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THE BUZZ
T HE BUZZMENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER summer 2013
CONTENTS
GETTING ON TRACK IN TIME – GOT IT! 1
EDITORIAL 2
NSW HEALTH PATIENT SAFETY PLAN 3
RURAL MENTAL HEALTH EMERGENCY TRANSPORT PROOF OF CONCEPT RETRIEVAL PLAN 3
CAmPAIGN uPDATe WHAT ARE YOU DOING TO YOURSELF? 4
KNOW WHEN TO SAY WHEN 5
STAY STRONG AND HEALTHY 5
POSITIVE LIVING IN AGED CARE AWARDS 2012 6
CHILD SAFETY CAMPAIGN TARGETS OPIOID TREATMENT PATIENTS 6
ABORIGINAL DRUG & ALCOHOL TRAINEESHIPS 7
ABORIGINAL OLDER PEOPLES’ MENTAL HEALTH PROJECT: UPDATE AND IMPLEMENTATION 7
workforCe DeveloPmeNT NEW MENTAL HEALTH ONLINE TRAINING OPPORTUNITY AVAILABLE THROUGH ARCHI 8
PHYSICAL HEALTH CARE IN MENTAL HEALTH 9
POSTGRADUATE STUDIES IN D&A NURSING AT THE AUSTRALIAN COLLEGE OF NURSING 9
CoNfereNCe uPDATe CHILD & ADOLESCENT MENTAL HEALTH SERVICES LEADERSHIP DEVELOPMENT WORKSHOP 10
MEDICINE IN ADDICTION 2013 CONFERENCE 11
CREATING SYNERGY 2013 PROFESSIONAL DEVELOPMENT FORUM 11
THe BuZZ from THe seCTorTHE MENTAL HEALTH OF OLDER PEOPLE: CONNECTING SECTORS 12
RELEASE OF THE PRACTICE GUIDELINES FOR TREATMENT OF COMPLEX TRAUMA & TRAUMA INFORMED CARE AND SERVICE DELIVERY 12
GOOD SPORTS 13
GPs SETTING UP A NSW/ACT SPECIFIC INTEREST IN ADDICTION BRANCH 13
CommuNITY News: CDAT ACTIVITIES 14 -15
NEWS, SITES AND SERVICES 16
for more INformATIoN PleAse CoNTACT:
THe BuZZ
TelePHoNe: (02) 9391 9237
emAIl: [email protected]
1
The Getting on Track in Time - Got It! program is an exciting new school-based mental health early intervention initiative. Got It! aims to reduce the frequency and severity of conduct problems and prevent the development of severe behaviour problems such as conduct disorder in young children from kindergarten to Grade 2 (between the ages 5 to 8 years). It also aims to improve schools’ capacity to respond to children with conduct disorders.
The Got It! program is established in three locations in NSW; Dubbo, Mt Druitt and Newcastle and is funded under the Keep Them Safe initiative until 30 June 2014. Early reports indicate that the program has had good acceptability with schools and that both parents and teachers are benefiting from the opportunity to learn new information and skills in managing children with identified mental health concerns.
continued pg 3
THE BUZZ
Welcome to the ninth edition of The Buzz.
When a new year begins it is pertinent to reflect on some of the highlights of yester year, and focus on the work ahead in 2013.
The primary one was the progress and establishment of the NSW Mental Health Commission which commenced operations on 2 July 2012 as an independent statutory body with Mr John Feneley stepping into the role as inaugural Commissioner.
There have been a number of campaigns in 2012.
�The Minister for Mental Health launched a new Anxiety Awareness Campaign in April to encourage people living with constant anxiety to seek help.
�The “Stay Strong and Healthy – It’s Worth It” campaign to educate Aboriginal women and their partners of the risks of drug and alcohol consumption during pregnancy and the potential challenges of dealing with a mental illness was launched in July and will continue into 2013.
�In the lead up to the 2012/13 festive season, the responsible drinking campaign – What are you doing to yourself? – an initiative of the Kings Cross Plan of Management, was launched in November.
In addition, MHDAO has worked towards the implementation of a model of Activity Based Funding for Mental Health, expected to “go-live” in 2013/14.
Looking ahead – work is near completion on the Drug & Alcohol Clinical Care and Prevention (DA-CCP) Model; the first ever drug and alcohol planning model to be developed in the world! It aims to develop a nationally agreed population based planning model to estimate the need and demand for drug and alcohol health services across Australia.
A new Child Safety campaign is being developed to reduce the number of accidental methadone and buprenorphine-related child poisonings by educating patients who are on the Opioid Treatment Program. We will also re-run the successful alcohol and culture campaign - Know when to say when? - from late January 2013.
MHDAO is continuing its work on the Community Health and Outpatient Care Drug & Alcohol State Baseline Build, and aims to finalise a five year Strategic Plan for NSW Drug and Alcohol in 2013.
I am pleased to announce that a web page is currently being developed for The Buzz which will be accessible on the NSW Ministry of Health website from May/June 2013, a link to the page will be sent out once launched.
On that note, I would like to thank and acknowledge the work done in partnership with the public and the non-government health sector in bringing these achievements to fruition.
