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Brisbane North PHN

Updated Activity Work Plan 2016-2019: Drug and Alcohol TreatmentThis Drug and Alcohol Treatment Activity Work Plan template has the following parts:

1. The updated strategic vision of each PHN, specific to drug and alcohol treatment.

2. The updated Drug and Alcohol Treatment Services Annual Plan 2016-17 to 2018-2019 which will provide:

a) An updated description of planned activities funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.3 Drug and Alcohol Treatment Services – Operational and Flexible Funding.

b) An updated description of planned activities funded under the Schedule: Drug and Alcohol Treatment Activities, Item B.4 Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people –Flexible Funding.

c) A description of planned activities which are no longer planned for implementation under the Schedule – Drug and Alcohol Treatment Activities.

2. The updated Operational and Flexible Funding Budgets 2016-17 to 2018-19 (attach an excel spreadsheet using template provided):

a) Budget for Drug and Alcohol Treatment Services – Operational and Flexible Funding

b) Budget for Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people – Flexible Funding

When submitting this Activity Work Plan 2016-17 to 2018-19 to the Department of Health, the PHN must ensure that all internal clearances have been obtained and the document has been endorsed by the CEO.

The Activity Work Plan must be lodged via email to your Grant Officer on or before 17 February 2018.

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1. Strategic Vision for Drug and Alcohol Treatment Funding

Strategic Vision

The Board of Brisbane North PHN endorsed our Strategic Plan 2016 – 2019 in March 2016. Our vision of a community where good health is available for everyone is underpinned by the following three strategic goals:

By working with others we will:

1. Re-orient the health system toward care in our community2. Achieve a health and community care system responsive to consumer need3. Target resources to best meet health and community care needs for our region

In line with our Strategic Plan, our vision for methamphetamine, alcohol and other drug treatment isthat services are available to those in the community who need them to achieve good health.

We will achieve this vision by working with others to:

1. Ensure community-based services are more availableOur commitment is to make community-based services more available and to ensure the existing resources are used to best effect. That is, that people access the right services, at the right time and in the right place. We will work closely with the Metro North Hospital and Health Service and general practice to build capacity of community and primary care providers, strengthen referral pathways and best utilise existing resources to improve community-based treatment rates.

2. Ensure drug and alcohol services and other relevant health and social services are better coordinated and easier to navigate from a consumer perspectiveOur commitment is to increase opportunities for service users to influence direction of the health and community care system to ensure they are easier to navigate. We will also engage health and community care stakeholders in activities directed at strengthening referral pathways and coordinating service delivery.

3. Invest new services in areas of highest need and ensure value for money of investmentOur commitment is that new investment will be directed towards addressing the disparities in service access and health needs identified in our Health Needs Assessment. The existing investment in methamphetamine, alcohol and other drug treatment services in the region is so low in relation to need that value for money is a top priority for investment decisions the PHN makes. Over the three-year period our investment in treatment services will increase as a proportion of total expenditure.

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Governance arrangements

In 2016 the PHN established an Alcohol and Other Drugs (AOD) Partnership Group. Membership is drawn from members of targeted groups in the region, namely:

service users family members/carers Alcohol, Tobacco and other Drug Service (ATODS) Metro North Hospital and Health Service Mental Health, Alcohol and Other Drugs (MHAOD) Branch, Queensland Health Queensland Network of Alcohol and other Drug Agencies (QNADA) Queensland Mental Health Commission Queensland AIDS Council (QuAC – LGBTI communities) agencies funded under this initiative academics with AOD research expertise mental health and /or youth services Australian Government Department of Health general practice and/or pharmacy and/or allied health clinicians.

This group’s role is to advise on issues such as on commissioning priorities, monitoring and implementing Work Plan activities, identifying issues of community need to assist with treatment priorities, assisting with AOD data analysis, cross sector awareness for regional mapping and planning activities.

In 2017 the PHN established the Mental Health, Alcohol and Other Drugs (MHAOD) Clinical Governance Reference Group to oversee MHAOD Clinical Governance Framework in relation to commissioned MHAOD program areas.

