Annual Report 2004-2005 - Forensicare

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STATEMENT OF CORPORATE INTENT - 2004-05 - 2006-07 Forensicare is required by legislation (Mental Health Act 1986, s. 117O) to prepare an annual Corporate Plan, including a Statement of Corporate Intent, for the Minister for Health. The Act also requires that the Statement of Corporate Intent, a planning document covering the current year and two subsequent years, be included in the Annual Report (s. 117U). Accordingly, the Statement of Corporate Intent 2004-2005 – 2006- 2007 is reproduced below. Statement of Corporate Intent 2004-2005 – 2006-2007 Business Objectives • Provide a high quality, expanded inpatient service that delivers efficient and effective care and treatment in a secure environment that integrates physical, procedural and relational security. • Provide a high quality, expanded community service that delivers efficient and effective care and treatment for mentally disordered offenders. • Promote and develop knowledge and expertise in forensic mental health. • Strengthen the capacity and expertise of Forensicare, ensuing optimal and efficient and effective functioning • 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. • Specialist assessment and treatment in secure inpatient facilities that provide high quality clinical services that meet regulations, legislative and security requirements. • Community follow-up, either directly or indirectly, for clients discharged from specialist forensic inpatient facilities or from prison. • Community care and treatment to target group clients referred by area mental health services, courts, Adult Parole Board or Community Correctional Services. • Liaison and consultative services to public mental health services and other agencies in relation to treatment of mentally disordered clients with significant forensic issues • Facilities and services that achieve high standards of care and security and contribute to community safety Nature and Scope of Activities Inpatient Identifying, developing and implementing forensic-specific key performance indicators and measures. Community Maintaining an effective working relationship with public mental health services in relation to interface arrangements with the community program. Providing a supported accommodation service in the Jardine flats (located adjacent to Thomas Embling Hospital). Strengthening clinical programming by targeting risk assessment, co-occurring disorders and offending/violence reduction. Maintaining full ongoing accreditation from Australian Council on Healthcare Standards for Community Operations Enhancing community mental health services and programs for mentally ill people released from prison Completing at lease one comprehensive and independent clinical audit of community programs Implementing consumer outcome measures to monitor performance of clinical programs, consistent with Department of Human Services policy Strengthening and enhancing mechanisms for consumer and carer participation in service development. 76 Accounting Policies The Victorian Institute of Forensic Mental Health prepares general purpose financial reports in accordance with Australian Accounting Standard AAS29 ‘Financial Reporting by Government Departments’. AAS29 requires the accrual basis of accounting to be adopted. It also acknowledges that government departments are primarily service-oriented entities that require reporting consistent with departments’ service delivery objectives. The published annual financial report contains a statement of financial performance, a statement of financial position and statement of cash flows and is audited by the Auditor-General's Office Victoria. The Victorian Institute of Forensic Mental Health reports each twelve-month period ending 30 June. CLINICAL SERVICES Main Undertakings The Clinical Services program is responsible for treating people with serious mental disorder in the criminal justice system and those patients at high risk of behaving violently. Clinical Services provides the following inpatient and community services – Maintaining 100 specialist forensic inpatient beds at the Thomas Embling Hospital Maintaining a comprehensive security system at Thomas Embling Hospital through ongoing monitoring and upgrading as required Maintaining full ongoing accreditation from Australian Council on Healthcare Standards for Inpatient Operations Strengthening clinical programming by targeting risk assessment, co-occurring disorders and offending/violence reduction. Enhancing mental health programs for mentally ill prisoners and those remanded in custody (subject to requirements of correctional management and health providers) Implementing consumer outcome measures to monitor performance of clinical programs, consistent with DHS policy Strengthening and enhancing mechanisms for consumer and carer participation in service development Completing at least one comprehensive and independent clinical audit of inpatient services Reviewing all emergency contingency planning in collaboration with fire brigade, police and corrections Performance Measures Inpatient Bed occupancy rate Percentage of patients who have a physical examination completed within 48 hours of admission Maintain the average length of stay achieved in 2002-2003 for security (s16(3)(b)) and involuntary (s12) patients Unplanned readmission rate within 28 days Number of admissions Number of individual patients Total number of separations Number of assessments/secondary consultations performed for other agencies, including public mental health services Number of psychiatric and psychological reports prepared for Victorian courts Number of escapes from Thomas Embling Hospital Percentage of patient leave episodes involving a patient absconding Number of category one incidents (other than patient absconding) Proportion of direct care staff undertaking aggression management training within 6 weeks of commencement
