Page 1409 - Week 05 - Thursday, 18 June 2020

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Answers to questions

Mental health—model of care
(Question No 2899)

Mrs Dunne asked the Minister for Mental Health, upon notice, on 14 February 2020:

(1) In relation to the ministerial brief, tracking No MIN19/895, which the Minister signed off on 8 August 2019, as at the time of the ministerial brief, why was there no “agreed Territory-wide model of care for mental health” (MOC).

(2) For how long has there been no MOC and why has there been no MOC.

(3) In the absence of a MOC, how (a) could consumers of mental health services expect consistency in services and systems across the Territory and (b) was mental health care co-ordinated across the Territory.

(4) Was a MOC in place as at the date this question was published on the Questions on Notice Paper; if not, (a) why not, (b) when will it be, (c) will the Minister provide a copy when it is in place; if not, why not; if so, (a) will the Minister provide a copy and (b) if not, why not.

(5) To what extent has the absence of a MOC inhibited the Territory’s ability to gazette the emergency department at Calvary Public Hospital Bruce (CPHB); and

(6) Has the Minister’s concern about a decision needing to be made as opposed to exploring options, as noted in the Minister’s office feedback section of the ministerial brief, translated to appropriate action in the administration; if not, why not; if so, what is the evidence of that action.

(7) What is the status of development of the business case for gazettal of the CPHB emergency department.

(8) Will the business case be put forward for the budget deliberations for 2020-21; if not, (a) why not and (b) for which budget will it be put forward.

Mr Rattenbury: The answer to the member’s question is as follows:

1) Prior to the creation of Canberra Health Services (CHS) and the ACT Health Directorate, Mental Health Justice Health and Alcohol and Drug Services at ACT Health operated under a variety of models of care across different disciplines within mental health – for example a Child and Adolescent Mental Health Service Model of Care, an Adult Community Model of Care, and a Forensic Model of Care.

As a result, at 8 August 2019, when the ministerial brief was written, there had not been an attempt to create and agree a Territory-wide Model of Care for mental health.

2) As mentioned above, there have continuously been a variety of models of care for different disciplines within mental health services rather than a single consolidated model of care across the Territory.

It is not practicable to create a single consolidated model of care that can account for the clinical realities of every mental health service domain. Work is currently underway to integrate those models of care, where possible.


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