Special mention goes to the Australian Drug Foundation (ADF), Adults Surviving Child Abuse (ASCA), Mental Health Coordinating Council (MHCC), Aged and Community Services Association NSW & ACT Inc (ACS), Australian College of Nursing, Illawarra Drug & Alcohol Services, Australian Resource Centre for Health Innovation (ARCHI/HSS) and Community Drug Action Teams (CDATs) for their contributions in this issue of the newsletter. We look forward to continuing our work together in 2013.
Input from Mental Health and Drug & Alcohol workers in Local Health Districts (LHDs) and the NGO sector is strongly encouraged.
2
eDITorIAl
“When a new year begins it is pertinent to reflect on some of the highlights of yesteryear, and focus on the work ahead in 2013.”
If you have a program or initiative
you would like to promote, please
contact The Buzz by email at
David mcGrath, Director, Mental Health and Drug & Alcohol Programs
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER summer 2013
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A 12 month rural mental Health emergency Transport (rmHeT), proof of concept project, is being trialed in the New england sector of Hunter New england local Health District. The Project seeks to facilitate the timely handover to the Health system of people detained by Police, to increase options for Ambulance transport and limit the occasions in which patients are transported to a hospital in a police vehicle.
People detained by Police under Section 22 of the Mental Health Act (NSW) 2007 (the Act) are required to be transported to a Declared Mental Health Facility (DMHF) for a mental health assessment. Limited availability of DMHFs in rural NSW can sometimes necessitate long-distance transports in a police vehicle.
The project trial entails Police transporting persons to one of five designated non-declared hospitals across the trial area to hand over the person to Ambulance who will complete the transport to the DMHF.
Ambulance has been funded to meet its commitment of ‘best endeavours’ to prioritise these transports, providing a 24/7 response whilst maintaining Ambulance’s operational capacity to respond to other emergency priorities.
The RMHET project will be evaluated on its effectiveness in facilitating timely handover from Police to Health and in reducing Police transports of people with mental health issues.
The RMHET project will gather activity data and operational information which will be used to inform decisions regarding resourcing and processes required to potentially extend the model to other parts of rural NSW.
rurAl meNTAl HeAlTH emerGeNCY TrANsPorT Proof of CoNCePT reTrIevAl PlAN
The Nsw Health Patient safety Plan is a Nsw state-wide tool to support communication between mental health staff and people admitted to mental health inpatient facilities. This communication aims to reduce harm by increasing safety measures for individual consumers and to improve the health outcomes for people with mental health conditions. The Patient safety Plan has been developed in consultation with consumer representatives and local health districts to assist individuals in maintaining calm, safe behaviour even during periods of acute distress or agitation while inpatients of Nsw mental health services.
This tool invites consumers to identify personal calming strategies, previous triggers to distress, warning signs of distress and any previous experiences that a person may wish to share that might inform responses to distress.
The Patient Safety Plan is one of a number of strategies and resources being promoted to complement the new state policy “Aggression, Seclusion and Restraint: Preventing, minimising and managing disturbed behaviour in mental health facilities in NSW” NSW Health PD2012_035 which can be accessed from http://www.health.nsw.gov.au/policies/pd/2012/PD2012_035.html
Nsw HeAlTH PATIeNT sAfeTY PlAN
Got It! is a short term, multi-level program delivered over two consecutive terms. Screening and assessment is completed in the first term and specific interventions are provided in the second term.
Providing mental health services, information and support to both education staff and parents in a familiar and neutral setting helps to overcome some of the barriers that can discourage vulnerable families from seeking help, such as; stigma, accessibility and availability of suitable local services.
One of the strengths underpinning the success of the program to date is the strong partnership between NSW Health and the Department of Education and Communities at both statewide and local levels.
A two year independent evaluation of the program is underway to examine the effectiveness of the program in terms of outcomes for children, parents and teachers, program implementation, and cost-benefits. These results will also inform subsequent decisions regarding the potential extension of the program.
continued from pg 1
For further information please
contact Susan Jarnason, Senior
Policy Officer, MHDAO on
02 9391 9952 or by email:
4
THE BUZZ
4
The campaign is in response to significant public concern regarding alcohol-related violence and anti-social behaviour in kings Cross.
Kings Cross is one of the most densely populated areas in NSW with approximately 20,000 residents concentrated in a suburb of 1.2 square kilometres.
City of Sydney data show that on Friday and Saturday nights the number of people in Kings Cross doubles to around 40,000, with an additional 20,000 visitors arriving from locations all over Sydney and NSW.
The campaign aims to reduce excessive drinking and public drunkenness in the Kings Cross area through the promotion of personal responsibility for the consumption of alcohol.
The campaign places the responsibility on the individual, with a focus on how much they drink and the consequences.
The graphic images will be seen throughout Kings Cross – in the station, on street furniture like bus stops, on the back of taxis, in night-clubs, on ATMs – the message is clear and concise – What are you doing to yourself?
