Pacific island mental health for

Oceania

Igniting communities, creating change

Dr Monique Faleafa CEO Le Va

#IIMHLSydney2017

LeVaPasifika

LeVaPasifika

LeVaPasifika

https://www.youtube.com/watch?v=Z3QP-kcnVkwhttps://www.youtube.com/watch?v=Z3QP-kcnVkw

LeVaPasifika

LeVaPasifika

LeVaPasifika

Blended Learning

Traditional

values,

contemporary

execution

Enhancing cultural responsiveness

LeVaPasifika

https://www.youtube.com/watch?v=-6rf-5GLREUhttps://www.youtube.com/watch?v=-6rf-5GLREU

LeVaPasifika

Blended Learning

Cultural Authenticity

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Responsive Systems

We can only

travel at the

speed of trust

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Blended Learning Responsive Systems

Cultural Authenticity Strengths Based

- Relationships are paramount - Culturally self-aware- Biomed integrated with culture- Diversity of the workforce- Include social determinants

- Better & earlier access- Reduction in DNA rates- Higher level of satisfaction- Compliance with treatment

change outcome

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What does it look like when culture and care connected in mental health?

What would it look like if culture and care connected in your organisation?

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National Maori and Pacific Suicide Prevention Programme

B.R.A.V.E

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https://www.youtube.com/watch?v=eloUUm2IUMUhttps://www.youtube.com/watch?v=eloUUm2IUMU

Evidence based approach

• National Collaborating Centre for Mental Health (NCCMH).E-therapies systematic review for children and young people with mental health problems. London: NCCMH 2014

• New Zealand Guidelines Group (NZGG). Identification of common mental disorders and management of depression in primary care. Wellington: NZGG 2008.

• Office of the Prime Minister’s Science Advisory Committee. Improving the transition. Reducing social and psychological morbidity during adolescence. Auckland, NZ, 2011

• Pierce D. Problem solving therapy - use and effectiveness in general practice. Aust Fam Physician 2012;41:676–9.

• Pennant ME, Loucas CE, Whittington C, et al. Computerised therapies for anxiety and depression in children and young people: a systematic review and meta-analysis. Behav Res Ther 2015;67:1–18

• Fleming T, Dixon R, Frampton C, et al. A pragmatic randomized controlled trial of computerized CBT (SPARX) for symptoms of depression among adolescents excluded from mainstream education. Behav Cogn Psychother 2012;40:529–41.

• Merry SN, Stasiak K, Shepherd M, et al. The effectiveness of SPARX, a computerised self-help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial. BMJ 2012;344:e2598.

Best Practice Journal, 2016. 72, pp 20-31

LeVaPasifika

build.test.repeat…build.test.repeat…build.test.repeat

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End users as experts = compromise

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www.auntydee.co.nz

Is it working?

Average positive mood change of +1 on completion

Sneak peak at results so far… (n=2170)

What are you prepared to compromise in order to get better outcomes across cultures?

LeVaPasifika