national addiction workforce …...dr martino, an internationally recognised expert and specialist...

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NATIONAL ADDICTION WORKFORCE DEVELOPMENT ADDICTION UPDATE ...informing our addiction sector www.matuaraki.org.nz JUNE 2011 FEATURE Smoking in Our Prisons CLINICAL | Page 2 Screening, Assessment and Evaluation Guide- lines GP Decision Support Tool TRAINING | Page 3 Training Calender Criminal Justice Reflection Workbook Alcohol Related Brain Injury CEP Project Motivational Interviewing Practitioner Competency Framework Training Provider Network BEST PRACTICE | Page 6 Addiction Leadership Day Takarangi Competency Framework SECTOR SUPPORT | Page 9 Professional Mentoring & Supervision Regional Consumer Forum RESEARCH & EVALUATION | Page 10 Matua Raki evaluation strategy & objectives Addiction Research Symposium AWARDS | Page 10 Harry Pitman Award UPCOMING EVENTS | Page 11 Cutting Edge 2011 - Recovery & Wellbeing MATUA RAKI | Page 12 A bit about Matua Raki and Matua Raki Staff 2011 Printed on recycled paper. Doing our bit to protect the environment. Level 6, Aviation House, 12 Johnston Street, Wellington, New Zealand + 64 4 499 9340 PO Box 25056 Panama Street Wellington 6146 administrator@matuaraki.org.nz S moke free prisons become reality this July. Our prison population is pre- dominantly young males from mainly impoverished backgrounds. Over half report chronic disease, the most com- mon being asthma, and two-thirds or more are current smokers. With an average prison sentence of one year, Corrections face immense difficulties in engaging prisoners in meaningful treatment and rehabilita- tion. So for these short stay, mobile populations perhaps smoking cessation could be one realistic achievement. Prisoners are aware of the ban and are taking proactive steps to give up smok- ing Dr Brendan Anstiss | Assistant General Manager Prison Services Empowering prisoners through en- gagement in smoking cessation activi- ties may be the first step in them taking greater responsibility for their own health. 1,800 prisoners have started the free NRT (nicotine replacement therapy) eight week course in the lead up to the prison smoking ban. This is a sign that prisoners as a whole are taking steps towards improving their health. Corrections have been active with The Quit Group and the Ministry of Health to ensure all the right resources are in place for the implementation of the ban. Alongside NRT, ‘Workplace Champions’ have been developed and prison nurses and staff have been trained and are on hand to answer questions about giving up smoking. Helping the smoker understand the emotions and habits that are so intrinsi- cally linked to their addiction is shown to markedly improve success rates. One challenge is that once prisoners are released and return to their homes and social situations where smoking is the norm they may relapse. The Quit Group | Te Roopu Me Mutu For our general population quitting, trying to quit and fail rates, regard- less of demographics, are surprisingly similar. Whether this translates to our prison populations is unclear. Some in- ternational reports on forced cessation suggest the majority relapsed within six months of release, while others suggest prisoners quit rates are similar to com- munity samples. The Quit Group are working with the Department of Corrections on a resource pack which will be given to prisoners upon release and which ad- dresses these specific issues. The Quit Group | Te Roopu Me Mutu By addressing the smoking behaviour of prisoners there are promising possi- bilities for important health gains. Les- sons learned from giving up nicotine continues over page....

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Page 1: NATIONAL ADDICTION WORKFORCE …...Dr Martino, an internationally recognised expert and specialist MI skills trainer, presented to co-existing problem practitioners and others from

NATIONAL ADDICTION WORKFORCE DEVELOPMENT

ADDICTION UPDATE ...informing our addiction sector

www.matuaraki.org.nz

JUNE 2011

FEATURE Smoking in Our Prisons

CLINICAL | Page 2Screening, Assessment and Evaluation Guide-lines

GP Decision Support Tool

TRAINING | Page 3Training Calender

Criminal Justice Reflection Workbook

Alcohol Related Brain Injury

CEP Project

Motivational Interviewing

Practitioner Competency Framework

Training Provider Network

BEST PRACTICE | Page 6Addiction Leadership Day

Takarangi Competency Framework

SECTOR SUPPORT | Page 9Professional Mentoring & Supervision

Regional Consumer Forum

RESEARCH & EVALUATION | Page 10Matua Raki evaluation strategy & objectives

Addiction Research Symposium

AWARDS | Page 10Harry Pitman Award

UPCOMING EVENTS | Page 11Cutting Edge 2011 - Recovery & Wellbeing

MATUA RAKI | Page 12A bit about Matua Raki and Matua Raki Staff 2011

Printed on recycled paper. Doing our bit to protect the environment.

