Model of Care

Leadership Systems & Support

Youth INtact is delighted to share about our service and initiatives to ensure best outcomes for young people, families and communities.

• Outcomes of Youth AOD Project 2015

• Waikato Youth Alcohol & Other Drugs Model of Care

• Youth INtact AOD Plan

• Youth INtact Leadership Systems & Support

• Youth INtact Workforce Development

• Youth INtact Youth Engagement Plan

Youth AOD Project 2015

Rangatahi/young people, their families/whānau, and community social and health services provided feedback to the Waikato Youth AOD Project about how AOD services in the Waikato could be improved.

They told us we need to make sure that our rangatahi/ young people and their families/ whānau know where to go to get help if they are having problems with drugs and/or alcohol, and to make sure that these services are responsive, appropriate and effective.

The summary introduces the new model of care, which was developed from the feedback from these groups and from providers and experts in the AOD and youth health fields.

What does the new approach to service delivery mean for the sector?

Waikato Youth Alcohol & Other Drugs Model of Care

The model of care spans community, primary care, and secondary care and shows how services will work together to provide different stages of care to rangatahi/young people and their family/whānau depending on their needs. This model aims at providing a range of improvements for key stakeholders:

Improvements for rangatahi/young people

• They will know where to get help• They will be active in their wellbeing• They will have an ongoing voice in improving services.

Improvements for whānau/families

• They will know where to get help for their whānau/family• member• Information on what they can expect from alcohol and

drug services will be easily available• They will know where to get support for themselves.

Improvements for practitioners

• They will know what is expected of them• They will be clear about the sorts of interventions and

tools that are required• They will easily be able to access advice and consultation• Rural clinicians will receive enhanced clinical support from

a Waikato leadership service.

Improvements for communities

• They will know what services are working in their communities; where they are based and when they are available

• Alcohol and drug services for young people in a community will actively work with other services such as primary care, services in schools and other community services to improve practice and outcomes for rangatahi/young people.

Providers of Youth INtact

Care NZ - Putaruru / Tokoroa community hubs / 2 schools

Te Korowai - Thames, Whitianga, Whangamata, Coromandel community hubs / 7 schools

Kokiri Te Kuiti, Taumarunui community hubs / 7 schools

Odyssey Hamilton and 9 rural community hubs / 11 schools

Waikato Local Youth Alcohol and other Drug Service Plans 2017

April 2017

Leadership

function

Youth INtact teams will take the lead in organising youth focused events that have alcohol and other drug (AoD) harm reduction

focus. These events will provide opportunities for rangatahi to collectively develop, share, and learn strategies and ways of

communicating about AoD harm reduction. Youth INtact teams will attend hui that address Youth AoD issues and lead training

and information sharing opportunities for stakeholders and collaborative partners.

Service

operations

Youth INtact teams will comply with the branding expectations of the Waikato Youth AoD brand and they will operate as pert he

national service specifications as defined in service delivery contracts. Internal monitoring and accountability processes will

support the kaupapa of all Waikato Youth AoD service delivery.

Workforce

plan

All recruitment of Youth INtact staff will meet appropriate clinical requirements. Both clinical and non-clinical staff will participate in

ongoing skill development, receive regular supervision, attend relevant workshops and trainings, and adhere to relevant

professional bodies codes of ethics. Youth INtact staff will meet collectively on a regular basis to ensure consistent practice is

maintained across the Waikato rohe.

Collaboration Collaborative working relationships with relevant stakeholders will be established specifically to each geographical Youth INtact

team. Each team will look for opportunities to collaborate with stakeholders, whānau, and concerned others when working

alongside rangatahi.

Support Youth INtact teams will provide support to other services/agencies/schools who are developing responses to youth AoD

problems. This support will be delivered by way of coaching, mentoring, supervision, consultation, and liaising with these services

as the exemplar provider of Youth AoD services in Waikato.

Promotion Youth INtact teams will actively promote the Youth INtact service and brand via attending hui and events relevant to the youth

population, utilising school websites, community and resource centre noticeboards, social media, and the local media. Youth

INtact teams will use local area calendars of events to plan their promotional work and they will work collaboratively with local

community and whānau to organise opportunities to promote Youth AoD services.

Local

accountability

Youth INtact teams will continue to survey local rangatahi and the community they live in. Ongoing feedback regarding service

development and delivery will be sought regularly through surveys, anecdotal information, and specifically from our rangatahi to

ensure that rangatahi are leading the ongoing development of their service.

Tasks facilitated and achieved for 2017

• Monthly Management meetings between four providers including DHB

• E Skills Plus Survey through the Werry Workforce

• Real Time Feedback

• Mapping of a Youth Worker Competency Framework

• MOU developed with Mental Health Services

• Established Terms of References with contracted schools

• SMO consultation to all providers

• Best Practice Guidelines Review

• Practice Pathways established with youth AOD Residential programmes

Integrated Practice Pathway Best Practice Guidelines Review:

Overall findings:All services have made excellent progress in terms of implementing the Model of Care and Best Practice Guidelines. In the review we were able to identify specific areas for individual providers to focus on and overall areas for review within the whole of Youth INtact. The implementation of practice pathways has been evidently strong in practitioners that are new to the service and some of those that practiced in a prior pathways have been slower in the uptake and understanding of practice expectations. We will continue to focus on consistency. There are also further templates identified that would be beneficial to the service. It was agreed an induction process for the practice pathways would be invaluable. Another focus is to review website information and implement social media platforms.

