TO GREAT OUTCOMES W HAT IS A GREAT OUTCOME H OW DO WE SUPPORT - PowerPoint PPT Presentation

M ENTAL H EALTH N EEDS A SSESSMENT S ERVICE C OORDINATION

B UILDING B RIDGES TO GREAT OUTCOMES

W HAT IS A GREAT OUTCOME

H OW DO WE SUPPORT ACHIEVEMENT OF GREAT OUTCOMES

Client Profile - Glen

Mental Health Physical Health Psycho social Opioid and 52 year old male Socially isolated Benzodiazepine addiction Opioid treatment for HIV, Hep B & C + Homeless – Multiple 15ys Eviction History of psychosis COPD - smoker Victim of assault and anxiety Osteoporosis Poor functionality Renal impairment Poor engagement with services Urinary incontinence Blindness – Left eye

R EASON FOR R EFERRAL TO NASC  Been offered Easy Access Emergency Housing, with pre-requisite as Te Ara Pai support  Due to complex presentation, Service Co-ordinator allocated.

R OUND 1 - S ERVICES I NVOLVED Te Ara Pai – Health and Welling MH NASC Advocacy Glen Te Ara Easy Pai – Access HBSS Housing Opioid Treatment Service

I NCIDENT

R OUND 1 - O UTCOME Te Ara Pai – Health & Wellbeing The night Advocacy MH NASC shelter Easy Te Ara Access Pai - housing HBSS OTS

Let’s do this again

R OUND 2 - C LIENT R E - REFERRED TO MH NASC Te Ara Pai - Navigation Personal Te Ara Pai Health Health NASC – and Care Coordinatio Wellbeing n Glen Homeless MH NASC Team

P LANNING M EETING A GENDA  Issues  Unable to attend to personal cares  Has no furniture  Benefit status unknown  We don't know what Glen is capable of  No food, no clothes  Not on methadone – no primary MHAID team  No plan for managing risk  Dizzy when getting out of bed  No family connections/supports  No GP connections or follow up for day to day health needs

R OUND 2 - O UTCOME - WINZ -Orthopedic - Meals on clinic wheels -ACC - Grocery Access OT Home assess Help ment - GP - OTS

W HAT WAS DIFFERENT  Reset from zero whilst remembering what didn’t work last time.  Service Co-ordinator took lead in facilitating and coordinating. Cheer leading.  Kept people involved  Held hope  Didn’t panic  Let client be the expert of his issues.  Kept meeting together – intentionally with outcomes and plans  Identifying key roles  All people flexed their role to meet needs together  People became generous with skills and resources.  Didn’t give up when things got too hard  Client expressed he felt love and respect. Hope for the future.. Became present in discussions about his future needs, Contributed as a partner.  Focussed on solutions not problems

“B EING OPTIMISTIC IS NOT ABOUT PASSIVELY HOPING THINGS WILL GET BETTER ; BUT HAVING THE FAITH IN THE CAPABILITY OF FELLOW HUMAN BEINGS , TO BE ABLE TO MAKE THINGS BETTER REGARDLESS OF HOW BAD THE SITUATION IS ; THAT WE CHOOSE TO BELIEVE IN OTHERS , NOT FEELING DESPAIR NOR SIMPLY IGNORE ”