integrated child and youth mental health and addiction

Maternal mental health & addictions issues affect 16% of

women

“We need to learn that having emotions and talking about them

can and should be the norm”

By secondary school 27% of students are affected by

depression & anxiety

“We do not want to go through doctor after doctor after doctor”

Maternal & early life mental health & addiction issues

are expected to affect 15-20% of early childhood

environments

Same sex attracted youth 5 x more likely to attempt suicide

than opposite sex

“We need tools that help us look after

ourselves”

Infant mental health issues affect 16-18% of infants

The Integrated Child and Youth Mental Health and Addiction Direction2013-2023

Prevalence of hazardous drinking

exceeds 50% for 18-24 year old males

Maori male living in deprived areas highest

rate of suicide

NZ Youth are at highest risk of suicide in the

OECD especially 15-19 years olds

“We need services that are easier to

access”

“We need services that support our

diversity” The greatest growth in prevalence is between the

ages of 15-18 which peak at 29% for mental health distress

and 7% for serious disorders

Children, young people and families of Auckland experience and enjoy good mental health and emotional wellbeing.

18% of NZ children aged 11 are affected by a

mental health disorder

“We want to have a say in our well being while

under the care of mental health workers”

“We need role models and promotion: “so we know where to go, and we don’t need to be in crisis first. Also there needs

to be more exposure in the mainstream media”

The ADHB Integrated Child and Youth Mental Health and Addiction Strategy 2013-20232

1. OUR CHALLENGE Increasingly we are hearing that: 1. Some children and young people are facing

significant challenges in terms of mental health, addiction and behavioral challenges or a combination of all three

2. More, better and integrated services are needed if we’re to meet the challenge, especially services that support resilience and intervene earlier when problems emerge

3. Young people want a greater say in how services are designed and delivered. They expect services to be more diverse, contemporary and responsive

4. While the overall population of children and young people will not increase much over the next ten years within the ADHB boundaries; for us the greater challenge will be the changing mix of ethnicity, areas where young people and children live and the predicted types of services that will be needed

5. We need to broaden the traditional 0-18 years age range to 0-25 years to align with our interagency partners. This will also include the years that young people transition to adulthood which are particularly crucial

6. Services for children and young people have been developing at a much slower rate than adult services. The focus must now shift if we’re to see fewer young people go on to need adult mental health and addiction services

7. It is critical we get the interface between the health, social and education sectors working more effectively so services know the pathway to the right door. In doing so we have a far greater chance of meeting the challenges experienced by children and young people and their experience is that any door is the right door.

2. OUR VISIONChildren, young people and families of Auckland experience and enjoy good mental health and emotional wellbeing.

What does this mean?Children, young people and families feel:

• able to fully participate in their community • hopeful about their future

• they live in a community that understands and accepts the part it can play in ensuring more children and young people get a better start in life

• free, or supported to be free, from the harmful impacts of addiction and mental distress, and

• able to lead, or be supported to lead, positive changes in their own lives.

TABLE OF CONTENTS1. The Integrated Child and Youth Mental Health and Addiction Direction 2013-20232. Delving into the detail3. Getting startedThe first section of this document provides a summarised overview of the direction. The second provides a more comprehensive understanding of what has helped inform the direction.

The ADHB Integrated Child and Youth Mental Health and Addiction Strategy 2013-2023 3

3. OUR THINKING?

People have shaped our thinking• The voice of children and young people• Family/whanau• Maori• Pacific• Asian• People who shape and provide services.

Policy has shaped our thinkingLocal• This is a key priority area for ADHB mental health and addictions services over the next five to

ten years• ADHB’s Child Health Improvement Plan 2012-2017 and the ADHB Youth Health Improvement

Plan was available for consultation and comment in 2012 • ADHB has just released a discussion paper on self directed care which is being implemented• ADHB is working with communities to determine future health needs and to inform the provision

of services.

Regional • Regional mental health and addiction services planning • Strengthening our response to address the needs of maternal, early years and infant mental

health and children of parents with mental illness• Improving access for young people to Community Drug and Alcohol treatments • Better access to youth forensics services

National Healthy Beginnings: Developing perinatal and infant mental health services in New Zealand 2011

Healthy Beginnings provides guidance to district health boards (DHBs), and other health planners, funders and providers of perinatal1 and infant mental health and alcohol and other drug (AOD) services, on ways to address the mental health and AOD needs of mothers2 and infants.

1 The term perinatal means relating to the period immediately before and after birth. The internationally accepted timeframe is from pregnancy to one year postpartum.

2 Throughout Healthy Beginnings the term mother is used for the simplicity as mothers are most mothers are most commonly in the role of primary caregiver for their infants. However, fathers, grandparents, adoptive parents, foster parents and others may also undertake this role and may access services if eligible.


The Prime Minister’s Youth Mental Health Project April 2012

The project aims to significantly improve the way the Government supports young people with mild to moderate mental health problems. These include measures ranging from increased school based health services, more youth workers in low decile schools, expanded primary mental health services, e-therapy tools and social media, one stop youth health shops and importantly reviewing how well services are integrated across the different settings and making recommendations for improvement.

