Rising to the Challenge 100 Actions – from the Service Development Plan 2012-2017
Action
Action Description
Rising to the
number Challenge page
Overarching goal A: Actively use our current resources more effectively
Accountability
1.1*
1.10
1.11
1.12
12
16
16
16
Enhance accountability by setting targets
Provide services in ways that are efficient (as well as effective)
Actively review duration of service use to ensure it aligns with need and best practice
Improve service effectiveness; including cultural effectiveness
1.2*
1.3*
1.4*
1.5*
1.6*
1.7*
1.8
1.9
13
13
14
14
14
15
15
15
Expand use of validated outcome measures
Develop and oversee the implementation of a planning and funding framework
Develop a nationally consistent set of performance indicators for specialist mental health and addiction services
Nationally share information about performance, innovation and effective practice
Better align funds spent by DHBs on mental health and addiction services with local population need
Increase accountability for extending the scope of ring-fenced funding
Improve specialist service performance using national performance indicators and service user feedback
Maximise the percentage of staff time spent in direct service delivery
Ministry of Health
DHBs and NGOs
DHBs and NGOs
Ministry of Health, DHBs, NGOs and primary
care providers
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
DHBs and NGOs
DHBs and NGOs
Overarching goal B: Building infrastructure for integration between primary and specialist services
2.1
19
Support fit-for-purpose service configurations
2.2*
2.3*
2.4*
19
20
20
Integrated IT system development
Enhance collection and reporting of primary care information
Enhance confidence and capability of the primary care workforce
Ministry of Health, primary care providers and
DHBs
Ministry of Health
Ministry of Health and primary care providers
Ministry of Health and primary care providers
Overarching goal C: Cementing and building on gains in resilience and recovery
3.1*
3.10
3.11
3.12
3.13
3.14
3.15
3.16
3.17
3.18
3.19
3.2
3.20
3.21
3.22
3.23*
3.24*
3.25
3.26*
3.27*
24
25
26
26
26
26
26
26
27
27
27
24
28
28
28
28
28
28
29
34
Enhance social inclusion opportunities
Reduce and eliminate the use of seclusion and restraint
Promote wellness planning and support people to self-manage
Improve service effectiveness through respectful engagement and partnerships with service users
Ensure services are sensitive to past experiences of trauma
Strengthen participation and leadership of service users at all levels
Increase participation of families and whānau at all levels
Improve physical health and wellbeing
Enhance interventions for opioid dependence
Work collectively to improve coordination
Self-management education
Ensure robust planning for adult forensic mental health services
Peer support services high needs
Employment specialists for service users
Early psychosis intervention
Youth-focused forensic mental health services
Dedicated treatment programmes for repeat impaired drivers
Acute inpatient alternatives to inpatient care
Prioritised forensic adult mental health services developments
Evaluate pilot kaupapa Māori programmes for substance misuse prevention
Ministry of Health
DHBs
DHBs and NGOs
DHBs and NGOs
DHBs and NGOs
DHBs and NGOs
DHBs and NGOs
DHBs, NGOs and primary care providers
DHBs, NGOs and primary care providers
DHBs, NGOs and primary care providers
DHBs
Ministry of Health
DHBs
DHBs
DHBs
Ministry of Health
Ministry of Health
DHBs and NGOs
Ministry of Health and DHBs
Ministry of Health
3.28*
3.29
3.3*
3.30
3.31
3.32
3.33
34
34
24
34
34
35
35
3.34
3.35
3.36
3.37
3.38*
3.39
3.4*
3.40
3.41
35
35
36
36
37
37
24
37
37
3.42
3.43
3.44
3.5*
3.6
37
37
38
25
25
Fund mental health literacy programmes for Māori
Raise awareness so that whānau can better meet the social and emotional needs of infants
Measure outcomes and use this information to improve the funding and delivery of services
Actively involve Māori in service planning
Contribute to Whānau Ora initiatives
Work together to identify and address disparities for Māori
Evaluate service effectiveness for Māori and use this information to inform future funding and service development
decisions
Reduce and eliminate the use of seclusion and restraint for Māori
Kaupapa Māori services
Fund mental health literacy programmes in vulnerable communities
Improve the interface between mental health and addiction services and disability support services
Build collaboration between mental health and addiction services and justice services
Actively involve groups who experience disparities in health outcomes in service planning
Continue to take action to address methamphetamine use
Build the capability to address the needs of refugees
Evaluate service effectiveness in addressing disparities of outcome and use this information to inform future funding
and service development decisions
Enhance coordination between mental health and addiction and disability support services
Work together to identify and address disparities
Other population-specific interventions
Review perinatal and infant mental health services
