Engage Aotearoa

Category Archives: Human Rights And Legal Issues

Information and updates on human rights and legislation issues related to mental health.

Te Pou: Peer support competencies ‘sandstone to sharpen practice on’

The following is a press release from Te Pou, from their website:

The resource Competencies for the mental health and addiction service user, consumer and peer workforce were launched on November 11 at Te Pou in Auckland.

Dr John Crawshaw, director of mental health, gave an opening address to the mental health and addiction sector people from across the North Island. He acknowledged the pivotal role the service user, consumer and peer workforce has in informing service development and working alongside clinical services, supporting people to self manage and drive their own recovery.

Dr Crawshaw was followed by two peer support workers who spoke about their experience and what peer work meant for them. Elton Hakopa, addiction peer support worker from the drug court, gave a stirring and entertaining outline of his experiences. Elton gave the quote of the day, or even the year when he said “these competencies are the sandstone I will sharpen my practice on”.

Ahmad Al-Ali, mental health peer worker from Mind and Body, also entertained the crowd with his self-deprecating wit and story of courage. Both exemplified the state of gratitude they were in to be able to use their powerful experiences to support other people’s self-determination and wellbeing.

Robyn Shearer, Te Pou chief executive, talked about the power of people from across mental health and addiction co-designing and co-developing the competencies.

Two documents created to support the competency framework were also launched: The Service user, consumer and peer workforce guide for managers and employers and the Service user, consumer and peer workforce guide for planners and funders. These are available to download alongside the competencies. These documents provide information and sound direction for people managing and employing peer workforce members and for planners and funders investing in this exciting growth area in the mental health and addiction workforce.

To contact Te Pou or for further information:

http://www.tepou.co.nz/

Email: info@tepou.co.nz

Te Pou phone numbers online here.

IIMHL New Zealand Special Update

The following links are a summary of the IIMHL AND IIDL UPDATE – 15 NOVEMBER 2014

If you want further information on the IIMHL organisation go here. To sign up for their mailing list go here.

For general enquiries about these links or for other IIMHL information please contact Erin Geaney at erin@iimhl.com.

  1. The Physical Health of People with a Serious Mental Illness and/or Addiction: An evidence review
  2. Stories of Success
  3. Tihei Mauri Ora: Supporting whānau through suicidal distress
  4. New ‘wellbeing bank’ for baby boomers
  5. “There is always someone worse off…” (regarding the earthquakes in Christchurch)
  6. Debriefing following seclusion and restraint: A summary of relevant literature
  7. Families and whānau status report 2014: Towards measuring the wellbeing of families and whānau
  8. Growing Up in New Zealand: Vulnerability Report 1: Exploring the Definition of Vulnerability for Children in their First 1000 Days (July 2014)
  9. Parents or caregivers of children with a disability have a voice in New Zealand (video playlist)

Also recommended in the update are:

Effective parenting programmes: A review of the effectiveness of parenting programmes for parents of vulnerable children
(2014, April 14). Wellington: Families Commission

New Zealand practice guidelines for opioid substitution treatment
(2014, April). Wellington: Ministry of Health

 

 

Compulsory Treatment in NZ Mental Health | Take it From Us radio 18 Nov 2014

Tomorrow Take It From Us again takes a look at the frequency of compulsory treatment orders issued within our mental health system, and reviews the most recent report on our mental health from the director of mental health in his annual report. Hear the thoughts of consumers James King and Reina Harris about these issues, and how discriminatory such legislation can be.

Take It From Us, PlanetFM104.6 @ 12.30pm Tuesday 17 November 2014 

Listen live on 104.6FM at 12.30pm or online www.planetaudio.org.nz

OR if you missed the broadcast, listen for the next seven days @: www.planetaudio.org.nz/takeitfromus

Email Sheldon.brown@framework.org.nz for any feedback and comment/suggestions for shows. 

Four Articles from the APA Monitor

The following content is from the Monitor digital newsletter. The Monitor is the magazine of the American Psychological Association, which they describe as “a must-read for psychology educators, scientists and practitioners.”

Born Bashful

Psychologists have new insights into the causes and effects of childhood shyness.

Unlocking the Emotions of Cancer

A new mandate requires cancer centers to screen oncology patients for distress.

Double Whammy Discrimination

Health-care providers’ biases and misunderstandings are keeping some older LGBT patients from getting the care they need. Psychologists are working to change that.

Suicide and Intimate Partner Violence

A US federal initiative aims to bring experts from the two fields closer together in an effort to save lives.

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SAMHSA: Trauma and “Trauma-Informed” Care

The following is a deatiled release on ‘Trauma and “Trauma-Informed” Care’ from  SAMHSA (Substance Abuse and Mental Health Services Association of the USA).

The recently released Treatment Improvement Protocol (TIP) 57, Trauma-Informed Care in Behavioral Health Services (Trauma TIP), offers behavioral health service providers and program administrators information and practices to assist people who have experienced repeated, chronic, or multiple traumas. People who experience trauma are more likely to exhibit pronounced symptoms and consequences, including substance misuse, mental illness, and other health problems. For this reason, addressing trauma is a public health priority under the SAMHSA Trauma and Justice Strategic Initiative.

Trauma results from an event or a series of events that subsequently causes intense physical and psychological stress reactions. The individual’s functioning and emotional, physical, social, and spiritual health can be affected. Some of the most common traumatic experiences include violence, abuse, neglect, disaster, terrorism, and war. People of all ages, ethnic backgrounds, sexual orientations, and economic conditions may experience trauma. Trauma can affect a person’s functional ability – including interacting with others, performing at work, and sleeping – and contribute to responses – including isolation, anxiety, substance misuse, and overeating or under eating – that can increase health risks. Behavioral health service providers can benefit greatly from understanding the nature and impact of trauma and the benefits of a trauma-informed approach.

