CONTENTS. Issue Date June Last Reviewed February

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1 Southland Mental Health and Addictions Service Map and Directory FUTURE DIRECTIONS CHAIR Clive McArthur, Area Manager - Adventure Development Ltd Copyright Future Directions

2 CONTENTS Page 2 Introduction and Background 3 The Southland Mental Health & Addictions Network - Future Directions 4 Our Profile and Our District 8 The Mental Health and Addiction Services Planning Matrix 9 Southland Mental Health and Addiction Service Providers 10 Intersectoral Agencies 11 Primary Health Care Services 12 Public Health Services 13 Child, Adolescent and Family Services 15 Child, Adolescent and Family Services - Alcohol and Drug 16 Adult Services 19 Adult Services - Regional Specialist Services 21 Adult Services - Alcohol and Drug 23 Adult Services - Accommodation and Residential 24 Adult Services - Consumer Support 25 Adult Services - Family Support 27 Adult Services - Activity, Rehabilitation, Education and Employment 29 Appendices Community Support Groups & Forums Contact Details Issue Date June Last Reviewed February

3 INTRODUCTION & BACKGROUND Mental Health and Addiction Services in Southland are community based, providing treatment and care across all age ranges in all parts of the sector, including the primary sector. They are delivered by a diverse range of agencies including the public and private sectors, NGO s, and community groups. To effectively deliver quality outcomes for consumers and their families requires collaboration amongst providers and stakeholders in a number of different settings. Integration of services and establishing a continuum of care for clients and families is achieved by providers and stakeholders through communication, collaboration and efficient coordination of services. The Southland Mental Health and Addiction Services Map and Directory is a resource designed to support this process by supplying providers and stakeholders with up-to-date information on who s working in the sector and what their activities include. Developing and documenting a map for mental health and addiction services is important for a number of reasons: To identify the key providers and agencies delivering services (Southern DHB contracted and non-contracted) in the District. To update the levels of service being delivered by providers and stakeholders including where they are provided. To identify and analyse the needs of the population. To inform and support future planning and funding decisions and priorities. To identify a range, and scope, of services that are configured to best meet the needs of the community. To share information and promote a better understanding of mental health and addiction providers and the services they deliver. To acknowledge the important contribution made by stakeholder agencies and not-for-profit groups to the mental health and addiction sector. The information contained in this document will be updated annually to reflect changes in the mix of providers, contact details and the services provided. Issue Date June Last Reviewed February

4 SOUTHLAND MENTAL HEALTH & ADDICTIONS NETWORK - The Southland Mental Health and Addiction Network, called Future Directions was established in 2005, and aims to deliver better services by providers for mental health and/or addiction consumers and their families. It does this by: Including Everyone: The Network has members from all of the major groups working in mental health and addictions including the Southern DHB Mental Health, Addictions & Intellectual Disability Service, NGOs (Non-Government Organisations), PHO (Primary Health Organisations), Health Promotion, Consumers and Families Sharing Ideas: The Network provides the opportunity to share information, discuss ideas and concerns and to collaborate where appropriate Taking Action: The Network develops and implements projects on behalf of all providers, consumers and their families Providing Feedback: Members of the Network take ideas and information back to their own organisations in addition to providing feedback and advice to the Southern District Health Board In Southland there are 9 sectors that represent service providers, consumers and families on the Network Representative Group (NRG). The diagram illustrates the relationship, and each of them has representatives sitting on the NRG. The NRG meet every month to discuss mental health and addiction issues, develop and implement projects and to get updates on projects already running. Families Non- Government Organisations Consumers Primary Health Care Network Representative Group (NRG) Intersectoral Groups Pacific Island Providers Public Health Southern DHB Provider Arm Maori Providers Issue Date June Last Reviewed February

5 OUR PROFILE OUR DISTRICT The Southern DHB serves a population of approximately 107,000. The gender of the population is evenly split and the average age is Like the rest of New Zealand, Southland has an aging population. The diagram below indicates the ethnicity of the Southern DHB population with 86.4% of the population identifying themselves as European (NZ 75.4%), 10.3% as Maori (NZ 14%), 1.9% as Asian (NZ 8.8%) and 1.4% as Pacific Peoples (NZ 6.6%). European Maori Pacific Peoples Asian The Southern DHB district is geographically large covering an area of 38,214 km 2. The population is evenly split between urban and rural settings. Main centres include Invercargill, Gore, Queenstown, Arrowtown, Mataura, Winton, Bluff, Riverton, Stewart Island and Te Anau.. One in five people will experience a mental illness in their lifetime. The Governments National Mental Health Strategy requires that mental health services are delivered to the 3% of the population who are most severely affected by mental illness. In the Southland District this means that approximately 3,210 individuals are receiving some form of ongoing mental health care. It is also estimated that the other 17% of the population experiences periods of mild to moderate mental health problems requiring some form of support. In the Southland District this equates to an additional 18,190 individuals. Issue Date June Last Reviewed February

6 OUR PEOPLE Of the 107,000 people that live in the Southern DHB s catchment the distribution is as follows: Invercargill City 50,325 (47%) Southland District 28,440 (27%) Gore District 12,111 (11%) Queenstown District 16,124 (15%) SOUTHERN DHB POPULATION BY AGE Age Range No. 6,954 7,143 7,818 7,085 6,526 6,782 7,477 7,850 8,637 8,265 7,021 6,470 4,910 4,251 3,369 2,862 1,967 1,568 SOUTHERN DHB v NZ POPULATION BY AGE % to 9 10 to SDHB NZ Issue Date June Last Reviewed February

