Review and analysis of the Mental Health Nurse Incentive Program
Brenda Happell A B and Chris Platania-Phung AA SYNERGY: Nursing and Midwifery Research Centre, (University of Canberra and ACT Health) Canberra Hospital, PO Box 11, Yamba Drive, Woden, ACT 2606, Australia. Email: Chris.Platania-Phung@canberra.edu.au
B Corresponding author. Email: Brenda.Happell@canberra.edu.au
Australian Health Review 43(1) 111-119 https://doi.org/10.1071/AH17017
Submitted: 5 February 2017 Accepted: 11 July 2017 Published: 4 September 2017
Abstract
Objective The aim of the present study was to review and synthesise research on the Mental Health Nurse Incentive Program (MHNIP) to ascertain the benefits and limitations of this initiative for people with mental illness, general practitioners, mental health nurses and the wider community.
Methods An electronic and manual search was made of the research literature for MHNIP in May 2017. Features of studies, including cohorts and findings, were tabulated and cross-study patterns in program processes and outcomes were closely compared.
Results Seventeen reports of primary research data have been released. Triangulation of data from different cohorts, regions and design show that the program has been successful on the primary objectives of increased access to primary mental health care, and has received positive feedback from all major stakeholders. Although the program has been broadly beneficial to consumer health, there are inequities in access for people with mental illness.
Conclusions The MHNIP greatly benefits the health of people with mental illness. Larger and more representative sampling of consumers is needed, as well as intensive case studies to provide a more comprehensive and effective understanding of the benefits and limitations of the program as it evolves with the establishment of primary health networks.
What is known about the topic? The MHNIP is designed to increase access to mental health care in primary care settings such as general practice clinics. Studies have reported favourable views about the program. However, research is limited and further investigation is required to demonstrate the strengths and limitations of the program.
What does this paper add? All studies reviewed reported that the MHNIP had positive implications for people with severe and persistent mental illness. Qualitative research has been most prevalent for mental health nurse views and research on Health of the Nation Outcome Scale scores for recipients of the program. There is more research on system dimensions than on person-centred care. Mental health consumers, carers and families have been neglected in the establishment, engagement and evaluation of the MHNIP.
What are the implications for practitioners? A more systematic, national-level research program into the MHNIP is required that is centred more on the experiences of people with mental illness.
Additional keywords: health equity, literature review, mental illness, nursing, primary care settings.
References
[1] Australian Bureau of Statistics (ABS). National health survey: first results, 2014–2015. Canberra: ABS; 2015.[2] Commonwealth of Australia. Fourth National Mental Health Plan: an agenda for collaborative government action in mental health 2009–2014. Canberra: Commonwealth of Australia; 2009. Available at: https://www.health.gov.au/internet/main/publishing.nsf/content/9A5A0E8BDFC55D3BCA257BF0001C1B1C/$File/plan09v2.pdf [verified 7 August 2017].
[3] Australian Government Department of Health. Mental Health Nurse Incentive Program guidelines. Canberra: Department of Health; 2016. Available at: http://content.webarchive.nla.gov.au/gov/wayback/20160616013604/http://www.sti.health.gov.au/internet/main/publishing.nsf/Content/A3936912953B1278CA257BF0001B5E5C/$File/FINAL%20-%20MHNIP%20Guidelines%20-%20April%202016%20(D16-382321).pdf [verified 21 August 2017].
[4] Chamberlain-Salaun J, Mills J, Park T. Mental health nurses employed in Australian general practice: dimensions of time and space. Int J Ment Health Nurs 2011; 20 112–18.
| Mental health nurses employed in Australian general practice: dimensions of time and space.Crossref | GoogleScholarGoogle Scholar |
[5] Olasoji M, Maude P. The advent of mental health nurses in Australian general practice. Contemp Nurse 2010; 36 106–17.
| The advent of mental health nurses in Australian general practice.Crossref | GoogleScholarGoogle Scholar |
[6] National Mental Health Commission (NMHC). Contributing lives, thriving communities: Report of the National Review of Mental Health Programmes and Services. Sydney: NMHC; 2014.
