Co-Existing Problems
Capability
Project
Steering Group Update
February 2013
WDHB CEP Plan • District Plan
2011
• Regional Plan
CEP Capability
Project Plan
2011-12
• Steering Group
• Working Group
• Operational
6 x Workstreams
• Tailored
2013
WDHB CEP Plan
Goal 1: Client centred:
To provide a client centred service which reflects a
coherent and comprehensive understanding of
the needs of service users and families
Goal 2: Service development:
To provide an integrated mental health and alcohol
and addiction service which is CEP responsive and
CEP capable
WDHB CEP Plan
Goal 3: Integrated systems of care:
To apply a stepped care approach across the
District to support an integrated response to
service users
Goal 4: Workforce development:
To establish a highly skilled workforce that is CEP
responsive and effective.
CEP Capability Project Purpose
• To achieve effective CEP capability across
the Waitemata District including the NGO
sector and to support primary healthcare
providers within a stepped care model.
• To support an integrated approach to
planning, training, mentoring and
monitoring within the District.
Services in Scope
• Adult including Cultural teams & Local
Coordination Service
• Child, Youth & Family
• CADS
• Forensics
• MHSOA
• NGO
• and inform PHOs
Stocktake activity
 Current Assessment tools in HCC
and tools used in NGO and primary
settings
 Audit of assessment practice and
compliance
 Training available and undertaken
Research activity
 Reviewed available screening and
assessment tools
 Potential to pilot WHO Assist Lite and a
two-step screening process
 Identifying best practice interventions
and measures
Established the Approach
Applying a stepped care approach:
- Matching the capability of the team to the Service Users’ needs
for CEP interventions at the right level of intensity
Identifying the resources the team needs to reach this level of
capability (over time)
- One or more ‘Champions’ of CEP per team and develop these
people to Level 3
- 60% of Clinical workforce practising at Level 2
- 100% have essential CEP knowledge (Level 1)
Strengthen Medical Capability
• Added a half day training in the Regional
Registrar Training programme open to all trainers
and supervisors.
Content will consist off
• basic concepts and skills for recognising co-existing
problems
• how to proceed
• role of the doctor in care planning and clinical reviews
• WDHB Registrar supervision includes CEP training
by Susanna
Workstreams
The Working Group has developed specific work plans to
increase capability across five work streams:
Adult services including Cultural teams & LCS
CADS services
Forensic services
Child, Youth and Family
NGO providers
Plus
MHSOA Training package developed
Workstream Common Elements
1.
2.
3.
4.
5.
6.
7.
8.
Scope
Purpose
Goals
Define capability
– Level 1
– Level 2
– Level 3
Stocktake capability
– current
– gaps
Communicate with stakeholders
Train
Evaluate
2012 Structure
Steering Group
Working Group
Bi - Monthly
Fortnightly
Representative of 5 streams
Annemarie Wille, Susanna Galea, Megan Jones, Alix
McGinity, Johnny Dow, Aaron Carey, Charles Joe
NGOs
2013 Proposed Structure
Steering Group
Project Coordination Group
Quarterly
Bi-Monthly
Working Group + Annette Shea, ADHB
Reporting up
Common G:drive
Adult
CADS
CAMHS
Forensic
NGOs
Primary
For Discussion
• National competencies
• ADHB collaboration
• Primary sector representation
• Links to other work
• e.g. Stepped Care talking therapy pathway in CMHTs
• e.g. Motivational Interviewing component of Psychosis
Relapse Prevention package