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Consultation and joint planning processes

Needs Assessments

In March 2016 the PHN produced the first Alcohol and Other Drugs Needs Assessment. The assessment analysed national, state and local level data to validate treatment levels and to estimate prevalence of alcohol and other drug related issues in the Brisbane North PHN region.

Data was collected on the characteristics of people with alcohol and other drug issues and the characteristics of people who receive alcohol and other drug treatment.

The needs assessment benchmarked population groups who access local level services to national and state estimates of people who have alcohol and other drug issues, along with state level data on people who receive treatment from alcohol and other drug services.

Activity Work Plans

Brisbane North PHN facilitated co-design workshops in April 2016 with key stakeholders including representatives from the Hospital and Health Service, drug and alcohol service providers, mental health services, GPs, Aboriginal and Torres Strait Islander community-controlled health services, allied health and pharmacy, service users, carers and community members. Key feedback from the co-design workshops confirmed priority populations and service types for AOD treatment services. Key recommendations made by stakeholders was to support and invest in existing services to build capacity and to link these services to other initiatives for a more coordinated service system to benefit the consumer. This information has informed this plan.

Regional Plan

In January to September 2017, under the guidance of the AOD Partnership Group, the PHN facilitated a range of engagement processes with key stakeholders to develop an integrated mental health, suicide prevention and drugs and alcohol treatment regional plan for the Brisbane North PHN region. This plan is due for completion in 2018.

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2. (a) Planned activities: Drug and Alcohol Treatment Services – Operational and Flexible Funding

Proposed Activities

Activity Title(e.g. Activity 1, 2, 3 etc.)

1.1 Commission AOD Treatment Services

Existing, Modified, or New Activity This activity is an existing activity

Needs Assessment Priority Area(e.g. Priority 1, 2, 3, etc.)

Priority 1 - Mental Health, harmful use of alcohol and other drugs among Aboriginal and Torres Strait Islander populations, Young people aged 25 and under

Description of Drug and Alcohol Treatment Activity

Brisbane North PHN will work collaboratively with a broad range of stakeholders to commission alcohol and other drug (AOD) treatment services in line with departmental guidelines and the findings of our Needs Assessment. The aim of this activity is to increase availability of AOD treatment services. Commissioning additional AOD treatment services will increase the availability of services.

Brisbane North PHN will continue to commission the following priority service types:

counselling post-rehabilitation support and relapse prevention case management, care planning and coordination.

While our Needs Assessment also identified mild and moderate alcohol detoxification services, given the focus of this funding and the cost of such services in relation to the overall funding amount, we determined not to commission this service type.

The selected provider, Lives Lived Well will specifically provide the following activities with this funding, as part of an overall stepped-care model of service delivery:

Day program/groups AOD Counselling (face-to-face) Case Management and Care coordination Complex Needs Assessment Integrated Service Panel (CNAPIS) M.E. Program (Methamphetamine Assessment and Treatment Enhanced Program)

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Target population cohort The service will prioritise the following populations:

young people people with co-occurring mental health issues people living in Moreton Bay North and Strathpine.

Consultation As described in more detail in the ‘Strategic Vision’ section above, the PHN has engaged stakeholders, including consumers and carers, in the development and review of our AOD needs assessments, via co-design workshops to inform this Activity Work Plan and through the AOD Partnership Group.

In addition the PHN and Queensland Network of Alcohol and Drug Agencies – QNADA (see 1.2 below) have facilitated a range of engagement activities with stakeholders to develop a mental health, suicide prevention and alcohol and drug treatment regional plan.

Collaboration This activity is to be solely implemented by Brisbane North PHN, under the guidance of the AOD Partnership Group.

Discussions are currently underway between Queensland PHNs and the Queensland Department of Health regarding possibilities for future co-ordinated commissioning or co-commissioning of AOD services. In addition Brisbane North PHN and Metro North Hospital and Health Service have established a joint project to explore how we might more formally work jointly, including around commissioning.

Indigenous Specific No.

Duration November 2016 – 30 June 2019

Coverage This activity covers the Moreton Bay North and Moreton Bay South Statistical Areas level 4.This initiative may deliver services to people who live anywhere in the Brisbane North PHN region but the bulk of funding will be directed towards sub-regions listed above.