New Zealand Suicide Prevention Action Plan 2013 – 2016

This is an across government action plan, bringing together the work of eight agencies. This plan strengthens support for family, whanau and communities to address the impact and build the evidence base around what works, specifically for Maori and Pacific people. The plan extends existing services, strengthening suicide prevention targeted to high risk populations.

The Mental Health Commission’s Blueprint II, 2012

The Blueprint II vision “mental health and wellbeing is everyone’s business” sets the stage for a future where everyone plays their part, recognising mental health and wellbeing plays a critical role in creating a well-functioning and productive society. Additionally Blueprint II introduces a ‘life course’ approach from before birth through to older people and looks at the critical points in the development of mental health, addiction and behavioural issues where we can intervene earlier and more effectively.

The Ministry of Health Service Development Plan “Rising to the Challenge” 2013

Rising to the Challenge sets out the Ministry of Health’s (MOH) plan for the direction of mental health and addiction service delivery across the health sector over the next five years. It articulates the Government’s expectations about the changes needed to build on and enhance gains made in the delivery of mental health and addictions services in recent years.” This plan was informed by Blueprint II. Rising to the Challenge focuses specifically on intervening earlier in the lives of young people in order to strengthen their resilience and avert future adverse outcomes.

The Ministry of Justice Youth Crime Action Plan 2013 – 2023

This is a ten year plan to reduce crime by children and young people and help those affected to turn their lives around.

Whanau Ora

Whanau Ora provides an intra and inter- sectorial strengths –based approach to supporting whanau to achieve their maximum potential in terms of health and wellbeing during their interaction with health services. It provides a catalyst for improving the capability of health providers and hospital –based services to deliver high quality, integrated and responsive services to whanau and communities they live in.

Other

Other key NZ government strategies and policy documents that impact children and youth and the determinant of health, including such policy documents as the Child Action Plan, the Youth Development Strategy 2002 and the work of the Children’s Commissioner Advisory Group.

Align with Better Public Service Targets

The key areas are:• Reducing long-term welfare dependence• Supporting vulnerable children• Boosting skills and employment• Reducing crime

• Improving interaction with government.

InternationalWe have learnt from others experience of working in a different way both from our New Zealand colleagues, including child and youth strategies from other DHBs, and from our international colleagues. The overseas work that has particularly influenced this direction includes the Ontario’s Ministry of Children and Youth Services, Reachout.com and headspace Australia. Overwhelmingly the evidence points to youth involvement in design and leading of services, more evidence based psychological interventions to address mild to moderate mental distress and addictions, development of e-therapies and a strengthening of agencies working together.

Partners have shaped our thinkingCentral and local government and NGOs; as well as other parts of health were around the table during this process. We will continue to work with our partners. Our stakeholder engagement process included young people, Maori, Pacific, Asian, NGO providers, child, youth and adult health services.


5-14

15-24

25+

0-4

5-14

15-24

25+

0-4

400000

300000

200000

100000

2011 2016 20210

5-14

15-24

25+

0-4

5-14

15-24

25+

0-4

400000

300000

200000

100000

2011 2016 20210

ADHB population age breakdown (2011)

Projected population growth by age group (2011-2021)

4. OUR POPULATION The whole of Auckland is expected to grow faster than the rest of New Zealand over the next 10 years, and the ADHB population is no exception. While the overall population of children and young people won’t increase materially over this period we will see a significant change in their ethnic mix, where they live and deprivation rates. The youthful Asian population is predicted to increase three times faster than other ethnicities over the next ten years. The Asian population is predicted to move to the western wards while the Maori and Pacific population are predicted to move to the southern wards. The diagrams below help illustrate that. This analysis is based the statisticians best guess using the 2006 Census data from the NZ Department of Statistics. It is expected that the results of the 2013 census will change the patterns.


5-14 years 15-24 years 25+ years

Pacific

Asian

European/Other

Maori

0-4 years

38%

30%

6%

48%

-14%-11%

-7%-2% -1%

14%

43%

11%

3%

9%

Q4

Q2

Q3

Q1

Q50

20000

40000

60000

80000

100000

120000

140000

2011 2016 2021

-20

-10

% 0

10

20

30

40

50

-15%-17%

5-14 years 15-24 years 25+ years

Pacific

Asian

European/Other

Maori

0-4 years

38%

30%

6%

48%

-14%-11%

-7%-2% -1%

14%

43%

11%

3%

9%

Q4

Q2

Q3

Q1

Q50

20000

40000

60000

80000

100000

120000

140000

2011 2016 2021

-20

-10

% 0

10

20

30

40

50

-15%-17%

Projected changes in ethnic mix of ADHB age groups (2011-2021)

Projected ADHB population growth by deprivation quintile (2011-2021)

Note: The higher the quartile the poorer the area. So quartile 5 are the poorest areas and quartile 1 are the least deprived.

In summary we will see:

• Our overall populations aged 0-25 will not increase significantly

• Increase in ethnic mix specifically with a predicted increase in the number of young Asians

• The areas they live in will change.


5. OUR INTENTION

Design• In partnership with children, young people,

families and providers we will develop a cohesive and measureable action plan that sits alongside this direction.

