TO GREAT OUTCOMES W HAT IS A GREAT OUTCOME H OW DO WE SUPPORT - - PowerPoint PPT Presentation

MENTAL HEALTH NEEDS ASSESSMENT SERVICE COORDINATION

BUILDING BRIDGES

TO GREAT OUTCOMES

WHAT IS A GREAT OUTCOME

HOW DO WE SUPPORT ACHIEVEMENT OF

GREAT OUTCOMES

Client Profile

• Glen

Mental Health Physical Health Psycho social Opioid and Benzodiazepine addiction 52 year old male Socially isolated Opioid treatment for 15ys HIV, Hep B & C + Homeless – Multiple Eviction History of psychosis and anxiety COPD - smoker Victim of assault Osteoporosis Poor functionality Renal impairment Poor engagement with services Urinary incontinence Blindness – Left eye

REASON FOR REFERRAL TO NASC

Been offered Easy Access Emergency

Housing, with pre-requisite as Te Ara Pai support

Due to complex presentation, Service

Co-ordinator allocated.

ROUND 1 - SERVICES INVOLVED

Glen

Te Ara Pai – Health and Welling Advocacy Easy Access Housing Opioid Treatment Service Te Ara Pai – HBSS MH NASC

INCIDENT

ROUND 1 - OUTCOME

OTS

Te Ara Pai - HBSS

Te Ara Pai – Health & Wellbeing

MH NASC Easy Access housing The night shelter Advocacy

Let’s do this again

ROUND 2 - CLIENT RE-

REFERRED TO MH NASC

Glen

Te Ara Pai - Navigation Personal Health NASC – Care Coordinatio n MH NASC

Homeless Team

Te Ara Pai Health and Wellbeing

PLANNING MEETING AGENDA

 Issues  Unable to attend to personal cares  Has no furniture  Benefit status unknown  We don't know what Glen is capable of  No food, no clothes  Not on methadone – no primary MHAID team  No plan for managing risk  Dizzy when getting out of bed  No family connections/supports  No GP connections or follow up for day to day health

needs

ROUND 2 - OUTCOME

Access Home Help

• WINZ
• Meals on

wheels

• Grocery
• GP
• OTS

OT assess ment

• Orthopedic

clinic

• ACC

WHAT WAS DIFFERENT

 Reset from zero whilst remembering what didn’t work last time.  Service Co-ordinator took lead in facilitating and coordinating. Cheer

leading.

 Kept people involved  Held hope  Didn’t panic  Let client be the expert of his issues.  Kept meeting together – intentionally with outcomes and plans  Identifying key roles  All people flexed their role to meet needs together  People became generous with skills and resources.  Didn’t give up when things got too hard  Client expressed he felt love and respect. Hope for the future..

Became present in discussions about his future needs, Contributed as a partner.

 Focussed on solutions not problems

“BEING OPTIMISTIC IS NOT ABOUT PASSIVELY

HOPING THINGS WILL GET BETTER; BUT HAVING THE FAITH IN THE CAPABILITY OF FELLOW HUMAN BEINGS, TO BE ABLE TO MAKE THINGS BETTER REGARDLESS OF HOW BAD THE SITUATION IS; THAT WE CHOOSE TO BELIEVE IN OTHERS, NOT FEELING DESPAIR NOR SIMPLY IGNORE”