Using the National Mental Health Service Planning Framework to inform integrated regional planning: a case study in Tasmania, Australia

International Journal of Mental Health Systems

Research

Kevin Fjeldsoe¹  Sandra Diminic²  Kate Gossip²  Claudia Pagliaro²  Charlotte Comben²  Harvey Whiteford² 

[1] Queensland Centre for Mental Health Research The Park - Centre for Mental Health, Locked Bag 500, 4074, Sumner Park, BC, QLD, Australia;Queensland Centre for Mental Health Research The Park - Centre for Mental Health, Locked Bag 500, 4074, Sumner Park, BC, QLD, Australia;School of Public Health, The University of Queensland, Brisbane, QLD, Australia;

关键词: Mental health;    Mental health services;    Health service planning;    Service mapping;    NMHSPF;   

DOI  :  10.1186/s13033-023-00591-w

 received in 2022-12-20, accepted in 2023-06-27,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundThe aim of this study was to demonstrate the application of a needs-based mental health service planning model in Tasmania, Australia to identify indicative directions for future service development that ensure the equitable provision of mental health services across the State.MethodsThe activity and capacity of Tasmania’s 2018–19 mental health services were compared to estimates of required care by: (1) generating estimates of required care using the National Mental Health Service Planning Framework (NMHSPF); (2) collating administrative mental health services data; (3) aligning administrative data to the NMHSPF; and (4) comparing aligned administrative data and NMHSPF estimates to identify priority areas for service development. Findings were contextualised using information about service location, population demographics, and upcoming service development.ResultsBed-based services capacity reached 85% of the NMHSPF estimate. However, access to certain bed types was inequitable across regional areas. Access to jurisdictional clinical ambulatory team-based services was lowest in the South, while overall full-time equivalent staff capacity reached 58% of the NMHSPF estimate. Access to Primary Health Tasmania (PHT) primary care services was highest in the North West; access to Medicare services was highest in the South. Collectively, activity across primary care (PHT, headspace and Medicare) reached 43% of the NMHSPF estimate. Over half of Community Managed Mental Health Support Services were state-wide services.ConclusionsThis study demonstrates the application of a needs-based planning model for mental health services. Findings revealed service priority areas across Tasmania and highlight considerations for needs-based planning.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

40517_2023_266_Article_IEq4.gif

40517_2023_266_Article_IEq64.gif