The digital element of the campaign includes a partnership with the In the Mix website. A key to this partnership is the production of five short videos which tell the personal stories of people who work in or visit Kings Cross. These videos are promoted through websites, YouTube and on the campaign’s website www.whatareyoudoingtoyourself.com
This campaign has been developed in partnership with NSW Police and the City of Sydney and will run through to March 2013.
wHAT Are You DoING To Yourself? The responsible drinking campaign - What are you doing to yourself? - an initiative of the kings Cross Plan of management, was launched in November 2012.
Call the Alcohol & Drug Information Service on 02 9361 8000In accordance with s77 of the Liquor Act, if you’re asked to leave a licensed premises (including a 50 metre radius of the establishment) and do not comply, you could face a $550 ‘on the spot’ fine.
Call the Alcohol & Drug Information Service on 02 9361 8000In accordance with s77 of the Liquor Act, if you’re asked to leave a licensed premises (including a 50 metre radius of the establishment) and do not comply, you could face a $550 ‘on the spot’ fine.
CAmPAIGN uPDATe
Call the Alcohol & Drug Information Service on 02 9361 8000In accordance with s77 of the Liquor Act, if you’re asked to leave a licensed premises (including a 50 metre radius of the establishment) and do not comply, you could face a $550 ‘on the spot’ fine.
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
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Call the Alcohol and Drug Information Service: 02 9361 8000 or 1800 422 599 (outside Sydney)
When you get a little roWdy?
When have you had enough?
drink excessively and you’re not only harming yourself, but those around you as well. For more information, visit www.whentosaywhen.com.au
When you ruin a Friendship?
Call the Alcohol and Drug Information Service: 02 9361 8000 or 1800 422 599 (outside Sydney)
When have you had enough?
the more you drink, the more harm you do to yourself. For more information, visit www.whentosaywhen.com.au
When you turn into a Mess?
When you get a little silly?
sTAY sTroNG AND HeAlTHY
The ‘Stay strong and healthy’ campaign continues to provide highly visual health information for Aboriginal women who are pregnant or have a new baby, and their partners.
Pregnancy and neonatal information including mental health and drug and alcohol issues, an interactive service directory map and healthy recipes can be found at www.facebook.com/staystrongAndHealthy
An independent evaluation of the campaign reported an overwhelmingly positive response to the campaign themes and materials from both community members and stakeholders.
The ministry of Health Alcohol & Culture Campaign ‘Know when to say when’ commenced on 25 January 2013.
This major initiative targets the broader population about alcohol and its impacts in our community. The campaign raises awareness about how and why we drink and how we need to change excessive drinking practices as a long term solution to problematic alcohol use.
The campaign features on TV (free-to-air and pay), newspapers, online and on the radio (community language radio and newspapers) until mid-May.
For more information please visit: www.whentosaywhen.com.au
kNow wHeN To sAY wHeN
6
THE BUZZ
PosITIve lIvING IN AGeD CAre AwArDs 2012The 2012 Positive Living in Aged Care Awards held at luna Park in August showcased the commitment of residential aged care facilities to improving the mental health and wellbeing of its residents. This year attracted a record number of applications from facilities across rural and metropolitan Nsw.
The Positive Living in Aged Care Awards are funded by NSW Health and managed by Aged and Community Services Association of NSW & ACT in partnership with Leading Aged Services Australia NSW-ACT. The Awards are open to Commonwealth-funded residential aged care facilities in NSW, and aim to identify, showcase and promote innovative strategies that have a positive impact on the mental health and wellbeing of residents of aged care facilities and the wider residential aged care community.
The Awards have enjoyed growing success attracting applications from 96 aged care facilities since 2008. The project also received a Special Judges Award in the 2011 Australian and NZ Mental Health Service Achievement Awards.
David McGrath, Director, Mental Health and Drug & Alcohol Programs, NSW Ministry of Health, presented the awards
to the 2012 finalists, congratulating them on their achievements. The five finalists presented their programs as part of the Positive Mental Health for Older People Seminar, which also featured keynote addresses from experts in older people’s mental health, dementia and facility design. Finalists were also treated to a visit from the NSW Mental Health Commissioner, John Feneley.
above: David mcGrath presenting 2012 Awards. Photo courtesy of OPMHPU
CHIlD sAfeTY CAmPAIGN TArGeTs oPIoID TreATmeNT PATIeNTs The mental Health and Drug & Alcohol Office is developing a new Child safety Campaign in 2013 to reduce the number of accidental methadone and buprenorphine-related child poisonings by educating patients on the opioid Treatment Program (oTP).
The Campaign will be designed to:
�reduce the incidence of child poisonings due to the ingestion of methadone and/or buprenorphine,
�encourage OTP patients to store their medications safely to prevent accidental child poisoning,
�educate patients about the risks of methadone and buprenorphine to children, and
�raise awareness of the professional services available to support parents.
Campaign resources are to be developed and made available at NSW OTP public and private clinics, needle and syringe programs, drugs in pregnancy services and in emergency departments.
