2019 National Forum "Anake, kihai koe e hoe te waka Ki te - - PowerPoint PPT Presentation

2019 National Forum

"Anake, kihai koe e hoe te waka Ki te mahia te neketanga o te moana, he maha nga Kaihoe."

"You do not paddle the waka alone it takes many paddlers to make the waters shift."

Tuia ki runga Tuia ki raro Tuia ki roto Tuia ki waho Tuia te herenga tangata Ka rongo te Ao Ka rongo te Pō Haumi ē Hui ē Tāiki ē United above United below United within United from without United as one people Alert to the day Alert to the night Bind together Gather together Make it so

He Hōnore

He hōnore, He korōria Maungarongo ki te whenua Whakaaro pai e Ki ngā tangata katoa Ake ake, ake ake A... mine Te Atua Te Piringa Tōku oranga Tōku oranga Honour, Glory (to God) Peace on earth Goodwill to all people Forever and ever Amen Lord God, My pillar My Sustenance My Sustenance

OFFICIAL RELEASE OF

NEW CAPA RESOURCES

Te Aroha

Te aroha Te whakapono Me te Rangimarie Tātou, tātou e Love Faith Peace For us all

Ānei Rā Te Whānau

Ānei rā te whānau O te whare oranga E tū tahi tātou Kia kaha rā Ka nui te aroha Mo ngā mamae nui e, auē Ma te whakapono tātou E whiwhi oranga Kaua e mataku He rangatira koe Hāpaitia te mauri Me te wairua Ka nui te aroha Mo ngā mamae nui e, auē Ma te whakapono tātou E whiwhi oranga Ma te whakapono tātou E whiwhi oranga Here we are, the whānau Of the house of wellbeing Standing together Standing strong In great compassion Towards the suffering, auē With trust all of us Will heal again Do not fear For you are a rangatira Sustain the life force And the spirit within In great compassion Towards the suffering, auē With trust all of us Will heal again With trust all of us Will heal again

Tu Tira Mai

Tū tira mai ngā iwi (Aue!) Tātou, tātou ē Tū tira mai ngā iwi (Aue!) Tātou, tātou ē Whāia te māramatanga Me te aroha (E ngā iwi) Ki-a tapatahi Kia kotahi rā Tātou, tātou ē... ...Tātou, tātou ē

A GUIDELINE FOR PARTNERSHIP

This guideline aims to clarify the intent and necessary components for Partnership as implemented under CAPA. It describes the principles of Partnership and provides a framework to support the core skills and knowledge required to undertake Partnership. The guideline has been developed to support new clinicians, clinicians who are new to CAPA and Partnership, and teams looking to have a consistent CAPA approach to care.

CAPA AND JOB PLANNING

Many clinicians wonder what CAPA implementation in their service means for the work plan and the job-planning process. This is a guide to the various parts of the CAPA job planning process and what is included in the content of a job plan, along with explanations for each.

A GUIDELINE FOR LETTING GO

This guideline aims to enhance the understanding

• f the letting go process within the CAPA
• framework. The guideline has been developed to

support new clinicians, clinicians who are new to CAPA, and teams looking to have a consistent CAPA approach to care. Having a systematic approach to letting go and understanding the CAPA service model and all its elements is essential in assisting services to meet the needs of children, young people and their families/whānau.

SERVICE USER GUIDE

This resource has been developed in consultation with young people to help explain the journey through a CAPA CAMHS service.

SERVICE USER GUIDE TEMPLATE

This template has been designed to assist communications teams with developing a resource for young people to explain the journey through a CAPA CAMHS service. Services can use this template and add in additional logos as required.

The Choice and Partnership Approach (CAPA)

https://werryworkforce.org/CAPA

AFTERNOON SESSION

An overview of the well-being in primary schools initiative in Canterbury offering Choice and Partnership Mana Ake- Stronger for Tomorrow

Mana Ake - The Context

We know that there are long term impacts from natural disasters and other traumatic events:

• Young children are most vulnerable
• They may experience long-lasting negative effects into adulthood
• There is evidence of intergenerational transmission of experiences related to

disaster And…. we know that there is an increasing focus on mental health/wellbeing concerns in children and young people and their families/whānau globally

What is Mana Ake?

