1. Purpose Of This Document
This document is designed to give a brief overview of IIMHL people, agencies and activities to December 2015.
|2. Introduction to IIMHL|
The International Initiative for Mental Health Leadership (IIMHL) is a unique international collaborative that focuses on improving mental health and addictions services. IIMHL is a collaboration of eight countries: Australia, England, Canada, New Zealand, Republic of Ireland, Scotland, USA and Sweden.
IIMHL organises systems for international innovation sharing, networking and problem solving across countries and agencies. The overall aim is to provide better outcomes for people who use mental health and addiction services and their families.
The Leadership Exchange is a week-long learning event which is held every 16 months.
Knowledge transfer among IIMHL countries includes not only the Leadership Exchange, but also promotion of workshops/training/education, research, support of learning collaboratives and information dissemination between Exchanges.
IIDL for disability leaders is a key part of IIMHL’s activities.
National policies and directions have often been focused on clinical practices rather than recovery through mental health leadership. National perspectives such as those in Australia, Canada, England, the Republic of Ireland, NZ (New Zealand), Scotland, Sweden and the US (United States) realise that mental health leadership is just as vital to the success of community-based services as are effective clinical practices.
To succeed in moving evidence-based and promising/wise practices into the service provider environment will require leaders who have the ability to promote and support the rapid changes occurring in the delivery of mental health services.
The absence of resources and supports for key leaders in mental health hampers them, their organizations and communities from obtaining and adapting the skills and processes identified as most likely to support consumers to achieve recovery. With greater support for developing and demonstrating leadership, mental health leaders will develop services based on best practices and innovation and will nurture and grow future leaders.
|4. Participating IIMHL Countries|
IIMHL is a “Government-to-Government” initiative. It is funded by the eight participating Governments of each country. As of May 2013, Governments and national organizations recognizing the issues outlined above and wanting to promote mental health leadership are:
|The Department of Health (England)|
|The Substance Abuse and Mental Health Service Administration (SAMHSA) of the US|
|The Mental Health Directorate of the Ministry of Health New Zealand (MOHNZ)|
|The Scottish Executive (SE)|
|Health Service Executive, Republic of Ireland (HSE)|
|The Mental Health Drug and Alcohol Principal Committee (MHDAPC)|
|Health Canada and Mental Health Commission of Canada (MHCC)|
The Swedish Association of Local Authorities and Regions and the Ministry of Health and Social Welfare, Sweden
|5. International Change Management|
The journey towards recovery focused, best practice mental health practices is an international movement. National policies and directions can be enhanced by changes occurring in other countries. The role of a leader in maintaining awareness of all changes is a daunting task. It often leaves leaders without a network for personal support or organizational assistance to advance changes needed within the environment.
IIMHL offers support and technical assistance to countries and their provider leaders by assisting leaders in adapting to rapid changes in the field and providing a support network through partnership with other leaders from around the world. IIMHL identifies and shares the best in managerial, clinical and operational practices together with access to information about developments that are occurring in other countries. IIMHL provides member countries with a linkage to international leadership development that supplements their national policies and service developments with an emphasis on evidence-based practices.
|6. Vision, Mission & Goals|
The following vision, mission and goals have been agreed by leaders of participating countries:
IIMHL seeks a future where everyone with a mental illness / mental health problem and those who care for them have access to effective treatment and support from communities and providers who have the knowledge and competence to offer services that promote recovery.
To achieve its vision IIMHL provides an international infrastructure to identify and exchange information about effective leadership, management and operational practices in the delivery of mental health services. It encourages the development of organizational and management best practice within mental health services through collaborative and innovative arrangements among mental health leaders.
IIMHL aims to:
- Provide a single international point of reference for key mental health leaders.
- Strengthen workforce development and mentoring of mental health leaders.
- Identify and disseminate best management and operational practices.
- Foster innovation and creativity.
- Expand the knowledge of:Promote international collaboration and research.
- Building community capacity.
- Implementing best practices for consumer recovery.
- Expanding methodologies for integration with other health and social systems.
- Provide assistance to international organizations and sponsoring countries to assist low and middle income countries to increase their ability to operate community based recovery systems.
IIMHL operates as a 501(c)(3) US non-profit corporation. It has a small Board of Directors currently comprising five former Sponsoring Countries Leadership Group (SCLG) members and who collectively have a long history with IIMHL. The Board has fiduciary responsibility for the fiscal and corporate functions and reviews the performance of IIMHL.