Reinforce evidence-informed prescribing
3.7
3.8
3.9
25
25
25
Enhance social inclusion opportunities
Support service users in their role as parents
Work to prevent suicide among people known to mental health and addiction services
Ministry of Health
Ministry of Health
Ministry of Health
DHBs and NGOs
DHBs and NGOs
DHBs and NGOs
Ministry of Health and DHBs
DHBs
DHBs
Ministry of Health
Ministry of Health
Ministry of Health
DHBs and NGOs
Ministry of Health
DHBs and NGOs
Ministry of Health and DHBs
DHBs and NGOs
DHBs and NGOs
DHBs
Ministry of Health and DHBs
Ministry of Health Quality and Safety
Commission
DHBs and NGOs
DHBs and NGOs
DHBs and NGOs
Overarching Goal D: Delivering increased access
4.1*
42
4.10*
44
4.11*
4.12*
4.13
4.14
4.15
4.16*
4.17
4.18*
4.19*
4.2*
4.20*
4.21
4.22
4.23
44
44
44
45
45
49
49
49
49
42
50
50
50
50
Continue to support health promotion activities to raise awareness of the importance of healthy social and emotional
development for infants and toddlers
Mental health promotion programmes focusing on how families and whānau can support infant social and emotional
development and on youth mental health
Electronic self-management tools for youth - e-therapy
Youth-specific prevention programmes
Dedicated primary mental health and AOD programmes for youth
Specialist mental health services for high-needs families and whānau with infants
Programmes for children of parents with mental health and addiction issues
Develop and implement a primary mental health and addiction service delivery framework
Fund mental health literacy programmes
Develop a suicide prevention action plan
Enhance services to minimise gambling harm
Pilot evidence-informed parenting programmes
Continue and refresh the National Depression Initiative
Enhance the delivery and integration of specialist mental health and addiction services within primary care
Enhance the responsiveness of specialist addiction services to justice services
Increase uptake of technology-based therapy programmes (e-therapies)
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
DHBs
DHBs
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
Ministry of Health
DHBs and NGOs
DHBs and NGOs
Primary care providers
4.24
50
Build capacity to respond to emerging mental health and addiction issues
4.25
4.26
4.27
4.28*
4.29*
4.3*
4.30*
4.31
4.32
4.33
51
51
51
52
52
42
55
55
55
56
4.34
4.35
4.36
56
56
56
4.37
4.38*
4.39
4.4
57
57
57
42
Implement the primary mental health and addiction service delivery framework
Self-management and wellness education in primary care
Expanded access to evidence-informed psychological therapies in primary care
Pilot dedicated drug courts
Improved responsiveness to the needs of new mothers with high-prevalence mental health or addiction issues
Lead the cross-agency Youth Mental Health Project
Review funding streams for mental health services for older people
Promote wellness planning
Proactively engage families and whānau
Enhance the delivery and integration of specialist mental health and addiction services within primary care and health
of older people services
Ensure addiction services are responsive to the needs of older people
Enhance the responsiveness and flexibility of specialist mental health services for older people
Enhance the responsiveness of primary care and general health services for older people with mental health and
addiction issues
Peer support services older persons
Specialist mental health advice and support for people with dementia
Community alternatives to acute inpatient care
Enhance the delivery and integration of specialist mental health and AOD services within primary care, schools and
other child health services
4.5
42
Enhance the responsiveness and flexibility of specialist child and youth mental health and AOD services
4.6
43
Support a coordinated response to meeting the needs of children in care
4.7
43
Support a coordinated, multi-agency response for youth with complex interagency needs
4.8
43
Improve the responsiveness of schools and primary care, maternal, child and youth health services
4.9
5.1*
43
59
Implement youth-centred models of care within primary care
A mental health and addiction workforce with capabilities and motivation to implement this plan
Note: an asterix indicates actions the Ministry is progressing in 2013/14.
Primary care providers and general health
providers
Primary care providers
DHBs and PHOs
DHBs and PHOs
Ministry of Health
Ministry of Health and DHBs
Ministry of Health
Ministry of Health
DHBs
DHBs
DHBs
DHBs and NGOs
DHBs
Primary care and health services for older
people providers
DHBs
Ministry of Health and DHBs
DHBs
DHB and NGO providers of specialist infant,
child and youth mental health and AOD
services
DHB and NGO providers of specialist infant,
child and youth mental health and AOD
services
DHB and NGO providers of specialist infant,
child and youth mental health and AOD
services
DHB and NGO providers of specialist infant,
child and youth mental health and AOD
services
Primary care, maternal, child and youth health
service providers
Primary care providers
Ministry of Health