A multi-agency initiative established in March 2018; collaboratively developed by health, education, police, non-government organisations and consumers Three key elements:

• 80 additional roles (FTE) made available in schools
• Changing the way we work – improving and supporting collaboration and enhancing

existing resources in schools

• A web-based tool – Leading Lights – co-designed to support consistent navigation

through the pathway of support for a child or young person Aims:

• To promote wellbeing and positive mental health for students in years 1-8
• Focuses on early-intervention (early in the life of the problem)

Mana Ake – Additional 80 FTE

• Workers (kaimahi) have a diverse range of skills and include psychologists, social

workers, whānau ora kaimahi, counsellors and youth workers

• Employed directly by 13 non-government organisations (NGOs) who make up the

provider network

• Operate as a virtual team – kaimahi don’t have a single office and are not all from any
• ne location or organisation
• Can support individual children and groups of children and provide advice, guidance

and support for teachers and parents/whānau

• Mixed skill set to quickly respond to the needs of a child as wellbeing concerns arise

Mana Ake – Changing how we work…

• Promotes collaboration: Clusters of schools, kura, early childhood education (ECE) and

support services

• Ensures resources are targeted most effectively to those who need them
• Focuses on communities
• Focuses on early intervention
• Increases access to specialist services

Mana Ake – Leading Lights

• A website designed specifically for teachers and education professionals
• Helps to identify children with specific health, learning or wellbeing needs and provide

ideas and strategies of about how these children are best supported within schools Leading Lights guidance includes:

• Recognising and responding to a child’s mental and physical health, behavioural or

learning needs

• Advice and resources for supporting individual children, the class, the family/whānau,

and support agencies

• How to request specialist and support services in the local education and health

systems

• www.leadinglights.org.nz

To build on the good things that are in place and enhance them by strengthening collaboration across the support network Working together to understand where the need is and how best to use the resources we have to address it. In essence: The underpinning philosophy is CHOICE AND PARTNERSHIP

Intent of Mana Ake

Mana Ake -The Practice Framework: Underpinning Values…

Practice guided by a Practice Framework (strengths based, collaborative, ‘light-touch’ enhancing not replacing…) Assessment process is guided by a Choice framework Potential for Choice to Partnership across sectors: Choice in a Mana Ake setting, Partnership in ICAMHS where indicated…

Mana Ake – Practice in Motion

Children: Children supported by family/whānau to connect to school and community – presence, participation and learning/achievement. Whānau: Healthy, safe, strong families – community services supporting children to stay well, child health equity, nutrition, community connectedness. School: School community strengthens wellbeing for children and family/whānau – child wellbeing and school connection with whānau and community, building confident teachers that know where to go for assistance and support. System: Better connection and collaboration across the system – easy to navigate, fit-for- purpose, right child, right time, right place, no wasted time, services working together

Mana Ake –Evaluation

Mana Ake – What are we seeing so far…

• The issues arising are what we expected - children who need more support and self-

esteem building

• Universal themes - anxiety, support for grief, loss e.g. parents separated or students

who have issues with regular attendance

• Good outcomes – more students engaging with the service, improved relationships

between kaimahi and existing school supports, increased awareness in parents and some early positive feedback from families

Bronwyn Dunnachie: b.dunnachie@auckland.ac.nz

Mana Ake Contact

WAITEMATA DHB MARINOTO AND HEALTHWEST YOUTH HUB

MARINOTO AND HEALTHWEST

• Started in an attempt to address stretched service demands within

Waitemata CAMHS

• The service follows a pilot service provided late 2014 -Mar 2015
• Youth Hub service provides assessment and brief intervention for

children and adolescents aged 12 to 19 years who present at the mild end of secondary mental health problems but are not in crisis

• r in acute stages of un-wellness.

MARINOTO AND HEALTHWEST

• Relationship remains active between these services since pilot
• Attend each others weekly triage meetings
• An agreed easy pathway into CAMHS for these young people if

necessary:

• If the young person is seen by the HealthWest CHOICE clinician and

deemed too severe for them – referred into Marinoto

• Partnership goals identified with the HealthWest clinician and the young

person - then directly into partnership

MARINOTO AND HEALTHWEST

Three-prong approach 1. Looking after staff 2. Relationships with community agencies/service 3. Relationship between providers eg information sharing, patient rights

MARINOTO AND HEALTH WEST Keys to success

• Good relationships
• Robust conversations
• Being intentional
• Governance meetings involving funder

Identifying opportunities to work with others within your community

• Looking at different ways of working - together
• Who can you invite around the table
• Co-design opportunities
• Design and define pathways
• CAMHS a service of last resort

WORKSHOP

• Teams from the same service can work together on one worksheet.
• If you are a sole service representative today, join a group with
• thers to discuss the questions, but record your own service

information to take back to your team.

"Anake, kihai koe e hoe te waka Ki te mahia te neketanga o te moana, he maha nga Kaihoe."

"You do not paddle the waka alone it takes many paddlers to make the waters shift."