Pathways to Community Living - Moving Foward
Transcript: Pathways to Community Living - Moving Forward
PCLI staff experience
Transcript: PCLI staff experience
The Pathways to Community Living Initiative (PCLI) is a coordinated statewide approach to supporting people with severe and persistent mental illness (SPMI) and:
This initiative is part of the NSW Government’s commitment to strengthen mental health care in NSW by developing effective community-based residential care and support options for people experiencing long stays (more than 365 days) in mental health inpatient units. It is a key program under the government’s
Mental Health Reform 2014-2024.
The objective for people with ageing-related issues is:
The objective for those people without ageing-related issues is:
The PCLI has developed two guides to work with people through their journey:
At June 2021, six years into this initiative, the initial evaluation findings by the Australian Health Services Research Institute from the University of Wollongong are:
PCLI Evaluation Report 1 details the significant work by Local Health Districts (LHDs) to ensure person-centred and successful transitions are making a difference to the lives of patients and their families.
PCLI Evaluation Report 6: Organisational case studies of practice change presents the findings of a qualitative organisational case study of mental health service reform processes and the resulting practice change in two local health districts. The report presents evidence that the PCLI has contributed to establishing contemporary care pathways across settings and sectors, as well as ensuring the principles of person-centred, recovery-oriented care are embedded in practice.
PCLI Final Evaluation Report is the final report of an independent evaluation conducted between January 2017 and October 2021 by the Centre for Health Service Development, University of Wollongong. The report, endorsed by the PCLI Steering Committee in December 2021, presents the summative findings of the mixed methods evaluation activities and formative information to guide continuing reform within mental health services. The report concludes that the PCLI is successfully transitioning consumers with complex care needs to the community.
For Stage One cohorts:
For Stage Two cohorts:
For both Stage One and Stage Two cohorts the additional new complex care PCLI clinicians and peer workers have been funded across most LHDs including St Vincent's Hospital network.
There is also a specific PCLI position in a rural LHD to assist staff from all rural and remote LHDs to work with people who have recurring hospitalisations or are long-stay patients.
These new staff form a complex care PCLI community of practice across the state working with other specialist staff and peer workers.
In March 2020, PCLI the NSW Ministry of Health and the Royal Australian and New Zealand College of Psychiatrists brought together Rehabilitation Psychiatrists from across NSW and other psychiatry leaders for a medical dialogue on care for people with severe mental illness and complex needs.
Professor Helen Killaspy and Professor Carol Harvey gave presentations on Rehabilitation Psychiatry. Throughout 2021 this leadership group has continued to meet under the auspice of the College and the Ministry.
talk about how a distributive leadership model can empower consumers, families and health staff and bring about major system change.