Enhancing Cohesion between CALD Communities

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Enhancing Cohesion between CALD Communities
Mental Health Services

• Greg Turner
• State-Wide Liaison Policy Coordinator
• Qld Transcultural Mental Health Centre
• Veronica Johnson
• Multicultural Mental Health Coordinator
• Townsville Institute of Mental Health Services

Unity in Diversity Conference Townsville 14
August 2008
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Qld Transcultural Mental Health Centre

• a state-wide provider of specialist services to
  mainstream MHS providers to ensure culturally
  appropriate mental health care (clinical
  consultation, training)
• A facilitator of access to mainstream MHS for
  CALD consumers
• A source of information, advice, education and
  support (library, website, resources)
• A program/policy developer ensuring culturally
  inclusive policy

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QTMHC TeamUnity in Diversity in Action
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QTMHC MANAGER
Coordinator Clinical Services
Coordinator MHPPEI
Coordinator Education, Training Development
Statewide Liaison Policy Coord
Snr Admin Info Resources
Consumer Carer Participation Coordinator
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Qld State-Wide Multicultural Mental Health Program

• District Partnerships Pilot Project2003-2004

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Defining Characteristics of a Culturally
Appropriate (Mental Health) Service

• Types of services offered are determined by needs
  of the population
• Service needs are jointly defined by consumers,
  carers, community, professionals and government
• Those who may require the service
• know of its existence
• regard it as being appropriate to their needs
• can gain easy and timely access
• can communicate adequately with service providers
• have access to the full range of services that
  are appropriate to their needs
• are treated with respect and without prejudice

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Defining Characteristics of a Culturally
Appropriate (Mental Health) Service

• The service responds effectively to presenting
  needs
• Outcome indicators demonstrate that the service
  is achieving the clinical and other goals of
  service providers and recipients
• The quality of outcome is not substantially
  influenced by factors such as English fluency or
  membership of any particular ethnic or social
  group
• Community, consumer, and carer representatives
  are involved in the continuing evaluation, and
  redesign where necessary, of the service
• Minas IH, 1991

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District Partnerships Pilot Project

• Logan-Beaudesert
• Cairns
• Gold Coast

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District Partnerships Pilot Project

• Outcomes
• Increased capacity for District MHS to deliver
  culturally appropriate services
• Increased cultural responsiveness re assessment
  and treatment (? use of QTMHC bilingual MH
  consultants)
• Increased coordination and partnerships between
  MHS and NGOs and community

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District Partnership ProjectQTMHC The
Logan-Beaudesert IMHS

• Outcomes Achieved
• In 12 months by .5 FTE worker (funded by QTMHC)
• Increased capacity of L-BIMHS to deliver
  culturally appropriate services as measured by
• Increased access to QTMHC services
• Improved working relationship and coordination
  between L-BIMHS and local multicultural support
  agencies
• Increased access to L-BIMHS by people from CALD
  backgrounds

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District Partnership ProjectQTMHC The
Logan-Beaudesert IMHS

• What was done
• Policies and procedures (work instruction re. use
  of interpreters/change to assessment and intake
  forms incorporating language and cultural issues,
  included cultural awareness in orientation for
  inpatient staff, incorporated QTMHC info on
  service website)
• Established good links with local multicultural
  services, held a forum for local community
  leaders, invited to do presentations at local
  multicultural services/agencies.

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District Partnership ProjectQTMHC The
Logan-Beaudesert IMHS

• L-BIMHS has recorded an increase of 31 open
  clients born outside of Australia during the life
  of the project
• QTMHC TCCS data shows a 79 increase in referrals
  during the 12 months of this project referrals
  from L-BIMHS to QTMHC continued to increase as
  project continued.

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State-Wide Multicultural Mental Health Program
Today
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State-wide multicultural MH coordinators

• 12 MMHCs based in mental health services
• North Cairns and Hinterland, Townsville
• Central Northside (TPCH), Northside (Redcliffe
  Caboolture), RBWH, RCH CYMHS
• South PAH, Mater CYMHS, Southside
  (Logan-Beaudesert Bayside), West Moreton Sth
  Burnettt, Gold Coast and Toowoomba
• QTMHC provides state-wide coordination and
  support of these positions through the
  establishment of a State-Wide Liaison Policy
  position

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Role of multicultural mental health coordinators

