Cutting Edge Handbook 8–10 September 2016 Rotorua Energy Events Centre www.cuttingedge.org.nz Dapaanz with partners Health Promotion Agency and Ministry of Health brings you Celebrating Transformation ii Cutting Edge Conference 2016 CONTENTS Welcome ................................................................ 2 Organising Committee ................................................................ 3 General Information ................................................................ 4 Cutting Edge Dinner ................................................................ 5 Awards ................................................................ 5 Lunch Time Meetings ................................................................ 6 Programme ................................................................ 7 Floor Plan ................................................................ 11 Speaker Details ................................................................ 12 Abstracts Thursday Details ................................................................ 19 Abstracts Friday Details ................................................................ 29 Poster Presentations Details ................................................................ 42 Cutting Edge Exhibitors ................................................................ 59 Notes ................................................................ 64 Cutting Edge Conference 2016 1 welcome message Koheri ra! Kohera e! Tutapa mai nuku Tutapa mai whiti Kia rongo te po Kia rongo te ao Kia pātata mai to hau manawa Ki toku aronga manawa Hai puta ki te whai ao Ki te Ao marama Tihei Mauri ora Toitū te marae o Tāne, toitū te marae o Tangaroa, toitū te iwi Tēnei te mihi ake rā ki a koutou ngā iwi, ka tae mai matou ki raro te mauri O Ngapumanawa e waru o Te Arawa. He korero tenei o te whenua “Rangitihi upoko whakahirahia, Rangitihi te upoko i tākaia ki te akatea” No reira tihei mauri ora kia koutou katoa. On behalf of the Addiction Practitioners’ Association Aotearoa-New Zealand (dapaanz) Board and the Cutting Edge 2016 Organising Committee we welcome you to the 21st Cutting Edge Conference held in the culturally rich, thermal wonderland, Rotorua. Cutting Edge is the national gathering of the addiction sector leading and promoting innovative thinking and practice in addiction treatment. It provides an excellent opportunity for addiction practitioners, academics, policy makers, government agencies, and the broader addiction sector to gain fresh inspiration, learn more about cutting edge thinking and practice, to present your work, and build stronger relationships and networks. It is hosted by dapaanz and supported by our strategic partners; Health Promotion Agency and Ministry of Health. We are really excited about this year’s theme - celebrating transformation. It provides a great opportunity to celebrate and learn about the amazing work happening in addiction treatment as well as the powerful stories ^SW]QWeWQdMZfVĦ]MdM]QP^\\d]WchcaM]bS^a\McW^] We have an excellent line-up of speakers this year, opening with Minister Flavell and including Professor David Best from the UK, Kim Ledger (the Patron of Scriptwise Australia and the late Heath Ledger’s father), Dr Denise Blake, Dr Vili Nosa, Ian MacEwan and Mike King. A special welcome and thank you to all our keynotes. Thank you to those of you who submitted abstracts this year. We received an unprecedented number of high PMZWOaRMObcaMPcb;cfMbMaRMZZhQWűPdZccMbYS^acVRbRZRPcW^]_M]RZc^bRZRPcMObcaMPcbS^a^aMZ_aRbR]cMcW^]b M]QM]^cVRa S^a_^bcRa_aRbR]cMcW^]bFVWbhRMaS^acVRŬabccW\RcVRMObcaMPcP^\\WccRRVMeRMZb^bRZRPcRQ cVRc^_bWgbP^aW]U_^bcRa_aRbR]cMcW^]bc^Q^M`dWPYŬaR_aRbR]cMcW^]^ScVRWa_^bcRabYRh_^W]cbc^MZZ delegates in a plenary session. This year’s Oscarz Award Dinner will be amazing. We have local artist Russell Harrison providing entertainment along with Mike King who will do a motivational address. We have introduced a new award – the newcomer award to encourage and acknowledge excellence in those new to the sector. Don‘t miss this great event and chance to network, eat good food, celebrate success and have fun! Come dressed to the nines. We want to take this opportunity to thank our members and all conference delegates and our major strategic partners Ministry of Health and Health Promotion Agency for their support. We also want to thank the amazing cVFaWORS^a_a^eWQW]UORMdcWSdZ\dbWPcVa^dUV^dccVRP^]SRaR]PRIRZ^^YS^afMaQc^b_R]QW]UcVRbR]Rgc few days with you. Nga mihi koutou Claire Aitken Chair dapaanz 2 Cutting Edge Conference 2016 Donna Blair Chair conference organising committee organising committee Donna Blair Manaaki Ora Trust - Te Utuhina Manaakitanga (Convenor) Sue Paton dapaanz Fiona Imlach Health Promotion Agency Peter Kennerley Ministry of Health Vanessa Caldwell Matua Raki Ben Birks Ang Odyssey Auckland and New Zealand Drug Foundation Suzy Morrison Matua Raki Takurua Tawera Moana House Norman Vaele Salvation Army Bridge Programme kaumatua H.H.M. Pihopa Kingi Cutting Edge Conference 2016 3 general information Registration desk FVR4dccW]URQURaRUWbcaMcW^]QRbYWbbWcdMcRQW]cVRS^hRa^]cVRUa^d]Qů^^a^ScVR6]RaUh6eR]cb4R]caR The desk will be open at the following times: IRQ]RbQMh ER_cR\ORa FVdabQMh ER_cR\ORa Friday 9 September EMcdaQMh ER_cR\ORa _\ M\ 8.00am M\ _\ _\ – 4.00pm M\ Name badges All delegates, invited guests and trade representatives are asked to wear their name badges during the Cutting Edge sessions. Cell phones and pagers Please silence all mobile phones during Cutting Edge sessions. Speaker preparation If you are presenting please take your presentation to the speaker prep area located at the registration desk and the audio visual technician will load and check your presentation. Internet Access IWŬWbMeMWZMOZR Select: eecconference Enter: cuttingedge Enter: 2016 DISCLAIMER: Guests understand and acknowledge that we exercise no control over the nature, content or reliability of the information and/or data passing through our network Messages Messages will be held at the registration desk. Smoking FVR6]RaUh6eR]c4R]caRWbMb\^YRSaRReR]dR;Sh^dfWbVc^b\^YR_ZRMbRb\^YR^ŪbWcR Lost property >^bc_a^_RachfWZZORVRZQMccVRaRUWbcaMcW^]QRbY;Sh^dZ^bRb^\RcVW]U^aŬ]Qb^\RcVW]U_ZRMbRPVRPYMc the registration desk. Child care facilities Child care facilities are not available at the Cutting Edge venue. Fire evacuation EV^dZQcVReR]dR]RRQc^ReMPdMcRQdRc^ŬaR_ZRMbRS^ZZ^fcVRW]bcadPcW^]b^ScVReR]dRbcMŪ Conference information 7^aM]hUR]RaMZR]`dWaRbaRUMaQW]U4dccW]U6QUR_ZRMbRbRRcVRbcMŪMccVRaRUWbcaMcW^]QRbY Dress code Tidy casual for all sessions. Please note: photos will be taken during the conference and you may appear in Cutting Edge related publications and promotions after the event. 4 Cutting Edge Conference 2016 oscarz awards dinner A Night at the Oscarz honouring excellence in the sector - 7.00pm Thursday 8 September at the Energy Events Centre. Dress to the nines for this red carpet event! If you have purchased a ticket, it will be with your name tag. Bring the ticket with you to the dinner. awards Dapaanz Newcomer Award Newcomers to the sector often bring fresh insight and energy, yet are rarely acknowledged for their contributions. The dapaanz Newcomer Award Trophy acknowledges excellence for those new to addiction practice. Any dapaanz member who has been in the addiction sector for two years or less can be nominated. The criteria for the award are: • demonstrates leadership • demonstrates innovation • contributes in a positive way to the team/work • has been in the addiction sector two years or less. Dapaanz Best Abstract Award FVRŬeRMObcaMPcbcVMcbP^aRcVRVWUVRbcW]RQdPMcW^]MZeMZdRaRZReM]PRc^cVR\R`dMZWch^SP^]cR]cM]Q application to practice - will be reviewed by the Abstract Selection Panel against the following criteria: • • • • • new or innovative thinking solution-focused likely to enhance practice person / family focused culturally inclusive The Best Abstract Award Trophy will go to the abstract writer(s) based on these criteria. Dapaanz Best Poster Award Dapaanz makes an annual award for the best poster contribution to clinical practice. This year the conference attendees get to vote for the best poster. The Best Poster Award Trophy will be presented at the last session on Friday. Matua Raki’s New and Emerging Researchers Award In encouraging the emerging addiction research workforce and recognising the value of evidence in practice, Matua RakWWb_ZRMbRQc^bd__^accVR@RfM]Q6\RaUW]UDRbRMaPVRa2fMaQFVWbΆPMbV award will be presented for an oral or poster presentation at Cutting Edge carried out by an individual or group who have undertaken a research initiative. Matua Raki Workforce Innovation Award This award seeks to showcase innovations in work practices that contribute to improving f^aY_ZMPRfRZZORW]UM]QbcMŪR]UMUR\R]cFVWbW]WcWMcWeRS^PdbRb]McW^]MZMccR]cW^]^]MQQWPcW^] treatment organisations and services engaged in best workforce practices. Matua Raki’s desire is to _a^\^cRORccRaX^ObS^a^daf^aYS^aPRaRbdZcW]UW]ORccRabRaeWPRbM]Q^dcP^\RbS^acĦ]UMcMfVMW^aM Cutting Edge Conference 2016 5 lunch time meetings and activities Thursday 7 September Poster Session - Exhibition Gallery View posters during the meal breaks. The presenters will be by their posters between 1.00pm – 1.45pm to talk tell you about their poster. Please take the time to check out these great visual presentations Energize - Exhibition Gallery Unwind and relax with a shoulder massage. First in, first served basis 12.40pm – 2.00pm Consumer Mix and Mingle - Skellerup Room This is an opportunity to meet with other people who are either in dedicated consumer roles and/or have lived experience of addiction and recovery Thursday 1.00pm – 1.45pm Alcohol & Drug Outcome Measure (ADOM) - First Sovereign Trust Room one year on, any questions? 1.00 pm – 1.45pm 7M\WZhIVĦ]Md7^PdbbRQ?RRcW]UEWU\MD^^\ This meeting is for those people interesting in working with family, whānau and friends. Come along to meet others with a passion for this work and discuss setting up a national email network of like-minded people to share ideas, collaborations and opportunities. 1.00pm – 1.45pm Friday 8 September Poster Session - Exhibition Gallery View posters during the meal breaks. The presenters will be by their posters between 1.00pm – 1.45pm to talk tell you about their poster. Please take the time to check out these great visual presentations Energize - Exhibition Gallery Unwind and relax with a shoulder massage. First in, first served basis 12.40pm – 2.00pm NA Meeting - Sigma Room 1.00pm – 1.45pm AA Meeting - Skellerup Room 1.00pm – 1.45pm DANA – Addiction Nurses Meeting - First Sovereign Room 1.00pm - 1.45pm Co-existing Problems Practitioners’ Meeting - Opus International Room 1.00pm – 1.45pm 6 Cutting Edge Conference 2016 cutting edge 2016 programme (Correct at time of print, subject to change) Thursday 8 September M\ Registration and Information desk opens Grand Hall (main entrance) M\ Please be seated in the main room by 8.45am for the Mihi Whakatau M\ Mihi Whakatau BAY TRUST FORUM M\ Welcoming address Hon Te Ururoa Flavell Chairperson: Donna Blair BAY TRUST FORUM 10.00–10.30am M\ Morning tea – EXHIBITION GALLERY Vai Mamali: Smiling Water A cultural context of alcohol use amongst the Niue population Dr Vili Nosa Faculty of Medical and Health Sciences, University of Auckland Chairperson: Johnny Kumitau BAY TRUST FORUM M\ The Hidden Epidemic in Australia: A family’s perspective Kim Ledger Father to the late Oscar-winning actor, Heath Ledger & ScriptWise Patron This session is kindly brought to you by Indivior Chairperson Sue Paton BAY TRUST FORUM M\_\ Recovery as an Issue of Social Justice and Social Inclusion Professor David Best Law and Criminology, Sheffield Hallam University & Addiction Studies, Monash University Chairperson: Suzy Morrison BAY TRUST FORUM _\ 12.40–2.00pm Energize Poster Summary Presentations (2 minute quick fire) BAY TRUST FORUM Lunch – EXHIBITION GALLERY Energize 12.40pm–2pm – EXHIBITION GALLERY Cutting Edge Conference 2016 7 cutting edge 2016 programme Posters Meetings Poster Session 1.00–1.45pm – EXHIBITION GALLERY Consumer Mix & Mingle Alcohol & Drug Outcome measure (ADOM) one year on, any questions? 1.00–1.45pm Family & Whānau Focussed Meeting 1.00–1.45pm Skellerup Room First Sovereign Trust Room Sigma Room 1.00–1.45pm Chairperson Norman Vale Anna Nelson Tohi Tohiariki Claire Aitken Debby Sutton Selina Elkington Concurrent Sessions Stream 1 Stream 2 EcaRM\ Stream 4 EcaRM\ Stream 6 Bay Trust Forum Works Infrastructure Room First Sovereign Trust Room Skellerup Room Opus International Room Sigma Room Transformations on a Threatened Pacific Atoll: Professional and personal accounts of how a small Island Nation is responding to increased alcohol consumption Sensory Modulation: Invaluable skill based tool or misuse of addiction resources? Using an Outcomes Framework: Implementation, the benefits and the possibilities When Health & Justice Collide, a Perfect Storm or a Perfect Marriage? OLD HOUSE, NEW HOME! The Transformation of our adult residential pathway Recovery College: Peer Led Education towards 360 degree transformation Gert Volschenk & Katie Philpott, Odyssey Rachel Scaife, Emerge Aotearoa & Brody Runga, Odyssey The National Telehealth Service – Integrating services to improve support “The Rainbow Connection” 2.00 – _\ Vicky Totua, Karen Fraser & Karen Henke, CADS Auckland Laurie SiegelWoodward, Problem Gambling Foundation ;M]8MaŬccDMPVRZ Cade & Matetu Mihinui, Bay of Plenty DHB Christina Tekena, Tungaru Central Hospital Kiribati & Andrew Raven, MOH Kiribati _\ Vaiola O Tangata Pasifika Group: Transforming People from Lost Identity to Belonging AoD Evidence Based Practice: Stronger families, improved sustainable outcomes Measuring Client Outcomes in Treatment: An organisational culture transformation Hulita Hoponoa, Odyssey Hayley Bruce, Family & Youth Therapeutic Services Dr Suzie Hudson, Network of Alcohol & other Drugs Agencies, Australia A Culture of Change – Celebrating transformation in the lives of prisoners and DTU graduates Ed Kitchin, Spring Hill DTU & Peter Rijhnen, CareNZ Joseph Devasia, Melissa Grant & Dylan Norton, Homecare Medical Ltd 3.00 – 3.30pm Afternoon tea – EXHIBITION GALLERY _\ Residing in No-man’s Land: Transforming adoption landscapes Dr Denise Blake School of Psychology, Massey University Chairperson: Anna Nelson BAY TRUST FORUM _\ From Prison To Professional Albie Andrews, Haydee Richards & Dave Burnside Peer Support Chairperson: Sue Paton BAY TRUST FORUM _\ Wrap up for day one From 7.00pm Oscarz Awards Dinner 8 Cutting Edge Conference 2016 BAY TRUST FORUM BAY TRUST FORUM Meeting the needs of Rainbow people, and why it matters! Anne Carroll, Higher Ground Drug Rehabilitation Trust cutting edge 2016 programme Friday 9 September 8.00am Registration and Information Desk Opens Grand Hall (main entrance) 9.00am Hui & Fono Feedback 9.009.40am Recovery and Social Identity Professor David Best BAY TRUST FORUM Law and Criminology, Sheffield Hallam University & Addiction Studies, Monash University Chairperson: Fiona Imlach BAY TRUST FORUM 9.40 M\ Poster Summary Presentations (2 minute quick fire) M\ TUPU Drama Pacific AOD & Gambling Clinicians Introduced by Norman Vaele BAY TRUST FORUM BAY TRUST FORUM Morning tea - EXHIBITION GALLERY M\ Chairperson Anna Nelson Ben Birks Ang Suzy Morrison Layla Lyndon-Tonga Tohi Tohiariki Maynard Gilgen Concurrent Sessions Stream 1 Stream 2 EcaRM\ Stream 4 EcaRM\ Stream 6 Bay Trust Forum Works Infrastructure Room First Sovereign Trust Room Skellerup Room Opus International Room Sigma Room Transformation Stories – What change means to those affected by addictions Integrated Practice Pathways: Linking sectors for visible and responsive youth AoD services Transforming the Workforce through Capacity Building Nathan Frost, NZ Society on Alcohol & Drug Dependence Andre McLachlan, National Addiction Centre Transforming Services Delivery & Organisational Culture: A consumer perspective Nga Kaitiaki Marae Based Youth Leadership Programme 11.10 M\ 11.40am 12noon Sheridan Pooley & Marc de Boer, CADS Auckland Te Uri ReihanaNgatote, Ngatii Kahu Social & Health Services Robert Stirling, Network of Alcohol & other Drugs Agencies, Australia Turning Rhetoric into Reality NCAT Executive (Vanessa Caldwell, Phil Grady, Robert Steenhuisen, Marc Beecroft) Working on the Addictions Frontline: From alcohol & other drugs to gambling – is there a difference? AOD Service Makeovers: Measuring and enhancing organisational cultural competency Denise Giles & Linda Tiro, Problem Gambling Foundation Anne Bateman, Odyssey & Edit Horvath, Active WorkLife Solutions Ltd Stepping Stones Towards Gambling Awareness and Risk Taking within Mt Eden Correctional Facility Youth Experiencing CEP: A workforce development project to support the further development of enhanced youth CEP practitioners Narelle Nichelsen & Bonnie LovichHowitt, The Problem Gambling Foundation of NZ Amohia e huringa Takurua Tawera & Saul Waihape, Downie Stewart Foundation Moana House Programme Mana Tangata as Clinical Practice: Working with and for Whānau Whaiora Aaryn Niuapu, Mana Tangata Movement Michelle Fowler & Dr Bronwyn Dunnachie, The Werry Centre Cutting Edge Conference 2016 9 cutting edge 2016 programme 12.10pm_\ “Transforming Lives” Mark Cowan, Andre Matthews & Maree Matthews, Higher Ground Drug Rehabilitation Trust Possible definitions and signs of Out of Control Sexual Behaviours (OOCSBs) / Sex addiction Edit Horwath, Active SexLife Solutions Ltd Innovation and Collaboration for System Transformation Anne Bateman, & Debby Sutton, AOD Provider Collaborative Transforming a Workforce in Challenging Times Layla LyndonTonga, Hapai Te Hauora Tapui Transformational Training Seán Manning, Takurua Tawera, Claire Aitken & Lynere Wilson, Moana House Training Institute 12.30– 2.00pm Lunch – EXHIBITION GALLERY Energize Energize 12.30pm – 2.00pm - EXHIBITION GALLERY Posters Poster Session 1.00 – 1.45pm - EXHIBITION GALLERY Meetings DANA 1.00 – 1.45pm First Sovereign Trust Room Co-existing Problems Practitioners’ Meeting Chair: Ashley Koning 1.00 – 1.45pm AA Meeting 1.00 – 1.45pm Sigma Room Skellerup Room How to Fall in Love with Your Client and Not Lose Your Job Ian MacEwan Addiction Practitioner Chairperson: Claire Aitken BAY TRUST FORUM Mike King Chairperson: Suzy Morrison _\ BAY TRUST FORUM Whakamutunga BAY TRUST FORUM _\ Saturday 10 September – Workshops Saturday workshops are optional, you may choose from one of the following options: 9.00am – 1.00pm Mapping Pathways to Recovery Networks and Activities Professor David Best Works Infrastructure Room 9.00am – 1.00pm Ethics Ian MacEwan and Sierra Ryland Sigma Room 9.00am – 1.00pm Group Therapy Claire Aitken First Sovereign Room 9.00am – 1.00pm Mindfulness and Addictions: Exploring the gap between impulse and action Jyoti Smith supported by Higher Ground Skellerup Room 9.00am1.00pm Single Session Family Consultation Jeffery Young (sponsored by Matua Raki) Opus International Room 1.00pm – _\ 10 Cutting Edge Conference 2016 Andre McLachlan, National Addicition Centre & Terry Huriwai, Te Rau Matatini NA Meeting 1.00 – 1.45pm Opus International Room 2.00_\ Whai Tikanga: Developing practice tools guided by Māori values, preferences and practices Lunch History Wall (ground floor) rotorua energy events centre Level One & Mezzanine Floor Cutting Edge Conference 2016 11 speaker details Dr Vili Nosa 5aHWZW@^bMWbER]W^a>RPcdaRaM]Q:RMQ^S5R_Mac\R]cBMPWŬP:RMZcV School of Population Health, Faculty of Medical and Health Sciences, University of Auckland. Dr Nosa’s PhD thesis is titled: “The Perceptions and use of Alcohol among Niuean Men Living in Auckland”. He is the Ŭabc_Rab^]Sa^\cVRWbZM]Q^S@WdRc^VMeRUaMQdMcRQfWcVMBV55a @^bMbW]cRaRbcbMaRBMPWŬPVRMZcVWbbdRbBMPWŬP\R]bVRMZcVMZP^V^Z tobacco, drugs and substance abuse. He has published widely and sits on a number of boards and advisory committees. Dr Nosa is renowned S^acVR]d\ORa^SBMPWŬP_^bcUaMQdMcRbcdQR]cbcVMcVMeRUaMQdMcRQ under his stewardship. Vai Mamali: Smiling water - A cultural context of alcohol use amongst the Niue population This presentation will outline the cultural context amongst the Niue population in New Zealand and Niue. The presentation will outline some of the distinctive cultural practices evident in the Niuean communities drinking behaviours. Culture shapes people’s values and behaviours. We must recognize that drinking behaviours and attitudes are likely to have been shaped by a cultural and social context. Alcohol is an integral aspect of the Niuean culture and part of the system of cultural exchange. Alcohol has become an integral component of Niuean cultural rituals to the extent that celebrations and festivals are thought to be incomplete if alcohol is not present. Alcohol is used as a tool for expressing cultural values such as being Niuean, being a real Niuean \M]SMYMMZ^SMUWScW]UUR]Ra^bWchaRb_RPcbcMcdbM]QV^bc^OZWUMcW^]b;fWZZQRbPaWOR_aMPcWPRbb_RPWŬPc^ the Niue population using examples for Niue men, Niue females and Niue adolescents. This presentation provides a brief snapshot of how culture and alcohol are intertwined for the Niue community. 