New Zealand Mental Health and Addiction Derek Thompson Manager - - PowerPoint PPT Presentation

New Zealand

Mental Health and Addiction Derek Thompson Manager Mental Health, Service Commissioning 27 February 2017

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Wellington NZ

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Vote Health

• Approximately

NZ$16Billion per annum total Vote

• Mental health

spend approx. NZ$1.4 Billion

• 20 DHBs

Private and NGO providers

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New Zealand Health Strategy

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New Zealand Health Strategy

Health links with the wider environment

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Strategic Planning

• NZ Health Strategy released April 2016
• Revised Gambling Harm Minimisation Strategy 2016/17 to 2018/19
• National drug Policy 2015 to 2020
• Substance Abuse Compulsory Assessment and Treatment Act 2017
• Health of Older Peoples Strategy in development
• New Mental Health and Addiction Strategy in development
• New Suicide Prevention Strategy in development
• Social Investment approach at a whole of government level - Health

working inter-sectorial with other social sectors to improve

• utcomes ( mental health and addiction interface with Corrections,

Police, Justice, Education, Social Development )

• Social Investment Unit mental health test case in development

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Moving to a population outcomes approach

• Mental Health and Addictions Commissioning framework

published August 2016

• Developing a Mental Health and Addiction Population

Outcomes Framework (He Tangata)

• Rural mental health framework in development
• National Youth Forensics Unit opened April 2016
• Youth Mental Health Programmes – Evaluation report

published December 2016

• Anti-discrimination stigma campaign – Like Minds Like

Mine.

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An Integration focus

• Pharmacy Action Plan 2016-2020 published June 2016 –
• pportunities for the role of Pharmacists to manage and

support mental illness in the community.

• Improving primary and community mental health - National

telehealth services e.g. expert advice line in development.

• Supporting Parents Healthy Children Guidelines published

published 29 September 2015

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E- therapy Online help

• SPARX an online fantasy game for youth which delivers

cognitive behavioural therapy disguised as a computer game

• National Depression Initiative programme - The Journal

and online programme that coaches people through lessons on improved nutrition, exercise, better sleep, positivity and structured problem solving therapy

• The SPGETTI (Smartphone-based Problem Gambling

Evaluation and Technology Testing Initiative) study, developed and tested a novel smartphone application (“app”) to see if it was a feasible way to provide additional support to people with gambling problems associated with pokies.

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Rising to the Challenge: the Mental Health and Addiction Service development Plan 2012 to 2017

‘All New Zealanders will have the tools to weather adversity, actively support each other’s wellbeing, and attain their potential within their family and whānau and communities.’

Rising to the Challenge aims to improve outcomes for people who use primary and/or specialist mental health and addiction services, including their families and whânau. The 100 actions are grouped into four goal areas:

• Actively use our current resources more effectively
• Building infrastructure between primary and specialist services
• Cementing and building on gains in resilience and recovery
• Delivering increased access.

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New Zealand Suicide Prevention Strategy 2006–2016

• Its overarching aim is to reduce the rate of suicidal behaviour

and its effects on the lives of New Zealanders, while taking into account that suicide affects certain groups more than others.

• The strategy has 7 goals.
• Promote mental health and well-being, and prevent mental health

problems.

• Improve the care of people who are experiencing mental disorders

associated with suicidal behaviour.

• Improve the care of people who make non-fatal suicide attempts.
• Reduce access to the means of suicide.
• Promote the safe reporting and portrayal of suicidal behaviour by the

media.

• Support families/whānau, friends and others affected by a suicide or

suicide attempt.

• Expand the evidence about the rates, causes and effective

interventions.

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National Drug Policy 2015-2020

Key goal : to minimise harm from alcohol and drug use, and promote and protect health and wellbeing. It does this through a balance of measures that:

• reduce harm that is already occurring (problem limitation).
• reduce the desire to use alcohol and other drugs (demand

reduction)

• prevent or reduce the availability of alcohol and other drugs (supply

control) Drug policy is a complex area that requires input and participation from a wide range of government and non-government agencies, including the Ministry of Health. The National Drug Policy 2015-2020 has a focus on collaboration and emphasises that everyone can have a role in reducing harm from alcohol and other drugs.

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Challenges

3% 17% 80% 3.7%

In 2015, a record number of people accessed specialist mental health and addiction services. This increase is consistent with international trends, and has occurred in the context of population growth. This is placing pressure not just on the health system, but across the social sector.

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System level change

• A system that knows when to :
• Watch
• Walk along side
• Hold hands
• and Hug

He aha te mea nui o te ao ? He Tangata, He Tangata, He Tangata

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Thank you