Commissioning method This program will be wholly commissioned in line with Brisbane North PHN’s Commissioning Framework.

Needs are identified through an assessment process, involving the analysis of population health data and community consultation. Solutions to meet these needs are designed in partnership with stakeholders.

Inclusive processes are used to decide how best to implement these solutions, either through direct intervention or the procurement of services. Services are procured through fair and transparent processes.

These solutions are then evaluated and the evaluation outcomes used to inform further assessment and planning.

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Approach to market A specific AOD Treatment Services Procurement strategy was developed.

Consultations identified that system coordination was a significant priority and so the introduction of new organisations or agencies into the region was not encouraged nor required. Therefore a select tender procurement strategy was open to agencies and collaborations of agencies which were currently delivering or have delivered services in the region in the last three years.

As a result of the select tender approach, Lives Lived Well has been contracted to deliver the service.

Lives Lived Well is required to submit regular data to the PHN and Department under existing Alcohol and Other Drug Treatment Services National Minimum Dataset (AODTS NMDS) arrangements. Performance indicators and data sources are outlined in the table below.

Performance Domain

Performance Indicator Data Source

Outcome Access to Services: Ability of people to obtain services at the right place and right time irrespective of income, geography and cultural background;

Appropriateness of Services: Services provided are relevant to peoples’ needs and based on established standards;

Efficiency of Services: Extent to which services are delivered and desired results achieved with the most cost effective use of resources;

Effectiveness of Services: Extent to which services achieve desired outcomes.

AODTS NMDS

Process Fidelity: Extent to which the service has been delivered as intended;

Uptake: Number of people who have received the service;

Reach: Extent to which particular target groups have been adequately reached;

Quality: Extent to which participants perceive the services they have received as high quality;

Governance: Extent to which Governance structures in place effectively support implementation;

Consumer & Carer Involvement: Extent to which consumers and carers are involved in the planning and implantation of services;

Unintended Impacts: Any unintended impacts of the service, both positive and negative.

Quarterly reports

Program records

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Program Management

Staffing: Extent to which staff are appointed and retained across the funded period;

Engagement: Extent to which staff have engaged with relevant PHN staff as requested;

Reporting: Extent to which data and reporting requirements have been met;

Funding: Extent to which funding has been expended as intended

Program records

Program meetings

Financial reports

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Proposed Activities

Activity Title(e.g. Activity 1, 2, 3 etc.)

1.2. Workforce - Improving services integration and system efficiency

Existing, Modified, or New Activity This activity is an existing activity

Needs Assessment Priority Area(e.g. Priority 1, 2, 3, etc.)

Priority 2 - Treatment needs, Service capacity, Regional equity of access, System design

Description of Drug and Alcohol Treatment Activity

This activity covers the eligible service type: “Supporting the workforce undertaking these services types through activities that promote joined up assessment processes and referral pathways and support continuous quality improvement, evidence-based treatment and service integration/coordination.”These activities will enhance service capacity, increase system integration and feed into further needs assessment and planning to address equity of access across the Brisbane North PHN region. There was a consistent message at the co- design workshops that service integration, coordination and consumer navigation through the system was a significant issue.The co-design workshops also identified that resources need to be invested to support the AOD treatment sector. The selected provider was Queensland Network of Alcohol and Drug Agencies. The work plan outlined activities for 2016-2017 and 2017-18 such as: an in-depth map of Brisbane North AOD treatment services including NGO, government and private providers, consumer engagement activities for service improvement information, workshops with decision makers of services to enhance or develop protocols and referral pathways, development of care pathways (e.g. for GPs, youth workers) and a web site for common referral tools and information.In 2018-19, this activity will largely focus on the implementation of the recommendations of the options paper developed by the Queensland Network of Alcohol and Other Drug Agencies. Activities will include:

establishing a communities of practice model for practitioners and team leaders; conduct a Brisbane North AOD Forum to present accomplishments of the communities of practice; develop agreed best practice sector resources; Conduct AOD workforce development survey for professional

development opportunities and career progression; supporting in-reach services to specialist population agencies (addressing the needs of LGBTIQ populations,

Aboriginal and Torres Strait Islander people and culturally and linguistically diverse communities).Target population cohort The activity targets all AOD agencies, the AOD workforce and all agencies involved in referral to AOD treatment

services funded under this initiative.

