He kura te tangata; the human being is precious

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Supporting whānau and individuals bereaved by suicide or affected by suicide attempt. A presentation on the challenges and development of a Postvention Support Service that aims to provide support to Māori whānau and individuals bereaved by suicide or affected by suicide attempt.

Presentation by Eliza Snelgar, Dr Louisa Walker, Clinical Advisory Services Aotearoa at the 2009 SPINZ National Symposium: Culture and Suicide Prevention in Aotearoa: http://www.spinz.org.nz/page/108-events-archive+spinz-national-symposium-2009+symposium-coverage

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He kura te tangata; the human being is precious

  1. 1. He Kura te Tangata The Human Being is Precious Supporting whānau andindividuals bereaved by suicide or affected by a suicide attempt Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  2. 2. Objective• To provide an overview of SCS service delivery to Māori• To discuss experiences and challenges in the development of the service and the needs of whānau who are dealing with the trauma of suicide or affected by suicide attempt 2 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  3. 3. Background• Postvention Support Initiative precursor to Postvention Support Service – SCS, CPRS and IRS• Evaluation of PSI resulted in development of Specialist Counselling Service for those bereaved by suicide or affected by suicide attempt• Available in 7 DHB regions: Canterbury, Nelson Marlborough, Tai Rawhiti, Hawkes Bay, Counties Manukau, Auckland, Waitemata• Coordinator Māori Services appointed October 2008 to develop a services for Māori whānau and individuals bereaved by suicide and or affected by suicide attempt to access SCS 3 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  4. 4. Service to Māori• Experience in first phase (PSI) of the programme resulted in very poor uptake by Māori (1.5% of those referred)• Attempt to identify and address barriers • European model – appointment at provider rooms • Absence of Māori providers • Difficulty appreciating benefit of counselling • Little trust that the service was safe or relevant 4 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  5. 5. SCS Māori Services Structure• Network of contracted Māori and non-Māori providers• Free bereavement counselling support to Māori whānau• Available in 7 DHB regions• Whānau focus• Provider input in design and delivery 5 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  6. 6. Eliza with Māori Providers Puawai and Tina Marie Tamaki Makaurau Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  7. 7. SCS Māori Services Structure• Free service• Kaumatua, Kuia, Kai Atawhai available to support whānau• Referral process made easy via 0800 number, email, text, website, post, word of mouth or fax• Referrers include GPs, PHOs, MH services, community services, and Māori providers• Available for children, young people and adults 7• Home visits offered Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  8. 8. Specialist Māori Service• Efforts on-going to identify and recruit Māori providers• Efforts to design a service that better matches Māori models of care• Enthusiastic response by Māori providers, NGOs and organizations• Māori engaged in service has increased to 22.5% 8 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  9. 9. SCS Programme Update• 303 referrals received since 01 December 2008 to end of July 2009• Average 38 referrals per month• Gender • Female 59% • Male 41%• Ethnicity • European 63% • Māori 22.5% • Other 14.5% 9 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  10. 10. SCS Programme Update• Average number of sessions attended is 1.7• Family groups 20 • 54 individuals• Multiple family members agree to referral however only 2-3members may actually continue with support beyond initial meeting• 11.9% of those referred use six sessions available 10 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  11. 11. Revised Programme• Enthusiastic uptake by Victim Support, PHOs and GPs, NGOs, Self-referrals increasing• Current demand for service now exceeds budget• Have revised programme in order to stay within current budget 11 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  12. 12. Revised Programme• Reduced sessions from 6 to 4 • International data – modal number of session is 4• Reduced some provider fees• Limit to those affected by death within last 12 months• Considering applying quotas to referrers 12 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  13. 13. On-Going Service Development• Success of the programme requires that we look carefully at demand versus capacity to deliver the service• Will roll out nationally when/if funding allows• Important to determine best structure and model• Recognize shared design/structure with Primary Mental Health programmes 13 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  14. 14. General Wihongi – Kai AtawhaiTe Whānau O Waipareira Trust 14 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  15. 15. He Kura te TangataThe Human being is Precious• Provider feedback• Whānau feedback• Challenges – more questions than answers• Why Māori don’t participate in counselling• Building the service from a vision 15 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.
  16. 16. Presenters Eliza SnelgarCoordinator Maori Serviceseliza.snelgar@casa.org.nz Dr Louisa Walker Clinical Manager SCSlouisa.walker@casa.org.nz 16 Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved.

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