Mental Health Council of Australia NDIS AND MENTAL HEALTH THE NATIONAL PICTURE 28 OCTOBER 2013 What is the Mental Health Council of Australia? • • Peak national NGO representing and promoting the interests of the Australian mental health sector Members including national organisations representing: • Consumers and carers • Special needs groups • Public and private mental health professionals • Researchers • State mental health peak bodies • National NGOs MHCA and the NDIS • • • • Lobbying for inclusion of mental illness Eligibility and Assessment Working Group Recent advocacy: • Legislation, Rules etc • Bilateral arrangements and scheme design Sector Development Fund – Capacity Building Project Where are we at? • • • • Many unanswered questions Only one launch site actively taking clients Fundamental policy concerns Major implementation challenges Where do we need to head? We need to defend: The NDIS can deliver: • • • • • • • • • • Flexible access Multiple levels of assistance Recovery principles Consumer and carer inclusion Whole of life support A specialised workforce Additional resources Long-term commitment Portability Choice and control Key policy issues • Scheme design • Permanency of impairment • Early intervention Commonwealth programs in scope • Personal Helpers and Mentors (100%) • Partners in Recovery (70%) • Day 2 day living (35%) • Mental health respite: carer support (50%) • Employment services (?) SPMI with complex needs SPMI without complex needs SMI (temporary/episodic?) Need for psychosocial support with or without formal diagnosis 60,000 135,000 420,000 ? Tier 3 Tier 2 Now NDIS (current clients) NDIS (future clients) Yes Yes Yes SPMI without complex needs Yes Maybe* No SMI (temporary/episodic?) Yes Maybe* No Yes Maybe* No SPMI with complex needs Need for psychosocial support with or without formal diagnosis * NDIS participants have priority Personal Helpers and Mentors Tier 3 Tier 2 Now? NDIS Yes Yes SPMI without complex needs No No SMI (temporary/episodic?) Maybe No Maybe No SPMI with complex needs Need for psychosocial support with or without formal diagnosis Partners in Recovery Key policy issues • Scheme design • Permanency of impairment • Early intervention Key implementation issues • The assessment process • Self-referral • Supported decision making • Organisational readiness • Workforce • Pricing What the MHCA is doing Advocacy • Policy makers • NDIA staff • NDIA Board • DSS • National Mental Health Commission • Members and stakeholders What the MHCA is doing • Consumer and carer resources from a psychosocial disability perspective • • • • Eligibility and permanency of impairment Goal-based planning What might I choose? Case studies • Audit of resources for service providers • Regular information bulletins • Comprehensive online information repository What the MHCA is doing Working groups 1. Eligibility and assessment 2. Monitoring, evaluation and service quality 3. Supported decision making 4. Scheme design, administrative arrangements and workforce 5. Organisational readiness What you can do • Join our network • Give us your views Contacts: Liz Ruck Travis Gilbert 02 6285 3100 [email protected] Mental Health Council of Australia NDIS AND MENTAL HEALTH THE NATIONAL PICTURE 28 OCTOBER 2013 Serious and persistent mental illness with complex interagency needs (Tier 3) • Intensive support needs (10%) More than 28 hours/week • High support needs (25%) 10 hours/week • Medium support needs (10%) 5 hours/week • Low support needs (55%) 1.5 hours/week Your views? • What does a ‘permanent impairment’ mean in practice? Can it be reconciled with recovery principles? • What is the best way to support people who don’t want to participate but would nonetheless benefit? • What do you think ‘early intervention’ means in reality? • Is your organisation ready? What would help your service be sustainable? • What other questions do you need answered most urgently?