jane h roberts gp and senior lecturer university of sunderland rcgp adolescent health group
TRANSCRIPT
Jane H RobertsGP and Senior Lecturer University of Sunderland
RCGP Adolescent Health Group
Churchill Fellow 2010Overview of talk
Australian context Adolescent mental
health New developments in
community based service provision
Key findings Conclusions
Aboriginal rock paintings Historical background
‘Old’ and ‘new’ country Aboriginal culture 50
000 years old 1700s British colony 1850s 6 states – with
independent governance
1900 Australian independence
1931 Commonwealth
6th largest country in the worldPopulation 20 million
13th richest economy
4 in 10 young people and increasing rich country with high rates of relative
poverty Blended system of healthcare-public
/private No registration with GPs. Medicare covers basic services. Eligible from 15 yrs old
2003 and 2007 national reviews MH-IAPT Focus on YP MH and service shake-up
Championed by Prof McGorry Funded by Commonwealth (national )
government 2006: National Youth Mental Health Foundation
Focused on 12-25 years in 30 ‘one-stop shops’ in pop dense areas
Aim to address general and mental health, substance + alcohol counselling, education and employment
University support-UoMelbourne ‘Orygen’
Melbourne ‘Sunshine’ centre Key points
Work with existing services –determines local shape + scope
GPs role pivotal-but variable interest
Youth workers crucial Main focus on MH Less input in
Education Training +Employment
CAMHS-poorly funded; high rate private psychiatry
Inter-state variability re provision and legislation incl. competence regulations
Major re-structuring of mental health services in Victoria around 0-11,12-25 yrs
Individual models eg ‘Clockwork’, Geelong: multi-agency team working, high workload
Education: UME-med students in high schools + PCOs: ‘Docs and teens’
Culturally appropriate services limited
Sculpture in Adelaide The big issues
A generalist or specialist service?
Encouraging all clinicians to be youth-friendly or create ‘stand –alone’ services?
12-25 as a ‘core group’?
Early intervention or over-medicalization?
Champions are essential : youth mental health
Advocacy and lobbying lead to funding Role of Academic base : Orygen; DGP, UoM;
CAAH; Youth Health Research Interest group, Sydney
Pros and cons of a youth focused service-EarIy Intervention effective in long term or diverting limited resources ?
Cleland Wildlife Park Key messages
Work closely with client groups: YP , clinicians-what do they want ?
Respect local history and geography-context is all important
A ‘can-do’ approach is energizing
Youth (mental ) health is everyone’s business
http://www.wmct.org.uk