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Better Sooner More Convenient Primary Care - New Zealand Doctor

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eceive a brief intervention from the PMHC rather than (or prior to) a more expensive package of care.<br />

The clinical positions require some administrative support (eg., project management, paperwork<br />

involved in referring patients to different non-government organisations, scoring questionnaires,<br />

monitoring). Therefore there is also a need for non-clinical roles to provide this support.”<br />

This provides an appropriate blue print for the West Coast for further development and<br />

integration of mental health services.<br />

4 Objectives<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

<br />

To improve patient care by better integration between community mental health<br />

services and primary health care and more collaboration amongst primary mental health,<br />

secondary mental health, NGOs and social services.<br />

To continue to support general practice teams to provide screening, initial assessments,<br />

and extended consultations.<br />

To develop a common set of assessment processes.<br />

To develop a primary care based assessment service for all new adult patients (except<br />

those referred acutely to the TACT team) .<br />

To develop the primary mental health co-ordinator role.<br />

to develop stepped care pathways and packages of care for patients with different<br />

levels of severity and complexity, including shared care arrangements.<br />

To re-design discharge planning processes to include primary care.<br />

To extend the Kaupapa Māori mental health service to include tangata whai ora in both<br />

primary and secondary mental health care settings.<br />

To improve the patient pathway for Māori by establishing a whanau ora approach to the<br />

delivery of services.<br />

To develop a population health approach for all mental health services with service<br />

delivery focused on the enrolled population in each IFHC.<br />

to increase mental health promotional activities and support for self care.<br />

5 Benefits and gains<br />

Output measures<br />

Indicator<br />

Number of primary mental health<br />

co-ordinators appointed<br />

Single point of entry to mental<br />

health services<br />

Number of Multi Disciplinary Team<br />

meetings within practices / IFHCs<br />

Baseline<br />

09 year<br />

Target – End<br />

Yr 1<br />

Year 2 Year 3<br />

1 3 3 3<br />

Not in<br />

place<br />

Established<br />

Continued<br />

and revised<br />

Continued<br />

1/mth 3/mth 6/mth 6/mth<br />

Business case appendices V12 AC 25Feb2010 Page 92

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