7 Maori Southland Iwi: Ngai Tahu Runaka: Hokonui, Oraka-Aparima, Waihopai, Awarua SOUTHERN DHB Maori Population by Age: Age Range No. 1,425 1,338 1,302 1, SOUTHERN DHB Maori Population v NZ Maori Population by Age % to 9 10 to SDHB NZ Issue Date June Last Reviewed February

8 POPULATIONS BY AREA The population that the Southern DHB services has increased from a 2001 census total of 103,000 to 107,000 in 2006 (+3.9%) INVERCARGILL Since 2001 Invercargill s population has increased by 495 (+1.0%) City 44,817 GORE DISTRICT Since 2001 the Gore Districts population has decreased by 351 (-2.8%) Gore 7,497 Otatara 2,436 European (42,273) Rural 3,051 European (10,876) Bluff 1,791 Maori (6,039) Pacific Peoples (1,157) Asian (705) Mataura 1,560 Maori (1,078) Pacific Peoples (61) Asian (97) Makarewa 1,284 SOUTHLAND DISTRICT WAKATIPU Since 2001 the Southland District s population has decreased by 276 (-1.0%) Hokonui 2,733 Winton 2,088 Te Anau 1,902 Waianiwa 1,827 Fairfax 1,800 Waituna 1,644 Stewart Island 402 European (25,482) Maori (2,474) Pacific Peoples (142) Asian (284) Since 2001 the Queenstown Lakes District population has increased the fastest of any in New Zealand (+29.2%) Q town Hill 3,153 Wakatipu 2,646 Q town Bay 2,271 Sunshine Bay 2,253 Arrowtown 2,148 Frankton 1,782 European (14,350) Maori (919) Pacific Peoples (113) Asian (742) Issue Date June Last Reviewed February

9 MENTAL HEALTH AND ADDICTION SERVICES - The Planning MATRIX The Planning Matrix for Mental Health and Addictions is a planning tool which illustrates, in one diagram, the breath of services available and how they link to their targeted populations from intersectoral services through to regionally provided tertiary care. Total Southland Population 107,000 Intersectoral Agencies Health Promotion & Education Primary Sector Primary Mental Health Services Emergency/ Crisis Secondary Specialist Sector Community Services Accommodation & Residential Acute Inpatient Tertiary Sector Regional Specialist Services It also illustrates clinical pathways and the range of interventions available. The top row represents a continuum of service provision across Sectoral boundaries, and the left hand column represents a continuum of need across all age ranges in a population health based model. Child & Youth 0-17 years Population= 29,000 CYFS Education Justice Mental Health Promotion GP & Nurse Practitioner Services Southland Mental Health Emergency Service Suicide Prevention Youth Health One Stop Shop Health Line Resiliency Building Primary Mental School Programmes Health Brief Intervention Service Rural Mental Health Health Line Like Minds Like Mine Child & Adolescent Services Youth Alcohol and Drug Services About Face programme Residential Programmes Community Support Needs Assessment SDHB Inpatient Unit Eating Disorders Mothers & Babies Alcohol & Drug Child & Youth Inpatient Regional De-tox and Residential Programmes TARGET POPULATION All All Goal of 100% 3% of the 5-18 population = 600 <1% Intersectoral agencies provide a wide range of social services to the entire population including housing, education and income support. Primary Sector health care is deliverd to the majority of the population who will receive their health care, including mental health care, from General Practitioners and Brief Intervention Services. For the three percent of the population who need specialist support for a mental health problem or illness, the Secondary and Tertiary health care sectors provide them with a broad range of specialist mental health and addiction services. Adults years Population= 63,938 Work and Income Housing Justice Mental Health Promotion Suicide Prevention Like Minds Like Mine GP & Nurse Practitioner Services Primary Mental Health Brief Intervention Service Health Line Southland Mental Health Emergency Service Health Line Adult Community Services Alcohol & Drug Forensic Dual Diagnosis Family Services Activity & Rehabilitation Services Short & Long-term Residential Care & Accommodation Community Support Needs Assessment TARGET POPULATION All All Goal of 100% 3% of the population = 2000 Elderly 65+ Population= 14,017 Work and Income Housing Mental Health Promotion Like Minds Like Mine GP & Nurse Practitioner Services Primary MH Brief Intervention Service Health Line Southland Mental Health Emergency Service Health Line Elderly Community Services Short & Long-term Residential Care & Accommodation Rest Homes Community Support Needs Assessment TARGET POPULATION All All Goal of 100% 3% of the population + = 400 SDHB Inpatient Unit Assessment Treatment & Rehabilitation Inpatient Unit Eating Disorders Mothers & Babies Alcohol & Drug Regional De-tox and Residential Programmes Medium Secure Forensic Inpatient Regional Psycho-Geriatric Services Issue Date June Last Reviewed February

