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 Leadership Youth INtact teams will take the lead in organising youth focused events that have alcohol and other drug (AoD) harm reduction function 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 Youth INtact teams will comply with the branding expectations of the Waikato Youth AoD brand and they will operate as pert he operations 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 All recruitment of Youth INtact staff will meet appropriate clinical requirements. Both clinical and non-clinical staff will participate in plan 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 Youth INtact teams will continue to survey local rangatahi and the community they live in. Ongoing feedback regarding service accountability 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. April 2017
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.
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