Consultation The PHN has engaged stakeholders, including consumers and carers, in the development and review of our AOD needs assessments, via co-design workshops to inform this Activity Work Plan and through the AOD Partnership Group.

In addition some of the activities under this activity will contribute to the development a mental health, suicide prevention and alcohol and drug treatment regional plan by the PHN.

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Proposed Activities

Collaboration This activity is to be solely implemented by North Brisbane PHN, under the guidance of the AOD Partnership Group Discussions are currently underway between Queensland PHNs and the Queensland Department of Health regarding possibilities for future co-ordinated commissioning or co-commissioning of AOD services. In addition the PHN and Metro North Hospital and Health Service have established a joint project to explore how we might more formally workjointly, including around commissioning.

Indigenous Specific NO – see activity 2.1 below. However it is expected that issues for Aboriginal and Torres Strait Islander people and services will be included under this activity.

Duration December 2016 to 30 June 2019.

Coverage Whole Brisbane North PHN region.

Commissioning method This program will be wholly commissioned in line with Brisbane North PHN’s Commissioning Framework (see Attachment 1).

Needs are identified through an assessment process, involving the analysis of population health data and community consultation. Solutions to meet these needs are designed in partnership with stakeholders.

Inclusive processes are used to decide how best to implement these solutions, either through direct intervention or the procurement of services. Services are procured through fair and transparent processes.

These solutions are then evaluated and the evaluation outcomes used to inform further assessment and planning.

Approach to market A specific AOD Treatment Services Procurement Strategy was developed.

A majority of the members of the AOD Partnership Group recommended that a direct engagement approach should be used for this activity. Queensland Network of Alcohol and Drug Agencies (QNADA) already provided some sector capacity building activities across Queensland and is in a good position complement this work, rather than duplicating or further fragmenting the system.

A contract was successfully negotiated with QNADA. QNADA reports on progress and seeks advice from the AOD Partnership Group. six-monthly progress reports will continue to be submitted to the PHN. A detailed work plan for 2017-18 was submitted to the PHN for approval, and this work will continue into 2018-19.

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Activity Title(e.g. Activity 1, 2, 3 etc.)

1.3 Drug and Alcohol treatment transition funding

Existing, Modified, or New Activity This activity is a new activity for the PHN.

Needs Assessment Priority Area(e.g. Priority 1, 2, 3, etc.)

Priority 2 - Treatment needs, service capacity, regional equity of access, system design.

Description of Drug and Alcohol Treatment Activity

These activities, formerly funded under the Non-Government Organisation Treatment Grants Program (NGOTGP) and the Substance Misuse Service Delivery Grants Fund (SMSDGF) aim to consolidate the activities previously conducted under the two separate funding allocations.The key aims of these activities are to strengthen organisational capacity to achieve improved alcohol and drug treatment service outcomes, increase access to a greater range of high quality, best practice alcohol and drug treatment services; and reduce drug related harm for individuals, families and communities while providing for a more sustainable drug and alcohol treatment sector into the future.This activity refocuses funding from the Substance Misuse Service Delivery Grants Fund (SMSDGF) towards increasing treatment availability in the community, aligning the programs to the Drug and Alcohol program.The transitional funding commenced in July 2017 and will run for two years to 30 June 2019. During the early part of this period, the PHN worked with existing service providers funded under the SMSDGF to transition from capacity building activities to evidence based models of drug and alcohol service delivery by 31 December 2017. From July 2019 onward, funding and treatment activity will be aligned to the Drug and Alcohol program.The PHN has four providers that are transitioning:

1.3.1 Queensland Injectors Health Network (QuIHN)Aim:Deliver alcohol and other drug treatment, reducing related harms for specific target groups (youth, women, families with children, Aboriginal and Torres Strait Islander peoples), supporting clients’ treatment journeys via internal and external services, referral pathways and linkages; enhancing service capacity to address complex physical and mental health and social needs.Treatment Type:Early Intervention, including brief intervention; counsellingPHN Regions:Brisbane North; Brisbane South; Gold Coast; Central Queensland, Wide Bay and Sunshine CoastServices:

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Service Service requirements1. Deliver alcohol and other drug treatment and

reduce alcohol and other drug related harm for individuals, families and communities.

