Midland MH&A Projects 18/19

Midland Advanced Motivational Interviewing Workshops Report


Motivational Interviewing (MI) is an evidence based treatment modality that had its roots in the addiction treatment sector. MI is finding a growing body of evidence to support its use with other issues including domestic violence, homelessness, and other target heath behaviors.

In the past this training has been provided nationally by Matua Raki (Addiction Workforce Centre).  However, since the downsizing of Matua Raki their budget has not stretched to enable workshops in 2018/19.

The Midland Regional Mental Health and Addiction (MRMHA) Opioid Substitution Clinical Network identified at their March 2019 meeting that there was a clear need for an advanced Motivational Interviewing workshop.  This was endorsed by the Midland Addiction Leadership Network and approved by Clinical Governance.

MI July

A two day workshop was held in Hamilton on the 15th and 16th of May, click here for report.  The workshop was facilitated by Tipene Pickett. 

Nga Ngaru a Te Huki te Maunga – The waves of Te Huki is my Mountain
Waihua te Awa – Waihua is my River
Kahungunu te Iwi – Kahungunu is my tribe
Kurahikakawa te Hapu – Kurahikakawa is my Sub-tribe
Waihua te Marae – Waihua is my Marae
Ko Tipene Pickett toku ingoa – Tipene Pickett is my name

P Grad Cert Health Sciences, BA Soc Sci – Psych & Anthro, Member of Motivational Interviewing Network of Trainers (MINT). DAPAANZ Registered Practitioner and Supervisor

Tipene has been an Alcohol and Drug counsellor for the past 20 years and has his own recovery story.  He has worked across a variety of settings, governmental, NGO’s, as well as a private capacity.  Tipene has  a strong background in group facilitation, Motivational Interviewing, Relapse Prevention, Tikanga Māori based ways of healing. These include Te Ware Tapa Wha (the four sides of the house), Powhiri (process of engagement), Poutama (Journey of healing and enlightenment), Pātūwatawata o te Marae (The pallisaides of the Pā) and others.

Tipene has a special interest in the relationship between Tikanga Māori and MI and has developed a model utilising the Pātūwatawata and Pōwhiri process. The model includes the conversation of change that MI offers by making it Tikanga consistent and acknowledging both the indigenous and western worldview and processes.

As a member of the Motivational Interviewing Network of Trainers, Tipene is part of a global community of people who share a similar vision of change and scrutiny of professional practice in order to be the most effective clinicians we can be by embracing the way of being MI offers.

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Midland Regional Planning Day


 Purpose Planning Day

B DisleyA presentation was provided by Dr Barbara Disley, a panel member on He Ara Oranga – the Mental Health Inquiry that provided:

  • Key insights as a panel member
  • Key directions to bring about change
    • Underpinning principles
    • 10 directions for change
    • A move from “Big Psychiatry” to “Big Community”
    • Reducing future problems
    • What this could mean for services.

Additionally, all districts were provided with local reports that reflected population demographics and service usage.

Groups were then asked to consider local priorities within their districts as well as regional network considerations on key priorities.


Bringing together the threads of these discussions, we then considered the five primary priority areas that would inform the development of a regional work plan.  It was noted that there were a number of wide-ranging perspectives and views tabled for discussion at the workshop, some of which were broader than the intent of the day.  The next phase will be to further scope what activities will be included in the workplan, including identification of local district leads for each work-stream.

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Section 29Review of the Reduction in Section 29 Compulsory Treatment Order Project Report


The Mental Health and Addiction Regional Network (MH&ARN) commissioned an evaluation to explore the impact of any quality improvement programme implemented across the region since the introduction of the National Key Performance Indicator (KPI) in 2014.  The KPI was introduced to address the disproportionate number of Māori under the Compulsory Treatment Order (CTO) compared to non-Māori.  This project focused on Section 29 (S29) only.

Click here for the report, this acknowledges multiple variables across different levels influencing high and increasing rates of S29 CTOs and disparity between population groups, especially for Māori.  However, following feedback from the Mental Health and Addiction Clinical Governance Network, the evaluation was broadened to encompass all Whaiora who had lived experienced of being under a S29 within the Midland Region.

Kay Montgomery was project lead on behalf of the Midland Regional Network Team.Kay

Kay’s  career spans over 30 years working in the Health and Social sector with a variety of roles from; clinician, manager, programme and project manager with a passion for innovation and quality.  For the past seven years she has been providing consultancy services concentrating on Business Development and Service Improvement across the public and private sector at a regional and national level. Kay’s website can provide you with more details (www.montgomery.co.nz).

Kay worked closely with Nga Kopara o te Rito - Midland Consumer and Family Leadership Network.

                 Project Monthly Reports  

November 2018

October 2018

September 2018

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Supporting Parents Healthy Children - Single Session Family Consultation


This project aims to enhance and increase the training, supervision and support of Clinicians and Support Workers, providing whānau support to loved ones and significant others of those who use mental health and addiction services..

The project will provide the Midland Region with an accredited trainer in two proven, effective whānau interventions. The trainer will co- train with national / local trainers throughout the region and support delivery of the interventions by developing a support network of related professionals.

Local capacity and capability will be built.

BOP MH SPHC ToolObjectives

  • Develop a regional Trainer in the Single Session Whānau Consultation and 5-Step Family Method methods
  • Establish a Supporting Parents Healthy Children (SPHC) Training group to oversee regional Single Session Whānau Consultation and 5-Step Family Method training in each DHB area
  • Provide a series of Single Session Whānau Consultation and 5-Step Family Method Training Sessions in each DHB area
  • Support development of whānau peer and self-help support in each DHB area
  • Strategically support ongoing Supporting Parents Healthy Children development throughout the Midland Region

Please click here for project plan and here for the Single Session Family Consultation workshop report.  To view the Bay of Plenty DHB Supporting Families Healthy Children Self Assessment tool, click here.

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Midland MH&A Workforce Stocktake


At the September 2018 combined Clinical Governance and Portfolio Managers Leadership Network, the Midland Regional Mental Health and Addiction (MRMH&A) team agreed to undertake a Workforce Stocktake across the region.  The aim of the Stocktake was to highlight and share examples of good practice to identify and respond to Workforce issues in the Midland region.

A questionnaire was developed in consultation with relevant stakeholders.  The intention was not to place the burden onto Service Providers. Clinical Governance and Portfolio Managers selected local respondents for their respective area.  The Questionnaire was sent out via Survey Monkey for completion by 31 January 2019.

There were eight responses from the Midland DHBs.  The following document provides a summary of the information received. Responses were received from Clinical Leads, Portfolio Managers and Human Resources.

Please click here to read the report.

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