10 SOUTHLAND MENTAL HEALTH & ADDICTION SERVICE PROVIDERS INTERSECTORAL AGENCIES PRIMARY HEALTH CARE SERVICES Southern Primary Health Organisation (PHO) Southern DHB-PHO Primary Mental Health Care Team PUBLIC HEALTH SERVICES Public Health South Nga Kete Matauranga Pounamu Trust CHILD, ADOLESCENT AND FAMILY SERVICES Southern DHB Child, Adolescent and Family Services (CAFS) Pact Youth South Supporting Families Southland CHILD, ADOLESCENT AND FAMILY SERVICES - ALCOHOL AND DRUG Adventure Development Counselling Ltd ADULT SERVICES Mirror Counselling Nga Kete Matauranga Pounamu Trust Southern DHB Mental Health Emergency Team Southern DHB Inpatient Mental Health Unit Southern DHB Te Korowai Hou Ora Southern DHB Community Mental Health Teams Pacific Island Advisory and Cultural Trust Pact Southland Kakakura Health Services ADULT SERVICES - ALCOHOL AND DRUG Southern DHB Drug and Alcohol Specialist Service Gore and Districts Community Counselling Centre Nga Kete Matauranga Pounamu Trust Salvation Army ADULT SERVICES - ACCOMMODATION AND RESIDENTIAL Pact Southland Kakakura Health Services - Te Kotuku Bainfield Park Residential Care Ltd ADULT SERVICES - CONSUMER SUPPORT Southern DHB Consumer Advisory Services ADULT SERVICES - FAMILY SUPPORT Southern DHB Family Advisory Services Supporting Families Southland Supporting Families Central Otago Supporting Families Wakatipu ADULT SERVICES - ACTIVITY, REHABILITATION, EDUCATION AND EMPLOYMENT Southern DHB Activity Centre s Bainfield Organic Garden Ltd Kakapo Organic Garden Ltd ADULT SERVICES - REGIONAL SPECIALIST SERVICES Alcohol & Drug Child & Youth Specialist Inpatient Eating Disorders Forensic Mothers & Babies Issue Date June Last Reviewed February

11 INTERSECTORAL AGENCIES Intersectoral agencies play an important part in supporting the mental health and addictions sector. While they are not specialist providers of services, their clientele is often made up of mental Children, Adolescents & Families Education Child Youth and Family Work and Income Community Support Groups health and/or addiction consumers and their families. Consumers and their families often come into contact with many of these organisations out of necessity and sometimes desperation. Intersectoral groups provide invaluable support to the mental health and addictions sector in their statutory roles and also as a provider of Young People Education Police, Justice, Probation Work and Income Community Support Groups support and advocacy services. Intersectoral agencies are members of the Southland Mental Health and Addictions Network which represents the strategic and working relationship that the different sectors share. Adults Housing Work and Income Police, Justice, Probation Community Support Groups The diagram gives an example of the sort of intersectoral services that are available and their populations of interest. Below are some of the services they deliver that support the Mental Health and Addictions Sector. Elderly Housing Disability Work and Income Community Support Groups CHILD YOUTH & FAMILY SERVICES (CYFS) GROUP SPECIAL EDUCATION (GSE) WORK AND INCOME NZ EDUCATION SECTOR HOUSING NEW ZEALAND JUSTICE/POLICE/CORRECTIONS Contracted to provide support services to children and young people with high and complex needs. Contracted to provide assessment and early intervention services to children and young people and post-vention support to schools. Provides income and employment services including in-work support and services to invalid and sickness beneficiaries. Secondary schools and SIT provide counselling services to students. The Southland College of Education deliver mental health wellness training to teachers from decile 1 schools. Contracted to provide community group housing to NGOs delivering Mental Health Services and support to clients with health and disability needs. Contracted to provide services including victim support, prison inmate counselling, addictions treatment, social work services, at-risk Units and suicide and self-harm prevention. Issue Date June Last Reviewed February

12 PRIMARY HEALTH CARE SERVICES Primary sector health care is normally the first contact an individual has with a health professional, for example a visit to/from a doctor or nurse. It is professional health care in the community where people reside and work. Primary Health Organisation (PHO) Southland has one PHO delivering Primary Health Care services to a total enrolled population of 104,440. The PHO is primarily a grouping of General and Nurse Practitioners. Number of General Practitioners 88 (61.8 FTE) Primary health care covers a broad range of out-of-hospital services - not all of which are government funded. It also covers specialties such as health education and promotion, counselling and disease and injury prevention. NOTE: FTE = Full Time Equivalent. 1 FTE = 40 hours per week Southern DHB-PHO Primary Mental Health Care Team In a Mental Health setting primary health care includes GP, PHO and Primary Mental Health Care Specialist services. The Southern DHB-PHO Mental Health Brief Intervention Service is available to GP patients with a mild to moderate mental health issue. Referrals are received from GPs and the service is free. The service offers access to the Brief Intervention Team with up to five sessions of support, assessment, treatment or referral to appropriate agencies. The service includes: Strengths Assessment, Goal setting, Cognitive Behavioral Therapy, Psychosocial interventions, Crisis resolution, Stress/Anxiety management, Education around illness and illness prevention for patients and/or family members and problem solving skills. A combined team of Nurse Specialists and a Psychologist deliver the service in Southland and are funded by the Southern District Health Board and the Southern PHO. Southern DHB & PHO FTE Staff Invercargill, Gore, Queenstown GP s, PHO, Southern DHB Mental Health & Addiction Services, NGOs, Number 10 Issue Date June Last Reviewed February