[7] Australian College of Mental Health Nurses. What is credentialing? 2015. Available at: http://www.acmhn.org/credentialing/what-is-credentialing [verified 23 January 2017].
[8] Lakeman R, Cashin A, Hurley J. Values and valuing mental health nursing in primary care: what is wrong with the ‘before and on behalf of’ model? J Psychiatr Ment Health Nurs 2014; 21 526–35.
| Values and valuing mental health nursing in primary care: what is wrong with the ‘before and on behalf of’ model?Crossref | GoogleScholarGoogle Scholar |
[9] American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM–5). Arlington: American Psychiatric Publishing; 2013.
[10] World Health Organization. The International Classification of Diseases. Geneva: WHO; 1996.
[11] Australian College of Mental Health Nurses. Mental Health Nurse Incentive Program: achieving through collaboration, creativity and compromise. Canberra: Australian College of Mental Health Nurses; 2011.
[12] Healthcare Management Advisors. Evaluation of the Mental Health Nurse Incentive Program: final report. Adelaide: Department of Health and Ageing; 2012. Available at: https://web.archive.org/web/20160329004106/http://health.gov.au/internet/main/publishing.nsf/Content/DD58A9B56E005910CA257BF0001ACCD7/$File/evalnurs.pdf [verified 21 August 2017].
[13] Lakeman R. Mental health nurses in primary care: qualitative outcomes of the Mental Health Nurse Incentive Program. Int J Ment Health Nurs 2013; 22 391–8.
| Mental health nurses in primary care: qualitative outcomes of the Mental Health Nurse Incentive Program.Crossref | GoogleScholarGoogle Scholar |
[14] Meehan T, Robertson S. The Mental Health Nurse Incentive Program: reactions of general practitioners and their patients. Aust Health Rev 2013; 37 337–40.
[15] Meehan T, Robertson S. Clinical profile of people referred to mental health nurses under the Mental Health Nurse Incentive Program. Int J Ment Health Nurs 2013; 22 384–90.
| Clinical profile of people referred to mental health nurses under the Mental Health Nurse Incentive Program.Crossref | GoogleScholarGoogle Scholar |
[16] The Royal Australian and New Zealand College of Psychiatrists Mental Health Nurse Incentive Program. Australas Psychiatry 2008; 16 302
[17] National Advisory Council on Mental Health. Mental Health Nurse Incentive Program: case studies project report. Australian Healthcare Associates. 2010.
[18] Hurley J, Browne G, Lakeman R, Angking D, Cashin A. Released potential: a qualitative study of the Mental Health Nurse Incentive Program in Australia. Int J Ment Health Nurs 2014; 23 17–23.
| Released potential: a qualitative study of the Mental Health Nurse Incentive Program in Australia.Crossref | GoogleScholarGoogle Scholar |
[19] Sarantakos S. Social research. 2nd edn. Melbourne: Macmillan Education Australia; 1998.
[20] Happell B, Platania-Phung C, Scott D. Mental Health Nurse Incentive Program: facilitating physical health care for people with mental illness? Int J Ment Health Nurs 2013; 22 399–408.
| Mental Health Nurse Incentive Program: facilitating physical health care for people with mental illness?Crossref | GoogleScholarGoogle Scholar |
[21] Lakeman R, Bradbury J. Mental health nurses in primary care: quantitative outcomes of the Mental Health Nurse Incentive Program. J Psychiatr Ment Health Nurs 2014; 21 327–35.
| Mental health nurses in primary care: quantitative outcomes of the Mental Health Nurse Incentive Program.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3snmtlSisA%3D%3D&md5=358b329e44d772b2ab353972c0f0189bCAS |
[22] Meehan T, Robertson S. Impact of the Mental Health Nurse Incentive Programme on patient functioning. Int J Ment Health Nurs 2015; 24 75–81.
| Impact of the Mental Health Nurse Incentive Programme on patient functioning.Crossref | GoogleScholarGoogle Scholar |
[23] Happell B, Palmer C. The mental health nurse incentive program: the benefits from a client perspective. Issues Ment Health Nurs 2010; 31 646–53.