12 Cutting Edge Conference 2016 speaker details Kim Ledger Father to the late Oscar-winning actor, Heath Ledger & ScriptWise Patron. Kim Ledger is a respected entrepreneur and the father of the late Oscar-winning actor, Heath Ledger, who died from an accidental overdose of prescription medication in January 2008. “I became Patron of ScriptWise in 2014, following an approach by a Victorian couple who had tragically lost two of their children, one of cVR\Z^]UbdŪRaW]Uc^^_W^WQQR_R]QR]Ph=W\bMWQ>WbcR]W]Uc^ their story was simply heart-wrenching, just as it was for our family, when Heath passed away. The impact of Heath’s death and the various personal struggles that we had to deal with were very challenging. What compounded his sudden, accidental death [from prescription medication overdose], was the fact that everyone else in the world seemed to know about it, except for us, then, we heard it on the TV.” While Kim gave due consideration to accepting the role as Patron of ScriptWise, during the grieving, he realised that his family was not alone. “I came to the understanding that what had happened to our child was part of a massive picture globally, and I felt, and continue to feel strongly, that something absolutely positive needs to come out of this,” Kim said. According to Kim, common prescription medication misuse scenarios can start with a mishap at home or work, a car accident or another physical injury and being prescribed medication such as opioids or benzodiazepines for initial management. However, when used inappropriately, this can lead to a long and devastating journey of dependency. One of Kim’s and ScriptWise’s driving motivators is to improve community awareness around safe and appropriate use of medications. “To achieve change over the next 20 years we need to start with [educating] young people; however, our governments, primary care providers, members of the community, as well as pharmaceutical companies need to collaborate to tackle this monumental health issue. I want to share my experience, to arm other individuals and families with valuable information and knowledge in preventing any misuse of these medications,” said Kim. Kim Ledger session is kindly brought to you by Indivior Cutting Edge Conference 2016 13 speaker details Professor David Best David Best is Professor of Criminology at the Department of Law and Criminology, Sheffield Hallam University and Associate Professor of Addiction Studies at Monash University, Melbourne. He has an under-graduate degree in psychology and philosophy, a masters in criminology and a PhD in the psychology of addictions. David has authored three books on addiction recovery, more than _RRaaReWRfRQ_dOZWPMcW^]bM]QM]d\ORa^SO^^YPVM_cRabM]Q technical reports. He has worked in academic and policy research and his primary research interests are around recovery and desistance, social networks and recovery capital. Previous employers include the Institute of Psychiatry, Strathclyde University, Birmingham University, the National Treatment Agency and the Prime Minister’s Delivery Unit. David’s current research interests are around social connectedness and the relationship between recovery and desistance. THURSDAY: Recovery as an Issue of Social Justice and Social Inclusion The paper is based on the idea that successful recovery requires three components that are dynamically linked: MUa^fcVW]_Rab^]MZaRP^eRahPM_WcMZW]PZdQW]UbRZSRbcRR\bRZSRűPMPhM]QaRbWZWR]PRbYWZZb - developing positive and supportive networks and relationships that the individual commits to being a member of - that society responds to the individual’s recovery endeavours by including them in the opportunities and activities available. The underlying argument is that recovery is a social contract in that individual attempts can only go so far and require friendships and relationships that support the journey and then provide pathways to the resources available in the community. In this way, overcoming stigma and exclusion is part of the model of creating a ‘therapeutic landscape’ that promotes recovery FRIDAY: Recovery and Social Identity There is a long-standing evidence base suggesting that recovery is associated with a change in identity from an identity dominated by addiction to one embedded in recovery. However, recent evidence would suggest that identity should be considered as a social as much as a personal phenomenon, and that group membership and identity is critical. This is based on a ‘social cure’ literature showing that membership ^SeMZdRQb^PWMZUa^d_b_a^eWQRbOR]RŬcbc^\R]cMZM]Q_VhbWPMZVRMZcVM]QWb_a^cRPcWeRMUMW]bcRMaZh mortality. The paper will present evidence from research in Australia and the UK on the measurement and mapping of social identity and its importance in predicting recovery transitions and pathways. 14 Cutting Edge Conference 2016 speaker details Dr Denise Blake Dr Denise Blake is a Lecturer at the Joint Centre for Disaster Research in the School of Psychology at Massey University. Her work in this space encompasses matters of welfare and social justice to inform her commitment to the wellbeing of vulnerable and marginalised communities, both within a disaster context and more generally. Dr Blake argues for the continuing need to address the knowledge-practice gap between researchers, providers and end users. Her current research project examines experiences of opioid substitution treatment within a disaster context, including treatment provision and consumer safety. 5a3ZMYRbBV5MQQaRbbRQcVRRŪRPcb^SMQ^_cW^]_aMPcWPRbfWcVW] Aotearoa/New Zealand, and continues to be a focus of ongoing research. She has contributed to knowledge about the way in which b^PWMZ_^fRaaRZMcW^]bMŪRPccVRZRUWcW\MPh^SMQ^_cRRbRg_RaWR]PRb and troubles the way in which adoptees are pathologised for substance use to cope with any rejection and loss. Dr Blake has engaged in the alcohol and other drug sector as a consumer, health professional and researcher for over 20 years. Her roles have included working as an addiction counsellor, a health promotion practitioner, and an educator. Residing in No-man’s Land: Transforming adoption landscapes This work argues for a transformational space in which to challenge taken-for-granted knowledge about adoptees and adoption practices within Aotearoa/New Zealand, and beyond. Often pathologised with maladjusted behaviour, including problematic alcohol and other drug use, adoptees are over represented in PZW]WPMZM]Q_aWb^]_^_dZMcW^]bf^aZQfWQRE_RPWŬPbWU]bM]Qbh\_c^\bbdPVMb2Q^_cRQ4VWZQEh]Qa^\R Z^PMcRQRŬPWcfWcVW]cVRMQ^_cRQbdOXRPcfVWZRcVRb^PWMZ_^fRaaRZMcW^]bcVMc_a^QdPRMQ^_cRRbMaR ^eRaZ^^YRQFVR_RaW^QORcfRR]M]Q Y]^f]MbcVRPZ^bRQbcaM]URaMQ^_cW^]_RaW^QbMf approximately 80,000 adoption orders made in Aotearoa/New Zealand. Applying a narrative analysis to semi-structured interviews with twelve adoptees, this qualitative research explores the way in which adoptees use alcohol and other drugs to cope with their location in no-man’s land, an in-between space. It aims to engage with practitioners understandings about this marginalised group through shifting knowledge about the social power relations that produce the binary subject positions of born to and as if born to. This work expands the reductionist lens that locates problematic alcohol and other drug use within the adopted subject by valuing the intricacy and richness of adopted experiences and enables the possibility of a hybrid identity to go some way toward healing the stories of exclusion and loss. Cutting Edge Conference 2016 15 speaker details Albie Andrews, Haydee Richards & Dave Burnside Haydee is a 44 year old mother of two and also a grandma. Haydee was in active drug addiction for 27 years eventually landing herself in prison. The day she went to prison was the last day she used drugs. Haydee has turned her life around attended rehab and WbPdaaR]cZhP^\W]Ud_hRMabQadUSaRR:MhQRRWb]^fMER]W^aBRRaEd__^acf^aYRa for Emerge Aotearoa at the Phoenix Centre. Her role at Phoenix is to work alongside clinicians, together they holistically support clients with working on drug and alcohol issues. As a Senior Peer support she role models, supervising and mentors the Peer Support team at Phoenix, with strong recovery goals and her role as Senior Peer Support E_RPWMZWbc:MhQRRŬ]QbWceRahaRfMaQW]UW]ORW]UMOZRc^bVMaRVRaRg_RaWR]PRbcaR]UcVM]QV^_Rbc^ empower others. Dave is a 56 year old recovering addict, who spent 37 years in the cycle of addiction, offending and imprisonment. He found recovery late in life and credits the Corrections DTU programme as a major turning point where he learned to understand his addiction M]QŬ]QM]RffMhS^afMaQ:RVMbf^aYRQMbMBRRaEd__^acf^aYRaS^acVR2ZP^V^Z and Other Drug Court since it started in 2012. This challenging role involves a focus ^]MQQWPcbM]QMZP^V^ZWPbfV^MaRSMPW]UW\_aWb^]\R]cM]QMaR\^cWeMcRQc^Ŭ]QZ^]U term change. Participants of the court are required to undergo a variety of treatment W]cRaeR]cW^]bR]UMURW]e^Zd]cMahP^\\d]Wchf^aYZ^^Yc^aROdWZQaRZMcW^]bVW_bM]QŬ]Q work or study options before they leave the court. Today Dave is a father, with a rich life in recovery, doing service to others and the community, engaged in tertiary study and celebrating his transformation. Albie is a graduate of Te Whare Whakapiki Wairua, the Drug Court. He comes from a OMPYUa^d]Q^SQadUM]QMZP^V^ZQR_R]QR]PRUM]UW]e^ZeR\R]cM]Q^ŪR]QW]UfVWPV resulted in many years of imprisonment. He completed the Salvation Army Bridge programme, and quickly established himself in recovery, meeting all his Drug Court aR`dWaR\R]cbM]QP^\_ZRcW]U\M]hV^dab^Se^Zd]cMahf^aYW]cVRP^\\d]Wch2bM?Ħ^aW with a strong cultural background, Albie was able to rediscover this focus within the programme, and build a strong connection with the Salvation Army. He is a father of eight PVWZQaR]:Rf^aYbSdZZcW\RM]QbcWZZŬ]QbcVRcW\Rc^bd__^ac5adU4^dac_MacWPW_M]cbMb _Mac^ScVR:RFMYWcW]WD_cVR\M]hfV^bcM]Qc^URcVRaFVWba_WbP^\_aWbRQ^S graduates who are playing an increasing role in supporting Drug Court participants and the court itself. From Prison to Professional Peer support potentially provides a unique and critical opportunity to act as a bridge between the world of addiction and engagement with services. The peer relationship seeks to strengthen the minds and spirits of those with alcohol and drug dependence that often stem from spiritual and emotional needs, and enhances the wrap around support principles of recovery. The mutuality and shared recovery experience of the peer to peer relationship can motivate and signpost peers into a life beyond drugs. FVRX^da]Rh^SPVM]URW]e^ZeRbaRbc^aMcW^]^SWQR]cWchaRR]UMUR\R]cfWcVIVĦ]MdM]QcVRP^\\d]Wch through treatment and building networks in recovery. The Drug Court (AODTC) is an exciting and challenging new direction for peer support, working alongside the Criminal Justice System, while at the same time being closely involved with some of New Zealand’s leading treatment services. This multi-agency approach aims c^MQQaRbbVWUV]RRQb^SVWUVaWbY^ŪR]QRabFVR_a^UaM\\RWbbca^]U^]P^\\d]WchaRW]S^aPR\R]cM]Q includes a voluntary community work component that can see clients working in a variety of locations. As a developing pilot, the Drug Court presents unique challenges to the peer relationship often requiring a special skill set and the need to adapt to circumstances. 16 Cutting Edge Conference 2016 speaker details The Phoenix Centre is a service provided by Emerge Aotearoa which delivers a community based assertive ^dcaRMPVMZP^V^ZM]QQadUcaRMc\R]c_a^UaM\\RFVR_a^UaM\\R^ŪRabW]QWeWQdMZWbRQbd__^acM]QcaRMc\R]c plans for clients with high needs. The partnership of Peer Support Specialists and Clinicians working together demonstrates a transformation of systems. Mutuality is translated not only within the Peer Support model, but MZb^M\^]UcVRcRM\fVRaRO^cVa^ZRbMaRbRR]MbR`dMZFVWbWbaRůRPcRQW]bRaeWPRQRZWeRahfVRaRPZWR]cb Rg_RaWR]PRcVROR]RŬcb^SO^cVMaRMb^SRg_RacWbRc^eWRfMQQWPcW^]cVa^dUVQWŪRaR]cZR]bRb Tupu Creative Fakalofa Lahi Atu, Talofa lava, Kia Orana, Malo e lelei, Ni Sa Bula Vinaka, Taloha Ni and warm Pacific Greetings! FGBGWbM]2dPYZM]QOMbRQBMPWŬP2ZP^V^ZM]Q5adU2A5 Gambling Service. We are a mobile, multi-disciplinary clinical and cultural team fWcVW]FMYM]UM27^VRBMPWŬP?R]cMZ:RMZcV2QQWPcW^]b ERaeWPRIMWcR\McM5:3M]QdcWZWbRBMPWŬP\^QRZb^SPMaRW] our practice. We deliver a range of free services across the whole Auckland region including assessments, brief intervention and consultation, individual and group counselling (after hours groups available), walk in clinics, family support, community educational workshops and health promotional stalls. Fd_dERaeWPRfMbRbcMOZWbVRQW]c^_a^\^cRBMPWŬPS^aBMPWŬPW]cVRMQQWPcW^]bŬRZQFVRERaeWPR delivery is underpinned by the guiding principles of the Tupu philosophy which is about acknowledging the learning of the past and how to best promote healing and ensure growth in the present and future. The Team focus is to empower and move our people towards better health outcomes in their current environment of New Zealand culture, while maintaining their own culture, integrity and identity. Drama Front line Pacific AOD & Gambling clinicians bring you a snapshot of the struggles of our Pacific youth and families and offer cultural perspective on resolution. A service and consumer perspective on our BMPWŬP@LO^a]h^dcVfV^faRbcZRbfWcVM\haWMQ^SWbbdRbW]cRaUR]RaMcW^]MZaRZMcW^]bVW_bWQR]cWchSM\WZh relationships, peer pressure, and not least of all substance abuse. The stories are familiar, real, recurring and perhaps unsurprising. We aim to provoke thoughts for \RM]W]USdZfMhb^SaRb^ZeRS^aBMPWŬPK^dcVM]QSM\WZWRbW]M]ReRaRe^ZeW]UPdZcdaRM]QPZW\McR Cutting Edge Conference 2016 17 speaker details Ian MacEwan Ian has been working for 46 years in addiction treatment. His experience includes working with homeless men, a hospital-based bRaeWPRVMZSfMhV^dbRbP^\\d]WchQRc^gWŬPMcW^]M]QP^\\d]Wch treatment services. He managed a north London addiction service for 4 years, chaired a housing association for homeless people in East London, and worked in treatment development for British and New Zealand government agencies for 18 years, including ALAC and Matua Raki. He was at the set up of the National Addiction Centre, the Kina FadbcQM_MM]jcVR2QQWPcW^]BaMPcWcW^]Rab2bb^PWMcW^]M]QMScRa hRMabMbWcbŬabcRgRPdcWeRQWaRPc^aVMbaRcda]RQc^ORW]UM_aMPcWcW^]Ra and supervisor; board member of Odyssey House Christchurch, and until this year consultant to two pilot projects for adolescents with VWUVaWbYORVMeW^dab:RVMbfaWccR]^eRa_dOZWPMcW^]b Throughout, he has always carried a social work and supervision caseload in addiction treatment. How to Fall in Love with Your Client and Not Lose Your Job A walk through the Garden of Ethics for the practitioner, supervisor and manager with some occasional assistance from Adolf Hitler, Churchill, a president and Beethoven. While Ethics may seem more easily recognised and navigated - - - no? - - - well try Boundaries and how to keep our clients and ourselves safe at the same time as forming relationships that seek to model healthy behaviour, allow for intimate disclosure and do only good and never harm. Are we the Pope? Not everyday, more likely a supervisor or a manager trying to prevent or manage ethical and boundary breaches. Is there a healthy way through this? 7^acVRŬabcM]QZMbccW\RcVRb_RMYRafWZZP^]SRbbMO^d]QMahOaRMPVM]QcVRP^]bR`dR]PRb:RfWZZZ^^Y at some of our travels through Ethics and Practice Boundaries: when it went well and when not so well. Mike King For years, Mike has been known as Mike King, the Kiwi comedian. That role changed dramatically in 2009 with the birth of the Nutters Club, his award winning radio and TV show. The Nutters Club emerged after Mike shared his own experience with mental illness and addiction on late-night talk back radio and listeners became so enthralled they felt compelled to ring in and share their own experiences. Without realising it, he had given others who had never talked about their own problems, permission to do so. Mike is passionate about young people: so passionate he travels the length and breadth of New Zealand giving his time to help youth embark on their own positive journey in life. 18 Cutting Edge Conference 2016 abstracts–thursday Thursday 8 September Stream 1, 2.00pm – 2.25pm Transformations on a Threatened Pacific Atoll: Professional and personal accounts of how a small Island Nation is responding to increased alcohol consumption Christina Tekena Medical Social Worker, Tungaru Central Hospital, Kiribati Andrew Raven Clinical Psychologist, Te Meeria (Mental Health Service), Ministry of Health and Medical Services, Kiribati. Abstract FVRDR_dOZWP^S=WaWOMcWP^]bWbcb^ScVWachcVaRRP^aMZMc^ZZbb_aRMQMZ^]UcVRR`dMc^aW]cVRPR]caMZBMPWŬP The population of one hundred thousand Micronesian people speak a unique language, and live a largely collective lifestyle in traditional communities centred on the Maneaba, an impressive building that functions as a place of gathering, shelter, support and guidance. 