Global Seminar Series: The Impact of Covid-19 on Mental Health. Roundtable on Implications for Policy and Practice in Australia - Shared screen with speaker view
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Hello Pat Dudgeon and welcome
Many existing consumers have prior experience of compulsory isolation - hence may be MORE resilient.
Tim: or they might be triggered?
Both Pat. But many feel the rest of the population is now experiencing what they have experienced
Life the bushfire survivors who have been forgotten, some of those with pre-existing mh issues are uncomfortable, self-stigmatising, feeling like they need to step back, are not help seekng out of guilt......that others have it worse...
some are loving the isolation!
Hi Tim, I agree- I think some people that have experiences of mental health issues are coping better and are able to draw on their experiences to be incredibly resilient during this difficult time. For some people this whole experience has been almost like an equalizer
I would definitely agree with Tim - many people with lived experience are reporting a sense of bemused observation - others struggling with social isolation are finally understanding (to a degree) the experience of those whose mental illnesses have isolated them in the past.
Was that stat whole of Aus population or WA only?
Is WA's specific data I think Lisa ;)
Hi Petra!!!!! And thank you :-)
Daniel - take control of the screen
john - let danile take control
Expert led = Person led
What do you mean by a thermometer speaker?
Why does Australia have such poor online prescribing performance?
great to see Danny emphasise the movement away from the ‘average’ person to meeting the needs of individuals in place and time!
Important also to Danny emphasise moving from ‘scaling up’ to ‘scaling out!’
Can we expect our current market based system to address equity when it is based on consumer and provider subsidies? Does this imply a reinvent model?
The rewiring of the system needs to go to the MBS funding models and the greater adoption of the hospital multi-D model into the community/primary care space.
We need to still be able to reach out to those vulnerable who do NOT have access to technology when in iso - somehow we need to offer free devices/wifi...and ways to teach people how to use it
For information: detail on NHS workforce deaths resulting from COVID19 including breakdown of professions: https://www.hsj.co.uk/exclusive-deaths-of-nhs-staff-from-covid-19-analysed/7027471.article
Telehealth/medicare is not accessible by our prisoners, jurisdictional/federal passing of the buck. They are in iso - no visits from family...but transitioning to tech contat...but can't use telehealth.....how can we address this, s this different in other countries?
There is a BIG DIFFERENCE B/W SHARED & SUPPORTED DECISION MAKING. The vic mh act talks about supported decision, not shared.....
Vulnerable incudes indigineous, elderly, homeless and those in rural and remote communities with poor internet access, as well as scarce health resources.
Yes joseph - absolutely.
apologies to my capitals in prevous question.
indigenous rights need to be MH Consumer rights too
NOthing about us - Exactly Pat!
closing the Gap should refer to soc and emotional well-being.
The first ACCHO respiratory clinic opened: https://www.facebook.com/BrisbaneNorthPHN/posts/1672990322825298
Similarly peer workforce review
Not a lot of the webinar content so far has addressed mental health impacts.
Hi Pat D
Agree Pat - we're seeing the same. Family for Indigenous people is very different
Yes Tim, where does peer support fit into telehealth....
What family means is different and important to consider
Not being able to touch has a huge impact...for the dying, the isolated.... we can't console someone...
This is greatly traumatising
Issues raised have been ongoing for people with mental illness for many years - the number of reviews and reports over the years and little has changed - interested to hear people think it will be different after Covid - why? Need to define mental illness mild to moderate to people living with chronic mental illness. There will be an increase in the need for people after Covid to access mental health services but what will be the impact on people who are already accessing mental health services
Is anyone from Mental Health Australia online?
Not just indigenous - this is across many ethnic/cald communities....
Traditions, rituals are disrupted - inability to console someone - a child....
Hi Pat, how hard has been the overlapping "domino crises" impact of drought, bushfires and now pandemic on indigenous communities
Human touch - at any level... babies, grandparents not being able to hug or touch each other, putting a supportive arm around someone homeless....the impacts are huge... loss, grief, we will be doing this isolated.
We assume that adversity is the exception rather than the norm for many vulnerable and disadvantaged people
Pat you are fabulous thank you
Thank you David
that’s a very good point David Perkins
If its the norm we need to establish locally led and sustainable solutions
Some of the most disadvantaged people I’ve meet are very resilient.
Yes- even though they may not feel it
Really interested in 'pop up safe spaces' for mental health. What are they, how do they work, how many, are they state wide? Interesting to know whether this is something which might be part of a longer term solution for mental health issues not landing in emergency departments. (Leith MHCC ACT)
Data from Social Media is hard because the lack of geographic specification.
the longstanding flu tracker program is tracking COVID this year too - https://info.flutracking.net/ complement to the Swinburne app
I'm interested in the pop-up mental health also.
