NZ Guidelines Group Self-harm and Suicide Prevention Collaborative: Progress in Implementing Change...

NZGG – Self-harm and Suicide Prevention Collaborative

Collaboratives – making best practice

happenSilke Kuehl

Emergency Nurse AdvisorSelf-harm and Suicide

Prevention Collaborative - Whakawhanaungatanga

NZGG – Self-harm and Suicide Prevention Collaborative

NZGG – Self-harm and Suicide Prevention Collaborative

Outline• The collaborative best practice

implementation approach

• Kiwi approach whakawhanaungatanga

• The benefits & early results for consumers & clinicians

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

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

NZGG – Self-harm and Suicide Prevention Collaborative

Participating DHBsNorthland WaitemataCounties Manakau WaikatoLakes TaranakiMidcentral Hutt ValleyWest Coast Southland

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

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

CommunityCare

ED, Mental & Mäori Health Services

Discharge Destination

Presentation Assessment Management

National Institute of Clinical Studies © 2005

Consumer pathway

NZGG – Self-harm and Suicide Prevention Collaborative

NZ FlavourWhakawhanaungatanga – 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)

NZGG – Self-harm and Suicide Prevention Collaborative

NZGG – Self-harm and Suicide Prevention Collaborative

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

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

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

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

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