Improving AOD Service System Access and Peer Worker Networks

AOD Policy Commissioning Workshop 1: Commissioning services to improve AOD service system access, navigation, pathways, and peer worker networks 18 October 2022 Alcohol and Other Drug Policy team, ACT Health

Agenda Tuesday, 18thOctober 2022 Time: 9:30am 1:30pm AEDT Venue: Virtual Service system access, navigation, pathways and peer workers Presenter/ Facilitator No Agenda Item Content Time Link opens 925 Welcome and Introduction Ice Breaker, Objectives and Overview - Outlining the process for the morning and the expected outputs of the Design Phase 1 Sean Lowry 930 AOD Policy Team 2 Context and Aims The commissioning process and progress across the AOD sector in ACT thus far. 940 Snapshot Health Needs Assessment Present a brief overview of the HNA relevant to system access and peer workers including discussion and feedback from the sector. AOD Policy Team 3 950 Identifying potential opportunities to improve AOD service system access and navigation for current and future clients and carers of clients Discuss and determine an optimal role for peer workers in relation to how they may support service system access and navigation. Prioritisation criteria and activity Brainwriting activity and prioritisation of service system access, navigation and pathways 4 All 1020 Comfort Break 1130 Peer worker programs - What programs, interventions and enablers are working locally, nationally and globally ? Peer workforce planning, capacity and capability build Prioritisation criteria and activity Brainwriting activity on peer workers 5 All 1145 Developing indicative outputs and outcomes incl. metrics 6 Measuring our Impact All 1225 7 Closing Comments Bringing it all together Summary and Clarification and Next Steps Sean Lowry 1245

The Commissioning Journey Strategise Phase o Workshops with partners and stakeholders o System-wide needs assessment o DSAP Review and Progress Report o New ACT Drug Strategy Action Plan draft Design Phase o Workshops with partners and stakeholders o System-wide needs assessment (to guide investment phase) o Service specification (to guide investment phase) o Outcome indicators and measures Invest Phase o Procurement is anticipated to take place with partners in April/May 2023 o Notification of outcomes by the end of July 2023, allowing contracting prior to current expiry in December 2023. 3

Strategise Phase Recap Workshops from January March 2022 with community and health sector partners, service users and other key stakeholders. Purpose: to develop a shared understanding of the current and emerging needs to inform future service design. Helped us to understand barriers and enablers to AOD service provision in the ACT, including what services are provided, to whom, for what purposes. Workshop outcomes have also helped to inform: Needs assessment needs and gaps analyses, identifying eligible target groups, and identifying what data exists, and what data is needed. Commissioning priorities identifying priority areas of focus over commissioning cycles. 4

Priority Areas for AOD Commissioning 1. Service system access, navigation, pathways and peer workers 18 October 2022 Co-occurring issues with a focus on AOD and Mental Health 20 October 2022 Methamphetamine treatment and access to family and carer support 27 October 2022 Outreach and counselling 31 October 2022 2. 3. 4. 5

Health Needs Assessment: Snapshot 6

Needs Assessment Overview Draft Needs Assessment circulated on 6 October 2022. Intended to be a living document, to be revised annually, and open for comment and discussion. Aims of the Needs Assessment: Outline services currently provided; Understand population need; and Understand the degree to which existing services are meeting population need. Considers gaps, eligible target groups, and existing data, and what data is needed. Highlights priorities for the first round of ATOD commissioning, and potential priorities for future cycles. 7

Service system access, navigation, pathways and peer workers High level of engagement with ATOD services in ACT compared to other jurisdictions. The ACT has the second highest rate of treatment after the Northern Territory. ATOD services in the ACT are delivered by a mix of government organisations and NGOs and are provided free or at low cost to clients. Perceptions about barriers to access have included: Under-resourcing of ATOD service sector Some clients experiencing long wait times Limited community awareness of services Challenges for ATOD services trying to establish collaboration with other areas of the ACT service system 8

Service system access, navigation, pathways and peer workers Peer workers can support clients navigate the healthcare system through advocacy, and linking them with both AOD and mental health services. Valuing peer support workers and people with lived experience is a key priority area proposed in draft DSAP 2022-26. Aiming to build capacity of the ATOD workforce through peer workers and identify further opportunities to utilise peer expertise. 9