13 PUBLIC HEALTH SERVICES Mental health promotion is a population based model that targets atrisk groups and the wider community. It attempts to influence and make positive change to the social, economic, cultural, political and physical environments that affect people s mental health. Public Health South Public Health South is a District-Wide provider whose mental health promotion priorities for are Youth Suicide Prevention, Anti-discrimination and general mental health promotion. Initiatives include school programmes, education and training for practitioners and resource and policy development. Marketing, publicity and advertising campaigns also support the promotion of positive mental health messages. The priorities and initiatives are: Mental Health Awareness Week Mentally Healthy Schools All Age Suicide Prevention Mentally Healthy Communities Like Minds Like Mine SPINZ Postvention Workshops Supporting the Mental Health Foundations Skills Bank 2 N/A Invercargill, Queenstown Southern DHB, Schools, PHO, NGOs Nga Kete Matauranga Pounamu Trust Nga Kete Matauranga Pounamu is a district-wide provider who are contracted to deliver the Kia Piki Te Ora All Age Suicide Prevention programme. The programme supports the New Zealand Suicide Prevention Strategy and involves the delivery of community development projects and initiatives that focus on Health Promotion and Suicide Prevention. 1 N/A Invercargill, Queenstown Southern DHB, Public Health, PHO, NGOs Issue Date June Last Reviewed February

14 MENTAL HEALTH CHILD, ADOLESCENT AND FAMILY SERVICES Child, adolescent and family services are traditionally delivered to young people aged 0-17 years of age. No service is delivered to a young person in isolation and families/whanau and carers are always included in the process of diagnosis, treatment and recovery planning. In Southland the Southern DHB Provider Arm is the main provider of secondary specialist services to this age group. Their service consists of a multidisciplinary team delivering from three sites across the Southland District and also includes outreach services. The Southern DHB contracts additional specialist services from a number of community based providers. These providers deliver a range of programmes and services from different locations and to specific atrisk individuals, families and communities. Southern DHB Child, Adolescent & Family Services The Southern DHB Mental Health CAF Service is District-Wide and delivers services to young people and their families aged The service is delivered by multidisciplinary teams in Invercargill, Gore and the Wakatipu. Specialist staff also travel to outreach clinics in Gore, Queenstown and Te Anau. The service also provides educational support and resources. Referral to the service is via General Practitioners, SMHET, other Mental Health and Addiction service providers, schools and self-referral. The service consists of: * Intake Worker * Occupational Therapist * Child and Family Therapists * Nurses * Social Workers * Kai Awhina * Clinical Psychologists * Psychiatrist CAFS also supports families as a part of its role working with children and young people. Families/whanau and care givers are encouraged to be involved in most aspects of the care and treatment of their children. 17 Pact Youth South 372 Invercargill, Gore, Queenstown Pact Youth South, Adventure Development, Southern DHB Mental Health Services, Family Works Pact Youth South delivers a range of support services to young people aged 0-19 affected by a mental health problem. Except for residential services which are based in Invercargill, all other services are delivered district-wide from offices in Invercargill and Queenstown. Pact Youth South employ 10 FTE staff and provide residential services (3 beds), crisis respite care (1 bed), day programmes, community support and family/whanau support. Young people are eligible for the service via self-referral, or after referral from family/whanau, a GP, government departments, community agencies and the Southern DHB CAFS team. Contracted No. Beds 4 40 Invercargill, Queenstown Southern DHB CAFS, CYFS, Family Start, Schools, Number 10, PHO Issue Date June Last Reviewed February

15 Supporting Families Southland Child, Adolescent and Family Services Supporting Families (SF) Southland deliver support and advocacy services to children who have a parent or sibling with a mental illness. They are based in Invercargill and have a District-Wide contract. Services include advocacy, support, education and information. SF Southland employs one field worker. (continued) 1 39 Invercargill Southern DHB Mental Health Services, Adventure Development, Number 10 Issue Date June Last Reviewed February

16 MENTAL HEALTH CHILD, ADOLESCENT AND FAMILY SERVICES - Alcohol and Drug Many young people who experience periods of mental un-wellness, also misuse alcohol and drugs. This is sometimes as an outcome of the mental illness/problem or can be one of the contributing factors. Community based providers deliver specialized alcohol and drug services to young people. These services are available to any young person in the District. Some of the most at-risk include adolescents, Maori, and young people who experience difficulties at school or at home. Adventure Development Counselling Ltd Adventure Development delivers two programmes to young people aged 19 and under. Alcohol and Drug Counselling (3 FTE) and Adventure Development Counselling (1.5 FTE). They are based in Invercargill and have a District Wide contract. The service includes alcohol and drug assessment, intervention, treatment and referral. The programme also includes outdoor adventure activities. Anyone can refer to the service, including Child, Youth and Family, Mental Health and Alcohol and Drug services, schools, GP s and self-referral. 4.5 Mirror Counselling 130+ Invercargill, Gore, Queenstown CAFS, Southern DHB AOD Services, Mirror Counselling, Gore Counselling Centre, Nga Kete Matauranga Pounamu Trust Mirror Services is a Dunedin based counselling service for young people aged 19 years and under. They deliver the Mirror Youth Day Programme (MYDP) for year olds. The programme includes a kaupapa Maori framework, within a mini th group therapy, individual counselling, life skills, A and D education, adventure based games and activities and family/whanau involvement. For Southland clients the programme also includes planned supported accommodation. They accept referrals from Mental Health AOD providers in Southland and are contracted to provide a minimum of 10 places per annum. Contracted Volume 10 Places Per Annum 2+ p/a Dunedin Adventure Development, CYFs Nga Kete Matauranga Pounamu Trust Nga Kete Matauranga Pounamu Trust delivers Alcohol and Drug Counselling services to Rangatahi (young people aged 14-18). The service is based in Invercargill and is a District-Wide contract. One full-time clinician provides assessment, counselling, treatment planning and referral services. A Rangatahi Group Therapy eight week programme is also offered. Referral to the service is via self-referral or after a confirmed diagnosis referral from a psychiatric clinician or a mental health or alcohol or drug service Invercargill Child Youth and Family Services, Awarua Health & Social Services, YMCA, Schools Issue Date June Last Reviewed February

