Co-Existing Problems Capability

ProjectSteering Group Update

February 2013

WDHB CEP PlanGoal 1: Client centred: To provide a client centred service which reflects a

coherent and comprehensive understanding of the needs of service users and families

Goal 2: Service development:To provide an integrated mental health and alcohol

and addiction service which is CEP responsive and CEP capable

WDHB CEP Plan

Goal 3: Integrated systems of care: To apply a stepped care approach across the District

to support an integrated response to service users

Goal 4: Workforce development:To establish a highly skilled workforce that is CEP

responsive and effective.

CEP Capability Project Purpose• To achieve effective CEP capability across

the Waitemata District including the NGO sector and to support primary healthcare providers within a stepped care model.

• To support an integrated approach to planning, training, mentoring and monitoring within the District.

Services in Scope• Adult including Cultural teams & Local

Coordination Service

• Child, Youth & Family• CADS• Forensics• MHSOA • NGO• and inform PHOs

Stocktake activityCurrent Assessment tools in HCC and tools used in NGO and primary settingsAudit of assessment practice and complianceTraining available and undertaken

Research activity

Reviewed available screening and assessment tools

Potential to pilot WHO Assist Lite and a two-step screening process

Identifying best practice interventions and measures

Established the ApproachApplying a stepped care approach: -Matching the capability of the team to the Service Users’ needs for CEP interventions at the right level of intensity

Identifying the resources the team needs to reach this level of capability (over time) -One or more ‘Champions’ of CEP per team and develop these people to Level 3-60% of Clinical workforce practising at Level 2-100% have essential CEP knowledge (Level 1)

Strengthen Medical Capability• Added a half day training in the Regional Registrar

Training programme open to all trainers and supervisors. Content will consist off

• basic concepts and skills for recognising co-existing problems

• how to proceed• role of the doctor in care planning and clinical reviews

• WDHB Registrar supervision includes CEP training by Susanna

WorkstreamsThe Working Group has developed specific work plans to

increase capability across five work streams:

Adult services including Cultural teams & LCS

CADS services

Forensic services

Child, Youth and Family

NGO providersPlusMHSOA Training package developed

Workstream Common Elements1. Scope2. Purpose3. Goals4. Define capability

– Level 1– Level 2– Level 3

5. Stocktake capability– current– gaps

6. Communicate with stakeholders7. Train8. Evaluate

2012 StructureSteering Group

Working GroupRepresentative of 5 streams

NGOs

Bi - Monthly

Fortnightly

Annemarie Wille, Susanna Galea, Megan Jones, Alix McGinity, Johnny Dow, Aaron Carey, Charles Joe

2013 Proposed StructureSteering Group

Project Coordination Group

Adult CADS CAMHS Forensic NGOs

Quarterly

Bi-Monthly

Reporting upCommon G:drive

Working Group + Annette Shea, ADHB

PrimaryPrimary

For Discussion• National competencies • ADHB collaboration• Primary sector representation• Links to other work • e.g. Stepped Care talking therapy pathway in CMHTs• e.g. Motivational Interviewing component of Psychosis

Relapse Prevention package