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MHWAC MH Workforce NT

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					                                  MENTAL HEALTH WORKFORCE INITIATIVES (Current and proposed) NORTHERN TERRITORY

                                                           (Based on National Health Workforce Strategic Framework)


     Principles                 Activity/Program/Project                             Target                                                                                                  Expected
                                                                                                                                                           Performance             Current                                                         Perceived
        and           (Please provide a brief description of project,              Occupation /                        Outcome                                                                project Lead Agency Key Stakeholders
                                                                                                                                                            Measures               Status                                                        Impediments
     Directions              including aims and objectives)                          Service                                                                                                 duration

Ensure and sustain self sufficiency in workforce supply
1a                Emphasis wherever possible on appointment of staff on full       All Disciplines   Increase in permanent appointments              Number of permanent      Ongoing        2006-2008 Mental Health   All staff, consumers,   NT cost of living
                  time permanent basis rather than short term contracts                                                                              appointments achieved on                          Branch          carers, professional
                                                                                                                                                     6 monthly basis                                                   associations and
                                                                                                                                                                                                                       industrial
                                                                                                                                                                                                                       organisations

1b                Succession planning to be established during 2006 for Team All Disciplines         That all Team Managers and other senior         Succession planning        Ongoing      2006-2008 Mental Health   Staff
                  Leaders and other senior staff                                                     staff have at least one person able to          workshops held. Periods                           Branch
                                                                                                     function in their role during absences and      of Higher duty
                                                                                                     interested in promotional opportunities         responsibility planned and
                                                                                                                                                     actioned with minimal
                                                                                                                                                     negative outcomes for
                                                                                                                                                     those involved

Workforce distribution optimises access and is aligned with need
2a                Development of flexible work hours and rostering systems to All Disciplines        Staff able to maintain a balance between        Decrease in roster and      Ongoing     2006-2008 Mental Health   All staff, consumers,   Past practice
                  accommodate staff and workplace needs                                              work and home life                              work hour complaints                              Branch          carers, professional
                                                                                                                                                                                                                       associations and
                                                                                                                                                                                                                       industrial
                                                                                                                                                                                                                       organisations


Ensure attractiveness of workplaces
3a                Promotion and support of inquiry based and research based All Disciplines          That staff will contribute in various ways to   Number of proposal          Ongoing     2006-2008 Mental Health   All staff, consumers,   Past practice,
                  activity                                                                           the development of and inquiry based            received on a 6 monthly                           Branch          carers, professional    customs
                                                                                                     learning culture within the organisation and    basis during established                                          associations and
                                                                                                     that some will take leadership roles in         period                                                            industrial
                                                                                                     engaging in such activities.                                                                                      organisations




3b                Establish staff exchange program to facilitate greater           Nursing           That staff understanding of mental health       Number of staff               Ongoing   2006-2008 Mental Health   All staff, consumers,   Past practice,
                  understanding between Teams, Services, States.                                     initiatives, directions and personal practice   registering interest in staff                     Branch          carers, professional    customs
                                                                                                     will be enhanced by exposure to and             exchange, number of                                               associations and
                                                                                                     opportunity to work within other mental         organisations linked into                                         industrial
                                                                                                     health settings                                 exchange program and                                              organisations
                                                                                                                                                     number of exchanges that
                                                                                                                                                     take place.


3c                Caseloads being explored with intent to create more              All Case          Development of a caseload management            Caseload model              Initiated   2006-2008 Mental Health   Case managers           will require
                  manageable work allocations system for staff                     Managers          system                                          developed, trial prepared                         Branch                                  sustained
                                                                                                                                                     and implemented,                                                                          monitoring
                                                                                                                                                     evaluation undertaken



