ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY...

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ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions

Transcript of ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY...

Page 1: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

ADVOCACY CONFERENCE 2013

D E B O R A H O ’ F L A H E R T Y, C O M P L A I N T S A S S E S S M E N T M A N A G E RT H E O B A K E R , D E P U T Y C O M M I S S I O N E R

Complaints AssessmentMental Health and Addictions

Page 2: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

OVERVIEW

StatisticsNature of complaintsHandling factorsComplaints ProcessDiscussion

Page 3: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

The Numbers

Page 4: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Complaints Received

YEAR Complaints Received

TOTAL Mental Health & Addiction

s

%

2012 – 2013 1619 203 13

2011 – 2012 1564 172 11

2010 – 2011 1405 139 10

Page 5: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Individual providers – 157Group providers – 124

SERVICE TYPEAssessment for third party 32

Counselling/therapy 22

Inpatient mental health services 49

Mental health services 161

Multiple 7

Non health or disability service 3

Other 2

Other disability services 1

Paediatric 1

Physician care 2Prison health 3

Page 6: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Individual Providers

Occupation Number

Psychiatrist 59

Psychologist 48

Nurse 18

Counsellor 14

Psychotherapist 6

GP 4

Physician 3

Social worker 2

Other 5

TOTAL 157

Page 7: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

What happened to the 203?

Outcome Number

Advocacy 13

Breach 1

District Inspector 19

Nursing Council/Psych Board/Medical Council 15

OJ 12

Provider 7

Withdrawn 11

Section 38 66

Section 38 with follow-up 10

Referred to MOH, Privacy or other 4

Resolved by parties 1

TOTAL 159

Page 8: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Why do people complain?

Page 9: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

What did they complain about?Complaint Key word Number of times

featured

Inadequate treatment/care/discharge 36

Attitude/manner 32

Prescribing /administering meds 20

Diagnosis 18

Co-ordination of treatment 17

Report for third party 11

Communication with family 10

Incorrect treatment 8

Special needs not accommodated 7

ACC issues 6

Consent 6

Assault 6

Sexual misconduct 5

Page 10: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Handling factors

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Handling factors

Support for complaintEntitlement to informationLength of timeCoronial inquestDistrict Inspector

Page 12: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Over to Debbie!

StatisticsNature of complaintsHandling factorsComplaints ProcessExample

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HDC Complaints Processes

Complaint received

Assessment

Refer to Advocacy

Refer to provider

Refer to registration authority

Get more information

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Complaints processes

More information received

No further action

NFA but follow-up

Clinical advice

Investigate

Page 15: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Investigation

Investigate

Breach of Code

Recommendations

Refer to Director of Proceedings

NFA

NFA with follow-up

Page 16: ADVOCACY CONFERENCE 2013 DEBORAH O’FLAHERTY, COMPLAINTS ASSESSMENT MANAGER THEO BAKER, DEPUTY COMMISSIONER Complaints Assessment Mental Health and Addictions.

Case Study

Miss A – alcohol dependence and bipolar type 2

Strong suicidal ideation – hospital admissionPoor treatment, poor follow-up on discharge