1. NZGG – Self-harm and Suicide Prevention Collaborative Collaboratives – making best practice happen Silke Kuehl Emergency Nurse Advisor Self-harm and Suicide Prevention Collaborative - Whakawhanaungatanga NZGG – Self-harm and Suicide Prevention Collaborative

2. Outline The collaborative  best practice implementation approach Kiwi approach  whakawhanaungatanga The benefits & early results  for consumers & clinicians

3. NZGG – Self-harm and Suicide Prevention Collaborative Our collaborative Best practice – evidence-based guideline Best people – team with right experience and knowledge Best process – results focused supported collaborative

4. NZGG – Self-harm and Suicide Prevention Collaborative Self-harm and suicide prevention collaborative Implementing guideline Mental health, Emergency Departments, Māori health Consumer focus Families focus 12 months 10 DHBs

5. NZGG – Self-harm and Suicide Prevention Collaborative Participating DHBs NorthlandWaitemata Counties ManakauWaikato LakesTaranaki MidcentralHutt Valley West CoastSouthland

6. NZGG – Self-harm and Suicide Prevention Collaborative We are using a best practice implementation process Support from leaders and influencers Team approach working across services Use key tools - process mapping, PDSA Encourage learning from others – latest research, other DHBs Rapid feedback on impact of change – 4 targets Ongoing support and guidance - NZGG

7. NZGG – Self-harm and Suicide Prevention Collaborative Map client pathway at each of these phases of care Identify a typical problem at each point of the process Find examples of best practice Identify measures to monitor improved processes Test the changes Community Care ED, Mental & Mäori Health Services Discharge Destination Presentation Assessment Management National Institute of Clinical Studies © 2005 Consumer pathway

8. NZGG – Self-harm and Suicide Prevention Collaborative NZ Flavour Whakawhanaungatanga – what we do and the way we do it… Connected like kin or whänau Shared responsibility for one another Common understanding Cheerful cooperation Corporate responsibility (Russell Bishop, Kathy Irwin and Louise Ihimaera) ‏

9. NZGG – Self-harm and Suicide Prevention Collaborative

10. Benefits of a Collaborative The collaborative process can achieve rapid change Clinician driven process means that it is implemented using an evidence-base in a way that works for clinicians in their local situation Implementing evidence-based proven methodology that can be used again & again

11. NZGG – Self-harm and Suicide Prevention Collaborative Benefits for Consumers Improved responsiveness Better referral and coordination between emergency and mental health services Improved access to services Improved follow up Culturally appropriate services Family/whänau and friends in the picture

12. NZGG – Self-harm and Suicide Prevention Collaborative Benefits for DHBs Opportunity to participate in national quality improvement project Transferable skills Cost effective Professional development of staff Manage service risk Service improvement for consumers

13. NZGG – Self-harm and Suicide Prevention Collaborative Early Results Better understanding of consumer journey Changing attitudes in some EDs Better relationships between Māori health, mental health and ED Better idea of the number of people presenting with self-harm and suicide ideation

14. NZGG – Self-harm and Suicide Prevention Collaborative More collaboration Collaborative methodology being evaluated in NZ Opportunity to build on skills for other service areas Contact NZGG for more information astewart@nzgg.org.nz