17 MENTAL HEALTH ADULT SERVICES Adult services are delivered in the Southland District mainly to the age group. This group makes up the majority of the client group seen by mental health services in Southland and in recent years has increased in size. A wide range of secondary specialist mental health services and resources are available to adults. The Southern DHB Provider Arm is the main provider of services and also contracts with a number of community based organisations. These providers deliver a diverse range of specialist services across the district from a number of different venues and locations. To be effective services are delivered by multi-disciplinary teams providing a wide range of clinical and non-clinical specialties. The goal of mental health services is to provide continuity of care and a seamless transition for consumers and their families between services and on their journey to recovery. Southern DHB Mental Health Emergency Team The Southern DHB Mental Health Provider Arm delivers a diverse range of services to adults aged in both community and in-patient settings. The services are delivered by multi-disciplinary teams. The Southland Mental Health Emergency Team (SMHET) provides a 24 hours a day, 7 days a week mental health crisis intervention service accessed on to 800 Invercargill Southern DHB Inpatient Mental Health Unit Southern DHB Mental Health Services, Police, Pact, SF Southland, GPs The Southern DHB Inpatient Mental Health Unit consists of a 16 bed unit. 13 Acute beds and 3 Intensive Care beds. This multi-disciplinary team provide acute services for those persons requiring treatment in an inpatient setting. The team consists of 37 FTE staff. No. Beds Southern DHB Te Korowai Hou Ora Invercargill Southern DHB Mental Health Services, Pact, Te Kotuku, SF Southland, Nga Kete Matauranga Pounamu Trust Te Korowai Hou Ora provides Kaupapa Maori services within the Southern DHB s mainstream adult, child, adolescent & family mental health services. The service employs a Kaiwhakarite (Manager), Kaumatua, Maori Mental Health Workers, Kai Awhina and Registered Maori Mental Health Nurse. Referrals are made to Te Korowai Hou Ora from all other Southern DHB Mental Health Services. Te Korowai Hou Ora services include Cultural Assessment, Clinical Assessment, support and Awhi/Karakia, home visits, cultural supervision, education and advocacy. 5.5 Team Members 0.5 Kaumatua 590 Invercargill Southern DHB Mental Health Services, Pact, Te Kotuku, Police, Marae, Kohanga Reo, Nga Kete Matauranga Pounamu Trust Issue Date June Last Reviewed February

18 Southern DHB Community Mental Health Teams Adult Services (continued) The Southern DHB has three Community Mental Health Teams. They are multi-disciplinary teams providing individual and group support services from Centres in Invercargill, Gore and Wakatipu (Total of 67 FTE Staff). Mental Health Needs Assessment/Service Coordination (2 FTE Staff). Community Forensic Service: Court and Community Corrections liaison in Invercargill, Gore and Queenstown and prison liaison in Invercargill (5.3 FTE Staff). Maternal Mental Health Service: For clients who are pregnant and new mothers and their babies (2 FTE Staff). Mental Health Older Person Service (4 FTE Staff). All services are made-up of multi-disciplinary teams which include the following: * Intake Worker * Psychiatrists * Psychologists * Occupational Therapists * GP Liaison * Nurses * Counsellors * Social Workers * Support Workers * Dietitian INVERCARGILL CMHT Office Invercargill Southern DHB Mental Health Services, NGOs, GPs GORE CMHT Office Gore Southern DHB Mental Health Services, NGOs, GPs WAKATIPU CMHT Office Queenstown Southern DHB Mental Health Services, NGOs, GPs Pacific Island Advisory and Cultural Trust The Pacific Island Advisory and Cultural Trust provides services to Pacific Island consumers and families. They are based in Invercargill and have a District-Wide contract. They employ one Community Support Worker and also provide Landlord Support Services - 10 Per Year. 0.5 Number Families p/a Invercargill Southern DHB Mental Health Services, Nga Kete Matauranga Pounamu Trust, Work and Income, Probation Issue Date June Last Reviewed February

19 Pact Southland Adult Services (continued) Pact Southland delivers a number of services to adults living in the community aged 18 and over. All services are delivered district-wide from offices in Invercargill, Gore and Queenstown. Eligibility for these services is via a health professional or the Southern DHB Mental Health Needs Assessment Service. They employ a total FTE staff of 13 and provide the following services: Community Support Services: Provided in peoples homes or from community centres. Assist people in developing life skills and improving social networks. Intensive Community Support and Community Support are both provided. Supported Landlord Service: Consumers who are able to live independently are provided with additional landlord support. Kai Awhina: Maori community support is available to support Maori consumers Invercargill, Gore, Queenstown Southern DHB Mental Health Services, SF Southland, Work and Income, GPs, PHO, Nga Kete Matauranga Pounamu Trust Kakakura Health Services - Toiora Arotake Toiora Arotake delivers Needs Assessment and Service Coordination services to Kaupapa Maori Clients. They are based in Invercargill and have a District-Wide contract. They employ one full-time worker. The services are available to people aged between 6 and 65 years of age who need long-term support due to disabilities related to mental health issues and/or addictions. Eligibility for assessment is after referral from either a psychiatric clinician or a mental health, alcohol or drug service - after a confirmed diagnosis Invercargill Southern DHB Mental Health Services, Nga Kete Matauranga Pounamu Trust, Work and Income, Pact, SF Southland Issue Date June Last Reviewed February

