Authors: Simon Richards, NSW
Event: 2003 TheMHS Conference
Subject: Partnerships with General Practice, general practitioners
Type of resource: Conference Presentations and Papers
Abstract: This paper presents initial experiences, findings and outcomes in applying a GP Shared Care model on the Lower North Shore of Sydney within the Royal North Shore Hospital and Community Mental Health Service. This model is based loosely on Professor Graham Meadows CLIPP model as applied in Victoria, and involves one senior manager clinician performing the role of a GPCLO (GP Client Liaison Officer) enabling collaboration between GPs, clients, carers, the mental health service, the local Division of GPs, the wider community and psychiatrists. The presenter argues that mental health service provision having moved through de-institutionalisation is now faced with the next challenge which involves moving from a primary care model to a mixed specialist model. Staff attitudes and the philosophies of mental health service provision are discussed. The initial operation of the scheme and preliminary results are discussed. Whilst the presenter would argue no clients should be excluded from shared care, nevertheless within the limited staffing constraints of a single GPCLO a screening tool influenced by Professor Peter Yellowlees et al is proposed to identify clients most likely to succeed within these constraints. A data base tracking clients discharged to GP Primary Care has been developed. The application of this model is also discussed within the context of MHOAT. This abstract thus explores the journey of implementing a new model of care, the possible implications and challenges and short-term outcomes.