Pae Ora/Toi Ora – Optimum Health and Wellbeing

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Pae Ora/Toi Ora – Optimum Health and Wellbeing

•

Men (aged 25+ years). Understanding the story (and the lack of

knowing the story) from men is a concern to Taranaki. There is a need

for Taranaki to reflect on the services and supports that are offered for

men, because there is a belief amongst agencies that current systems

and supports are not adequately helping men. There is a sense that

there is less targeted support for this group than any other vulnerable

cohort in Taranaki.

•

Rural Communities (within the township versus rural workers i.e.

farmers). Taranaki is an economy that is heavily reliant on dairying,

and the rural communities are very vulnerable to the stressors that are

connected to the economic environment.

•

Satellite Urban Town Areas. There are a complex suite of community

and economic stressors that are evident in the satellite towns, e.g.

Patea, Opunake and Waitara. This includes a loss of community

services, higher levels of poverty, sometimes lower levels of

educational attainment and employment, higher rates of addictions

and violence and a feeling on lesser wellbeing and connection.

•

Users of Specialist Mental Health Services. Whilst most people who

have a mental health condition do not die from a suicide, there is an

increased risk of self-harm behaviours amongst these people. Early

identification and response is an important mechanism to minimise

the risk of an adverse event occurring.

•

Young People (including rangatahi Māori) (Taranaki had the highest

completed suicide rate amongst youth in New Zealand in 2012). Whilst

youth are not the highest suicide group in Taranaki, there are other

features and considerations that make youth a priority group for

Taranaki. This includes the Plan’s focus to build wellness and resilience

and the high rates of self-harming.

•

Māori. Whilst the rates of Māori suicide are commensurate with the

overall rates at a national level, the priority for Taranaki is to raise

awareness in the Māori community and to ensure that the

programmes are culturally appropriate and relevant and accessible to

Māori.

•

Elderly Persons. Taranaki has an ageing community and sixth fastest

ageing community. When the ageing of the community is compounded

with rurality, potential loneliness and isolation of elderly people makes

them a priority population group within the region.

Early Intervention and Prevention Priorities

The early intervention and prevention priorities include:

Early identification of at risk behaviours and signs.

Multi-agency commitment to screening, and sharing information, and

providing a ‘one plan’ support response.

Targeted programmes for priority population groups.

Building community knowledge, education and support systems.

Suicide Postvention

The suicide postvention priorities include:

The development of multi-agency postvention support plans for those

whose lives have been touched by suicide or a suicide attempt.

Building community knowledge and awareness of suicide and

removing the stigma around suicide and mental illness.

Growing understanding about the recovery and healing pathways and

the time involved.

Reducing the potential for contagion.

Pae Ora/Toi Ora – Optimum Health and Wellbeing

Agency

Agency Integration and Coordination

Integration and Coordination

The integration and coordination priorities include:

The employment of a dedicated suicide prevention and postvention

coordinator.

Development of robust surveillance systems, information sharing and

referral pathways.

Improving information availability and access to knowledge.

Coordinating efforts drawing on the strengths and expertise of

agencies and community

Workforce Training and Development

The workforce training and development priorities include:

Training more professionals who work with at risk and vulnerable groups to

understand and recognise the suicide signs and the pathways for support.

Educating and training the community to understand and recognise the

suicide signs and to know where to find and receive help.

Educating and training the wider workforce to understand and recognise the

suicide signs and to know where to find and receive help.

Pae Ora/Toi Ora – Optimum Health and Wellbeing

Action Plan

Action Plan 2013

2013

2013----2016

2016

The Suicide Prevention and Postvention Action Plan starts from the notion of supporting and growing wellness. The desired focus of effort is to invest in suicide prevention

supports to minimise and reduce the rates of suicide. The Action Plan is premised on an assumption that there is a commitment amongst the key statutory partners to

provide leadership and resources to deliver the desired change and that action will take place in partnership with the community. The Action Plan also assumes there will

be a commitment amongst agencies to provide a dedicated resource to re-shape the region’s response to suicide.

The Action Plan is organised according to the Government’s four suicide prevention objectives, but addresses the objective relating to infrastructure first, because the

infrastructure is the critical component that can support effective responses in the areas of suicide prevention, postvention and support for at risk groups.

Infrastructure Outcome: Agencies collaborate and are resourced to embed sustainable coordinated responses to support community wellness to

eliminate suicide.

Objective 1: Strengthen the infrastructure for suicide prevention

Area of Activity

Action

Milestones

Lead/Support

Expected Outcomes

Timeframe

Coordination of Leadership

Taranaki leadership for suicide

prevention and postvention will

be established.