• Together we will design an improved model of care that focuses on building greater personal resilience and support for young people.

• We will develop a more responsive system to intervene earlier in the life course of children and young people.

• We will develop a range of more contemporary and diverse mental health and addiction services.

• We will make changes to service provision to address our increasingly diverse ethnic mix.

Deliver• We will deliver on our promises in the action

plan and ultimately our vision in partnership with children, young people, families and providers.

• This means we must be courageous when investing in the new, recognizing this may mean disinvesting in some of what we offer now that no longer best meets the needs.

• We must build on our existing partnership with the social and education sectors to ensure we deliver a more integrated and responsive system to children, young people and families.

• To deliver on our vision we must also partner with other agencies and groups and the community itself, ensuring more children and young people get a better start in life.

What does this mean? We have to change…

• The way we plan things We need to genuinely listen to what children, young people and family have to say about the services they need, as well as how and where they want to access them.

• Co-design must become the new norm and not the exception.

• The way we do things We need to provide more timely service and support. We will draw on the expertise of a more diverse workforce and do things in a way that children and young people relate to.

• Ultimately we must do things in a way that children, young people and their families feel more in control.

• With children, young people and their family/whanau we will review and establish health and interagency care pathways and shared care protocols as a priority.

• Due to complexity of need, the services will do the linking to ensure there is an easy process to get to the right door.

• Where we do things While face to face support and service is really important, we need to recognize and respond to children and young people’s reality of also living in the virtual world and direct resources there too. In particular, we need to focus on things that enable young people to build personal resilience through self-directed learning.

• Who we work with We can’t meet the challenges alone. Beyond working in partnership with children, young people and their families, and our partners in the social and education sector agencies. We also need to find ways of partnering with other organisations, iwi and groups, including the wider community who have a vested interest in seeing more young people get a better start in life. When we do that we have a far greater chance of achieving our vision.


6. OUR APPROACH

Recognition• Draw attention to the challenges faced by children and young people• Through the approval of this direction by ADHB and the endorsement of it by our partners we will drive

change.

ActionWe will meaningfully engage with youth and children in active co-design to create a more detailed action plan with our multiagency governance group, focused on things like:

• virtual services and resources• youth designed and developed services • stepped care and early intervention services.

Partnership We will seek to partner with:

• children, young people and their family/whanau• mental health and addiction providers• other health services• primary care providers• social and education sector agencies• other government agencies – central and local• Iwi• community organisations and groups and the wider community• Director of Vulnerable Children and Child Action Teams.

StructuralWe will:

• invest where changes need to occur over the next five to ten years• make the best use of our skilled and capable workforce, ensuring the right part of the workforce is doing the

right thing at the right time, and• be courageous in disinvesting where services no longer best meet need.

SystemWe will:

• build on the strengths we have within our child and youth mental health and addiction services• develop an improved model of care for child and youth mental health and addiction services • better demonstrate the links to primary care• work better together with key agencies and in doing so ensure a more integrated and responsive system

where the services can do the linking to ensure children, young people and whanau get to the right door• stimulate innovation in the virtual and electronic world of service provision to extend our reach and impact,

and• use known partnership approaches and models, like Whanau Ora and youth leadership, to improve all we do.


7. WHAT IS THIS GOING TO LOOK LIKE

The future model must place the child or young person, and their family and whanau, at the centre, and provide a more diverse range of responsive options that are orientated towards the community end of the continuum.

Our Principles are:

• Meaningful co-design with children and youth• Authentic engagement• Responsiveness• Diversity• Community• Intervening early.

8. GETTING STARTED

Strengthening the voiceThis means authentically engaging with children, young people and their family/whanau who use our services or who may need to use our services.

Intervening earlier in life course and early when there is a needThis means we will look at our systems and service design. So that children, young people and their family/whanau can access services early there will be a range of e-therapy and primary care services.

Addressing inequalitiesThis means listening to the Maori and Pacific voice to hear what types of services children, young people and family/whanau would access and designing the services to meet those needs.

Fostering innovationThis means we have the opportunity to work innovatively by listening to the voice of children, young people and their family/whanau and taking them on as partners to design and leadership.

We will do this by investigating and trying new models of care, working with young people to design services and lead services for those with less severe mental distress. We will develop new ways to deliver services especially developing the electronic and virtual world. This will require us to make decisions on where to invest and where to divest resources so we live within our means.


WorkforceThis means we will focus on growing and maintaining our workforce so it reflects the diversity of our population. Also we will train our staff to understand the cultural difference and practices of our diverse population.

We will develop our workforce so that we have the right people with the right skills in the right place at the right time.

Working better togetherThis means building on the strengths of existing services and developing new services through listening to the voice of children, young people and their family/whanau.

ADHB is committed to building on the strengths of existing services and integrating the ways young people and children like to work.

We will continue to work with our colleagues across agencies to improve process and access to the appropriate services at the right time.

9. HOW WILL WE KNOW WE ARE GETTING THERE?

Now Current data, detailed in the section “Delving into the Detail” provides us with a current view but it is not a picture that reflects the data needed to measure the success of this direction.

