Odyssey Framework and PeerSupport Services

Jenny Boyle - GM OperationsRiver Paton – Clinical Director

Map and overview of Odyssey

The history of Peer Support in a New Zealand context• Introduced to Mental Health services over 15 years ago• Develop peer support as a profession• Embedded in Mental Health Clinical services• Addiction sector followed close behind• Peer Support services - Phoenix Centre/ AODTC • Peer Support Competencies/ training

Development of Odyssey Peer Framework

• Process for framework development• The Odyssey framework was developed in 2017 • Intentional Peer Support principles • Peer Competencies incorporated• Odyssey Pillars• Organisational Support through structures and

processes – including Peer Support roadshow• Clarification of Peer tasks and goals

Peer Support worker goal and tasks

Intentional Peer Support• Is a way of thinking about and inviting transformative

relationships• Relationships are viewed as partnerships that invite and

inspire both parties to learn and grow rather than one person needing to help another

• Offers a foundation for doing something different• Shery Mead – Founder, developed in 1990’s in America• Gaining international acceptance

The three principles and four tasks of Intentional Peer Support • The three principals• From helping to learning together• From individual to relationship• From fear to hope

• The four tasks• Connection• Worldview• Mutuality• Moving Towards

Core Competencies in Framework

New Peer Support Service within Odyssey

• We recognized that we were losing a number of adult clients from the start phase and re-entry phase of their treatment

• Established a dedicated peer support team to engage with Adult clients through these ‘risky transition’ phases

Service delivery modelDuring Starters phase

• Initial meet and greet in the community on admission day • Peer support will meet with peer weekly during start

phase to support engagement with program and development of treatment planning goals

• Peer support will co-facilitate starters groups with clinical staff

Service delivery model continued

• Client directs re-engagement with peer support worker during level 3

• Treatment plan goals are reviewed and forward planning for client to re-engage with community

• Develop clients recovery capital which includes their own natural supports, community supports and recovery networks

Progress to Date

• Governance and leadership support • Peer coaching with AODTC Peers and Peer Support

team• Clinicians and Peers mutually valuing each other• Retention and Occupancy

79%73%

76%

67% 69% 71%75%

80% 78%

93%87%

91% 92%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18

Adult Programme, Young Adult Programme, Parents' Programme Occupancy, last 12 months

3 4 3

7

11

6 5

9

15

3 1 4

9

15

12

18

15

10 11

16

22

10 10

13

0

5

10

15

20

25

0%

10%

20%

30%

40%

50%

60%

70%

80%

Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18

Adult Programme, Young Adult Programme, Parents' Programme Leavers last 12 months

Leavers in startphase Total Leavers % of leavers who leave in start phase

Challenges• Communication and relationship building/maintaining• Clinicians/Peer workers understanding and valuing each

others roles• Organisational commitment to training and development

of all staff• Ensuring Peer Support workers have a voice within the

TC• Mentoring Peer Support workers to develop and grow

within their profession • Peer Support and TC – the ‘fit’• Resources

Final words and success storiesChrystal is a 31 yr old māori woman, who prior to admission was at Auckland hospital about to give birth and was still using methamphetamine. She was booked into our family centre but at the birth her daughter was removed by Oranga Tamariki. She was supported by peer support throughout this time. Chrystal spent her first few weeks on the verge of leaving the programme. Today she is in Level 3, a positive valued member of the community, re-engaging with her family and having supervised visits with her daughter. She has embraced her recovery journey and is committed to graduating the programme.

Warrenis a 49 yr old māori male, who came to Odyssey

straight from prison. He has an extensive background of addiction, offending and gang involvement. Peer support built a relationship with Warren through AVL and picked him up from prison on the day of admission and continued to support him through the Start phase. Warren is now in Level 3, involved in our kapa haka team, producing amazing art works for the house and doing maintenance work at the programme. He has re-engaged with family, and has strong goals to graduate and reintegrate with whanau.

Clinical Manager observation

“We see the way you (peer support) talk to people, and the way they talk to you, and it’s different, and we like it.”