Provide brief interventions focusing on one-off crisis support, education and referral

Engage clients and conduct an initial screen to assess eligibility for treatment services when clients first present

Provision of a tailored, clinical counselling program to suit client needs, ranging from short, medium or long term

Provide individual counselling for significant others if individuals with substance usechallenges

2. Provide a high quality alcohol and drug treatment service, including maintaining existing capacity within QuIHN

Deliver an appropriate treatment service addressing the negative effects of substance use and mental health services for comorbid clients

Engage clients in individually tailored, client directed case management, in accordance with best practice therapeutic models including: support, education, clinical counselling, support to access detoxification services, relapse prevention, post-treatment support andinternal and external referrals

3. Ensure the service meets the specific needs of target groups (youth, women, families with children, and Aboriginal and Torres Strait Islander people)

Provide the MAISE program (psycho-social education and support group for those making/ contemplating changes to substance use and co-occurring mental health concerns)

Provide the MudMaps program (psycho-social education group for those making or contemplating changes to behaviours relating to substance use)

Families and carers (significant others) are supported through the provision of individual counselling and support (e.g. Significant OtherWorkshop)

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Market programs via interagency visits and network meetings

Implement reference group/s to guide project implementation

4. Support clients throughout their treatment journey, using both internal QuIHN services and other referral pathways and linkages (such as legal, employment, medical, child and familycare, housing, etc.)

Creation of partnerships with relevant agencies Follow-up semi-structured interview at three

month post-discharge

5. Enhance service capacity to deliver appropriate services and treatment to complex health andsocial needs, including mental health issues

Facilitate the ongoing professional development of paid and unpaid staff

Outputs:

1.3.2 Brisbane Youth Service (BYS)Aim:Deliver alcohol and other drug treatment and reduce related harms for specific target groups (youth, women, families with children, Aboriginal and Torres Strait Islander people), supporting clients throughout their treatment journey, using internal services and referral pathways and linkages (legal, employment, medical, child and family care, housing, etc.)Treatment Type:Early Intervention, including brief intervention; Information and educationPHN Regions:Brisbane North; Brisbane SouthServices:

Service Service requirements1. Deliver alcohol and other drug treatment and

reduce alcohol and other drug related harm for individuals, families and communities

Develop and maintain alcohol and drug rehabilitation case management plans with identified milestones and exit points

Provide post clinical rehabilitation support and post case management exit support to clients

Provide individual and community harm reduction

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2. Provide a high quality alcohol and drug treatment service, including maintaining existing capacity with BYS

Obtain client feedback about their experience in the service; the feedback will be used to inform the service model

Capture service data to document the range of services delivered and outcomes achieved by the project, and to carry out project evaluation

Provide team support and in house and external supervision to staff. Staff will attend staff meetings and participate in other teambased and external networking processes

3. Ensure the service meets the specific needs of targets groups (such as youth, women, families with children, and Aboriginal and Torres Strait Islander people)

Provide culturally appropriate support, treatment and referral for young people aged 12 – 25, including poly drug users, people with co-occurring mental health issues and complex needs, young women, young families with children, and Aboriginal and Torres Strait Islander people

Ensure that activities of the service are aligned with BYS’ Reconciliation Action Plan

4. Support clients throughout their treatment journey, using both internal BYS services and other referral pathways and linkages (such as legal, employment, medical, child and family care, housing, etc.)

Support young people’s access to clinical alcohol and other drug rehabilitation and support

Ensure clients’ access to community based services during critical periods, in order to mitigate risk factors

5. Enhance service capacity to deliver appropriate services and treatment to complex health and social needs, including mental health issues

Develop and maintain community based networks with other service agencies and stakeholders to identify and streamline the range of support services available for access by the targeted clients, to meet their multiple and complex needs.

