The document describes the roles and responsibilities of the P.A.C.T. mental health team in the north region, which is led by Michelle Loury and responds to individuals in mental health crises through assessments, referrals, treatment, and 6 month follow ups. It provides details on how the team operates, the types of issues they see, and their process for assessing and supporting clients in various locations throughout the community.

2. Generic Mental Health
NORTH
• City Centre, Otumoetai, Gate Pa, Pyes Pa, Waihi Beach, along State Highway.
Generic Mental Health
SOUTH
• Mount, Papamoa, Te Puke, through to Pukehina.
P.A.C.T

3. Michelle Loury
Clinical Team Leader -
NORTH
 What is Michelle responsible for?
 To generally oversight all of the work in the
P.A.C.T. team.
 Ensuring the right processes and systems are in
place to provide practice is safe.
 Monitoring the community is receiving and
benefiting from the service.
 Dealing with complaints and issues that arise

4. Who is the P.A.C.T team?
To respond
16 Nurses to
individuals
in a mental
1 Social Worker
Health
Crisis

5. What does the P.A.C.T team
do?
Home, GP office,
Counselling  Covers
room/agency.
Community. people
involved in a
imminent risk
Assessment
or harm to
Emergency
Department
Police
Cells
self and
others

6. How does the P.A.C.T team
assess?
6
month
Referrals
follow
up
Face to Face meeting
Intake coordinator
with the client
Determine needs
Psychology
Team Meeting
Occupational therapy
Allocate assessment
Psychiatrist

7. 24 HOUR Acute call out
0800 800 508 or 07 577 6452
Intake
coordinator
2 MAIN CASES
 Suicidal
Assessment
 Harm to others
Face to
Face

8. Who does the P.A.C.T team
see?
 40% - Ward Assessments
 30% - Phone Assessments
 30% - Home and Counselling visit
- Police Station
- Walk in
New Zealand Mental Health criteria covers
3% population
Goal – is to broaden to 9%

9. When you phone the P.A.C.T
team….
 Establishing risk
 Questions: Assessment takes about
 Has it happened before? 1HOUR
 Family history of mental illness Depending on the
 Any plans for suicide and harm to others
 Ways and resources for carrying out plan presenting situation and
 Protective factors environment factors
 On any medication, substance abuse?
 Cultural assessment
 Family Situation: Visiting the home.
 Establish who is the client?
 Who's aggravating and who is helping the situation?

10. What type of issues are
presented?
 Severe Mental Illness
 Substance abuse – Drugs and Alcohol
 Domestic family violence incidences
 Child neglect/abuse cases
 Suicide concerns

11. Impact of the issue for the
client
 Negatives
 Shame
 Discouraged by Stigma being involved in the
Mental Health Department, P.A.CT team and
within the Hospital processes.
 Deficit based thinking - problem focused
 Cultural and family dynamics can be broken
 Positives
 Relief – getting help personally and
professionally
 Follow up 6 monthly – in the system
 Support for family concerns, getting access to
other resources in the community

12. Things that stood out…
 How laid back the team conducts
themselves
 The acute home and counselling visits are
very rare.
 Clients are rarely in a acute distressed
state of mind – Example
 Crisis is seen as quite subjective – how is
this defined?
 Is there a difference between distressed
and crisis?
 Michelle comments that these areas are
poorly defined at the moment but are
being reviewed to provide a response that
is consistent and effective