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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