Midland MH&A Projects 20/21

At the March 2020 Clinical Governance meeting it was agreed that several regional projects will be undertaken that target specific specialist services.  Four projects were identified:

  1. Eating Disorders
  2. Infant Perinatal
  3. Infant Child Adolescent MH&A
  4. Emotional Intensity Disorders

Eating Disorders

Project Statement

Given that Eating Disorders have the highest mortality rate of any disorder, EDS clients throughout the region need to have access to high quality care, appropriate treatment options that meets their level of need that is close to home as possible. Develop stepped care that establishes local services through to intensive service requirements and explicitly recognise the importance of a whānau centred approach.

Objective

The project will:

  1. Explore what the continuum would look like if the funding for the Northern region bed is returned to Midland
  2. Identify gaps and solutions at local and regional level and provide recommendations
  3. Examine the critical mass issues around clinical need referral / risk fluctuations
  4. Implement an agreed level of stepped care including day programmes and re-feeding strategies that include co-morbidities and trauma informed best practice
  5. Develop pathways of care that are agreed regionally that leads people into the right level of care
  6. Future proofing the services going forward to meet the diverse needs of Maori
  7. Identify workforce development / staff requirements and supervision needs

deirdre-mulligan.jpgThe Project Steering Group are representatives across the Midland region and led by Deirdre Mulligan

  • Amber Fletcher (Bay of Plenty)
  • Emma Thomas-Redward (Bay of Plenty)
  • Helen Mc Petrie-Tarei (Lakes)
  • Gemma Dymond (Taranaki)
  • Jo Miller (Taranaki)
  • Julia McLean (Taranaki)
  • Maureen Macann (Tairawhiti)
  • Alesta Stephan (Waikato
  • Amanda Shanley (Waikato)
  • Glenn Bradburn (Waikato)
  • Lynne Blake (Waikato)
  • Marie Sievwright (Waikato)
  • Jolene Proffit (Waikato)
  • Stacey Porter (Werry Whāraurau)

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Infant Perinatal

Project Statement

  • To develop a consistent equitable stepped model of care for caregivers who use infant perinatal mental health and addiction of services across the region to ensure:
  • Effective level of provision with regionally agreed pathways of care that are culturally appropriate, safe and address’s intergenerational trauma
  • Experience of the whole whānau is valued
  • All services involved are coordinated and seamless
  • Ensure primary health pathways for caregiver and baby are developed

Objectives 

The project will provide:

  1. A regional model of care that includes local and regional options
  2. Regionally agreed and consistent pathways
  3. Include services for all mothers including teen mothers / care givers and infant
  4. A regional model of care that is culturally adept and deliberately aligned to Maori aspirations and objectives, as described in the regional strategic accountability documents

 The Project Steering Group are representatives across the Midland region and led by Deirdre Mulligan

  • Sandra Patton (Bay of Plenty)
  • Tim Gutteridge (Lakes)
  • Hine Moeke-Murray (Tairawhiti)
  • Wendy Tyghe (Tairawhiti)
  • Nicky Askew (Taranaki)
  • Jacque Coates-Harris (Waikato)
  • Belinda Walker (Midland Regional Network)

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Emotional Intensity Disorders

Project Statement

To develop and design effective support and treatment for emotional, behavioural and relationship intensity by:

  • Agree an improved regional continuum of care and support that is flexible to allow for local needs
  • Creating a broad working definition that is regionally agreed
  • Developing regional agreements on guidelines and pathways
  • Ensure that the regional continuum of care and support is culturally literate and culturally safe to meet the needs of Māori

Objectives

The project will:

  1. Identify gaps and solutions in the current Midland continuum by canvassing Lived Experience, Whānau, Clinical and Māori input
  2. Identify effective support, treatment modalities within a range of contexts
  3. Develop a continuum of care and support for psychological therapies and treatments that is culturally safe and supports consistent application and appropriate access across the Midland region
  4. Identify education and training required that supports effective application of continuum of care and support

Kate StewartThe Project Steering Group are representatives across the Midland region and led by Kate Stewart

  • Brian Thomas (BOP Whānau Rep)
  • Wallis Rose (BOP)
  • Jordi Bealing (Lakes Lived Experience)
  • George Furstenburg (Lakes)
  • Hine Moeke-Murray (Tairawhiti)
  • Brandan Letham (Tairawhiti)
  • Nicki Davies-Kelly (Taranaki)
  • Sharon Scott (Taranaki)
  • Glenn Bradburn (Waikato)
  • Terry Huriwai (Te Rau Ora, Workforce Center)

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Infant Child Adolescent Mental Health

Project Statement

The priorities for this project are:

  1. Bringing services closer to home
  2. Identifying gaps in the continuum of care
  3. Improving Inpatient services offered to tamariki and rangatahi
  4. Improving services for Māori
  5. Ensuring cultural input is standard practice in treatment
  6. Strengthen ICAMHS governance regionally

Objectives

The project will provide:

  1. Explore the feasibility of what the continuum would look like if the Northern region beds are returned to Midland
  2. Identify a model care that is co-designed that utilises local and regional solutions
  3. Identify gaps and solutions
  4. Identify workforce issues and solutions
  5. Services including community care is developed and provides cultural and therapeutic value that is meaningful to whanau, tamariki and rangatahi lives
  6. Identified impacts on the current re-build business cases

The Project Steering Group are representatives across the Midland region and led by Kate Stewart

  • Judie Smith (Bay of Plenty)
  • Angela Field (Lakes)
  • Nicola Barrington (Tairawhiti)
  • Jim Dickinson (Taranaki)
  • Dr Yariv Doron (Taranaki)
  • Dr Jik Loy (Waikato)
  • Dr Susan Sharpe (Hauora Waikato)
  • Aroha Panapa (Hauora Waikato)