MidlandRegionalAddiction Forum MinistryofHealth Presentation - - PDF document

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MidlandRegionalAddiction Forum

MinistryofHealth Presentation Meeting7July2010

Ministry/SectorChanges

2010SectorRestructuring:

• MinistryofHealth
• NationalHealthBoard
• Workforce
• QualityandSafety
• SharedSupportServices

PopulationHealth

• TheMentalHealth,Alcoholand

DrugPolicyGroup(MHADP)will coveralltheissuesfrom prevention,promotion,and interventionservicesintheareas

• fmentalhealth,problem

gambling,alcoholandotherdrugs

• CombinesformerMentalHealth

GroupandMinimising HarmGroup

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MentalHealth,AlcoholandDrug Policy

• NationalDrugPolicy
• ProblemGambling
• AddictionTreatmentServices
• MentalHealthPolicy
• MentalHealthProgramme

Development

• MentalHealthProtection
• OfficeoftheDirectorofMental

Health

Functions

TheGroupwillhavefunctionsfor:

• Policydevelopmentincludingoverview

andevaluationoftheimpactofmental health,alcoholanddrugpolicy implementation

• Responsibilityforregulatoryand

legislativeframeworks

• Providenationalleadershiptothe

mentalhealth,addiction,drugand alcoholsectors

• Fundingfunctionstobealignedwith

NHB

DriversofCrime

• LaunchedbyHonSimonPower,Minister
• fJusticeandHonPitaSharples,

MinisterofMāori Affairs

• Anewapproachtodealingwith
• ffendingandvictimisation
• Meansgettingseriouswithhowtostop

crimefromhappening

• Shiftsresponsefromaftercrimehas

happened

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DriversofCrimeMeeting3April 2009

• Over100invitedonlyattendees
• Includedthoseatthefrontlineof
• ffendingpreventionandintervention,

researchersandacademics,MPs,and

• fficials
• KeynotepresenterwasProfessorRichie

Poulton

• Agendasettodiscussidentifying

driversofcrime– addressingthemto comelater

• MinistryofJusticetoleadresponse

AddressbyRichie Poulton Whatcantheevidencetellus?

• Naturevs nurturedebateisdead
• Whilegenesmayplayapart,themost

importantfactoristheenvironment

• Itisthecombinedeffectsofmultiple

adversitiesthatdrivescriminal behaviour

DevelopmentalPathwaysto AntisocialBehaviour

Twomajorpathwaystocrime:

• Firstgroupdisplayantisocialbehaviour

veryearlyinlife– thisbehaviour persistsandgenerallyworsensasthey getolder

• Othermuchlargergroupstarts

antisocialbehaviour inadolesence,is typicallyinfluencedbypeers,and generallystopsinearlyadulthood

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BadBehaviour =BadOutcomes

• Antisocialbehaviour thatstartsearlyin

lifeandpersistsovertimeisnotonly associatedwithpoormentalhealth,bad relationships,andcriminalbehaviour, butalsowithawiderangeofphysical healthproblems

• Thechildabuseanddomesticviolence

weareconcernedaboutisperpetrated byindividualswhohaveshown antisocialbehaviour sincechildhood

• Itispossibletoidentifythemearlyin

life

TheImplicationsofIntervention

• Interventionsmustbetailored

specificallytoeachofthesetwogroups tobeeffective

• Forearlyon=set,mustbeasearlyas

possible,forbothchildandfamily

• Foradolescentonset,mustbeat

individuallevel,giventhatbehaviour is drivenbypeerinfluence– group intervention,includingprison,isthe worstpossibleresponse

SummaryofDiscussionby Participants

• Noonesimpleanswer
• Involvesinterplaybetweenfamily,

community,educationalenvironments

• Issuesofalcohol,druguseandthe

justicesystemresponsefurther exacerbatesituation

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Family,Communityand EducationEnvironments

