Annual Report 2004-2005 - Forensicare

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Community Forensic Mental Health Service 20 Strategic objectives • Provide specialist community forensic mental health services to people with a serious mental disorder in the criminal justice system and people at high risk of behaving violently. • Provide multi-disciplinary assessment, treatment and management of people with a range of problem behaviours that are, or might become, associated with offending. • Provide specialist assessment and treatment for sexual offenders who have committed serious sexual offences and pose a high risk to the community. • Provide a transitional accommodation program to assist mentally disordered offenders exiting Thomas Embling Hospital to gain skills for independent community living. • Provide expert assessment and advice to courts, corrections, releasing authorities and general mental health services in relation to the early detection, assessment, treatment and risk management of mentally disordered offenders and potential offenders. • Provide liaison and consultative services to general mental health services and other agencies in relation to treatment of mentally disordered clients with significant forensic issues. Challenges • To work with area mental health services, community support services and justice agencies to enhance their response to mentally ill repeat offenders. • To stay abreast of developments in risk assessment technologies and adopt best practice in identifying and managing the risks our clients pose. • To embed the learning from the Consolidating and Strengthening Clinical Practice training in clinical practice across the community programs. How we plan to succeed in 2005-2006 • Implement the recommendations relating to Forensicare’s court liaison service that were included in the draft review of statewide mental health court liaison services. • Undertake a twelve month evaluation of Jardine Transition Program. • Subject to funding, strengthen and develop more effective post release planning for prisoners with a serious mental illness. • Implement new reporting systems for the statewide management of offenders on Non-Custodial Supervision Orders. • Develop a fee-for-service specialist Victim Assessment Service. PROFILE • a statewide service providing assessment and multidisciplinary treatment services to high risk clients referred from correctional providers, police, courts, the Adult Parole Board, the Thomas Embling Hospital, the Acute Assessment Unit at Melbourne Assessment Prison, the Psycho Social Unit at Port Phillip Prison, mainstream mental health services, private psychiatrists and general practitioners. • programs provided – • Community Forensic Mental Health Program • Problem Behaviour Program • Transitional Accommodation Program • Court Services Program KEY OUTCOMES CONSOLIDATING AND STRENGTHENING CLINICAL PROGRAMS All clinicians at Community Forensic Mental Health Service (CFMHS) undertook the organisation-wide training to ensure that substance abuse and criminogenic factors are addressed in the assessment and treatment of clients. CFMHS is represented on the Consolidating and Strengthening Clinical Programs (CSCP) steering committee and has dedicated part of a senior psychologist position to review existing strategies and provide advice on additional methods to address these issues. Risk and needs assessment documentation has been reviewed to ensure that substance abuse and criminogenic factors are always considered when undertaking assessments. A consumer survey is underway to assess a range of issues of relevance to clients, including whether they believe that clinicians have addressed substance abuse and offending issues with them. Results of this survey will be available next year. COLLABORATION WITH SPECTRUM A collaborative working arrangement has been developed between Forensicare and SPECTRUM (the statewide personality disorder service) to enhance service provision for people with high complexity problems associated with personality disorder. In the past year, two clients of Forensicare’s Mental Health Program and one client of the Problem Behaviour Program have been managed in conjunction with SPECTRUM. This arrangement has proved highly effective in coordinating service delivery to a high risk group of clients, and has succeeded in achieving targeted funding arrangements for clients and a referral to the Multiple and Complex Needs Initiative. SPECTRUM and Forensicare jointly developed and presented a series of four professional education sessions on ‘Violence and Mental Disorder’ for area mental health services staff working with clients with personality disorders. MENTAL HEALTH COURT LIAISON SERVICE In 2003 a review was undertaken by Forensicare to evaluate the structure and effectiveness of the statewide Mental Health Court Liaison Program. While some recommendations were of relevance to the statewide system, those recommendations specific to Forensicare have been considered and some will be implemented in 2005-2006. A steering committee has been established to guide implementation. The recommendation to widen the disciplines employed in the service has been accepted, and future recruitment by Forensicare to the Court Liaison Service will be expanded to include psychologists, social workers and occupational therapists. This service is highly valued by the courts, but is limited to magistrates’ courts. Consideration will be given to service provision in the Country Court and to facilitating improved networking of services across metropolitan and regional locations. CARER PARTICIPATION PLAN Initial steps were taken to develop a carer participation plan for Community Forensic Mental Health Services. Discussions were held with Forensicare’s newly appointed Family Advocate regarding strategies to engage carers, the implementation of an inservice training session for staff (provided by a carer whose partner is a forensic patient) and surveying clients to ascertain their perception of the services required by their carers. Forensicare worked collaboratively with the Mental Illness Fellowship to produce a pamphlet providing relevant information for carers at the time of arrest of their relative/friend. The content of the brochure was determined in consultation with a group of carers who had experienced the arrest process. The pamphlets were completed and copies distributed to police stations throughout Victoria.