4ZW\McRPVM]URW]PaRMbW]UMųdR]PRfRbcRa]eMZdRbM]QMccWcdQRbMWQOMbRQQReRZ^_\R]cMaRMZZ impacting on Kiribati: many changes, such as improving opportunities for women, are welcomed: others MaRMPMdbRS^aP^]PRa]M]QcVRbRW]PZdQRSdcdaRW]d]QMcW^]W]bdűPWR]c\RM]W]USdZf^aYM]QW]PaRMbRQ alcohol use. This paper will provide data on patterns of consumption of alcohol in Kiribati, review current strategies for change and present the authors` experience of therapy with alcohol abusing I Kiribati. Interventions that combine western intervention models with metaphor appropriate to the Kiribati ways of thinking and living will be explored. There will also be a focus on how village and island communities are responding to alcohol abuse. These communities, led by Unimwane (older men), are challenged by societal changes, especially youth drinking, alcohol use by women and recent legislation aimed at reducing family violence. Some are developing creative responses to these challenges. which will be presented in this paper. Biographies Christina Tekena is an I Kiribati woman, employed as Health Social Worker by the Ministry of Health and ?RQWPMZERaeWPRbIWcVM_a^SRbbW^]MZcaMW]W]USa^\8aWűcVG]WeRabWchbVRWb\M]MUW]UMQWeRabRPMbRZ^MQ of hospital and community based patients. While palliative care is a primary issue of interest, Christina is also working successfully with alcohol abusing patients and actively participated in recent WHO surveys of alcohol use in Kiribati. 2]QaRfDMeR]fWcVMZ^]UVWbc^ah^Sf^aYW]UMbMBbhPV^Z^UWbcW]cVRQadUM]QMZP^V^ZŬRZQW]@Rf Zealand, is currently working as a VSA volunteer in mental health services in Kiribati. Challenges have included the development of a national mental health policy, which includes action points on better management of alcohol abuse in Kiribati. The experience of working in Kiribati has been a transformative process for this author. Cutting Edge Conference 2016 19 abstracts–thursday Stream 1, 2.35pm – 3.00pm Vaiola O Tangata Pasifika Group: Transforming People from Lost Identity to Belonging Hulita Hoponoa AOD Practitioner, Odyssey Abstract A common theme amongst people we meet seeking AOD treatment, is the lost sense of who they are OR]RMcVcVR2A5dbRHMW^ZMAFM]UMcMBMbWŬYMUa^d_fMbQReRZ^_RQW]AQhbbRh2dPYZM]QW]c^ VRZ_PZWR]cbaRP^]]RPcfWcVcVR\bRZeRbM]QcVRWaPdZcdaRFVReWbW^]fMbc^R\_^fRaBMbWŬYMPZWR]cbc^ reduce AOD and gambling harm in their life, family and community”. Beyond reducing harm was a mission to support people to transform how they saw themselves and connected with others. Vaiola’s formation fMbMaRb_^]bRc^BMbWŬYM_R^_ZR]^cbRRW]UcVRWabc^aWRbaRůRPcRQW]cVR\MW]bcaRM\bRaeWPRQRZWeRah^S the time. HMW^ZMWbOMbRQ^]BMbWŬYM_aW]PW_ZRbd]QRabcM]QW]UbM]Qf^aZQeWRfbDRP^U]WbW]UcVRQWeRabWch^ScVR BMbWŬYMWcfRMeRbBMbWŬYMPdZcdaRbc^ORP^\R^]RUa^d_c^bRaeRcV^bRbRRYW]Uc^ZRMa]\^aRMO^dc themselves from a cultural context. HMW^ZMVMbů^daWbVRQ^eRacW\RMPVWReW]U\M]h]^cMOZRbdPPRbbRb • Growth in membership from initial 2 members to more than 40 currently ΄ A_R]\R\ORabVW_HMW^ZMfRZP^\RbBMbWŬYMM]Q]^]BMbWŬYMHMW^ZMWbS^aMZZfV^fM]cc^Ŭ]QfV^ they have lost. • Development of a performance piece that incorporates sipi tau, siva tau, cibi, takalo and haka that aRůRPcbcVRQWeRabWch^ScVRUa^d_ • Many Odyssey graduates crediting Vaiola as being a vital part of their recovery and progress. Vaiola supports people to connect with their culture, discover who they are, and share with others through food, b^]UQM]PRP^]eRabMcW^]M]Q_aRbR]cMcW^]bHMW^ZMMZb^bRaeRbMbM\^dcV_WRPRS^aBMbWŬYMbRaeWPRdbRab Biography Malo e lelei, my name is Hulita Hoponoa and I am Tongan. I have a Diploma of Community Health from Auckland University of Technology in 2000, also Diploma of Social Work from Auckland College of 6QdPMcW^]MbfRZZMbM3MPVRZ^a^SE^PWMZI^aYSa^\G]WeRabWch^S2dPYZM]Q#;M\MDRUWbcRaRQ AOD Practitioner as well as a Registered Social Work Practitioner at Odyssey House, Auckland. Stream 2, 2.00pm – 2.35pm Sensory Modulation: Invaluable skill based tool or misuse of addiction resources? Vicky Totua (RN) Registered Nurse, Community Home Detox Service, CADS Auckland Karen Fraser (DipPhys), BVhbW^cVRaM_Wbc?RQWPMZ5Rc^gWŬPMcW^]ERaeWPRb425E2dPYZM]Q Karen Henke (RGN) Registered Nurse, Community Home Detox Service, CADS Auckland Abstract Sensory modulation is an emerging modality within mental health settings (Bundy et al., 2002; Champagne, 2000) in both the national and international arena. This research aims to look at the transformation from a bWZ^OMbRQ\^QMZWchSa^\\R]cMZVRMZcVc^cVRŬRZQ^SMQQWPcW^]MbMaRbdZc^ScVR]RfP^RgWbcW]U_a^OZR\ 20 Cutting Edge Conference 2016 abstracts–thursday framework (CEP) approach. The co-occurrence of clients presenting to mental health units has been RbcW\McRQORcfRR]$McM]hUWeR]cW\RfVRaRWcWbRbcW\McRQcVMc$^ScVWbPZWR]cUa^d__aRbR]cc^ MQQWPcW^]bRaeWPRbfWcVM]2gWbQWb^aQRa\^^QQWb^aQRa$M]gWRchQWb^aQRa#$F^QQ2caWMZ fMbP^\\R]PRQcVa^dUV?RQWPMZ5Rc^gWŬPMcW^]ERaeWPRbMcIMWcR\McM5WbcaWPc:RMZcV3^MaQI5:3fWcV the approval of the Community Alcohol and Drug Services (CADS) Clinical Governance. In the Inpatient bRccW]UfR_a^eWQRQMbR]b^ah\^QdZMcW^]b_MPRM]Q\^QMZWcWRbMZ^]UbWQRRQdPMcW^]c^PZWR]cbM]QbcMŪc^ QRcRa\W]RWSbR]b^ah\^QdZMcW^]WbMcaM]bSRaMOZRM]QRŪRPcWeRbYWZZfWcVW]cVRb_RPWMZWbcMaRM^SMQQWPcW^] medicine. Sensory modulation equipment/space was made available within the medical detox inpatient unit (IPU) for clients who were experiencing symptoms of substance withdrawal and/or emotional dysregulation. The purpose is to equip clients with skills to self-regulate and transform their journey of recovery. Initial M]MZhbWb^SaRbdZcbW]QWPMcRQcVMccVRaRWbbWU]WŬPM]cW\_a^eR\R]cW]PZWR]c\^^QcVa^dUVcVRdbR^S bR]b^ah\^QdZMcW^]cRPV]W`dRbM]QM]W]PWQR]cMZ^ObRaeMcW^]^SM]W]PaRMbRW]bRZSRűPMPhcVa^dUVcVR development of skills that assist in self-regulation. Biographies =MaR]:R]YRWbMDRUWbcRaRQ8R]RaMZ@dabRfV^VMbORR]f^aYW]UW]cVRŬRZQ^SMQQWPcW^]bS^a^eRa hRMabEVRVMbORR]f^aYW]UMc425ES^aŬeRhRMabM]Q_aReW^dbZhf^aYRQMcM?MaMROMbRQ:MdAaMS^a eight years. Karen holds a PG Diploma in Educational Counselling, a PG Cert Mental Health and Addictions. Karen is also a recognized DAPAANZ Practitioner and Supervisor. HWPYhF^cdMWbMaRUWbcRaRQ]dabRfV^VMbORR]f^aYW]UW]cVRŬRZQ^SMQQWPcW^]^eRacVRZMbcŬeRhRMab She is currently based at CADS in Auckland. Vicky holds a PG diploma in Educational Leadership and ?M]MUR\R]cMB8PRacWŬPMcRW]4ZW]WPMZRQdPMcW^]M]Qbd_RaeWbW^]B84Rac?R]cMZ:RMZcVM]Q2QQWPcW^]b and is an NZQA approved workplace assessor. =MaR]7aMbRaWbMaRUWbcRaRQBVhbW^cVRaM_WbcEVRVMbORR]f^aYW]UW]cVR2QQWPcW^]ŬRZQMc425ES^a the last 6 years. Karen works within both the Community and Inpatient detox teams. Karen leads Sensory Modulation through CADS. Karen has previously worked in Pediatrics in the Education setting, utilizing similar skills of Sensory Integration there also. Stream 2, 2.35pm – 3.00pm AoD Evidence Based Practice: Stronger families, improved sustainable outcomes Hayley Bruce MST Consultant, Family & Youth Therapeutic Services Abstract ?dZcWbhbcR\WPFVRaM_h?EFVMbMaRP^U]WbRQReWQR]PROMbR^S^eRahRMabM]QWb^]R^ScVRSRf evidence based approaches currently available here in NZ to tackle youth alcohol and drug issues. Theoretically underpinned by Bronfenbrenner’s ecological model, MST was developed to address youth ^ŪR]QW]UM]Q^cVRaM]cWb^PWMZORVMeW^dabdPVMbMZP^V^ZM]QQadU\WbdbRFVR_a^UaM\\R_a^eWQRbM] intensive home-based treatment of approximately 20 weeks’ duration that focuses on the index young person, and as many components of their wider systems (family, school, peers, community), as it is able c^MPPRbbM]QW]ůdR]PRFVRSM\WZhP^PaRMcRb_RPWŬPU^MZbM]QQRbWaRQ^dcP^\RbfWcVcVRWacVRaM_Wbc and multiagency network. Collaborative, respectful working that tackles individual, family and multiagency barriers, and promotes sustainable change and strong functional networks is crucial for treatment success and reducing negative outcomes. This paper introduces the MST model, and walks through lessons learned in NZ with regards to successful implementation of an evidence based programme. A case study will be presented to demonstrate an example of a family at various points of treatment. This will illustrate how by working collaboratively with a family to make changes within their system, that this can have a bWU]WŬPM]c_^bWcWeRW\_MPc^]cVRWah^d]U_Rab^]bMZP^V^ZM]QQadUWbbdRb Cutting Edge Conference 2016 21 abstracts–thursday Biography :MhZRhbX^da]RhfWcV?EFORUM]fVR]?EFfMbŬabcRbcMOZWbVRQVRaRW]@LW]:MhZRhbcMacRQMbM MST therapist, then moved into a supervisor role, and in 2007 took on the MST Consultant role, which is her current position. Hayley provides clinical support to the eight MST teams that operate throughout the country, three of which are solely AOD teams. Hayley has a Psychology background, and she studied at the University of Canterbury. Hayley is very passionate about evidence based practise, and ensuring families have access to services that are going to empower and create sustainable long-term outcomes. Stream 3, 2.00pm – 2.25pm Using an Outcomes Framework: Implementation, the benefits and the possibilities Laurie Siegel-Woodward National Operations Director, Problem Gambling Foundation Abstract “Outcome measures” and “results-based accountability” are increasingly requirements to quantify progress M]Q\RMbdaRcVRRűPMPh^SMbRaeWPRIVWZRcVRaRMaR\M]h\^QRZbc^PV^^bRSa^\B4A?EBMac]RabS^a Change Outcome Management System) is one that has been normed and validated internationally and caM]bZMcRQW]c^ZM]UdMURbORbWQRb6]UZWbVFVRBa^OZR\8M\OZW]U7^d]QMcW^]B87ŬabcW\_ZR\R]cRQ PCOMS (once known as Client Directed Outcome Informed practice) eight years ago and have used it fWcVPZWR]cbW]bRbbW^]bSa^\IRVMeRRg_RaWR]PRQbWU]WŬPM]cbVWScbW]cVR culture of the organisation, how we put consumers’ voices at the centre of everything we do and in our clinical practice. PGF has undertaken extensive research on the work we’ve done to date. This presentation will discuss ^daRg_RaWR]PRbfWcVdbW]UM]^dcP^\RbSaM\Rf^aYW]PZdQW]UcVROR]RŬcbcVRZRMa]W]UbM]QcVR obstacles to implementing it successfully. Additionally, it will explore ‘where to next’ for the use of outcome measurements for PGF, others looking to introduce outcome measurements to their practice and for its use in New Zealand. Biography Laurie Siegel-Woodward has been overseeing the implementation of outcome measures since late 2008 with the Problem Gambling Foundation. Originally from the United States, she has seen the gradual decline in funding for counselling and other psychotherapeutic interventions. Fluent in American bureau-speak, she has also seen the increasing need to demonstrate quantitative outcomes to funders. Laurie holds the belief that transparency and consumer inclusion are areas where NZ excel, making us the ideal breeding grounds for implementing client-centred outcome measures like PCOMS. Stream 3, 2.35 – 3.00pm Measuring Client Outcomes in Treatment: An organisational culture transformation Suzie Hudson Clinical Director, Network of Alcohol and other Drugs Agencies (NADA) Abstract FVRZMbchRMabW]cVR@8A2A5b_RPWMZWbccaRMc\R]cbRaeWPRbRPc^aW]@EIVMbbRR]bWU]WŬPM]c organisation cultural shift towards accurate, ethical and meaningful data collection. The Network of Alcohol and Other Drugs Agencies (NADA) have invested considerable energy into supporting the AOD treatment sector to embrace the ethical and accurate collection of client outcome data for the purposes of improved 22 Cutting Edge Conference 2016 abstracts–thursday client experience and service provision. The development of an online client database, “NADAbase”, with free access for all NADA members has been the centrepiece of this transformation. However, training and support has been the key to engaging the sector in embracing this change. The focus of this presentation will be to describe the implementation strategy to client outcome data P^ZZRPcW^]M]QWcbRŪRPcWeR]RbbMbfRZZMbc^_aRbR]cb^\R^ScVRbRaeWPRW\_a^eR\R]c_a^XRPcbcVR data has informed. NADAs goal to inform a consistent and whole of sector approach to client outcome measurement for the purposes of improving client treatment outcomes has also opened the door to exploring greater consumer involvement by looking at patient reported outcome measures (PROMs) and patient reported experience measures (PREMs). Biography Dr Suzie Hudson provides clinical advice and consultation for NADA members and submissions, in addition to overseeing the custodianship of the NADAbase client information and outcomes system. Suzie is an accredited mental health social worker with over 17 years’ clinical experience in substance misuse, mental health, forensics, research and evaluation. Suzie has worked, developed and managed community-based and residential alcohol and drug services both in Australia and overseas. In addition, she provides training workshops and maintains a private counselling practice. Suzie has a PhD in public health and community medicine and a passion for engaging with social change. Stream 4, 2.00pm – 2.25pm When Health and Justice Collide, A Perfect Storm or a Perfect Marriage? Ian Garfitt, Rachel Cade & Matetu Mihinui Addictions Assessors, Bay of Plenty District Health Board Abstract Addiction is a serious health issue that is a major factor contributing to crime and other social harm in our P^\\d]Wch2__a^gW\McRZh#$^SP^\\d]WchOMbRQ^ŪR]QRabVMeRM]WQR]cWŬRQMQQWPcW^]WbbdRM]Q $ ^S_aWb^]RabVMeRRg_RaWR]PRQM]MQQWPcW^]_a^OZR\^eRacVRWaZWSRcW\R2__a^gW\McRZh$^SPaW\RWb P^\\WccRQOh_R^_ZRd]QRacVRW]ůdR]PR^SMZP^V^Z^aQadUb?W]WbcRa^S4^aaRPcW^]b#FVR3Mh^S BZR]ch5:3W]P^ZZMO^aMcW^]fWcVDRUW^]MZ?Ħ^aW:RMZcVERaeWPRb%@8AbVMbQReRZ^_RQb_RPWŬPbcaMcRUWRb c^MQQaRbbMQQWPcW^]WbbdRbfWcV^ŪR]QRabFVRMW\Wbc^^ŪRaRMaZhW]cRaeR]cW^]RQdPMcW^]aRSRaaMZM]Q caRMc\R]cc^^ŪR]QRabMbfRZZMbbWU]WŬPM]c^cVRabbdPVMbeWPcW\bM]QSM\WZWRbc^UWeRcW\RZhMPPRbb to appropriate addiction treatment in the community in order to reduce harm to themselves and others, including the wider community. We aim to show how DHB’s, Justice and Corrections Departments can work RŪRPcWeRZhc^URcVRa4^ZZMO^aMcW]UW]^aQRac^QRPaRMbRQRZMhbM]QSMPWZWcMcRMPcW^]W]UORcfRR]aRSRaaMZb caRMc\R]cM]Q_a^eWQRabc^W]PaRMbR^__^acd]WcWRbS^aR]UMUR\R]cM]QRŪRPcWeRMQQWPcW^]caRMc\R]c3h R]UMUW]UW]MX^W]cMUR]PhP^ZZMO^aMcWeReR]cdaRM]Q_ZMPW]U4ZW]WPMZbcMŪfWcVW]P^dacM]Q_a^OMcW^]bRccW]Ub we are able to provide therapeutic interventions and reports on a timely basis. This supports sentencing options to be aligned with agencies and services which capitalises on motivation and willingness to change, inform and support sentence outcomes and collaborate with stakeholders using a client centred approach. Is the marriage working? How could we invest in the relationship to make it better? Biographies ;M]8MaŬcc?h]dabW]UPMaRRaVMb^ŪRaRQ\RcVR^__^acd]Wchc^f^aYW]cVR\R]cMZVRMZcV%MQQWPcW^]bŬRZQ for the past 18 years. I have experience of working in a variety of settings from private and state hospitals to community based treatment providers. I have worked alongside clients in AOD and Opioid Substitution FaRMc\R]cW]G=M]Q@RfLRMZM]Q?hPdaaR]cQReRZ^_\R]cMZa^ZRWbf^aYW]UMZ^]UbWQR4^aaRPcW^]bc^^ŪRa AOD treatment interventions Cutting Edge Conference 2016 23 abstracts–thursday Rachel Cade, I have primarily worked in the Community Mental Health sector in varied roles such as consult ZWMWb^]MPdcRPaWbWbcRM\bM]QVWUVM]QP^\_ZRg]RRQbPMbR\M]MUR\R]c;];c^^Y^]cVRa^ZR^S the Court Addictions Assessor in the Tauranga District Court (a joint justice and health board venture). The focus is primarily on providing early and brief interventions, liaison and consultation, appropriate screening and referral as well as reports/assessments to the judiciary and corrections to support informed sentencing. Matetu Mihinui, I’m from a little village in Rotorua called Whakarewarewa. If you don’t know where that is, google ‘centre of the universe’. I’ve lived here much of my life, with a brief time abroad and have spent the last 12 years in the sector working with our people. Im a registered DAPAANZ competent practitioner and VMeRf^aYRQMZ^]UbWQRb^\R^ScVRŬRZQbORbcW]\hbV^accW\R;\PdaaR]cZhR\_Z^hRQfWcVcVR3AB5:3 as an AOD Court Assessor, and have other roles within my community. Stream 4, 2.35 – 3.00pm A Culture of Change - Celebrating transformation in the lives of prisoners and DTU graduates Ed Kitchin Spring Hill DTU Peter Rijhnen CareNZ Abstract For those of us working on the coal face of the addictions treatment sector, what gets us up most mornings WbMORZWRSM]Q^_cW\Wb\W]cVR_^fRa^ScaM]bS^a\McW^]W]cVRZWeRb^ScV^bRMŪRPcRQOhMQQWPcW^]:^fReRa QRb_WcR^daORbcRŪ^acbMcW]ůdR]PW]UcVWb^dcP^\RPVM]UR^ScR]^PPdabMbM_a^PRbb`dWcRW]QR_R]QR]c from our work. People change when the cost of remaining the same outweighs the fear of something new, and nowhere is cVWb\^aRaRZReM]ccVM]S^aW]\McRbbcdPYW]M]^ScR]QRPMQRbZ^]UPhPZR^SMQQWPcW^]^ŪR]QW]UM]QXMWZcW\R DTU’s capture inmates behind the wire at this juncture in their lives but what support do these individuals have to maintain the changes they have achieved in the DTU’s once released back into the community? The DTU graduates group provides an aftercare setting for released inmates and a peer support culture that celebrates the transformations they have achieved. If it wasn’t for the DTU, I probably would be back in jail, I’d say, doing the same old thing, same cycle – hard to break the cycle. But I’m glad I’ve broken that cycle. I tell my nephews that same thing. There’s nothing in jail. What you’re going to get in jail is probably a hiding, and stood over, so there’s nothing there. You’re ORccRa^ŪbcMhW]U^dcVRaR6QdPMcW^]b^dcVRaR<MPY Come see an audio visual sequence of interviews showing up to 7 Graduates who attend the group bVMaRcVRWabc^aWRb^ScaM]bS^a\McW^]FVR^eRaMZZRŪRPcfWZZORW]b_WaMcW^]MZM]Q_^fRaSdZWRfWZZORMcadR celebration of the success seen in these individuals) Biographies 3RcfRR]dbfRVMeRVMQP^]bWQRaMOZRRg_RaWR]PRW]f^aYW]UfWcV^ŪR]QRabfWcVMZP^V^Z^cVRaQadU and gambling issues to help them transform their often chaotic lives through a process that begins with participation in an intense therapeutic community inside the wire. Ed is the Clinical Manager of the Spring Hill DTU and the co - founder of the DTU graduates group in ?M]MYMdM]QVMbORR]f^aYW]Uc^W\_a^eRcVRZWeRb^S^ŪR]QRabS^a#hRMab 24 Cutting Edge Conference 2016 abstracts–thursday Peter is the DTU Program Manager at CareNZ and he oversees the delivery of a robust TC environment in the 9 DTUs that CareNZ operates for Corrections. Peter has been the Clinical Manager in both Christchurch and Hawkes Bay DTU’s. He is further leading the charge to help DTU graduates in their transition back into the community through an aftercare initiative. Stream 5, 2.00pm – 2.25pm OLD HOUSE, NEW HOME! The transformation of our adult residential pathway Gert Volschenk Operations Manager, Odyssey Auckland Katie Philpott Practitioner at Odyssey, Adult Services Abstract Odyssey canvassed its clients, and referrers to see how we could transform our programme to better suit our changing client demographic, and recognise achievements and successes throughout the programme. Feedback was that our programme was overly lengthy and there was only one exit point that was aRP^U]WbRQMbbWU]WŬPM]ccVWbORW]UUaMQdMcW^]FVWbZRQc^MP^\_aRVR]bWeRaReWRf^SV^ffRQRZWeRa^da bRaeWPRbW]^da2QdZcM]Q7M\WZh4R]caR_a^UaM\\RbFVRFVRaM_RdcWP4^\\d]WchWbM]RŪRPcWeR\^QMZWch for working with our people, however we were keen to add more evidence based interventions and cultural content so that we could better accommodate individual requirements. The new programme was QReRZ^_RQM]QW\_ZR\R]cRQW]@^eR\ORa Results Our clients are now staying longer with us, rather than exiting the programme at the early stages. The overall programme length has reduced from up to 2 years in some cases. Clients can now complete the induction phase and primary treatment phases within 9 months. Completion of each phase is recognised fWcVM]MPVWReR\R]cPRacWŬPMcRPRaR\^]hM]QWbMUR]dW]RMZcRa]McWeRRgWc_^W]cFVR_a^UaM\\RWb]^f geared so that exit at any point equips clients with skills that support their ongoing recovery. Through the enhanced quality and quantity of the curriculum, clients can now see clearly the required milestones and see the recovery successes of others much more often. Clients