| The mental health nurse incentive program: the benefits from a client perspective.Crossref | GoogleScholarGoogle Scholar |
[24] Happell B, Palmer C, Tennent R. Mental Health Nurse Incentive Program: contributing to positive client outcomes. Int J Ment Health Nurs 2010; 19 331–9.
| Mental Health Nurse Incentive Program: contributing to positive client outcomes.Crossref | GoogleScholarGoogle Scholar |
[25] Happell B, Palmer C, Tennent R.. The Mental Health Nurse Incentive Program: desirable knowledge, skills and attitudes from the perspective of nurses. Journal of Clinical Nursing 2011; 20 901–10.
| The Mental Health Nurse Incentive Program: desirable knowledge, skills and attitudes from the perspective of nurses.Crossref | GoogleScholarGoogle Scholar |
[26] Williams E, Sands N, Elsom S, Prematunga RK. Mental health consumers’ perceptions of quality of life and mental health care. Nurs Health Sci 2015; 17 299–306.
| Mental health consumers’ perceptions of quality of life and mental health care.Crossref | GoogleScholarGoogle Scholar |
[27] Olasoji M. The advent of mental health nurses in Australian primary health care: a preliminary evaluation of the Mental Health Nurse Incentive Program. Ph.D. Thesis, RMIT University, Melbourne; 2013.
[28] Meehan T, Robertson S. Mental health nurses working in primary care: perceptions of general practitioners. Int J Ment Health Nurs 2013; 22 377–83.
| Mental health nurses working in primary care: perceptions of general practitioners.Crossref | GoogleScholarGoogle Scholar |
[29] Australian College of Mental Health Nurses. 2016–17 pre-budget submission. 2016. Available at: https://www.treasury.gov.au/~/media/Treasury/Consultations%20and%20Reviews/Consultations/2015/2016%20Pre%20Budget%20submissions/Submissions/PDF/Australian%20College%20of%20Mental%20Health%20Nurses.ashx [verified 7 August 2017].
[30] Australian Government Department of Health. Fifth National Mental Health Plan: draft for consultation. Canberra: Department of Health; 2016. Available at: http://www.health.gov.au/internet/main/publishing.nsf/content/mental-fifth-national-mental-health-plan [verified 7 August 2017].
[31] Australian Bureau of Statistics (ABS). 3101.0 – Australian demographic statistics, June 2016. Canberra: ABS; 2016. Available at: http://www.abs.gov.au/ausstats/abs@.nsf/mf/3101.0 [verified 17 August 2017].
[32] Byrne BM. Structural equation modelling with Mplus. New York: Routledge; 2012.
[33] Bressington D, Mui J, Wells H, Chien WT, Lam C, White J, Gray R. Refocusing on physical health: community psychiatric nurses’ perceptions of using enhanced health checks for people with severe mental illness. Int J Ment Health Nurs 2016; 25 214–24.
| Refocusing on physical health: community psychiatric nurses’ perceptions of using enhanced health checks for people with severe mental illness.Crossref | GoogleScholarGoogle Scholar |
[34] Happell B, Stanton R, Scott D. Utilization of a cardiometabolic health nurse – a novel strategy to manage comorbid physical and mental illness. Journal of Comorbidity 2014; 4 22–8.
[35] Rose D. Service user views and service user research in the Journal of Mental Health. J Ment Health 2011; 20 423–8.
| Service user views and service user research in the Journal of Mental Health.Crossref | GoogleScholarGoogle Scholar |
[36] Corrigan PW. Lessons learned from unintended consequences about erasing the stigma of mental illness. World Psychiatry 2016; 15 67–73.
| Lessons learned from unintended consequences about erasing the stigma of mental illness.Crossref | GoogleScholarGoogle Scholar |
[37] McGorry PD, Hamilton MP. Stepwise expansion of evidence-based care is needed for mental health reform. Med J Aust 2016; 204 351–3.
| Stepwise expansion of evidence-based care is needed for mental health reform.Crossref | GoogleScholarGoogle Scholar |
