Adaptation of the COMPASS-EZTM tool for integrated care of mental health and addiction in an Australian context

Purpose Integrated care remains challenging to achieve across fragmented mental health and alcohol and other drug (AOD) treatment sectors and there is limited published research describing processes to aid service-level integration. This case study aims to describe the adaptation of an organisational self-assessment tool developed in the United States (the COMPASS-EZ) for use in mental health and AOD services in Victoria, Australia. Design/methodology/approach The project was funded by the Victorian Department of Health and undertaken collaboratively by the Victorian Alcohol and Drug Association (VAADA) and the Hamilton Centre. A working group was established with diverse membership from across the mental health and AOD sectors, including lived experience and First Nations representatives. Adaptation of the tool involved iterative revision, input from an external clinical advisor and the COMPASS-EZ tool developers and four pilot tests undertaken at local AOD and mental health services. Findings The COMPASS-EZ did not require major structural changes; however, most items were updated to better reflect Australian language, treatment philosophies, inclusivity and cultural appropriateness for First Nations populations and sector terminology. A glossary was developed to clarify terms and support standardisation across sectors. Initial pilot feedback suggests the revised tool was generally acceptable and highlighted considerations for broader implementation. Originality/value To the best of the authors’ knowledge, this is the first case study to describe a structured, multi-stakeholder process for adapting the COMPASS-EZ tool to the Australian context. The revised tool (renamed the Victorian Integrated Care COMPASS; VICC) appears feasible in pilot settings. However, further evaluation is needed and investment and resourcing may be necessary to overcome barriers to implementation.