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1 Drug and Alcohol Treatment Activity Work Plan 2019-2022: Drug and Alcohol Treatment Services Funding Perth South PHN

Drug and Alcohol Treatment Activity Work Plan 2019-2022

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Page 1: Drug and Alcohol Treatment Activity Work Plan 2019-2022

1

Drug and Alcohol Treatment

Activity Work Plan 2019-2022:

Drug and Alcohol Treatment Services Funding

Perth South PHN

Page 2: Drug and Alcohol Treatment Activity Work Plan 2019-2022

2

1. (a) Drug and Alcohol Treatment Services planned

activities for the funding period 2019-20 to 2021-22

- Drug and Alcohol Treatment Services – Core Funding

- Drug and Alcohol Treatment Services – NIAS Mainstream

Funding

- Drug and Alcohol Treatment Services – NIAS Aboriginal and

Torres Strait Islander people Funding

Drug and Alcohol Treatment Services – Core Funding

Proposed Activities

ACTIVITY TITLE DATS 1A: AOD Specialist Treatment (Transition)

Existing, Modified,

or New Activity

Existing Activity

(Previous AWP reference; DATS 1 Community Treatment and Support

Services from Updated AWP 2016-2019)

PHN Program Key

Priority Area

Alcohol and Other Drugs

Needs Assessment

Priority

Priorities:

• PSAOD3.3 Increase access to community-based early intervention and

harm reduction services in areas of with high rates of harmful alcohol and

other drug use. (p.107)

Possible Option:

• Work with commissioned services and other service providers to ensure

alcohol and other drug treatment is accessible to all populations. Pg. 107.

• Support low intensity services for people with problematic alcohol and/or

drug use. (p.107)

Aim of Activity

The aim of this activity is to:

• Increase the availability of evidence-based drug and alcohol treatment

services for individuals, their families and communities experiencing harm

from alcohol and drug use.

• Facilitate support for clients with co-morbid mental and physical health

issues and poly drug use.

• Continue to build links across the broader treatment sector including with

primary health care providers and mental health services.

Description of

Activity

Drug and alcohol specialist service providers will continue to be contracted to

deliver direct alcohol and drug treatment activity.

Activities will be adjusted where necessary to ensure they align with local

need; however, service continuity and geographical coverage will be

maintained in accordance with existing service agreements.

Page 3: Drug and Alcohol Treatment Activity Work Plan 2019-2022

3

In scope treatment activities will be undertaken from either community-

based facilities or via outreach as appropriate by suitably qualified and

experienced staff.

The PHN will focus on the management of the performance of the contracted

provider/s including:

• reviewing, monitoring and evaluating service provision

• taking into account the requirements of the Australian Government

Department of Health’s PHN Program Performance and Quality

Framework to determine how well targeted and efficient services are

delivered.

The PHN will utilise the WA Primary Health Alliance Outcomes Framework to

measure and track provider performance. It will also be an incorporated

requirement of the provider to complete all data reporting via the Alcohol

and Other Drug Treatment Services National Minimum Data set.

The reporting domains for the Outcome Maps used in the Framework are:

• Person – client experience

• Clinical - service impact

• System - service/system integration

- Provider - service sustainability including provider

experience/governance.

Target population

cohort

The cohort this activity targets includes:

• Youth

• Adults

• Women with children.

In scope AOD

Treatment Type

AO treatment types for this activity include:

• Early intervention (including Brief Intervention)

• Counselling

• Withdrawal Management

• Aftercare / relapse Prevention

• Case management, care planning, and coordination.

Indigenous specific

No

This activity is not targeted to Aboriginal people, however Aboriginal people

may access services.

Coverage Perth South PHN

Consultation

The PHN consulted and consults with a range of key stakeholders in the

planning and commissioning of services.

Key stakeholders at a state level include:

• Alcohol and Drug Service Provider organisations – consultation

undertaken regarding development of Service Specifications including

deliverables, reporting mechanisms, and anticipated funding levels.

Page 4: Drug and Alcohol Treatment Activity Work Plan 2019-2022

4

Further consultation will occur to support any required adjustments and

alignment to local needs and priorities.

• WA Network of Alcohol and Drug Agencies (Peak) – consultation

undertaken regarding expectations of funded service providers,

alignment to needs, anticipated funding levels and coordination of

activities with the Mental Health Commission.

• Local networks and groups - ongoing consultation to support local

integration and implementation, including consultation with Regional

Clinical Committees.

