Better Sooner More Convenient Primary Care - New Zealand Doctor
Better Sooner More Convenient Primary Care - New Zealand Doctor
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