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38<br />
newparadigm Spring 2015<br />
Psychiatric Disability Services<br />
of Victoria (VICSERV)<br />
A 10 Year Mental Health Strategy –<br />
VICSERV’s response<br />
VICSERV recommends the establishment of a mechanism, and<br />
potentially a Mental Health Commission, to oversee the governance<br />
and development of state funded Mental Health services, ensuring<br />
fidelity of the initiatives to vision and objectives.<br />
2. Guiding principles<br />
VICSERV endorses the identified guiding principles for the Strategy,<br />
particularly the inclusion of Co-production and Recovery Orientation,<br />
and recommends they incorporate:<br />
• a human rights approach<br />
• population health planning<br />
• a life course approach<br />
• social model of health that goes beyond just a focus<br />
on the social determinants of health<br />
• adequate focus on all areas of diversity, with particular attention<br />
to culturally and linguistically diverse (CALD) communities.<br />
3. Outcomes approach<br />
VICSERV supports an outcomes approach and the regular reporting<br />
against the achievement of identified outcomes. We recommend:<br />
• development of a comprehensive Mental Health Outcomes<br />
Framework, building on the work undertaken in Because Mental<br />
Health Matters – Victorian Mental Health Reform Strategy 2009–19<br />
• expansion of the range of service delivery options and treatment<br />
options to ensure genuine choice for consumers<br />
• enhancing the capacity of services and public mental health<br />
system for appropriate trauma-informed support and treatment,<br />
and reducing trauma for people with mental illness by providing<br />
least-restrictive, recovery-oriented and person-centred<br />
environments and approaches to treatment and care.<br />
4. Development of a Service Planning Framework<br />
The development of Victoria’s next Mental Health Strategy provides<br />
a vital opportunity for the State Government to develop a world class<br />
mental health service system, and retain Victoria’s standing as a leader<br />
in mental health care and support.<br />
VICSERV recommends that the Government work with all<br />
stakeholders to develop a service planning framework that<br />
includes the key areas of:<br />
• system structure and interfaces<br />
• practice<br />
• research<br />
• workforce.<br />
5. The importance of psychosocial rehabilitation<br />
Specialist mental health rehabilitation falls outside the scope of the<br />
NDIS. VICSERV recommends that Victoria’s Mental Health Strategy:<br />
• identifies and acknowledges the important role of psychosocial<br />
rehabilitation in an effective, contemporary mental health<br />
service system<br />
• includes psychosocial rehabilitation services as a component<br />
of the state funded mental health service system, alongside<br />
the treatment services of the acute assessment and treatment<br />
sector, and the disability support services of NDIS.<br />
6. Leadership and systems change<br />
In the past Ministerial Advisory Groups have successfully<br />
provided leadership and systems change, but are no longer<br />
in operation in Victoria.<br />
VICSERV recommends the establishment of a mechanism,<br />
and potentially a Mental Health Commission, to oversee the<br />
governance and development of state funded Mental Health<br />
services, ensuring fidelity of the initiatives to vision and objectives.<br />
7. Action plan for the Mental Health Strategy<br />
VICSERV recommends a staged action plan for the Mental Health<br />
Strategy, with annual targets developed for the initial stage or stages,<br />
to be reported on each year to Parliament. Subsequent actions<br />
and targets should build on these initial stages, to create an iterative<br />
process of action, review and development.