Collaboration

Perth South PHN works with the Mental Health Commission, Local Hospital

Networks and community groups.

The role of key stakeholders:

• Mental Health Commission (State Government) – Through a

Memorandum of Understanding and regular meetings discuss

opportunities to align activities involving co-funded service providers,

agree areas of need to avoid duplication and leverage existing mechanism

for service provision.

• Local networks and groups – Active participation as required to support

integration and coordination at the local level.

Activity milestone

details/ Duration

Activity start date: 1/07/2019

Activity end date: 30/06/2020

Existing Service Agreements will be varied to include an extension of one-year

funding certainty, in accordance with the requirement to provide service

continuity to existing Commonwealth funded direct treatment activities.

Preliminary work will commence in 2019/20 to review commissioned direct

treatment activities and commence planning for any required changes given

that from 1 July 2020 PHNS are required to undertake a Needs Assessment

and may adjust commissioned activities for 2020/21 in response to need and

performance of providers.

During 2020/21 the PHN will also commence preparations for the reduction in

funding available for commissioning given the Social and Community Services

Award (SACS) component is ceasing and not allocated for 2021/22.

Commissioning

method and

approach to

market

1. Intended procurement approach for commissioning services under this

activity:

☒ Continuing service provider / contract extension

2a. Is this activity being co-designed?

No

2b. Is this activity this result of a previous co-design process?

No

3a. Do you plan to implement this activity using co-commissioning or joint-

commissioning arrangements?

No

3b. Has this activity previously been co-commissioned or joint-commissioned?

No

Page 5: Drug and Alcohol Treatment Activity Work Plan 2019-2022

5

Decommissioning No

Data collection

Yes

The activities are in scope for data collection under the AOD treatment

Services National Minimum Data Set.

Funding Source 2019-2020 2020-2021 2021-2022 Total

Planned Expenditure – Drug and

Alcohol Treatment Services -

Core Funding

$728,070 $728,070 $728,070 $2,184,210

Planned Expenditure – Drug and

Alcohol Treatment Services –

SACS

$164,260 $185,920 $350,180

Total Planned Commonwealth

Expenditure

$892,330 $913,990 $728,070 $2,534,390

Drug and Alcohol Treatment Services – NIAS Mainstream Funding

Proposed Activities

ACTIVITY TITLE DATS 1B: AOD Specialist Treatment in areas of high need

Existing, Modified,

or New Activity

Existing Activity

(Previous AWP reference; DATS 1: Community Treatment and Support

Services from Updated AWP 2016-2019)

PHN Program Key

Priority Area

Alcohol and Other Drugs

Needs Assessment

Priority

Priorities:

• PSAOD3.3 Increase access to community-based early intervention and

harm reduction services in areas of with high rates of harmful alcohol and

other drug use. (p.107)

Possible Option:

• Work with commissioned services and other service providers to ensure

alcohol and other drug treatment is accessible to all populations. Pg. 107.

• Support low intensity services for people with problematic alcohol and/or

drug use. (p.107)

Aim of Activity

The aim of this activity is to:

• Increase the availability of evidence based, culturally appropriate drug

and alcohol treatment services for individuals, their families and

communities experiencing harm from alcohol and drug use.

• Facilitate support for clients with co-morbid mental and physical health

issues and poly drug use.

• Continue to build links across the broader treatment sector including with

primary health care providers and mental health services.

Description of

Activity

Drug and alcohol specialist service providers will continue to be contracted to

deliver direct alcohol and drug treatment activity.

Page 6: Drug and Alcohol Treatment Activity Work Plan 2019-2022

6

Activities will be adjusted where necessary to ensure they are in scope, align

with local need, leverage other existing services, and avoid duplication.

Wherever possible, treatment activities will be focused on intervening earlier,

supporting those with mild to moderate alcohol and drug issues, addressing

co-morbid mental and physical health issues, and preventing relapse.

Treatment will be undertaken by suitably qualified and experienced staff from

community-based facilities, via outreach, or through the use of technology

(telephone or video conferencing) as appropriate.

Service provider performance will be monitored by regular relationship

management, six-monthly Outcome Map reporting and compliance with data

and quality requirements. This includes ensuring service providers are

accredited or working towards achieving suitable accreditation and provide

culturally appropriate services.

Service providers are expected to work collaboratively with others in the

region to help facilitate integration and improve health outcomes, and

actively seek to improve engagement with primary care.