Adopting trauma-informed policies may require a fundamental cultural shift within organizations intended to promote a greater sense of equality and safety. This may lead to changes in governance and leadership; organizational policy; engagement and involvement of people in recovery, trauma survivors, consumers, and family members; cross-sector collaboration; services and interventions; training and workforce development; protocols and procedures; quality assurance; budgeting and financing; evaluation; and the physical environment of the organization.

Fair Funding: unfair funding practices must change

Fair Funding aims to re-establish an equitable funding system and stop the decline of the NGO system of community care. This follows exhaustive attempts to resolve these issues over successive years but with no meaningful response from DHBs. They continue to ignore the situation.

New Zealand must see a return to fair funding practices for NGOs to be at their best and fully responsive to community needs. Every year many DHBs compromise this and as a result are placing great strain on a previously effective working partnership with the NGO sector.

Unless DHBs take immediate corrective action, New Zealand faces a future without sufficient community-based mental health and addiction care. This would see a return to days gone by when people couldn’t access services in a timely way, resulting in them and their families in distress, and crisis and emergency services overrun with people desperate for help.

Link here for more information and to add your support.

Share Your Experience of High Risk Medicines

This is a request for patients/consumers/family/whanau interested in being interviewed to tell their story about their experience of being on what are known as ‘high risk medicines’.

As you may know in May 2013 the Commission launched a national patient safety campaign to reduce harm from falls, healthcare associated infections, surgery, and medication.

As part this campaign, the Commission wants to develop consumer stories involving high-risk medicines.  High-risk medicines include anticoagulants (eg, warfarin, heparin), opioids (eg, morphine, oxycodone, and fentanyl), insulin, concentrated potassium injection and disease modifying anti-rheumatic drugs (eg, methotrexate, azathioprine).

Listening to the experiences of health consumers is at the heart of consumer engagement within the health system. The stories give staff and decision-makers a window into the consumer’s world, their experience of the health service and their perceptions of the quality of care they received. You might like to share things like:

  • How did you come to be on this medicine
  • What it is like to be put on these medicines
  • Whether you had explained to you in a way you can understand what the side effects and risks might be
  • Whether you had explained to you in a way you can understand what the medicine is for
  • What you have learned about taking this medicine, ie how your life has been affected
  • How you are getting on now taking this medicine
  • What advice would you give to anyone else taking the same medicine as you

The Commission wants to find patients and clinicians willing to be involved and tell their stories.  These stories will be provided to a wide range of people working in the health and disability sector, and will be aimed at health policy and decision-makers as well as the general public.

The commitment required is a couple of phone calls as way of introduction, setting up the interview etc., an initial interview, and review of the written story to make sure you are happy with it.  If it is an audio visual one then obviously the commitment may require some travelling to where you can be filmed and things like travel and reimbursement will be discussed.

If you are interested, or want more information please ring Natalie Ganley on 021 322 205 or e mail her at Natalie.ganley@hqsc.govt.nz where you will be able to find out more and have all your questions answered. Natalie works Monday to Wednesday in the Auckland office (of the Health Quality & Safety Commission) where the land line is Ph: 09 580 9075

Legal Highs Banned Until Proven Safe: Ministry of Health Info Sheet

The Government has banned psychoactive substances as from midnight Wednesday 7th May 2014 until such substances can be deemed totally safe for users.

Click here for some street reactions from The Wireless

It can be expected that some people will have stockpiled supplies and may use them a little more indiscriminately than usual, others may be resorting to illegal means to purchase supplies and others, hopefully most, will choose to no longer use these now illegal substances.

Many previous users will be able to manage their withdrawal process; however others may experience significant withdrawal symptoms that may last for several weeks or even months.

The Ministry of Health has provided a one page sheet providing advice to people withdrawing from psychoactive substances. This sheet may also be helpful for people supporting someone facing withdrawal: Getting Help-Psychoactive Substances

Anne Helm on Take it From Us radio show: 13 May 2014

Mental health champion Anne Helm is tomorrow’s guest on the Take It From Us radio show.

Anne, who has won an award for her contribution to NZ mental health services, works to highlight psychiatric abuse and advocate for change in mental health services, especially the elimination of seclusion.

Listen live on 104.6FM at 12.30pm Tuesday 13 May 2014, or see www.planetaudio.org.nz

If you miss the live broadcast, listen for the next seven days at www.planetaudio.org.nz/takeitfromus

Connect with the Take It From Us Facebook page @ Facebook.com; type ‘take it from us’ in the search box

Email takeitfromus@mail.com for any feedback and comment/suggestions for shows.

Good Practice Guidelines for the Assessment and Treatment of Adults with Gender Dysphoria

An online resource from the Royal College of Psychiatrists in London aims to improve treatment for people who identify as non-cis or gender-queer. “Gender variance is not uncommon…A survey of 10,000 people undertaken in 2012 by the Equality and Human Rights Commission found that 1% of the population was gender variant to some extent – though this figure cannot be assumed to be representative of the whole population…People often find it difficult to confide their feelings … to their GP because they fear ridicule, guilt or shame, or are concerned about delays in getting treatment… It is estimated that up to 40% of people with gender dysphoria may not be receiving appropriate help.”

The best practice guidelines are endorsed by 13 separate organisations and have been drawn up by a working group that included representatives from psychiatry, endocrinology, gynaecology, urology, general practice, nursing, psychology, psychotherapy and speech and language therapy, as well as representation from patient groups. It is the first time that so many different groups have come together to agree a common set of guidelines.

Click Here to Download the Full Resource

Thanks to the International Initiative for Mental Health Leadership for sharing this information.