Local Mental Health and Addictions Group

1. Local Mental Health and Addictions Group Summary and update for DSAC 12 June 2007 (continued in August)

2. HHS Current Issues HHS Enhancing Crisis and Acute Services The Journey Forward NGO Development Services for Maori Primary Mental Health Information and Analysis Acute Service Spectrum Development Contents

4. Vehicles Electronic Health Record Access targets Enhanced Responsiveness Project (CATT Review) HHS – Mental Health Issues

5. Targets

7. Enhancing C&C DHBs Crisis & Acute Mental Health Services Enhancing C&C DHB's Crisis & Acute Mental Health Services

8. Align with • The Journey Forward • The Acute and Crisis Workstream • Improving Access to Primary Health and Mental Health Services. • The Crisis Review Project

9. Enhance service response by • Lowering threshold for accepting people for assessment • Increasing threshold for entry to (on-going) case-management • More purposeful engagement focused on expected outcomes • More proactive discharge planning with ease of re - entry into the service if required • More standardisation of processes for the ‘predictable’ • Improve access to the ‘right’ staff and services

10. Enhance service response by • Improving relapse prevention and more use of advanced • directives for those consumers who already have a • relationship with services • Increasing collaboration between MHS, PHOs, NGOs, • other health care services and community • organisations. Including more availability of MHS for • consultation and advice • Improving ability of current ‘silos’ to pool resources in • order to maximise coverage and efficiencies

11. A Proposed New Model CMHT Crisis Resolution Assessment Clinic Community Consultation Case Management/ key work/ other Enhancing C&C DHB's Crisis & Acute Mental Health Services

12. All other referrals crisis referrals Access & Assessment Model 1 Mental Health Line Kapiti South Porirua Wellington

13. Combined Functions CMHT CMHT Care Management Crisis Resolution Care Management Community Consultation Assessment Clinic Community Consultation

14. All other referrals crisis referrals Access & Assessment Model 2 Mental Health Line Kapiti Porirua Wellington South Combined Functions

15. All other referrals crisis referrals Access & Assessment Model 3 Mental Health Line Kapiti Porirua Wellington South Combined Functions Combined Functions

16. All other referrals crisis referrals Access & Assessment Model 4 Mental Health Line Other Some Combined Functions South Kapiti Wellington Porirua

17. APOC EF ECS FPOC ADS ADS TWOM TWOM CR CR RH RH Acute Resource Coordination Service Coordination Kapiti Wellington Acute resource Coordination 24/7 Acute resource Coordination 24/7 Porirua South

18. Key areas to support for improved integration and access/response • Emergency Dept & General Hospital • Maori Mental Health • Health Pasifika • Older persons • CADS • Children & Youth • RFRIDS • Consumer Run Services • Other? Enhancing C&C DHB's Crisis & Acute Mental Health Services

20. Workforce – linking with national and regional developments Addictions – workstream now being established Child and Youth strategic ‘population approach’ being agreed The Journey Forward

21. Improve the availability of and access to quality addictions services, and strengthen the alignment between addiction services and services for people with mental illness Addictions Service Development

22. Medical Needs Social Needs Addictions Service Matrix

24. Community and Inpatient Numbers Te Puwaitanga Review Initiatives Maori

42. Goal 1: Provide comprehensive clinical, cultural and support services to at least 3 percent of Maori, focused on those who have the greatest Mental Health needs Goal 2: Ensure that active participation by Maori in the planning and delivery of Mental Health services reflects Mäori models of health and Mäori measures of Mental Health outcomes Goal 3: Ensure that 50 percent of Maori adult Tangata Whaiora will have a choice of a mainstream or a Kaupapa Maori community Mental Health service Goal 4: Increase the number of Maori Mental Health workers (including clinicians) by 50 percent over 1998 baselines Goal 5: Maximise opportunities for intra and intersectoral co-operation Te Puawaitanga Goals

43. Areas for Further Development by DHB Score out of 5 Te Puawaitanga goals

44. Matatini (4 place Recovery House) Te Upoko Nga Oranga o te Rae (regional development service) Maori Consumer Consultant (HHS services) Maori Initiatives (update)

46. Existing GP Liaison Scheme MoH Pilots Primary Care Initiatives

47. Needs of the Population Acute ‘care and protection’ Long term support for high and complex needs CMHT NGO’s Primary Care Prevention and Promotion in Communities

48. Funding Paradox Services Funding

49. Mental health problems for individuals will generally get worse if left untreated Major mental health problems don’t just occur out of the blue/occur overnight – they build up over time Most people, if given good information for self management, can take steps to remain more mentally healthy than if they are uninformed or subject to internalized stigma Many people who live in difficult social circumstances will experience these as a negative impact on mental health - therefore an improvement in social circumstances will generally mean an improvement in mental health Assumptions

50. Current Access Inertia Acute CMHT’s NGO’s PrimaryCare Preventionand Promotion