Accessibility? We heard from A/Prof Jenny Wu on Tuesday that Taiwan has free mental health consultations for the public in every city! Imagine that.
MHC NSW web site showcases one Safe Space Collaborative being developed in SE NSW. Ref Tim Heffernan. https://nswmentalhealthcommission.com.au/living-well-agenda/living-well-mid-term-review/south-eastern-nsw
We are developing training webinars for our indigenous presenters ( mental health and suicide awareness) and need to fund/supply laptops but we can't provide reliable internet...! So challenging to get the infrastructure in place....
Can we just see the key messages again please?
Thanks 3350520! Peer led alternatives to clinical 'care' are essential
thanks so much!
Absolutely Tim......how will we/they fit into this digital world?
Tim - it is Chris Flynn here. My number shows, not my name. Have to sort that out.
are they safe haven cafés?
John Mendoza: seeMHC NSW web site showcases one Safe Space Collaborative being developed in SE NSW. Ref Tim Heffernan. https://nswmentalhealthcommission.com.au/living-well-agenda/living-well-mid-term-review/south-eastern-nsw
There was also a mention of Friendship Benches for the 'pop up' in an earlier webinar
Friendship Benches began in Zimbabwe!
What about more funding multi disciplinary community mental health centres as per Gough worked well need more funding keep people at home and in community
Poetry prescription pharmacies!
Taiwans integrated health system has a lot to recommend it. Not like our mental health system which seems to be patched on to a physical health system.
sounds awesome Tim... online music, songwriting, music lessons...
Secondary impacts such as homelessness, unemployment, loss of business, neighbours leaving community suggest a very broad approach will be needed. We will also need to see what happens in terms of there being an appropriately skilled and available workforce to meet the needs that have been identified.
agree 100% David. Waves of impacted cohorts is what we should expect
Community led low key supports to help with early non-threatening intervention for preventative care needs more attention. Needs to be in acollaborative care model but we have community resources which are probably currently under-utilised due to the 'professionalism'of the space. Just a thought......
Good thought Joseph
Am doing a great deal of lobbying with state and fed depts./gov /ranzcp/forensicare Victoria re people incarcerated being able or rather not able to access telehealth. The prisoner's famiiy is expected to pay - f they can't no service is provided for psychological/mental health? Would love more activity given the high risk population this is.
Are these available online anywhere?
(The key principles for Vic MH response)
Lisa all slides and recordings are available
Any trends on emergency departments and suicidality?
this is the first webinar that mentions measurable increases of self-harm
WEBINAR SERIES Slides, and summaries available at
others have mentioned the reverse experience that suicidal behaviours/self harm presentations have decreased in ER
Good comment Prue...are the increased call of distress and in particular suicidal thoughts being translated to service provision in acute or primary care sector? If not where are they going?
Marco Bertelli mentioned an increase of suicide attempts attended ER in Florence last week
Yes thanks and a possible surge ahead??
Lifeline are reporting higher number of calls re a range of distress issues around covid
It should be possible to get indications from the helplines I.e. Lifeline, BB, Kids helpline etc
Summaries of each webinar also posted to Croakey website.
Lifeline is collecting data...
Lynne what is possibility of Hospital in the Home diversion from Admission in Vic?Thanks Alan (Rosen)
sure others are also
Thanks Lynne: ethics and human rights aspects are very important
absolutely important luis!
Hi Viv, Orygen will be setting up 15 Hospital in the Home beds for young people in the next 6 months
Need to think ahead about post suicide attempt psychosocial supports and safe spaces to prevent.
We have a weekly survey here in NYC that measures the economic worries and food security stuff. It's a big problem.
Ken: do you gather data on psychological distress?
Yes, but not every week
It's a small panel, about 1200 persons
Thank you John & Luis for organising this - what a great panel and discussion from amazing individuals. Thank ou to all everyone for your lessons.
There are models similar to 'Hospital in the home' being considered in Victoria
Hospital in the HOme will also be in Barwon
evaluation of tele counseling an important priority given the significant investment and expansion of services,
in this together - finally mh consumers are part if a whole community experience. no marginalisation with covid 19
how is sector contributing to Covid mental health plan?
There are Hospital in the Home models in WA in Youth and Older Adult Mental health
Tassie is also trialling hospital in the home
That's fabulous re efriends.org.au/peer support in telehealth...
Thanks Lucy, would love to know if the NMHC has a view on how this new crisis will impact the recon from the PC?
thanks to all speakers and facilitators - fabulous webinar
spot on John
Thank you John, Luis and all speakers and for the chat room participants...excellent event and I don't feel isolated at all....!
Great closing comments Lyn
Thank you everyone!!
Thank you John, and all involved
luis the tsunami need to stay clear of mh. it needs swimmers in the community
Thank you everyone so much.It's unfortunate that so many of the cities in the United State were here at these webinars to benefit from all this experience.
Thanks JOhn and everyone