Mental health reform

Reform is: 

  • The recognition that the same ways of working in the past are not going to get us where we want and need to go.
  • Improvement, doing things differently (not business improvement)
  • Strengthening, amending, removing faults, and correcting abuses 
  • Doing something differently, or rapidly improving something

The Living Well domains (key areas of action) 

1.    Making it local means 

  • Services and support is designed by communities for communities 
  • Services are provided where and when people need them (for example in schools, workplaces, community groups) 
  • That that the support we need for our own recovery is different for everyone
  • That opportunities for care and support are needed where and when people need them. 

2.    Getting in earlier means….

  • Building resilience in childhood 
  • Having a safe and healthy family life 
  • Getting in early at the first signs of distress, no matter what age 
  • Linking people to things that are supportive of good mental health like housing, employment and having something meaningful to do. 

3.    Putting people first means…

  • People are experts in their own mental health and the services they need. 
  • People and their recovery journeys should guide all facets of designing and evaluating mental health programs, services and supports. 
  • Planning and priorities should be made in collaboration with people with a lived experience of mental health issues and caring, families and kinship groups. 
  • The needs of carers must also be a key part of planning for any service and cultural understandings of kinship.
  • Putting people first means collaborating with people from diverse backgrounds. 

4.    Providing the right type of care means…

  • Wrapping support around the person when and where they need it 
  • Hospital care is infrequent and provided only when it is really needed 
  • Stepped care is available for different levels of need 
  • Care is provided in workplaces, schools and communities, rather than at crisis point 
  • The full range of supports that a person needs to recover is available in the community. 

5.    Better responses means…

  • Care is integrated; people do not have to shop around to access the support they need or turned away from services for not meeting “criteria”. 
  • Health and support services work together 
  • People have the best opportunity to have their care and support needs met at once 
  • People with other difficulties for example drug and alcohol issues or physical health issues are not denied services “no wrong door”

6.    Care for all means…

  • Services planning considers inequalities in mental health for different groups of people 
  • Care is tailored to the needs of different people and local communities 
  • People can access the same opportunities for mental health support, no matter where they live or what they can afford.