He kura te tangata; the human being is precious

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He Kura te TangataThe Human Being is

Precious

Supporting whānau and individuals bereaved by suicide or affected by a

suicide attempt


Objective

• To provide an overview of SCS service delivery to Māori

• To discuss experiences and challenges in the development of the service and the needs of whānau who are dealing with the trauma of suicide or affected by suicide attempt

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Background• Postvention Support Initiative precursor to

Postvention Support Service – SCS, CPRS and IRS

• Evaluation of PSI resulted in development of Specialist Counselling Service for those bereaved by suicide or affected by suicide attempt

• Available in 7 DHB regions: Canterbury, Nelson Marlborough, Tai Rawhiti, Hawkes Bay, Counties Manukau, Auckland, Waitemata

• Coordinator Māori Services appointed October 2008 to develop a services for Māori whānau and individuals bereaved by suicide and or affected by suicide attempt to access SCS

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Service to Māori

• Experience in first phase (PSI) of the programme resulted in very poor uptake by Māori (1.5% of those referred)

• Attempt to identify and address barriers • European model – appointment at

provider rooms• Absence of Māori providers• Difficulty appreciating benefit of

counselling• Little trust that the service was safe or

relevant4


SCS Māori Services Structure

• Network of contracted Māori and non-Māori providers

• Free bereavement counselling support to Māori whānau

• Available in 7 DHB regions• Whānau focus• Provider input in design and delivery

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Eliza with Māori Providers Puawai and Tina Marie

Tamaki Makaurau


SCS Māori Services Structure

• Free service• Kaumatua, Kuia, Kai Atawhai available

to support whānau• Referral process made easy via 0800

number, email, text, website, post, word of mouth or fax

• Referrers include GPs, PHOs, MH services, community services, and Māori providers

• Available for children, young people and adults

• Home visits offered

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Specialist Māori Service

• Efforts on-going to identify and recruit Māori providers

• Efforts to design a service that better matches Māori models of care

• Enthusiastic response by Māori providers, NGOs and organizations

• Māori engaged in service has increased to 22.5%

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SCS Programme Update

• 303 referrals received since 01 December 2008 to end of July 2009

• Average 38 referrals per month• Gender

• Female 59%• Male 41%

• Ethnicity• European 63%• Māori 22.5%• Other 14.5%

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SCS Programme Update• Average number of sessions attended

is 1.7• Family groups 20

• 54 individuals• Multiple family members agree to

referral however only 2-3members may actually continue with support beyond initial meeting

• 11.9% of those referred use six sessions available

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Revised Programme

• Enthusiastic uptake by Victim Support, PHOs and GPs, NGOs, Self-referrals increasing

• Current demand for service now exceeds budget

• Have revised programme in order to stay within current budget

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Revised Programme

• Reduced sessions from 6 to 4• International data – modal

number of session is 4• Reduced some provider fees• Limit to those affected by death

within last 12 months• Considering applying quotas to

referrers

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On-Going Service Development

• Success of the programme requires that we look carefully at demand versus capacity to deliver the service

• Will roll out nationally when/if funding allows

• Important to determine best structure and model

• Recognize shared design/structure with Primary Mental Health programmes

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General Wihongi – Kai AtawhaiTe Whānau O Waipareira Trust

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He Kura te TangataThe Human being is

Precious• Provider feedback• Whānau feedback• Challenges – more questions than

answers• Why Māori don’t participate in

counselling• Building the service from a vision

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Presenters

Eliza Snelgar Coordinator Maori [email protected]

Dr Louisa WalkerClinical Manager SCS

[email protected]

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He kura te tangata; the human being is precious

Health & Medicine

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