Having managers from each service present at the review was reported to be of huge benefit to understand how providers are delivering different aspects of the model of care and take strengths and learning from each service.

Reflection:

CareNZ believes the Waikato youth model is working for both the young people and staff involved at the local level: “Collaboration is not a token thing for us, we are actually doing it, we are making it work in everyday practice”.

Some practical examples include providers attending each other’s launches and promotional activities for the Youth INtact Service, information sharing between providers and providers working out a roster and sharing the fronting of a Youth Intact stall at the Fieldays agribusiness event.

Each provider involved has their own strengths and different ways of working are respected.

The four services are now presenting a visible, streamlined, co-ordinated response to youth across the region- one that ensures youth are not falling through the cracks.

Youth INtact Workforce Development Plan 2017 Supporting the development of a critical mass of clinicians/service providers who are effectively addressing youth AoD issues including responding to

youth presenting with co-existing mental health problems (CEP).

Working to one model of care

All Youth INtact workers will participate in these trainings together. Although each already comes with their own unique knowledge, skills,

and experience, these sessions will help each person to align these skills with the Youth INtact model of care. In addition, this will help to

develop the Youth INtact way of working, and help young people experience the same service regardless of who they see.

Tailored and co-ordinated

At the end of each session, each service provider will review the skill level and confidence of their participating staff. This will inform

discussions at the Youth INtact AoD network, enabling a co-ordinated approach to workforce development and planning for future training

sessions.

Skill areas and identification of 2017 focus areas

4 Competency areas identified by Waikato DHB to be included in the workforce development plan

Working with rangatahi/young people Working with Māori Working with family/whānau Working with co-existing problems

8 Areas of skill development for 2017 identified by Youth INtact service providers

Motivational interviewing Cognitive behavioural therapy Takarangi competency framework Alcohol and other drug knowledge Engaging and working with families/whānau Working with schools

Trainings delivered to Youth INtact staff and in many instances professionals in our community

• Alcohol & other Drug knowledge• SACs BI• Strengths & Difficulties Questionnaire & Interpretation• Smashed & Stoned• Motivational Interviewing• Co Exiting Problems and young people• CBT Skate into Skills for young people• Working with Schools

Many of these trainings have been allocated to a Clinical Practitioner for ongoing delivery to new staff and communities.

Trainings identified for the Workforce Development Plan 2018

• Takarangi Competency Framework• Introduction to HEEADS Assessment• Working with families and appropriate interventions• Whanau ora• Seitapu• Child Protection• Risk Assessment & Formulation• Online Communication• Le Va Life Keepers – Suicide Prevention• Mana Enhancing Practice

Youth Worker specific roles and responsibilities:

• Meeting with young people to identify and discuss their problems.• Conducting screening tools such as SAC’s and SDQ• Delivering brief interventions for mild cases.• Supporting the engagement process with clinical staff.• Delivering Group interventions with clinical practitioners.• Referring clients to appropriate specialists or community agencies.• Walking alongside clients to enter the referred service.• Planning and conducting programs focused on the specific needs of young people,

such as training and employment, self-development and education.• Representing Youth Intact at local youth community forums.• Facilitating Youth Reference Group, including setting up meetings, liasing with schools

or parents, planning agenda,

May 2017

YOUTH INtact REFERENCE GROUP

KAWA (TOR - draft)

Mission: A group led by young people casting positive light within their communities

Purpose: To empower rangatahi to make informed decisions

To enable better engagement of young people with Youth INtact Services

To reduce AOD related harm amongst young people

Supporting motivation and safety of young people to actualise their Initiative to Act

Objectives:

• To provide education on Alcohol and Other Drugs

• To promote engagement with Youth INtact Services and reduce stigma by working alongside community

• To review all 4 Youth INtact organisations to ensure good, safe and effective services are provided to young people

• Promoting team building activities to strengthen relationship between members of the four Youth Reference Groups of the

Youth INtact Service

Values: Whanaungatanga Leadership Passion for Young People

Consistent commitment Respect for Diversity Support for all

Reflection:

Care NZ have shared Youth INtact has achieved meaningful youth participation-something that is not easy in the addiction sector. Each provider has a youth reference group and they all have their own unique way of working and contribution to make in their community. They share ideas and resources and are proving that young people are aware of the issues going on around them and are competent at identifying workable solutions to the issues they face.Earlier this year the South Waikato group facilitated by CareNZ Youth Addictions Youth Worker Mark Ashin was proud to win a ‘Volunteer Group’ award during Youth Week. The group has provided ideas and suggestions as to how the youth AOD services should be designed and delivered locally. They also actively promote what many locally thought was not possible- unity and collaboration between the students of Tokoroa High School and Forest View High School.