The data being recorded for the child and youth mental health and addictions KPIs and the improvement in primary care data will make a big difference. In addition the results of the 2013 Census will give an indication how useful the population projections are. A way will be found to include relevant data from other agencies.

In futureExperiential Through engagement with:

• Children and young people ADHB will engage with children and youth utilising a youth development participation model. We will further develop our child and youth forums.

• Family and whanau We will utilise existing ADHB family/whanau forums.

• The community ADHB will engage with communities and develop local health partnerships.

• People providing services ADHB Mental Health and Addictions service has an existing structure for engagement with both their clinical staff and the social and education sector. These forums will continue to be used for clinical and health sector engagement.

• Our partners Other agencies and providers will be engaged through existing forums.


Hard data • We will agree a common set of outcomes to be achieved by 2018, both client directed and clinical• Monitor access rates to child and youth specialist mental health and AOD services• Collect and better understand the circumstances by which 18 – 25 years old are accessing child and

youth mental health addiction services compared to that same age range accessing adult services. • The spread of our investment • Access and wait times for different segments of our population • Wait times reported separately for mental health and AOD services• Increase in the number of mental health clients of working age in employment• Demonstrate the shift in resources to reflect this direction• In the future it will be easy to combine data across the health, social and education sector agencies

reflecting the whole continuum.

Evaluation• We and our partners will show we are working in a more integrated way• System changes will be evaluated to determine if the outcomes are being delivered• We will produce an online report card.


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ks

14/1

5 an

d fu

lly

impl

emen

ted

15/1

6.

Revi

ewed

16

/17

·Li

nk w

ith C

hild

and

Wom

en’s

Heal

th a

nd F

unde

r ·

Link

with

Prim

ary

Care

·Re

gion

al In

fant

Per

inat

al

M

enta

l Hea

lth ·

Wom

en’s

Heal

th ·

Build

on

exist

ing

wor

k

ar

ound

scr

eeni

ng ·

PM’s

yout

h m

enta

l hea

lth ·

Child

act

ion

plan

and

child

heal

th p

lan

·Bu

ild o

n ex

istin

g m

ulti-

agen

cy w

ork


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

2.

Inte

rven

ing

Earli

er (c

ontin

ued)

KPI 2

: Bet

ter r

ange

and

ac

cess

of s

ervi

ces

Agre

ed p

athw

ays

rega

rdin

g cli

nica

l man

agem

ent

14/1

5 pa

thw

ays

revie

wed

and

impl

emen

ted.

17

/18

bette

r ran

ge

& ac

cess

ev

idenc

ed

Impl

emen

tatio

n an

d te

am

activ

ity ·

RIE

in C

AMHS

·Yo

uth

Tran

sitio

n pr

ojec

t ·

CAM

HS a

nd Y

outh

Allia

nce

to

ag

ree

on cl

inica

l pat

hway

s

KPI 3

: Ear

lier a

cces

s to

se

rvice

sAg

reed

set

of a

ge-r

elat

ed

scre

enin

g to

ols.

This

will

be

impl

emen

ted

alon

gsid

e th

e tr

aini

ng o

f wor

kfor

ce

14/1

5 an

d fu

lly

impl

emen

ted

15/1

6

·Li

nk to

CAM

HS ·

Link

to K

PIs

abov

e an

d

pa

thw

ays

KPI 4

: Ach

ieve

men

t of a

ll sc

reen

ing

targ

ets

·Li

nk to

Chi

ld, Y

outh

and

Wom

en p

ortfo

lio

KPI 5

: Few

er y

oung

peo

ple

and

fam

ilies

expe

rienc

e a

Men

tal h

ealth

and

Ad

dict

ions

em

erge

ncy

that

is

dist

ress

ing

Impl

emen

t the

Chi

ld a

nd

Yout

h di

rect

ion

·Yo

uth

Allia

nce

·Ch

ild A

ctio

n Pl

an ·

Chec

k w

ith o

ther

AD

HB s

cree

ning

targ

ets

in

th

e pr

ovid

er a

rm

KPI 1

: Red

uced

dem

and

on

Spec

ialis

t ser

vice

sTh

ere

will

be in

crea

sed

acce

ss a

nd e

arly

resp

onse

Bett

er p

rom

otio

n of

ex

istin

g re

sour

ces

for s

elf-

man

agem

ent u

sing

socia

l m

edia

as

a pr

imar

y m

eans

to

conn

ect w

ith y

oung

pe

ople

& fa

milie

s/w

hana

u

14/1

5

ongo

ing

Link

with

you

th h

ealth

al

lianc

e/yo

uth

lead

ersh

ip/

Prim

ary

Care

Incr

ease

d ra

nge

of o

ptio

ns

for s

elf-

man

agem

ent e

.g.

on-li

ne re

sour

ces

and

so

cial m

edia

14/1

5

ongo

ing

·Li

nk to

MoH

and

ther

apie

s

in

itiat

ives

·Bi

g w

hite

wal

l

Resil

ienc

e pr

ogra

mm

es in

sc

hool

s e.

g. P

rime

Min

ister

s Yo

uth

Men

tal H

ealth

Pr

ojec

t

14/1

5

ongo

ing

Link

to s

choo

l bas

ed h

ealth

se

rvice

s

Posit

ive

pare

ntin

g14

/15

on

goin

gLi

nk w

ith W

DHB

Secu

re

Begi

nnin

gs

Unde

r thi

s se

t of a

ctio

ns w

e w

ill ha

ve re

gard

for o

ur m

ore

vuln

erab

le p

opul

atio

ns in

cludi

ng M

aori

and

Pacif

ic


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

3.