The PHN will focus on the management of the performance of the contracted

provider/s including:

• reviewing, monitoring and evaluating service provision

• taking into account the requirements of the Australian Government

Department of Health’s PHN Program Performance and Quality

Framework to determine how well targeted and efficient services are

delivered.

The PHN will utilise the WA Primary Health Alliance Outcomes Framework to

measure and track provider performance. It will also be an incorporated

requirement of the provider to complete all data reporting via the Alcohol

and Other Drug Treatment Services National Minimum Data set

The reporting domains for the Outcome Maps used in the Framework are:

• Person – client experience

• Clinical - service impact

• System - service/system integration

• Provider - service sustainability including provider

experience/governance.

Target population

cohort

The activity will focus on improving opportunities to meet the needs of

people who experience socio-economic disadvantage, those at risk of poor

health outcomes and those not currently accessing services. Cohorts include:

• Youth

• Adults

• Parents and children

• Families and significant others

• People with co-morbid physical and mental health issues.

Page 7: Drug and Alcohol Treatment Activity Work Plan 2019-2022

7

In scope AOD

Treatment Type

AOD treatment types for this activity include:

• Early intervention (including Brief Intervention)

• Counselling

• Aftercare / relapse Prevention

• Case management, care planning, and coordination.

Indigenous specific

No

This activity is not targeted to Aboriginal people, however Aboriginal people

may access services.

Coverage Perth South PHN

Consultation

The PHN consulted and consults with a range of key stakeholders in the

planning and commissioning of services.

Stakeholders at a state level include:

• Alcohol and Drug Service Provider organisations – ongoing consultation to

inform development of service specifications and deliverables, reporting

obligations, appropriate alignment of services to current needs, and

engagement with consumers and key stakeholders.

• WA Network of Alcohol and Drug Agencies (Peak) – ongoing consultation

to ensure sector issues and experiences, feedback from member

organisations, opportunities for collaboration and system improvements

are incorporated in planning.

• Primary Health Care Professionals – consultation ongoing to support

development of improved referral pathways, identify opportunities for

coordinated care to address local needs and build local workforce

capability.

• Local and regional stakeholder networks – participation ongoing to

support development of improved referral pathways, identify

opportunities for coordinated responses to address local needs and build

local workforce capability, including consultation with Regional Clinical

Committees.

Collaboration

Perth South PHN works with the Mental Health Commission, Health Service

Providers, South and East Metropolitan Area Health Services.

The role of key stakeholders:

• Mental Health Commission (State Government) – ongoing through a

Memorandum of Understanding and regular meetings, discuss

opportunities to align activities involving co-funded service providers,

agree areas of need to avoid duplication and leverage existing mechanism

for service provision. Work in partnership to manage and support

improvements in service provider performance, share data to inform

regional and state-wide planning and action on initiatives. Relationship

includes active participation in Joint Regional Planning processes with

Health Service Providers and stakeholder networks.

• WA Network of Alcohol and Drug Agencies (Peak) – collaboration on

shared areas of work such as improving workforce capability to ensure a

complementary approach is taken that continues to address current

sector needs.

Page 8: Drug and Alcohol Treatment Activity Work Plan 2019-2022

8

• South and East Metropolitan Area Health Service (Health Service

Providers) – through participation in both local and regional engagement

opportunities to identify and respond to areas of need, avoid duplication

and leverage existing mechanism for service provision. Includes active

participation in Joint Regional Planning processes.

Activity milestone

details/ Duration

Provide the anticipated activity start and completion dates (including the

planning and procurement cycle):

Activity start date: 1/07/2019

Activity end date: 30/06/2020

Six and 12-month reviews of services occur in February and August of each

year following receipt of service provider reports.

Other activity milestones include:

1. During 2019/2020 WAPHA will work with commissioned service providers

to prepare for the cessation of the NIAS funding (as at 30 June 2020) and

advocate where appropriate for continued investment in alcohol and

drug treatment in the region.

2. Where relevant, support will be given to leveraging opportunities to

address alcohol and drug use within other PHN priority programs

including headspace, Integrated Team Care, Comprehensive Primary

Care, and Mental Health (including suicide prevention).

Commissioning

method and

approach to

market

1. Intended procurement approach for commissioning services under this

activity:

☒ Continuing service provider / contract extension

2a. Is this activity being co-designed?

No

2b. Is this activity this result of a previous co-design process?

Yes

3a. Do you plan to implement this activity using co-commissioning or joint-

commissioning arrangements?

No

3b. Has this activity previously been co-commissioned or joint-commissioned?