speak more positively about cVR_a^UaM\\RbcMŪMaR\^aRR]UMURQM]QQReRZ^_W]U\^aRbYWZZbM]QaRcR]cW^]^SPZWR]cbcVa^dUV^dccVR programme has increased. Biographies Gert started his career in Odyssey as the Team Leader in the Co-Existing Disorder services in Auckland (Counties Manukau and Royal Oak) and is now the Operations Manager in Adult Services. Gert has overseas experience in addiction services and in private practice. He is a member of Addiction BaMPcWcW^]Rab2bb^PWMcW^]2^cRMa^M@RfLRMZM]QQM_MM]jM]QVMbMB^bcUaMQdMcR4RacWŬPMcRW] 4^d]bRZZW]UM]QM`dMZWŬPMcW^]W]4ZW]WPMZbd_RaeWbW^] =McWRP^\_ZRcRQM3MPVRZ^a^S:RMZcVEPWR]PRW]M]Qc^^Y_MacW]M]W]cRa]bVW_aM]OhAQhbbRh 5daW]UcVWbbVRbcdQWRQMB^bcUaMQdMcR4RacWŬPMcRW]:RMZcVEPWR]PR\MX^aW]UW]2ZP^V^ZM]QAcVRa5adU EcdQWRbcVa^dUVcVRG]WeRabWch^S2dPYZM]QG_^]Ŭ]WbVW]U=McWRVMbORR]f^aYW]UMbMBaMPcWcW^]RaMc Adult Services for Odyssey, where she has completed a Postgraduate Diploma and become a Registered Practitioner through dapaanz. Katie is currently studying towards a Masters of Health Science. Cutting Edge Conference 2016 25 abstracts–thursday Stream 5, 2.35pm – 3.00pm The National Telehealth Service – Integrating services to improve support Joseph Devasia, Melissa Grant & Dylan Norton Mental Health & Addictions Senior Professional, Homecare Medical Ltd Abstract The new National Telehealth Service (NTS) delivered by Homecare Medical is an excellent example PRZROaMcW]UcaM]bS^a\McW^]cVa^dUVRŪRPcWeRbRaeWPRW]cRUaMcW^]QRbWU]RQc^W\_a^eRcVRVRMZcVM]Q wellbeing of all New Zealanders. Based on international best practice it brings together national and local telehealth services to improve access and provide holistic support pathways. We have also harnessed new technologies to create a platform for community health sector integration leading to improved links with NGO’s, primary and secondary care. Homecare Medical delivers a Mental Health and Addiction (MH&A) service as part of the NTS. This service is delivered by a single diverse workforce of cross trained advisors and professionals that provide support across SMS, email, phone and online chat. The service channels that come through to the MH&A team are: • • • • • The Depression Helpline The Lowdown (an SMS and email service for young people) The Alcohol Drug Helpline The Gambling Helpline Quitline Delivering these services through a single MH&A team gives us increased awareness of co-existing problems and allows us to support people more holistically and where required connect them with the right person with specialist knowledge. Having a bigger team allows us to deliver all of the service channels 24/7 M]QbW]PRcVR@FEfR]cZWeRW]@^eR\ORafRVMeRbRR]MbcRMQhW]PaRMbRW]P^]cMPcb This presentation provides an introduction to Homecare Medical, the National Telehealth Services and the ?:%2cRM\;c_a^eWQRbW]S^a\McW^]^]^da<^da]RhM]QcVROR]RŬcbfRMaRbRRW]Ub^SMa Biographies Melissa Grant is of Nga Puhi decent and from the small Northland Town of Utakura. Melissa is a Provisional Member of the New Zealand Association of Counselors and has over 10 years of experience working with PVWZQaR]h^dcVM]QMQdZcbW]P^d]bRZZW]UPZW]WPMZM]Qbd_RaeWb^aha^ZRbI^aYW]UW]cVR?Ħ^aW?R]cMZ:RMZcV & Addictions, Domestic Violence and Children & Youth Counselling areas. Melissa is currently employed as Mental Health & Addictions Senior Professional for Homecare Medical, who provides the National Telehealth Service. This includes the following helplines, Alcohol and Drug Helpline, Depression Helpline, The Lowdown, The Journal, The Gambling Helpline & Quitline. Joseph Devasia originally from India and living in New Zealand from 2010. Joseph is an Accredited Clinical Supervisor with DAPAANZ, Registered AOD clinician, and registered social worker. Joseph has done Master’s in Social work and Graduate Diploma in Addiction studies. Joseph has 10 years of work experience W]b^PWMZf^aYM]QMQQWPcW^]ŬRZQM]QW]ZMbchRMabf^aYRQMb_aMPcWcW^]RaW]AQhbbRhh^dcVaRbWQR]cWMZ bRaeWPRMb2A5PZW]WPWM]W]b_RPWMZWjRQ?Ħ^aWbRaeWPRfWcVI5:3M]QPdaaR]cZhfWcV:^\RPMaR?RQWPMZ>cQ as MH&A’s Senior Professional and group supervisor. Joseph is also active in the community in many ways and serving as a Justice of the Peace. 2`dMZWŬRQMQQWPcW^]bP^d]bRZZ^a5hZM]VMbbcdQWRQM]Qf^aYRQW]?R]cMZ:RMZcVM]Q2QQWPcW^]bS^acVR ZMbc#hRMabW]]^cS^a_a^ŬcM]Q5:3bRccW]Ub:RVMb^eRahRMab\M]MUR\R]cRg_RaWR]PRfWcVMcZRMbc McMbR]W^aΧRgRPdcWeRZReRZ5hZM]VMbM_MbbW^]S^acRPV]^Z^UhQaWeR]RŪRPcWeRbRaeWPRbcVMcbd__^accVR wellbeing of all New Zealanders and has helped create and deliver innovative and award winning mental 26 Cutting Edge Conference 2016 abstracts–thursday health initiatives. Dylan has worked on the National Telehealth Service for over a year and is currently the MH&A Service Development Manager at Homecare Medical. The service channels he works across are Alcohol Drug Helpline, Gambling Helpline, Depression Helpline, the Lowdown and Quitline. Stream 6, 2.00pm – 2.25pm Recovery College: Peer Led Education towards 360 degree transformation Rachel Scaife Service Manager, Phoenix Centre, Emerge Aotearoa Brody Runga Consumer Advisor, Odyssey Abstract Over the last few years there has been a rapid expansion of Recovery Colleges across the UK, Europe, USA and Australia. Recovery College’s provide both systemic and personal transformative processes by delivering peer-led RQdPMcW^]M]QcaMW]W]U_a^UaM\b4daaWPdZd\WbP^_a^QdPRQM]QPM]^ŪRaaRP^eRahcVa^dUVRQdPMcW^]M]Q shift the roles of patient and client to teacher and student. ;]cVWb_aRbR]cMcW^]fRfWZZORZ^^YW]UMccVRQReRZ^_\R]cM]QQRZWeRah^ScVRŬabcDRP^eRah4^ZZRURReR]c held in South Auckland in June 2016. This event was sponsored by the Counties Manukau AOD Provider Collaborative to initiate peer-led, recovery-based education in Counties Manukau. Evaluation results will be presented to identify the learning’s and key messages from the inaugural event. There will also be a panel discussion with people in senior AOD peer and consumer roles in Auckland, who were involved with the planning committee. The presentation will explore how to best support future Recovery College events in New Zealand, to enhance the skills and knowledge of recovery pathways and peer health coaching. Biographies DMPVRZVMbf^aYRQW]cVRMZP^V^ZM]QQadUŬRZQS^acVR_Mbc hRMabW]MeMaWRch^Sa^ZRbO^cVVRaRW]@Rf LRMZM]QM]QcVRG=:RaŬabca^ZRfMbW]cVRG=f^aYW]UW]]WUVcPZdObS^aMVMa\aRQdPcW^]_a^UaM\\R amongst other roles before working as a Paramedic for three years. Since moving to New Zealand ten years ago, Rachel has worked for residential programmes before joining the Phoenix Centre as a Clinician four years ago where she is now the Service Manager. Rachel is passionate about the Clinician and Peer _Mac]RabVW_cVMcBV^R]Wga^ZR\^QRZbM]QSRRZbcVWbWbMaRMZZhOR]RŬPWMZ\^QRZS^aPZWR]cb Brody provides Consumer Leadership for Odyssey with a strong focus on client participation strategy and capacity. Having worked in Consumer Roles for the last 7 years, he also brings Consumer participation to both the Counties Manukau AOD Providers Collaboration and DRIVE Consumer Direction Counties Manukau. Brody is passionate about positive pathways to well-being, especially through creativity and peer to peer approaches. He views his lived experience of mental health and substance use QWb^aQRabMbMDWcR^SBMbbMURcVMcUWScRQcVRbRRQb^SP^]ŬQR]PRbR]bWcWeWchfWbQ^\M]QP^\_MbbW^] Cutting Edge Conference 2016 27 abstracts–thursday Stream 6, 2.35pm – 3.00pm “The Rainbow Connection” Meeting the needs of Rainbow people, and why it matters! Anne Carroll Registered Nurse, Higher Ground Drug Rehabilitation Trust Abstract ‘Rainbow’ is an umbrella term to represent sexual orientation & gender identity minorities. DRbRMaPVbV^fbdbcVMcDMW]O^f_R^_ZRRg_RaWR]PR\dPVVWUVRaZReRZb^S\R]cMZWZZ]RbbMŪRPcWeR QWb^aQRabbdWPWQR%MQQWPcW^]P^\_MaRQc^VRcRa^bRgdMZb;cWbRbcW\McRQcVMc$^SDMW]O^f_R^_ZR MOdbRbdObcM]PRbP^\_MaRQc^MO^dc$^ScVRUR]RaMZ_^_dZMcW^]BMacZhcVWbWbQdRc^cVRPVa^]WPbcaRbb bdŪRaRQMbMaRbdZc^SbcWU\M_aRXdQWPRQWbPaW\W]McW^]%d]R`dMZb^PW^RP^]^\WPbcMcdbFVWbWbY]^f]Mb ‘Minority Stress’. Minority Stress is triggered by prejudice, stigma & fear of violence stemming from the belief that being Rainbow is somehow wrong or bad. It may be subtle, such as a devaluing or thoughtless comments or it can be much worse as in bullying, physical violence & deliberate discrimination. Our healthcare system needs to better meet the needs of the Rainbow community. At Higher Ground we MaRP^\\WccRQc^_a^eWQW]UMbMSR%fRZP^\W]UP^\\d]WchS^aMZZDMW]O^fPZWR]cbbcMŪIVĦ]Md friends & visitors. Policies and procedures have been rewritten to incorporate the unique needs of Rainbow people. The environment has been altered to be more inclusive and the Rainbow workforce increased. Training in Rainbow cultural competency has been implemented and proud Rainbow champions RbcMOZWbVRQ^]cVRbcMŪcRM\2ZZaRbWQR]cbMaR_a^eWQRQfWcVaRUdZMa\^]cVZhRQdPMcW^]^]bRgdMZ identity and gender diversity. Our commitment to provide inclusive care and therapy for Rainbow residents, their friends, visitors and IVĦ]MdfWZZR]VM]PRcVRWa`dMZWch^SZWSR Biography ;X^W]RQ:WUVRa8a^d]QW]<M]dMahMbcVR2QQWPcW^]@dabRE_RPWMZWbc My role includes admission health assessments and a daily health clinic for the residents. Also smoking cessation education and support and infection control, including education groups for the residents. I am one of Higher Ground’s Rainbow Champion’s which involves overseeing Rainbow cultural competency M]QbMSRchS^acVRbcMŪaRbWQR]cbM]QeWbWc^abM]QZWMWbW]UfWcV^cVRaDMW]O^fVRMZcV_a^eWQRabc^W\_a^eR services for Rainbow clients. 28 Cutting Edge Conference 2016 abstracts–friday Friday 9 September Stream 1, 11.10am – 11.30am Transformation Stories - What change means to those affected by addictions Nathan Frost Special Projects Advisor, New Zealand Society on Alcohol & Drug Dependence Abstract We in the addictions treatment sector are constantly looking for ways to transform the lives of those MŪRPcRQOhMQQWPcW^] Everyday we navigate our way through a constantly evolving array of treatment methodologies, pharmacotherapies, behavioural therapies, and often opposing recovery paradigms. IRcM]UZRfWcVW]P^\_ZRgM]QQWűPdZcfROb^SSM\WZWMZaRZMcW^]bVW_b\MaaRQOhMZP^V^ZM]Q^cVRaQadUdbR the ghosts of our own hereditary relationships haunting us. How we view change in those we work with is often centered in our own beliefs of what transformation should look like, and the process in which it should occur. Sometimes it’s helpful to ask the people we are working with what transformation means to them, some of the answers may surprise you! Come along to this twenty-minute audio visual presentation and hear what transformation means in the lives ^ScV^bRMŪRPcRQOhMQQWPcW^]bO^cVSM\WZhIVĦ]Md\R\ORabM]QW]QWeWQdMZb Biography With a Bachelor of Arts in Sociology and a Diploma in Print Media, Nathan Frost is a Wellington based writer _a^QdPW]UaRb^daPRbW]cVRMQQWPcW^]bcaRMc\R]cbRPc^a;]@McVM]ORUM]f^aYW]UfWcVcVR=W]MFadbc c^QReRZ^_M@RfLRMZM]QŬabcfRObWcRb_RMYW]Uc^SM\WZh\R\ORabMŪRPcRQOhMQQWPcW^];]VRfMb appointed Special Projects Advisor for the New Zealand Society on Alcohol and Drug Dependence and tasked with developing ‘Mana House’ (a national recovery housing network). Mana House has opened two houses in Wellington and has plans to expand into other regions. Stream 1, 11.40am – 12.00pm Transforming services delivery and organisational culture: a consumer perspective Sheridan Pooley, Marc de Boer Consumer Advisor and Consumer Liaison CADS Auckland After being inspired at Cutting Edge in 2012 the CADS Consumer Team assessed CADS Auckland according to Stephen Bamber’s “10 characteristics of a recovery oriented service”. They found areas that CADS did well and areas for improvement and with the support of the CADS clinical governance group began work on transforming the culture of CADS from focusing on treatment to a recovery focus. Several projects were developed looking at recovery planning, strength-based practice, consumer participation and continuing care. FVRcRM\ORUM]MbRaWRb^SP^]eRabMcW^]bfWcVMZZ^ScVRbcMŪb^ReRah^]RfMb^]cVRbM\R_MURMfMaR^S and involved in the transformation. It was important to start from a place of accepting that there is no one QRŬ]WcW^]^SaRP^eRahcVMc425Ef^dZQf^aYfWcVcVRQRŬ]WcW^]cVRPZWR]cbbRcS^acVR\bRZeRb The team promoted the use of Bamber’s recovery capital tool to clinicians to help clients recognise their strengths and build the capital that would enhance and sustain their wellbeing. Attention was paid to the Cutting Edge Conference 2016 29 abstracts–friday language we all use, to consider the impact of the words we use every day to describe the people who use drugs and alcohol and the people who seek help from services. <dbcMbPZWR]cbPM]PVM]URb^c^^PM]bRaeWPRbIR\Mh]^cVMeRaRMPVRQcVRŬ]WbVZW]ROdccVRaRWb no doubt that CADS Auckland has committed to maintaining recovery oriented services by embedding recovery oriented systems of care into all that we do. Stream 1, 12.10pm – 12.30pm Transforming Lives Mark Cowan Support Worker, Higher Ground Drug Rehabilitation Trust Andre Matthews AOD Clinician, Higher Ground Drug Rehabilitation Trust Maree Matthews Community Manager. Higher Ground Drug Rehabilitation Trust Abstract This presentation will show one man’s transformation from a drug addicted gang member into the recovery workforce. This will include the key services involved in his pathway; the Alcohol and Other Drug Treatment Court, Higher Ground and Wings Trust. It will show the pivotal points and struggles he faced throughout his journey to wellness. We will share how his transformation led the way for his partner to seek treatment to be d]WcRQW]aRP^eRahS^acVRWaIVĦ]Md>MbcZhfRfWZZZ^^YMcV^fQdRc^VWb^f]caM]bS^a\McW^]VRWbMOZRc^ support his peers to transform their lives. Biographies For over 20 years Mark Cowan lived to take drugs and did whatever he could to get them. As one of the ŬabcUaMQdMcRb^SFVR2ZP^V^ZM]QAcVRa5adUFaRMc\R]c4^dacVRWb]^fMeRahQWŪRaR]c\M]FVaRRhRMab into recovery, his goal is now to help others break the cycle of crime and addiction. 2]QaRWbM?Ħ^aW\M]^S@UMBdVWQRPR]cfV^VMbORR]^]VWb^f]_Rab^]MZX^da]Rh^SaRP^eRahS^a hRMab2]QaRVMbORR]M_Mac^ScVRMQQWPcW^]bRPc^aW]eMaW^dbQWŪRaR]ca^ZRbSa^\Ed__^acf^aYRaBRRa support worker, Student and now as an Alcohol and Other Drug Clinician. Andre is currently employed at :WUVRa8a^d]QM]QVMbORR]fWcVcVR\S^ahRMabW]eMaW^dbQWŪRaR]ca^ZRb ?MaRRWbMZb^R\_Z^hRQMc:WUVRa8a^d]QEVRVMbf^aYRQfWcVcVR^aUM]WbMcW^]S^acVR_MbchRMabW] various roles. Her current role is manager of the Community Team who works with tangata whaiora pre and post treatment. Maree also has her own personal journey of recovery. Stream 2, 11.10am – 11.30am Integrated Practice Pathways: Linking sectors for visible and responsive youth AOD services Andre McLachlan Clinical Psychologist; Registered Alcohol and Other Drug Clinician. Abstract The Waikato Youth AOD Model of Care incorporates community, primary health, Youth AOD and Youth ?R]cMZ:RMZcVPMaRbRPc^ab;cWbM\^QRZS^aP^]PR_cdMZWbW]UM]Q^aUM]WbW]UbRaeWPRbMPa^bbQWŪRaR]c sectors to identify and respond to a broad continuum of rangatahi/young people’s substance use and related problems. Within the Model of Care is an integrated practice pathway. This describes the rangatahi/ 30 Cutting Edge Conference 2016 abstracts–friday h^d]U_Rab^]b_McVfMhc^M]QcVa^dUVbRaeWPRbM]QPZW]WPMZQRPWbW^]adZRbMO^dcfVMccaRMc\R]cbc^^ŪRa to whom, when and by whom. In essence the Practice. This presentation will introduce the audience to the Waikato Youth AOD Model of Care, including the key _aW]PW_ZRbM]Q_aMPcWPRb]RRQRQW]^aQRac^RŪRPcWeRZhRe^YRP^ZZMO^aMcW^]M]QW]cRUaMcW^]^S_aMPcWPRFVR audience will then be stepped through the Waikato Youth AOD Integrated Practice pathway, with a focus on the need for developing nationally recognized tools and best practice guidelines. Biography Andre is a Clinical Psychologist based in the Waikato. He is currently undertaking his PhD in the Rangatikei, S^PdbRQ^]P^ZZMO^aMcWeR_aMPcWPRfWcVM]QS^aadaMZ?Ħ^aWfWcVbdObcM]PRdbRM]QaRZMcRQ_a^OZR\b2]QaR is currently practicing with Forensic Mental Health, and teaching at the National Addiction Centre (Otago G]WeRabWch:RVMbORR]M_M]RZ\R\ORa^]cVRG]WcRQ@McW^]bAűPR^]5adUbM]Q4aW\RG@A54M]Q FR2aM]UM?MW?Ħ^aW:RMZcVBa^SRbbW^]MZΧ4ZW]WPMZ5ReRZ^_\R]cDRSRaR]PR8a^d_McFRDMd?McMcW]W:RWb _MbbW^]McRMO^dcPaRMcWeRM]QW]]^eMcWeRM__a^MPVRbc^f^aYW]UfWcVfVĦ]Md Stream 2, 11.40am – 12.00pm Nga Kaitiaki Marae Based Youth Leadership Programme Te Uri Reihana-Ngatote IVĦ]MdAaMI^aYRa@UMcW=MVdE^PWMZ:RMZcVERaeWPRb Abstract The Nga Kaitiaki Marae based Youth leadership programme was developed to target ‘At Risk Youth’ in a P^\\d]WchcVMcbdŪRabSa^\MZ^fb^PW^RP^]^\WPQRPWZRaMcW]U2ZP^V^Z5adUbVWUVh^dcVbdWPWQRaMcRb limited engagement in education and teen pregnancy all contributed to the development of the program. Using structured activities that encourage community participation and belonging. The program draws upon our repositories of knowledge ie, Tikanga and other community knowledge bases. These allow Youth to achieve measurable, desired outcomes, and the ability to see the tangible outcomes of their decision \MYW]U_a^PRbbRb^]cVR\bRZeRbcVRWaIVĦ]MdM]QcVRWaP^\\d]WchW\\RQWMcRZh Taking facets of Te Ara Poutama and combining with key areas of the Takarangi Framework we have been able to arahi Taitamariki on a pathway of self -discovery, challenge and personal resolution. Tuakana / Teina based on knowledge not age. The Journey of Nga Kaitiaki is underpinned by the acronym P.R.I.D.E Perseverance, Resilience, Independence, Determination and Empowerment. Challenging the youth on the program to look within themselves for discovery of who they are and whom cVRhP^\RSa^\3dWZQW]Ud_^]cVWbY]^fZRQURdbW]UcVR^VMYWcVMcfMbZRScSa^\\MWaMM]M]QRe^ZeW]U it to take them into the future. Peer to peer relationships occur across all generations allowing full use of the skills and experiences of our P^\\d]WchO^cV?