Addr

essi

ng In

equa

litie

sTo

incr

ease

Men

tal h

ealth

&

Add

ictio

n lit

erac

y of

yo

ung

Mao

ri an

d Pa

cific,

th

eir f

amili

es a

nd w

hana

u an

d re

duce

stig

ma

and

disc

rimin

atio

n

KPI 1

: Num

ber a

nd m

ix of

pe

ople

att

endi

ng M

H101

Deliv

erin

g he

alth

liter

acy

trai

ning

face

to fa

ce o

r on-

line

by M

aori

& P

acifi

c for

M

aori

& P

acifi

c chi

ldre

n &

yo

ung

peop

le

Deve

lop

or s

ourc

e cu

ltura

lly

appr

opria

te m

ater

ial t

hat i

s av

aila

ble

to u

se in

a v

arie

ty

of s

ettin

gs

14/1

5

deve

lop

an

d fu

lly

impl

emen

t-ed

15/

16

Link

Mao

ri He

alth

Gai

ns

team

, Pac

ific t

eam

, Mig

rant

po

rtfo

lio a

nd M

enta

l Hea

lth

Com

miss

ion

KPI 2

: De-

stig

ma

prog

ram

me

for M

aori

&

Pacif

ic yo

ung

peop

le b

y M

aori

& P

acifi

c usin

g so

cial

med

ia a

s a

vehi

cle w

ithin

tw

o ye

ars

Acce

ss to

lear

ning

op

port

uniti

es m

ade

read

ily

avai

labl

e in

a v

arie

ty o

f se

ttin

gs a

nd fo

rmat

s e.

g.

cour

ses

or s

hort

sou

nd

bite

s

15/1

6As

abo

ve

KPI 3

: Per

cent

age

of

exist

ing

& n

ew h

ealth

in

itiat

ives

inclu

de cu

ltura

lly

appr

opria

te co

nten

t

In p

artn

ersh

ip w

ith

agen

cies

e.g.

Le

Va

ensu

re y

oung

peo

ple

are

appr

opria

tely

trai

ned

or

sour

ced

to d

eliv

er th

e m

ater

ial

14/1

5Li

nk L

e Va

and

oth

er a

genc

ies

KPI 4

: Sur

vey

Mao

ri, P

acifi

c an

d ot

her v

ulne

rabl

e gr

oups

of y

oung

peo

ple

to

esta

blish

thei

r acc

ess

to

serv

ices

and

the

serv

ice

effe

ctiv

enes

s

Each

lear

ning

opp

ortu

nity

in

clude

s a

feed

back

cycle

w

hich

will

info

rm fu

ture

de

liver

y &

cont

ent o

f m

ater

ials

14/1

5

ongo

ing

Build

into

trai

ning

eva

luat

ion

Alig

ning

with

the

actio

ns in

W

orki

ng B

ette

r Tog

ethe

r ut

ilisin

g m

ater

ials

and

pr

ogra

mm

es th

at a

re

rele

vant

and

initi

ated

by

othe

r age

ncie

s

15/1

6 ·

Link

with

CAM

HS<

CADS

,

AODM

SD, E

duca

tion,

Te P

ou,

M

aori,

Hea

lth a

nd T

PK ·

Pote

ntia

l join

t DAP

initi

ativ

e

14

/15

·M

H Co

mm

issio

n ·

Rang

atah

i pro

ject


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

3.

Addr

essi

ng In

equa

litie

s (c

ontin

ued)

