Evaluation of Metabolic Monitoring Practices for Mental Health Consumers in the Southern District Health Board Region of New Zealand

2020 ◽  
Author(s):  
Anthony John O’Brien ◽  
Reny Mary Abraham
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Health Board ◽  
District Health ◽  
Metabolic Monitoring ◽  
Mental Health Consumers ◽  
Southern District ◽  
Health Consumers

Mental Health Support Workers

2016 ◽  
pp. 200-221
Author(s):  
Julia L. Hennessy ◽  
Liz Smythe ◽  
Max Abbott ◽  
Frances A. Hughes
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Educational Preparation ◽  
Mental Health Consumers ◽  
Mental Health Support ◽  
Health Support ◽  
Health Consumers ◽  
The Relationship ◽  
Community Based Services

This chapter provides the background for policy setting, educational preparation, and emergence of mental health support workers (MHSWs) in New Zealand and examines the work they do in mental health services. New Zealand formally introduced the MHSW role in the early 1990's to provide non-clinical services for mental health consumers or clients through either hospital or community-based services. The work MHSWs undertake and their relationship with other health professionals is discussed. Also discussed, is the relationship that MHSWs have with mental health consumers/clients and the attributes that the MHSW brings to the relationship. Consideration is given to the debate as to whether the role of the MHSW should be regulated, what it means to be considered a health professional, and the possibilities of expanding the scope of practice for MHSWs.

Screening for Metabolic Syndrome in Mental Health Consumers Using an Electronic Metabolic Monitoring Form

2016 ◽  
Vol 37 (4) ◽  
pp. 239-244 ◽  
Author(s):  
Robert Stanton ◽  
Chris Platania-Phung ◽  
Cadeyrn J. Gaskin ◽  
Brenda Happell
Keyword(s):  
Mental Health ◽  
Metabolic Syndrome ◽  
Metabolic Monitoring ◽  
Mental Health Consumers ◽  
Health Consumers

scholarly journals Clinicians’ experiences of inquiries following mental health related homicide: a qualitative study

2021 ◽  
pp. 103985622110092
Author(s):  
Lillian Ng ◽  
Alan F. Merry ◽  
Ron Paterson ◽  
Sally N. Merry
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
New Zealand ◽  
Qualitative Study ◽  
Organisational Culture ◽  
Multidisciplinary Teams ◽  
Team Dynamics ◽  
Health Board ◽  
District Health ◽  
Inquiry Process

Objectives: This aim of this qualitative study was to explore the experiences of clinicians involved with inquiries into the mental health care of patients who were perpetrators of homicide in New Zealand. Methods: Our purposive sample comprised ten clinicians working in New Zealand district health board mental health services. These clinicians were individually interviewed. Interviews were audio-recorded, transcribed and thematically analysed. The coding framework was checked and peer reviewed by an independent researcher. Results: Five themes were identified: the inquiry process; emotional burden; impact on team dynamics; changes to individual clinical practice; and perceptions of inquiries being influenced by organisational culture. Clinicians involved with inquiries reported significant anxiety and disrupted multidisciplinary team dynamics. Some participants found inquiries led to changes to their clinical practice and perceived that a punitive organisational culture limited learning. Conclusions: Clinicians perceived inquiries as threatening, anxiety provoking and primarily concerned with protecting organisational interests. Communication of the inquiry process and ensuring inquiry findings are disseminated may enhance clinicians’ experiences of inquiries and facilitate their participation and their reflection on changes to clinical practice that could contribute to improving services. Support for clinicians and multidisciplinary teams should be emphasised by the commissioning agency.

scholarly journals Professional leadership for social work in state mental health services in Aotearoa New Zealand

2009 ◽  
Vol 21 (4) ◽  
pp. 103-108
Author(s):  
David McNabb
Keyword(s):  
Mental Health ◽  
Social Work ◽  
New Zealand ◽  
Mental Health Services ◽  
Health Services ◽  
Clinical Governance ◽  
Health Board ◽  
District Health ◽  
The Future ◽  
Professional Leadership

This paper recounts the changes in the New Zealand government-run health services over the past 15 years and the subsequent changes to social work leadership in mental health services. Drawing on two pieces of local research, the article will explore social work mental health leadership in New Zealand. The first piece of research investigates the views of social work professional leaders (PL) about their roles and the prospects for social work in mental health in the future. The second piece of research investigates a new type of professional leadership role in the mental health services of the Auckland District Health Board. Clinical governance is an emerging phenomenon in health services internationally that is aimed at advancing quality improvement. This paper links developments in social work professional leadership with the activities of clinical governance in mental health services. It concludes that there is evidence of an improvement to the leadership infrastructure and of the contribution of leaders to clinical governance in district health boards (DHBs). However, many challenges remain for social work leaders into the future.

Performance of Routine Outcome Measures in Adult Mental Health Care

2005 ◽  
Vol 39 (8) ◽  
pp. 713-718 ◽  
Author(s):  
Kathy Eagar ◽  
Tom Trauer ◽  
Graham Mellsop
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Outcome Measures ◽  
Legal Status ◽  
Health Board ◽  
Strongly Correlated ◽  
District Health ◽  
Adult Mental Health ◽  
Episodes Of Care ◽  
The Relationship

