Ravenhall Prison Project - Department of Treasury and Finance

Ravenhall Prison ProjectRavenhall Prison ProjectInvitation for Expressions of Interest Briefing:Health & Forensic Secondary Mental Health ServicesThursday 13 June 2013

Ravenhall Prison ProjectWelcomeBen DempseyProject Director, Ravenhall Prison Project, Department of JusticeJan ShuardCommissioner, Corrections Victoria, Department of JusticeLarissa StrongDirector, Justice Health, Department of JusticeLeanne BeagleyDirector, Acute and Ambulatory Programs, Mental Health, Drugs and Regions Division,Department of Health

Ravenhall Prison ProjectAgendaOpeningCorrections contextJustice Health Policy and Quality FrameworkHealth servicesForensic secondary mental health servicesExpressions of InterestBen DempseyJan ShuardLarissa StrongLarissa StrongLarissa StrongLeanne BeagleyBen Dempsey

Ravenhall Prison ProjectProbity matters• Probity Adviser:Michael ShatterRSM Bird CameronLevel 8, Rialto South Tower 525 Collins StreetMelbourne Vic 3000T +61 (0)3 9286 1866 M +61 (0)409 808 639E.mail: michael.shatter@rsmi.com.au• Communication protocols - all communications are to be directed to theProject Director via e.mail atravenhall.prison@justice.vic.gov.au

Ravenhall Prison ProjectCommunication with the project teamMr Ben DempseyProject DirectorRavenhall Prison ProjectDepartment of JusticeLevel 29, 121 Exhibition StMelbourne VIC 3000Mr Johan TopDeputy Project DirectorRavenhall Prison ProjectDepartment of JusticeLevel 29, 121 Exhibition StMelbourne VIC 3000ravenhall.prison@justice.vic.gov.auPh: +61 3 8684 7708

Ravenhall Prison ProjectBriefing purpose1. To provide an overview of Victoria’s prison healthsystem and the health and mental health servicesexpected to be provided at the Ravenhall prison2. To clarify outcomes of the Invitation for EOI• Shortlist consortia to deliver the project• Determine the best delivery model for ForensicSecondary Mental Health

Ravenhall Prison ProjectCorrections contextJan ShuardCommissioner

Ravenhall Prison ProjectThe Project• The prison will be a privately operated 500-bed mediumsecurity men’s prison• To be delivered as a Public-Private Partnership project• The private sector will provide correctional services and beresponsible for the design, construction, financing andmaintenance of the prison for 25 years

Ravenhall Prison ProjectProject objectives• Provide additional capacity in the Victorian prison system bylate 2017• Provide additional forensic mental health services toprisoners• Provide additional capability in reducing reoffending• Encourage innovative practices and operational efficienciesthat support value for money

Ravenhall Prison ProjectPrison role and accommodation profile

Ravenhall Prison ProjectCorrectional Services System• Health services are critical to the exercise of the State’s dutyof care• Provision of access to medical care and treatment a right under theCorrections Act• Access to quality health services supports rehabilitationobjectives• Important that there is a consistency of standards in healthprovision across the Victorian prison system

Ravenhall Prison ProjectJustice Health Policyand Quality FrameworkLarissa StrongDirector, Justice Health

Ravenhall Prison ProjectJustice Health Policy and Quality Framework• Justice Health Policy• Provides the policy context and the principles that underpin healthservice delivery in Victorian prisons• Key Principles• Prison health care should be equivalent to public health care in thecommunity• Prison health services focus on health outcomes• Health promotion and prevention is emphasised• Continuum of care from prison to community• Quality framework ensures safe, quality care• Professional independence of health professionals• Health Services providers must be accredited with an approvedAustralian health service accrediting body

Ravenhall Prison ProjectJustice Health Quality Framework (JHQF)• JHQF consolidates the key elements of an effectiveapproach to planning, delivering, monitoring and reportingon clinical care and healthcare services.• Applies to all prison health services in public and privateprisons and articulates the standards to which care must beprovided.• Health services audited against standards.• Three parts:Part I - Dimensions of Quality and Clinical Governance ComponentsPart II - Health Service Standards and Clinical Governance Requirements (the Standards)Part III - Performance Assessment and Reporting (Reporting Requirements)

Ravenhall Prison ProjectHealth Services

Ravenhall Prison ProjectCorrectional Health service system• Primary health• Secondary health• Tertiary health• Alcohol and other drug programs

Ravenhall Prison ProjectPrison health services:Primary servicesServices availableAccess• Medical officers• General nursing• Pathology• Radiology• Dental• Optometry• Mental health nursing• Physiotherapy• Podiatry• Occupational therapy• Alcohol & other drugservicesTwo streams:• health programs• criminogenic programsPrimary health care servicesare available in every prison –includes primary mental health.Some exceptions (e.g. dental)require prison transfer.Alcohol & other drug services /programs available at all sites.