Ensu

re th

e un

ique

soc

ieta

l st

ruct

ures

, prim

arily

in

Mao

ri an

d Pa

cific

com

mun

ities

and

the

plac

e of

relig

ion

do n

ot a

ct a

s a

barr

ier t

o ac

cess

ser

vice

s

KPI 1

: Incr

ease

the

acce

ss

rate

s fo

r Mao

ri an

d Pa

cific

and

othe

r min

ority

gro

ups

to m

atch

nat

iona

l tar

gets

fo

r: ·Sp

ecia

list s

ervi

ces

·On

-line

tool

s re

sour

ces

·Pr

imar

y ca

re ·

Scho

ols

·Sc

hool

refe

rral

Data

colle

cted

to a

ccur

atel

y m

easu

re a

cces

sW

ork

to im

prov

e qu

ality

of

PRIM

HD d

ata

and

inclu

de

Prim

ary

Care

, HVA

Z an

d Ka

upap

a M

aori

and

stud

ent

heal

th s

ervi

ces

14/1

5

ongo

ing

·Co

llect

bas

e-lin

e da

ta o

f

acce

ss b

y et

hnici

ty

·In

pro

gres

s w

ith N

RA d

ata

clean

sing

initi

ativ

e

Serv

ice to

be

mor

e re

spon

sive

to M

aori

&

Pacif

ic

KPI 1

: 95%

of c

hild

ren,

yo

ung

peop

le a

nd th

eir

fam

ilies

repo

rt s

atisf

actio

n w

ith s

ervi

ces

Incr

ease

in s

atisf

actio

n le

vel w

ith s

ervi

ces

Impl

emen

t Men

tal H

ealth

Co

mm

issio

n’s

real

tim

e se

rvice

ass

essm

ent

14/1

5M

enta

l Hea

lth C

omm

issio

ner

KPI 2

: 95%

of c

hild

ren,

yo

ung

peop

le a

nd th

eir

fam

ilies

repo

rt s

atisf

actio

n re

gard

ing

thei

r abi

lity

to

influ

ence

ser

vice

s

Utilis

e fe

edba

ck fr

om

cons

umer

sat

isfac

tion

surv

ey &

gen

eral

feed

back

to

impr

ove

gene

ral

resp

onsiv

enes

s

15/1

6AD

HB o

n-lin

e su

rvey

(ann

ual /

in

clude

s sp

ecifi

c que

stio

ns)

4.

Fost

erin

g In

nova

tion

Child

ren,

you

ng p

eopl

e an

d th

eir f

amili

es/ w

hana

u w

ill d

irect

ly b

enef

it fr

om a

cu

lture

of i

nnov

atio

n an

d ne

w a

ppro

ache

s

KPI 1

: Num

ber o

f new

e-

heal

th in

itiat

ives

that

im

prov

e ac

cess

to s

eeki

ng

help

/ sup

port

Expe

rimen

t with

diff

eren

t te

chno

logi

es th

at re

mov

e ba

rrie

rs a

nd im

prov

e ac

cess

to

thos

e se

ekin

g he

lp/

supp

ort

Proa

ctiv

ely

link

with

na

tiona

l chi

ld &

you

th

e-he

alth

rela

ted

initi

ativ

es

14/1

5 ·

Link

with

MSD

soc

ial m

edia

initi

ativ

e

·M

oH ·

Yout

hlin

e ·

Yout

h Al

lianc

e

KPI 2

: Per

cent

age

on-li

ne

serv

ice h

itsDe

velo

p re

sour

ce o

f e-s

elf-

help

tool

s / r

esou

rce

links

15/1

6 ·

Build

on

stoc

ktak

e e.

g. w

ork

WDH

B ha

s do

ne

·M

oH

·Lo

ok a

t hea

dspa

ce a

nd

ot

her i

nitia

tives

KPI 3

: Num

ber o

f lea

rnin

g ev

ents

hel

d an

d fe

edba

ckEs

tabl

ish lin

ks to

on-

line

peer

sup

port

initi

ativ

es14

/15

on

goin

gBi

g w

hite

wal

l for

17+

KPI 4

: Num

ber o

f new

co

ntra

ctin

g m

odel

s ev

alua

ted

and

tria

lled


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

4.

Fost

erin

g In

nova

tion

(con

tinue

d)Cr

eate

an

annu

al le

arni

ng

sym

posiu

m (r

egio

nal)

Link

with

oth

er re

gion

al

child

& y

outh

men

tal h

ealth

ne

twor

ks

14/1

5

ongo

ing

Link

with

RCA

MHS

Link

with

Wer

ry C

entre

and

ot

her g

roup

s to

exp

lore

the

oppo

rtun

ity to

sup

port

at

leas

t thr

ee le

arni

ng e

vent

s ov

er th

e ne

xt 2

yea

rs e

.g.

RCAM

HS

15/1

6Li

nk W

erry

Cen

tre, A

uckl

and

Univ

ersit

y Sc

hool

of P

opul

a-tio

n He

alth

We

will

link

into

virt

ual

lear

ning

net

wor

ks in

this

field

15/1

6 on

go

ing

·St

ockt

ake

·Li

aise

with

Wer

ry C

entre

Expl

ore

mod

els

for

cont

ract

ing

that

sup

port

in

nova

tion,

stre

ngth

en

outc

omes

and

ena

bles

a

part

ners

hip

appr

oach

Iden

tify

appr

opria

te

cont

ract

mod

els

e.g.

resu

lts

base

d ac

coun

tabi

lity

or

socia

l bon

ds

15/1

6Aw

ait n

ew F

undi

ng a

nd

Plan

ning

str

uctu

re

Part

ner w

ith o

ther

hea

lth

& s

ocia

l car

e ag

encie

s to

id

entif

y jo

int c

ontr

actin

g op

port

uniti

es

15/1

6As

abo

ve

Diffe

rent

mod

els

are

tria

lled

and

eval

uate

d15

/16

tria

l, ev

alua

tion

conc

lude

s 17

/18

As a

bove

Unde

r thi

s se

t of a

ctio

ns w

e w

ill ha

ve re

gard

for o

ur m

ore

vuln

erab

le p

opul

atio

ns in

cludi

ng M

aori

and

Pacif

ic


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

5.