Level 6, Aviation House, 12 Johnston Street, Wellington, New Zealand + 64 4 499 9340

PO Box 25056Panama Street Wellington 6146 [email protected]

Smoke free prisons become reality this July. Our prison population is pre-

dominantly young males from mainly impoverished backgrounds. Over half report chronic disease, the most com-mon being asthma, and two-thirds or more are current smokers.

With an average prison sentence of one year, Corrections face immense difficulties in engaging prisoners in meaningful treatment and rehabilita-tion. So for these short stay, mobile populations perhaps smoking cessation could be one realistic achievement.

Prisoners are aware of the ban and are taking proactive steps to give up smok-ing Dr Brendan Anstiss | Assistant General Manager Prison Services

Empowering prisoners through en-gagement in smoking cessation activi-ties may be the first step in them taking greater responsibility for their own health. 1,800 prisoners have started the free NRT (nicotine replacement therapy) eight week course in the lead up to the prison smoking ban. This is a sign that prisoners as a whole are taking steps towards improving their health.

Corrections have been active with The Quit Group and the Ministry of Health to ensure all the right resources are in place for the implementation of the ban. Alongside NRT, ‘Workplace Champions’ have been developed and prison nurses and staff have been trained and are on hand to answer questions about giving up smoking.

Helping the smoker understand the emotions and habits that are so intrinsi-cally linked to their addiction is shown to markedly improve success rates.

One challenge is that once prisoners are released and return to their homes and social situations where smoking is the norm they may relapse. The Quit

Group | Te Roopu Me Mutu

For our general population quitting, trying to quit and fail rates, regard-less of demographics, are surprisingly similar. Whether this translates to our prison populations is unclear. Some in-ternational reports on forced cessation suggest the majority relapsed within six months of release, while others suggest prisoners quit rates are similar to com-munity samples.

The Quit Group are working with the Department of Corrections on a resource pack which will be given to prisoners upon release and which ad-dresses these specific issues. The Quit Group | Te Roopu Me Mutu

By addressing the smoking behaviour of prisoners there are promising possi-bilities for important health gains. Les-sons learned from giving up nicotine continues over page....

Page 2: NATIONAL ADDICTION WORKFORCE …...Dr Martino, an internationally recognised expert and specialist MI skills trainer, presented to co-existing problem practitioners and others from

www.matuaraki.org.nz ADDICTION UPDATE

...continued from over page...could indeed impact positively on other aspects of their life, including dealing with ongoing drug and alcohol issues.

It seems sub-optimal to address drink-ing, only to shorten one’s life due to smoking. Tim Harding |CEO, Care NZ

Smoking cessation has been shown to correlate with positive outcomes in alcohol and other drug treatment. Given that alcohol and other drug use is implicated in upwards of 70% of arrests and is problematic for around 80% of our prison population, this could well translate to tangible benefits beyond the wire.

Smoking is one of the routines and small “rewards” people use to break up the day. …it will take considerable ef-fort to find and re-enforce the rewards for non-smoking …to turn the exist-ing dominant culture into something that reflects more the downward trends in the general population. Wolfgang

Theuerkauf | CADS Waitemata

Re-engaging with individuals to sup-port smoking cessation while in post-release AoD treatment could build on the positive efforts made while inside prison. Supporting this group of peo-ple with high smoking rates, long-term, could be a challenge worth taking.

Matua Raki are offering smoking ces-sation short courses with Dr Mark Wallace-Bell | Behavioural Change

Consultancy Ltd – who has developed a specialist module for working with addiction consumers who have nicotine dependence.

FEATURE CLINICAL

Soon to be published. In 2011 Matua Raki will launch the revised guidelines Screening,

Assessment and Evaluation in Addic-tions Treatment (alcohol and other drug, smoking and gambling).

After review and much discussion the Guidelines Working Group has chosen a collection of tools in common usage in New Zealand that are supported by evidence-based literature. The guide-lines are intended to assist addiction practitioners in the course of their work with clients with addiction-related issues.

These guidelines include:

• a range of valid multi-purpose screening tools for addiction and prob-lematic substance use, including nico-tine use, gambling and mental health issues; and,

• outlines of current models of assess-ment;

• suggested formats/structures for as-sessment information that can inform-District Courts, Parole Boards, and other statutory agencies.

A ‘specialist assessment report’ is the basis for the development of a tailored treatment plan. It assists in ensuring that an appropriate level of care is pri-oritised, planned and potentially pro-vided specific to the needs and require-ments of that person.

The national standardisation of assess-ment and reporting aims to improve the credibility of reports by providing consistent, high quality and relevant as-sessment information.