Commitment to appoint a

Suicide Prevention and

Postvention Coordinator.

Appointment of Suicide

Prevention and Postvention

Coordinator.

Suicide prevention and

postvention governance

structures are established.

Suicide Prevention and

Postvention Advisory

Group

Taranaki District Health

Board

Taranaki District Health

Board supported by

Suicide Prevention and

Postvention Advisory

Group

Appointment of a Suicide Prevention

and Postvention Coordinator.

Governance structures are in place

for Taranaki.

Leadership commitment towards the

delivery of the Prevention and

Postvention Plan.

Suicide Prevention Taranaki Group is

maintained and supported.

December 2015

Pae Ora/Toi Ora – Optimum Health and Wellbeing

Postvention Coordination

Establishing the Coordinator role

Suicide postvention

governance structure is

established.

Taranaki DHB

supported by other

agencies

Relevant policies, procedures, MOU's

are in place to respond in the event

of a suicide.

March 2016

Communication and

Community Education

A communication/community

awareness and education

strategy is developed.

Conduct an information

audit:

-what is in place

-existing awareness and

education campaigns

-available information and

resources

Community engagement

about information and

education needs.

Suicide Prevention and

Postvention

Governance Group

Communication and community

awareness strategy informed by

community feedback and research is

developed.

Interagency commitment to deliver

the priorities identified in the

community awareness and education

strategy.

Community Education and Training

Strategy provides a framework for

low cost/free, accessible education

appropriate to different needs.

500 community people in Taranaki

are trained in suicide prevention/

awareness by 2017.

October 2016

Workforce Development

and Training

A community Training and

Education Strategy/Plan is

developed

QPR training

MH101

ASIST Training

Directory of available

training is developed.

Programme of training is

developed for Taranaki.

Training providers are

identified, trained and

resourced to deliver.

Suicide Prevention and

Postvention

Coordinator

Low cost/free training is available to

professionals and in workplaces.

500 workplace individuals/

professionals are training in suicide

prevention and postvention

awareness.

June 2016

Information

An information portal /repository

is developed detailing

-supports and services

- referral pathways

- training and guidance

One page road map is

developed (one page visual).

One stop shop for

information is developed.

Suicide Prevention and

Postvention

Coordinator

Information is accurate and

comprehensive.

Information is disseminated across

the community.

Information repository is used and

reported as useful by both

professionals and community.

June 2016

Pae Ora/Toi Ora – Optimum Health and Wellbeing

Primary Health Support

Services.

There will be more access to

counselling for those suffering

mild to moderate Mental Health

and depression.

A review of access to a

broader range of services

across the continuum will be

undertaken.

Activity identified on

expanding resources to mild

to moderate.

TDHB Planning and

Funding and Midlands

Health Network

Services are received and accessed

promptly.

Services are affordable/ free.

There is reduced need for secondary

health services.

June 2017

Early Intervention in

Education

Work more closely with school

communities to increase wellness

and wellbeing and reduce the risk

of self-harm and suicide.

Appointment of Consult

Liaison Officers for Schools.

CBT approaches for Schools

are in place.

Development of peer

support networks.

Continued roll out of

CHEaADSSS assessment

tool.

Ministry of Education

with Planning and

Funding and Child and

Adolescent Mental

Health and Addictions

Services

Multi-disciplinary support teams are

available to all schools.

Training and education is available to

school professionals that enable

them to identify at risk signs, to

support wellbeing and to know how

to access help.

Education and awareness and

support programmes are developed

in all schools.

December 2016

Cluster Prevention

Development of a Contagion/

Cluster Response Team and

strategy.

Work with CASA

to develop

a contagion.

Contagion Response Team is

in place.

Taranaki District Health

Board

Cluster/Contagion Response Team is

in place.

Cluster/contagion strategy is

developed, known and understood in

the professional community.

March 2017

Best Practice

Taranaki builds on and learns

from good practice exemplars.

Best practice exemplars are

identified.

Research is conducted

about global innovations

and learning’s.

Suicide Prevention and

Postvention

Coordinator

Learning and resources are shared

across agencies and disciplines.

Best practice is implemented across

services and supports.

Learning is shared across the

community.

On-going

CHEeADSSS – definition, Cultural, Home, Education, eating, Activities, Drugs, Sexuality, Suicide/Depression, Safety, Spirituality.

Clinical Advisory Services Aotearoa

Pae Ora/Toi Ora – Optimum Health and Wellbeing

Service Coordination

Agencies and services are

coordinated.

Road map is developed.

Referral pathways are

identified and

communicated.

