1. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. He Kura te Tangata The Human Being is Precious Supporting wh ā nau and individuals bereaved by suicide or affected by a suicide attempt

2. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. Objective To provide an overview of SCS service delivery to M ā ori To discuss experiences and challenges in the development of the service and the needs of wh ā nau who are dealing with the trauma of suicide or affected by suicide attempt 2

3. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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 M ā ori Services appointed October 2008 to develop a services for M ā ori wh ā nau and individuals bereaved by suicide and or affected by suicide attempt to access SCS 3

4. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. Service to M ā ori Experience in first phase (PSI) of the programme resulted in very poor uptake by M ā ori (1.5% of those referred) Attempt to identify and address barriers European model – appointment at provider rooms Absence of M ā ori providers Difficulty appreciating benefit of counselling Little trust that the service was safe or relevant 4

5. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. SCS M ā ori 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

6. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. Eliza with M ā ori Providers Puawai and Tina Marie Tamaki Makaurau

7. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. SCS M ā ori Services Structure Free service Kaumatua, Kuia, Kai Atawhai available to support wh ā nau 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 M ā ori providers Available for children, young people and adults Home visits offered 7

8. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. Specialist M ā ori Service Efforts on-going to identify and recruit M ā ori providers Efforts to design a service that better matches M ā ori models of care Enthusiastic response by M ā ori providers, NGOs and organizations M ā ori engaged in service has increased to 22.5% 8

9. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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% M ā ori 22.5% Other 14.5% 9

10. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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

11. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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

12. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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

13. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. 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

14. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. General Wihongi – Kai Atawhai Te Wh ā nau O Waipareira Trust 14

15. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. He Kura te Tangata The Human being is Precious Provider feedback Wh ā nau feedback Challenges – more questions than answers Why M ā ori don’t participate in counselling Building the service from a vision 15

16. Copyright © Clinical Advisory Services Aotearoa Limited. All rights reserved. Presenters Eliza Snelgar Coordinator Maori Services eliza.snelgar@casa.org.nz Dr Louisa Walker Clinical Manager SCS louisa.walker@casa.org.nz 16