For further information please
contact Laila Matar, Project Officer,
MHDAO on
02 9391 9377 or by email:
For more information
on the Awards, contact
Diane Herr, at
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
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ABorIGINAl DruG & AlCoHol TrAINeesHIPs
In 2009, The mental Health Drug & Alcohol Office provided funding to the Network of Alcohol & other Drug Agencies (NADA) to manage the ‘Aboriginal Drug & Alcohol Traineeship Program’ in the non-government drug and alcohol sector. Three organisations were selected from an expression of interest process, and each recruited an Aboriginal Drug & Alcohol Trainee.
Over the last three years, Erin Stanley (Lyndon Community in Orange), Greg Jarret (Namatjira Haven Drug & Alcohol Healing, Alstonville) and
Alan Lockwood (Durri Aboriginal Medical Service, Kempsey) commenced their studies at the Aboriginal Health College at La Perouse before moving onto the University of Wollongong to complete a Bachelor of Indigenous Health Studies at the School of Nursing, Midwifery and Indigenous Health. The Trainees were supported through their courses and placements by their employers, Heidi Becker (Program Manager NADA) and Steve Ella (Aboriginal Drug & Alcohol Traineeship Coordinator, Central Coast Local Health District).
Erin, Greg and Alan graduated on 12 December 2012. Their graduation marks an important milestone in the ongoing professionalisation of the Aboriginal drug and alcohol workforce. Congratulations to Erin, Greg and Alan!
In addition, five Aboriginal drug and alcohol trainees commenced employment and studies through Local Health Districts in early 2012. These Trainees are expected to complete their studies by the end of 2014.
right: steve ella (Nsw Aboriginal Drug and Alcohol Traineeship Coordinator), erin stanley & Allan lockwood (Trainees) & Heidi Becker (NADA Project manager)
Photo courtesy of NADA
above: David mcGrath presenting 2012 Awards. Photo courtesy of OPMHPU
ABorIGINAl olDer PeoPles’ meNTAl HeAlTH ProJeCT: UPDATE AND IMPLEMENTATIONThe older People’s mental Health Policy unit (oPmHPu) commenced the Aboriginal older Peoples’ mental Health Project in 2010. The purpose of this project is to assist Nsw specialist mental Health services for older People (smHsoP) clinicians and managers to understand the mental health needs of older Aboriginal people, and to inform policy and service strategies to better meet these needs.
The Aboriginal Older Peoples’ Mental Health Project Report draws together the literature and research relevant to older Aboriginal people, collects stories from both older Aboriginal people and their communities across NSW, and identifies key principles of care that empower older
Aboriginal people to share their stories and needs in relation to mental health. The report identifies the next steps for implementation of these key principles of care, including the formation of the Aboriginal Older Peoples’ Mental Health Working Group.
The Aboriginal Older Peoples’ Mental Health Working Group is integral in the implementation of the key principles of care. The key principles of care are being progressed through a number of statewide and local initiatives, including partnership development strategies, self-audit strategies linked to SMHSOP benchmarking processes, implementation of the SMHSOP acute inpatient unit model of care and dementia initiatives.
The recommendations arising from the Aboriginal Older Peoples’ Mental Health Project Report continue to be implemented at both a policy and service level.
For more information, please
see the Aboriginal Older Peoples’
Mental Health Project Report
(available on the NSW Health
Website) or contact OPMHPU on
02 6369 7201
8
THE BUZZ
workforCe DeveloPmeNT
‘Mental Health Liaison’ is an interactive, multimedia eSimulation resource and presents four clinical scenarios in engaging simulations that can be accessed from http://www.archi.net.au/resources/workforce/learning/mh-liaison
‘This Patient Doesn’t Belong Here’ explores issues relating to recent behavioural changes in a patient experiencing psychotic symptoms, ‘Consent to Treatment and Associated Legal Issues’ looks at the legal, ethical and professional framework around consent to or refusal of treatment, ‘Skye is Back Again’ considers how to best assist a young woman presenting with deliberate self harm, while ‘Difficult Nurse-Patient Relationship’ looks at dealing with manipulative or demanding patient behaviours.
“Mental Health Liaison is an important new addition to ARCHI,” said HealthShare NSW Knowledge Manager, Marie Pryor.
“Simulation is increasingly being used to optimise learning and ARCHI’s online delivery is the ideal way to allow health professionals to learn at a time of their choosing.”
The tool was developed by Mental Health Liaison Nursing at the Prince of Wales Hospital, Sydney, with funding from the Nursing and Midwifery Office of the NSW Ministry of Health and attracts 8 CPD hours for professional portfolios.
New meNTAl HeAlTH oNlINe TrAINING oPPorTuNITY AvAIlABle THrouGH ArCHIA new learning tool to help generalist nurses develop skills to care for patients who exhibit psychological, emotional and behavioural difficulties in general hospitals is now available through ARCHI, the Australian Resource Centre for Healthcare Innovations.
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
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PHYsICAl HeAlTH CAre IN meNTAl HeAlTH CLIENTS WITH SERIOUS MENTAL ILLNESS HAVE A 20% REDUCTION IN LIFE EXPECTANCY COMPARED WITH THE GENERAL POPULATION.