Memorandums of

Understanding are

developed to cement

cooperative working.

Suicide Prevention and

Postvention

Governance structures

Multi-disciplinary approach is in

place.

One support plan for each person

and their whānau/family.

December 2016

Information and

Surveillance

Information sharing strategy is

developed.

Information audit is

conducted.

Data/knowledge gaps are

identified.

Protocols for information

gathering and sharing are

developed.

Suicide Prevention

and Postvention

Coordinator

Information collections and data

sharing and consent protocols are

established.

Agencies share their data to inform

improved understanding about

suicide trends and behaviours in

Taranaki.

March 2016

Performance Management

A results based accountability

(RBA) evaluation framework is

developed.

Population health outcomes

are identified.

Programme outcomes are

identified.

Plan agencies are RBA

trained.

Taranaki District Health

Board - Planning and

Funding

RBA Framework in developed with

clear measures, indicators,

evaluation tools and methods of

collection identified.

All agencies who are signatory to the

Plan provide data and information to

support an assessment of impact and

outcome.

December 2015

Prevention Outcome: Everyone in Taranaki is aware of the impact of suicide and knows how to access and navigate appropriate effective pathways

for help.

Objective 2: Support families/whānau, hapu, iwi, communities and individuals to prevent suicide.

Area of Activity

Action

Milestones

Lead/Support

Expected Outcomes

Timeframe

Supporting Healthy People

Community health and wellness

programmes are developed and

A community education

Suicide Prevention and

Postvention

Systems exist to enable the

community to be mobilised to offer

December 2016

Pae Ora/Toi Ora – Optimum Health and Wellbeing

and Healthy Communities

promoted.

training schedule is in place.

Community mobilisation

training is in place (rural and

urban).

Community education and

awareness literature is

developed.

Directory of community

services (and wellness

programmes) is in place and

accessible (refer to

infrastructure outcome also).

Current programmes are

identified and future

opportunities are developed.

Coordinator

help and provide support when

needed and wanted.

Support systems are age and

culturally appropriate and relevant.

Community wellness conversations

take place throughout Taranaki.

Communities are trained and aware.

Learning and outcomes from training

and embedded into practice, and

reflections are going.

Building Community

Capacity and Capability

Communities and community

action groups are supported to

design their own solutions.

Support is given to identify

and train community support

people in suicide risk

identification.

Peer to peer support systems

are developed and resourced.

Suicide Prevention and

Postvention

Coordinator (and

community)

Establishments of community

support teams:

Rural communities.

Population groups (Māori, men,

youth).

Peer support systems are set up

Men to support men.

Youth to educate youth.

Māori to support Māori.

March 2017

Awareness and Education

Community education and

awareness campaigns are in place

and delivered.

Refer to Infrastructure

milestones.

Suicide Prevention and

Postvention

Coordinator

The community understands the

suicide signs and triggers, and

pathways for help are clearly

understood.

The profile of suicide is raised.

The impact of suicide is understood.

Education and means of messaging is

Ongoing

Pae Ora/Toi Ora – Optimum Health and Wellbeing

appropriate to audience i.e. social

media.

Taranaki is a trained and suicide

aware community.

Youth Support

Resilience and wellbeing in youth

is promoted and supported.

Multi-agency commitment to

a one plan approach for

youth.

Reducing stigma and

discrimination towards

mental illness.

A one plan template/

framework is developed.

Schools are supported to

develop peer to peer

‘spotters’ programme.

Treatment providers work in

partnership with schools (and

whānau) to share information

and support responsibilities.

(Refer to infrastructure

outcome also).

Ministry of Education

with Child and

Adolescent Mental

Health

Consult liaison capacity is increased

for schools.

Educators (including Resource

Teachers and Learning Behaviour

specialists) are trained and

supported.

Conversations about mental

wellbeing are normalised to improve

likelihood of seeking help.

Resilience is built in primary school

children via appropriate curriculum

and community education

programmes.

Peer to peer support is available in

all intermediate and high schools.

Young people and schools feel more

informed about suicide and know

when and how to find help and

information.

Treatment/support plans are shared

by affected youth and their whānau

with their schools.

December 2016

Rural Wellbeing

Increasing awareness

understanding and responses to

rural community wellbeing.

Continue to build a strong

partnership and support for

the Rural Support Network.

Education and training is

delivered across rural

Taranaki.

Reducing stigma and

Rural Support Trust

with Suicide

Prevention and

Postvention

Coordinator

Existing rural support initiatives are

supported.

Strong support and information

systems exist across rural Taranaki.

Rural GP/nurse mental health

leaders are in place in each practice.

Ongoing

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