Outcome Statements for the Community Managed Mental
Health Sector
Sue Nye
Mental Health CommissionMay 2012
Why outcomes are important
1.
2.
3.
4.
5.
6.
A focus on individuals families and carers
Good outcomes require changed behaviour from users.
Strength based/asset approaches
Information Age. People informed
Individual/family become the “integrator”
More innovation, ownership and responsive service delivery
Why outcomes are important (Cont)
7.
8.
9.10.11.
12.
They describe the results for a good life and provide ‘goal posts’ for services and supportsFaster diffusionProvide reassurance about increased accountabilityA move away from outputs“Putting the Public First”: Government-wide
reformTowards 2020 – individual focus, choice, a better life.
Outcome Development Process
• Began with 2020 consultations • Whole of sector outcome workshops mid 2011 to
March 2012• Combined Country forums • Establishment of Outcomes working group• Book of Proceedings• Outcome Measurement of Community Based
Mental Health Services in W.A.; Literature and Concept Summary
• Discussion Paper for the Non Government Mental Health Sector; Developing Outcome Statements
What would a better life look like for me?
Three key questions:
– What would a better life look like for me?– How would I know if services and supports were
contributing (to a better life)?– What would service providers need to change or
do differently?
Summary of key themes to the questionWhat would a better life look like for me?
Emergent Themes
Work and Financial Security
Education, Sport and Art Activities and Hobbies
In Charge, Resilient, Having Choice
Support from People with a Lived Experience (Paid and Unpaid)
A Safe and Comfortable Home
Rights
Physical and Emotional, Psychological, Health and Wellbeing
A Social Life, Relationships
Good Clinical Support
What are the Outcome Statements
1. Health, wellbeing and recovery2. A home and financial security3. Relationships4. Recovery, learning and growth5. Rights, respect, choice and control6. Community belonging
What Did We Learn
• Encourage conversations away from “Service Land”
• Don’t separate stakeholders• Expect and plan for an “Integrity Gap”• If you want buy in and you want to get it right you
need service users to lead this work• Share stories that inspire • Engagement needs to be meaningful, interactive
and ongoing• Promote prototypes and go with the energy
What Did We Learn (cont)
• Change Management needs champions that receive high level support
• Focus on results for people and what makes a good life for all of us
• Organic processes that make lots of time for conversations
• Cannot be achieved by service providers alone
Self Directed Services• Co design and self direction is the new norm -
people will determine their own destiny• Highly individualised and person centred services• Reliance on informal supports, not formal services
keeps us safe• People write a goal focussed plan and a
personalised budget • In practice people buy supports more than services
Next StepsIn partnership with people with mental illness, families,
carers and service providers we will:• support agencies from now and June 2013 to embed the
outcome statements into practice• Begin consultations on the:
– development of measures for the outcome statements– a means of assessing implementation of the
standards• From June 2013 …….