Clinical Care Coordination Program Manager, Paul Reilly, was delighted to accept The Mental Health Services (MHS) award for Therapeutic & Clinical Services at their annual conference in Adelaide recently. The Awards acknowledge and promote: best-practice in the delivery of mental health services; innovation, consumer-focus and lived-experience leadership; excellence in mental health research; as well as media and journalism that helps decrease the stigma which can still be associated with mental distress. In a highly competitive field, the Clinical Care Coordination Team took out the Award among highly regarded programs and services Australia wide. The Mental Health Services (TheMHS) Conference is Australasia’s largest and most diverse mental health conference. It brings together people working across the mental health sector from a wide variety of disciplines.
TheMHS conferences have been a milestone event in mental health for more than thirty years, attracting a large number of people from a broad spectrum across the sector to share challenges, opportunities and learnings.
The Clinical Care Coordination Team is based in the Peel Health Hub (PHH) and provides services to hundreds of young people and their families each year. This unique model of care was established not long after the PHH opened and demand for all services increased exponentially, with demand quickly outstripping supply. Consequently, waitlists increased dramatically. One of the guiding principles of the Peel Health Hub’s Model of Care (MoC) is that all clients be supported while on waitlists as part their continuity of care. Therefore, a major component of the Clinical Care Coordinator’s (CCC’s) role within the Hub MoC became the management and support of clients on Pell Health Hub co-locator’s waitlists. With demand for Hub services expected to continue to increase, additional staff members were required to meet the growing demand. Impact the CCC has:
Reduce waitlists across all co-locating PHH services- significant number of referrals are diverted from other services as a result of receiving a clinical intervention through the CCC. The CCC provides clinical interventions and engagement whilst clients wait on other services’ lists. This reduces disengagement, risk and often completes care.
0 days on a waitlist as clients are seen immediately and engaged by the CCC team
Reduced admissions to Peel Mental health, ED, and other external services
Better experience for clients by minimising history-taking sand story-telling, with information shared with consent by the CCC.
97% of clients feel that the care received has led to an improved health outcome
The model of care used is simple and intuitive, but also supported by a large body of independent research. It has been successfully applied overseas, however the Peel Health Hub is the first example of a purpose built ‘one stop shop’ health service in Australia.
The care coordination workers are highly skilled clinicians who are able to provide triage, screening/assessment, and immediate engagement and therapeutic intervention with the client from the first point of contact. This team operates with a much higher skillset than is typical of a triage, screen/assess/refer function.
If the client does require further intervention, the CCC team provides a ‘warm’ handover to the relevant service ensuring that the client does not need to retell their story with a new service, and the new service is able to pick up at the appropriate stage of intervention as opposed to recommencing the intervention from the beginning.
The State Government has recognised the innovative approach taken within the Peel Health Hub is best practice in realising substantial health outcomes for consumers as well as providing key systemic efficiencies addressing workforce issues. In fact they detail a vision for “integrated ‘Hubs’ in the Perth South, Perth North and Perth East metropolitan regions, and across regional WA.
GP down south is an exemplary not-for-profit community organisation. We have been providing health and wellbeing services in the Peel regions and the South West of WA since 1994.