to address the system access
barriers for youth was the establishment of a medical home
relationship: every young person in residential care should
have a ‘medical home’ to provide continuity of health care.
Ideally, the medical home is a multidisciplinary health clinic
which is child and adolescent friendly.
The key benefits of a medical home for vulnerable young
people living in residential OOHC include:
• comprehensive, whole-person care, including continuity
of care, clinical integration & ehealth technologies
• relational approach to care
• shared decision-making, self-management and
empowerment
• sensitivity to vulnerability and risk factors
• accessibility
• team-based care
• local healthcare pathways
• accountability, and systematic continuous quality
improvement
• opportunities for patient participation in service
co-design.
The pilot trialled three different approaches to the medical
home model to compare varying levels of flexibility in primary
health delivery that could cater to the needs of the target
group:
1. General practice as medical home (outreach to
residential settings) - Dandenong
2. General practice as medical home (practice-based,
existing preferred provider) - Elwood
3. headspace centre as medical home (outreach) –
Frankston.
In each model:
• Residential youth were engaged and assigned a care
coordinator/navigator
• Clinical secondary consultation for residential staff was
provided
• A collaborative and integrated shared care approach for
ongoing care was developed.
The design of the pilot models emerged from the prior needs
assessment and were responsive to each residential house
site’s needs and circumstances.