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A National Addiction Recovery Model of Care
Presentation to Addiction Leadership Day 21 November 2019
Richard.Taylor@health.govt.nz
Acting GM Addiction
Upcoming referendum
• Cannabis referendum to be held at General Election in 2020
• Public servants (Ministry and DHBs) are required to maintain neutrality on the outcome of the referendum
• Need to continue normal work to protect and promote health & wellbeing – provide advice to people on cannabis use and reducing use etc
• NGOs – cannot spend Government/DHB funding on referendum commentary
He Ara Oranga
• Substance and gambling harm and addiction is a Health issue
• Places People at the centre
• Strengthen action on alcohol and other drugs
• Expand access and choice of MHA services
• Transform primary health care
• Strengthen the NGO sector
• Enhance wellbeing promotion and prevention
The Current Landscape • Limited consensus on what AOD services should look like
• Service gaps, fragmented, uncoordinated, inconsistent
• Limited access / availability / funding for:
obrief/early intervention
oyouth services
oself-help tools
oAftercare/continuing care support
• Variable/high waiting times for assessment and treatment
• Workforce shortages, information gaps.
• Limited service integration in regions, impacts on access to treatment
Towards a National Addiction Model of Care (1)
• A model of care is a key step towards shaping future services
• Provides a supporting, flexible framework that enables models of care to be developed for regional or local level services
• Encourages integration, collaboration and systems thinking and addresses the limitations / gaps in current services
• What a good addiction treatment system looks like at the
national level - what to include and the principles to underpin it
• Recognises that change has resource implications – will help
inform future service investment decisions.
Towards a National Addiction Model of Care (2)
• We have organised or attended some workshops with the regions – today is another step in our engagement
• Although it is early days we want to reiterate:
• Will align with Government intentions around implementing He Ara Oranga
• We want to work with you - convene and collaborate – and will consult you formally.
How would you like us to engage with you / your organisation?
Draft Values & Principles
• Flexible, responsive treatment options, including outreach
• Equity – mana-enhancing care
• Integrated across communities and service providers (health, social, education, justice)
• Support throughout recovery journey
• Underpinned by lived experience
• Free from stigma and discrimination
• Fosters holistic, trauma-informed approaches.
Draft Outcomes• Improves wellbeing across various domains
o Prevent and reduce harms from addiction and substance useo Builds resiliency in the community and individuals exposed to harm
/risk• Transforms service users’ experiences
o receives appropriate and timely support/treatment to prevent and minimise AOD harm
o seamless integration between AOD and related care and support services (eg housing)
• More effective and culturally appropriate service responses
• Consistent services and better integration
• Shared learnings of exemplar practices
• Helps to support bids for investment in health and wellbeing services
Examples of what transformed services might look like
• Client pathways follow an intervention logic based on harm minimisation / prevention and a recovery focus
• Treatment and support services are ‘book ended’ with: o Consistent screeningo Flexible and supported entry/exito Follow up post discharge (aftercare / wrap around
support)• Package of care based on assessed need/risk, choice of
services and wrap around support.
Questions for you
1)Are we on the right track?
2)What would you change in the values / principles?
3)What are the supports that are missing or need changing now?
4)What would you need from the Ministry to implement change (other than funding)?
Ngā mihiThank you
Richard.Taylor@health.govt.nz
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