Midland Co-existing Problems Project

In August 2008 the Midland Region was involved in the consultation process undertaken by the Ministry of Health to develop its strategy for people with mental health and addictions problems. The Midland region workshop had over 60 people attend and contribute towards the strategy.

The Ministry of Health has released two key documents that will support the implementation of the Co-existing Problems strategy:

Te Ariari o te Oranga - The Assessment and Management of People with Co-existing Mental Health and Substance Abuse Problems 2010 by Fraser Todd

Integrated Solution - Service Delivery for People with Mental Health and Addictions Problems 2010 by the Ministry of Health

Midland Co-existing Problems Strategic Plan 2010 - 2015

The Midland region developed a Co-existing Problems Strategic Plan which was submitted to the Ministry of Health for approval in November 2010. The development of the plan involved the BOP, Lakes, Tairawhiti and Taranaki DHBs. Approval from the Ministry of Health was received in January 2011.

Midland Co-existing Problems 2010 - 2015 Strategic Plan

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Tairawhiti CEP Case Formulation Workshops

In conjunction with Matua Raki, Midland MH&A coordinated two, one day workshops on the 28 & 29 June in Gisborne. A total of up to 45 participant's registered to attend from both DHB and NGO services.

Tairawhiti Whanau - Full workshop All listening tentatively

Workshop Questions - Group 1 Workshop Questinos - Group 2

Workshop Questions - Group 3 Workshop Questinos - Group 4

Midland CEP Levels of Competency

Workshops throughout March and beginning of April will be occurring in each district to develop agreed levels of competencies. Midland will be utilising the work undertaken by Dr Tom Flewett, Capital and Coast and building on it. Venues for the workshops are still to be confirmed.

BOP Workshop

Meeting Dates:

District	Date	Agenda
Taranaki	10 March 2011	Taranaki Agenda
Lakes	17 March 2011	Lakes Agenda
Bay of Plenty	24 March 2011	BOP Agenda
Tairawhiti	05 April 2011	Tairawhiti Agenda

Midland Co-existing Problems Competencies - Final June 2011

Midland Region Matua Raki Co-existing Problems: Case Formulation Workshops

In October 2010, the Bay of Plenty, Lakes and Taranaki District Health Board (DHB) areas were the first recipients of the Matua Raki Co-Existing Problems (CEP) :Case Formulation workshops.

Currently to date, 9 CEP: Case Formulation workshops have been delivered to four of the five Midland Region DHB areas, with Tairawhiti DHB area scheduled for June 15^th and 16^th 2011. Each of the workshops were supported by CEP: Enhanced practitioners or Midland region representatives to the original Matua Raki CEP: Case Formulation workshop presented by Dr Fraser Todd in Wellington, October 2011. Over 220 practitioners have attended the Matua Raki CEP: Case Formulation workshops to date in the Midland region.

All workshops were facilitated by Dr Joel Porter (contracted by Matua Raki) and the workshop content was based on Te Ariari o te Oranga, by Dr Fraser Todd. The workshops were specifically designed to facilitate a collaborative learning place for mental health and or addiction clinicians within NGO and Provider arm services. There was an extensive array of skills and commitment to improving service user outcomes.

The intent of the one day workshop was to provide practitioners the opportunity to:

introduce the drivers underpinning the workshop
introduce the 5X4 grid in context of case formulation
encourage opportunities for ongoing local peer learning through application and practice of the 5X4 grid
utilise the skills of both Addictions and Mental Health practitioners in application of the 5X4 grid in a facilitated environment.
Identify ongoing learning needs to develop competency in application of the 5X4 grid

While some service representatives verbalised familiarity and application of the 5X4 grid within their practice already, a good example of how participants implemented skill development following on from the workshop was provided by Taranaki DHB (TDHB) Addiction and Drug services. Time had been allocated within their team meeting to practice application of the 5X4 grid, increasing confidence of team members with the support of their service clinical director, Graeme Judson. Their identified TDHB champion Rachel Masters, is enthusiastic to support local Case Formulation training drawing on the Matua Raki case examples distributed as well as the team’s experience of application.

More information relating to the professional breakdown, participant evaluation and recommendations will be released upon the completion of the Midland regional rollout.

Please click here to view the "Letter to Services & CEP Newsletter".

Coexisting Problems Workshops Take-Off In The Midland Region

Co-existing Problems Workshop - Lakes District

The Coexistiing Problems workshop was held on Wednesday the 23 June at the Millennium Hotel in Rotorua. Over 30 particpants attended the 1 day workshop which was supported by Marita Ranclaud in conjuction with Jenny Wolf (MoH), Terry Huriwai (Matua Raki), Tania Waitokia (Te Pou), Dr Helen Warren (CEP Project National Coordinator), Dr Fraser Todd & Dr Alan Russell.

The agenda was aimed at supporting the development of co-existing problem capable services with great speakers who gave the Lakes area opportunities to look at how they are able to take the project forward locally. The day was dominated by Kiwi Scotsman, Dr Alan Russell who shared his experiences and insights within the Lakes MH&A sector was amusing and informative.

Lakes followup will centre around reviewing the current continnum and develoing skill sets or service configuration that fits with contemporary practices.

For an insight into the presentations please refer to the following:

* Te Ariari O Te Oranga - presented by Matua Raki
* Some thoughts on Lakes AOD/Psych Services - presented by Dr Alan Russell

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Tairawhiti District: 15 June - Kawakawa Room, Child and Adolescent Service, Gisborne

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Waikato District 29 June - Kingsgate Hotel, 100 Garnett Avenue, Hamilton

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Taranaki District: 30 June - Taranaki DHB, David Street, New Plymouth

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Bay of Plenty District: 05 August - Kiwi 360, Main Tga - Rotorua Highway, Te Puke

For more information please contact Akatu Marsters

On the 6th May 2010 a workshop was held with key leaders across mental health and addictions within the Midland region being invited. The workshop was hosted by the Ministry of Health to discuss the implementation of the Integration Solutions across the Midland region. Although it was a small group (due to apologies) it was dynamic and provided some great feedback. It was agreed by those present that Midland will roll out after the Central region with work commencing in June with local workshops being held in each of the districts.