Objective: To examine the performance of two widely used outcome measures in public adult mental health services. Method: As part of a larger study, clinical staff in eight New Zealand District Health Board areas collected consumer outcomes data for a period of 6 months. Among other measures, the Health of the Nation Outcome Scales (HoNOS) and Life Skills Profile (LSP-16) were completed at the start and end of episodes of care, as well as at 90-day reviews. Results: The performance of these twomeasures was examined in relation to compliance with the data collection protocol, item completion rates, certain psychometric properties, the relationship between them and the relationship of each instrument to the age, sex, principal psychiatric diagnosis and legal status of the consumer. Compliance with the HoNOS was superior to the LSP-16, but the reverse was true for completion. The two instruments were strongly correlated, but not enough to suggest that one may substitute for the other. A five-subscale structure for the HoNOS was supported. Certain HoNOS subscales were associated with age, but the total score was not, and differences between the sexes were small. Some large diagnostic differences were observed on both instruments. All LSP-16 summary scores and all HoNOS summary scores apart from Depression were higher (worse) in involuntary episodes. Only one LSP-16 item, relating to work potential, was related to age and men generally scored higher (worse) than women. Conclusion: From a technical perspective, the HoNOS and LSP-16 appear suitable for routine collection. New Zealand has adopted the HoNOS for routine use but not the LSP-16 because of local concerns about its appropriateness and acceptability. The clinician-rated measures reported here need to be complemented by both consumer-rated and family/carer measures.

scholarly journals Pacific Community Mental Health Nurses'   Experiences of Working for a District Health  Board in New Zealand

2021 ◽  
Author(s):  
◽  
Jacinta Apelu
Keyword(s):  
Mental Health ◽  
New Zealand ◽  
Community Mental Health ◽  
Service Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Health Board ◽  
District Health ◽  
The Pacific ◽  
Pacific Community

<p>As meeting the mental health needs of the Pacific people living in New Zealand has become a major focus for providers and District Health Boards since deinstitulisation, so is the significance of mental health care delivery for the Pacific minority. Pacific community mental health (PCMH) nursing as a means of healthcare delivery is a fairly new and unknown practice domain. The fact that no studies have been carried out to explore nursing in this field makes this an area that requires an understanding. This understanding will, in turn, enhance knowledge embedded in PCMH nursing and helps reduce practice constraints. This study explored the perspectives of Pacific nurses on what it is like for them to work in a PCMH service within a District Health Board. Five Pacific Island nurses who worked in the three Pacific Community Mental Health services based in the Auckland region participated in the project. The study employed narrative inquiry to gather data through focused storytelling method. The results of the study have indicated that PCMH nursing is a unique nursing field as well as highlight significant practice issues for nurses. Complex service infrastructure and language have been found to be the major contributing practice constraints. The findings suggest the need for District Health Board authorities, Pacific Mental Health service management, professional nursing education and development programs to consider addressing these practice issues to prevent further increase in the problem of PCMH nurses shortage and enhance recruitment and retention of these nurses.</p>

Older adults abuse: analysis of a New Zealand national dataset

2020 ◽  
Vol 32 (8) ◽  
pp. 1003-1008
Author(s):  
Yvette Hall ◽  
Philippa Greco ◽  
Kenny Hau ◽  
Yoram Barak
Keyword(s):  
New Zealand ◽  
Assessment Instrument ◽  
Health Board ◽  
District Health ◽  
Preliminary Screening ◽  
Decision Making Capacity ◽  
Southern District ◽  
Care Assessment ◽  
Resident Assessment ◽  
Resident Assessment Instrument

ABSTRACTOlder adult abuse (OAA), defined as abuse, neglect, or mistreatment of persons aged 65 years or older, is a globally pervasive concern, with severe consequences for its victims. While internationally reported rates of OAA are in the range of 5–20% per annum, New Zealand lacks the necessary data to quantify the issue. However, with a growing aging population, an increase in the prevalence of OAA is predicted. We investigated the extent of OAA in New Zealand, utilizing the mandatory interRAI-HC (International Resident Assessment Instrument-home care assessment) dataset, which included 18,884 interviewees from the Southern District Health Board between 2013 and 2019. Findings confirmed our hypothesis that the interRAI assessment is neither sufficiently sensitive nor specific capturing only 3% from a population of increased frailty and thus at higher risk of abuse. We characterized OAA victims as relatively younger males, depressed, and with impaired decision-making capacity. If the interRAIs were to serve as a preliminary screening tool for OAA in New Zealand, it would be germane to implement changes to improve its detection rate. Further studies are urgently called for to test changes in the interRAI that will aid in identifying often missed cases of OAA better and thus offer protection to this vulnerable population.

scholarly journals The Persistence of Neutralising Antibodies up to 11 months after SARS-CoV-2 Infection in the Southern Region of New Zealand

2021 ◽  
Author(s):  
Reuben McGregor ◽  
Alyson Craigie ◽  
Susan Jack ◽  
Arlo Upton ◽  
Nicole J. Moreland ◽  
...  
Keyword(s):  
New Zealand ◽  
Natural Infection ◽  
Antibody Responses ◽  
Health Board ◽  
District Health ◽  
Neutralising Antibodies ◽  
Southern District ◽  
Infection Event ◽  
Community Transmission ◽  
Serious Disease

SummaryDuring the first wave of SARS-CoV-2 infection in New Zealand a cohort of 78 PCR-confirmed COVID-19 cases was recruited in the Southern District Health Board region. Here we report on this unique cohort nearly 1-year after infection. There was no known community transmission in the region over the study period due to New Zealand’s elimination status at the time, nor had any participants received a COVID-19 vaccine. In the absence of re-exposure, antibody reactivity to the viral spike protein, as well as neutralising antibodies to both the ancestral strain and the delta variant remained relatively stable between 8 and 11 months post-infection. This suggests long-lived antibody responses can be generated from a single natural infection event. However, given the risks of serious disease associated with SARS-CoV-2 infection, vaccination is still strongly recommended.

Sign in / Sign up

Export Citation Format

Share Document