AROHA KI TE TAMARIKI TRUST. Whakaata Tohu Tohu/Mirror Services

Transcription

1 AROHA KI TE TAMARIKI TRUST Whakaata Tohu Tohu/Mirror Services

2 WHAT IS A YOUTH EXEMPLAR SERVICE CENTRE OF EXCELLENCE Ministry of Health contract managed by the DHB Co-existing problems enhanced Youth Alcohol & Other Drug Service Linked to three different service specifications; The specification captures elements of the service design and functions which are not articulated through the existing service specifications.

3 YOUTH EXEMPLAR SERVICE AN ACCESSIBLE SERVICE Relevant Youth Brand Stand alone service Children & Young People Co-existing Problems CEP Enhanced AOD Service (Frameworks) Multidisciplinary Team Highly Mobile Specific Service Delivery requirements Flexibility re service delivery

4 WHO IS THE SERVICE FOR year olds who; Have problematic to severe alcohol and/or other drug use. Have Substance use and a mental health issue/s or mental health diagnosis(co-existing problems). Require managed withdrawal. Are affected by a family member/member who has alcohol and/or other drug or mental health issues Are a parent with CEP issues aged 22 years and under and their children. Or are A parent and/or whanau/family member who is affected by a young person with alcohol & drug use and/or has coexisting problems.

5 SERVICE REDESIGN & CHANGE PLAN 4 Roles that needed transitioned into the Exemplar Service Address the risks on existing services associated with reconfiguring roles Set up, recruitment process & service design Funding was received in March 2014

6 WHERE ARE WE & WHAT HAVE WE BEEN DOING? 4 th Floor, Evan Parry House, 43 Princes St, Dunedin, ph: Whakawātea/Blessing of the service - 25 th March Mihiwhakaatau for new staff Establishing the kaupapa/culture of the service

7 WHAT HAVE WE BEEN DOING? Staff orientation and workforce development plan/training Systems established Implementing Choices & Partnership Approach Progressing service development policies/practice Critiquing and redefining practice

8 MULTIDISCIPLINARY TEAM Clinical Team Leader/CEP Practitioner Tangi Noomotu 5.5 FTE CEP Practitioners Tanya Phillips, Gabriel Suggate, Trudy Schievink & Amber Kalinowski 1 Family Therapist currently recruiting 0.5 FTE Psychologist Pene Muir Peer Support Worker Lisa Perniskie 0.4 Child & Adolescent Psychiatrist Dr Alastair Howie Rural currently recruiting

9 YOUTH EXEMPLAR SERVICE Key Service Objectives are; Young people minimise their substance use and reduce the associated harm Young people are retained in treatment for as long as is appropriate to their needs Young people improve their quality of life and general functioning across a broad range of areas such as school performance, family functioning and peer relationships

10 SECONDARY OBJECTIVES Development of models of care which promote effective practice approaches to youth AOD service delivery in New Zealand; Development of a critical mass of clinicians/ service providers nationally who are effectively addressing youth AOD issues including responding to youth presenting with co-existing mental health problems; Reducing the impacts of substance misuse on vulnerable and high need populations;

11 SECONDARY OBJECTIVES CONT. Improved outcomes for youth presenting with the impacts of substance misuse in other sectors, including education, youth justice and sexual health; Supporting local agencies working with young people to recognise (screen) and undertake effective brief interventions. Contributing to whānau ora outcomes including opportunities to participate in Te Ao Māori.

12 SERVICE COMPONENTS Compatible with the Principles of Choices & Partnership Screening (HEEADSSS & SACS), Assessment including Cultural, formulation treatment, case management, transformative Interventions Evidence-based interventions MI, CBT, SF Therapy, Pharmacology, psychotherapy, family therapy etc, etc Whanau interventions/support clinical recovery of relationships (CPIT) Children of Parents with Mental Illness &/or Addiction (COPMHIA) Managed Withdrawal in the home or community

13 SERVICE COMPONENTS CONT. Early & Brief Interventions Management of; and effective responses to suicide risk School Drug Policy and School Based Interventions Services to other agencies and organisations on how to respond to Youth AOD problems Provide training to allied workforce for Screening & Brief Intervention Consultation

14 WHO ARE WE SEEING? 35 Existing clients transitioned to Exemplar Service Feb/March - 14 referrals April 18 referrals

15 WHO ARE WE SEEING? Young people who have previously not engaged with services That have complex presentation/s Cannabis, synthetic cannabis, alcohol High risk to self & others move up and down the continuum Emerging symptoms or have symptoms of bi-polar, personality disorder, schizophrenia Increase in conduct/anti Social Personality Disorder in Female clients Long waits at Emergency Department/EPS

16 CHALLENGES/TASKS Improving pathways of care Recruiting competent staff in rural areas Accessing appropriate clinical supervision Forming a local expert advisory group Forming a Youth Practitioner CEP Clinical Practice/Interest Group Implementing a new client management system/database

17 EVALUATION Ensure accountability Analysis of; - access (reducing barriers, youth friendly, dev. appropriate) - substance use and mental health outcomes achieved - whether the services are preforming as intended - financial expenditure 14 fields to meet criteria & evidence number of standards under each one. Reporting requirements include HONOSCA & PRIMHD