Wor

kfor

ce D

evel

opm

ent

The

lived

exp

erie

nce

of

child

ren,

you

ng p

eopl

e an

d fa

mili

es/w

hana

u is

a

valu

ed co

ntrib

utor

to

pers

onal

resi

lienc

e an

d re

cove

ry, p

eer s

uppo

rt a

nd

othe

r for

ms

of h

elp

and

trea

tmen

t

KPI 1

: Yea

r on

year

gro

wth

in

pee

r sup

port

role

sIn

crea

sed

oppo

rtun

ities

fo

r em

ploy

men

t and

pee

r su

ppor

t for

thos

e w

ith liv

ed

expe

rienc

e

Esta

blish

a w

orkf

orce

pla

n fo

r pee

r sup

port

14/1

5 ·

Wor

k w

ith R

CAM

HS a

nd

W

erry

Cen

tre ·

Regi

onal

wor

kfor

ce ·

ADHB

wor

kfor

ce ·

Iden

tify

a w

orkf

orce

ch

ampi

on fo

r Chi

ld a

nd

Yo

uth

KPI 2

: Per

cent

age

of p

eopl

e in

wor

kpla

ce w

ith id

entif

ied

lived

exp

erie

nce

(who

le

wor

kfor

ce) t

hrou

gh a

n an

nual

ano

nym

ous

surv

ey

Activ

ely

wor

k w

ith W

erry

Ce

ntre

to d

evel

op y

outh

pe

er s

uppo

rt tr

aini

ng

14/1

5

deve

lop.

15

/16

de

liver

KPI 3

: All j

ob d

escr

iptio

ns

inclu

de a

lived

exp

erie

nce

as d

esira

ble

Wor

k w

ith fu

ndin

g &

pl

anni

ng to

exp

lore

em

ploy

men

t opp

ortu

nitie

s fo

r you

ng p

eopl

e

15/1

6W

orkf

orce

cent

res

KPI 4

: Tra

inin

g &

orie

ntat

ion

to in

clude

pee

r sup

port

ex

perie

nce

Live

d ex

perie

nce

is re

fram

ed a

s a

valu

able

lif

e sk

ill ba

se fo

r res

ilienc

e re

cove

ry, s

ervi

ce p

lann

ing

&

prov

ision

Prov

ide

mor

e tr

aini

ng

oppo

rtun

ities

for p

rimar

y ca

re, n

ursin

g/m

edica

l tr

aini

ng p

rogr

amm

es

15/1

6

ongo

ing

KPI 5

: Num

ber o

f sta

ff tr

aine

d in

the

use

of v

irtua

l to

ols

Wor

k w

ith tr

aini

ng

prov

ider

s (in

tern

al) &

un

der/

post

gra

duat

e pr

ovid

ers

15/1

6

ongo

ing

KPI 6

: Num

ber o

f sta

ff w

ith

cros

s ag

ency

exp

erie

nce

Esta

blish

you

th a

nd fa

mily

re

fere

nce

grou

ps14

/15

KPI 7

: Ann

ual w

orkf

orce

pr

ofile

refle

cts

popu

latio

n di

vers

ity b

oth

cultu

ral a

nd

age

Rein

forc

e se

lf/w

hana

u di

rect

ed ca

re14

/15

on

goin

g


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

Ther

e is

a w

orkf

orce

th

at h

as th

e sk

ills

mix

an

d di

vers

ity th

at is

su

stai

nabl

e in

to th

e fu

ture

. It i

s co

nfid

ent

to w

ork

fluid

ly a

cros

s or

gani

satio

nal b

ound

arie

s an

d w

ith v

irtua

l too

ls

Wor

kfor

ce p

lan

is de

velo

ped

and

impl

emen

ted

that

re

flect

s fu

ture

wor

kfor

ce

requ

irem

ents

and

Hea

lth

Wor

kfor

ce N

ew Z

eala

nd’s

natio

nal p

lan

Impl

emen

t a w

orkf

orce

pl

an th

at in

clude

s: ·

Defin

ition

of p

oten

tial

shift

in w

orkf

orce

re

quire

d to

mee

t

th

e di

vers

ity o

f our

po

pula

tion

·De

finiti

on o

f who

do

es w

hat a

nd w

here

so

we

wor

k in

diffe

rent

way

s

and

in d

iffer

ent p

lace

s ·

Conf

irmat

ion

of ro

le o

f

yo

ung

peop

le w

ith liv

ed

ex

perie

nce

in re

latio

n to

in-s

ervi

ce tr

aini

ng fo

r

st

aff

·Ac

ross

age

ncy

and

co

ntin

uum

wor

k

expe

rienc

e ·

Incr

easin

g sk

ills a

nd u

se

of

on-

line

tool

s ·

Refle

ctio

n of

you

th a

nd

cu

ltura

l div

ersit

y /

iden

tity

·Or

ient

atio

n an

d

inte

rnsh

ip p

rogr

amm

es

th

at p

repa

re a

nd e

quip

staf

f to

know

how

they

can

cont

ribut

e to

add

ress

our k

ey s

ix pr

iorit

ies

14/1

5

Deve

lop

staf

f sk

ill m

ix so

that

the

core

set

of

com

pete

ncie

s en

able

s us

to

have

“th

e rig

ht s

taff

at t

he

right

pla

ce a

t the

righ

t tim

e w

ith th

e rig

ht s

kills

”

14/1

5

deve

lop,

fu

lly

impl

emen

t-ed

16/

17

Unde

r thi

s se

t of a

ctio

ns w

e w

ill ha

ve re

gard

for o

ur m

ore

vuln

erab

le p

opul

atio

ns in

cludi

ng M

aori

and

Pacif

ic


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

6.