20 MENTAL HEALTH ADULT SERVICES Regional Specialist Services The Southern District Health Board jointly provides regional services in partnership with other District Health Board s and service providers from around New Zealand. Regional specialist services are provided by both District Health Boards and Non Government Organisations. The services include specialist consultation services and residential care. Alcohol and Drug The Southern DHB Mental Health, Addictions & Intellectual Disability Service has access to a range of specialist Alcohol and Drug services throughout the country. The services are youth and adult de-tox programmes and residential care treatment programmes in centres including Dunedin, Christchurch, Blenheim and Auckland. Providers that are available for referrals include: PROVIDER LOCATION CAPACITY Southern DHB ACCESS Downie Stewart Foundation Charitable Trust, Long-Term Residential Alcohol & Drug Forensic Service Dunedin 11 Beds Up to 1 Bed Kennedy Unit, Canterbury DHB Inpatient Detoxification Service Christchurch 6 Beds Up to 0.6 Beds Odyssey Trust, Residential Alcohol and Drug Service Christchurch 25 Beds Up to 2 Beds Odyssey Trust, Residential Alcohol and Drug Service Auckland 15 Beds Up to 1.5 Beds St Marks Society Inc, Residential Treatment Alcohol and Drug Service Blenheim 11 Beds Up to 1 Bed He Waka Tapu Kaupapa, Residential Alcohol and Drug Service Christchurch 4 Beds Up to 0.5 Beds Child & Youth Specialist Inpatient The Southern DHB Mental Health, Addictions & Intellectual Disability Service has access to specialist Child and Youth Inpatient Beds in Otago and Canterbury. The service provides intensive support and inpatient services to young people under the age of 18. No. Beds = 2 Issue Date June Last Reviewed February

21 Eating Disorders Regional Specialist Services (continued) The Eating Disorders Team provide a regional consult liaison service. The service is a partnership between the Southern District Health Board and Canterbury District Health Board. The purpose of the service is to provide specialist Eating Disorders Team support and guidance to Southern DHB staff and to develop and maintain links between Eating Disorder Teams. The service includes assessment, the development and review of treatment plans, access to specialist support (eg dieticians), and provides ongoing education and training to staff. No. Beds = 0.8 Forensic The Southern DHB Mental Health, Addictions & Intellectual Disability Service has regional links with the Canterbury DHB specialist Forensic Service. Services includes clinical support and specialist oversight for the Southern DHB Forensic Team. One prison and one community clinic are held each week. The service includes Court liaison and clinical care review delivered each week by a Forensic Consultant Psychiatrist. 3 medium secure inpatient beds are available regionally and 0.7 long-term forensic beds. No Beds = 3.7 Mothers and Babies The Southern DHB Mental Health, Addictions & Intellectual Disability Service has a Maternal Mental Health Service. The service is available to all woman who have a known or suspected mental health disorder, during pregnancy and for one year following birth. The service is free and referrals are accepted from a wide range of providers including GPs, Midwives, Mental Health service providers, other agencies and self-referral. The service is has links and refers to psychiatrists, obstetricians, GPs, group programmes, psychologists, occupational therapists, cultural support and other community agencies. No. Beds = 0.5 Issue Date June Last Reviewed February

22 MENTAL HEALTH ADULT SERVICES - Alcohol and Drug The misuse of alcohol and drugs often has a compounding effect on any adult who has a mental illness. This misuse is sometimes as an outcome of the mental illness/ problem or can be one of the contributing factors. A wide range of secondary specialist mental health alcohol and drug services and resources are available to adults. The Southern DHB s Provider Arm is the main provider of alcohol and drug services and also contracts with a number of community based organizations. Southern DHB Drug and Alcohol Specialist Service The Southern DHB Mental Health, Addictions & Intellectual Disability Service delivers a diverse range of services to adults aged in both community and inpatient settings. The services are delivered by multi-disciplinary teams from Southern DHB Mental Health Centres in Invercargill and Wakatipu. The service consists of: Drug and Alcohol Services: Outpatient treatment programme including individual counseling and follow-up. They also provide a methadone programme and referral to problem gambling services. Specialist regional AOD services are also available for local service users including de-tox programmes and residential care in Christchurch, Dunedin, Auckland and Blenheim Invercargill, Gore, Queenstown Southern DHB Mental Health Services, Adventure Development, Salvation Army, Gore Counselling, Nga Kete Matauranga Pounamu Trust, Probation, Pharmacy s These providers deliver a diverse range of specialist services across the district from a number of different venues and locations. These services are available to any adult in the District. Gore and Districts Community Counselling The Community Counselling Centre in Gore provides Alcohol and Drug Counselling services to adults aged in the Gore District. They employ 1.5 full-time counsellors who provide assessment, counselling and treatment services to their clients. Access to the service is via self-referral or referral from a General Practitioner, Psychiatrist, the Probation Service or the Gore Community Mental Health Team (Southern DHB) Gore, Mataura GP s, Adventure Development, Southern DHB AOD Services, Probation, Gore CMHT, Nga Kete Matauranga Pounamu Trust Issue Date June Last Reviewed February