Ensure workforce is skilled and competent
4a                Explore establishment of joint appointments with CDU for         Allied Health     That a collaborative approach be developed Number of level                  Initiated   2006-2008 Mental Health   All staff, consumers,   Past practice
                  allied health professionals and nursing                          Professionals     for the clinical and theoretical preparation of appropriate joint                                 Branch          carers, professional
                                                                                   & Nursing         specialist MH nurses and allied health          appointments                                                      associations and
                                                                                                     professionals by acknowledgement of the                                                                           industrial
                                                                                                     skills and knowledge of clinicians.                                                                               organisations


4b                Exploration of collaborative strategies with the higher     All Disciplines        Collaboration between theory, research and Number of innovative             Proposal in 2006-2008 Mental Health   All staff, consumers,
                  education sector for 1. Clinical placement, 2. Innovative                          practice with involvement of consumers     projects accepted as             development           Branch          carers, professional
                  clinical approaches, 3. evaluative research and 4. Resource                                                                   potentially contributing to                                            associations
                  and education centres available to all community.                                                                             better client outcomes

4c                Work with higher education sector to embed relevant              Allied Health & Collaboration between clinical and academic       Proposal accepted,          Proposal in 2006-2008 Mental Health   All staff, consumers,
                  professional development programs into awards                    Nursing         organisations in ensuring high quality            working group               development           Branch          carers, professional
                                                                                                   professional development programs                 established, process                                              associations
                                                                                                   developed, delivered and evaluated.               developed.




4d                Contribute to development and implementation of workplace All Disciplines          Collaboration between academic and clinical Number of awards in             Proposal in 2006-2008 Mental Health   All staff, consumers,
                  relevant awards by higher education sector                                         staff in the development, delivery and      which staff are actively        development           Branch          carers, professional
                                                                                                     evaluation of relevant awards               involved in                                                           associations
                                                                                                                                                 development/review of

Optimal use of skills and workforce adaptability
5a                Explore the role of the Enrolled Nurse in community MH           Nursing           Establish a meaningful role for the EN in       JD developed, industrial Commencing 2006-2008 Mental Health       Case Managers,
                  settings in order to provide relevant support for clients with                     community MH Teams                              association consulted and stage 1             Branch              nurses, consumers,
                  chronic mental illness                                                                                                             approved, recruitment                                             ANF
                                                                                                                                                     undertaken
5b align service Explore use of peer support workers for clients                   Consumers         Develop pilot for trial in DCMHT                Pilot developed, approval Commencing 2006-2008 Mental Health      All staff, consumers,
development to                                                                                                                                       given, trialled and       pilot                Branch             carers, case
workforce                                                                                                                                            evaluated                 development                             managers,
development
5c               Consider ways of developing and using MH Nurse                    Nursing           Establish a meaningful role for the MHNP in Business case developed Commencing 2006-2008 Mental Health            professional
                                                                                                                                                                                                                       All staff, consumers,
                 Practitioners within the Services                                                   NT MH Services                              with JD                 stage 1              Branch                   carers, professional
                                                                                                                                                                                                                       associations and
                                                                                                                                                                                                                       industrial
                                                                                                                                                                                                                       organisations
Workforce Research
6a             Encourage collaborative research focused on workforce           All Disciplines   That staff will contribute in various ways to   Number of proposal       Ongoing   2006-2008 Mental Health   All staff, consumers,
               wellbeing, retention, development.                                                the development of workforce research           received on a 12 monthly                     Branch          carers, professional
                                                                                                 within the organisation and that some will      basis during established                                     associations and
                                                                                                 take leadership roles in engaging in such       period                                                       industrial
                                                                                                 activities.                                                                                                  organisations




Stakeholders to work collaboratively
7a             Establish annual planning workshop to identify priorities for   Stakeholders      Workshop undertaken and has great               Annual workshop         Ongoing    2006-2008 Mental Health   All staff, consumers,
               NT Mental Health that involves representatives of all           and All           outcomes for strategic direction for NT MH                                                   Branch          carers, professional
               stakeholders                                                    Disciplines       services                                                                                                     associations and
                                                                                                                                                                                                              industrial
                                                                                                                                                                                                              organisations, non
                                                                                                                                                                                                              government
                                                                                                                                                                                                              organisations and
                                                                                                                                                                                                              other service
Involvement of consumers in workforce activities
8a             Establish and education program for consumers regarding         Consumers         Consumers aware of departmental policy          Educational program                2006-2008 Mental Health   Team Leaders,
               recruitment and interview processes                                               and have increased confidence in                planned and funded                           Branch          consumers, carers,
                                                                                                 participating in staff recruitment processes.   annually                                                     non government
                                                                                                                                                                                                              organisations



