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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
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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
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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
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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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Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
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
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