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YOUR CHOICE WYHC

YOUR CHOICE WYHC. Elizabeth Johnson Social Worker Your Choice Coordinator Maria Kekus Nurse Specialist Youth Health Clinical Project Leader . Aim of project & eligibility criteria.

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YOUR CHOICE WYHC

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  1. YOUR CHOICEWYHC • Elizabeth Johnson • Social Worker • Your Choice Coordinator • Maria Kekus • Nurse Specialist Youth Health • Clinical Project Leader

  2. Aim of project & eligibility criteria “To enhance health and wellbeing for young people (10 – 24 years of age) with mild to moderate mental health issues and to remove barriers and improve access to services” These mental health issues may including the following; • Personal/relationship issues • Low mood/depression • Anxiety • Grief/loss • Family stressors • Young person has seen a health professional and have consented to the referral. • Young person with mild to moderate mental health problems is currently managed by the General Practitioner Team and receiving prescribed medication. *Young people requiring/already receiving mental health secondary care interventions are not eligible.

  3. Outcomes It was anticipated that early intervention will: • up-skill people to better manage their immediate problems; • increase their ability to manage similar problems that may arise in the future; • reduce the chance of problems escalating to more serious levels; • avoid young people being prescribed medication only without the therapeutic, youth development model interventions.

  4. Referral Process

  5. Care package options • Individual • Providers include: • Psychologists/Psychotherapists/Counsellors • Different Genders & Cultures • Up to 8 sessions • Provider’s located local & mobile • Group • 4-16 week programs • Held in Schools and local community • Culturally appropriate • Groups include; “Living Without Violence”, “Pounamu Rangatahi”, “My Life, My Choice”, “Armour Mentoring and Awareness”

  6. Referral Source October 2008 to February 2011

  7. Referrals per Month(October 2008 to December 2010) Avg. monthly referrals 1st year (Oct08-Oct09): 35 Avg. monthly referrals 2nd year (Nov09-Nov10): 54

  8. Reason for Referral to Your Choice October 2008 to 31 December 2010 % of Young People

  9. Service utilisation and care package options– October 2008 to 31st December 2010 Total sessions attended: 87% DNA: 13%

  10. Demographics of Young People – October 2008 to 31 December 2010 Gender distribution: Males 47% Females 53% Quintile 5 for NZ European/Other: 6.25%

  11. Case study – Ataarangi – 15 year old Maori female • Referred by School Guidance Counsellor for • Bullying other students, antisocial & risk taking behaviours • Background • Attended multiple schools, traumatic past history, Marinoto and CAMHS involvement • Intervention • Allocated Maori Provider • Extended care packages/whanau • Outcomes • Remained in school • Strengthened whanau

  12. Case Study – Susan – 22 year old Pakeha female • Referred by GP for • Depression, recent TOP, binge drinking • Background • Estranged from parents, living in grandparents garage, unemployed, relationship breakup • Intervention • YP DNA/discharged/reactivated 3 times • Good engagement, extended care package • Outcomes • No longer AoD issues • Part time job & Moved into a flat • Improved family relationships

  13. YOUR CHOICE Evaluation Children’s Global Assessment Scale (C-GAS) or Global Assessment of Functioning (GAF) Strengths & Difficulties Questionnaire – SDQ Substance and Choices Scale - SACS Young person evaluation survey

  14. C-GAS level of functioning after receiving a Your Choice care package(October 2008 to 31 December 2010) N=495

  15. Initial and discharge SDQ scores – between October 08 and December 10 N=256

  16. Initial and Discharge SACS Score(October 2008 – 31 December 2010) N=349

  17. Initial and Discharge SACS Score(October 2008 – 31 December 2010)

  18. Take home messages • Don’t give up! • Keep young person central • Communication – txt, email, phone • CHOICE • Youth friendly & flexible Providers • Engaging families

  19. Your Choice: Youth Participation, Youth Voices Te Raa Mokopuna community day ProjectEvaluation

  20. Evaluation from young person’s perspective • ‘……that my mum is starting to understand me now and listens to what I tell her’ • ‘It helped us understand boundaries and to value ourselves’ • ‘…….this is stuff I never talk about-hard. Not even my mum knows this stuff ………….’

  21. Evaluation from young person’s perspective • Definitely helped me a lot with anger, past history, drugs, everything’ • ‘She kind of taught me ways to deal with my issues and gave me a better/healthier outlook on things and life. I am dealing with my anger, I can talk about the past and forgive, I appreciate good people in my life and see positive’ • ‘I feel more confident and I have more friends’

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