Ħ^aWM]Q]^]\Ħ^aW;cWbcVWbbVMaRQaRZMcW^]bVW_cVMcR]bdaRbMOWPdZcdaMZZRMQRabVW_a^ZR is developed within our Taitamariki whom will be our agents for change. Biography Te Uri Reihana-Ngatote has over 10 years experience working in the community. With a Health, Education and Community background, Te Uri has been able to combine these skills in a manner that reaches into the heart of his local Youth Community. The genuine passion that he places into his programmes’ and his no nonsense ability to convey information in a manner that is easily processed and actioned by his Youth target audience has allowed him to develop this easily transferrable programme. Cutting Edge Conference 2016 31 abstracts–friday Stream 2, 12.10pm – 12.30pm Possible definitions and signs of Out of Control Sexual Behaviours (OOCSBs) / Sex addiction Edit Horvath (MSocSci Hons, COP Sex Theraphy) Sex Therapist, Active SexLife Solutions Ltd Abstract Out of control sexual behaviours (OOCSB), hypersexuality, sexual compulsivity and sex addiction (?) have been viewed, reacted / responded to and treated in enormously varied ways historically and culturally from popular, legal and clinical perspectives. There is great confusion about what constitutes ‘normal’ or healthy sexual behaviour, and what might be OOCSB, hypersexuality, sexual compulsivity and sex addiction, both W]_^_dZMaM]QW]PZW]WPMZMaR]MbFVR_aRbR]cMcW^]fWZZMccR\_cc^QRŬ]RAA4E3QRbPaWORM]QP^]caMbc cf^\^QRZb=MŮMM]QEMZWbOdahf^aYW]UfWcVM]QcaRMcW]UAA4E3W]PZdQW]U_^cR]cWMZPMdbRbMbfRZZMb ReMZdMcRcVRWa_aMPcWPMZWchM]QRŪRPcWeR]RbbfVR]WcP^\RbQ^f]c^f^aYW]UfWcVPZWR]cb_aRbR]cW]UfWcV AA4E3E_RPWMZWbRQcaRMc\R]cbMaRRg_Z^aRQaRůRPcW]U^]cVRWaaRZReM]PRc^^daPZWR]cRZRW]PZdQW]UcVRWaŬc with our own therapeutic and personal values. Biography Edit Horvath (MSocSci Hons, COP Sex Therapy), after many years of consulting as an Organisational BbhPV^Z^UWbcbVR`dMZWŬRQW]ERgFVRaM_hM]QbcMacRQVRa_aWeMcR_aMPcWPR2PcWeRE6J>;76E^ZdcW^]b2b MVWUVZh`dMZWŬRQb_RPWMZWbcW]Vd\M]bRgdMZWchbVRR]X^hbVRZ_W]UMQWeRabRPZWR]cRZRQReRZ^_bYWZZbc^ address sexual and relationship issues and ways to maintain healthy sexuality. Edit’s therapeutic services are for individuals and couples with intimacy and sexuality concerns, including Out of Control Sexual Behaviours (OOCSBs). A wide range of professionals also refer their patients to her as a complement to traditional medical treatment to help when illnesses may impact on sexuality. This has led to a specialty in working with people who have had or are going through treatment for breast and prostate cancers. Her mission is to help clients through enhancing communication, relationships, intimacy and sexuality being inclusive and never discriminate regardless of age, race, cultural background, religion, sexual orientation, gender or disability. [email protected] Stream 3, 11.10am – 11.30am Transforming the Workforce through Capacity Building Robert Stirling 5R_dch4VWRS6gRPdcWeRAűPRa@Rcf^aY^S2ZP^V^ZM]Q^cVRa5adUb2UR]PWRb2dbcaMZWM Abstract The Network of Alcohol and other Drugs Agencies (NADA) is the peak body for the non-government alcohol and other drugs (AOD) sector in NSW, Australia. NADA’s approach to building the capacity of the AOD workforce is through a range of system, organisational and workforce strategies that have recently been evaluated. This demonstrated valued changes with respect to service user outcomes, organisational change within AOD agencies, and changes at the AOD system level. The key strategies used are: building sustainable linkages and strategic partnerships; assisting AOD services to undertake service improvement; workforce development and support; and development and dissemination of information and resources. FVR_aRbR]cMcW^]fWZZVWUVZWUVccVRŬ]QW]UbSa^\cVRPM_MPWchOdWZQW]UReMZdMcW^]1, as well as provide three examples of recent areas for development in NSW. 32 Cutting Edge Conference 2016 abstracts–friday 1. Complex Needs Initiative: supporting the workforce response to the needs of people with complex needs in AOD treatment, such as cognitive impairment and those in contact with the criminal justice system. 2. The Women’s AOD Service Development Program: supporting workers and organisations to provide best practice interventions for women accessing AOD treatment, becoming gender responsive, supporting family inclusiveness and providing trauma informed care. DRbRMaPV@Rcf^aYOdWZQW]UPM_MPWch^S@8Abc^W]S^a\M__ZhM]QP^]caWOdcRc^ReWQR]PROMbRQ approaches to working with clients with co-existing mental health and AOD issues. Biography Robert is Deputy CEO of the Network of Alcohol and other Drugs Agencies (NADA), the peak body for the non-government alcohol and other drugs sector in NSW, Australia. He is responsible for sector reform and QReRZ^_\R]c_^ZWPhM]Q_ZM]]W]UaRbRMaPVM]Q_a^UaM\QReRZ^_\R]cD^ORacVMb`dMZWŬPMcW^]bW]_dOZWP health and community management, is a board director for a large HIV prevention and LGBTI health NGO and is a quality assessor of health and community services standards. He has worked in the alcohol and other drugs sector for over 10 years across the government and non-government sectors. ?P5^]MZQ56eMZdMcW^]^S2A5_RMYO^QWRba^ZRbW]OdWZQW]UPM_MPWchW]cVR2dbcaMZWM]]^]U^eRa]\R]cMZP^V^ZM]Q^cVRaQadUbbRPc^aŬ]MZ aR_^acIM\O^W]@EIE^PWMZDRbRMaPV%6eMZdMcW^]Bch>cQ Stream 3, 11.40am – 12.00noon Turning Rhetoric into Reality Vanessa Caldwell, Phil Grady, Robert Steenhuisen, Marc Beecroft NCAT Executive Abstract This presentation will provide an overview of our current addiction treatment services, and the many policy directions that are impacting our sector. It can be a challenge to meet these constant demands for change and know if we are really meeting the objectives that these policy directives seek to address. 2bMb\MZZbRPc^aWc\MYRbbR]bRc^Q^cVWbf^aYc^URcVRac^PaRMcRMbRM\ZRbbM]QRŪRPcWeRbhbcR\cVMc meets the needs of anyone who seeks assistance for addiction related issues. We aim to present a framework for the transformation of the addiction treatment sector to provide the client-centred delivery system that we aspire to achieve. Stream 3, 12.10pm – 12.30pm Innovation and Collaboration for System Transformation Anne Bateman Chair, AOD Provider Collaborative Debby Sutton Programme Manager, AOD Provider Collaborative Abstract Collaboration amongst provider agencies is often a topic of conversation – how, who, why, where and fVR]*2]QfVMcQWŪRaR]PRQ^RbWc\MYR*FVR2A5Ba^eWQRa4^ZZMO^aMcWeRWbf^aYW]Uc^MQQaRbb these questions. The Collaborative was formed in 2009, to ensure providers were working together to maximise positive outcomes for AOD clients within the Counties Manukau District Health Board (CMDHB) catchment area. With a focus on systems and system needs, this group aims to transform the system through collective impact and pushing the envelope of what needs to happen in the addiction treatment sector. Cutting Edge Conference 2016 33 abstracts–friday Transformation of the system through targeted activities has been a hallmark of the Collaborative, focusing on: understanding the AOD treatment space better (research and evaluation); promoting accessibility for service users; workforce professional development; building a talent pipeline; and supporting our peer workforce (see website http://www.aodcollaborative.org.nz/ for more details). The model that the AOD Collaborative uses for collective impact will be explored, with examples of innovations that have been implemented which will be of interest to the wider AOD sector, including: • Working with primary care • Improving accessibility and services for youth ΄ 6]aWPVW]U_RRabd__^ac@RfLRMZM]QbŬabcDRP^eRah4^ZZRUR • Interfacing with Justice and Corrections Participants will be encouraged to identify an aspect of their systems that they would like to transform, and to consider how innovative thinking, collaboration and collective impact could contribute to making a change. Biographies Anne Bateman is currently the General Manager, Innovation & Development at Odyssey. She is also the Chair of the Counties Manukau DHB’s AOD Provider Collaborative. Anne has worked in various roles, such as Planning and Funding, Quality Improvement, and clinical practice with specialities in system building, organisational development, audit, evaluation and continuous quality improvement. She holds a Master ^SEPWR]PRW]E^PWMZI^aY?EIM?MbcRa^SBdOZWP2Q\W]WbcaMcW^]?B2M]QWbPRacWŬRQMbMEWgEWU\M Green Belt as well as a Prince 2 Practitioner. Anne has worked in New Zealand for the last six years in both Wellington and Auckland. Debby has worked in the addiction treatment sector for over 20 years in a variety of roles, including in research, addiction treatment, education, and workforce development. Currently, Debby works for Odyssey as a Programme Manager, with a focus on coordinating the AOD Provider Collaborative and its projects on behalf of the 16 member organisations. She holds a Master of Social Science and a Post Graduate Diploma in Community Psychology. Debby is a registered Psychologist, and is a Board member of the Addiction Practitioners’ Association Aotearoa-New Zealand (dapaanz). Stream 4, 11.10am – 11.30am Working on the Addictions Frontline: From alcohol & other drugs to gambling – is there a difference? Denise Giles Practice Leader/ Counsellor/Health Promoter, Problem Gambling Foundation Linda Tiro Counsellor/Health Promoter, Problem Gambling Foundation “Everyone wants to transform, but nobody wants to change.” Frederica Mathewes-Green Source: The Jesus Prayer We will be exploring this topic as two frontline addictions clinicians who have recently transitioned from alcohol and other drugs work to the problem gambling sector. We will be focusing on how we believe this may impact positively, through the transformation of clients’ lives we have felt privileged to work with. Before coming across to the problem gambling sector, many of us in the alcohol and other drug workforce would have wondered what all the fuss was about regarding problem gambling. We will look at why it has taken so long for gambling to be included as part of the other addictions workforce, and why gambling still, for the most part sits outside other health services. 34 Cutting Edge Conference 2016 abstracts–friday It is hoped that by looking at what might be considered a ‘typical’ gambling client and a ‘typical’ AOD client, we will provide material for discussion, comparison, and contrast to add to what we have noticed so far. FVWb_aRbR]cMcW^]fWZZVWUVZWUVccVRbW\WZMaWcWRbM]QQWŪRaR]PRbW]f^aYW]UfWcVW]RMPVbRPc^aW]PZdQW]U suggestions for upskilling the AOD workforce. We will also make recommendations for collaboration and joint work where both areas intersect. Turns out there is more to this than either of us had ever considered. Biographies Linda Tiro is an addictions counsellor with a long history of working in the social services in New Zealand and Scotland. She has 12 years’ experience working with youth and adults in the AOD sector in the Waikato recently joining the gambling sector as a counsellor and health promoter. Prior to this she worked in social work settings with youth in Scotland and as a child protection social worker in the King Country. Linda is registered as an ACC provider, with DAPAANZ and NZAC. Linda is passionate about working with W]QWeWQdMZbIVĦ]MdM]QP^\\d]WcWRbc^SMPWZWcMcRPVM]URW]cVRWaZWeRb Denise Giles has had a variety of work experiences over the 20 plus years she has been in the addictions sector initially in the Manawatu; with Drink Drivers, Methadone, Youth, in leadership roles regionally and nationally. In 2006 Denise joined Manaaki Aotearoa as Waikato Regional Manager and recently joined the Ba^OZR\8M\OZW]U7^d]QMcW^]MbBaMPcWPR>RMQRaM]Q4^d]bRZZ^aW]ZMcRFVa^dUV^dc5R]WbRbPMaRRa she has continued to be involved in many aspects of client work; she is currently enjoying the challenge M]QaRfMaQb^Sf^aYW]UfWcVUM\OZW]UPZWR]cbM]QcVRWaIVĦ]Md5R]WbRWbM52B22@LDRUWbcRaRQ4ZW]WPWM] and Supervisor. Stream 4, 11.40am – 12.00noon Stepping Stones Towards Gambling Awareness and Risk taking within Mt Eden Correctional Facility Narelle Nichelsen Practice Leader, Northern Region, The Problem Gambling Foundation of NZ Bonnie Lovich-Howitt Counsellor and Health Promoter, Northern Region, The Problem Gambling Foundation of NZ PGF have developed two innovative group programmes for the men on remand at Mt Eden Correctional facility (MECF). These programmes are of short duration, punchy, interactive and informative to create a high RQdPMcW^]MZW\_MPcfWcVW]MUa^d_bRccW]U;cVMbORR]PaWcWPMZcVMcfRMQM_c^da_a^UaM\\RbS^acVWbb_RPWŬP _^_dZMcW^]MbcVR\MgW\d\ZR]UcV^SbcMhMccVWbSMPWZWchWbQMhb 2YRh_^W]c^SQWŪRaR]PRS^acVRW]WcWMZUa^d_8M\OZW]UM]QDWbYFMYW]UWbcVMc]^aRSRaaMZ^aUM\OZW]U bPaRR]WbaR`dWaRQFVR\R]WQR]cWShMbVMeW]UŬ]M]PWMZQROc^aaRZMcW^]bVW_WbbdRbOhcVR_a^UaM\\Rb cRM\Mc?647M]QMaR^ŪRaRQcVRUa^d_FVRUa^d_aMWbRbcVRWaMfMaR]Rbb^ScVRaRZMcW^]bVW_ORcfRR] gambling and risk taking, the continuum of harm and potential impacts in their communities and families. The group participants are screened for gambling harm at the end of the group. We will discuss the prevalence of those identifying gambling harm as well as outcomes and future directions of these programmes. Biographies Narelle Nichelsen is a NZ registered counselling psychologist and a trained nurse by profession. She has worked in the problem gambling sector since 1996 and began her career with PGF in 2007. She is an experienced therapist, group facilitator and educator. Narelle provides clinical oversight for the team of Cutting Edge Conference 2016 35 abstracts–friday counsellors and health promoters in the Northern region, PGF. She has developed a client centred practice cVMcR]P^daMURb^_R]P^\\d]WPMcW^]SRRQOMPYM]QbRZSaRůRPcW^]:RaP^d]bRZZW]URg_RacWbRQaMfbd_^] a range of approaches including, Motivational Interviewing, Solution Focused and Interactive Drawing Therapy. Bonnie Lovich-Howitt has a Bachelor of Social Practice (counselling) from Unitec and has completed a post graduate paper with AUT in assessment and interventions in Addictions. As a student she gained experience working with the Problem Gambling Foundation of New Zealand (PGF) and CADS. She spent two years working for Odyssey House as a practitioner at the Drug Treatment Unit. This is based in Auckland Regional Prison and is a maximum security, mainstream three month programme. Currently, Bonnie is enjoying working in a varied role as a counsellor and health promoter for PGF. Supporting people through their addiction recovery is her passion. Stream 4, 12.10pm – 12.30pm Transforming a Workforce in Challenging Times Layla Lyndon-Tonga General Manager of National Services, Hapai Te Hauora Tapui FVR8M\OZW]U:Ma\f^aYS^aPRVMbVMQc^bdbcMW]M]d\ORa^SPVM]URb^eRacVRZMbchab\MYW]U support for a ‘business as usual’ attitude to service delivery challenging. Hapai Te Hauora have developed a national approach that has seen facilitation of service providers through some key changes, while also bRRYW]Uc^W]b_WaRORbc_aMPcWPRM]QcaM]bS^a\MP^\_RcR]cM]QP^]ŬQR]cf^aYS^aPR In coordinating some of these changes, we have introduced a number of digital platforms to support _aMPcWcW^]RabW]cVRbRPc^a;]ůdR]PRQOhcVRfMhW]fVWPV_R^_ZRPV^^bRc^P^]bd\RY]^fZRQUR undertake research and gain new intelligence. Hapai have sought to capture the most relevant aspects ^ScVRY]^fZRQURRgPVM]UR\MaYRcc^W]ůdR]PRcVRQRbWU]^SW]SaMbcadPcdaRM]Qbd__^ac\RPVM]Wb\bcVMc transform practitioners from being champions of behavior change to becoming leaders of behavior change, UM\OZW]UVMa\_aMPcWcW^]RabfV^MaRP^]ŬQR]cM]QP^\_RcR]c IRbMfcVR^__^acd]Wchc^W]ůdR]PRPZW]WPMZ_aMPcWPRW]UM\OZW]UVMa\MbM_ZMPRc^bd__^ac transformational leadership, in a way that is adaptable and revolutionary. The populations of New Zealand society are ever changing, including the environments and lifestyles of individuals, families and communities. Thus, it is imperative that the infrastructure support and encouragement for best practice are ůRgWOZRR]^dUVc^\RRccVRbRPVM]UW]U]RRQb We present the aims and strategy used to support navigation of the gambling harm workforce cVa^dUVPVMZZR]UW]UcW\RbM]QbVMaRbd__^ac\RPVM]Wb\bS^aORbc_aMPcWPRM]QV^fcVRbRW]ůdR]PR transformational leadership. Biography Layla is General Manager of National Services at Hapai Te Hauora Tapui, is of Ngati Porou, Nga Puhi and @WdRM]QRPR]cfWcVhabRg_RaWR]PRW]cVR8M\OZW]U:Ma\bRPc^a>MhZMVMbf^aYRQW]M]d\ORa^S?Ħ^aW health settings both in the private and public sectors, she is currently a member of the DAPAANZ executive M]QbWcb^]@42FaR_aRbR]cMcWeR^SVRa?Ħ^aWMQQWPcW^]bP^ZZRMUdRbB^bcUaMQdMcR`dMZWŬPMcW^]bW]:RMZcV EPWR]PR\MX^aW]UW]?R]cMZ:RMZcV%2QQWPcW^]bM]d]QRaUaMQdMcRW]?Ħ^aW:RMZcVM]Q:RMZcVBa^\^cW^] with experience in research and evaluation adding depth to her public health knowledge base. 36 Cutting Edge Conference 2016 abstracts–friday Stream 5, 11.10am – 11.30am AOD Service Makeovers: Measuring and enhancing organisational cultural competency Anne Bateman General Manager, Innovation & Development, Odyssey Edit Horvath Senior Consultant, Active WorkLIfe Solutions Ltd Abstract Assessing the cultural competencies of AOD service providers is not commonly done in NZ / Aotearoa, but WbMeMZdMOZR_a^PRbbS^acaM]bS^a\W]UcVRfMhfRf^aYfWcVQWeRabRbRaeWPRdbRabM]QbcMŪFVR4^d]cWRb Manukau AOD Collaborative has supported the development of an organisational assessment tool to gauge how culture is acknowledged by services in areas, such as tikanga competencies, organisational PVMaMPcRaWbcWPb_^ZWPWRb%_a^PRQdaRbM]QbRaeWPRQRZWeRah5McMSa^\ŬeR2A5^aUM]WbMcW^]bVMbORR] collected, analysed and explored, both as individual organisations, and with the services combined to identify common strengths and areas for development. The presentation will draw on this data, to explore the organisations’ understanding, responses and MPcW^]bW]aRZMcW^]c^cVRŬ]QW]UbM]QfWZZW]PZdQRcVReMaW^dbaRb^daPRbMeMWZMOZR^a]^cc^bcaR]UcVR] ^aUM]WbMcW^]MZPdZcdaMZP^\_RcR]PhUM_bW]^dabRPc^aFVRMdQWR]PRfWZZORR]P^daMURQc^aRůRPc^] their own organisation’s cultural competency and to identify opportunities to improve service delivery and outcomes for our increasingly diverse service users and workforce. Biographies Anne Bateman is currently General Manager, Innovation and Development, at Odyssey in Auckland and is Chair of the Counties Manukau DHB AOD Provider Collaborative. Anne has worked in various roles, such as planning and funding, quality improvement, and clinical practice with specialities in system building, organisational development, evaluation and continuous quality improvement. Anne began her career as a clinician, and has spent the last 10 years working at a systems level in various levels of government as well as NGOs. She is originally from the US and has worked in New Zealand for the last six years in both Wellington and Auckland. Edit Horvath (MSocSci Hons), originally from Hungary, is an organisational psychologist with years of experience working with AOD and mental health organisations, as well as other sectors for government, ]^cS^a_a^ŬcM]QP^a_^aMcRΧ\dZcW]McW^]MZP^\_M]WRbMbMP^]bdZcM]c6QWcdbRbVRaRg_RacY]^fZRQURW]M professional and pragmatic fashion. She loves a challenge and enjoys complex problems, both strategic and operational. Edit is passionate about creating an ever improving environment for service users/clients, S^abcMŪM]Q^aUM]WbMcW^]bR]MOZW]UaRP^eRahM]QbcaR]UcVR]W]UM]W]PZdbWeRf^aYS^aPRM]Q]McW^] Stream 5, 11.40am – 12.00noon Youth Experiencing CEP: A workforce development project to support the further development of enhanced youth CEP practitioners across Aotearoa–New Zealand Michelle Fowler Project Manager, the Werry Centre Dr Bronwyn Dunnachie Senior Advisor, the Werry Centre for Child and Adolescent Mental Health Workforce Development Abstract Youth Mental Health and Addiction services in New Zealand have been charged with ensuring their service-delivery acknowledges the needs of young people experiencing Co-Existing Problems, meaning Cutting Edge Conference 2016 37 abstracts–friday that young people receive services at the right place, at the right time and receive the right interventions and support. The Werry Centre has delivered a project which works with services and clinicians to identify people who have enhanced skills in the delivery of best-practice to young people experiencing co-existing _a^OZR\bA]PRWQR]cWŬRQcVRbRPZW]WPWM]bMaR^ŪRaRQMaM]UR^Sf^aYS^aPRQReRZ^_\R]cW]WcWMcWeRbfVWPV aim to increase their ability to support the skill development of their colleagues, thereby increasing the opportunities for best-practice service delivery. This presentation outlines some of the small (and not so small) initiatives that have been undertaken to increase the capability of the ICAMH/AOD services to deliver best practice interventions to young people Rg_RaWR]PW]UP^RgWbcW]U_a^OZR\bM]QcVRWaSM\WZWRbΧfVĦ]MdOhcMaURcW]UcVRSdacVRaQReRZ^_\R]c^S Enhanced-Practitioners. This includes the use of technologies such as video-conferencing to ensure nation-wide ‘reach’, and the sharing of resources through the development of a web-sub-site and discussion forums. Biographies Michelle Fowler: Project Manager, the Werry Centre for Child and Adolescent Mental Health Workforce Development, University of Auckland. Michelle is currently Project Manager for the CEP project for The Werry Centre, based in Christchurch. She WbMDRUWbcRaRQ@dabRfWcVM]RgcR]bWeROMPYUa^d]Qf^aYW]UfWcVW]cVR\R]cMZVRMZcVM]QMQQWPcW^]ŬRZQ more recently working with adolescents. She is very passionate about her work with a strong interest in professional and workforce development. Dr Bronwyn Dunnachie: Senior Advisor, the Werry Centre for Child and Adolescent Mental Health Workforce Development, University of Auckland. Dr Bronwyn Dunnachie is a Senior Advisor at the Werry Centre. Bronwyn is a part of the Senior Management Team, supporting the governance structure of the Centre and contributes to key strategic and ^_RaMcW^]MZQRPWbW^]\MYW]U3MbRQW]4VaWbcPVdaPV3a^]fh]ZRMQbcVR4VaWbcPVdaPV^űPRcRM\M]QVMb oversight for the Werry Centre projects delivered to the Central and Southern regions Stream 5, 12.10pm – 12.30pm Transformational Training Seán Manning Kaiako, Moana House Training Institute Takurua Tawera Kaiako, Moana House Training Institute Claire Aitken Kaiako, Moana House Training Institute Lynere Wilson Kaiako, Moana House Training Institute Abstract He toa kura, he toa pahekeheke; he toa mahi kai, erangi tena e roa te kawenga A warrior chief is uncertain in his position, but one who is knowledgeable at food production ensure the wellbeing of the tribe Training as an addiction counsellor often involves a personal transformation comparable to recovery from addiction. Tauira come to see the world, the people they work with, and themselves, more coherently, ůRgWOZhM]QfWcVUaRMcRaP^\_ZRgWchcVMcReRaORS^aR2_VWZ^b^_Vh^ScRMPVW]UM]QZRMa]W]UM]QMbRc of methods that foster such learning are the holy grail of trainers. This presentation will put forward 38 Cutting Edge Conference 2016 abstracts–friday the approach that the Moana House Training Institute has developed through its Te Taketake Level 7 Diploma. Based upon an approach that sees learning as personally transformative when “interpersonal M]QW]cRZZRPcdMZZRMa]W]UMaRW]cRaQR_R]QR]c?MPSMaZM]RRcMZFRFMYRcMYRdbRb?