Ensure staff are appropriately trained to assist with the treatment and support of youngpeople with complex needs

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1.3.3 The Institute for Urban Indigenous Health (IUIH)Aim:The Program aims to strengthen organisational capacity to achieve improved alcohol and drug treatment service outcomes, increase access to a greater range of high quality, best practice alcohol and drug treatment services; and reduce drug related harm for individuals, families and communities.Treatment Type:Early Intervention, including brief intervention; Information and educationPHN Regions:Brisbane North; Brisbane South; Gold Coast; Darling Downs West MoretonServices:

Service Service requirements1. Drug and Alcohol Treatment and Outpatient

Service (DATOS): Improve access to comprehensive and effective primary health care for Indigenous peoples in SEQ

Identify clients with complex needs, in particular co-existing substance use and mental illness

Deliver psychological and social activities to support the treatment of clients with complex needs

Maintain a Social Health team in each participating CCHS for the management and treatment of clients with mental health and/or alcohol related issues

Provide Clinical Supervision to Social Health staff across SEQ

Ensure relevant software systems map and track client’s engagement and process through Social Health service/s

Provide culturally appropriate therapeutic interventions and services for Aboriginal and Torres Strait Islander clients

Support clients to access appropriate psychological and social measures as part of a care coordination process

Implement appropriate structures and processes for referral and case management

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between ATSICCHSs and both government and nongovernment service providers

Implement continuous quality improvement and workforce development to enhance qualityof Social Health services across SEQ

2. Substance Misuse Service Enhancement Improve access to drug and alcohol services through integration with the existing Indigenous primary health care assessment and care planning system by increasing the proportion of Aboriginal and Torres Strait Islander people/s:

a) appropriately screened for alcohol, smoking and other drugs in Aboriginal Community Controlled primary care and

b) with problematic drug and/or alcohol use who are appropriately managed (e.g. intervention and referral)

Routine drug and alcohol screening and brief intervention in primary care and/or community settings

Improve data collection and analysis of the prevalence and treatment of drug and alcohol addiction in an Urban Indigenous setting

Cognitive behavioural interventions and social therapy tailored to the needs and preferences of high risk individuals (e.g. Aboriginal and Torres Strait Islander prisoners post-release) and groups (e.g. Aboriginal and Torres Strait Islander youth/families) at high risk of drug and/or alcohol related harm

Drug and alcohol outreach support before and/or after Residential Rehabilitation for high risk dependent individuals

1.3.4 Queensland Aboriginal and Islander Corp Alcohol and Drug Dependence Services (QAIAS)Aim:This project aims to support the delivery of quality evidence based services through front line service delivery to increase the effectiveness of and access to alcohol and other drug (AOD) and mental health (MH) treatment and rehabilitation.Treatment Type:Counselling; Information and educationPHN Regions:Brisbane North; (also captures clients from across the country)Services:

Service Service requirements1. Support and resource QAIAS to implement

harm reduction as a strategy that aims toMedical strategies

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protect the health of clients from the harms associated with AOD use

Provide accessible primary health care for clients with AOD and MH issues.

Provide group education to clients regarding AOD MH and their effects.

Education strategies Run Life Skills Programs to reinforce protective

behaviours and assist clients to handle peerpressure, budgeting, looking after health.

2. Provide a whole of system response to AOD misuse for each client

Assessment Implementation and use of IRIS screening toolPlanning and coordination Plan and implement appropriate interventions

that will reduce AOD and MH harm for each client

3. Harm reduction from the comorbidity of AOD and MH through education and symptom management

Front line service delivery Provide mental health nursing for clients with

co-occurring disordersEducation strategies Deliver drug and MH education to clients of the

service designed to minimise AOD harms Deliver and evaluate the AOD Brief Intervention

Program in community counselling settings4. Capacity building to support QAIAS in delivering

services for clients with co-occurring disordersOrganisational culture strategies Promote a culture that embraces the

organisation’s role in identifying and treating clients with co-occurring disorders of substance misuse and mental health

Staff training strategies Identifying and undertaking staff development

and trainingProfessional guidance strategies Implementing and strengthening mechanisms

for professional support and guidanceLinkages and partnership strategies

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Linkages and partnerships with the wider health, social and community service network are strengthened

Clients are linked with all services that enhance their care

Target population cohort People experiencing problems with substance misuse and their extended networks. Vulnerable and high risk population groups including young people, women, Aboriginal and Torres Strait Islander people, LGBTI, unemployed people and culturally and linguistically diverse populations.

