Midland Regional Projects 2010
The Midland Regional Network is supporting a number of projects that have been identified from the Midland Regional Forums strategic planning days.
Midland Mental Health and Addictions Health Needs Assessment Project
June 2011 Update
Thank you to everyone who gave feedback on the report - please click here to review the "Feedback from Stakeholders" and the amendment requests that were approved and or declined.
February 2011 Update
The formal information gathering part of the project was completed in December 2010. Consultation of the Midland Health Needs Assessment Mental Health & Addictions Report will be undertaken throughout February and March 2011.
Midland Health Needs Assessment Mental Health & Addictions Report Draft Dec10
Feedback is actively being sort on the final report. Be sure to have your say
Midland Health Needs Assessment Report Feedback Form
Feedback Closed 30th March 2011
The Midland Region Needs Assessment 2005 was completed ahead of so key data being available to the region. For example, Te Rau Hinengaro and PRIMHD data. Further to this, the Midland Clinical Services Plan has been developed and excludes mental health and addictions. These factors have contributed to the need to re-do the Midland Needs Assessment to ensure that it is current.
Joan Mirkin has been contracted to undertake this project for the Midland Region.

Joan recently left the Ministry of Health after seventeen years in a variety of senior roles. Twelve of those years were in roles that covered accountability and monitoring. One of her first roles in the Ministry was as the relationship manager for the then Northern and Midland Regional Health Authorities. This was followed by time as Manager, Contract Negotiation, responsible for negotiating the RHAs' Crown Funding Agreements. Then a stint as manager responsible for monitoring the RHAs and HFA followed by several years managing the Crown Entity Funding and Performance team. This was an interesting role responsible for funding and monitoring the health crown entities such as PHARMAC, NZ Blood Service, the Mental Health Commission, ALAC, Health and Disability Commission, Health Sponsorship Council and Health Research Council. In this role she was also responsible for setting up the Ministry of Health/NGO partnership arrangement, the Ministry NGO desk and the Ministry/NGO forums which are still going strong.
Then a complete change..... for five years (finishing in July) she was Manager, Mental Health Policy and Service Development. This role covered a wide range of activities including the completion of Te Tahuhu (the second mental health action plan), development of primary mental health funding and policy, budget advice to Ministers and monitoring the ringfence to name just a few.
Before moving to the Ministry, Joan worked in the NGO sector in both education and health.
Joan says "the skills that I bring to this project include good analytic, writing and numeric skills, an ability to get things done and a record of building strong and constructive relationships. I also bring my ongoing commitment to the mental health and addiction sector and am grateful that in my new life as a contractor, I am able to continue to work in this important area."
Midland Needs Assessment Project Scope (final) Aug10
Joan can be contacted at jmirkin "at" xtra.co.nz or alternative contact Belinda Walker (Project Support) at belinda.walker "at" lakesdhb.govt.nz
* * * * * * * * * * * * * * *
Project Steering Group Members
Professor Graham Mellsop - Professor of Psychiatry - (MD, FRANZCP)
More than four decades of clinical psychiatry, always also involved in teaching and research. Two decades as Professor of Psychiatry. Three decades as Professor of Psychiatry at several Universities.
Skills I bring to the project:
Global experience and short sentences.
* * * * * * * * * * * * * * *
Dr Rees Tapsell - Executive Clinical Director Waikato DHB/Forensic Consultant Psychiatrist - (MB, ChB, Diploma of Clinical Teaching, FRANZCP)
Dr Tapsell was born and raised in Rotorua and hails from the Arawa tribe of that region. He attended the University of Otago where he graduated MB ChB in 1988. He spent several years working in family medicine and the field of alcohol and drug work and after a period of travelling he began his postgraduate training in psychiatry, gaining his fellowship to the Royal Australia & New Zealand College of Psychiatrists (RANZCP) in 1998.
Dr Tapsell is a forensic psychiatrist and is currently the Executive Clinical Director of PUAWAI: The Midland Regional Forensic Psychiatric Service; a joint initiative between the Health Waikato and Hauora Waikato. He is a partner in PSYLAW, a private forensic psychiatric consultancy; a psychiatrist deputy member on the Mental Health Review Tribunal and a clinical lecturer with the Auckland School of Medicine.
Skills that I bring to the project:
Dr Tapsell’s particular professional and research interests are the:
-
Epidemiology of mental disorders
-
Maori mental health service development
-
Outcome measures in Maori mental health
-
‘Mentally abnormal’ offenders and,
-
Undergraduate and postgraduate education and training.
Jenny James - (Te Atiawa) Portfolio Manager, Child & Youth and Mental Health and Addictions

I’m born and bred Taranaki and my family have roots to Te Atiawa Iwi. I worked and raised my two children on my own for 11 years and am married to the only person I’m probably not related to from my home town of Opunake. I have a grandchild who is 20 months old.
I’ve worked for Taranaki DHB (and previous entities) for the past 18 years. Prior to working in health I lived and worked in Canada for oil and gas supply companies in purchasing and Education sector in installation and set up of School IT systems and software. Since working in health in NZ, I’ve been a business analyst for the hospital up until picking up the Portfolio Manager role at the establishment of District Health Boards.
The business analyst role included administrator of the reporting tool used to interrogate the Hospital Patient Management system, extensive data analysis and coordinator of the unit and its staff.
During my time as a Portfolio Manager I have had the opportunity to cover all personal health services, including NGO, Provider Arm and Kaupapa Maori Health Providers, and includes PHO’s, Pharmacy, Oral Health, Laboratory etc… I was also seconded for a 12 month period as project manager for projects associated with Pharmacy, After Hours and Oral Health.
My current portfolio area covers Mental Health and Addictions, Oral Health and Child and Youth Services.
Recent papers/courses:
- Community Development Papers - AUT.
- Prince II Project Management Foundation Course.
Skills that I bring to the project
- Strong analytical background and systems knowledge.
- Broad health sector knowledge given breadth of the portfolio coverage.
- Sound planning and contract management skills.
- Project management expertise
- Sound understanding of the wider health issues as it relates to the interface of the continuum of care across all parts of health and more widely social agencies and other services from a local and regional perspective.
- Strong relationship skills – essential enabler to successfully working across sector and getting others to work together.
* * * * * * * * * * * * * * *
Dr Barry Smith - (Te Rarawa, Ngati Kahu) Population Health Analyst, Planning and Funding, Lakes DHB (QSM, BSc, MPhil, PhD, GradDipArts (Music), DipTchg)