The guidelines for ‘specialist assess-ment reports’ have been developed in response to the increasing recognition

of the role addiction-related problems play in criminal behaviour. In order to make informed decisions the Courts and Parole Board must obtain the best possible assessment.

General Practice’s options for decision support tools will soon be extended.

Matua Raki and Best Practice (NZ) are jointly developing a web-based AoD in-terface that interacts with a GPs patient management system and facilitates elec-tronic referral into addiction treatment services.

The decision support tool is designed for use in GP practices. It prompts GPs with questions to assist in discus-sions with their patients around prob-lematic alcohol and drug use.

The tool also makes it easier for GPs to get involved by providing a stepped care approach with relevant interven-tions. Supporting materials include printable fact-sheets and self-help workbooks.

These fact-sheets and self-help work-books have been taken or adapted with permission from several organisations including the Gambling Helpline, ALAC and the National Cannabis Prevention & Information Centre (NCPIC) in Australia.

Training for receipt and processing of the GP electronic referrals will be con-ducted for treatment facility administra-tors and admissions personnel.

Keep posted...

Training will be scheduled later this year to coincide with the release of this tool.

SCREENING, ASSESSMENT & EVALUATION GUIDELINES

GP DECISION SUPPORT TOOL

JUNE 2011 | Page 2

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TRAINING

• a training resource to help organisa-tions develop in-service training; and,

• a reflective workbook for staff to review their own practice with justice clients and associated services.

Working with People in the Criminal Justice Sector: Reflective Workbook can be downloaded from the Resources section of the Matua Raki’s website under ‘Tools/Guidelines’

How will we meet the needs of our aging population? - a question the addiction sec-

tor must further contemplate. To re-invigorate this discussion Matua Raki thought it prudent to bring to New Zealand Dr. Alice Rota-Bar-telink | Research Fellow & Allied

Health Practitioner to deliver ARBI workshops.

Dr. Rota-Bartelink is an allied health practitioner, having worked across public, private and community health sectors and previously as lecturer at La Trobe University, Australia. She joined Wintringham in 2001 to undertake an international study investigating the an-tecedents to homelessness among older people, later gaining recognition for her research into the challenges associated with providing appropriate aged care to these individuals. Dr. Rota-Bartelink is now an honorary research fellow with the National Aging Research Institute.

More recently her work has involved research in relation to ARBI, especially as it affects older people and those who provide services to them.

WORKSHOP DATES

• Auckland 27th June 2011

• Christchurch 29th June 2011

• Wellington 1st July 2011

Please visit Matua Raki’s website for further details and on-line registration.

In early 2008 Matua Raki com-missioned the development and delivery of a mobile training

package.

The training aimed to support acceler-ated workforce development for the alcohol and other drug (AoD) sector, enabling them to competently respond to people in, or those who have been in the justice system with AoD issues. The package contributed to a suite of programmes within the Ministry of Health’s Effective Interventions First Step Programme.

Eight pilot and twenty Phase II sites were delivered throughout 2008 and 2009. Workshop evaluation indicated that participants improved engage-ment with justice clients, while services reported improvement in networking and collaborative practices with jus-tice services, in particular Community Probation and Psychological Service (CPPS).

Workshop participants said:

“Of interest was Probation’s focus on risk of re-offending, as distinct to AoD

services which is on safety of self or others”

“I need to be more intentional about connecting with other agencies i.e. –

Probation officers”

“I have a clear understanding now of the processes which will enable me to provide better support for the client”

This positive feedback prompted the redesign of the workshop manual to the format of a readily accessible reflective workbook. Matua Raki hopes the workbook will be taken up and used as:

• a refresher for participants of the original training;

TRAINING CALENDAR

Visit Matua Raki’s wesbite homepage to view the Sector Calendar.

Matua Raki have been busy....

A series of seven Brief Cognitive Intervention trainings have now

been completed. This valuable train-ing was provided by Catherine Kissel, presenting in centres from Dunedin to Whangarei. More workshops will be run later in the year

A series of trainings to encour-age family inclusive practice,

titled ‘Creating Spaces -Working with families with challenging and complex needs’ and ‘Family Inclusive Practice-Supervisors’ training’, have now been completed. Run in partnership with Kina Trust, they were delivered around the country.

Smashed ‘n Stoned facilitator train-ing has been run in Nelson, Hamil-

ton, Masterton and Auckland.

A series of Contingency Manage-ment trainings got underway in

Dunedin in early April followed by trainings in Wellington, Whangarei, Hamilton, Auckland and Hawkes Bay.