Consultation The PHN inherited contracts directly from the Department of Health. Further consultation was held with transitioning providers to ascertain service parameters.

Collaboration This activity is solely implemented by the PHN, with guidance from the following providers:

Queensland Injectors Health Network (QuIHN) Brisbane Youth Service (BYS) The Institute for Urban Indigenous Health (IUIH) Queensland Aboriginal and Islander Corp Alcohol and Drug Dependence Services (QAIAS)

Indigenous Specific The Institute for Urban Indigenous Health (IUIH) and Queensland Aboriginal and Islander Corp Alcohol and Drug Dependence Services are primarily Indigenous organisations.

Duration This activity commenced in July 2017 and will conclude in June 2019.

Coverage Whole PHN region.

Contacts also cover other PHN regions:

QuIHN – Brisbane South; Gold Coast; Central Queensland, Wide Bay and Sunshine Coast BYS – Brisbane South IUIH – Brisbane South; Gold Coast; Darling Downs and West Moreton

Commissioning method The PHN inherited contracts for the services directly from the Department of Health.

Services for 2019-20 onwards will be commissioned in line with the PHN commissioning framework.

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Needs are identified through an assessment process, involving the analysis of population health data and community consultation. Solutions to meet these needs are designed in partnership with stakeholders.

Inclusive processes are used to decide how best to implement these solutions, either through direct intervention or the procurement of services. Services are procured through fair and transparent processes.

These solutions are then evaluated and the evaluation outcomes used to inform further assessment and planning.

Approach to market This activity is a directly funded activity from the Commonwealth Department of Health. Service providers are already in place and are transitioning.

Decommissioning (if applicable) Not applicable.

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2. (b) Planned activities: Drug and Alcohol Treatment Services for Aboriginal and Torres Strait Islander people – Flexible Funding

Proposed Activities

Activity Title(e.g. Activity 1, 2, 3 etc.)

2.1 Commission AOD Treatment Services for Aboriginal and Torres Strait Islander people

Existing, Modified, or New Activity This activity is an existing activity

Needs Assessment Priority Area(e.g. Priority 1, 2, 3, etc.)

Priority 1 - Mental Health, Harmful use of alcohol and other drugs among Aboriginal and Torres Strait Islander populations, young people aged 25 and under

Description of Drug and Alcohol Treatment Activity

Brisbane North PHN will work collaboratively with a broad range of stakeholders to continue to commission alcohol and other drug (AOD) treatment services in line with departmental guidelines and the findings of our Needs Assessment. The aim of this activity is to increase availability of AOD treatment services specifically to Aboriginal and Torres Strait Islander people. Commissioning additional AOD treatment services will increase the availability of services for this population group.The service will deliver the following priority service types:

early intervention counselling post-rehabilitation support and relapse prevention case management, care planning and coordination.

In the PHN’s broader needs assessment and broader activity work plan, the health of Aboriginal and Torres Strait Islander people was highlighted. Similarly, in the PHN’s Mental Health and Suicide Prevention needs assessment and activity work plan, the needs of this population were highlighted and separately identified. In designing and delivering this activity, integration with these other activities will occur.The selected provider, Institute for Urban Indigenous Health (IUIH) will specifically provide the following activities as part of an integrated social and emotion health and wellbeing approach:

Target population cohort Within the Aboriginal and Torres Strait Islander population the following population groups will be prioritised: young people people with co-occurring mental health issues people living in Moreton Bay North.

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Consultation The PHN has engaged stakeholders, including consumers and carers, in the development and review of our AOD needs assessments, via co-design workshops to inform this Activity Work Plan and through the AOD Partnership Group.

