Annual Report 2004-2005 - Forensicare

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Initiatives Achievements Performance The Future Continue the development of organisational and clinical benchmarks with other forensic jurisdictions, including the Institute of Psychiatry, UK. The developmental work continued and the first set of data against the indicators was finalised. The three states participating in the collection of data met in May 2005 (page 36). ✣ The work is ongoing, with further data collection to be undertaken. This work will assist in the progressing of the new Commonwealth-lead forensic mental health benchmarking initiative. Develop and establish an accredited tertiary training program in forensic mental health for specialist clinicians and those in area mental health services, corrections, law, teaching, child protection and juvenile justice. A framework for a staged academic program, beginning with the curriculum development for a 12 month certificate course and incorporating an advanced diploma and Masters Degree, was finalised during the year (page 34). ✣ It is expected that the Certificate Course will be offered through Monash University and Forensicare in the 2006 academic year. Negotiate with the Department of Human Services and Monash University regarding the establishment of a Victorian Centre for Forensic Mental Health Training and Research. Negotiations with Monash University regarding the establishment of an academic Centre for Forensic Behavioural Science training and research commenced and informal agreement has been obtained with Monash University for creation of this body in 2005-2006 (page 34). ✔ Subject to finalising agreements with the Department of Human Services and Monash University, the new Centre will be established in 2005-2006. Co-host (together with the International Association of Forensic Mental Health Services) the 5th Annual Conference of the International Association of Forensic Mental Health Services in Melbourne in April 2005. The International Association of Forensic Mental Health Services Conference was held in Melbourne on 18-20 April 2005. The Conference was highly successful, attracting 400 participants from around the world (page 34) ✔ The planning of future conferences will be considered by Forensicare in terms of our ongoing commitment to advancing knowledge of forensic mental health. Examine service options in relation to provision of services, including services for – • victims • victims/families/carers of mentally ill offenders. Forensicare has established a Victims Services portfolio, headed by an experienced forensic psychologist. This new program will work closely with the Victims Support Agency (Department of Justice), to provide high level support and specialist assistance to service providers across Victoria (page 35) ✔ The development of this program and other service options will be ongoing. Subject to required funding, implement an Environmental Sustainability Strategy throughout the organisation. Although we were unable to achieve the level of funding required to fully implement our Environmental Sustainability Strategy, specific initiatives were developed and implemented (pages 41-43) ✣ Funding will continue to be pursued to enable our detailed Environmental Sustainability Strategy to be fully implemented across the organisation. Develop and establish the evaluation component of the Jardine Transition Program. The 3 month evaluation of the program was completed and terms of reference are currently being developed for the 12 month evaluation (page 21). ✔ The 12 month evaluation of the program will commence in September 2005. ✔ Implemented ✣ In progress/part implemented “ MAKING A DIFFERENCE ……… While supervising the Graduate and Post Graduate Nurses, the Clinical Nurse Educator became aware that the practice of when a student nurse could administer medication unsupervised at Forensicare varied from unit to unit. A medication competency assessment was subsequently developed and implemented across all units. This assessment standardises the skill level to be demonstrated by Graduate and Post Graduate Nurses to administer medication unsupervised in the hospital and increases the level of patient care. 6
LOOK HOW WE HAVE GROWN… As an organisation, Forensicare has experienced significant growth in the seven years since our inception as a statutory authority, and in the five years since the opening of the Thomas Embling Hospital. Seven years ago, forensic mental health services were provided by the Department of Human Services, and Forensic Services was a small operational unit located within the Mental Health Branch. We had a small community program, and our inpatient services consisted of 58 beds in aged units located within the Mont Park complex at Rosanna. While we initially concentrated our attention on the commissioning and bedding down of the Thomas Embling Hospital (opened in April 2000) and on the establishment of our new organisation, we have continued to provide a broad and increasing range of services without any substantial increase in resources. This profile demonstrates our service level activities over the last five years – the trends are self-evident. Forensicare has not been spared the service demand pressures experienced by our general mental health colleagues in recent years. Since 2002, we have endeavoured to respond to the demand pressures in a strategic manner, and as an integral component of Victoria’s public mental health service. We began re-directing resources, both clinical and training, to area mental health services, while at the same time, focussing our efforts on systems improvements to optimise our service responsiveness to demands from the criminal justice system. There is little sign that the service demand will not continue to grow. We will continue to strive for improved productivity, while developing and managing our services in a manner which adds value and maximises resource utilisation. We are quickly reaching a point however, where maintaining current service levels, let alone facilitating growth, is posing difficulties. In the absence of additional resources and service system enhancements, the current situation is not sustainable. Number of prisoners seen Thomas Embling Hospital – Occupied Bed Days 40,000 30,000 20,000 10,000 0 1998 - 1999 1999 - 2000 Occupied bed days 2000 - 2001 2001 - 2002 Prison Mental Health Service – Melbourne Assessment Prison 6,000 5,000 4,000 3,000 2,000 1,000 0 2000 - 2001 2001 - 2002 2002 - 2003 2002 - 2003 2003 - 2004 2003 - 2004 Reception Assessments Referrals for mental health care and treatment * number of client contacts funded by Department of Human Services since 2002-2003 – 13,900. 2004 - 2005 Total possible occupied bed days Community Forensic Mental Health Service – Client Contacts* 20,000 15,000 10,000 5,000 0 1998 - 1999 1999 - 2000 2000 - 2001 Reports Prepared for Courts 2001 - 2002 2002 - 2003 2003 - 2004 2004 - 2005 2004 - 2005 600 500 400 300 200 100 0 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004 - 2005 Note – this excludes reports prepared for the Office of Public Prosecutions, Adult Parole Board, Community Corrections and area mental health services. Assesments Performed for Area Mental Health Services and Other Agencies 400 300 200 100 Thomas Embling Hospital, Forensicare’s 100-bed secure inpatient facility, was opened in April 2000. 0 2000 - 2001 2001 - 2002 2002 - 2003 2003 - 2004 2004 - 2005 7
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: Initiatives Achievements Performanc
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 and 22: SNAPSHOT OF TOTAL PATIENT POPULATIO
Page 23 and 24: JARDINE TRANSITION PROGRAM The comm
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
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2004-2005 Financial Statements for
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STATEMENT OF CORPORATE INTENT - 200
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GLOSSARY 78 Acute Assessment Unit /
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INDEX 80 A Academic Centre - 34 Acc
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Victorian Institute of Forensic Men
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