Co-existing Problem Formulation Training workshops were held in

Lower Hutt, Poirirua and Masterton in early May.

A series of Working with nico-tine dependence in the ad-diction sector workshops are

underway run by Dr Mark Wallace-Bell | Behavioural Change Consultancy Ltd.

Workshops will be held in Dunedin.

There are still spaces available.

Please visit Matua Raki’s website for further details and on-line registration.

CRIMINAL JUSTICE REFLECTIVE WORKBOOK

ALCOHOL RELATED BRAIN INJURY (ARBI)

JUNE 2011 | Page 3

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Motivational Interviewing & Group Work with People with Co-existing Problems. The Wellington work-shop, presented by Dr Steve Martino | Yale School of Medicine on March 1st was a popular and rare oppor-tunity. Dr Martino, an internationally recognised expert and specialist MI skills trainer, presented to co-existing

problem practitioners and others from the addiction sector.

Pioneering the use of MI with people with co-existing problems (CEP), Dr Martino has developed MI based individual and group interventions and strategies. Based on these experiences he was able to articulate the challenges of working with CEP, willingly sharing the skills and strategies he and his colleagues have developed. His clarity about MI and his generosity and humility ensured that all who attended the workshop gained knowledge and skills to work with people with co-existing problems.

TRAINING

CO-EXISTING PROBLEMS PROJECT

The Co-existing Problems Project has now moved into Phase 3. Service integration

workshops, created to inform funders, planners and service leaders from both addiction and mental health services of the aims of the project, are almost complete. 439 participants from NGO and DHB services have attended and Matua Raki is now evaluating the work-shops’ impact on integrating service delivery to people with CEP.

Preliminary findings indicate that the outstanding factors that facilitated services’ ability to implement strategies or initiatives in becoming CEP capable are having existing relationships with other agencies and having CEP capable clinicians.

These findings highlight the impor-tance of allocating time and resources to networking and liaison building,

both within sectors and across the mental health and addiction sectors. They also reinforce the need to con-tinue developing the capability of the workforce in CEP and providing sup-port to existing CEP capable clinicians.

A series of CEP Formulation training workshops delivered by Dr Joel Porter began in

November 2010. 448 DHB and NGO services practitioners from mental health and addictions have been trained to date. The workshops will continue throughout 2011.

Participants have been encouraged to form peer supervision groups for ongoing knowledge and skills develop-ment. The workshops have also en-couraged participants to create learning needs analyses so they can identify knowledge gaps and strategies they might employ to improve their skills. Common themes identified have included learning more about MI; substance effects; addiction and detox

management on MH Units.

A group of over eighty skilled and experienced CEP practi-tioners has been identified to

support the development of local CEP networks. A number of the practition-ers attended the MI workshop by visit-ing expert Dr Martino (discussed below).

The workshop, organised by Matua Raki, attracted highly skilled partici-pants from around the country.

The Capital and Coast Health, Wellington Co-existing Disor-ders Team have developed a

CEP skills framework against which clinicians can assess their CEP specific skills and capability, either by them-selves or by external assessors.

In collaboration with Matua Raki a pilot project to gauge the framework’s validity and ease of use will take place over the next 3 – 6 months.

JUNE 2011 | Page 4

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TRAINING

The review of the Practitioner Competency Framework has been completed. This two year project was Min-istry of Health funded and was contracted to dapaanz by Matua Raki. It has reviewed the original 2001 competen-cies, with extension into problem gambling and smoking cessation.

The extension reflects the reality of co-occurring presentations by clients across the sector and the growing inter-relation-ship between practitioners working in the three sectors. The Practitioner Competency Framework belongs to the addic-tion sector, with governance by dapaanz . The competencies will be useful for practitioner development and performance review and will provide the basis for dapaanz review. Education and training providers are now aligning courses to it.

The next stage for dapaanz is the development of new levels of registration covering AOD, problem gambling and smoking cessation. The competencies will be published by June and be available on both the dapaanz and Matua Raki’s website.

JUNE 2011 | Page 5

The Training Providers Network (TPN) comprises representa-tives from tertiary addiction

education providers, service workforce development coordinators, profes-sional bodies and workforce develop-ment agencies. Three meetings a year are hosted by Matua Raki, alternating between Auckland, Wellington and Christchurch. Its main objective is to facilitate liaison between education providers and in particular to provide a forum for the discussion of training and curricula issues.

The TPN last met in late March at Matua Raki. Originally planned for Christchurch it was re-located due to the February earthquake. Neverthe-less the day was well attended with representatives from the University of

Auckland, University of Otago at Wel-lington, AUT and WelTec, and other providers, including ABACUS, Blue-print, MIT, KINA Trust, Penina Tust and dapaanz.

David Newcombe (University of Auckland) | Chair National Train-

ing Providers’ Network provided a snapshot of the day:

• The importance of incorporating cultural fluency and responsiveness in TPN teaching was discussed;

• With the new Addiction Competen-cies implementation imminent, training providers are assessing how best to incorporate the teaching of competen-cies within their programmes;

• The emerging issue of Health Workforce New Zealand (HWNZ) and

how it will deal with addiction sector workforce development. TPN recog-nises the addiction workforce is unique with very different training needs than that of the mental health sector. TPN agreed there is a need to present a united front to HWNZ to reinforce the unique aspects of the addiction workforce and its specialist training needs.

Members of the network are currently working on the preparation of a stand-ardised curriculum for post graduate addiction training and a submission to HWNZ regarding maintaining separate funding and focus for addiction work-force training.

TPN’s next meeting is scheduled for Wednesday

July 20th in Auckland.

TRAINING PROVIDERS NETWORK

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The first Addiction Leadership Day of 2011, hosted by Ma-tua Raki, brought together the

varied leaders from the addictions and allied workforce to discuss the topic Early Interventions and the Drivers

of Crime. Participants originally des-tined for Christchurch, came instead to Wellington’s Oriental Bay.

Susanna Galea Clinical Director CADS Auckland and Jenny Wolf (Ministry of Health) started the day by introduc-ing the research behind ADOM, the alcohol and drug outcome measure. ADOM is for use with adults in a range of AOD treatment services, in-cluding outpatient, day patient, detoxi-fication and opioid substitution. Su-sanna presented results from ADOM’s use at CADS Auckland and Jenny confirmed that ADOM is being used as a requirement for clients accessing the newly funded methamphetamine in-patient beds. [For more information on ADOM visit Te Pou’s website under

BEST PRACTICE

der the HPCA Act. Despite advocacy from the Ministry of Health and from Health Workforce NZ, a few DHBs are limiting access to training, team support and career pathways to those who are registered under the HPCA Act.

The first of the themed panel discus-sions focused on Early Interven-

tions and was kicked off by Sue Paton from ALAC who gave an overview of their work with the Family Planning Assoc., including supporting FPA in having proactive discussions with their clients about alcohol use, misuse and its consequences. Next up was Paul Rout from ADANZ who outlined their work in police stations, primary care and the allied sector on identify-ing and engaging early with individuals with AoD issues. Vanessa Caldwell from Matua Raki provided an overview of the GP Decision Support Tool designed to improve GP confidence, timing and procedures in AoD consul-

Research, Our Projects www.tepou.co.nz].

Updates were provided by Graeme Ramsay CEO of Problem Gambling Foundation, Ian MacEwan Executive Director of dapaanz, and Raine Berry Director of Matua Raki.

Graeme talked about Christchurch and the toll of the quake, the Auckland International Conference Feb 2012 and the development of Asian Family Services. Raine talked about the idea of non-treatment addiction organisations forming an alliance to strengthen our position in the new funding environ-ment. And, Ian talked about Cutting Edge, HPCA Act implications, and the consequences of AoD services being integrated into mental health.

Ian discussed the trend in some DHBs, especially those disbanding AoD treat-ment teams and integrating them into mental health teams, to devalue dapaanz registration against those registered un-

ADDICTION LEADERSHIP DAY

JUNE 2011 | Page 6

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BEST PRACTICE

tations. (Please refer to previous pages for more detail on the GP Decision Support Tool).

CCDHB Emergency Department researcher and senior physician Dr Paul Quigley presented with typical fervour. The statistics said it all. Night time alcohol-related admissions dominate A&E during weekends with average workloads 50% over capacity. Dr Qui-gley noted that A&E most often sees men with drinking problems while GPs see women.

Dr Quigley emphasised a number of factors important to developing good data and systems in screening and brief interventions, including: (1) The need for services to screen and then collect quality data and to make data available upon request. (2) Keep up momentum and motivation and make the changes standard practice. The importance of that process should be regularly rein-forced with staff. (3) The key to success

with screening for A&E in particular is asking the big questions. This allows for many more positive screens and a greater likelihood of providing appro-priate interventions. (4) Use appropri-ate diagnostic classifications (e.g nega-tive, harmful, hazardous, addictive) to identify presenting individuals and employ relevant and consistent inter-ventions that aim to stop the cascade of presentations overtime.

A group discussion titled ‘Three Themes from past Leadership Days’ was then presented by Robert Steenhu-isen of CADS Waitemata.

In exploring the long-term relation-ship between funding and outputs, Robert predicted increasing pressure on controlling expenditure, a focus on productivity and quality and increased standardisation. The addiction field will need an understanding of current and potential future funding models and the impact these will have on

BEST PRACTICE

service delivery. Improved national data collection will become a require-ment. In stimulating group discussion, participants were asked to consider: the definition of core elements of effec-tive addiction practice and of outputs; and how addiction treatment systems can be integrated into a whole system approach.

At the next Leadership Day - Auckland 21 July - these themes will be further explored.

The day was finished off with Peter Kennerley from the Ministry of Health providing an overview of the Drivers

of Crime Project. Eileen Varley Re-gional Service Manager of Nelson AoD discussed their best practice approach to working with Community Proba-tion Services and Courts. Tim Harding CEO Care NZ discussed the benefits of Care NZ prison-based drug treat-ment units.

JUNE 2011 | Page 7

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BEST PRACTICE

Competency – a fusion of elements.

The Takarangi Competency Framework workshop challenged and validated some of my practice. But it also gave me some clear direction in how I can become more competent working with Māori clients and whānau. Partici-pant | Takarangi Competency Framework Workshop

Matua Raki has continued to hold the introductory work-shops for the Takarangi Competency Framework with the last two workshops held in Taupo (in conjunction with the Lakes DHB and Te Utuhina Manaakitanga Trust) and in Invercargill (hosted by Ngā Kete Matauranga Pounamu).

Participants came from AoD, problem gambling and mental health as well as some other social service providers.

The Framework is relevant across sectors. Moe Milne | Workshop facilitator. The Framework emphasises the integrated nature of competence – the fusion of cultural and clinical elements in practice. This can be a revelation and a

challenge for some at the start.

The Framework is a quality assurance and workforce devel-opment tool for services and practitioners alike. A number of the participants commented on the benefits of being able to use the evidence of competence in the Framework with their portfolios for social work, nursing and regulatory bod-ies, as well as for dapaanz.

We have been lucky that through the leadership of Phyl-lis Tangitu, General Manager Māori that Lakes DHB have taken up the Takarangi Competency Framework as one way of enhancing competency. Terry Huriwai | Senior Advisor at Matua Raki.

This support led to an assessors’ workshop being run at Lakes DHB and an ongoing programme of support follow-ing the introduction of the Framework.

For further information visit Matua Raki’s website or contact Terry Huriwai [email protected]

TE TOMAIRANGI (Invercargill)

TAUPO

JUNE 2011 | Page 8

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SECTOR SUPPORT

I n 2010 Matua Raki supported a number of people from consumer or peer roles with the opportunity to gain a certified qualification in Professional Mentoring and Supervision and Workplace Coaching Skills.

The mentoring and supervision skills qualification, certified by Unitec, can be cross-credited towards the Gradu-ate Diploma in Not-For-Profit Management. The training was provided by the New Zealand Coaching and Mentoring Centre (NZCMC) and is based on a collaborative initiative between the KITES Trust and NZCMC.

In 2008 the training was adapted to meet with needs of the addiction consumer workforce. It includes a five day course delivered in two blocks with participants submitting an assignment at the end. Participants came from a range of backgrounds including supported accommodation services, needle exchange, consumer advisors and peer support worker roles.

With participants agreeing to be part of a database of peer mentors and supervisors, the group is now better connected. Matua Raki would like to acknowledge the KITES Trust for their generosity in sharing their experi-ences with us and to Peta, Aly and Wendy from the NZCMC.

For more information on Professional Mentoring and Supervison visit Matua Raki’s website or contact the Consumer Advisor [email protected]

This year Matua Raki’s Consumer Advisor in collaboration with the Men-tal Health Commission Service User Advisor (Addiction) will be facili-tating six regional consumer forums across the country.

The forum is targeted at those using addiction services and who may be con-sidering studying and/or working in the addiction sector. Many others currently working in consumer and peer roles, such as consumer advisors and/or liaisons, peer support or consumer educators will be in attendance.

The purpose of the forum is to create an opportunity:

• To better understand the Mental Health Commission’s function including its systemic advocacy role and how they can advance or support addiction issues.

• To promote Matua Raki’s discussion document Consumer and Peer Roles in the Addiction Sector

• To better understand addiction sector consumer activities happening within your local region.

Whangarei held the first forum on the 15th March, with people attending from a range of backgrounds.

Matua Raki would like to acknowledge the Addiction and Mental Health Consumer Networkers, Richard Dick (Addiction Consumer Networker) and Graham Johnson (Mental Health Consumer Networker) whose support was integral to the link between local and national activities.

CONSUMER FORUM DATES

• Auckland 14th April

• Hamilton 29th April

• Dunedin 6th May

• Christchurch TBC

• Palmerston North 19th May

Richard Dick & Graham Johnson At Te Tai Tokerau

Whai ora Network Centre

JUNE 2011 | Page 9

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RESEARCH & EVALUATION

Matua Raki’s new look Research and Evaluation (R&E) Team are now

established.

The team is led by Klare Braye and Ria Schroder. While new to Matua Raki Klare and Ria are experienced in the addiction field.

One of R&E’s primary tasks has been setting up systems to ensure all Matua Raki’s projects are evaluated. R&E will be gathering the necessary infor-mation from our events or training so whenever you attend some basic questions will be asked of you about your work (basic demographics data and workplace characteristics infor-mation).

This presents an opportunity for you to inform Matua Raki of your workforce development needs and for Matua Raki to evaluate our work and how we can best meet workforce needs.

R&E are trialling ways to gather this information, including online sur-veys, hard copy questionnaires and telephone interviews. Whatever the format, Matua Raki encourage you to participate in this important process as fully as possible.

Alongside this work, Matua Raki’s Research and Evalua-tion Strategy is being devel-

oped. Its primary goal is to strengthen the research and evaluation practices of the addiction workforce. This goal will be achieved by ensuring a number of objectives are met within the next five years, including:

• Ongoing generation of workforce data and monitoring Matua Raki’s sec-tor impact

• Monitoring patterns in addiction-re-

lated presentations and corresponding changes in workforce capacity

• Fostering sector research and input from clinical practitioners

• Fostering peer-reviewed research and diversity in research methodology in the sector

• Improving addiction treatment service delivery through the effective transfer of new scientific knowledge and clinical service evaluations to ap-plied clinical practice.

Matua Raki is a proud co-sponsor of the Addiction Research Symposium. Estab-

lished last year by David Newcombe’s Team at Auckland University the sym-posium proposes to:

• Provide an annual forum for New Zealand addiction researchers

• Give research students (PhD & Masters) access to experienced col-leagues and a supportive environment to present their findings

•Generate focussed discussions on is-sues of common interest

The second of these symposia will be hosted by the National Addiction Cen-tre, University of Otago, in Christch-urch. Scheduled for March 11, 2011, it was postponed due to the February earthquake. However, reassurances have been given that the symposium will run and it will be in Christchurch.

Keep posted for details....

It promises to be a great opportunity for our addiction researchers to get together, share ideas and establish re-search collaborations.

AWARDS

Harry Pitman Award for Leadership in Māori Health a focus on the wairua

(a person’s spirit) of recovery.

“Harry was a pioneer in the develop-ment of the Māori AOD sector” Te Puea Winiata | Member Rongomau Bennett Foundation & former col-

league of Harry Pitman. She went on to say “He was a man with passion and compassion and Harry Pitman Excel-lence and Innovation Award launched by the new Henry Rongomau Bennett Foundation recognises this”

The inaugural recipient of this award is Rawiri Pene who has been a long time participant and leader in the recovery whānau movement and is also a key cultural worker at the Higher Ground Therapeutic Community programme in Auckland. Rawiri has been awarded a grant to research waiata (song) and haka in the addiction sector, particu-larly used in and by recovery whānau.

Rawiri received the award from Harry’s whānau. He had strong support at the ceremony from his own whānau and Higher Ground staff and residents. “Rawiri’s work will contribute to build-ing new understandings and skills in the addiction workforce and add another chapter to the history of Maori addiction treatment” Terry Huriwai | Senior Advisor at Matua Raki

HARRY PITMAN AWARD

Te Puea Winiata & Rawiri Pene

JUNE 2011 | Page 10

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www.matuaraki.org.nz ADDICTION UPDATE

UPCOMING EVENTS

CUTTING EDGE 2011

This year’s theme is Recovery and Well-being.

Given the tragic events of 22nd Feb-ruary, our annual sector conference, planned for the Grand Chancellor Hotel in Christchurch, is being moved to last year’s venue, the Rendezvous Hotel, Auckland.

With the dates unchanged, this year’s Cutting Edge is shaping to be a great event. Two keynote speakers are so far confirmed: Professor Tom McLellan | USA and Professor Sandy MacFar-

lane | Australia.

Professor McLellan is professor of psychiatry at the University of Penn-sylvania. He is founder and Executive Director of the Treatment Research Institute, a not-for-profit research and evaluation institute in Philadelphia.

Professor McLellan was the principal developer of the Addiction Severity Index (ASI) and the Treatment Serv-ices Review (TSR), both widely used substance abuse instruments, and until recently he was the Deputy Director of the US Office of National Drug Control Policy.

An interesting video of a lecture held by Professor McLellan at the National Addiction Centre UK (2010) can be found at www.fead.org.uk

Professor MacFarlane is senior psychi-atric adviser to the Australian Centre for Post-traumatic Mental Health and an international expert in the field of the impact of disasters and post trau-matic stress disorder.

Additionally, there will be a consumer stream, led by consumers, and a panel on the Alcohol and Drug Act legisla-tion.

Keynote speakers from Maori, Pacifica and from Asian communities will also be present.

For the first time a hosting opportu-nity will be offered on the 31st August. Higher Ground, Odyssey and Wait-emata DHB CADS service will hold an “open home” to enable visitors to meet staff and aquaint themselves with the services provided. Those interested will need to register to do this.

The call for abstracts has been made for oral (20 minute) or poster presenta-tions on the theme of Recovery and Wellbeing. The submission date for abstracts closed 6th May.

Jim Hauraki (ALAC, Christchurch) steps down as conference chair, with Tim Harding taking over and reviving the 2010 Auckland-based committee.

Dr Fraser Todd will again chair the programme sub-committee.

The conference website is now open (www.cuttingedge2011.org.nz). This year, the dapaanz award will be given to the best poster on a treatment prac-tice topic.

CONFERENCE DATES Rendezvous Hotel, Auckland

• 31st August Pre-conference Meetings

• 1st - 2nd September The Conference

• 3rd September ConferenceWorkshops

AWARDS

CUTTING EDGE 2010

MATUA RAKI WORKING HARD

JUNE 2011 | Page 11

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NATIONAL ADDICTION WORKFORCE DEVELOPMENT

ADDICTION UPDATE ...informing our addiction sector

MATUA RAKI

Back row: Rhonda Robertson, Terry Huriwai, Ariana Rona, Ashley Koning, Rawiri McKinney, Lealofi Siō.

Middle row: Anna Nelson, Raine Berry, Patricia Rainey, Alo Ioane, Tangihaere Walker

Front row: Vanessa Caldwell, Klare Braye, Joel Porter Absent: Ria Schroder and Martin Woodbridge

sive, it is directed at individuals, organi-sations and structural development. A continuing whole of systems approach involves specific strategies that target recruitment, retention, leadership, core competencies, training and develop-ment, career pathways, organisational culture, evaluation and research and policy development.

With its multidisciplinary approach, Ma-tua Raki is responsive to new develop-ments and well positioned to work with the Government’s social agenda to help achieve its goal of reducing addiction-related harm.

Our vision. Matua Raki’s aim is for a highly skilled, confident and

competent workforce which, supported by a sound infrastructure, will provide accessible and effective services which minimise addiction-related harm and improve health for people with addic-tion problems and their families and

whānau. The name Matua Raki de-scribes the “passion and commitment” of the addiction treatment sector and its drive for excellence.

What we do. Matua Raki sup-ports innovation and works

towards evidence-based workforce de-velopment solutions through a broad range of activities such as policy devel-opment, training programmes, boost-ing sector relationships and network-ing, resource development, research and competency development.

Strengths include the development of training initiatives, high levels of cul-tural competency (Māori and Pacific) and consumer involvement.

Matua Raki provides leadership and has important strategic relation-ships with key stakeholders, including service providers, training providers, professional bodies and policy makers.

Meeting the Challenge of Addiction.

Matua Raki, the National Addiction Workforce Development Centre, is a leader in the development of the addic-tion workforce, both at organisational and individual levels.

Addiction (alcohol and other drugs including nicotine [AoD] and problem gambling) affects a significant number of New Zealanders, and contribute to social and economic harm to individu-als, their families and whānau and the wider community. Around 115,000 people have a substance use disorder in any year, yet only around 30,000 people receive specialist treatment. While many more are seen by allied health and social care services for lower threshold problematic substance use.

The continued development of a responsive, effective and sustainable addiction workforce as well as an allied health sector that is better prepared to work with addiction issues is vital to provide the highest quality services and help minimise these alchol and other drug harms.

Addiction services are well established and around 1300 people currently work in the specialist AoD sector, but the workforce is aging with only 3% of the workforce aged under 30 years. More qualified and skilled staff need to be recruited and retained in both specialist and allied health and social care serv-ices.

What is addiction workforce development? Workforce de-

velopment is a multi-faceted approach aimed at enhancing the capability and capacity of the addiction workforce and other workforces which offer related services. Broad and comprehen-

MATUA RAKI STAFF 2011