Involvement of carers in workforce activities
9a             Establish and education program for carers regarding            Carers            Carers aware of departmental policy and       Educational program                  2006-2008 Mental Health   Team Leaders,
               recruitment and interview processes                                               have increased confidence in participating in planned and funded                             Branch          consumers, carers,
                                                                                                 staff recruitment processes.                  annually                                                       non government
                                                                                                                                                                                                              organisations
                                                             MENTAL HEALTH WORKFORCE INITIATIVES (Completed)                            NORTHERN TERRITORY
                                                                                (Based on National Health Workforce Strategic Framework)


                                                                                                                                                                                                                                           Expected
                                      Activity/Program/Project                      (Please provide a Target Occupation /
     Principles and Directions                                                                                                              Outcome                              Performance Measures                   Current Status      project    Lead Agency        Key Stakeholders        Perceived Impediments
                                       brief description of project, including aims and objectives)         Service
                                                                                                                                                                                                                                           duration


Ensure and sustain self sufficiency in workforce supply
1a Retention and recruitment          MH is a component of the NT nursing recruitment & retention Nursing                   Discrete changes in recruitment             Number of applicants for vacant              Ongoing              2006-2008   Department of Team Managers, ANF            Culture of transience in
strategies                            strategy and each sub region has identified strategies to                             practices                                   positions and reduction in number of                                          Health &                                    NT
                                      enhance recruitment and retention.                                                                                                staff resignations                                                            Community
                                                                                                                                                                                                                                                      Services

1b                                    Financial Incentives are in place for medical staff.             Medicine             Better retention of medical staff           Increased medical staff retention                                 Ongoing     Mental Health   RANCH, Clinical             Availability of specialist
                                                                                                                                                                                                                                                      Branch          Directors of Services       staff

1c                                    Survey of staff was undertaken in 2005 to identify further       All Staff            Raised awareness of issues pertinent to Survey distributed, returned, collated           Completed            2005        Mental Health   All professional and
                                      mechanisms to improve and enhance recruitment and                                     staff leading to more refines recruitment and information where practical and                                             Branch          industrial groups,
                                      retention                                                                             activities                                relevant acted on.                                                                              DHCS

Workforce distribution optimises access and is aligned with need
2a Targeted E&T                       Graduate Nurse Program includes mental health placement          Nursing              Increased awareness of MH and interest Increase number of applicants for                 Occurring and        2006-2008   Department of ANF, Nursing staff,
                                                                                                                            in field as place of long term practice vacant positions from GNP                        established on an                Health &      Team Managers
                                                                                                                                                                                                                     ongoing basis                    Community
                                                                                                                                                                                                                                                      Services

2b                                    NT scholarships available across all disciplines                 All Disciplines      Enhanced capacity to target deficits in     Increased number of applicants from          Occurring with …     Ongoing     Department of   Professional assocs,        Motivation of staff to
                                                                                                                            skill base                                  MH services                                  number of                        Health &        universities, staff,        enrol in higher
                                                                                                                                                                                                                     applications from                Community       DHCS                        education programs
                                                                                                                                                                                                                     MH                               Services
2c                                    Access to higher ed programs for specialist mental health        Nursing              Increased number of specialist MH           Increase in number of specialist             Occurring and        2005-2008   Mental Health   Professional assocs,
                                      awards supported financially and with study time                                      nurses                                      nurses; successful completions               ongoing with                     Branch          universities, staff,
                                                                                                                                                                                                                     currently 5 MH                                   DHCS
                                                                                                                                                                                                                     Nurses enrolled in
                                                                                                                                                                                                                     graduate MH
                                                                                                                                                                                                                     Nursing programs