No

Decommissioning No

Data collection

Yes

The activities are in scope for data collection under the AOD treatment

Services National Minimum Data Set.

Funding Source 2019-2020 2020-2021 2021-2022 Total

Planned Expenditure – Drug and

Alcohol Treatment Services –

NIAS Mainstream Funding

$1,065,819 $1,065,819

Total Planned Commonwealth

Expenditure

$1,065,819 $1,065,819

Page 9: Drug and Alcohol Treatment Activity Work Plan 2019-2022

9

Proposed Activities

ACTIVITY TITLE DATS 2: AOD Workforce Development for Health Professionals (Mainstream)

Existing,

Modified, or New

Activity

Existing Activity

(Previous AWP reference; DATS 2 System Integration/Improvement and

Workforce Development from Updated AWP 2016-2019)

PHN Program Key

Priority Area

Alcohol and Other Drugs

Needs

Assessment

Priority

Priorities:

• PSAOD3.1 Promote integration and coordinated care pathways for clients

with mental health condition and harmful alcohol and other drug use.

(p.106)

• PSAOD3.2 Build general practice workforce capability to recognise and

respond to alcohol and other drug related issues. (p.106)

Possible Options:

• Ensure commissioned services have appropriate referral pathways for

clients with alcohol and other drug-related needs together with comorbid

mental health and other chronic conditions. (p.106)

• Strategies to develop integrated care pathways in partnership with Local

Hospital Networks, Health Services, general practice and other clinicians.

(p.106)

• Promote uptake of screening and brief interventions by primary care

providers and a diverse range of health professionals. (p.106)

• Increase access to education programs for general practice to assist in

recognising and responding to alcohol and other drug related issues.

(p.106)

Aim of Activity

The aim of this activity is to increase the capability and confidence of generalist

and specialist health workforce to:

• Recognise and respond to problematic alcohol and drug use.

• Increase the appropriateness of referrals to drug and alcohol specialist

service providers.

• Increase the uptake of screening, brief intervention and management of

people with alcohol and drug issues within a primary care setting.

Description of

Activity

To achieve program objectives, the following activities will occur.

• Facilitating provision of education and training opportunities utilising

various modalities including face to face sessions in regional centres, small

group sessions within practices, and promotion of online/technology-based

training modules and resources such as webinars and special interest

groups.

• Increasing awareness of available specialist treatment services and improve

effectiveness of referral pathways by engaging with local experts,

encouraging development of multi-disciplinary relationships and promoting

utilisation of HealthPathways and MyHealthRecord.

• Education and training activities promoting practices to reduce stigma and

the discrimination of people who experience harm from alcohol and/ or

Page 10: Drug and Alcohol Treatment Activity Work Plan 2019-2022

10

other drug use. This includes the provision of information on appropriate

use of language, encouraging the engagement of consumers and significant

others in service design and recognising problematic alcohol and drug use

as a health issue.

• Promoting and supporting the provision of holistic, person centred care

that responds to multi-morbidity including mental health issues and

physical health conditions.

Non-commissioned activities continuing from the previous period include:

• Continue to collaborate with ACRRM and RACGP to support development

and regional rollout of AOD training to primary care practitioners.

• Continue to convene the Quality Use of Medicines Working Group to

address harms from licit and illicit use of medicines.

• Continue to participate in the National working group tasked with

identifying opportunities to improve GP engagement with alcohol and drug

treatment for patients.

• Continue to participate in the National working group established to inform

the development of the National Treatment Framework.

• Continue to participate in the State Working Group to Eliminate Hepatitis

C.

• Continue to participate on the Steering Committee of the revision of the

accreditation standard on Culturally Secure Practice (AOD).

Target population

cohort

The target cohort for AOD workforce development activities include:

• Primary Health Care Professionals (General Practitioners, Nurses,

Pharmacists, Allied Health);

• AOD and Mental Health Specialists/ Workers; and

• Aboriginal Health Workers.

In scope AOD

Treatment Type

The activity types are:

• Information and Education.

• Workforce Development.

• Capacity Building, including supporting the workforce through activities

which promote joined up assessment and referral pathways, quality

improvement, evidence-based treatment, and service integration.

Indigenous

specific

No

Coverage Perth South PHN

Consultation

The PHN consulted and consults with a range of key stakeholders in the

planning and commissioning of workforce development activities.

Key stakeholders at a state level include:

• Alcohol and Drug Service Provider organisations – consultation regarding

development of Service Specifications including deliverables, reporting

mechanisms, alignment to current needs and anticipated funding levels.