• Poorparenting,pooreducation

attachmentanddisconnectednessfrom widersocietycontributetocrime

• Theseissuesmoreconcentratedin

somecommunities

• Transferredacrossgenerationswithin

somefamilies

UnderlyingDriversofCrime

• SameforMāori andnon=Māori
• Prevalenceofsomeriskfactorssuchas

poverty,transience,youngmothers, soleparentfamiliestendstobehigher forMāori

• Appropriateresponsesmayneedtobe

differentforMāori,includinggiving Maoriownershipandvoiceinthe developmentofresponsestaking whānau conceptsintoaccountand buildingresilience

TwoOtherInfluences

Whilenotdriversofcrime,thesefactors influenceresponsestoanyofthe drivers

• Howthereportingofcrimeinthemedia

affectsthepublicperceptionofcrime

• HowGovernmentpoliciesareoften

fragmentedandlackcommitmentto longertermapproaches

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• Discussedbymostgroupsasa

contributororfacilitatortocrime,rather thanadriver

• Loweringtheagelimithasopened

accesstoevenyoungerindividuals

• Increasingnumbersofliquoroutlets,

particularlyinmarginalised &vulnerable communities

• PerceivedlackofAODtreatment

OtherGeneralDiscussion

• Manyoftheissuesinserviceprovisionare

aroundtransitionsbetweenservicesand stages:betweenschools,fromkohanga to mainstream,fromprisontocommunity, betweenagencies

• MentalHealthissuesandcrime– maternal

mentalhealth,undiagnosedmentalhealth issuesinyoungpeople,theroleofthejustice systemindealingwiththeeffectsofmental illness,andtheuseofprisonstohouse mentallyill

• Valueformoneyingovernmentfunding–

needtobecosteffective,stopfundingwhat doesn’twork

ProgresstoDate

FourWorkStreamsEstablished:

• Improvingthequantity,qualityand

effectivenessofmaternityandearly parentingsupportservices,particularlyfor thosemostatrisk

• Addressingconductandbehavioural

problemsinchildhood

• Reducingtheharmfromalcohol,and

improvingtheavailabilityandaccessibility

• fAODtreatmentservices
• Identifyingalternativeapproachesto

managelow=levelrepeatoffendersand

• fferingpathwaystosuccess

7 CommonThemestoDate

• Needtotakeamoreclient=driven

approachtogovernmentservice delivery

• Includeschangingthewaythat

servicesarecontractedanddelivered sothattheyarebetterintegratedand moreresponsivetoindividual,family/ whānau andcommunityneeds

• Examplesofrelevantdevelopments

include:Whānau Ora;Better,Sooner, MoreConvenientPrimaryHealthCare; andIntegratedServiceResponse/ CommunityLink

Next6monthsforDriversof Crime

Focuswillbeon:

• Continuingtheimplementationof

solutionsthatarealreadyunderway;

• Completingthedesignoffurther

solutionstoaddressidentifiedissues andbarriers;and

• Continuingtoworkonthesignificant

challengeofimprovingoutcomesfor Māori.

Solutions

• Somesolutionsinvolverelatively

minorchangestoexistingpolicyand programmes,e.g.improvingskillsand capacityinnon=healthsectoragencies toaddresslowlevelalcoholproblems

• Othersolutionsinvolvesubstantive

changestocurrentlegislationand policysettings(e.g.saleandsupplyof liquor)andexpansionofservices(e.g. servicestoaddressconductand behaviour problems)

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WorkingTogetherinaNew WorldWorkshop

ForJusticeSector=

• Identifycurrentlevelofaccess
• UnderstandCJSclientstreatment

needs

• Identifyfuturedemand
• Understandbarrierstotreatment
• Developevidence

WorkshopQuestion

• Whatisthedemandforyourservices

fromCJS– somemanymostall

• IstheAODtreatmentneededforCJS

clientsdifferentfromotherpeoples,if sohow?

• Whatisyourrelationshiplikewith

Courts,Probation,Police,ParoleBoard – whatworks/whatdoesn’t?

• Awaretherearechallenges,barriers,

butwhatarethesolutions?