Ravenhall Prison ProjectPrison health services:Secondary services – general healthServices available• Specialist outpatient consultations• Inpatient residential medical careAccess‘Hub and spoke’ model: centralisedsecondary services in metropolitan prisons.Specialist outpatient services providedthrough affiliation with major metropolitanhospital.Most consultations require prisoners to goto the hospital, while some are provided atone of the large metropolitan prisons.Prisoners travel to central prisons to receiveservices.

Ravenhall Prison ProjectPrison health services:Tertiary servicesServices available• Specialist medical consultations /investigations• Inpatient tertiary services care(e.g. surgery)• Emergency careAccessNon-emergency services provided througha major hospital, which has a secure ward.Emergency services provided by thenearest public hospital (followingambulance transfer)

Ravenhall Prison ProjectMen’s prison system

Ravenhall Prison ProjectForensic Secondary Mental HealthServicesLarissa StrongDirector, Justice HealthLeanne BeagleyDirector, Acute & Ambulatory Programs

Ravenhall Prison ProjectForensic Secondary Mental Health (FSMH) ServicesDefinition• A specialty area of mental health and different to mental healthservices largely due to the complexities associated in theassessment, treatment and management of persons with a seriousmental illness coupled with offending behaviour or at risk ofoffending.• These persons often display severe and enduring symptoms ofmental illness and associated high risk and aggressive behaviours.• Forensic mental health services are required to assess, treat andmanage the underlying mental illness and related behaviours, inaddition to providing ongoing clinical assessment of risk in relation toself-harm, harm to others and reoffending.

Ravenhall Prison ProjectPrison health services:Specialist mental health servicesServices available• Consultant psychiatry• Residential mental health care• Outpatient programs• Community Reintegration Program• Psychiatric and Psychologicalreports for courts and the Adult ParoleBoard• Supplementary services(suicide / self-harm training to prisonstaff)AccessPsychiatric consultations on site at mostprisonsSpecialist residential units for maleprisoners in two prisons:• 16-bed Acute Assessment Unit at theMelbourne Assessment Prison• 30-bed St Paul’s psychosocialrehabilitation unit at Port Phillip PrisonInvoluntary mental health services providedby a specialist mental health hospital –under the Mental Health Act.

Ravenhall Prison ProjectFSMH stepped care modelThe Ravenhall Prison FSMH service will provide steppedlevels of specialist care for prisoners with a mental illnesswith flexible treatment options in order to provide:• The least intense and intrusive intervention to achieve effectiveoutcomes for the individual• The least restrictive environment to the extent so that it does notpose serious risk to the person, others or the community uponrelease• A continuum of care between prison system and the community toreduce recidivism, improve health outcomes and assistcommunity reintegration.

Ravenhall Prison ProjectStepped care model

Ravenhall Prison ProjectCorrectional Health Service SystemVision for FSMH services:• Provision of continuous care for prisoners with a mental illness fromreception to release and reintegration with community mental healthservices• Integration with existing FSMH services at the AAU and St Paul’sWard• Integration of timely service provision for prisoners requiringinvoluntary treatment at Thomas Embling Hospital

Ravenhall Prison ProjectExpressions of InterestBen DempseyProject Director, Ravenhall Prison Project

Ravenhall Prison ProjectOutcomes• Shortlist consortia to deliver the project• Determine the best delivery model for ForensicSecondary Mental Health

Ravenhall Prison ProjectEvaluation criteria for short-listing1. Experience and capability2. Financial capacity, structure and financing3. Understanding of, and approach to, the project

Ravenhall Prison ProjectFSMH assessment• Opportunity to demonstrate the capability andexperience of nominated service providers• Approach to integrating the FSMH service intoRavenhall and the broader corrections system• Assessment will support the State’s decisionmakingon the preferred model for FSMH servicedelivery• Not to be used for EOI short-listing

Ravenhall Prison ProjectEOI phase – key datesEOI phase itemDateInvitation for EOI released Wednesday 5 June 2013EOI briefing Wednesday 12 June 2013Health and Forensic Secondary MentalHealth briefingThursday 13 June 2013Closing time for clarification questions 2pm AEST Thursday 11 July 2013Closing time and date for EOIsubmission2pm AEST Thursday 18 July 2013

Ravenhall Prison ProjectWhere to from here?MilestoneTarget date/periodRequest for Proposals released November 2013RFP proposals due Early to mid 2014Contract Close and Financial Close Mid to late 2014Construction commencement Early 2015Operational commencement Late 2017

Ravenhall Prison ProjectQuestionsravenhall.prison@justice.vic.gov.auwww.partnerships.vic.gov.au