23 Nga Kete Matauranga Pounamu Trust ADULT SERVICES Alcohol and Drug (continued) The Nga Kete Matauranga Pounamu Trust provides Alcohol and Drug Counselling services to Kaupapa Maori adults aged The Trust has offices in Invercargill and Queenstown and have a District-Wide contract. They employ three full-time counsellors who provide assessment, counselling and referral services to their clients. They also run group programmes, a closed intensive therapy programme, an open weekly therapy programme and an education and awareness programme. They also employ one full-time community support worker who provides follow-up support and advice for clients and whanau. Eligibility for the service is via selfreferral or referral from either a psychiatric clinician or a mental health, alcohol or drug service - after a confirmed diagnosis Invercargill, Queenstown Southern DHB AOD Services, Te Kotuku, Kaupapa Maori Health Providers Salvation Army The Salvation Army delivers an Alcohol and Drug Counselling Service to adult clients aged 20 and over with mental health and alcohol and drug problems. They employ one full-time counsellor. The service is Invercargill based and is a District-Wide contract Invercargill Southern DHB AOD Services, Adventure Development, Community Probation, Family Court Counsellors Issue Date June Last Reviewed February

24 MENTAL HEALTH ADULT SERVICES - Accommodation and Residential For mental health consumers who experience a long-term or acute illness intensive support is often required. Residential and accommodation services provide consumers with short and long term options for care at different levels of intensity. The Southern DHB contracts these services from community based providers. Respite care, which is normally always planned, provides consumers with short-term relief. Those who are more dependant and acute will often receive care in level three or four homes. These services are based in the community and attempt to provide many of the norms and routines that most people are used to. For those aged over 65, care is often provided by Rest Homes. These consumers also receive additional support from secondary care specialist services. Pact Southland Pact Southland is the largest provider of supported accommodation services in the Southland District for Mental Health Consumers aged 18 and over. The service is based in Invercargill and is a District Wide contract. Supported accommodation is for people who are recovering from a mental illness and who are unable to live on their own. Eligibility for these services requires a referral from a health professional or the Southern DHB Mental Health Needs Assessment Service. Pact provides the following range of services: Supported Accommodation Service: 24/7 awake support provided in a community of seven modern 3 bedroom houses (16 beds available). Care includes rehabilitation programmes as identified in individual personal plans to promote recovery and independence. Respite Services: Support is provided to consumers who live independently but who need temporary relief from caring for themselves. Planned and emergency accommodation is available. Three respite beds are available. Contracted Level 4 Beds 12 Contracted Level 3 Beds 4 Kakakura Health Services - Te Kotuku Contracted Respite Beds 3 Invercargill Southern DHB Mental Health Services, GP s, Work & Income, Te Kotuku Te Kotuku is a Kaupapa Maori 24 hour residential rehabilitation and planned respite facility (Level 4) for adults who experience mental illness (non-maori clients are also accepted). Te Kotuku employ 6.2 FTE staff and the service is delivered from two houses in Invercargill with 7 general beds available, and 3 respite beds. They also employ one full-time community support worker (Kai Awhina). Te Kotuku has a District-Wide contract and access to the service requires a psychiatric diagnosis and needs assessment. Contracted General Beds 7 Contracted Respite Beds 3 Bainfield Park Residential Care Ltd 65 Invercargill Southern DHB Mental Health Services, SF Southland, Nga Kete Matauranga Pounamu Trust, Pact Bainfield Park is a multi-purpose residential care provider based in Invercargill. They have a District-Wide contract and have available three beds for mental health clients. They also provide residential support services for the mentally and physically disabled and, elderly. Contracted Beds 3 N/A Invercargill Southern DHB Mental Health Services, GPs, NGOs Issue Date June Last Reviewed February

25 MENTAL HEALTH ADULT SERVICES - Consumer Support It goes without saying that consumers are an integral part of the Mental Health and Addictions sector. As well as delivering quality services, the primary and secondary sectors have a responsibility to ensure that consumers are involved in the planning, development and delivery of mental health services in the District. Southern DHB Consumer Advisory Services The Southern DHB Mental Health, Addictions & Intellectual Disability Service employs one full-time Adult Consumer Advisor and one part time (0.5 FTE) Youth Consumer Advisor. Advisors have important internal and external roles. Internally they review and comment on in-house policies, procedures and day-to-day operational issues. Advisors sit on interview panels and are involved in planning and priority setting activities. They also advise on behalf of consumers at inhouse meetings, forums and Hui. Externally, Advisors play an important role in liaising with local Consumer groups and networks - sometimes taking a lead role. They also sit-on and attend district, regional and national forums and committees. The Southern DHB does this through the employment of Consumer Advisors and by supporting the activities of other local consumer led forums and groups. Consumer representation is 1.5 N/A Invercargill Southern DHB Mental Health & Addiction Services, Moving Forward Consumer Advisory Council also a priority for the Southland Mental Health and Addictions Network. The Southern DHB also supports consumers by contracting with consumer led providers who deliver education, advocacy and support programmes and services to other consumers and their families. Issue Date June Last Reviewed February