Ensure attractiveness of workplaces
3a Improve coordination of E&T        Training, Education & Quality Group established to provide       All Disciplines      Greater coordination of activities and      Annual calendar of professional              Mandated activities Ongoing      Mental Health   All staff and               timely dissemination,
and embed with Quality                support for quality initiatives generated by staff and                                dissemination to all staff                  development activities and quality           placed into calendar             Branch          consumers, carers           work pressures,
                                      coordination of professional development opportunities                                                                            projects established                         and currently having                                                         budget
                                                                                                                                                                                                                     other professional
                                                                                                                                                                                                                     development
                                                                                                                                                                                                                     activities
                                                                                                                                                                                                                     incorporated.
3b Initiatives that promote           Active collaboration with clinicians to support and innovative   All Disciplines      Enhanced communication between              Increase in staff generated initiatives      Proposal drafted     Ongoing     Mental Health   All staff and               workplace design, bed
supportive cultures, innovations,     and safe work environment and practices                                               staff, positive initiatives and             that focus on better or enhanced             being circulated for             Branch          consumers, carers           occupancy pressures
leadership and collaboration in                                                                                             opportunities for development of            outcomes for clients                         comment.
work environments                                                                                                           leadership skills
3c                                    Mental health work place and clinical practice orientation       All Disciplines      New staff receiving better level of         New staff settled into workplace more        Developed and        Ongoing     Mental Health   All staff
                                      manuals developed and distributed to all staff on entry into                          support and develop increased               effectively as determined by post            distributed, updated             Branch
                                      specialist mental health services.                                                    understanding of the service and Team       orientation evaluation                       twice per year.
                                                                                                                            context.
3d                                    Induction and Orientation program and time being developed All Disciplines            New staff receiving better level of         New staff aware of uniqueness issues         Currently in place   Ongoing     Mental Health   All staff
                                      to ensure staff are able to adjust to new work place and its                          support and develop increased               associated with their Team and able to       and proposal for                 Branch
                                      unique demands                                                                        understanding of the service and Team       address these as determined by post          extension of this
                                                                                                                            context.                                    orientation evaluation                       period in process of
                                                                                                                                                                                                                     development

Ensure workforce is skilled and competent
4a Jurisdictional plans to action     Established professional development program based on            All Disciplines      Increased fit between staff and             Higher levels of staff attendance at         2005 program         Ongoing     Mental Health   All staff and               timely dissemination,
the framework                         organisational and professional needs of staff.                                       organisational needs with better            professional development activities,         reviewed, 2006-                  Branch          consumers, carers           work pressures,
                                                                                                                            outcome for staff retention                 increased relevance to workplace             2007 near                                                                    budget
                                                                                                                                                                        demands                                      completion

4b Inclusive consultative             Regular aggression management training for all staff in MH       All Disciplines      Maintenance of skill in this area           100% attendance at annual aggression Ongoing                      Ongoing     Mental Health   All staff and
approaches etc                        services                                                                                                                          management training; critical incident                                        Branch          consumers, carers
                                                                                                                                                                        review.
4c Initiatives that encourage        Establishment of practice review mechanisms based on              Allied Health        Greater direction for staff coupled with    Process in place for all staff connecting In place and            Ongoing     Mental Health   Professional and
practitioners to maintain skills etc professional standards and job descriptions.                      Professionals &      feedback on current performance             with professional development plans       ongoing                             Branch          industrial organisations,
                                                                                                       Nursing                                                                                                                                                        staff, Team Managers.




4d                                    Review all Job Descriptions against needs of vacant position All Disciplines          Refinement of selection processes and       Regular review of Job descriptions           In place for         2006        Mental Health   Professional and
                                      and make relevant amendments and recruit to needs                                     greater determination of                    incorporated in recruitment process;         evaluation and                   Branch          industrial organisations,
                                      embedded in these                                                                     appropriateness of qualification required   greater clarity of expectations for          potential refinement                             staff, Team Managers.
                                                                                                                            for role leading to improved recruitment.   recruited staff and clarity of quality and   of process
                                                                                                                                                                        skills required.