• Steering Committees and Reference Groups – consultation regarding

development of concept and broad activity deliverables and anticipated

Page 11: Drug and Alcohol Treatment Activity Work Plan 2019-2022

11

outcomes in relation to training materials, stakeholder workshops and

mechanisms for delivery of training.

Collaboration

Perth South PHN works with the Mental Health Commission, Health Service

Providers, South and East Metropolitan Area Health Services.

The role of key stakeholders:

• Mental Health Commission (State Government) – through a Memorandum

of Understanding and regular meetings discuss opportunities to align

activities involving co-funded service providers, agree areas of need to

avoid duplication and leverage existing mechanism for service provision.

Includes active participation in Joint Regional Planning processes.

• South and East Area Service (Health Service Provider) – through

participation in local engagement opportunities to identify and respond to

areas of need, avoid duplication and leverage existing mechanism for

service provision. Includes active participation in Joint Regional Planning

processes.

Activity milestone

details/ Duration

Activity start date: 1/06/2019

Activity end date: 30/06/2020

Six and 12-month reviews of services occur in February and August of each year

following receipt of service provider reports.

Commissioning

method and

approach to

market

1. Intended procurement approach for commissioning services under this

activity:

☒ Continuing service provider / contract extension

2a. Is this activity being co-designed?

No

2b. Is this activity this result of a previous co-design process?

No

3a. Do you plan to implement this activity using co-commissioning or joint-

commissioning arrangements?

No

3b. Has this activity previously been co-commissioned or joint-commissioned?

No

Decommissioning No

Data collection No

Funding Source 2019-2020 2020-2021 2021-2022 Total

Planned Expenditure – Drug and

Alcohol Treatment Services –

NIAS Mainstream Funding

$266,455 $266,455

Total Planned Commonwealth

Expenditure

$266,455 $266,455

Page 12: Drug and Alcohol Treatment Activity Work Plan 2019-2022

12

Drug and Alcohol Treatment Services – NIAS Aboriginal and Torres

Strait Islander people Funding

Proposed Activities

ACTIVITY TITLE DATS ATSI 1: AOD Specialist Treatment in areas of high need (Aboriginal)

Existing, Modified,

or New Activity

Existing Activity

(Previous AWP reference; DATS–ATSI 1 Community Treatment and Support

Services from Updated AWP 2016-2019)

PHN Program Key

Priority Area

Alcohol and Other Drugs

Needs Assessment

Priority

Priorities:

• PSA4.3 Increase access to targeted and culturally appropriate approaches

to alcohol and other drug treatment for Aboriginal people. (p.112)

Possible Options:

• Ensure commissioned services have undertaken cultural awareness

and/or safety training and promote training to other health service

providers. (p.110)

• Engage Aboriginal organisations and the wider community in

consultation, co-design and decision-making opportunities to help shape

models of care. (p.110)

Aim of Activity

The aim of this activity is to increase access to targeted and culturally

appropriate approaches to alcohol and other drug treatment for Aboriginal

people.

Description of

Activity

To achieve program objectives, the following activities will occur.

• Continue to engage with suitably qualified, experienced and culturally

competent service providers to increase access to targeted and culturally

appropriate alcohol and other drug treatment for Aboriginal people.

• Treatment and support activities will be adjusted where necessary to

ensure they are in scope, align with local need, leverage other existing

services, and avoid duplication. Wherever possible, treatment activities

will be focused on intervening earlier, supporting those with mild to

moderate alcohol and drug issues, addressing co-morbid mental and

physical health issues, supporting families and significant others and

preventing relapse.

• Treatment will be provided from community-based facilities, via

outreach, or using technology (telephone or video conferencing) as

appropriate.

• The PHN will focus on the management of the performance of the

contracted provider/s including:

o reviewing, monitoring and evaluating service provision

o taking into account the requirements of the Australian Government

Department of Health’s PHN Program Performance and Quality

Framework to determine how well targeted and efficient services are

delivered.

Page 13: Drug and Alcohol Treatment Activity Work Plan 2019-2022

13

• The PHN will utilise the WA Primary Health Alliance Outcomes Framework

to measure and track provider performance. It will also be an

incorporated requirement of the provider to complete all data reporting

via the Alcohol and Other Drug Treatment Services National Minimum

Data set. The reporting domains for the Outcome Maps used in the

Framework are:

o Person – client experience

o Clinical - service impact

o System - service/system integration

o Provider - service sustainability including provider experience

/governance.