• Build the capacity of the District MHS to meet
  the mental health needs of the CALD community
• Embed/integrate transcultural mental health
  practice into core business of the Service
• Enable clinicians to develop cultural competency
  through consultation, advice and training
• Facilitate access to specialist resources and
  services
• MH promotion, liaison and networking with local
  multicultural groups and services

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MMHC role and function

• Internal
• Consultation
• Staff Training
• Leadership
• Planning
• Referrals
• Coaching

External Community Liaison
Info-edu sessions
MH Promotion
Inter agencies
Networks
Partnerships
Projects
Value adding Systems/organisational Policies
procedures Performance Indicators Eg training
provided, no. of consultations no. of
referrals No. of info sessions Partnerships
formed
WITH STAFF
Broker, enabler
WITH COMMUNITY
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Role of State-Wide Policy Liaison Coordinator

• Build and coordinate a state-wide model of team
  support for district multicultural mental health
  coordinator positions within the HRM frameworks
  and policies of district mental health services.
• Develop optimal working relationships and
  maintain strategic partnerships with all
  stakeholders including District Mental Health
  Services, Area Health Services, Mental Health
  Branch, key government and non-government
  organisations and multicultural groups
• Ensure that the state-wide multicultural mental
  health coordinator model has effective support
  mechanisms and build the framework for ongoing
  training and development of staff to meet these
  requirements.
• Provide input into program and policy development
  and review processes drawing on state-wide
  networks.
• Develop and build in evaluation mechanisms for
  the program

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Rationale for District Partnership

• Above mean OSB pop. (Census data)
• Majority of OSB from NESC
• Above mean LOTE spoken at home
• High levels of at risk groups
• High numbers of CALD open cases
• High referrers to QTMHC
• Designated refugee settlement area under IHSS

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Maintaining the State-Wide Structure

• Providing ongoing structure and support to MMHC
  positions and Districts
• Link with other state-wide agencies
• Connect all MMHC positions together
• Develop a conduit of information, resources,
  knowledge and skills flow
• Utilise all the resources of QTMHC through a
  whole-of-centre approach
• Evaluation of the program

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Multicultural Mental Health in Townsville
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MMHC Position in Townsville

• Commenced in September 2007
• Main Aims
• Foster links with CALD agencies in Townsville
• Participate in CALD Networks, partnerships with
  external agencies, health care promotion within
  CALD communities
• Facilitate referral and access to services
  provided by the Institute of mental health
  services for CALD consumers
• Build the capacity of the Institute of Mental
  Health Services to provide a culturally competent
  service through education and training,
  consultation, resource access, usage of
  interpreters, increase consultation with TCCS.
• Set up a list of bilingual health workers.

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Tville CALD Demographics

• 11.5 Born O/S (17.2 state av.)
• 47.8 of these are from a NESC
• 5 SLOTE (7.1 state av.)
• Italian (median age 55-59)
• Increasing refugee population
• Open client statistics December 2007
• 4.9 clients open to the service were Born
  overseas in NESCs
• 19.9 clients under the QLD Mental Health Act
  were Born overseas in NESCs
• Snapshot of CALD clients indicated - 50 were
  identified as complex cases

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Services within the Townsville Institute of
Mental Health Service

• Adult Mental Health Service
• Child and Youth Mental Health Service
• Secure and Forensic Service
• Rehab and Extended Care Services which includes
  the Older Persons team.

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Referral to Service

• One point of contact to service which is the CATT
  team. Contact line is manned 24hours.
• Contact number 47 99 9480
• Referrals can be self, GP, other agencies.
• Referals can be made by GPs for psychiatrists
  private clinics.

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Tville Community Agencies (CALD)

• Migrant Resource Centre
• Has a Qld Health funded Mental Health Worker
• Townsville Multicultural Support Group ( CAMS
  worker)
• North Queensland Multicultural Health Network
• Townsville LAMP
• Diversicare, Townsville
• Ethnic Community Care Links Inc.

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Community Leaders Group
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Where to Now?

• Continue to foster linkages and partnerships with
  outside agencies
• Continue strategies to ensure the Institute of
  Mental Health Services provide a culturally
  appropriate service to its consumers, families
  and all community agencies
• Continue to provide training opportunities within
  the Institute of Mental Health Services
• Continue to provide information to CALD
  communities
• Continue to enable people of CALD backgrounds to
  be informed of services available and provide
  linkages into the service
• Continue to work to reduce stigma within the CALD
  community with regard to mental health issues.

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• Thank You