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Mental Illness Fellowship Victoria NDIS Transition Implementation – making it work Building better lives for people with a mental illness, their families and friends

Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

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Laura Collister, General Manager, Rehabilitation Services, Mental Illness Fellowship Victoria delivered this presentation at the Inaugural Integrating Mental Health into the National Disability Insurance Scheme. This conference focuses on the latest plans to integrate mental health services into a new funding scheme and how its implementation will affect the future direction of disability policy reform for people with mental illness in Australia. For more information about the event, please visit the conference website: http://www.healthcareconferences.com.au/mentalhealthndis

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Page 1: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Mental Illness Fellowship Victoria

NDIS Transition Implementation –

making it work

Building better lives for people with a mental illness, their families and friends

Page 2: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Mental Illness Fellowship Victoria

Work with over 4000 people a year providing

community support for people with a mental illness

and their families

Recovery and Advocacy

Programs across Victoria, including Barwon, and

the ACT

Page 3: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Our programs

Outreach Support Employment Housing Sub-acute treatment programs Vocational rehabilitation programs RTO – Return to learning Partners in Recovery Youth and Adult residential rehabilitation PHaMs, including employment PHaMS Carer respite and support Peer led programs: MiRecovery Well Ways Family Education Tobacco Reduction Optimal Health

Page 4: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

DCA Transition sites

In Barwon

Youth Residential Rehabilitation services

FaHCSIA funded carer support

In ACT

Vista Vocational Services

NDIS Practical Design Fund

Page 5: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Recovery

“...a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills and/or roles. It is a way of living a satisfying, hopeful and contributing life even with limitations caused by illness. Recovery involves the development of new meaning and purpose in one’s life as one grows beyond the catastrophic effects of mental illness.”

Anthony, 1993

Page 6: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

NDIS

NDIS Objectives Support the independence and social and economic participation of people with a disability Enable people to exercise choice and control in pursuit of their goals and the planning and delivery of their supports Promote the provision of high quality and innovative supports that enable people with disability to maximise independent lifestyles and full inclusion in the community Raise community awareness of the issues that affect the social and economic participation of people with disability

Page 7: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Old vs. New

Page 8: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Engagement

Internationally there has been a very low uptake of mental health consumers Why – •Inflexible referral/initial appointments •Consumers fear process •Referral processes not clear •Bureaucratic barriers •Yet another person/agency •For some people it will be the mental illness itself hat leads to barriers •Family critical

Page 9: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Person Centered Outcomes

Will individualised funding support consumers to build a better life?

Page 10: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

A challenge….

While the rhetoric indicates that people with a disability under Disability Care will be able to choose the services they use, in reality, it looks like they will only be able to choose the services that have been established for them

Isabell Collins

Page 11: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Imagining Better

“All the individuals that participated in the group were stumped

when I initially asked them to think about what they would

want if they had the choice to choose the type of support they

could receive to empower them to have a better life. The real

light bulb moment that occurred in the room was that not one

of these individuals knew what they wanted, not one of them

could put a concrete want down on paper.

Through discussions it became clear that all these individuals

had been so used to taking what they were given, and just

accepting it whether they liked it or not, that they had actually

become submissive in their own lives”

Kelly Helps, miRecovery peer facilitator

Anglicare, WA

Page 12: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Imagining Better

People choose what they know

Services deliver what they know

Page 13: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Thinking beyond what is …..

Limited by low expectations

Limited by practical constraints

Page 14: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Imagining Better

Imagining Better

We do not always know what we want or need

Tasting Life

Time

Creating better

Person-centered

Thinking outside the service system

Using normative means to meet normative needs

Page 15: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Imagining Better

“I feel a new start coming”

“Mind blowing. Life changing. Empowering”

“Very supportive, loving, understanding. Gives

me guides, motivation to have faith in myself,

to become stronger to explore what I face

each day.”

Page 16: Laura Collister - Mental Illness Fellowship Victoria - DCA : Empowering or Disempowering?

Recovery

“The goal of the recovery process is not to become normal. The goal is to embrace our human vocation of becoming more deeply, more fully human. The goal is not normalisation. The goal is to become the unique, awesome, never to be repeated human being that we are called to be.” Patricia Deegan, p91