bill kuluris psychiatric nursing clinical co ordinator g p mental health nurse program
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Bill Kuluris (Psychiatric Nursing) Clinical Co-ordinator G P Mental Health Nurse Program. Mental Health Network GPV MHNIP Model. Region. Barwon Region consists of 275000 people over the 9,000 square km GP Association Geelong (GPAG) 250+ GP’s 58 Practices HEADSAPCE

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bill kuluris psychiatric nursing clinical co ordinator g p mental health nurse program

Bill Kuluris (Psychiatric Nursing)Clinical Co-ordinatorG P Mental Health Nurse Program

Mental Health Network

GPV

MHNIP Model

region
Region
  • Barwon Region consists of 275000 people over the 9,000 square km

GP Association Geelong (GPAG)

  • 250+ GP’s
  • 58 Practices
  • HEADSAPCE

Barwon Region (Barwon Health AMHR)

  • 24 ward acute bed service
  • 4 AMH teams
  • Relatively young service compared to other regions within the state
the developments
The developments
  • Extended from a successful GP Clozapine program
  • April 2008 Federal government allowed for partnerships to occur between State/Territory and ………
  • Reference group committee
  • Clinical pathways committee
  • Support of the College of MH Nurses
the guidelines
The guidelines
  • The Federal MHNIP
  • Our local Guidelines – GP agreement

Practice responsibilities

MHT access

Patient consent

  • Credentialing
  • Discharge guidelines – AMHT
  • Mental Health Nurse Incentive Program Updates (quarterly)
the process
The process
  • MH Nurse selection, credential v’s best candidate
  • Visit all 51 GP practices to discuss new incentive
  • 2 day orientation for the 5 successful MH Nurses
  • 4 AMHT
  • 2 week introduction and orientation for each nurses
  • Professional develop for going credentialing and clinical support for nurses
  • Intake meeting
  • 2 bulk billing session via Psychiatrist
  • Location
  • Sessions
intake meeting
Intake Meeting
  • Consisted of discussing referral
  • Once uptake started intake occurred twice a week. Psychiatrist only visited on the Thursday
  • Presenting assessment once completed and decision point thereafter , Jigsaw, Headspace, MHT, Psychologist, NGO
  • Case conference – set up by MH nurse
the model
The Model
  • Each nurse to potentially complete 10 sessions per week
  • 3.5 hour sessions – assessments 1.5 hours

ongoing reviews 45m

documentation and driving

increase in demand

  • Intake meeting
  • Supervision
  • Ongoing credentialing
where are we now
Where are we now
  • Looking at implementing new referral process
  • P/T MH Nurses to assist with leave
  • Employ youth specific MH Nurse
  • Psych registrar to become involved
  • Finalising case mix and case loads
  • Trying to slow down
  • Generally happy with achievements over a short period of time
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