Ħ^aWP^]PR_cb ^SfVĦ]Md]UMcM]UMaRZMcW^]bVW_baM]UMcWaMcM]UMbRZSQRcRa\W]McW^]M]Q\M]ĦYWcM]UMRcV^b^SPMaRc^ create a learning environment where the personal growth of tauira is as important as their acquisition of knowledge and skills. These ideas will be presented from kaiako (teacher), tauira (student) and graduate perspectives. ?MPSMaZM]R28Zh]]F4MeM]MUVF%3McR\M]E4aRMcW]UPdZcdaMZZhbMSRbPV^^ZS^a?Ħ^aW bcdQR]cb2dbcaMZWM]<^da]MZ^S;]QWUR]^db6QdPMcW^]### Biographies Seán is a psychotherapist attached to Moana House, with a small private practice along with his role as kaiako with Moana House Training Institute. His academic and professional background is in psychology M]Qb^PWMZf^aYDMWbRQW]3RZSMbc@^acVRa];aRZM]QVRVMbZWeRQW]2^cRMa^M@RfLRMZM]QbW]PR Confessing to being sometimes unreasonable and grumpy, he is passionate about psychotherapy and is intensely interested in how it works and what happens in the human brain as a result. Takurua Tawera Tupapa ana ahau I te waka O Mataatua, whakarongo rua ana I te hau O Tawhrimatea e hau mai nei, rere wairua e runga Maunga Pahatu, ko te rohe potae o Tuhoe tangata, enei ahau e uri O Hinepukohurangi. F^Yd\MVW^]ĦWM]RWVRIVMYMVMRaRB^d;?^M]MIVMaR=^MVMdM]^V^YWB^dIVMYMaMR\^QM_MM]j\R cMVWVRM\M]MdR_?Ħ^aWV^YWFR=d_R]UMIVMYM^cW?MVW_Mcd]UM:RYMWMY^Ra^c^cRcMYRcMYR Claire is the programme director of Moana House and kaiako with Moana House Training Institute. Lynere is a kaiako with Moana House Training Institute and brings her experience as a mental health nurse with an interest in mood disorders and teaching mental health professionals within the University of Otago, 4VaWbcPVdaPV:Ra\^bcaRPR]cbWU]WŬPM]cMPVWReR\R]cVMbORR]c^bdO\WcVRaBV5M]QMbMaRbdZc]^f spends her time wondering what to do with herself. Stream 6, 11.10am – 11.30am Amohia e huringa Takurua Tawera Pou whakahaere Moanahouse Saul Waihape Tangata Mana Motuhake Abstract Ma haere I raro I te kahu korako, kia kai I te kai, kia whiwhi I te toanga Travel with a white hawk so that you can eat well and receive gifts IWcVW]?^M]M:^dbR^eRa $^S\R]MaRaRSRaaRQc^cVR_a^UaM\\RSa^\FRIVMaR:RaRVRaR_aWb^]b ?M]h\R]VMeRMZ^]UVWbc^ah^SW]PMaPRaMcW^]MQQWPcW^]WbbdRbeW^ZR]PRM]QUM]UMűZWMcW^]7^acVR\ this often involves negotiating the hegemonic justice system, adapting to a world perceived as an authority, and therefore the challenges they may experience in progressing to mana motuhake (self-determination). This presentation discusses the more often than not ‘complex’ process we experience for high risk men, as PZMbbWŬRQOhcVR5R_Mac\R]c^S4^aaRPcW^]bW]MPPRbbW]U^daaRbWQR]cWMZcaRMc\R]c_a^UaM\\R IWcVW]?^M]M:^dbR]UM_^d?Ħ^aWP^]PR_cb^SfVĦ]Md]UMcM]UMaRZMcW^]bVW_baM]UMcWaMcM]UM bRZSQRcRa\W]McW^]M]Q\M]ĦYWcM]UMRcV^b^SPMaRfWcVM]R\_VMbWb^]FRDR^MbMPdZcdaMZc^^Z R]P^\_MbbcVRbWU]WŬPM]PR^SPdZcdaMZW]ůdR]PR^]^]Rb_Rab^]MZWQR]cWchM]QcVRaRS^aRR]VM]PR Cutting Edge Conference 2016 39 abstracts–friday whaiora transformation. This is a joint presentation from kaimahi and a tangata whaiora. It will provide an insightful overview of a tangata whaiora’s transformation and his experience of cultural interventions. This includes both his experience within Moana House and his continual navigation of life post treatment having returned to his home region after 12 months in Whare Moana. The mahi with this whaiora continues remotely and is currently ongoing through use of technology (phone calls, text, Skype – individually and group). This presentation is a snapshot, exploring pre-entry processes, entry and treatment, re-entry into the community and therefore celebrates his transformation to date. Biographies Takurua Tawera: Tupapa ana ahau I te waka O Mataatua, whakarongo rua ana I te hau O Tawhrimatea e hau mai nei, rere wairua e runga Maunga Pahatu, ko te rohe potae o Tuhoe tangata, enei ahau e uri A:W]R_dY^VdaM]UWF^Yd\MVW^]ĦWM]RWVRIVMYMVMRaRB^d;?^M]MIVMaR=^MVMdM]^V^YWB^d IVMYMaMR\^QM_MM]j\RcMVWVRM\M]MdR_?Ħ^aWV^YWFR=d_R]UMIVMYM^cW?MVW_Mcd]UM:R kaiako e roto te taketake. Saul Waihape: Ko Ngai Tuhoe me Kahungunu ki Wairoa me Waimana te Iwi. Saul currently resides in Hasting, Hawkes Bay with his lovely partner, Cairo. He continues to study te reo at Te Wananga O Aotearoa. He was raised in Social Welfare care from age 1-11 and then placed in Boy’s Homes from 11-16. From the age of 17-48 years he has been in and out of prisons. He said his greatest achievement is the reconciliation of his current relationship and living a life of recovery. Stream 6, 11.40am – 12.00noon Mana Tangata as Clinical Practice: Working with and for Whānau Whaiora Aaryn Niuapu Co-founder & Spokesperson for Health, Mana Tangata Movement Abstract Ed__^acW]UcVRaM]UMcWaMcM]UM^SfVĦ]MdfVMW^aMW]ZWUVc^S2A5P^]PRa]bWbMaUdMOZhcVRQaWeW]US^aPR fWcVW]cVR2A5P^d]bRZZW]UbRPc^a4ZW]WPMZ_aMPcWPRfWcVW]cVRW]QdbcahMZcV^dUVQaR]PVRQW]fVĦ]Md centred discourses, appears to be held hostage by bureaucracy and funding politics. Though despite bcadPcdaMZM]QPdZcdaMZOMaaWRabM\^YMW^aMM]QfVĦ]MdfVMW^aMP^]cW]dRc^f^aYc^fMaQbcaM]bS^a\McWeR outcomes. Celebrating transformation, ‘Mana Tangata’ is a model of clinical practice that aims to support cVRaM]UMcWaMcM]UM^SfVĦ]MdfVMW^aM3dWZQW]Ud_^]cVRŬ]QW]Ub^SM]W]QdPcWeRM]MZhbWbM]QM]Mdc^ RcV]^UaM_VWPaRůRPcW^]aRZMcW]Uc^ŬRZQ_aMPcWPRfWcVfVĦ]MdfVMW^aM?MaPV?Mh#?M]M Tangata proposes three intersecting roles that act as guidelines for clinical practice. These roles – activist, MQe^PMcRM]QRQdPMc^aQWMZ^UWPMZaRZMcR]^c^]Zhc^M\^YMW^aM_aMgWbOdcMZb^cVRQWŪRaR]cZReRZb^S aM]UMcWaMcM]UMRgRacRQOhfVĦ]MdfVMW^aMcVa^dUV^dccVRP^d]bRZZW]U_a^PRbbSa^\cVRW]WcWMZR]UMUR\R]c c^MScRaPMaR?M]MFM]UMcMWbMO^dcf^aYW]UfWcVM]QS^afVĦ]MdfVMW^aMdcWZWbW]UPRacMW]a^ZRbc^bd__^ac transformative outcomes in the community. Biography 2Mah]@WdM_d@UĦcWIVMYMdREM\^M]WbcVRP^S^d]QRa^ScVR?M]MFM]UMcM?^eR\R]cM]QDMPWMZ6`dWch 2^cRMa^M2Mah]WbM]W]QWUR]^dbaRbRMaPVRaM]QMccVRR]Q^S_aRbR]cRQVWbMObcaMPcFR:dW^ :Md^aMMfVĦ]MdPR]caRQ2A5W]cRaeR]cW^]MccVR:RMZW]UAdaE_WaWcI^aZQfWQRP^]SRaR]PRW]:M\WZc^] Currently completing his last year in the Bachelor’s Degree in Addictions, at Weltec, he has been on student _ZMPR\R]cMcFR+cRM?MaW]I5:3bW]PRZMbchRMa 40 Cutting Edge Conference 2016 abstracts–friday Stream 6, 12.10pm – 12.30pm Whai Tikanga: Developing practice tools guided by Māori values, preferences and practices Andre McLachlan Clinical Psychologist; Registered Alcohol and Other Drug Clinician Terry Huriwai Manager, Te Hau Marire Addiction Workforce, Te Rau Matatini Abstract Values based activities available in the mental health and addiction sector in New Zealand are heavily laden with western values, and terms which may not be consistent with and even less likely to incorporate, the QWeRabWch^S?Ħ^aWRg_RaWR]PR^aMb_WaMcW^]bFVWb_aRbR]cMcW^]QWbPdbbRbcVRQReRZ^_\R]cM]QdbR^ScVR Whai Tikanga Values Card Sort (WT-VCS) and the Whai Tikanga Pleasant Events Schedule (WT-PES). These MPcWeWcWRbMaR_Mac^SMSaM\Rf^aY^SS^dacVRaM_RdcWPMPcWeWcWRbMZWU]RQfWcV?Ħ^aW_aRSRaR]PRbM]Q\^QRZb^S fRZZORW]UQRbPaWORQW]cVRaRPR]cZhaRZRMbRQ:RBd]MIVMYMMcM2aRůRPcWeRc^^ZS^af^aYW]UfWcVfVĦ]Md in health and social services. The Whai Tikanga Card Sort is an activity that is aligned with the basic tenants of the Values Card Sort (VCS) activity originally designed as an activity intended to explore the discrepancy between a person’s values and their substance use behaviour. A Pleasant Event Schedules is designed to measure both the frequency and enjoyability of everyday activities. A PES is often used to explore what a person has done in the past and may be willing to engage in further in the future. :RBd]MfVMYMMcMWbMP^ZZMO^aMcWeRRŪ^acORcfRR]2]QaRM]QFRDMd?McMcW]W;c_a^eWQRbMUdWQRc^ W]cRaMPcWeRMPcWeWcWRbcVMcMQQaRbbP^RgWbcW]U_a^OZR\bMZWU]RQfWcV?Ħ^aW_aRSRaR]PRbM]Q\^QRZb^S wellbeing. They can be used by both Community practitioners, registered Addiction Practitioners and other allied professionals alike. Biographies Andre is a Clinical Psychologist based in the Waikato. He is currently undertaking his PhD in the Rangatikei, S^PdbRQ^]P^ZZMO^aMcWeR_aMPcWPRfWcVM]QS^aadaMZ?Ħ^aWfWcVbdObcM]PRdbRM]QaRZMcRQ_a^OZR\b2]QaR is currently practicing with Forensic Mental Health, and teaching at the National Addiction Centre (Otago G]WeRabWch:RVMbORR]M_M]RZ\R\ORa^]cVRG]WcRQ@McW^]bAűPR^]5adUbM]Q4aW\RG@A54M]Q FR2aM]UM?MW?Ħ^aW:RMZcVBa^SRbbW^]MZΧ4ZW]WPMZ5ReRZ^_\R]cDRSRaR]PR8a^d_McFRDMd?McMcW]W:RWb _MbbW^]McRMO^dcPaRMcWeRM]QW]]^eMcWeRM__a^MPVRbc^f^aYW]UfWcVfVĦ]Md FRaah:daWfMWWb^SFR2aMfMM]Q@UĦcWB^a^dQRbPR]c:RVMbf^aYRQW]MaM]UR^SbRccW]UbW]cVRMQQWPcW^] caRMc\R]cbRPc^aS^aMZ^]UcW\R4daaR]cZhVRWbcVR_a^UaM\\R\M]MURaS^acVRFR:Md?ĦaWaR_a^UaM\\R within Te Rau Matatini. Cutting Edge Conference 2016 41 poster presentations details Poster Presentations Title of poster presentation Presenting Authors 1. Clinical Team Wings Trust Wings Trust - Transforming lives; transforming families; transforming communities BMbWŬYM7^]^4aRMcW]UM4dZcdaMZ;QR]cWch Corey Senelale Hunga Manaaki, Moana House 4RZROaMcW]UFaM]bS^a\McW^]eWMcVRHRbbRZ^SIMYM Ora (Impaired Driving Programme) Tom Whare & Daile Peni-LeVaillant AOD Counsellors, Te Utuhina Manaakitanga AOD Services 4. An Innovative Youth Focused Approach to Addressing Addiction Deb Fraser & Tangi Noomotu Director & Clinical Coordinator, Whakaata Tohu Tohu/Mirror HQ FaM]bS^a\W]UcVR>M]QbPM_R Donna Ewart Clinical Art Therapist - Pai Ake Solutions 6. We’re in it Together! Leslee Blackmore & Glyn Skipp Co-Existing Problem Coordinators, Counties Manukau DHB 7. Exploring Layers of Vision in Gambling Clients to Address Impacts of New Gambling Technologies Jenny Curry 8. “Drawing from the Well of ‘Wows!” Louis Smith Coordinator, Community Advocacy and Liaison 9. Transformation - Matua Raki Consumer Leadership 8a^d_7a^\4VahbMZWbc^3dccRaůh Marc Beecroft Regional AOD Consumer Advisor: Odyssey House Rhonda Robertson National Consumer Advisor: The Salvation Army, Addiction, Supportive Accom. & Reintegration Services Sheridan Pooley Regional Consumer Advisor: CADS Community Alcohol & Drug Services Adrienne Fruean Kaihautu/Senior Co-Existing Problems Clinician: Tui Ora Ltd 10. Hepatitis C - Removing Barriers to Recovery and Transformation Naomi Wickens Addictions Practitioner, Self Employed / Wairarapa Private Addiction Services :MYMMVdMcM]UM@MeWUMcW^]MZIVĦ]MdPR]caWP Practice Supporting Pathways for Transformation Pam Armstrong Project Leader, NNR - Nga Ngaru Rautahi o Aotearoa Marino Murphy Manager, Nga Manga Puriri Northland Problem Gambling Service 42 Cutting Edge Conference 2016 poster presentations details 12. The Transformative Power of Divorce Paul Schreuder Senior Lecturer, Wellington Institute of Technology FaM]bS^a\McW^]IVĦ]MdAaMM__a^MPVc^46B Capability Rangimokai Fruean Senior Co-Existing Problems Clinician, Tui Ora Ltd Bridget Taylor Co-Existing Problems Clinician, Tui Ora Ltd 14. Management of Clients with Alcohol Related Brain Susana Lustig Addictions Clinician, Community Mental Injury - A literature review and suggestions for transformation and improvements to current services :RMZcV2QQWPcW^]b%5WbMOWZWchERaeWPRb5:3 John Mellors Addictions Clinician, Community Mental :RMZcV2QQWPcW^]b%5WbMOWZWchERaeWPRb5:3 FWVRWfM?MdaWAaM;]QWUR]^dbDRb^daPR Teina Piripi Kai Arahi Counsellor Alcohol & Drug Community Mental Health & Addictions Far North, NDHB: Ngapuhi, Te Rarawa, Te Aupouri, Ngatikuri Vivienne Body Kai Arahi Counsellor Te Runaga O Te Rarawa : Ngapuhi, Tuwharetoa 16. Manaaki and SACAT - More Than Meets the Eye! Terry Huriwai ?M]MURaFR:Md?ĦaWaR Programme, Te Rau Matatini 17. Rethinking the Way We Work in AOD –The Bream Bay Trust AOD Project Theresa Botha Alcohol & Drug Counsellor, Northland DHB Henriette de Vries Intake/triage Nurse, Northland DHB 18. A Tangihanga and Kaikaranga Framework, as an Alcohol, Drug and Mental Health Transformative Model of Practice Irihapeti Morehu Addictions Assessor for Corrections, Tuwharetoa Ki Kawerau Health Education and Social Services Moerangi Potiki Community Mental Health Clinician, Poupoua Charitable Trust 19. Whaiora Online – Post Discharge Outcomes Dallas Hibbs & Tanith Petersen CE He Waka Tapu & IT Admin Manager Cutting Edge Conference 2016 43 poster presentations details 1. Wings Trust Transforming lives; transforming families; transforming communities Wings Team Clinical Team, Wings Trust Wings Trust was formed in 1986. In the last two years Wings Trust has been undergoing a transformation new management, new clinical team, new house, new AOD/AODTC contract. We aspire to provide a dynamic service, able to identify and respond to the needs of people seeking support for change. Our presentation will describe the ongoing transformation of our service, using best _aMPcWPRc^\RRcWQR]cWŬRQ]RRQbW]cVRP^\\d]Wch Wings is located in central Auckland, and based on a 12 step therapeutic community model. We have 8 V^dbRbM]QM\MgW\d\^SaRbWQR]cbMcM]h^]RcW\RDRbWQR]cbMaRd]QRaU^W]UM_a^PRbb^ScaM]bS^a\McW^] as they prepare for treatment and as they re-integrate into the wider community post treatment. Our treatment programme includes 1:1 counselling and group work. Wings encourages family participation throughout the programme and links residents and their families into relevant supports within the community. Research indicates that people attending mutual aid groups located in the community have improved outcomes for sustained recovery. (Gossop et al 2007) Blair, a resident of Wings says - “I have gained such a valuable education from Wings in their approach to groups, professional counselling, AA meetings and 12 steps. Wings is a unique organisation with a unique service with those identifying with addiction in any form. I hit rock bottom and found a spring board from which to realise myself, my potential, and a fresh start.” Wings Trust will be presenting as a clinical team. Biographies Lynda Holtom - I became interested in working within the AOD Field after my own personal experiences of the W\_MPc^S2ZP^V^ZW]\hZWSRM]QMbM]MŪRPcRQSM\WZh\R\ORa;VMeR]^fORR]f^aYW]UfWcVW]cVRŬRZQS^acVR past 16 years. I am passionate about supporting people who are wanting to make changes in their lives. Chris Thomas - My relationship with Wings Trust started in 2009 having entered the program to further my supports within recovery from addictions. Here I learnt to live by spiritual principles while practicing tools UMW]RQSa^\caRMc\R]c;cfMbcVa^dUVcVWb_a^PRbb;ORPM\RW]b_WaRQc^f^aYfWcVW]cVRMQQWPcW^]ŬRZQM]Q with support gained from wings gained a Bachelor’s Degree in Addictions. This was an aid to give back to cV^bRfV^MZb^bdŪRaSa^\MQQWPcW^]bfWcVM_MbbW^]c^_a^\^cR_^bWcWeRPVM]URb 2]McM?P=RPV]WR2]McMR]cRaRQcVR2A5ŬRZQW]M]QfR]c^]c^P^\_ZRcRVRa3MPVRZ^a^S Addictions Studies degree. Anata has had experience in both community and residential AOD services. Anata has personal experience of addiction and recovery which gives her strength and empathy as an RŪRPcWeRPZW]WPWM]EVRVMbM]W]RhRMa^ZQb^]fV^WbcVRZWUVc^SVRaZWSR 2\h2ZRgM]QRa?h_Rab^]MZaRZMcW^]bVW_fWcVMQQWPcW^]WbcVMc^SMSM\WZh\R\ORaMŪRPcRQ^cVRaORW]U born into a family in active addiction that thankfully transitioned into recovery. I have a keen interest in supporting my clients and their families to better understand both their addiction and the recovery process. Stu Bunyan - My personal journey of recovery began in January 2009. I have completed a Bachelor’s degree in Alcohol and Drug studies and have experienced working in both the community and residential treatment environment. I have a passion with working with clients from the justice system, however I enjoy working with all clients at various stages of readiness 44 Cutting Edge Conference 2016 poster presentations details 2. Pasifika Fono - Creating a Cultural Identity Corey Senelale Hunga Manaaki, Moana House Moana House is a long term residential therapeutic community located in Dunedin for adult males who are wanting to make changes in their lives. The nature of our work with whaiora is vast– including but not ZW\WcRQc^^ŪR]QW]U\R]cMZVRMZcVMQQWPcW^]bM]QWQR]cWchMZ^]UbWQRIVĦ]MdaRZMcW^]bVW_bFVR_a^UaM\\R takes a holistic approach to wellbeing. Part of this includes strengthening cultural identity and the transformational change that can occur within this process. FVWb_^bcRa_a^eWQRbM]^eRaeWRf^S^daBMbWŬYM7^]^fWcVW]cVRaRbWQR]cWMZ_a^UaM\\RFVRS^]^fMb QReRZ^_RQW]aRP^U]WcW^]M]QaRb_^]bRc^cVRW]PaRMbRQ]d\ORa^SBMPWŬPfVMW^aMR]cRaW]U^dabRaeWPR This is supported by contemporary research, both Mason Durie and Karl Polutu-Endemann place emphasis on the link between accessibility to cultural identity and positive health outcomes for indigenous people. This is seen through the Fonofale model where culture is the roof of the fale that shelters the aiga through cultural values, beliefs, customs and traditions. AdaBMbWŬYM7^]^WbMfVMW^aMZRQUa^d_cVMcW]P^a_^aMcRbcVROdWZQW]U^SY]^fZRQURcaMQWcW^]bPdbc^\b beliefs, values, language and self identity in respective to each of their Polynesian origins. Although bd__^acRQOhbcMŪcVRfVMW^aMMaRR]P^daMURQc^P^]bWQRafVMccVRhPM]P^]caWOdcRc^cVRUa^d_fVRcVRa it be a song, haka, prayer or Mea’ai. Biography 4^aRhWb^SEM\^M]M]Q6da^_RM]QRPR]cM]QZWeRbW]5d]RQW]fWcVVWbfWSR:RWbMPdaaR]cbcMŪ\R\ORa and graduate of the Moana House programme. Corey has a passion for working with people wanting a new direction in their life. Corey is a dapaanz member and is currently completing Te Taketake (Applied Diploma W]2QQWPcW^]4^d]bRZZW]Uc^SdacVRabd__^acVWbY]^fZRQURfWcVW]cVRMZP^V^ZM]QMQQWPcW^]ŬRZQ 3. Celebrating Transformation via the vessel of Waka Ora (Impaired Driving Programme) Tom Whare AOD Counsellor, Te Utuhina Manaakitanga AOD Services, Rotorua Daile Peni-LeVaillant AOD Counsellor, Te Utuhina Manaakitanga AOD Services, Rotorua We celebrate transformation via the vessel of Waka Ora an Impaired Driving Programme which encourages people to address addiction issues, safe driving, being responsible and being mindful of others including W]QWeWQdMZbIVĦ]MdM]QVMM_^aWfWQRaP^\\d]Wch The 2012 treatment guidelines released by Matua Raki suggest a 40 year history of treating people who repeatedly drink drive in New Zealand. Treatment was often punitive and appeared to lack a consistent M__a^MPV]McW^]MZZhIRc^^YcVR^__^acd]Wchc^P^faWcR^da_a^UaM\\RfWcVM]^cVRa?