Embodying policy-making in mental health: the implementation of Partners in Recovery

Smith‐Merry, Jennifer; Gillespie, James

doi:10.1080/14461242.2016.1171120

Cited by 8 publications

(11 citation statements)

References 37 publications

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“…This paper examines the Partners in Recovery (PIR) program which was established in Australia in 2012 to coordinate service delivery for people with severe and persistent mental illness [10]. The Australian Government has a history of supporting interprofessional and interagency cooperation as means of improving primary mental health care [11, 12].…”

Section: Introductionmentioning

confidence: 99%

“…The Australian Government has a history of supporting interprofessional and interagency cooperation as means of improving primary mental health care [11, 12]. Partners in Recovery (PIR)—funded by the Australian Government—focused on providing care coordination and support to access health and social support services to individuals with severe and persistent mental illness [10]. Of the 48 PIR programs operating in May 2015, 35 had Medicare Locals as a lead organization, and nine PIR programs had Medicare Locals as partner organizations.…”

Section: Introductionmentioning

confidence: 99%

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Interagency collaboration in primary mental health care: lessons from the Partners in Recovery program

Henderson

Javanparast

Baum

et al. 2019

Int J Ment Health Syst

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Background Collaborative care is a means of improving outcomes particularly for people with complex needs. The Partners in Recovery (PIR) program, established in Australia in 2012, provides care coordination to facilitate access to health and social support services for people with severe and persistent mental illness. Of the 48 PIR programs across Australia, 35 were led by Medicare Locals, the previous Australian regional primary health care organisation and nine involved Medicare Locals as partner organisations. Aims To identify features which enabled and hindered collaboration in PIR programs involving Medicare Locals and determine what can be learnt about delivering care to this population. Methods Data were collected from 50 interviews with senior staff at Medicare Locals and from eight focus groups with 51 mental health stakeholders in different Australian jurisdictions. Results Successful PIR programs were based upon effective collaboration. Collaboration was facilitated by dedicated funding, a shared understanding of PIR aims, joint planning, effective network management, mutual respect and effective communication. Collaboration was also enhanced by the local knowledge and population health planning functions of Medicare Locals. Jurisdictional boundaries and funding discontinuity were the primary barriers to collaboration.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Interagency collaboration in primary mental health care: lessons from the Partners in Recovery program

Henderson

Javanparast

Baum

et al. 2019

Int J Ment Health Syst

View full text Add to dashboard Cite

show abstract

“…The PIR initiative, including the demographic profile of program participants, their needs and the role of the Support Facilitator is described in further detail elsewhere [ 18 – 20 ]. While the program, as indicated in its name, has a specific orientation to recovery, there was little understanding of who this group were and their specific recovery needs when it was initiated [ 21 ]. There was also little literature that spoke directly to this group which could be drawn on to either assist support facilitators in their work or to provide PIR clients with a realistic representation of what recovery may involve for them.…”

Section: Introductionmentioning

confidence: 99%

Understanding the ups and downs of living well: the voices of people experiencing early mental health recovery

et al. 2018

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BackgroundThe aim of this study was to better understand early-stage mental health recovery experiences of people living with severe and persistent mental illness and complex needs.MethodsSemi-structured, in-depth interviews were conducted with 13 people engaged in an Australian program specifically designed for people facing complex barriers to their recovery. Interview data were analysed thematically using constant comparative methods.ResultsParticipants described engaging with seven interconnecting aspects of early recovery: (1) engaging with the challenge of recovery; (2) struggling for a secure and stable footing; (3) grieving for what was and what could have been; (4) seeking and finding hope; (5) navigating complex relationships; (6) connecting with formal and informal support, and finally, (7) juggling a complexity of health issues.ConclusionsThis study illuminated the complexity of earlier-stage recovery which was characterised both by challenging personal circumstances and a hope for the future. It illustrated that even at an early point in their recovery journey, and amidst these challenging circumstances, people still actively engage with support, draw on inner strengths, source resources and find accomplishments. Stability and security was foundational to the ability of participants to draw on their own strengths and move forward. Stability came when material needs, including housing, were addressed, and an individual was able to connect with a supportive network of workers, carers, friends and family.

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“…This understanding was central to Partners in Recovery (PIR), a programme initiated as part of Labor government's social inclusion agenda. PIR was designed to support people with severe and persistent mental illness through proving case coordination through interagency collaboration across clinical and social services (Smith‐Merry & Gillespie ). A report released by the Victorian Partners in Recovery organisations argues that the long‐term objectives of PIR are to: Facilitate better coordination of clinical and other services to deliver person‐centred support tailored to individual needs; Strengthen partnerships and build better links between various clinical and community organisations; Improve referral pathway that facilitates access to the range of services and supports needed; and Promote a community‐based recovery model to underpin all clinical and community support services (: 5). …”

Section: Resultsmentioning

confidence: 99%

The governance of primary mental health planning by Primary Health Networks

Henderson

Javanparast

Baum

et al. 2019

Aust J Social Issues

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The establishment of Primary Health Networks (PHNs) was accompanied by assignment of responsibility for funding for primary mental healthcare. To ensure this funding is spent in line with government priorities, the Federal government developed a planning document with established priorities and guidance documents for how the planning document should be completed. This paper examines how these documents shape service delivery through enabling some activities and excluding others and identifies the assumptions that underpin these documents. Data were drawn from discourse and content analysis of completed planning documents from the PHNs and of the guidance documents and from reflection upon mental health planning from 55 interviews with key personnel from six PHNs. Service delivery is shaped by outcome measures that promote service access, cost‐effectiveness and clinical effectiveness, contributing to service options that favour self‐management for mild mental illness and clinical (but not social) services for people with severe mental illness. There is also limited scope for mental health promotion with prevention activities focused upon populations identified by the government as being at‐risk. This occurs to the detriment of other at‐risk populations.

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Embodying policy-making in mental health: the implementation of Partners in Recovery

Cited by 8 publications

References 37 publications

Interagency collaboration in primary mental health care: lessons from the Partners in Recovery program

Interagency collaboration in primary mental health care: lessons from the Partners in Recovery program

Understanding the ups and downs of living well: the voices of people experiencing early mental health recovery

The governance of primary mental health planning by Primary Health Networks

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