Authors: Grant Macphail
Event: 2017 TheMHS Conference
Subject: Service Systems, Delivery, Implementation,Change, Innovation, Reform,Research & Evaluation Informing Practice
Type of resource: Conference Presentations and Papers
Abstract: This presentation seeks to generate further innovative thinking, discussion, and action that embraces and enables adaptive processes for Australia’s changing mental health landscape and the provision of person-led support in a stepped-care environment. In doing so, this presentation calls for mental health system stakeholders to embrace and promote truly flexible, mutualistic, cross-sectorial, multi-level, adaptive responses to stepped-care reform within and between currently disjointed mental health system stakeholder groups. If stakeholders can embrace reformative change in innovative ways, stepped-care reform will ensure a more integrated system with greater capacity and equitable opportunities to access appropriate person-led supports. Therefore, innovative translations of stepped-care policy and research must be fostered within supportive environments, driven by the needs and voices of families, carers, and individuals with lived experience of mental ill-health, and actioned in a timely, effective, integrated, and holistic manner. As such, this presentation further calls for ecologically valid research methodologies to inform innovative and effective approaches to person-led service provision within changing contextual realities. We require evidence that enables a pragmatic understanding of the needs and perspectives of individuals with lived-experience, of which, is also appropriate for informing the continual improvement of our mental health system within a reformative environment.
Learning Objective 1: Audience will gain and learn:
- An increased, critical understanding of the complex practicalities likely to emerge from forthcoming Australian stepped-care reform and how these changes may impact provision of integrated and person-led services and supports.
- Stronger appreciation and understanding of the importance of developing an appropriate evidence-base to inform continual improvement through change, and innovative translations of stepped-care research evidence into practice.
- Critical, innovative, and pragmatic approach to thinking related to stepped care’s utility for building system capacity and diversity to promote a resilient and sustainable system.
Learning Objective 2: Stepped-care reform is an integral component in the sweep of recent policy reforms impacting the Australian mental health system. Therefore, it is essential to build a strong applied understanding of how stepped-care may impact individual access and engagement with services and supports of varying intensity. Further, in order for stepped-care reform to be effective and efficient it is also essential that system stakeholders embrace appropriate research methodologies which yield valid and reliable evidence that may inform and integrate a pragmatic understanding of lived-experience perspectives into appropriate policy development whilst enabling flexible translations of policy and research into practice.
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Hickie, I. B. (2015). Time to implement national mental health reform. The Medical Journal of Australia, 202(10), 515-517.