PosTGrADuATe sTuDIes IN D&A NursING AT THe AusTrAlIAN ColleGe of NursING shortages in the drug and alcohol workforce have been highlighted by the Productivity Commission’s report on Australia’s Health workforce (Productivity Commission, 2005). The National Drug strategy 2010-2015 has identified that ‘an appropriately skilled and qualified workforce is critical to achieving and sustaining effective responses to drug use‘ (Commonwealth of Australia, 2011).
The Australian College of Nursing recognises the need to develop postgraduate education in drug and alcohol nursing. In 2010/2011, the College developed new subjects: ‘Drug and alcohol nursing practice’ and ‘Addiction nursing’. The College is currently working on subjects in ‘Public and primary health
– drug and alcohol’ and ‘Complex care - drug and alcohol’.
Underpinning the subjects are ideas of nurses being holistic, ethical and knowledgeable practitioners; working as professional members of the multidisciplinary team; who continue to research, evaluate and debate contemporary clinical practice and policy issues.
An application for accreditation of all four drug and alcohol subjects to make up an award course has been submitted to the Tertiary Education Quality and Standards Agency. The College eagerly awaits the response in order to launch a Graduate Certificate in Drug and Alcohol Nursing in 2013.
This is primarily a result of poor metabolic health. This two-day course will provide an introduction to the issue of physical health care within mental health. The core focus of the course teaches participants how to identify and monitor metabolic abnormalities, and implement prevention and treatment strategies to overcome them. There is solid evidence that lifestyle and pharmacological interventions are successful in reducing rates of morbidity and mortality in people with serious mental illness. Participants will be guided through the use of these interventions in a practical way that will allow them to put into operation what they have learnt on return to the workplace.
references
Commonwealth of Australia 2011:20, National Drug Strategy 2010-2015. Available from: http://www.nationaldrugstrategy.gov.au/
Productivity Commission 2005:264, 270 and 271, Australia’s Health Workforce, Research Report, Canberra.
For more information, please
contact Sumith Abkari on
02 9745 6614 or email:
For more information, please
contact Leone Pike on 02 9745 7533
or email: [email protected]
Key learning outcomesAfter successfully completing the course participants should be better able to:
�Understand and comply with the NSW Health ‘Linking Physical Health and Mental Health’ guidelines.
�Confidently screen for metabolic health.
�Understand factors that lead to poor physical health in mental health consumers.
���Have a clear comprehension of
pharmacological and lifestyle interventions available to prevent and treat metabolic complications.
�Put these interventions into place on return to the workplace.
The target audience is Registered Nurses (RN) and Enrolled Nurses (EN).
THE BUZZ
10
CoNfereNCe uPDATe
mH-kids hosted a mental health leadership development workshop – “systemic, systematic and strategic Approaches to Developing the Quality of services”, 8-9 october 2012 in sydney, which was attended by 35 - 40 mental Health leaders from across the state.
The workshop provided two days of inspiring conversations and activities around the theme of values-based strategic leadership.
Guest speakers included:
Mr Terry Clout, Chief Executive, South Eastern Sydney LHD; Professor Richard Williams, Professor of Mental Health Strategy, University of Glamorgan, Wales; Ms Jane Caro, ABC Broadcaster, author and social commentator; Mr Wayne Pearce, NRL Commissioner, elite athlete and leadership trainer; Ms Jane Lowder, Director Max Coaching; and Mr Philip Wright, ethics trainer and consultant for St James Ethics Centre.
Sessions were grouped under the following headings:
�understanding the landscape and the challenge;
�designing strategy;
�culture and collaborating with other disciplines, teams and agencies;
�designing and implementing strategy;
�leading the team; and
�commitment to longevity of excellent team performance.
CHIlD AND ADolesCeNT meNTAl HeAlTH servICes leADersHIP DeveloPmeNT worksHoP
top: Professor Richard Williams debriefing team negotiation exercise
left: Team negotiation exercise
below: Presenters: wayne Pearce & richard williams
Photo courtesy of MHKids
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
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This is the second co-convened conference of the royal Australian and New Zealand College of Psychiatrists’ (rANZCP) section of Addiction Psychiatry, the royal Australian College of General Practitioners (rACGP) and the royal Australasian College of Physicians’ (rACP) Chapter of Addiction medicine. Building on the success of the first conference in melbourne, mIA 2013 provides a great opportunity for delegates to hear from the country’s leading addiction clinicians and researchers, update their skills and knowledge, and network with colleagues and peers.
The event will address a wide range of topics, including sessions around the neurobiology of addiction, pain management, drugs in pregnancy, the pharmaceutical drug misuse strategy, psychostimulants and forensic issues. Concurrent half-day workshops will allow delegates to explore some of these topics in more detail.
We trust that you will make the most of the opportunity to network with hundreds of medical colleagues working in the addiction field, and look forward to seeing you in Sydney in March.
meDICINe IN ADDICTIoN 2013 CoNfereNCe15 – 17 MARCH 2013, SYDNEY
since the debut of Creating synergy 10 years ago, the entity has built a strong reputation as a forum for clinicians from drug and alcohol, mental health and community related services to learn and develop their skills.
Guided by the feedback from the 2012 Creating Synergy conference, Creating Synergy 2013 has been reformatted to comprise two 1-day workshops rather than the traditional conference format and will bring together two internationally renowned workshop facilitators.
