Midland MH&A Projects 15/16

Addiction Residential Continuum Project


Project Statement

In July 2014, the MR Addiction Forum prepared a paper “Uniform AOD Residential Placement Criteria” as part of an ongoing discussion at the Midland Regional level about the efficacy and efficiency of the currently purchased regional residential AOD services (bed based).

Future planning of effective services for addictive disorders requires the development of common language that describes 1) assessment of a person’s severity of illness; 2) the treatment levels of care provided; and 3) the clinical criteria guiding the most efficient placement of people in the continuum of care.

A project is required to provide clarity regarding what is currently purchased, how it meets the needs of Midland clients and whether the Midland service continuum is fit for purpose.

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Project Objectives

The project will provide:

  1. A stocktake of what is purchased both regionally and by each MR DHB to meet the needs of clients with AOD issues. That include current models of care, alignment with best practice, skills and mix of staff, what each service provides and their effectiveness, what outcome measures are used and what other measures of success can be utilised
  2. An assessment of the services purchased mapped against the Adult Client Placement Criteria outlined in the AOD Residential Criteria Decision paper dated 24 July 2013 (refer Appendix 2)
  3. Identification of service gaps across the MR AOD continuum – inclusive of referral/detox through to Community AOD
  4. Identify other funding streams used by the providers that may assist in the best outcomes for the client
  5. Provide a recommendation for te devolvement of the Midland managed withdrawal funding can be best utilised to ensure the best outcomes for client
  6. Recommendation/s about how to address service gaps and future proof the continuum in preparation for the revised AOD Compulsory Treatment Act
  7. List the options and make a recommendation on the management of the regional and supra-regional beds

Click here to view the final report

Click here to view Appendix 1 - AOD Residential Utilisation Data 2010 - 2015

Click here to view Appendix 2 - Uniform Placement Criteria

Click here to view Appendix 3 - Treatment Flow Chart

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Paula Parsonage, Director Health & Safety

Paula has over 25 years experience in a range of government and non-government health, social service and education areas including: project management, evaluation, workforce development, management, social work and counselling.

Health & Safety Developments is a small consultancy run by two Directors, Martin Dawe and Paula Parsonage, working on a variety of short term and longer term contracts. Health & Safety Developments aims to deliver on agreed outputs in a timely manner, in accordance with the following aims:

To work in partnership with contracting organisations: Foster relationship with client organisations and aim to support their long-term strategic goals by providing proactive and responsive activity as required.

To deliver a highly professional service: Maintain the highest professional standards, including attention to ethics, discretion, and integrity to maintain a high level of trust with client organisations and their stakeholders. Deliver on commitments and communicate issues as they arise.

To aim for improved organisational effectiveness: Deliver work outputs that assist the client organisation to operate more effectively. Working collaboratively with staff and handing over tasks and skills as appropriate.

Logo LineProject Steering Group

A Project Steering Group has been established and will suppor the Project Consultant by providing advice and preliminary feedback on the Project Progress Reports, workshop feedback and the final project report.  The Project Steering Group will ensure that a final draft is completed for the Midland Clinical Governance Network and Regional Portfolio Managers Group to review.  The report will ensure that it reflects the perspectives of Services Users and Family Whanau.

  • Dr Greame Judson, Addiction Medical Officer, Taranaki DHB
  • Brian Thomas, Manager Famiy Links, Tauranga and Chair of Te Ao Whanau
  • Rachel Poaneki, Portfolio Manager, Waikato DHB
  • Sally Whitelaw, Clinical Manager, Addiction Services, Bay of Plenty DHB
  • Pania Hetet, General Manager, Tuhoe Hauora
  • Donna Leger, Clinical Services Manager, Raukawa Trust, Waikato
  • Eseta Nonu-Reid, Regional Dirrector - MH&A, HealthShare

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Additional support provided by:

  • Akatu Marsters, Midland Business Support Coordinator, HealthShare Ltd
  • Ashley Baja, Midland Decision Support, HealthShare, HealthShare Ltd
  • Nathalie Esaiah-Tiatia, Midland Workforce Planning Lead, HealthShare Ltd


Co-existing Advanced Practitioner Workshop

Our aim is to provide participants with an opportunity to share and discuss how the knowledge, skills and connections developed in the previous workshop have made a difference to:   

  • Day to day work with tangata whaiora 
  • Discussions with colleagues
  • Providing supervision and mentoring 
  • Developing and providing In-service training 
  • Supporting CEP responsiveness in your service 
  • Collaboration with other services in your region 

This is an opportunity to reconnect with other enhanced practitioners in the region and discuss what is going well and what else is needed to support the development of CEP capability in your workplace.  