Prison Forensic Mental Health Service – Melbourne Assessment Prison – Percentage of prisoners considered a risk to themselves and who are assessed by a mental health professional within 2 hours of referral as a proportion of all prisoners who are so referred Complaints received regarding health issues or access to appropriate health care which the Commissioner receives directly and/or via the Ombudsman and proven to the Commissioner’s satisfaction to be valid. Community Number of client contacts Number of continuing clients Percentage of Individual Service/Treatment Plans commenced within 6 weeks of registration Percentage of section 47 certificates provided to the court within the specified time period Percentage of section 41(1) reports provided to the court within the specified time period Number of new registered clients Number of client separations Number of assessments performed for public mental health services Number of assessments performed for other agencies Number of psychiatric and psychological reports prepared for Victorian courts Number of Non Custodial Supervision Orders supervised where treatment is not provided by Forensicare Number of category one incidents Jardine Transition Program Admissions – number of clients on overnight leave; number of clients on extended leave PROFESSIONAL EDUCATION AND RESEARCH Main Undertakings The Professional Education and Research program— • provides professional education and training on forensic mental health issues to Forensicare, public mental health services and other key stakeholders. • promotes and develops knowledge and expertise in forensic mental health • produces and facilitates high quality research to better inform clinical practice in the provision of public mental health services. Nature and Scope of Activities Facilitating the development of skills and expertise in forensic mental health through an active professional education program Supporting and promoting a specialist research program to inform clinical service delivery Disseminating forensic mental health clinical and research knowledge to public mental health services through workshops and newsletters. Performance Measures Professional Education Number of education and training sessions provided to area mental health services Number of education and training sessions provided to other agencies Number of formal presentations and papers delivered to professional forums Number of professional education placements provided Research Number of completed research projects Number of research hours undertaken by clinical staff Number of developments in clinical practice introduced as a result of research findings Percentage of clinical staff successfully completing research and/or research training courses Number of scholarly articles published in refereed journals and books CORPORATE SUPPORT AND DEVELOPMENT Main Undertakings The Corporate Support and Development program – • Provides advice to the Department of Human Services and other key stakeholders on forensic mental health issues. • Provides information to the general community on forensic mental health issues to promote and develop knowledge and expertise in forensic mental health. • Promotes the activities and services of the Victorian Institute of Forensic Mental Health to enhance and improve public and key stakeholder confidence. • Develops and/or expands services as approved by the Minister for Health Nature and Scope of Activities Developing a comprehensive 5 year planning framework for the organisation that incorporates strategic directions across health and justice to guide development of the Institute in 2004-2008. Maintaining a comprehensive Quality Improvement Program (which may include targeted benchmarking against like services) to promote productivity efficiency and high quality service provision Maintaining interstate and international forensic networks to strengthen capacity and expertise, enhance service delivery and inform public mental health services Pursuing service development opportunities that will strengthen the capabilities of Forensicare Providing high-level advice on forensic health and forensic mental health issues Continuing to develop independent information technology capabilities to enhance organisational efficiency, research and professional education Contributing to the development of a combined secure extended care-medium secure forensic facility Developing and implementing a staged expansion of Community Forensic Mental Health Service to meet increased demand for specialist services Maintaining full ongoing organisation-wide accreditation from Australian Council on Healthcare Standards Maintaining strong level of credibility with Government for capable and efficient financial and security management Demonstrating effective professional management of industrial relations issues within the workplace Maintaining the confidence of Government (including police, corrections and courts) and the community for services provided Developing an organisational culture that harnesses and values the expertise of staff in delivering excellent forensic mental health services. Performance Measures Complete quarterly reports and submit to Minister by the 21st day after end of reporting period (ie. 21 Oct, 21 Jan., 21 April, 21 July) Number of responses for specialist advice and information to Department of Human Services and other government agencies Number of submissions which address gaps in service in forensic mental health, public mental health and justice environments Complete Quarterly Security Audits (audit process to commence at end of July, October, January and April) and submit action report to DHS following tabling at Quality Improvement Sub-Committee Prepare report on Category One Incident and submit to DHS within 48 hours of incident Submit Quarterly Incident Report to DHS following tabling at QI Sub-Committee Achieve service requirements within allocated funding. 77
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Victorian Institute of Forensic Men
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Our Vision ….. to become an inter
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COMPOSITION OF REVENUE FIVE YEAR CO
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Initiatives Achievements Performanc
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LOOK HOW WE HAVE GROWN… As an org
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Chief Executive Officer’s Report
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My thanks …. Successful organisat
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Clinical Director’s Report The Th
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Nursing Practice Director’s Repor
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The implementation of the Carer Par
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SNAPSHOT OF TOTAL PATIENT POPULATIO
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JARDINE TRANSITION PROGRAM The comm
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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 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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