Presentation to the National Conference of the Health and Disability Advocacy Service
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Transcript of Presentation to the National Conference of the Health and Disability Advocacy Service
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Presentation to the National Conference of the Health and Disability Advocacy
ServicePeter Kennerley
Ministry of Health
13 August 2013
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Addiction Treatment Services in the Ministry of Health• Sits within Sector Capability and Implementation Business
Unit
• Part of the Mental Health Services Improvement Group
• Responsible for implementing services as part of Methamphetamine Action Plan, Drivers of Crime, and other Government wide programmes
• Responsible for Opioid Substitution Treatment Services with the Director of Mental Health
• Responsible for improving approaches to Co-Existing Mental Health and Addiction
• Responsible for implementing a Substance Addiction (Compulsory Assessment and Treatment) Bill
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Why People Don’t Seek Treatment
Te Rau Hinengaro The Mental Health Survey 2006 identified the following reasons why people delay seeking help for mental health and addiction problems :
• I wanted to handle the problem on my own (79.3%)
• I thought the problem would get better by itself (63.2%)
• The problem didn’t bother me very much at first (48.9%)
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How long do people wait to contact services?For alcohol and drug abuse, the percentages making contact
at the age of onset were low (ref. TRH):
• 8.9% for alcohol abuse
• 13% for other drug abuse
92.1 % eventually made treatment contact
The median delay for alcohol abuse was 16 years
The median delay for alcohol dependence was 7 years
The median delay for other drug abuse was 8 years
The median delay for other drug dependence was 3 years
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What do these figures mean for treatment services?• When someone seeks treatment, we can’t leave them
waiting
• What do we tell them about treatment?
• Working to improve motivation
• What is important to the consumer?
• How do we provide cultural interventions within an overall culture of recognising and valuing difference?
• Do they need someone else to provide advice/support?
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How many people are treated in our servicesThrough Vote: Health, we treat:
• 43,000 people
• Some 500,000 presentations
• 16,000 access AlcoholDrug Helpline,
• Websites available, eg Drughelp.org.nz, Methhelp.org.nz
• 70-80 are treated under the Alcoholism and Drug Addiction Act 1966
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Issues for New Treatment Legislation
• Human Rights addressed – appeals, reviews possible
• Stronger process of application and assessment
• Legal criteria to determining someone’s “capacity” to understand treatment
• Shorter period of compulsion
• More opportunity for engagement and treatment
• Significant guidance notes for staff
• Identifying people with acquired brain injury
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Timeline for new legislation
• Draft Substance Addiction (Compulsory Assessment and Treatment) Bill to be finalised by Parliamentary Counsel
• Bill to be introduced into Parliament this year if possible
• Referred to Select Committee – your opportunity to comment
• Bill passed
• Commencement
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Challenges for the Sector
• Coming to grips with nationally accessible assessment and treatment – currently limited availability
• Provision for those with appearance of brain injury
• Broad implications across government agencies
• Unsuccessful applications – need to ensure they are not turned away without help
• Workforce development
• Consumer advocacy