Each of the eight member countries identifies representatives to participate in the SCLG and pays a fee into a small fund to cover the administration and operations of IIMHL. The SCLG also includes the President/CEO of IIMHL.
The By-Laws for IIMHL specify the composition of the IIMHL SCLG and authorise the SCLG to choose the subject or theme for the Leadership Exchanges, and to provide suggestions and advice to the Board and President/CEO regarding the activities and expenditures of IIMHL.
Although a small SCLG has been established for IIDL, this is not currently recognised in the IIMHL By-Laws. The leadership of IIDL has recently seen a change, and the new leader intends to expand sponsorship and clarify the IIDL direction over the coming two years. At that end of that time, the Board and SCLG will be updated on the plans for IIDL, and if necessary any implications for IIMHL and its By-Laws can be considered.
A small “virtual” international IIMHL office is led by the President/CEO. A team of four part-time contractors provide administrative, communications and operational support for IIMHL and IIDL, including support for the website and database. From IIMHL’s inception, Mental Health Corporations of America kindly donated support for IIMHL book-keeping and auditing, however since 1 July 2012 IIMHL has entered an arrangement with an accounting firm to fulfill these functions.
Each sponsoring country nominates key people to liaise with IIMHL, and these people also contribute to the operation of IIMHL in various ways.
|8. Benefits of Membership|
When leaders join IIMHL, they have access to a global network through:
- The Leadership Exchange
- Participation in research or other collaborative activities
- Learning about innovations
- Linking with international colleagues
- Twice-monthly email bulletins (called IIMHL Update) which includes information on the latest mental health, addiction and disability policies, best practices and issues:
- webinars on best practice
It is up to each leader to make the most of their learning experience by continuing connections with their international colleagues. IIMHL expects leaders to lead by example and make the most of the IIMHL learning environment.
|9. Who May Join?|
FROM IIMHL SUPPORTING COUNTRIES
Membership in IIMHL is via the CEO (or leader) of a mental health, substance abuse or disability provider organization. Membership enables participants to obtain all the benefits listed above.
FROM NON-SUPPORTING COUNTRIES
Leaders from countries that do not belong to IIMHL can also join IIMHL to receive the IIMHL Update and other public information released by IIMHL. To date we have leaders from 37 other countries.
There is no direct cost to joining. In 2016, we have over 2,700 members.
|10. How To Join|
Each provider in the IIMHL-supporting countries can join IIMHL by completing an IIMHL Membership Record.
The only requirements are that:
- You are the leader of an organization that provides services, funds, commissions services, or provides technical assistance in the field of mental health, substance abuse or disability.
- You (as a key decision maker in your agency – the title may vary by country, e.g. CEO, Manager, Consumer, Clinician etc.) complete an annual Membership Record located on our website, which can be submitted online.
This Membership Record collects information about each organization in IIMHL. The information provided allows us to facilitate exchanges by matching up leaders with like interest and needs. It also assists to promote collaboration between international leaders.
The information we'd like to collect from you varies, depending on whether you are a:
- Provider of mental health services, like a community mental health center or mental health trust, indigenous NGO or service user organization.
- Funder or Non-Provider , like a government official, mental health commissioner, county administrator, or technical assistance organization.
- Disability Leader , providing, planning or supporting services for people with learning (intellectual), sensory or physical disabilities.
|11. The IIMHL Leadership Exchange|
Each exchange occurs in a different region: Australia/New Zealand; North America, UK and the Republic of Ireland, with one of the countries hosting the two day Combined Meeting.
Since its inception in 2003, IIMHL has undertaken 11 Leadership Exchanges:
The philosophy behind the IIMHL Leadership Exchange is that once key leaders are linked together, they have the opportunity to begin collaborating and building an international partnership. The aim is to build relationships and networks that are mutually helpful for leaders, organizations and countries. The benefits of such a collaborative effort will cascade down to all staff and consumers. These benefits could include:
- Joint programme and service development
- Staff exchanges and sabbaticals
- Sharing of managerial, operational and clinical expertise (e.g. in service evaluation)
- Peer consultation
The exchange process involves IIMHL with the regional countries (e.g. in 2011 the US and Canada) matching leaders. Leaders may be Government officials, provider organizations, planning and/or funding, researchers, leaders from indigenous or specific ethnic groups, family leaders or consumer leaders. The exchange starts with a two-day Match and is followed with a two day meeting. Each exchange occurs in a different region: Australia/New Zealand; North America, UK and Republic of Ireland, with one of the countries hosting the two day combined meeting.