Please click here for the evaluation report.


Projects Carried Over from 2014-2015

Midland MH&A Clinical Workstation Project


A regional MH&A Clinical Workstation Steering Group was established following a presentation from Regional IS (RIS) regarding the issues with the Waikato DHB implementation to the MH&A Clinical Governance Network on the June 2014. Shortly thereafter it was decided by the regional Chief Executive group to defer the Waikato implementation and continue with the other Midland DHBs. The first CWS Steering Group was held in July 2014.

Click here to access the Midland MH&A Clinical Workstation Project Scope

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Purpose of the Clinical Workstation Steering Group

The purpose of the Midland Region MH&A Clinical Work Station Steering Group is to:

  1. Identify and define a common set of core MH service requirements and processes.
  2. Inform the development of a regional IS solution that supports the business needs of the MH&A services across the region.
  3. Identify common data requirements for MH&A in the Midland region.
  4. Develop a framework and approach for implementing a common MH&A information system solution across the Midland region.

 Click here to access the Clinical Workstation Steering Group Terms of Reference

Logo LineMembers of the Clinical Workstation Steering Group:

  • Ross Ekdal, Acute Manager, Taranaki DHB
  • Dr Sharat Shetty, Clinical Director, Taranaki DHB
  • Paucl Docherty, Information Systems Analyst, Waikato DHB
  • Dr Rees Tapsell, Clinical Director, Waikato DHB
  • Michael O'Connell, Lakes DHB
  • Belinda Walker, Corporate Business Analyst, Lakes DHB
  • Dr Sue Mackersey, Clinical Director, BOP DHB and Chair
  • Eileen Hughes, Business Manager, BOP DHB
  • Debbie Barrow, Acute Manager, Tairawhiti DHB
  • David Stevenson, Data Information Analyst, Tairawhiti DHB
  • Darren Douglas, Regional IS, HealthShare
  • Greg Stevens, Regional IS, HealthShare
  • Cindy Ng, Programme Analyst, HealthShare
  • Eseta Nonu-Reid, Midland Regional Director-MH&A, HealthShare
  • Ashley Bajaj, Midland Decision Support-MH&A, HealthShare

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Project Support

  • Kate Stewart (Project Consultant)
  • Eseta Nonu-Reid (Midland MH&A Regional Director) 
  • Ashley Bajaj (Midland MH&A Decision Support)


Northern & Midland Supra-regional Eating Disorders Model of Care Project

 2014 Revision of the EDS Service Delivery Model

The Northern and Midland Regions have collaborated on the development of a sustainable model of care that optimises health outcomes for both regions’ populations (specifically for people with Anorexia Nervosa, Bulimia Nervosa or an Eating Disorder Not Otherwise Specified (EDNOS)) and reduces disparities within the available resources.

This process required collaborative governance, leadership and decision making by stakeholders from across the Northern and Midland regions. The process has provided guidance in the development of a sustainable model of care that optimises health outcomes and reduces disparities within the available resources.

The information gathered during consultation and development has helped define the supra-regional requirements for the full range of eating disorder services (with particular reference to understanding service access, age group requirements and geographical barriers).

Specifically this revision process has:

1.   Provided visibility of current service activities and outcomes

2.   Defined critical success factors and a proposed service configuration with respect to:

  • Service principles
  • Client centredness (in particular consideration of services for Maori and Pacific people)
  • Clinical and service effectiveness
  • Service interfaces and communication approaches
  • Governance and leadership
  • Communication and clinical support
  • Providing equitable access across a broad geographical area
  • Affordability and sustainability
  • Implementation and service provision mechanisms
  • Approaches for measurement and evaluation

The project is being led by the Northern Regional Alliance on behalf of the Northern and Midland DHBs.


Logo LineMidland Representatives

  • Ron Dunham, Chief Executive, Lakes DHB
  • Julie Wilson, GM Planning & Funding, Waikato DHB
  • Dr Sue Mackersey, Clinical Director, BOP DHB
  • Dr Rees Tapsell, Clinical Director, Waikato DHB
  • Katherine Fell, Portfolio Manager, Waikato DHB
  • Debbie Barrow, Clinical Service Manager, Medical & MHAS, Hauora Tairawhiti
  • Eseta Nonu-Reid, Midland Regional Director-MH&A, HealthShare