With an academic background in sociology, statistics and music, Barry has worked in tertiary education and the social and health research environments. His current activities lie in the areas of health inequalities and health ethics where he has a strong interest in Maori ethical frameworks, the ethical issues of various research methodologies and the interface of culture and health research ethics about which he presented at the 2010 IAB 10th World Congress of Bioethics held in Singapore in late July.
Barry was a co-author of Te Ara Tika - Guidelines for M?ori Research Ethics: A framework for Researchers and Ethics Committee Members that was recently published by the Health Research Council of New Zealand. Working with Graham Mellsop, other recent relevant papers look at the cultural dimensions of the diagnosis of depression and diagnostic systems in mental health.
Barry has chaired the Bay of Plenty Regional Ethics Committee and the Wellington based Health and Disability Multi-region Ethics Committee. He leads the Lakes DHB Research and Ethics Committee and is a member of the Health Research Council Ethics Committee, the Health Research Council Assessing Committee on Research Partnerships for NZ Health Delivery and the University of Otago Pharmacovigilance Ethics Advisory Group.
Skills that I bring to the project:
- Research methods
- Data analysis and interpretation, and
- Health ethics
* * * * * * * * * * * * * * *
Karna Luke - Chief Operating Officer, Challenge Trust - (MBA, BASW)

Karna has been involved in health, mental health and service development for over fifteen years. His experience encompasses child, youth, adolescence, and adult service areas, Health Research, Maori, and Health Promotion, in roles ranging from clinical, leadership and management, service development and service research. He has worked across the public sector including DHB, MoH, MoE and MSD.
Karna has also worked internationally as the General Manager for the International Affairs Division of the Japanese Government, working with Japanese businesses, local government and cities, developing international relations and business, sharing ideologies from around the world.
Currently Karna works for Challenge Trust and has been with the organisation for the last five years.
Skills that I bring to the project:
- Leveraging skills of extensive management, leadership and service development/delivery experience, to enable a global solutions approach to be provided regionally or locally. This includes:
- Ability to identify strategic intent;
- Converting strategic intent into sustainable outcomes;
- Ability to understand, decipher and deliver to regional needs;
- Sound understanding and operational experience of the Mental Health and Addiction services at regional and national levels;
- Considerable service delivery expertise working across multiple regions, with Maori and minority groups;
- Strong knowledge of interface between DHB’s and NGO’s;
- Strong business acumen to improve effectiveness and efficiency, capability, capacity and stretch;
- Service innovations and access to international service delivery;
- Business modeling and forecasting to ensure crucial fiscal and fiduciary planning meets targeted sustainable outcomes
* * * * * * * * * * * * * * *
Belinda Walker - Midland Regional PRIMHD Technical Support - (BAASc Psychology Major)
Belinda has worked in the Midland disability, mental health and addiction sectors for over ten years. She has experience working across the age continuum and high and complex needs. Belinda has been employed in a variety of roles including community support work, team leadership and senior management. She also is qualified Health & Disability Auditor and has been involved in a number of projects.
Belinda will be providing a Project Support role to Joan as we progress the work.
Skills that I bring to the project:
- Quality and outcomes focus
- Project management experience
- Relationship development and management skills
- Management and leadership perspective balanced with grass roots experience
- Strong networks throughout the region
- Extensive consumer and family networks nationally, regionally and locally
- Participation and representation on local, regional and national initiatives
- Lived and family experience of mental health and addictions
Midland Needs Assessment Service Coordination Review Project
June 2011 Update
Big thank you to everyone who supported this project and voiced your knowledge, experience and concerns about NASC services - this supported the Midland Needs Assessment Coordination report which has now been signed off. Please click here for the final document.
February 2011 Update
The formal information gathering part of the project was completed in December 2010. Consultation of the NASC Project Report will be undertaken throughout February and March 2011.
Midland Needs Assessment Service Coordination Project Report Draft Dec10
Feedback is actively being sort on the final report. Be sure to have your say
Midland NASC Report Feedback Form
Feedback Closed 30th March 2011
The purpose of this project is to gather information of the current models of Needs Assessment and Service Coordination (NASC) being delivered for people that experience mental health and addiction problems;
• in the Midland region
• in other DHBs in New Zealand
This information would be analysed and presented, with an options appraisal and some recommendations, in a report form, to the Midland Planning and Funding Portfolio Managers and GMs Planning and Funding and Maori Health.
The project would provide an understanding of who does what, and how it is delivered. It would identify if there are opportunities for standardising processes, for example, if a client moves between DHBs they will be able to access similar if not the same types of services for a similar level of need.
Roz Sorensen has been contracted to lead this project for the Midland Region. Roz has a registered nursing background and has extensive experience in mental health and addictions from planning, funding, contracting and project management. Roz has recently completed the National Service Specifications Re-development for the Ministry of Health and continues to work for the Ministry of Health undertaking key projects.