Optimal use of skills and workforce adaptability
5a Develop workplace,                 Identify gaps in required staff knowledge and skills and         All Disciplines      Targeted professional development           Staff surveyed, performance review      Ongoing                   2006-2008   Mental Health   All staff and               timely dissemination,
professional, education and           establish discrete professional development opportunities to                          opportunity                                 feedback, outcomes of organisational                                          Branch          consumers, carers           work pressures,
training practices which facilitate   reduce these.                                                                                                                     gap analysis incorporated, professional                                                                                   budget
team approaches and                                                                                                                                                     development program developed and
multidisciplinary care.                                                                                                                                                 disseminated; greater attendance by
Workforce Research, Policy & Planning
                                                                                                                                                                        staff.
6a Health workforce information       Surveys undertaken to identify potential areas for               All Disciplines      Raised awareness of issues pertinent to Survey undertaken, issues identified             Feedback sought      Ongoing     Mental Health   All staff
                                      improvement in recruitment and retention                                              staff leading to more refines recruitment and prioritised, incorporated in R&R           from each new                    Branch
                                                                                                                            activities                                plan                                           recruit

Stakeholders to work collaboratively
7a Jurisdictional plans to action   Participate in "all of government services" meetings to ensure All staff            Collaborative approaches to staff        Active participation noted in minutes of Ongoing   Ongoing   Mental Health   Other branches,
the framework                       awareness of needs of mental health service is maintained                           recruitment has been established and all meetings; number of joint                                    Branch          services, DHCS
                                                                                                                        of service initiatives established to    advertisements and initiatives
                                                                                                                        enhance outcomes for clients

7b Inclusive consultative           Meet regularly with Non government organisations to             All staff           Collaborative approaches to staff        Information exchange noted in minutes Ongoing      Ongoing   Mental Health   NGOs, DHCS, staff,
approaches etc                      maintain effective sharing of information and collaborative                         recruitment has been established and all of meetings; number of joint initiatives                     Branch          consumers, carers
                                    approaches to identification and resolution of issues.                              of service initiatives established to
                                                                                                                        enhance outcomes for clients

Involvement of consumers in workforce activities
8a                                  Established Client and Carer Participation Policy &             All Staff and       Embedded within organisation and        Number of consumers involved with        Ongoing    Ongoing   Mental Health   All staff, consumers,   Need to encourage
                                    Framework                                                       consumers           committees and functions now reflect    appropriate support in various related                        Branch          carers, MH services     consumers to have a
                                                                                                                        this                                    activities                                                                                            "voice"
8b Participation in skill           Consumers included on relevant recruitment committees           Consumers and all Key staff selection committees now        Number of consumers involved with        Ongoing    Ongoing   Mental Health   All staff, consumers,   culture, historical roles
development                                                                                         staff             include consumer rep                      appropriate support in recruitment and                        Branch          carers, MH services
                                                                                                                                                                selection processes
Involvement of carers in workforce activities
9a                                  Established Client and Carer Participation Policy &             All Staff and carers Embedded within organisation and       Number of carers involved with           Ongoing    Ongoing   Mental Health   All staff, consumers,   Need to encourage
                                    Framework                                                                            committees and functions now reflect   appropriate support in various related                        Branch          carers, MH services     carers to have a
                                                                                                                         this                                   activities                                                                                            "voice"
9b Participation in skill           Carers included on relevant recruitment committees              Carers and all staff Key staff selection committees now     Number of carers involved with           Ongoing    Ongoing   Mental Health   All staff, consumers,   culture, historical roles
development                                                                                                              include carer rep                      appropriate support in relevant                               Branch          carers, MH services
                                                                                                                                                                recruitment and selection processes

				
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