• Service providers are expected to work collaboratively with others in the

region to help facilitate integration and improve health outcomes, and

actively seek to improve engagement with primary care.

It is proposed to utilise the underspends to increase access (i.e. reduce

waitlists, increase service delivery short term etc) to specialist drug and

alcohol treatment and support in priority locations through engagement with

existing service providers. This approach will support timely short

term/temporary expansion of services in areas of high need and furthermore

maximise the use of NIAS funds which are scheduled to cease in June 2020.

Target population

cohort

The cohort this activity targets includes:

• Aboriginal youth and adults

• Aboriginal parents and children

• Aboriginal families and significant others

• Aboriginal people experiencing co morbidity including mental and

physical health issues.

In scope AOD

Treatment Type

The AOD treatment types for this activity are:

• Early intervention (including Brief Intervention)

• Counselling

• Withdrawal Management

• Aftercare / relapse Prevention

• Case management, care planning, and coordination

• Information and Education.

Indigenous specific

Yes

The PHN Guidance material advises PHNs to seek guidance on the

implementation of their AOD treatment stepped care service delivery model

in an Aboriginal and Torres Strait Islander community context to ensure

culturally safe service environments and culturally competent service

delivery at each ‘step’.

To ensure culturally safe service environments and culturally competent

service delivery at each ‘step’, the Perth South PHN in this period will

undertake ‘system mapping’.

Page 14: Drug and Alcohol Treatment Activity Work Plan 2019-2022

14

The mapping activity aims to capture each ‘step’ of the stepped care model

for Aboriginal and Torres Strait Islander patients’ transition both in and out

and across the stepped care model in both mainstream and Indigenous

specific services. The activity aims to identify weak points in engagement

with and between AOD, mental health and other primary health services and

Aboriginal consumers that might be addressed by the commissioning

process.

Both Aboriginal community-controlled and mainstream services will be

included in the scope of the ‘system mapping’ activity as Aboriginal people

access both for AOD services.

The mapping activity will provide the service context to underpin the future

commissioning activity of culturally appropriate AOD services.

The cultural appropriateness of commissioned services will be informed by

existing co-design reports commissioned in 2017 by the Perth North and

South PHNs. A total of 17 workshops were convened with consumers and

service partners including Indigenous specific services providing the following

feedback on key features to be considered in the delivery of a culturally

appropriate commissioned service:

• Improves employment of local Aboriginal people and community

members

• Provide in reach services into the Aboriginal community

• Provide a place for community to come together

• Providing support to family and carers

• Community involved in the design/implementation of services

• Youth empowerment and support services, and

• Increase access to culturally appropriate services through Aboriginal staff

supporting access to services e.g. cultural navigators.

As well as consumer and service provider feedback the PHN will utilise the

WAPHA Strategic Aboriginal Health and Wellbeing Advisory Group (SAHWAG)

as a body to inform the commissioning of culturally appropriate services. The

SAHWAG is a formal advisory body formed by WAPHA and includes

membership by Aboriginal consumers, Aboriginal community-controlled

organisations, the state Aboriginal community-controlled organisation peak

body and other key stakeholders including state government and Area Health

Services.

Coverage Perth South PHN

Consultation

The PHN consulted and consults with a range of key stakeholders in the

planning and commissioning of treatment activities.

Key stakeholders at a state level include:

• Alcohol and Drug Service Provider organisations – ongoing discussions

regarding development of service specifications and deliverables,

Page 15: Drug and Alcohol Treatment Activity Work Plan 2019-2022

15

reporting obligations, appropriate alignment of services to current needs,

and engagement with consumers and key stakeholders.

• WA Network of Alcohol and Drug Agencies (Peak) – ongoing consultation

to ensure sector issues and experiences, feedback from member

organisations, opportunities for collaboration and system improvements

are incorporated in planning.

• Primary Health Care Professionals – ongoing consultation to support

development of improved referral pathways, identify opportunities for

coordinated care to address local needs and build local workforce

capability.

• Local and regional stakeholder networks – participation ongoing to

support development of improved referral pathways, identify

opportunities for coordinated responses to address local needs and build

local workforce capability, including consultation with Regional Clinical

Committees. Stakeholders include Regional Aboriginal Health Planning

Forums, SAHWAG membership, AOD and other commissioned services

providers.

• State and federal government – As required to support coordinated

commissioning of services, respond to needs and support system

improvements. For example, utilisation of the recommendations from the

Government’s response to the Methamphetamine Action Plan Taskforce

Report to guide investment.