Our 11th Leadership Exchange in 2015 was held across Canada and the USA with Matches on September 21st and 22nd followed by the Combined Meeting held in Vancouver, Canada on September 23rd to 25th. IIDL was also an integral part of this Exchange.
The next Leadership Exchange will be:
- 27 February - 3 March 2017: Australia and New Zealand with the Combined Meeting in Sydney, Australia.
SCHEDULE OF THE IIMHL LEADERSHIP EXCHANGE
Days 1 and 2: Matches
Leaders who are visiting choose the theme based Match they wish to attend. These Matches are often return visits where visiting leaders are traveling to see leaders that they hosted in prior exchanges. Or they may be new or emerging leaders matched with more experienced leaders. The host and visitors jointly prepare a programme through prior email contact for the two day Match that ensures that leaders’ (both host and visitor) expertise and interests are met.
The hosting leaders make their facilities and staff available for the visitors to observe and where possible participate in day to day activities. This programme has often included brief presentations by visiting leaders to the staff of the host organization. Many collaborative research projects have been initiated during a visit. Leaders who have been matched in prior exchanges have sometimes used these two day Matches to conduct peer consultation/assessment of a service.
Day 3: Travel
The third day of the Leadership Exchange is for travel from all of the host sites to the venue for the IIMHL combined meeting.
Day 4 and 5: IIMHL Combined Meeting
The two day Match is followed by a two day combined meeting which both visitors and hosts attend. Both days look at how to continue to build collaboration between leaders of IIMHL’s sponsoring countries and how we can transfer knowledge and best practice rapidly among countries.
(Appendix 1 below outlines a brief description and summary of past exchanges)
|12. IIMHL Knowledge Exchange Activities|
Over the years since its inception, IIMHL has encouraged each leader involved in the Leadership Exchange to make the most of their learning experience by continuing connections with like leaders in the months between the Exchanges. The intent is that the benefits of such a collaborative effort will cascade down to all staff and service users. Potential avenues for collaboration include joint programmes and service development, staff exchanges and sabbaticals, collaborative service evaluation, managerial, operational and clinical knowledge sharing, research and peer consultation.
During 2014, some of the matched leaders from previous theme-based Leadership Exchanges have continued to work together to share knowledge. Specifically, learning activities have continued in relation to: the Clinical Leaders Group (who are doing some joint research through Columbia University), the Workforce Collaborative that has continued to share information between countries, the Child and Adolescent Mental Health Services collaborative, the Wharerātā Group of indigenous leaders, Interrelate – the Service user Coalition, and the Disability Leadership.
The International Knowledge Exchange Network for Mental Health (IKEN-MH)
This is a joint venture between the Mental Health Commission of Canada and IIMHL that was launched in July 2012 and aims to provide technological support for collaborative theme-based learning in between Exchanges. This will increase the opportunity for leaders to participate in shared learning irrespective of their attendance at the Leadership Exchanges.