David Mee-Lee, M.D. is a board-certified Psychiatrist and is certified by the American Board of Addiction Medicine (ABAM). David will present a workshop entitled
‘Co-Occurring Mental and Substance-Related Disorders: Improving Clinical Skills in Daily Practice’.
Scott D. Miller, Ph.D. is the founder of the International Center for Clinical Excellence, an international consortium of clinicians, researchers, and educators dedicated to promoting excellence in behavioural health services. Scott will present a workshop entitled ‘Reach: Pushing your Clinical Skills and Effectiveness to the Next Level’.
CreATING sYNerGY 2013ProfessIoNAl DeveloPmeNT forum uNITeD for eXCelleNCe:
CONNECTING COMPETENCE WITH OUTCOME 13–14 JUNE 2013, NOVOTEL WOLLONGONG
TO REGISTER:online.saneevent.com.au/mia2013
website: www.ranzcp.org/mIA2013
email: [email protected]
Telephone: 02 9886 4709
TO REGISTER:visit: www.creatingsynergy.org.au
for further details, please contact David Hedger on 02 4223 8341 or email [email protected]
www.ranzcp.org/mIA2013
www.creatingsynergy.org.au
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THE BUZZ
The Buzz from THe seCTor
Adults surviving Child Abuse (AsCA) has released the Practice Guidelines for Treatment of Complex Trauma and Trauma Informed Care and Service Delivery. The Guidelines have been highly acclaimed and represent the collective wisdom of the last two decades of national and international research in the trauma field.
They are set to revolutionise possibilities for recovery for large numbers of people who have experienced “complex trauma” - child abuse, neglect, family and community violence and other adverse childhood events.
The Guidelines establish a framework for responding to unresolved trauma and set the standards in each of two domains:
A. Clinical – reflecting growing insights into the role of trauma in mental health issues and providing practitioners with the knowledge and skills they need to support their clients towards recovery.
B. Organisational – outlining trauma informed principles of practice for services with which people with trauma histories come into contact. In asking the question: “What happened to you?” (i.e. moving away from the implication
that there is something intrinsically `wrong’ with the person) trauma informed services work to minimise the risk of re-traumatisation, and promote a person-centred holistic approach to recovery.
To download your copy of the Guidelines go to www.asca.org.au/guidelines
To find a training program which suits you or your organisation, including in-house go to www.asca.org.au/workshops, email [email protected] or call 02 8920 3611.
releAse of THe ‘PRACTICE GUIDELINES FOR TREATMENT OF COMPLEX TRAUMA AND TRAUMA INFORMED CARE AND SERVICE DELIVERY’
THe meNTAl HeAlTH of olDer PeoPle: CONNECTING SECTORS
above: Discussing policy directions: karen Burns - Ceo, uniting Care mental Health & mHCC Chairperson, ruth wilson - Community Care Policy Advisor, Aged and Community services Assoc of Nsw & ACT Inc (ACs) and Jonathon Harms - Ceo mental Health Carers ArAfmI
Photo courtesy of MHCC
The mental Health Coordinating Council (mHCC), in partnership with Aged and Community services Association of Nsw & ACT Inc (ACs), hosted the mental Health of older People: Connecting sectors forum on 2 November 2012 in sydney.
Service coordination issues associated with improving the experience of people with mental health conditions ageing at home as well as those needing to transition from their homes into aged care facilities was the key focus of the Forum.
Bringing the community mental health and aged care providers together to share their achievements and challenges in relation to building cross-sector relationships produced very positive energy and great networking between participants. Consumer and carer perspectives were highlights of the event that gave acknowledgement to the need for lived experience to guide improvements in services.
Minister Butler, whose federal portfolios are Aged Care, Mental Health and Social Inclusion, addressed the forum by video, strongly endorsing the collaboration between sectors and requesting ongoing dialogue with him in relation to the issues raised. John Feneley, NSW Mental Health
Commissioner participated in a panel addressing key issues, barriers to change and the way forward.
Dr Rod McKay (Clinical Advisor from the Mental Health and Drug & Alcohol Office), spoke about the potential changes to accessing state and federally funded services under the National Disability Insurance Scheme (NDIS). Janet Meagher,
Consumer Activist and National Mental Health Commissioner, explored the fear and resistance of those traumatised by institutionalisation in residential Mental Health facilities to being “placed” once more into Residential Aged Care.
MHCC and ACS will continue to work together to identify outcomes from the Forum and progress the next steps.
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
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GooD sPorTsThe Australian Drug foundation’s Good sports program works with sporting clubs across Australia to reduce alcohol-related harms within the club and wider community. Clubs work through three levels of accreditation as part of the program.
2012 has been another big year for Good Sports in NSW, reaching over 1200 accredited clubs – up 179 from last year with another 236 progressing to levels 2 or 3.
John Reid, Good Sports NSW Manager, said this year has seen many great achievements amongst clubs becoming more family-friendly and bringing the focus back to sport.
“We’re proud of NSW clubs going the extra mile to provide safe and responsible environments for their communities. In particular, Rugby League has really stepped up their commitment to change,” John said.