JARDINE TRANSITION PROGRAM The commissioning of the Jardine Transition Program occurred in August 2004. This 15 bed short-term residential program is designed to assist forensic patients in the transition from the Thomas Embling Hospital to community living. Accommodation is provided for a maximum of 18 months. The program commenced with four forensic patients who obtained overnight leave approval from the Forensic Leave Panel to reside in the program for up to three nights per week. One patient has now been granted Extended Leave by the Supreme Court and resides in the program on a full time basis. At 30 June 2005, a total of nine clients were participating in the program, and two clients had successfully completed the transitional process and transferred to flats in the community. An evaluation of the program was undertaken three months after it commenced, to ascertain effectiveness and identify possible enhancements. The evaluation contained a number of recommendations, the principle one being an amendment to the staffing arrangements, which was endorsed by Council and subsequently implemented. A twelve month review will be conducted in September 2005. Comments from the judiciary indicate that the availability of the Jardine Transition Program is a critical factor in considering extended leave applications. OTHER ACHIEVEMENTS • The development of an interservice agreement between Forensicare and North West Health Care Network (who provide services to a high proportion of forensic mental health clients leaving both prison and Thomas Embling Hospital). • A review of administrative services at the Community Forensic Mental Health Service to enhance the effectiveness and efficiency of the administration. • A review of security at the office of Community Forensic Mental Health Service (200 Sydney Road, Brunswick) to ensure that a secure working environment is maintained for staff and clients, and that confidential health information and other property is securely stored. • The amalgamation of the Psychosexual Treatment Program and the Problem Behaviour Clinic to provide – • greater flexibility in allocation of cases and reduced waiting times • increased efficiency in the allocation of staff time and resources • increased capacity for individual clinicians to develop skills and knowledge across specialist areas • a reduction in the complexity of the intake system • enhanced capacity for evaluation and research. HOW WE MEASURED OUR COMMUNITY PERFORMANCE IN 2004-2005 Our Performance Measures are established annually by Department of Human Services and can therefore vary from year to year. Comparative annual data is shown for the 3-year period from 2002-2003, as measures remained unchanged in this period. Performance Measures Performance Targets Outcomes Outcomes Outcomes % Change 2004-2005 2003-2004 2002- 2003 2002-2003 - 2004-05 Number of client contacts 13,900 16,497 15,325 16,331 ↑1% Number of continuing clients 250 302 241 285 ↑16% Percentage of Individual Service/Treatment Plans commenced within 6 weeks of registration 100% 100% - - - Number of new registered clients 150 403 234* 166 ↑143% Number of client separations 150 351 321* 162 ↑117% Number of assessments performed for public mental health services 50 215 191+ 138 ↑56% Number of assessments performed for other agencies 40 100 130 111 ↓10% Number of psychiatric and psychological reports prepared for Victorian courts 240 328 355 372 ↓12% Number of category one incidents Target not required 1 0 0 ↑- Jardine Transition Program Number of clients on overnight leave Target not required 10 - - - Number of clients on extended leave Target not required 2 - - - * The system for recording new clients was amended during the year and a category of previously unregistered clients are now registered. + During the year the Community Forensic Mental Health service assumed responsibility for providing assessments for public mental health services. This measure includes all assessments provided from the date of transfer. 21
Page 1 and 2: Victorian Institute of Forensic Men
Page 3 and 4: Our Vision ….. to become an inter
Page 5 and 6: COMPOSITION OF REVENUE FIVE YEAR CO
Page 7 and 8: Initiatives Achievements Performanc
Page 9 and 10: LOOK HOW WE HAVE GROWN… As an org
Page 11 and 12: Chief Executive Officer’s Report
Page 13 and 14: My thanks …. Successful organisat
Page 15 and 16: Clinical Director’s Report The Th
Page 17 and 18: Nursing Practice Director’s Repor
Page 19 and 20: The implementation of the Carer Par
Page 21: SNAPSHOT OF TOTAL PATIENT POPULATIO
Page 25 and 26: Consolidating and Strengthening Cli
Page 27 and 28: Professional Education Strategic ob
Page 29 and 30: 20-23 June 2005, Annual Meeting of
Page 31 and 32: Research Strategic objectives • U
Page 33 and 34: RESEARCH IN PROGRESS AT 30 JUNE 200
Page 35 and 36: Strategic objectives • Provide hi
Page 37 and 38: SUPPORT FOR PEOPLE WITH A SERIOUS M
Page 39 and 40: The recommendations included in the
Page 41 and 42: INFORMATION MANAGEMENT Due to our r
Page 43 and 44: ENVIRONMENTAL MANAGEMENT Environmen
Page 45 and 46: Units of water consumed 2004/2005 2
Page 47 and 48: THE GOVERNING BODY - THE VICTORIAN
Page 49 and 50: COUNCIL COMMITTEES Five committees
Page 51 and 52: New Zealand Standard on Risk Manage
Page 53 and 54: LEGISLATIVE COMPLIANCE BUILDING AND
Page 55 and 56: Michael Daffern, Principal Psycholo
Page 57 and 58: Financial Overview FINANCIAL MANAGE
Page 59 and 60: 2004-2005 Financial Statements for
Page 72 and 73:
2004-2005 Financial Statements for
Page 74 and 75:
Page 76 and 77:
Page 78 and 79:
STATEMENT OF CORPORATE INTENT - 200
Page 80 and 81:
GLOSSARY 78 Acute Assessment Unit /
Page 82 and 83:
INDEX 80 A Academic Centre - 34 Acc
Page 84:
Victorian Institute of Forensic Men
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Annual Report 2004-2005 - Forensicare

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