New Zealand Mental Health and Addiction Derek Thompson Manager Mental Health, Service Commissioning 27 February 2017 - NSW Mental Health Commission
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New Zealand Mental Health and Addiction Derek Thompson Manager Mental Health, Service Commissioning 27 February 2017
Wellington NZ
2
3
Vote Health
• Approximately
NZ$16Billion per
annum total Vote
• Mental health
spend approx.
NZ$1.4 Billion
• 20 DHBs
Private and NGO
providers
4
New Zealand Health Strategy
5
New Zealand Health Strategy
Health links with the wider environment
6Strategic 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
outcomes ( mental health and addiction interface with Corrections,
Police, Justice, Education, Social Development )
• Social Investment Unit mental health test case in development
7Moving 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.
8An Integration focus
• Pharmacy Action Plan 2016-2020 published June 2016 –
opportunities 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
9E- 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.
10Rising 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.
11New 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.
12National 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.
13Challenges
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.
3% 3.7%
17%
80%
14System 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
15Thank you
16You can also read