One club that has achieved great heights this year is Sydney’s St George District Cricket Club which has reached the highest level in the program. The club, once home to such legends as Sir Donald Bradman, was the first cricket club in Sydney to reach this milestone.
“By participating in Good Sports we are able to implement alcohol management
policies that not only reduce risky driving within the club, but also educate the wider community and provide a safe environment to enjoy sport,” St George District Cricket Club CEO, Jon Jobson, said.
Good Sports is delivered through local project officers who often work with
Community Drug Action Teams and Liquor Accords to bring about change in their communities.
Transport Nsw is the major sponsor of Good Sports in NSW. To find out more visit www.goodsports.com.au
above: lauren Yates & John reid from the Nsw Good sports team
Photo courtesy of the Australian Drug Foundation
GPs are ideally placed to assist their patients with alcohol and other drugs (AOD) issues and up to 20% of GP consultations may have an aspect related to problematic AOD use. While some patients with AOD issues are relatively straight forward, others have complex chronic poly-morbidity. While GPs are ideally placed to assist these individuals, they often feel that they don’t have the necessary time or skills, nor do they have adequate or timely specialist support.
In response to GP demand, the RACGP has created a National Faculty of Specific Interest (NFSI) which includes a group or network with an interest in addiction medicine.
GPs in each state face unique issues and challenges with different regulatory frameworks for the prescribing of opioid pharmacotherapy and difficulty finding appropriate services and supports for patients with AOD problems.
A group of GPs in the NFSI Addiction Medicine Network are looking to create a NSW/ACT branch and to
this end invite all doctors working in primary care with patients with AOD issues, or who have an interest in this area, to join. It is hoped this group will assist GPs in NSW/ACT who see patients with AOD problems to support the central role that GPs play, advocating for greater GP support, up-skilling and other important issues that arise for GPs working with patients with AOD problems in primary care, both in metropolitan, regional and rural areas.
If you are interested in getting involved please email Pam Garrard at [email protected]
GPs seTTING uP A Nsw/ACT sPeCIfIC INTeresT IN ADDICTIoN BrANCH
14
THE BUZZTHE BUZZ
CommuNITY News
CommuNITY DruG ACTIoN TeAms AlCoHol ADverTIsING ADvoCACY sTrATeGIes
kIDs AND AlCoHol? THINK TWICE!
surry Hills CDAT has partnered with st George, shellharbour-kiama, wollongong and ulladulla CDATs to forge ahead in tackling the negative impacts of alcohol advertising especially on young people. several CDATs raised community concerns about the impact and role that alcohol advertising plays, with the key concern being the current, industry-related advertising complaints mechanism.
Research, undertaken by the University of Wollongong’s Centre for Health Initiatives, highlights that most people do not know about the advertising code of practice or how to lodge a complaint about alcohol advertising. Several of the CDATs have lodged complaints about advertisements that they believed were in breach of advertising codes only to receive a standardised response from the industry regulated body.
“The dismissal of so many complaints and the increasingly automated and impersonal nature of the complaints system lead to people feeling that it is not worth the time and effort required to make a complaint. Unless people continue to make complaints and advocate for change, no action will be taken to change the impact of alcohol advertising in our community, as the lack of complaints is interpreted as evidence of limited concern” said Professor Sandra Jones.
As a result, the Centre for Health Initiatives was commissioned to examine what was being done in Australia and overseas to address the impact of alcohol advertising on community consumption and recommend actions within the capacity and remit of CDATs. “A Review of the Evidence on Alcohol Advocacy and Recommendations for the Best Advocacy Strategy” was launched in December 2012, in the lead up to the festive
Auburn CDAT has developed an educational pictorial resource for the Auburn local Government Area. The resource is aimed at over 18 year olds and focuses on the issue of secondary supply to under 18s. The resource was developed knowing that there are new and existing culturally diverse communities in Auburn where english may not be their first language which is why the messages depicted are primarily pictorial.
It targeted the 2012/2013 Christmas and holiday period as celebrations take place where alcohol is involved and under 18s will be present. The CDAT aimed to educate and raise awareness in the Auburn community about the physical, social and health consequences of supplying alcohol to under 18s as well
as inform them of the consequences of underage drinking and supplying to minors.
CDAT members have distributed the booklets to liquor stores and through the safe party guide packs that Police hand out when registering a party. The Auburn Liquor Accord and the Crime Prevention Officer at Flemington Local Area Command, James Dickson, distributed the booklets to Auburn liquor stores; these are then passed on to customers when they purchase alcohol.
Auburn CDAT has received a positive response towards the booklets from the Auburn community and liquor store managers. Booklets will continue to be distributed over summer 2012/2013.
above: CHI researcher laura robinson with the Alcohol Advocacy report
Photo courtesy of Surry Hills CDAT
season prime alcohol advertising period with CDATs consulting on a series of actions over the next 12 months.