26 MENTAL HEALTH ADULT SERVICES - Family Support Support for families is an important part of Mental Health and Addiction services in Southland. As well as delivering quality services, the primary and secondary sectors have a responsibility to ensure that families are involved in the planning, development and delivery of mental health services in the District. Southern DHB Family Advisory Services The Southern DHB Mental Health, Addictions & Intellectual Disability Service employs one part-time (0.8) Family Advisor. The Advisor represents the views of families and is involved in the review of in-house policies, procedures and day-to-day operational issues. They sit on interview panels and are involved in planning and priority setting activities. Externally, the Advisor plays an important role in liaising with local Family groups and networks - sometimes taking a lead role. Family Advisors also sit-on and attend district, regional and national forums and committees and are often involved in local education and awareness projects and initiatives. The Southern DHB does this through the employment of a Family Advisor and by supporting the activities of other local family led forums and groups. Family representation is also a 0.8 N/A Invercargill Southern DHB Mental Health Services, SF Southland, SF Central Otago, SF Wakatipu priority for the Southland Mental Health and Addictions Network. Supporting Families Southland The Southern DHB also supports families by contracting with service providers who deliver education, advocacy and support programmes and services to families. Supporting Families (SF) Southland delivers support and advocacy services for families dealing with a mental illness. They are based in Invercargill and have a District-Wide contract. Services include family advocacy, support, education and information regarding mental health and alcohol and other drug issues. They employ five field workers working across the district. 5 Number Families p/a 150 Invercargill Southern DHB Mental Health Services & Family Advisor, SF Central Otago, SF Wakatipu Issue Date June Last Reviewed February

27 Supporting Families Central Otago ADULT SERVICES Family Support (continued) Supporting Families (SF) Central Otago deliver support and advocacy services for families that are affected by a members mental illness and/or addiction. They are based in Alexandra and have a District-Wide contract for Central Otago including Wanaka. Services include family advocacy, home visits, support, education and information. SF Central Otago also employ one full-time Activity Group Coordinator who runs activity group programmes for people recovering from a mental illness at their Alexandra office (28 Ashworth Street) each week. 1.5 Number Families p/a Alexandra Central Otago & Wakatipu MH Teams, SF Southland, SF Wakatipu, Inpatient Services, Workbridge, Work & Income, Family Works Supporting Families Wakatipu Supporting Families (SF) Wakatipu employ one field worker who delivers support and advocacy services for families that are affected by a members mental illness and/or addiction. They are based in Queenstown and provide services in the local community including Arrowtown, Kingston and Glenorchy. Services include family advocacy, support, education and information regarding mental health and alcohol and other drug issues. 1 Number Families p/a N/A Queenstown SF Central Otago, SF Southland, Central Otago & Wakatipu MH Teams, Inpatient Services, Workbridge, Work & Income, Family Works Issue Date June Last Reviewed February

28 MENTAL HEALTH ADULT SERVICES - Activity, Rehabilitation, Education & Employment An important component of any recovery from a period of mental unwellness is rehabilitation and activity. No two people will experience the same journey to recovery. For some, the journey is made easier by receiving ongoing support in the community. For others, activity and work related programmes facilitate their recuperation and recovery. Activity programmes can, for some, also provide a stepping stone to further educational and employment opportunities. Southern DHB Activity Centres Southern DHB Mental Health, Addictions & Intellectual Disability Services run three Activity Centres in Southland. Rata House and 494D in Invercargill and Welcome In, in Gore. Welcome In is supported by the Gore and Districts Mental Health Support Group. The Activity Centres are free to attend and available to consumers referred from Mental Health and Addiction Services. The Centres provide a safe, supportive environment with an emphasis on strengths, self determination, wellbeing and recovery. Rata House is open from 9am-3pm, Monday to Friday and 10am-3pm on weekends. 494D is open from 8.30am-5pm weekdays and Welcome In from 10am-4pm weekdays. The Activity Centres deliver a diverse range of activities including: * Sports and recreation * Socialisation opportunities Rata House: 59 MacMaster Street, Invercargill (03) * Art tutors * Gardening 494D: 494 Dee St, Invercargill (03) * Guitar tutor * Cooking Welcome In: 37 Hokonui Drive, Gore (03) * Cultural activities * Computer Tuition * Oamaru stone tutor and workshops Facilities and programmes are provided in Southland by the Southern DHB Provider Arm and community based providers in Invercargill and Gore. 494 D Rata House Welcome In Invercargill, Gore Southern DHB MH Services, Pact, Te Kotuku, Nga Kete Matauranga Pounamu Trust, SF Southland, Bainfield/Kakapo Organic Gardens Issue Date June Last Reviewed February

29 Bainfield Organic Garden Ltd ADULT SERVICES Activity, Rehabilitation, Education & Employment (continued) Bainfield Organic Gardens or The BOG as it is known offers work experience in an environment of recovery for consumers. The BOG is based in Invercargill and is available to consumers living in the Invercargill area. Participants are involved in the BOG s gardening and horticultural operations. The majority of the produce is sold locally. Participants receive supervised support, training & work experience. N/A 60 Invercargill Pact, Te Kotuku, Southern DHB Mental Health Services Kakapo Organic Garden Ltd Kakapo Organic Gardens offers work experience in an environment of recovery for consumers. The Gardens are based in Gore and are available to consumers living in the Gore area. Participants are involved in gardening and horticultural activities. The majority of the produce is sold locally. Participants receive supervised support, training and work experience. N/A 16 Gore Pact, Te Kotuku, Southern DHB Mental Health Services Issue Date June Last Reviewed February

30 APPENDICES 30 Southland Community Support Groups & Forums 31 Southland Mental Health & Addiction Service Providers (A-Z) 33 Southern DHB Mental Health & Addiction Contacts 35 Intersectoral Groups (A-Z) Issue Date June Last Reviewed February