Ħ^aW:RMZcVBa^eWQRa Tuhoe Hauora utilising the principles set out in the guidelines. IMYMAaMWbMŬeRfRRY_a^UaM\\RQRbWU]RQc^aRQdPRaR^ŪR]QW]UM\^]UW\_MWaRQQaW]YQaWeRabFVR _a^UaM\\RWbQRZWeRaRQSa^\M?Ħ^aW_MaMQWU\dcWZWbW]UFWYM]UM;cW]P^a_^aMcRbcMPcWZRMPcWeWcWRbW]PZdQW]U ‘Waka Ama’, ‘Fatal Vision Goggles Activity’ and ‘First Aid’. FVRMPcWeWcWRb_a^eWQRM]^__^acd]WchS^aIVMW^aMc^aRůRPc^]cVRWaORVMeW^dafVWZRZRMa]W]UcaM]bSRaMOZR skills, assessing risk and safety. The content includes impaired driving information and knowledge b_RPWŬPMZZhQRbWU]RQc^aRQdPRaRPWQWeWb\ Cutting Edge Conference 2016 45 poster presentations details While participating in Waka Ora, participants learn new concepts, whakaoho (awakening their P^]bPW^db]RbbM]QUMW]bYWZZbc^dcWZWbRfWcVW]cVRWaIVĦ]MdM]QVMM_^aWBMacWPW_M]cbR]UMURW]MPcWeWcWRb fWcV\^aRP^]ŬQR]PRM]QW]MbMSRa\M]]Ra BMacWPW_M]cbMaR_aRQ^\W]M]cZh?Ħ^aW\MZRfWcVή632PVMaURb2ccR]QM]PRWbP^]bWbcR]cM]Q#Χ completed the full programme. Feedback received from participants and Stakeholders have been consistently positive. Many have reported how the programme has been empowering, creating mindfulness of others. We have observed participants’ transformation and excitement about learning new ways to bd__^accVR\bRZeRbIVĦ]MdM]QP^\\d]Wch Biographies Tom Whare - Ko Ngati Rangiwewehi, ko Te Arawa nga iwi, ko Te Arawa te waka AOD Counsellor at Te Utuhina Manaakitanga AOD Services, Rotorua, Takarangi Assessor, Bachelor of AOD Daile Peni-LeVaillant - Ko Ngati Pikiao, ko Te Arawa nga iwi, ko Te Arawa te waka AOD Counsellor at Te Utuhina Manaakitanga AOD Services, Rotorua FMYMaM]UW2bbRbb^a3MPVRZ^aFRMPVW]UB^bcUaMQdMcR4RacWŬPMcR2A5BMaR]cbG]QRaBaRbbdaRFVRaM_Wbc Both Tom & Daile have been the lead facilitators of the Waka Ora programme for the past 2 years and continue to deliver the programme. 4. An Innovative Youth Focused Approach to Addressing Addiction Deb Fraser & Tangi Noomotu Director & Clinical Coordinator, Whakaata Tohu Tohu/Mirror HQ Mirror HQ is a provider of the Youth Exemplar Service funded through the Prime Minister’s Youth Mental :RMZcV;]WcWMcWeRIVMcMaRQWŪRaR]PRbS^ah^d]U_R^_ZRM]QcVRWaIVĦ]MdbW]PRcVWbbRaeWPRVMbORR]W] place and what have we learned from working from a multidisciplinary, multiskilled team model. A recent W]QR_R]QR]cReMZdMcW^]VMb^dcZW]RQYRhbdPPRbbRbS^acVRbRaeWPRIVMcfRaRcVRYRhŬ]QW]Ub*EcWU\MWb an ongoing challenge for our client group. In what ways has Mirror HQ addressed these? Biographies Deb Fraser - Deb is the Director of Whakaata Tohu Tohu/Mirror Services and has 24 years’ experience working in child/youth mental health, addiction, and social services. Deb has developed Mirror Services Sa^\McRM\^Scf^P^d]bRZZ^abc^MbcMŪ^SfWcVMaM]UR^SbRaeWPR_a^eWbW^]EVRRg_M]QRQ?Waa^a Counselling Service, established the Mirror Youth Day Programme in 2001, the Primary Level Mental Health Team in 2011, and the Mirror Youth Exemplar Service (Mirror HQ) in 2014. Deb continues to identify further MaRMb^SQReRZ^_\R]cW]^aQRac^MbbWbcPVWZQaR]h^dcVM]QcVRWaIVĦ]Mdc^aRMPVcVRWaSdZZ_^cR]cWMZ Tangi Noomotu - Tangi is Clinical Co-ordinator of Whakaata Tohu Tohu/Mirror Services and is based in Mirror HQ working with young people 12-22 years with mild to severe mental health and substance use issues. BaW^ac^\^eW]Uc^?Waa^aERaeWPRbW]VRfMbFaRMc\R]c4^^aQW]Mc^aMc?^M]M:^dbRFM]UWfMbcVR aRPW_WR]c^ScVR<^V]5^Ob^]B^bcUaMQdMcR_aWjRfVWPVaRP^U]WbRbcVRc^_bcdQR]cUaMQdMcW]UW]M] MQQWPcW^]M]QP^RgWbcW]UQWb^aQRa_^bcUaMQdMcR`dMZWŬPMcW^] ;]O^cV5ROM]QFM]UWP^\_ZRcRQMB^bcUaMQdMcR5W_Z^\MW]:RMZcVEPWR]PR6]Q^abRQW]2QQWPcW^] and Co-existing Disorders through the University of Otago; both also hold Registered Practitioner Status with dapaanz. 46 Cutting Edge Conference 2016 poster presentations details 5. Transforming the Landscape Donna Ewart Clinical Art Therapist - Pai Ake Solutions The art therapies are a form of psychotherapy utilising creative modalities including, visual art making, drama, and dance/movement within a therapeutic relationship to improve and inform physical, mental, and emotional well-being. Art Therapy provides an avenue to express, explore, and externalise experiences, thoughts, feelings and ORVMeW^dabFVReWbdMZR]QaRbdZc^ScVRMacf^aYPM]SMPWZWcMcRaRůRPcW^] Art Therapy can help people express thoughts and feelings that they may not be able to say with words. This therapy is especially helpful for people who have underlying psychological issues related to their addiction, such as a depression, anxiety, or a history of abuse. Creating art is often a nonverbal process which helps expand the way a person can convey ideas and emotions. Art Therapy provides an opportunity to explore, understand, and resolve issues in a person’s life that he or she may not feel comfortable talking about in a regular conversational setting. By helping the individual reconnect with their true authentic self, they tap into the stronger part of themselves, who they were before the addiction. Instead of taking negative behaviours out on ourselves, through self-expression we may begin to understand the void that the addiction was trying to replace. Through art we can convey our experiences in expressive ways where words sometimes fail. Biography 5^]]MWb^S@UM_dVWM]Q@UMWcMVdQRbPR]cM]QVMbb_R]ccVR_MbchRMabZWeW]UORbWQRcVR^PRM]^]cVR IVMW]UMa^M:MaO^da6\_Z^hRQMbMb_RRPVM]QZM]UdMURcVRaM_WbcW]cVRDMUZM]QWbcaWPcFaMW]RQW]2ac FVRaM_hfWcVP^]cW]dW]URQdPMcW^]_M_RabMcIMWYMc^G]WeRabWch 4^\_ZRcRQ?MbcRabW]4^\\d]Wch Psychology (1999-2004). Employed as ‘Art Therapist’ with Hospice’s Rainbow Place (2004) Employed at BMaR]cZW]R:M\WZc^]#caMW]W]UW]_ZMhcVRaM_h4^\_ZRcRQ2acFVRaM_h?MbcRabMcIVWcRPZWŪR BMW2YRE^ZdcW^]bP^SMPWZWcMcW]UIVĦ]MYRM]MQ^ZRbPR]cUa^d__a^UaM\\RM]QQReRZ^_\R]c^SFR Ara Wahine, women’s group programme. Employed at Pai Ake Solutions (2010-current). 6. We’re in it Together! Leslee Blackmore & Glyn Skipp Co-existing Problem Coordinators, Counties Manukau DHB Mental health… addiction… mental health… addiction… never the twain shall meet. Thankfully a road less travelled! Here at Counties Manukau DHB we are taking an alternative route that combines Mental Health and Addictions as one holistic, comprehensive, and therapeutic foundation on which to cultivate hope and promote personal recovery. We’re in it together proposes to illustrate and celebrate the transformation of Co-existing Problem (CEP) service delivery throughout Counties Manukau DHB, our local community, and for those in need of CEP support. To celebrate our transformation, we will be going back to our CEP roots. Here we will look at the service bcadPcdaR^ScVR_MbccVa^dUVcVRRhRb^ScV^bRcVMcMaR\^bcMŪRPcRQcVRPZWR]cM]QcVRWaIVĦ]MdIRfWZZ be focusing on the increasing demand for integrated mental health and addiction services with evidence to support a growing service population. We will then look at where we currently sit within Counties Manukau DHB mental health and addiction services in regards to Co-existing Problems. We will be celebrating the positive steps made in establishing Cutting Edge Conference 2016 47 poster presentations details CEP workers to drive workforce development and support and educate clinicians to address clients AOD issues, and build bridges with other AOD agencies. Having discussed the foundations and expectations we have set ourselves for addressing CEP in CMDHB, we will then look at the road ahead, our values and vision for the future. No door is the wrong door…and we’re in it together. Biographies Leslee Blackmore - Leslee Blackmore RN comes from a family who have 4 generations of experience in bdObcM]PRdbR2ScRahRMabf^aYW]US^a425EbVROWccVROdZZRcM]QORPM\RcVRŬabcW]VRaSM\WZhc^U^c^ University; she expresses her gratitude to Fraser Todd and Daryl Deering for their support. Working across most of the subspecialties at one time or another, including writing for Women’s Weekly and Women’s Day \MUMjW]RbMbfRZZMbaRb^daPR_a^QdPcW^]>RbZRRWbS^ZZ^fW]UM_ZM]bVRŬabccV^dUVc^SW] c^R]bdaR addiction is addressed for Mental Health clients. Glyn Skipp - Travelling all the way from the mountains of North Wales, Glyn Skipp RMN arrived on the bV^aRb^S@LfWcVMfRMZcV^SRg_RaWR]PRM]Qb_RPWMZWbcY]^fZRQURW]cVRŬRZQ^S2A5fWcVW]\R]cMZVRMZcV bRaeWPRb8Zh]VMbf^aYRQMbMPMaRP^^aQW]Mc^ab_RPWMZWbW]UW]P^\\d]Wch2A5QRc^gWŬPMcW^]b:Rc^^Y an active role in developing service guidelines ensuring a holistic, collaborative, therapeutic approach was adopted and delivered to all who accessed AOD services. Glyn shares the same drive, vision, and enthusiasm as his co-worker Leslee to ensure addiction is addressed in mental health services at Counties Manukau DHB, as addiction is the expectation and not the exception. 7. Exploring Layers of Vision in Gambling Clients to Address Impacts of New Gambling Technologies Jenny Curry Referring to looking at oneself in the mirror, Michel Foucault states, “From the standpoint of the mirror, I QWbP^eRa\hMObR]PRSa^\cVR_ZMPRfVRaR;M\bW]PR;bRR\hbRZS^eRacVRaR7^dPMdZcW]?Waj^RŪ_ The act of looking and interpreting changes for some to distortion when playing pokie machines. In a full intervention with gambling clients, counsellors will ask them what the gambling act means for them. In the case of pokie machines, what are you thinking/feeling when you are playing the machine? In my practice, I have extended the dialogue to what do you see when you are playing? What is the machine saying to you? In order to ‘own’ the activity, exploring the vision patterns and what they mean to the client is a step back from feelings and being in a safe place that often prevails in the conversation. By asking the client what they see and how the images speak to them is the beginning of ownership of the activity which may have been disowned for some time. Using Visual Culture theory that analyses looking as the ‘gaze’ may assist the client to identify their patterns of looking and how this empowers (rewards and sustains) them. From this, changing the looking to themselves, reconnecting with their identity and feeling a sense of bRZScVMcVMbZ^]UORR]Z^bc;Ŭ]QcVWbcRPV]W`dRR\_^fRabcVRPZWR]cM]QP^]caWOdcRbc^caM]bS^a\W]UcVRWa sense of self to being whole again. ?Waj^RŪ@6QThe Visual Culture Reader. Routledge: New York. Biography My name is Jenny Curry and I have been a gambling counsellor, health promotor, social worker, and tertiary cRMPVRaW]MaM]UR^SbdOXRPcbS^ahRMab;VMeRdbRQeWbdMZMaccVR^ahfWcV\hPZWR]cbfWcV_^YWR\MPVW]R MQQWPcW^]W]M_^bWcWeRfMhMZ^]UfWcV\^cWeMcW^]MZW]cRaeWRfW]U43FM]QUaMQRQRg_^bdaRcVRaM_h;Ŭabc ORUM]\hW]cRaRbcW]UM\OZW]UWbbdRbW]fVR]cVRŬabcUaM]cS^aMUM\OZW]UVRZ_ZW]RfMbUWeR]M]Q; worked as a volunteer and then an employee. I have worked for CADS as a Trainer/Educator and then a 4^d]bRZZ^aΧ:RMZcVBa^\^cRaS^aUM\OZW]UWbbdRbW]MaM]UR^Sa^ZRb;VMeR`dMZWŬPMcW^]bW]E^PW^Z^Uh2ac 48 Cutting Edge Conference 2016 poster presentations details History, Design, Social Work, Counselling, and Tertiary Teaching. Recently I was accepted by dapaanz as an Accredited Clinical Supervisor. 8. “Drawing from the Well of ‘Wows!” Louis Smith Coordinator, Community Advocate and Liaison B^aWadM4WchWbZ^PMcRQW]cVRIRZZW]Uc^]aRUW^]fWcVM_^_dZMcW^]^SXdbcd]QRa^ScVWb$WQR]cWShMb W]QWUR]^db?Ħ^aWM]Q$MbBMPWŬP4M]]^]b4aRRYM]QIMWcM]UWadMMaRcf^bdOdaObV^dbW]U_aW\MaWZh ?Ħ^aWM]QBMPWŬPSM\WZWRbfWcVZ^fb^PW^RP^]^\WPbcMcdbM]QVWUVQR_aWeMcW^] These suburbs tend to draw interesting people from numerous government agencies, academia, institutions, and well-meaning groups seeking to improve the status of these families. Our experience is that communities generally hold onto traditions and values that have kept them grounded in the routine manner of life. 2bW]M]hP^\\d]WchSM\WZWRbŬ]QcVR\bRZeRbQWbP^]]RPcRQ\^\R]cMaWZhSa^\cVRWaa^dcW]RIRVMeR walked alongside communities and families into some dark, dark spaces of brokenness, deep trauma, turmoil, and crisis; and have been very privileged to witness movements of the heart and the change that emerges from this setting. These are ‘wow’ moments! They occur at the ‘blink of an eye!’ Did you catch it? Did you see it? When it comes, you will know. You pause. You bow down. You give thanks. When is the right time to share a story? Who is able draw from the ‘Well of Wows!’, and capture the essence of that ‘moment’? Describing a story to the depths of a transformed life calls for an understanding of the timing, relationships, movements, experiences, and values of the people walking in these spaces. Families and communities celebrate a change through prayer and thanksgiving, laughter, tears, song, dance, and food; it’s a true celebration worth sharing! Biography Louis currently coordinates community advocacy and liaison with Taeaomanino Trust. His family is from Samoa and Tokelau. More than 20 years facilitating ‘talking spaces’ with struggling communities and families, Louis recalls ‘Healing and Restoring Families’ and the Lakota-Sioux people and community voices in Cannons Creek sharing, a powerful testimony. A former research fellow at Kettering Foundation, USA, Louis recently participated in dialogue with internationals to understanding ‘Racial Harmony – What this may look like? “Walking alongside communities and families into some dark, dark spaces of brokenness and deep trauma, and witnessing those moments of change keeps you at the cutting edge!”. 9. Transformation – Matua Raki Consumer Leadership Group: From Chrysalis to Butterfly Marc Beecroft Regional AOD Consumer Advisor - Odyssey House, Christchurch Rhonda Robertson National Consumer Advisor - The Salvation Army, Addiction, Supportive Accommodation and Reintegration Services Sheridan Pooley Regional Consumer Advisor - CADS Community Alcohol & Drug Services Adrienne Fruean Kaihautu/Senior Co-Existing Problems Clinician - Tui Ora Ltd The MRCLG have become a family with a vision of recovery focused service delivery as we head towards 20/20 and beyond. Cutting Edge Conference 2016 49 poster presentations details GbW]UcVR?^]MaPV3dccRaůhMbM]M]MZ^UhcVR?D4>8cMYRbh^dOMPYc^cVRRMaZhQMhb^ScVR@McW^]MZ ?R]cMZ:RMZcVERPc^aEcM]QMaQbbcM]QMaQM]QcVRŬabc2A5P^]bd\RaMQeWb^abΧ_^bWcW^]bORS^aRcVR turn of the century 1999 – highlighting extremes of the spectrum (paternalistic to partnership). Presenters touch on the key tasks of consumer advisors and support services to understand and implement consumer feedback mechanisms and the challenges that went with it. The growth and expectations of the P^]bd\Ra]Rcf^aYb_MbbW^]bůMaRMbPVM]URORP^\RbeWbWOZRfWcVPZRMaReWQR]PR^SP^]bd\RabVMeW]U W]ůdR]PR^]bRaeWPRQRbWU] The presentation describes the period of time leading up to the establishment of the Matua Raki Consumer Leadership Group in 2009 and its role to provide strategic direction and support to the Consumer Project Lead. • To facilitate the ongoing development of consumer leadership in the addiction treatment sector • To provide strategic advice and support with the implementation of the Matua Raki Strategic Implementation Plan The presentation highlights MRCLG initiatives, achievements and leadership including, • • • • • Our common goals as champions for increased peer support inclusion in service delivery Our understanding of AOD service delivery, National priority documents etc. Strong relationships with key stakeholders More acceptance as a valued voice Consumer stories Conclusion: Maturity Biographies Marc Beecroft - Marc works as the Regional AOD Consumer Advisor in the addiction sector for Canterbury, South Canterbury and West Coast. He sits on several National Committees and Leadership Groups like the National Association of Opioid Treatment Provider, National Committee of Addiction Treatment and Matua RakW4^]bd\Ra>RMQRabVW_8a^d_EW]PR?MaPVMbORR]W]e^ZeRQW]cVRQReRZ^_\R]c^ScVR Recovery 24/7 Support Group which he coordinates and facilitates and for the past 4 years he has been the lead facilitator/ coordinator of the “Friday Group” support group. Rhonda Robertson - Rhonda is the National Consumer Advisor for the Salvation Army’s Addiction, Supportive Accommodation & Reintegration Services. Rhonda’s currently a member of the Matua Raki 4^]bd\Ra>RMQRabVW_8a^d_M]QcVR@McW^]MZ4^\\WccRRS^a2QQWPcW^]FaRMc\R]cAeRacVR_MbchRMab Rhonda has worked in a number of consumer roles in DHB and NGO throughout New Zealand. EVRaWQM]B^^ZRhEVRaWQM]ŬabcfMZYRQW]c^M]MQQWPcW^]bRaeWPRW]cVRRMaZh bM]QVMbORR]MPZWR]c^] M]Q^ŪReRabW]PR;]bVRORUM]f^aYW]US^a425E2dPYZM]QMbaRUW^]MZP^]bd\RaMQeWb^afVRaRbVR has built a small (but perfectly formed) consumer team and has been involved in a range of local regional and national activities. Sheridan is chair of the Matua Raki Consumer Leadership Group another (perfectly formed) team of AOD consumers committed to ensuring services are responsive to the needs of people with alcohol and other drug issues. 2QaWR]]R7adRM]2QaWR]]RWbPdaaR]cZhcVR?Ħ^aWM]QBMbWŬYM4^]bd\Ra7M\WZhDR_aRbR]cMcWeR\R\ORa of the Matua Raki Consumer Leadership Group. Adrienne is currently an executive committee member S^a5DG2BMbWŬYM2QQWPcW^]b@Rcf^aYM]QM\R\ORa^ScVR]RfZhS^a\RQBMbWŬYM5WbMOZRBR^_ZRb AaUM]WbMcW^]5BA7^acVR_MbchRMab2QaWR]]RVMbP^]cW]dRQc^ORM_a^MPcWeRMQe^PMcRS^acVR QReRZ^_\R]c^SM@McW^]MZ?Ħ^aWDRP^eRah@Rcf^aYc^_a^eWQRMe^WPRS^aIVĦ]MdfV^MaRMŪRPcRQOh alcohol and drug addiction issues. 50 Cutting Edge Conference 2016 poster presentations details 10. Hepatitis C – Removing Barriers to Recovery and Transformation Naomi Wickens Addictions Practitioner, Self Employed / Wairarapa Private Addiction Services The stigma attached to Hepatitis C has damaged people emotionally, delaying recovery for many. Across the globe people have been prevented from accessing new treatments and in this presentation I canvass the role of the global drug company Gilead alongside some key messages from the International Liver Conference 2016 (from a non-attendee consumer perspective). 