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The Royal Commission recommends that the Victorian Government:
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The Royal Commission recommends that the Victorian Government establishes a new entity, the Victorian Collaborative Centre for Mental Health and Wellbeing. As a first step, the Mental Health Implementation Office should establish the governance of the Collaborative Centre and begin planning for a purpose-built facility in Melbourne.
The Collaborative Centre will bring people with lived experience together with researchers and experts in multidisciplinary clinical and non-clinical care to develop and provide adult mental health services, conduct research and disseminate knowledge with the aim of delivering the best possible outcomes for people living with mental illness. The centre will work within a network of partners including service and research organisations in rural and regional areas.
The Collaborative Centre will:
Models of care for the services the Collaborative Centre provides to its local community will reflect the Commission’s final redesign of Victoria’s mental health system.
The Royal Commission recommends that the Victorian Government, through the Victorian Health and Human Services Building Authority and the Mental Health Implementation Office, provides funding for 170 additional youth and adult acute mental health beds to help address critical demand pressures. The allocation should be as follows:
The design and establishment of the additional beds should:
Assertive outreach should be used to enable acute care in a home or community residence, where possible, as a direct substitute for an inpatient bed.
The Royal Commission recommends that the Victorian Government, through the Mental Health Implementation Office, expands follow-up care and support for people after a suicide attempt by recurrently funding all area mental health services to offer the Hospital Outreach Post-suicidal after Engagement (HOPE) program. To facilitate access to HOPE, the statewide rollout should be complemented by:
The Commission also recommends the creation, delivery and evaluation of the first phase of a new assertive outreach and follow-up care service for children and young people who have self-harmed or who are at risk of suicide.
The Royal Commission recommends that the Victorian Government, through the Mental Health Implementation Office, expands social and emotional wellbeing teams throughout Victoria and that these teams be supported by a new Aboriginal Social and Emotional Wellbeing Centre. This should be facilitated through the following mechanisms:
The Royal Commission recommends that the Victorian Government establishes Victoria’s first residential mental health service designed and delivered by people with lived experience.
This should be facilitated through the Mental Health Implementation Office in co-production with people with lived experience.
This service should provide short-term treatment, care and support in a residential community setting as an alternative to acute hospital-based care, and be:
The Royal Commission recommends that the Victorian Government, through the Mental Health Implementation Office, expands the consumer and family-carer lived experience workforces and enhances workplace supports for their practice. This program of work should be co-produced with people with lived experience and representatives of lived experience workforces and be implemented across area mental health services and identified nongovernment organisations comprising:
The Royal Commission recommends that the Victorian Government, through the Mental Health Implementation Office, prepares for workforce reform and addresses workforce shortages by developing educational and training pathways and recruitment strategies by providing:
The Royal Commission recommends that the Victorian Government designs and implements a new approach to mental health investment comprising:
This new approach should support a substantial increase in investment in Victoria’s mental health system, supplementing the current level and future expected growth of the state’s existing funding commitments.
The Royal Commission recommends that the Victorian Government establishes a Mental Health Implementation Office—a new administrative office in relation to the Department of Health and Human Services under the Public Administration Act 2004 (Vic).
The Implementation Office is to implement the Commission’s recommendations as set out in the interim report. It will operate for two years while the Commission designs final governance arrangements for the mental health system and should: