Te Hanga Whaioranga Mo Te Iwi - Building Healthy Communities
Newsletters from Services in the Waikato District
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|May 2012 Issue||May 2011 Newsletter|
Midland Perinatal and Infant Workshop - Waikato Area
The Midland Mental Health and Addiction Regional Network are undertaking projects to improve access to service for mothers and infants who experience mental illness during the perinatal period. The Network has already completed the first phase of the project which focused on specialist secondary mental health and addiction services; please click here for a copy of the report.
This workshop is for maternity service providers in primary care and includes primary maternal mental health as well as maternity professionals. It aims to:
- Improve knowledge of what services are available in Lakes
- Improve the referral process to/from mental health services
- Gather information to inform the work being undertaken on a local pathway for primary maternal mental health services (using Map of Medicine)
A Winning Formula Changes Lives
Winners of the Not for Profit category award, Progress to Health, are not resting on their laurels. Whilst enjoying the enhanced credibility flowing in from the people and organisations they work with they are busy developing their service to meet future growth - given an increase in clientele of 25% in the past 12 months.
Progress to Health CEO, Karen Covell, attributes their win to the outstanding service provided by all staff on a daily basis. “They have a passion for reconnecting individuals to their communities. We work to support people, predominantly those living with mental health issues, make positive changes in their lives by achieving personal goals. This award validates years of hard work to reach a level of excellence” said Karen.
The Progress to Health team evaluates the effectiveness of what they do each and every day through their clients. “Watching the people who use our services achieve whatever goal they’ve set themselves, seeing people choose to return to achieve another goal and the steady stream of referrals tells us we are on the right track.”
The team is excited to offer a new service for businesses and employers that will be launched in 2014. This will raise awareness of mental illness and provide support as needed direct into the workplace.
With the winner’s trophy sitting proudly on display at their offices it serves as a daily reminder of their vision to deliver an excellent service whilst developing successful new initiatives in the future to serve their growing client base.
Working4Youth is an online resource providing notices, current events, projects, research & publications and networking for those working with and for young people in the Bay of Plenty.
Child Protection Studies Programme: Hamilton
Child Matters will be running their Child Protection Studies Programme in Hamilton on the 18-22 August.
The Child Protection Studies Programme is the only specialised, NZQA accredited (level 3) child protection training on offer in NZ. It provides students with a broad base of skills, and just as importantly the confidence to act effectively when children have been abused and to intervene early when a child is at risk.
The content covered in the programme is comprehensive and practical, and is designed to enhance the skills of those who have a responsibility or role in the safety of children.
Topics covered include:
- Confidently understanding part you play and your responsibilities in keeping children safe
- Understanding the nature and causes of child abuse
- Understanding and recognising the effects and symptoms of child abuse
- Knowing what to do and how to report when child abuse is suspected, including how children are protected under NZ legislation
- Protecting children, networks and supervision, including a number of professional guest speakers from your community.
Child Protection training is relevant and important for anyone who works with, is exposed to, or cares about children, including:
- Those who are new to the field and want to establish a sound, basic understanding of Child Protection
- Those who have a responsibility or role in the safety of children
- Managers and leaders responsible for policy development and the safety and wellbeing of their workers.
Midland CAMHS Youth AOD Leadership Day
A CAMHS Youth AOD Leadership day was held in Hamiltonon Wed 7th August hosted by the Werry Centre. It bought together a number of senior CAMHS clinicians, team leaders, managers and planners and funders. The day was well attended and had a range of presentations from the sector covering a range of topics. An evaluation report will be published once completed.
Southern and Northern Waikato Take A Stand Against Synthetic Drugs
Agencies across New Zealand are working in partnership with communities to prevent harm associated with the sale of synthetic cannabis. Communities are making a stand which has had a great impact to the sale and legislation of the synthetic drug. The most powerful statement are locals banning this altogether and challenging the local retailers to stop selling the drug or lose the business generated by everyday customers, this is widely endorsed in the community.
Both Southern and Northern Waikato has made a stand against the drug, if you want to know what your community has done and want to be part of the change just Google your local town to see where your community is up to, for making change.
Synthetic drugs are chemically laced substances similar to marijuana, cocaine and methamphetamine that are sold over the counter at some convenience stores, gas stations, tobacco shops and sex shops.
Based on their chemical make-up, these drugs are commonly divided into two categories:
- Popularly known asK2or Spice, cannabinoids are chemically formulated versions of synthetic marijuana that consist of lab-manufactured THC.
- Often known as “bath salts”, cathinones contain chemical compounds that mimic the effects of cocaine or meth.
Though the drug packaging states the products are not intended for human consumption, their design, labelling and marketing clearly allude to the products being smoked and/or inhaled as a drug.
WHY ARE THEY SO DANGEROUS?
One reason that synthetic drugs are extremely dangerous is that buyers don’t know what chemicals they are ingesting. Individual products can contain a vast range of different chemical formulations and potencies, some of which can be two to 500 times stronger than THC.
Written by Noeline Kuru
Noeline Kuru - Helping Communities Understand Mental Health
Working with Raukawa on Friday’s from 8.15am we cover many subjects in Mental Health that help our listeners who may not understand the world of Mental Health.
This year we have started with breaking down acronyms eg. what is CAT CMHC Consumer? We also started work on the various roles and responsibilities of Mental Health workers such as Consumer advisor/advocate, Counselor Psychiatrist, Psychologist, Social workers, Stigma, Discrimination, Tangata Whai Ora, CMH nurse and who does the work that is needed.
We have also done pieces on and around Suicide so our listeners know – what can you do if someone talking about it, what are some of the signs to look for, who Whanau can get in touch with using 0800 numbers for local services and who can work with the whanau.
We work on breaking things down for the whanau like Anxiety – what is it, what are some of the feelings that are going on with ones emotional state and helping on to understand how to work with the Te Whare Tapa Wha model, you may have the clinical side sorted but lets look at how we reconnect wellness through the corner stones.
Each week the Consumer advocate and Noeline come up with scripts that they know the everyday person might not understand in the world of Mental Health and promoting wellness and non Discrimination behaviour by the public. This is done by utilising statistical information and research from Mental Health and the Mason Inquiry into the mental-health services in the 1990s, resulting in the 1996 Mason Report. This recommended a public education campaign to reduce discrimination associated with mental illness.
We continue to get good feedback and have met a few people who we have been able to refer to the appropriate services, this has been a great privilege.
Raukawa FM Te Reo Iriranga o Raukawa 90.6 95.7 website: www.raukawafm.co.nz for more information.
Since 2009 Health Waikato Mental Health and Addictions (MH&AS) has committed to a major change programme focused on improving the way services are delivered. The programme has sought to deliver on five key actions outlined in our strategic plan, which states Health Waikato MH&AS will:
The programme has sought to deliver on five key actions outlined in our strategic plan, which states Health Waikato MH&AS will:
Implement a recovery approach in practice.
Be safe and effective.
Be transparent and trustworthy.
Provide culturally responsive services.
Build leadership, recruit and retain a skilled workforce.
This commitment to addressing our processes and systems has provided the opportunity to design a new service delivery model for adult mental health that responds to current and future challenges.
The ‘Time for Change’ project describes the planning and implementing of the adult mental health services re-design that has since 2011 included a wider focus encompassing all mental health and addictions services.
Our goal of maintaining a skilled workforce with a focus on performance begins with leadership and ensures everyone is accountable to the success of the programme.
After a well managed planning process that included consultation with staff as well as a range of relevant stakeholders, a new model of service delivery has been developed. The model was approved to be implemented in 2012.
Two significant changes to the service involve:
The new triage ‘single standardised process of entry’ and ‘identified appointment’ processes will be operationalised on Monday 21 May 2012. This ensures the same process is provided for all non-urgent adult mental health referrals. (More information below).
The district will be split into two sectors (North and South) that will have equitable access to resources based on service-user population.
For more information about the programme of change please click on the link to visit www.waikatodhb.health.nz/changeandperformance and sign up the eNews to receive regular updates about the programme.
ACCIS Triage service will be operationalised on Monday 21 May 2012.
Several points should be noted about the ACCIS Triage Service:
- It is applicable for all non-urgent adult mental health (people aged between 18 and 65 years) referrals including drug and alcohol.
- Referrals may be made from any source including self referral, eReferral, letter, fax, and telephone.
- The physical base will be at Adult Mental Health Services on London Street, Hamilton.
- The service will work in partnership with the Crisis Assessment and Treatment (CAT) team and Home Based Treatment (HBT) team.
Chris Huxtable is the newly appointed associate charge nurse manager for ACCIS Triage.
A new computer based system has been developed to track all referrals ensuring a timely response is provided. These eReferrals will track both the initial triage assessment and the follow up actions, meaning a clear record of each service users’ progress is available.
Please note that acute referrals will continue to be received by the Crisis Assessment Team (Ph: 0800 50 50 50 or Fax: 0800 500 105). The CAT team will continue to operate 24 hours a day 7 days a week. The crisis line (0800 50 50 50) will be answered by the triage team during operational hours from July.
All initial assessments made via phone triage will be followed up with an identified face to face appointment if required. Where triage assessments meet the criteria for entry into adult mental health services, the triaging clinician will offer and facilitate the scheduling of an ‘identified appointment’, matching the most appropriate team and/or clinician during triage.
The integrated nature of ACCIS triage within the rest of the service will lead to improved processes and better outcomes for service users.
For more information on ACCIS Triage Service please email charge nurse manager Patrick Johnston or associate charge nurse manager Chris Huxtable:
Detailed instructions for referrers using the eReferral process will be available online once the service goes live on 21 May 2012: www.waikatodhb.health.nz/changeandperformance.
In November (2011), Health Waikato’s Mental Health and Addictions staff were asked to share their thoughts about the best way forward in terms of improving the services we provide. There was general support for the proposed changes outlined in the staff consultation document. Several key decisions have now been made, meaning we can begin the changes towards providing an improved integrated service.
This year is about to turning the work carried out last year into meaningful improvements. It will be challenging but certainly worth it as we aim to achieve the goal of helping people as they work towards their own recovery.
There will be two major structural changes to Health Waikato Mental Health and Addictions Service carried out in 2012.
The first change will improve the way service users interact with the service by providing a single method of entry.
This means the same process of assessment will occur for all people presenting the need for mental health and addictions services. This initial assessment will make sure of a consistent procedure for anyone entering the service no matter where they are inWaikato.
The process named ACCIS (acute care coordination integration service) brings together the current centralised triage model with the community assertive treatment team (CATT) model. The goal is for these two teams to function together to ensure safe outcomes acrossWaikato.
The benefit of having this single entry process is that people presenting for the first time will be assessed once and provided with an appropriate response to their needs.
The second change involves the establishment of two sectors withinWaikatodistrict. The North and South sectors will have equitable access to resources based on service-user population.
The decision to form two sectors withinWaikatoresponds to the need of some rural areas that have until now had less access to resources than other areas. By linking up the rural teams and allocating them a distribution of the resources the intention is to improve this unwanted situation.
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For more detailed information about these (and other) changes, the decision document is available on our change and performance webpage. To keep up to date with all of our changes, please sign up to receive the Change and performance E-News (also on the Change and performance web page), using the following link:
Issue 2 - November 2011
Jeff Bennett - Group Manager, Mental Health & Addictions Service
November marks an important time for the change programme. We've asked our staff to share their thoughts about our proposed plans for an improved integrated service. This involves using their feedback to make sure we get it right.
As with any change proposal, staff can provide us with a view of how things might work from their perspective, to make sure we haven't left anything out.
We' ve spent a long time developing the plans so this is an opportunity to test them before moving ahead. The great German chess player Emanuel Lasker once said, "When you see a good move, look for a better one", which I think we can identify with in this situation.
We hosted a community forum in August that involved primary, community and secondary service representatives. This was a perfect example of what can be achieved when people come together to achieve a shared vision.
The day proved there is a desire to work together for the benefit of service users and we must now start taking positive steps towards achieving our objective â€œto be the service people trust with their loved one's care.
Rees (Tapsell) and I hope you share our optimism as we look forward to what lies ahead for the Mental Health and Addictions Service as we work towards achieving better outcomes for all service users.
Home Based Treatment launched in Waikato
In August, Waikato DHB launched a new Home Based Treatment (HBT) service, which provides an alternative for people over the age of 18 who would normally be considered for admission to the Henry Bennett Rongomau Centre.
This team operates by providing treatment in a service userâ€™s own home and supports family and/or friends to remain actively involved as part of the treatment and support plan. In situations where it is not practical to consider HBT in a service users own home, respite services may be used to provide this service.
HBT will be provided by clinicians or support workers visiting up to three times per day. Generally, it is not expected that HBT will last longer than three weeks for any one service user. However, the service may vary from person to person, depending on the individual treatment plan that is developed for each person.
The HBT service is designed at this stage to prevent admissions to hospital rather than to assist with an early discharge. However, this may change as the service develops in the future.
A feature of the service is that it is being delivered in Hamilton and Thames in partnership with Pathways Health. Mental Health and Addictions Service provide clinical services with support from Pathways.
Leading the team is Patrick Johnston and associate Chris Huxtable. Patrick and Chris are charge nurse managers for the crisis assessment and treatment team (CATT) and have plenty of experience working with people in the community.
HBT currently has capacity to work with service users who are at least 18 years old who qualify to receive the treatment so please feel free to contact them on 0800 774433 to discuss a referral.
HBT is provided between 8am-8pm every day. Outside of these hours, the service can be accessed by ringing the Mental Health line (0800 50 50 50) who will page the on call clinician provided by the CATT service.
The plan is that once the service has been established in Hamilton and Thames, it will be extended, once the staff teams are in place, to include southern Waikato.
Mental Health and Addictions Service staff have the opportunity throughout November to share their thoughts about the upcoming changes.
The focus of improvements are about having a clear and consistent entry into the service, a more joined up service across in-patient and community, and developing stronger relationships with primary and other organisations.
We encourage people to visit www.waikatodhb.health.nz/changeandperformance and use the dedicated email address sean.budd "at" waikatodhb.health.nz to ask any questions or raise any issues that you feel are relevant at this time.
We are committed to being clear about the changes and how they will affect service users and their family/ whanau.
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