Wor

king

Bet

ter T

oget

her

The

who

le sy

stem

wor

ks

toge

ther

to im

prov

e pr

oces

s an

d ac

cess

for

child

ren,

you

ng p

eopl

e an

d th

eir f

amily

/ wha

nau

to

the

appr

opria

te s

ervi

ces

at

the

right

tim

e

KPI 1

: Tra

ck n

umbe

r of

agre

ed m

ulti-

agen

cy

shar

ed p

lans

Ther

e w

ill be

agr

eed

refe

rral

pa

thw

ays

for v

ario

us le

vels

of

nee

d - e

spec

ially

thos

e w

ith h

igh

need

and

mul

ti-ag

ency

invo

lvem

ent

Esta

blish

a w

orki

ng g

roup

be

twee

n AD

HB, W

DHB,

M

SD &

Edu

catio

n fo

r m

ultia

genc

y re

ferr

al/

path

way

s an

d di

scha

rge/

tran

sitio

n

2013

/14

Build

on

exist

ing

wor

k w

ith

WDH

B

KPI 2

: Red

uced

wai

t tim

es

for r

each

ing

agre

ed s

hare

d ca

re p

lan

Use

exist

ing

coor

dina

tion

proc

esse

s m

ore

effe

ctiv

ely

e.g.

Gat

eway

and

St

reng

then

ing

Fam

ilies

2013

/14

·Ne

ed to

exp

lore

furt

her

·Yo

uth

Allia

nce

·St

reng

then

ing

Fam

ilies

·- G

atew

ay

KPI 3

: Agr

eed

refe

rral

pa

thw

ayJo

int c

are

plan

ning

and

pr

iorit

isatio

n fo

r tho

se w

ith

high

nee

d an

d m

ulti-

agen

cy

invo

lvem

ent

2013

/14

·As

sess

exis

ting

netw

orks

·Ho

mel

essn

ess

Oper

atio

ns

Gr

oup

KPI 4

: Ann

ual s

ampl

e au

dit

of s

hare

d ca

re p

lans

Wha

nau

ora

initi

ativ

es w

ill be

use

d a

s ba

sis fo

r the

w

hole

fam

ily a

ppro

ach

Link

s w

ill be

stre

ngth

ened

w

ith A

DHB

Wha

nau

ora

initi

ativ

es a

nd P

acifi

c &

Mao

ri He

alth

Pla

ns

14/1

5DA

P 14

/15

Join

t car

e pl

an &

pr

iorit

isatio

n fo

r tho

se w

ith

high

nee

d an

d m

ultia

genc

y in

volv

emen

t

14/1

5

ongo

ing

Link

to jo

int w

orki

ng g

roup

s

Who

le o

f sys

tem

reso

urce

s an

d co

ntac

ts a

re w

ell

unde

rsto

od b

y al

l age

ncie

s so

for t

he p

ublic

“any

doo

r is

the

right

doo

r”

Clea

r list

of s

take

hold

ers

and

key

cont

act p

oint

s14

/15

on

goin

g up

date

Link

to s

teer

ing

grou

p

Use

of w

eb-b

ased

tool

s to

ass

ist in

linki

ng w

ith

serv

ices

and

refe

rral

pa

thw

ays

15/1

6St

arsh

ip w

ebsit

e


Oppo

rtun

ityBe

nefit

s/ K

PIs

Deliv

erab

le

Key

Actio

nsTi

mel

ine

Stat

us/

Reco

mm

enda

tion

Stre

ngth

enin

g of

cons

ult

liaiso

n se

rvice

s fo

rm A

DHB

Child

& Y

outh

Men

tal h

ealth

14/1

5

ongo

ing

Build

on

mul

ti-ag

ency

wor

k

Serv

ices

know

how

to

navi

gate

thes

e se

rvice

s ra

ther

than

the

youn

g pe

ople

or f

amily

/wha

nau

need

ing

to k

now

14/1

5

ongo

ing

·Or

ient

atio

n ·

Exist

ing

wor

k

Lear

n fro

m, a

nd w

here

ap

prop

riate

par

ticip

ate

in

initi

ativ

es s

tart

ed b

y ou

r ag

ency

par

tner

s or

from

ov

erse

as

15/

16M

SD, E

duca

tion

Unde

r thi

s se

t of a

ctio

ns w

e w

ill ha

ve re

gard

for o

ur m

ore

vuln

erab

le p

opul

atio

ns in

cludi

ng M

aori

and

Pacif

ic

Infant mental health issues affect 16-18% of infants

www.adhb.govt.nz

The Integrated Child and Youth Mental Health and Addictions Strategy 2013-2023

integrated child and youth mental health and addiction

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