Authors: Paul Clenaghan; Cecy Bradley; Jennifer Smith-Merry, Kirsty McKenzie
Event: 2016 TheMHS Conference
Subject: 2016 book of proceedings, Sydney Local Health District (LHD), Community engagement
Type of resource: Conference Presentations and Papers
Abstract: Care transition is a time of significant instability for people with mental illness who are moving out of acute care and into the community. In Australia there are many anecdotal stories which suggest this is much more difficult for those who have been in custody who may lack social connections to an even greater extent than others experiencing mental ill-health. Here we describe the current context and strategies in place in an inner-city Sydney Local Health District (LHD). The Mental Health Team, Justice Health and Partners in Recovery (PIR) are implementing strategies during transfer of care from custody designed to improve the care pathway and enable more effective treatment and community engagement for people with enduring mental health problems who will require follow up by the Sydney LHD Mental Health Service. The study is looking at 7 day and 28 follow up data points. The key interventions include in reach, communication between service providers, developing support packages and an extended commitment to follow up.