Understanding what supports recovery

We supported high-quality, ethical research and evaluation that translates knowledge into improved services and better outcomes for consumers.

In 2017-18 Neami’s Research and Evaluation team participated in 40 research projects.

3 homelessness and housing studies
5program and intervention studies
9 physical health program and intervention studies
11 research programs on broader issues impacting on health and wellbeing
12 service evaluations

CRM renewal project

The Collaborative Recovery Model (CRM) has underpinned our service offering since its implementation in 2009, and provided an overwhelmingly positive experience for Neami.

The evidence-based model was developed by the University ofWollongong (UoW) and has become the signature model for Neami services.

It is well received by consumers, staff and partner organisations alike. The positive findings in our 2014 CRM Fidelity study strongly reinforced our belief in the value of the CRM.

In recognising the value the CRM has provided, we are working in partnership with the UoW to comprehensively review the CRM. We recognise that with the changing environment in the mental health sector, the model needs to be renewed to align with emerging evidence and different ways of thinking.

The review process is to be conducted over the next three years, and will be looking to strengthen the model to ensure it is fit for current and future practice. This will include initiatives to:

  • Increase lived experience perspectives
  • Incorporate culturally relevant materials and models
  • Enhance flexiblility in the use of the CRM protocols
  • Broaden the approach to training, including online delivery

Informed by consultations with consumers, carers, staff, and key stakeholders, and a thoughtful review of the impact of any changes, this project will deliver an evolution of our core service model.

Co-designing service quality

This year, we concluded a study to evaluate the impact of the Joondalup Mental Health Step Up Step Down service (JMHSS) regarding its value to the local health system and its consumer recovery and wellbeing outcomes.

The initial report had encouraging results, with findings indicating that consumers can achieve significant recovery and wellbeing gains throughout of their stay.

We compared changes in hospital admission rates for people who spent time at JMHSS, explored the gaps in the system that the service fills, as well as areas for improvement. We also compared the outcomes to a matched group who did not use the service.

This comparison revealed statistically significant differences in people’s hospital usage after spending time in the JMHSS.

An important component of the JMHSS evaluation involved the establishment of two quality improvement working groups. Led by principles of co-design, members undertook a collaborative inquiry process to review findings from the study, and to provide insights from experience and observation about areas of practice and process.

The evaluation had objectives in three main areas: measurement practices, service gaps and continuity, and quality standards. Taken together, the findings in the evaluation provided both encouragement for the value of practices at the JMHSS service, and clear directions for how service quality can be strengthened.

The results also highlighted the potential to achieve remarkable levels of insight and innovation when service users and service providers come together to co-design service quality improvements.

Joondalup Mental Health Step Up Step Down evaluation

13-16%
reduction in hospitalisations
50-59%
reduction in likelihood of being admitted
7-8
less days per year spent in hospital
37-39%
reduction in the ikelihood of presenting to emergency departments
Sharon, Claire and Cassandra talk about their experiences of supporting the community to prevent and better respond to suicide.
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Hear how our NSW suicide prevention team see their work.