Collaboration

Perth South PHN works with the Aboriginal Health Council of WA, Mental

Health Commission, WA Network of Alcohol and Drug Agencies Health Service

Providers and Health Service Providers and stakeholder networks.

The role of key stakeholders:

• Aboriginal Health Council of WA - ongoing through a Memorandum of

Understanding and regular meetings. Discuss opportunities to work

together, share data to inform regional and state-wide planning and

action on initiatives, gather intelligence and feedback from member

organisations and communities.

• Mental Health Commission (State Government) – ongoing through a

Memorandum of Understanding and regular meetings, discuss

opportunities to align activities involving co-funded service providers,

agree areas of need to avoid duplication and leverage existing mechanism

for service provision. Work in partnership to manage and support

improvements in service provider performance, share data to inform

regional and state-wide planning and action on initiatives. Relationship

includes active participation in Joint Regional Planning processes with

Health Service Providers and stakeholder networks.

• WA Network of Alcohol and Drug Agencies (Peak) – Collaboration on

shared areas of work such as improving workforce capability and cultural

competency to ensure a complementary approach is taken that continues

to address current sector needs.

Page 16: Drug and Alcohol Treatment Activity Work Plan 2019-2022

16

Activity milestone

details/ Duration

Activity start date: 1/07/2019

Activity end date: 30/06/2020

Six and 12-month reviews of services occur in February and August of each

year following receipt of service provider reports.

Commissioning

method and

approach to

market

1. Intended procurement approach for commissioning services under this

activity:

☒ Continuing service provider / contract extension

2a. Is this activity being co-designed?

No

2b. Is this activity this result of a previous co-design process?

Yes

3a. Do you plan to implement this activity using co-commissioning or joint-

commissioning arrangements?

No

3b. Has this activity previously been co-commissioned or joint-commissioned?

No

Decommissioning No

Data collection

Yes

The activities are in scope for data collection under the AOD treatment

Services National Minimum Data Set.

Funding Source 2019-2020 2020-2021 2021-2022 Total

Planned Expenditure – Drug and

Alcohol Treatment Services –

NIAS Indigenous Funding

$424,029 $424,029

Approved – 17/18 Unspent Funds

$251,661 $251,661

Approved – 18/19 Forecast

Unspent Funds

$213,339 $213,339

Total Planned Commonwealth

Expenditure

$889,029 $889,029

Proposed Activities

ACTIVITY TITLE DATS ATSI 2: AOD Workforce Development Health Professionals (Aboriginal)

Existing,

Modified, or New

Activity

Existing Activity

(Previous AWP reference; DATS-ATSI 2 System Integration/Improvement and

Workforce Development from Updated AWP 2016-19)

PHN Program

Key Priority Area

Alcohol and Other Drugs

Needs

Assessment

Priority

Priorities:

• PSAOD3.1 Promote integration and coordinated care pathways for clients with mental health condition and harmful alcohol and other drug use. (p.106)

Page 17: Drug and Alcohol Treatment Activity Work Plan 2019-2022

17

• PSAOD3.2 Build general practice workforce capability to recognise and

respond to alcohol and other drug related issues. (p. 106)

Possible Options:

• Ensure commissioned services have appropriate referral pathways for

clients with alcohol and other drug-related needs together with comorbid

mental health and other chronic conditions. (p.106)

• Strategies to develop integrated care pathways in partnership with Local

Hospital Networks, Health Services, general practice and other clinicians.

(p.106)

• Promote uptake of screening and brief interventions by primary care

providers and a diverse range of health professionals. (p.106)

• Increase access to education programs for general practice to assist in

recognising and responding to alcohol and other drug related issues. (p.106)

Aim of Activity

The aim of the activity is to increase the capability and confidence of the

generalist and specialist health workforce to effectively recognise and respond

to problematic alcohol and drug use among Aboriginal people. This will be

achieved by:

• Increasing the appropriateness of referrals to drug and alcohol specialist

service providers.

• Increasing the uptake of screening, brief intervention and management of

people with alcohol and drug issues within a primary care setting.

Description of

Activity

To achieve program objectives, the following activities will occur.

• Promote and support provision of evidence-informed and culturally secure

education and training resources designed to support health care

professionals provide alcohol and drug treatment and support to Aboriginal

people. Utilise various modalities including face to face sessions in regional

centres, small group sessions within practices, and promotion of

online/technology-based training modules and resources such as webinars

and special interest groups.