In addition, there will be further engagement, consultation, planning and co-design with a broad range of Aboriginal and Torres Strait Islander organisations, communities and service users across AOD, mental health, suicide prevention and other health and wellbeing issues. This will contribute to the development a mental health, suicide prevention and alcohol and drug treatment regional plan by the PHN.

Collaboration This activity is to be solely implemented by North Brisbane PHN, under the guidance of the AOD Partnership Group Discussions are currently underway between Queensland PHNs and the Queensland Department of Health regarding possibilities for future co-ordinated commissioning or co-commissioning of AOD services. In addition the PHN and Metro North Hospital and Health Service have established a joint project to explore how we might more formally workjointly, including around commissioning.

Indigenous Specific Yes

Duration October 2016 to 30 June 2019.Coverage This activity covers the Moreton Bay North and Moreton Bay South Statistical Areas level 4. Services will also cover the

Nundah Statistical Area level 3.

This initiative may deliver services to people who live anywhere in the PHN region but the bulk of funding will be directed towards sub-regions listed above.

Commissioning method This program will be wholly commissioned in line with Brisbane North PHN’s Commissioning Framework (see Attachment 1).

Needs are identified through an assessment process, involving the analysis of population health data and community consultation. Solutions to meet these needs are designed in partnership with stakeholders.

Inclusive processes are used to decide how best to implement these solutions, either through direct intervention or the procurement of services. Services are procured through fair and transparent processes.

These solutions are then evaluated and the evaluation outcomes used to inform further assessment and planning.

Approach to market A specific AOD Treatment Services Procurement strategy was developed.

The Institute for Urban Indigenous Health and the Aboriginal and Torres Strait Islander Community Health Service are the only two community-controlled agencies delivering AOD treatment services in the region. Given services needed to be in place quickly, the PHN selected a direct negotiation approach to procurement rather than open or select tender process.The Institute for Urban Indigenous Health (IUIH) was contracted to deliver the service, as a result of the directengagement approach.

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IUIH is required to submit regular data to the PHN and Department under existing AODTS NMDS arrangements. Qualitative performance indicators and data sources are outlined in the table below:

PerformanceDomain

Performance Indicator Data Source

Outcome Access to Services: Ability of people to obtain services at the right place and right time irrespective of income, geography and cultural background;

Appropriateness of Services: Services provided are relevant to peoples’ needs and based on established standards;

Efficiency of Services: Extent to which services are delivered and desired results achieved with the most cost effective use of resources;

Effectiveness of Services: Extent to which services achieve desired outcomes.

AODTS NMDS

Process Fidelity: Extent to which the service has been delivered as intended; Uptake: Number of people who have received the service; Reach: Extent to which particular target groups have been adequately reached; Quality: Extent to which participants perceive the services they have received as

high quality; Governance: Extent to which Governance structures in place effectively support

implementation; Consumer & Carer Involvement: Extent to which consumers and carers are

involved in the planning and implantation of services; Unintended Impacts: Any unintended impacts of the service, both positive and

negative.

Quarterly reports Program records

Program Management

Staffing: Extent to which staff are appointed and retained across the funded period;

Engagement: Extent to which staff have engaged with relevant PHN staff as requested;

Reporting: Extent to which data and reporting requirements have been met; Funding: Extent to which funding has been expended as intended

Program records Program meetings Financial reports

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2. (c) Activities which will no longer be delivered under the Schedule – Drug and Alcohol Treatment Activities

Planned activities which will no longer be delivered

Activity Title / Reference N/A

Description of Activity N/A

Reason for removing activity N/A

Funding impactN/A

www.brisbanenorthphn.org.au

Suite SP020, Ground Floor, Lutwyche City 543 Lutwyche Road, Lutwyche QLD 4030PO Box 845 Lutwyche QLD 4030

Level 2, 10 Endeavour Boulevard North Lakes QLD 4509PO Box 929 North Lakes QLD 4509

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Partners 4 Health Ltd (ABN 55 150 102 257), trading as Brisbane North PHN Brisbane North PHN gratefully acknowledges the financial and other support from the Australian Government Department of

Health