Copies of the report are available from surry Hills CDAT, please email Norman Booker [email protected]
For more information contact
Sakara Branson, Community
Engagement Action Project Officer,
Tel: 02 4734 3840
Jemma-sakara.branson@swahs.
health.nsw.gov.au
MENTAL HEALTH AND DRUG & ALCOHOL CLINICAL POLICY NEWSLETTER Summer 2013
1515
left: Auburn CDAT member James Dickson & leanne eagles promoting the ‘kids and Alcohol, Think Twice’ resource
Photo courtesy of Auburn CDAT
This question was put to patrons at seven Hornsby and ku-ring-gai licensed premises in April 2012 as part of a project to promote safe and responsible consumption of alcohol.
‘The Coaster Project’ was a partnership between Hornsby Community Drug Action Team (CDAT) and the Hornsby Ku-ring-gai Liquor Accord (HKLA). It involved surveying patrons at licensed premises on their drinking habits and attitudes to identify local issues for future projects.
Approximately 28,000 coasters and posters portraying images of people looking worse for wear from drinking alcohol, asked the leading question ‘How often do you wear beer goggles?’ and offered the chance to win a prize. Patrons used their smart phones to scan the Quick Response Code (QR code) printed on the items to complete the survey online.
One hundred and seventy-six patrons completed the survey with one hundred and thirty-nine patrons entering the competition to win a prize.
Over a third of patrons reported consuming large amounts of alcohol before attending a licensed venue with over 20% of patrons consuming ‘3-5’ drinks and over 10% consuming ‘6 or more’ drinks, prior to going out to a pub or club. Risky drinking levels were also high with over 20% of patrons consuming eight or more drinks on one occasion ‘weekly’ and almost 10% consuming eight or more drinks on one occasion ‘daily’.
The results provide a basis for the CDAT and HKLA to target safe and responsible consumption of alcohol on and around local licensed premises.
THe CoAsTer ProJeCT HORNSBY CDAT ASKS, “HOW OFTEN DO YOU WEAR BEER GOGGLES?”
The report is available at:
www.nshealthpromotion.com.au
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THE BUZZ
The Buzz web page in development!Future issues of the newsletter will be available via the NSW Ministry of Health website by May/June 2013 via The Buzz web page which is currently under development. A link to the site will be sent out once the page is live.
The Buzz will continue to provide news from the sector and allow easy access to the Style Guide, Multimedia Consent Form and deadline for submitting articles.
Newsflash – a new option, serves to upload information quickly to the site, outside the regular timeframe per issue.
Previous newsletters will appear under the section – Archives. It will also be easier to subscribe or unsubscribe.
NSW Health Drug and Alcohol Research Grants Program 2012/13Early in 2012 the Mental Health and Drug and Alcohol Office invited applications for funding under the Drug and Alcohol Research Grants Program.
The program supports innovation in drug and alcohol research in NSW and provides 12-month funding for small research projects.
In 2012/13 nine grants were awarded to various universities, non-government organisations and Local Health Districts. Some of the projects funded include long term cannabis use, models of support for patients of Aboriginal Medical Services and GP prescribing of pharmaceutical opioids.
For further information regarding the Research Grants Program contact Tricia O’Riordan, A/Manager, Research and Health Systems Development on 02 9391 9338 or email [email protected]
Medicine in Addiction Conference 15-17 March 2013, Sydney
The event will address a wide range of topics, including sessions around the neurobiology of addiction, pain management, drugs in pregnancy, the pharmaceutical drug misuse strategy, psychostimulants and forensic issues. Concurrent half-day workshops will allow delegates to explore some of these topics in more detail.
To reGIsTer:
online.saneevent.com.au/mia2013
www.ranzcp.org/mIA2013
email: [email protected]
Telephone: 02 9886 4709
Creating Synergy 2013 Professional Development Forum United for Excellence: Connecting Competence with Outcome, 13 - 14 June 2013, Novotel wollongong.
Creating Synergy 2013 has been reformatted to comprise two 1-day workshops titled:
‘Co-Occurring Mental and Substance-Related Disorders: Improving Clinical Skills in Daily Practice’
Reach: Pushing your Clinical Skills and Effectiveness to the Next Level’
To register for the event, visit: www.creatingsynergy.org.au
for further details contact David Hedger 02 4223 8341 or email: [email protected]
New Mental Health Online Training opportunity available through ARCHIA new learning tool to help generalist nurses develop skills to care for patients who exhibit psychological, emotional and behavioural difficulties in general hospitals is now available through ARCHI, the Australian Resource Centre for Healthcare Innovations.
‘Mental Health Liaison’ is an interactive, multimedia eSimulation resource and presents four clinical scenarios in engaging simulations that can be accessed from http://www.archi.net.au/resources/workforce/learning/mh-liaison
The tool was developed by Mental Health Liaison Nursing at the Prince of Wales Hospital, Sydney with funding from the Nursing and Midwifery Office of the NSW Ministry of Health and attracts 8 CPD hours for professional portfolios
Physical health care in mental healthThis two-day course provides an introduction to the issue of physical health care within mental health. The core focus is teaching participants how to identify and monitor metabolic abnormalities, and implement prevention and treatment strategies to overcome them.
The target audience is Registered Nurses (RN) and Enrolled Nurses (EN).
for more information, please contact sumith Abkari, Australian College of Nursing on 02 9745 6614 or email: [email protected]
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