• Increase awareness of available specialist treatment services and improve

effectiveness of referral pathways by engaging with local experts,

encouraging development of multi-disciplinary relationships and promoting

utilisation of HealthPathways and MyHealthRecord.

• Support education and training activities which promote practices to reduce

stigma and the discrimination of Aboriginal people who experience harm

from alcohol and other drug use. This includes the provision of information

on appropriate use of language, encouraging the engagement of consumers

and significant others in service design and recognising problematic alcohol

and drug use as a health issue and one that requires a holistic, person

centred response.

Target

population

cohort

The cohort that this activity will target includes:

• Primary Health Care Professionals (General Practitioners, Nurses,

Pharmacists, Allied Health)

• AOD and Mental Health Specialists/ Workers

• Aboriginal Health Workers.

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In scope AOD

Treatment Type

The AOD activity types are:

• Information and Education

• Workforce Development, Capacity Building, including supporting the

workforce through activities which promote joined up assessment and

referral pathways, quality improvement, evidence-based treatment, and

service integration.

Indigenous

specific

Yes

The WA Primary Health Alliance (WAPHA), in consultation with a range of

stakeholders, produced the Commissioning for Better Health report. A key

activity for WAPHA in the report includes is the delivery of a Primary Care

Workforce Development Strategy for Western Australia. This strategy will be

developed in collaboration with the WA Department of Health, WA Department

of Training and Workforce Development, peak industry bodies for each of the

primary care professional groups, and service providers. A specific focus of this

Strategy will be the aim to increase Aboriginal employment in the primary care

sector in Western Australia. (p.50)

Coverage Perth South PHN

Consultation

The PHN consulted and consults with a range of key stakeholders in the

planning and commissioning of treatment activities.

Key stakeholders at a state level include:

• Aboriginal Health Council of WA - ongoing through a Memorandum of

Understanding and regular meetings. Discuss opportunities to work

together, share data to inform regional and state-wide planning and action

on initiatives, gather intelligence and feedback from member organisations

and communities.

• Primary Health Care Professionals – ongoing consultation to support

development of improved referral pathways, identify opportunities for

coordinated care to address local needs and build local workforce

capability.

• Local and regional stakeholder networks – participation ongoing to support

development of improved referral pathways, identify opportunities for

coordinated responses to address local needs and build local workforce

capability, including consultation with Regional Clinical Committees.

Stakeholders include Regional Aboriginal Health Planning Forums, SAHWAG

membership, AOD and other commissioned services providers.

• State and federal government – as required to support coordinated

commissioning of services, respond to needs and support system

improvements.

Collaboration

Perth South PHN works with the Mental Health Commission, and the WA

Network of Alcohol and Drug Agencies.

The role of each stakeholder is listed.

• Mental Health Commission (State Government) – ongoing through a

Memorandum of Understanding and regular meetings, discuss

opportunities to align activities involving co-funded service providers, agree

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areas of need to avoid duplication and leverage existing mechanism for

service provision. Work in partnership to manage and support

improvements in service provider performance, share data to inform

regional and state-wide planning and action on initiatives. Relationship

includes active participation in Joint Regional Planning processes with

Health Service Providers and stakeholder networks. The Mental Health

Commission oversees delivery of the Strong Spirit Strong Mind Program

which specifically supports Aboriginal workers and communities to reduce

alcohol and drug related harm among Aboriginal people.

• WA Network of Alcohol and Drug Agencies (Peak) – collaboration on shared

areas of work such as improving workforce capability and cultural

competency to ensure a complementary approach is taken that continues

to address current sector needs.

Activity

milestone

details/ Duration

Activity start date: 1/07/2019

Activity end date: 30/06/2020

Six and 12-month reviews of services occur in February and August of each year

following receipt of service provider reports.

Commissioning

method and

approach to

market

1. Intended procurement approach for commissioning services under this

activity:

☒ Not yet known

2a. Is this activity being co-designed?

No

2b. Is this activity this result of a previous co-design process?

No

3a. Do you plan to implement this activity using co-commissioning or joint-

commissioning arrangements?

No

3b. Has this activity previously been co-commissioned or joint-commissioned?

No

Decommissioning No

Data collection

No

This activity is not in scope for data collection under the AOD Treatment

Services National Minimum Data Set.

Funding Source 2019-2020 2020-2021 2021-2022 Total

Planned Expenditure – Drug and

Alcohol Treatment Services –

NIAS Indigenous Funding

$106,007 $106,007

Total Planned Commonwealth

Expenditure

$106,007 $106,007