The IIMHL Update
The IIMHL Update is a twice-monthly email that includes information on the latest Mental Health and Disability:
- Policy Documents
- Webinars on best practice
Examples of key best practice documents shared via the Update in 2015 are:
- Strategic Plan for Mental Health in NSW by the NSW Mental Health Commission, 2014. The plan, Living Well: A Strategic Plan for Mental Health in NSW 2014 – 2024, has been written to reflect the needs, wishes and priorities of people living with mental illness, and their families and carers, to live contributing lives
- Contributing Lives, Thriving Communities Report of the National Review of Mental Health Programmes and Services Summary, 30 November 2014
- The Guidelines for Recovery-Oriented Practice Mental Health Commission, 2015
- Taking the Next Step Forward Building a Responsive Mental Health and Addictions System for Emerging Adults, 2015 MHCC
- National Guidelines for a Comprehensive Service System to Support Family Caregivers of Adults with Mental Health Problems and Illnesses, MHCC
- Transforming Mental Health A plan of action for London, Kings Fund
- Transforming Primary Care: Safe, proactive, personalised care for those who need it most, 2014 NHS and Department of Health
- National Drug Policy 2015 to 2020 - Minimise alcohol and other drug-related harm and promote and protect health and wellbeing Ministry of Health, 2015
- A Mental Health and Addiction Framework: A Whānau Ora Approach Published by Te Rau Matatini 2014 This Joint Workforce Development Initiative was funded by the Ministry of Health, Wellington, New Zealand
- National Health and Wellbeing Outcomes Framework. The Scottish Government has published a new framework for improving the planning and delivery of integrated health and social care services in 2015
- Adaptation of “ Open Dialogue” to the US Healthcare Environment (one hour video)
- Trauma-Informed Care: Perspectives and resources A collaborative project with JBS International, Inc and Georgetown University National Technical Assistance Center for Children's Mental Health
International reports shared in Update for 2015
World Health Organisation (WHO) documents included:
- Thinking Healthy - A manual for psychosocial management of perinatal depression WHO 2015
World Federation for Mental Health
- Living with Schizophrenia (2014). World Federation for Mental Health
OECD documents included:
- Fit Mind, Fit Job - From Evidence to Practice in Mental Health and Work, March 2015
- Addressing Dementia: The OECD response, March 2015
- How Was Life? Global Well-being since 1820
- Global Status Report on Violence Prevention, 2014 WHO Jointly published by WHO, the United Nations Development Programme, and the United Nations Office on Drugs and Crime
- European Union Growing Social Innovation: A guide for policy makers January 2015. Brussels: European Commission, DG Research.
- Including mental health among the new sustainable development goals: The case is compelling. British Medical Journal Graham Thornicroft & Vikram Patel Centre for Global Mental Health, King’s College London, Institute of Psychiatry, London SE5 8AF, UK; Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, London, UK; Centre for Chronic Conditions and Injuries, Public Health Foundation of India, Gurgaon, India
Since 2011, IIMHL has collaborated with the US National Council for Community Behavioral Healthcare to offer a series of Webinars. In 2012 these Webinars included:
- Let’s get real: An Integrated Approach to Workforce Development (New Zealand)
- Scotland’s Approach to Increase Rates of Diagnosis, Services and Outcomes for People with Dementia (Scotland)
- There is More to Life than Services (England)
- Key Learning from the “Implementing Recovery through Organisational Change” (ImROC) Project (England)
- Early Intervention: Hope for Youth with Serious Mental Illness (Australia)
- Wraparound Milwaukee: The Family Connection (USA)
- Successful Transitions: From Youth to Adult (Canada)
- Mental Health Services Italy (Italy)
“Make it so” newsletter for key leaders
Three times a year IIMHL prepares a newsletter for key leaders at high levels within each country to rapidly share the current state of international knowledge about a specific topic of interest. In 2015 three documents were circulated:
IIMHL-facilitated visits by subject experts
This is a mechanism through which leaders who have in-depth knowledge of a particular innovation or cost-effective service can present their expertise at low- or no-cost to the sponsoring region that is mid-way between hosting exchanges.
Bruce Kamradt of Wraparound Milwaukee spent several weeks in October in Australia in Perth, Sydney and Melbourne doing nine presentations on systems of care and specifically the Wraparound Milwaukee model meeting with a number of health and government ministers: http://wraparoundmke.com/
Luis Salvador-Carulla, Professor of Disability and Mental Health, Head, Mental Health Policy Unit, Brain & Mind Centre, Centre for Disability Research and Policy, University of Sydney talked about his work on Atlas of Rural and Remote MH in Canada and the US:
Planning for the 2017 Leadership Exchange
The theme for the 2017 Leadership Exchange has been identified as "Contributing Lives, Thriving Communities" with the venue being the Hilton Sydney Hotel for the Combined Meeting, March 1st - 3rd. Work has commenced with Australia and New Zealand to identify potential Match sites and logistics. Planning will include 3 days of meetings in February 2016.
Initial work with Organisation for Economic Cooperation and Development (OECD)
Meetings were held in 2014 with the OECD and WHO to consider how they might cooperate in the future. Representatives of these agencies attended a meeting in 2015 on “Emerging Leaders” in Whistler, Canada.
|13. Joining IIMHL|
Please complete the online Membership Record at the link below. Once completed and submitted you and/or your organization will be added to the IIMHL distribution lists.
A twice-monthly IIMHL Update, together with any other information relevant to IIMHL activities, will be automatically sent to you at the email address detailed in your Membership Record.
|14. Appendix 1|