2bM]MQQWPcW^]b_aMPcWcW^]RafWcV:R_McWcWb4QWbPZ^bdaRc^\hP^ZZRMUdRbfMbM]WbbdR;S^d]QQWűPdZc^eRa the years due to shame. Now there is a cure and a global support network which has enabled me to free myself from shame. After living with Hepatitis C for 40 years I am now cured with the use of generic direct acting anti-viral drugs and my journey is an integral part of this presentation. ;fWZZaRSRab_RPWŬPMZZhc^cVROMOhO^^\RabfV^PM\RW]c^P^]cMPcfWcVcVReWadbSa^\W]XRPcW]UQadUdbR in the 70s and are now developing other health problems as they age; many remaining in OST. A collection of stories from NZ and overseas highlights the sorts of stigma people have experienced, and are still experiencing while living with Hepatitis C. People do not need to be drug free to begin treatment, but a harm reduction approach is desirable. The Fix Hep C Buyers Club (Australia) facilitates prescribing, delivery and monitoring of the new drugs to New Zealanders through the Redemption Trial at a reasonable cost. Through access to new treatments clients can begin their own transformative pathways and I am proposing a way for agencies to assist these clients. Facilitating clients’ access to the new treatments will assist them to achieve a greater sense of wellbeing and health. Biography ;VMeRf^aYRQW]cVR\R]cMZVRMZcVM]QMQQWPcW^]bŬRZQbW]PR;f^aYRQW]cVR5:34^\\d]Wch\R]cMZ health services for 12 years and in 1994 developed a stand-alone Methadone programme in the Wairarapa. ;]#;bRcd_M:R_McWcWb4PZW]WP;VMeRM]2QeM]PRQ2QQWPcW^]4RacWŬPMcRSa^\4;FM]QMB^bcUaMQdMcR 4RacWŬPMcRW]:RMZcVEPWR]PRbR]Q^abRQW]2ZP^V^Z5adUbM]Q2QQWPcW^]bSa^\G]WeRabWch^SAcMU^;M\ a registered addictions practitioner with dapaanz and am currently self-employed with Wairarapa Private Addiction Services. Most importantly I have just been cured of Hepatitis C. 11. Hakaahuatanga – Navigational Whānau-centric Practice – Supporting Pathways for Transformation Pam Armstrong Project Leader, NNR - Nga Ngaru Rautahi o Aotearoa Marino Murphy Manager, Nga Manga Puriri (Northland Problem Gambling Service) Tahia te ara ki a kitea ai te huarahi, Ahu atu te mata ki te Ao Marama, kei kona nga uri whakatupu kahore ano i Whānau mai, e tatari mai ana ki a koe Clear away the obstacles and turn our faces to the horizon for it is there that our future awaits us. This whakatauaki relates to the path of aspirational transformation. For some it means getting over the obstacles which can include the way we think, believe, and act. Aspirational transformation has the future picture in mind. HakaahuatangaWbMaRb^daPRQReRZ^_RQS^acVRf^aYS^aPRfWcVMS^Pdb^]P^\_RcR]PWRbS^aIVĦ]Md centric navigational practice. Cutting Edge Conference 2016 51 poster presentations details 2]MeWUMcW^]MZIVĦ]MdPR]caWPM__a^MPVPM]ORQRŬ]RQMb Ed__^acW]UfVĦ]MdcVa^dUVbhbcR\b_a^PRbbRbM]Q_aMPcWPRbcVMcMaRV^ZWbcWPMb_WaMcW^]OMbRQM]Q S^PdbRQ^]OdWZQW]UfVĦ]MdPM_MOWZWch FVWbM__a^MPVbd__^acbcaM]bS^a\McWeR_aMPcWPRM]QWbWQRMZS^aM]h^]Rf^aYW]UQWaRPcZhfWcVfVĦ]MdIWcVW] fVĦ]Md^aMcaM]bS^a\McW^]WbMbW\_^acM]cS^abRaeWPR_a^eWQRabMbWcWbS^afVĦ]Md 7a^]cZW]RbRaeWPR_a^eWQRabPM]ORbc^ŪRaP^\_RcR]ccaM]bS^a\McWeRbRaeWPRbWScVRh^_RaMcRfWcVW]ZRMa]W]U ^aUM]WbMcW^]R]eWa^]\R]cbS^PdbRQ^]cVRWa^f]MQM_cMcW^]OMbRQ^]P^ZZMO^aMcWeRZRMa]W]UfWcVfVĦ]Md ;cWbW\_^acM]ccVMcReRah^]Rf^aYW]UQWaRPcZhfWcVfVĦ]MdMaRůRgWOZRMQM_cWeRM]Q_a^QdPcWeRb^Mbc^ bd__^acfVĦ]MdcaM]bS^a\McW^] FVR:MYMMVdMcM]UMcaMW]W]UaRb^daPR_a^\_cbYMW\MVWc^cVW]YaRůRPcM]QMPc Biographies Pam Armstrong - Pam is from Ngati Wai, Ngati Whatua and Ngapuhi. She has worked in the addictions sector for several years as a manager, trainer, and practitioner. Pam has been a part of a number of f^aYS^aPRW]WcWMcWeRbW]PZdQW]UcVRFMYMaM]UWP^\_RcR]PhSaM\Rf^aYM]Q\^aRaRPR]cZhcVRIVĦ]Md^aM Hakaahuatanga resource. Marino Murphy - Marino is from Ngati Hine, Ngapuhi. She has worked in the addictions sector for the past 10 years and is currently leading the development of an indigenous addiction retreat programme based on a social enterprise model. 12. The Transformative Power of Divorce Paul Schreuder Senior Lecturer, Wellington Institute of Technology A journalist from the Rolling Stone magazine, when interviewing the late rock star Warren Zevon, described an intervention as an ‘execution with a happy ending’. Zevon, was someone who asserted that he needed to sever all ties with alcohol or die. Quite a few well known individuals have ‘outed’ themselves, in their autobiographies, as people whose lives were transformed by the power of abstinence. Whilst for many people who come to addiction treatment providers, a trial separation from the object of their desire may ZRMQc^MbdPPRbbSdZVMa\aRQdPcW^]^dcP^\RcV^bRfV^VMeRcVR\^bcbReRaR^aUM]WP_a^OZR\b\Mh_a^Ŭc Sa^\M]MOb^ZdcWbcWPQWe^aPR]^c^]ZhS^acVR\bRZeRbOdcS^abWU]WŬPM]c^cVRabW]cVRWaZWeRb2]MZhjW]UcVR discourse of a small group of highly successful individuals who have severed their relationship with alcohol, M]QfV^aR_^acMbcMcR^SVM__hb^ORaZWeW]U^ŪRabbd__^acS^aMObcW]R]PROMbRQU^MZbM]QVWUVZWUVcbcVR potential transformative power of obtaining a complete divorce. Biography BMdZEPVaRdQRaVMbORR]W]e^ZeRQW]cVRMQQWPcW^]ŬRZQS^aMO^dchRMabM]QVMbORR]M]RQdPMc^aMcIRZFRP for 19 years. He has worked at NSAD as a practitioner, has delivered after-care programmes for the Hanmer clinic, and facilitated relapse prevention groups for the Problem Gambling Foundation. At WelTec he is the Course Leader for the ‘Introduction’, ‘CBT’, and the ‘Gambling and other non-substance disorders’ courses. 52 Cutting Edge Conference 2016 poster presentations details 13. Transformation – Whānau Ora Approach to CEP Capability Rangimokai Fruean Senior Co-Existing Problems Clinician, Tui Ora LTD Bridget Taylor Co-Existing Problems Clinician, Tui Ora LTD Mental Health and Addiction “Never the twain shall Meet”. Tui Ora Mental Health & Addiction Service (MHAS) is undergoing change from operating a mental health service and an alcohol and drugs service to a MHAS that is co-existing problems (CEP) responsive. The development of a CEP team tasked with the Kaitiaki (care taking) role of overseeing the transformation and at times the Kaihautu (leader) role leading the development for the service is insightful. Analogy is used to describe the transformation process. The Meeting of the Waters is a scenic place outside of New Plymouth where the Waiwakaiho River turbulently comes down from Maunga Taranaki it meets in a tranquil place before continuing the journey out to sea. Likewise, the Waitara River comes from Mount Messenger and meets with Maunga Taranaki water the colour of the water determines the source. FVRIVĦ]MdAaM^dcP^\RbMaRdbRQc^caM]bS^a\bRaeWPRQRZWeRahSa^\\R]cMZVRMZcVM]QMQQWPcW^] services to CEP capable (‘meeting of the waters’ space for ‘the twain to meet’). The analogy of these Taranaki Rivers depicts and upholds the mana of both waters (mental health and addictions space) where they meet is the CEP space. The CEP space is one of tranquility, harmony, and serenity; the blending/meeting of two waters (mental illness and alcohol and drug problems). In this space the CEP Team provides support (in-service of screening tools, brief interventions for both mental health and A&D workers, advice (CEP workshops delivered by Matua Raki) and management (clinical management of clients). Biographies Rangimokai Fruean - Rangimokai is currently the Senior Co-Existing Problems Clinician for MHAS Tui Ora cMbYRQfWcVQReRZ^_\R]c^ScVR2A5FRM\M]QcVR46Bb_MPRDM]UW\^YMWWbM\R\ORa^S5DG2BMbWŬYM 2QQWPcW^]b@Rcf^aYM\R\ORa^ScVRBMbWŬYM5WbMOZRBR^_ZRbAaUM]WbMcW^]5BAM]QcVR?Ħ^aW%BMbWŬYM Consumer & Family Representative member of the Matua RakW4^]bd\Ra>RMQRabVW_8a^d_7^acVR_Mbc years Rangimokai has worked passionately in various roles across the addiction and recently mental health sectors both at DHB and NGO. She is a current post graduate student with the National Addiction Centre to strengthen her CEP clinical skill base. Bridget Taylor - Bridget graduated from Waikato University and initially worked in a community adolescent alcohol and other drug service for 4 years before moving on to Women’s Refuge. She became involved W]MIVĦ]MdAaMBa^XRPcc^QReRZ^_MIVĦ]MdAaM\^QRZ^SPMaRS^aVRaPdaaR]c^aUM]WbMcW^]7^ZZ^fW]U the completion of that project she accepted a role in the Mental Health and Addictions Service as the Co-Existing Problems Clinician where she has worked for the past 4 years. To strengthen her practice within Co-Existing Problems she is currently studying towards a Post-Graduate Diploma in Health Sciences majoring in Alcohol and Other Drug studies at the University of Auckland. 14. Management of Clients with Alcohol Related Brain Injury - A Literature Review and Suggestions for Transformation and Improvements to Current Services Susana Lustig 2QQWPcW^]b4ZW]WPWM]4^\\d]Wch?R]cMZ:RMZcV2QQWPcW^]b%5WbMOWZWchERaeWPR5:3 John Mellors 2QQWPcW^]b4ZW]WPWM]4^\\d]Wch?R]cMZ:RMZcV2QQWPcW^]b%5WbMOWZWchERaeWPRb5:3 2ZP^V^ZaRZMcRQOaMW]W]XdahWbMaRZMcWeRZhP^\\^]_aRbR]cMcW^]c^VRMZcVbRaeWPRb4ZW]WPMZbcMŪMaR^ScR] perplexed by the complexity of presentations of this group who invariably need coordinated care with other Cutting Edge Conference 2016 53 poster presentations details \R]cMZVRMZcVbRaeWPRbM]Q@8A^aUM]WjMcW^]bAdaPZWR]cbM]QcVRWaIVĦ]MdbdŪRaMbPZW]WPWM]bbPaM\OZR through a maze of services that struggle to meet the needs of people in this cohort. We would like services for people with these complexities to improve in order to provide better quality of care and improved treatment outcomes. The Substance Addiction (Compulsory Assessment and Treatment) Bill (SACAT) which is currently going through its second reading in Parliament will have repercussions on the way we deliver service to this vulnerable population. The SACAT will assist services to hold and begin to treat people with cognitive W\_MWa\R]cOMbRQ^]W]QWeWQdMZPM_MPWchMbbRbb\R]cbFVRbRMbbRbb\R]cbfWZZMZb^MbbWbcbRaeWPRbc^QRŬ]R the degree and nature of an alcohol related brain injury. FVR_RacW]R]c`dRbcW^]cVMců^fbSa^\cVWbWbcVRV^ffVRaRM]QfVMcYW]Q^SbRaeWPRbV^dZQfR_a^eWQR for this group of people? Consideration of resource implications and a perceived paucity of services currently led us to a literature review with the intention of discovering what best practice looked like internationally and how this could be applied in New Zealand. Biographies Susana Lustig - (Bachelor of Applied Social Sciences, Psychotherapy; Graduate Diploma Addictions Studies; B^bc8aMQdMcR4RacWŬPMcRW]:RMZcVEPWR]PRbR]Q^abRQW]2QQWPcW^]bM]Q4^RgWbcW]U5Wb^aQRabWbM] MQQWPcW^]b4ZW]WPWM]fWcVcVR4^\\d]Wch?R]cMZ:RMZcV2QQWPcW^]b5WbMOWZWchERaeWPR5:3Mc:dccHMZZRh EVRVMbORR]f^aYW]UW]cVRMQQWPcW^]bŬRZQS^ahRMabEdbM]MWb_MbbW^]McRMO^dcVRaf^aYEVRS^PdbRb strongly on building a solid therapeutic relationship with clients, to enable transformation into a life of ‘recovery’ and ‘wellbeing’. John Mellors (Bachelor Alcohol and Drug Studies) is an Addictions Clinician with Community Mental Health, 2QQWPcW^]b5WbMOWZWchERaeWPR5:3Mc:dccHMZZRh:RVMbORR]f^aYW]UW]cVRŬRZQS^a hRMabO^cV individually with clients as well as facilitating groups. John is a trained DBT clinician and utilises mindfulness and skills in his practice. Team FVWb_a^XRPcVMbORR]McRM\RŪ^acW]e^ZeW]UMZZ:dccHMZZRh2A54ZW]WPWM]bfVWPVP^]bWbc^S<M]Rc5RWVZ?Mh Chapman, John Mellors, Susana Lustig, and Sharon Dillon RN. We are also grateful to have had the help of Jonathan Sims, WelTec Addictions student. Thanks to Doctor Tom Flewett, Clinical Leader Addictions, and Clarissa Broderick, Professional Leader Addictions. 15. Tihei-wa Mauri Ora: Indigenous Resource Teina Piripi Kai Arahi Counsellor Alcohol & Drug Community Mental Health & Addictions Far North, NDHB: Ngapuhi, Te Rarawa, Te Aupouri, Ngatikuri. Vivienne Body Kai Arahi Counselor Te Runaga O Te Rarawa: Ngapuhi, Tuwharetoa Tihei-wa Mauri Ora indigenous resource cards are a unique transformations/solutions born out of Kaupapa ?Ħ^aWM__a^MPVc^P^d]bRZZW]UFVR_^bcRaQR_WPcbcVRW\MURah^ScVRFWVRWfM?MdaWAaMW]QWUR]^db aRb^daPRPMaQbFVRW\MURbMaROMbRQ^]?Ħ^aWPdZcdaMZd]QRabcM]QW]Ub^SZWSRM]QORW]UFR=^aRY^aR Ki Te Po, Ki Te Whei-Ao, Ki Te AO Marama, which are the source of inspiration. The poster includes the ^aWUW]MZ_^bcRa^ScVRIW]]Ra^ScVR@McW^]MZ?Ħ^aW7ZMU4^\_RcWcW^]FVRůMUWbMZb^Y]^f]MbFW]^ DM]UMcWaMcM]UMQRbWU]RQΧPaRMcRQOhcVaRRIMVW]R?Ħ^aW3^cVcVRůMUM]QFWVRWfM?MdaWAaMaRb^daPR PMaQbMaRQh]M\WPcaM]bS^a\McWeRW\MURahOMbRQW]FWYM]UM?Ħ^aWFVRhMaRd]W`dRb^ZdcW^]bΧb^daPRb^S healing in and of themselves/ourselves from within our own cultural contexts of life and being. Both the 54 Cutting Edge Conference 2016 poster presentations details Tihei-wa Mauri Ora: indigenous resource cards and Tino Rangatiratanga Flag have their genesis from faWcW]UbM]QZW]Ybc^cVR?Ħ^aW?MabQR]FR:WYdAFR;YM\R]UMfVMYMMa^_MW^]UMIMVW]R ?Ħ^aW Biographies FRW]MBWaW_WWb^S@UM_dVWM]QFRDMaMfMQRbPR]cZWeW]UW]2VW_MaMfWcVVRaVdbOM]QM]QcVRWaŬeRPVWZQaR] fV^MZZMccR]QFR=daM=Md_M_M?Ħ^aWABdYR\Wa^5RQWPMcRQc^FW]^DM]UMcWaMcM]UMbVRfRMeRb=Md_M_M ?Ħ^aWW]c^P^d]bRZW]U_aMPcWPRb4daaR]cZhR\_Z^hRQMbMP^d]bRZZ^afWcV7Ma@^acV4^\\d]Wch?R]cMZ Health and & Addictions NDHB. Teina has a Bachelor of Arts degree in Psychology from Massey University M]QB^bcUaMQdMcR4RacWŬPMcRW]:RMZcVEPWR]PRbW]?R]cMZ:RMZcVM]Q2QQWPcW^]bSa^\cVRG]WeRabWch ^S2dPYZM]QFRW]M4^2dcV^aRQcf^_dOZWPMcW^]bfWcVHWeWR]]R3^QhW]aRZMcW^]c^cVRW]QWUR]^db aRb^daPRFWVRWfM?MdaWAaM|@RfLRMZM]Q<^da]MZ^S4^d]bRZZW]UMZb^P^]caWOdcRQc^FWVRW fM?MdaWAaMFRFW_daM]UM;]BMPWŬP;QR]cWcWRbM]QIRZZORW]U4a^bb4dZcdaMZBRab_RPcWeRb6QAcMU^ G]WeRabWchBaRbb 16. Manaaki and SACAT – More Than Meets the Eye! Terry Huriwai ?M]MURaFR:Md?ĦaWaRBa^UaM\\RFRDMd?McMcW]W The new substance addiction (compulsory assessment and treatment) Act, SACAT has an expectation that fVĦ]MdR]UMURQW]WcbaRUW\RfWZZRg_RaWR]PR\M]M_a^cRPcW]UM]QR]VM]PW]U_aMPcWPRFVRR\ORQQW]U ^SM?Ħ^aWPR]caRQP^]PR_cM]QeMZdRMb_Mac^SMZRUWbZMcWeR_a^PRbbWbO^ZQM]Qc^ORM__ZMdQRQ}R]UMaW but… there are challenges. Firstly, what does manaaki (the practice of protecting and enhancing mana) look like in the assessment and treatment processes? How will the integrity of mana be maintained and monitored in the process? What are the workforce implications for practitioners, administrators, and services involved in the SACAT regime? Mana concerns itself with relationships and wairua. This workshop will explore the concept of mana, the P^\_RcR]Ph^S\M]MMYWM]QWcbW\_ZWPMcW^]S^aRŪRPcWeR^_RaMcW^]MZWbMcW^]^ScVRE242F2Pc Biography FRaah:daWfMWWb^SFR2aMfMM]Q@UĦcWB^a^dQRbPR]c:RZWeRbW]4VaWbcPVdaPVM]QVMbhRMab^S experience in the addiction treatment sector, working in a range of settings and roles. Currently, Terry is the _a^UaM\\R\M]MURaS^acVRFR:Md?ĦaWaR_a^UaM\\RfWcVW]FRDMd?McMcW]WFD?2YRha^ZR^SFD?Wb the re-invigoration of kaupapa ake practice and contributing to an addiction workforce that can integrate \ĦcMdaM]UM?Ħ^aWfWcVW]WcbQMhc^QMh_aMPcWPR 17. Rethinking the way we work in AOD –The Bream Bay Trust AOD Project Theresa Botha Alcohol and Drug Counsellor, Northland DHB Henriette de Vries Intake/triage Nurse, Northland DHB A]R^ScVRPVMZZR]URb^Sf^aYW]UW]cVR?R]cMZ:RMZcVM]Q2QQWPcW^]bŬRZQWbcVRaMcR^S]^]MccR]QM]PR 2bMbRaeWPRfRMaR^]ZhRŪRPcWeRWSfRMaRMeMWZMOZRM]QMPPRbbWOZRFVRbRaeWPR]^cWPRQcVMcb^\RMaRMb in Northland had higher rates of non-attendance than others. The most common reasons for not attending were a lack of resources like: no transport, no licence, no vehicle, no work and living remotely. A]R^ScVR\^QRZbS^aW]PaRMbW]UMPPRbbWbMO^dcMP^Z^PMcRQP^\\d]WchOMbRQP^P^]ŬUdaRQ\^QRZ We entered discussions with Bream Bay Trust who had been requesting our service. It was decided to align our service on a Wednesday with the availability of a GP and budgeting service. Cutting Edge Conference 2016 55 poster presentations details AeRacVRbWg\^]cVbbc^S?Mh5RPR\ORacVR2A5bRaeWPR^ŪRaRQMbbRbb\R]cbVRMZcV RQdPMcW^]b\^YW]UPRbbMcW^]IVĦ]Mdbd__^acV^\ReWbWcbMf^\R]bUa^d_M]QP^d]bRZZW]Uc^cVR community. Co-location increased the number of referrals and attendance improved. The biggest challenges that the service faced was the complexity and severity of presentations. A number of evaluation measures were used, including the ADOM, and client and service evaluation questionnaires. Results indicated positive changes to substance use, positive experience of the service and an improved relationship with the community. Access increased and non-attendance decreased. Evaluation measures and success stories have indicated that a successful partnership has been developed between the AOD service, the NGO and the community which enabled us to take a much needed service c^cVRP^\\d]WchM]Q\MYRMQWŪRaR]PR Biographies Theresa Botha ?MYW]UMQWŪRaR]PRc^RMPV_Rab^];\RRcQMWZh?h_MbbW^]Wbc^f^aYfWcV_R^_ZR Ŭ]QW]UfVMc\MYRbcVR\cWPYM]QR`dW__W]UcVR\fWcVcVR]RPRbbMahbYWZZbc^_dcW]cVRWaYWcRc^dcWZWbR whenever they are faced with challenges in life. I started working in 2008 as an Alcohol and Drug counsellor for Northland DHB developing and presenting QWŪRaR]cUa^d_bQRbWU]W]U]Rf_McVfMhbcaMW]W]UbcMŪW]QWŪRaR]cbYWZZbM]QR]UMURQfWcVMbbRbb\R]cb and counselling. I had the privilege to work in partnership with Northtech providing supervision and training to students who did their Bachelors in Social Science, majoring in Counselling. As part of my collaboration journey I started two year ago providing supervision to one of our NGO (Arataki ministries) AOD peer support workers. I^aYW]UW]P^ZZMO^aMcW^]fWcVQWŪRaR]c^aUM]WbMcW^]bM]Q_R^_ZRWbbdPVMVd\OZW]URg_RaWR]PRM]Q _aWeWZRURc^OR_Mac^Sb^\R^]RbX^da]Rh\MYW]UMQWŪRaR]PRW]cVRWaZWeRb Henriette de Vries - My passion is working with Mental Health and Addiction clients, providing them with support and education in their recovery journey enabling them to understand and have more control over their condition. I have been so fortunate to be part of a recovery focussed group that has developed a smoking cessation group approach to support people with long term mental health and addiction problems. I have also provided supervision for new graduate mental health nurses as part of the NESP program. Furthermore, I had the privilege to be part of a supervision team that has provided group supervision to GP practice nurses as part of a mental health and addiction credentialing program. 18. A Tangihanga and Kaikaranga Framework, as an Alcohol, Drug and Mental Health Transformative Model of Practice Irihapeti Morehu Addictions Assessor for Corrections, Tuwharetoa Ki Kawerau Health Education and Social Services Moerangi Potiki Community Mental Health Clinician, Poupoua Charitable Trust Alcohol and Drug Practitioners and Mental Clinicians, engage with people who have been marginalised and dis-empowered over a period of time. The ongoing challenge Practitioners and Clinicians, when working fWcV?Ħ^aWIVĦ]MdWbcVR]RU^cWMcW]U^ScV^bRP^McW]Ub^S]RUMcWeWchW]cVR\^QR^SRcVWPMZ_aMPcWPR Understanding how these ‘coatings of inter-connectedness’ and functions allow us various ways of ‘sighting’ the boundaries and how they can be safely negotiated. FVWb_^bcRaWbSa^\^da?Ħ^aWf^aZQeWRfM]QWc^_R]b^_cW^]b^SRcVWPMZ_aMPcWPRb^Mbc^R]UMURW]RcVWPMZ relationships. Alcohol Practitioners and Mental Health Clinicians are constantly faced with the following `dRbcW^]bIVMc_ZMPRQ^?Ħ^aWPdZcdaRcR\_ZMcRbM]QSaM\Rf^aYbVMeRW]UdWQW]U^da_aMPcWPRM]Q:^f 56 Cutting Edge Conference 2016 poster presentations details safe are these within their workplace? The recurrence of such questions suggests that the ‘cultural integrity’ and repetitiveness strives for these questions to be answered. These on-going challenges and ‘toxicity’ that ^PPdaS^a?Ħ^aWcVRaRWbM]RRQS^acW]^aM]UMcWaMcM]UMb^cVRbR`dRbcW^]bPM]ReR]cdMZZhORM]bfRaRQ In a mainstream environment, there continues to be ‘individuality’ in its practice, and more than often it seems that they continue to be opposed ‘collectiveness’ and its philosophies, with their homogenised aRUW\R]cRQaRf^aYRQM]QaRf^aQRQW]cR]c7a^\M?Ħ^aWf^aZQeWRff^aYW]UW]cVRŬRZQ^SQadUMZP^V^Z M]Q\R]cMZVRMZcVŬRZQ_dbVRbdbc^bRRY^da_MbcW]^aQRac^\^eRS^afMaQfWcVRcVWPMZM]QbMSR_aMPcWPR for those ‘we serve’ as Practitioners and Clinicians. EdPVM\^QRZ^S_aMPcWPRWbW]VRaR]cW]dbMb?Ħ^aWM]QWcMZZ^fbdbSdacVRaRg_Z^aRcVRPdZcdaMZQRŬ]WcW^]b and the interpretations within our framework, and it has the potential to be a ‘transformative model of practice’ which can only advance ethical Alcohol Drug and Mental Health practice in Aotearoa New Zealand. Biographies Irihapeti Morehu - I am a dapaanz, Addictions Assessor for Corrections, as an employee of Tuwharetoa Ki Kawerau Health Education and Social Services. I am also an Alcohol and Drug Counsellor and Practitioner M]QVMeRORR]f^aYW]UW]cVWbŬRZQS^ahRMab Moerangi Potiki - I am a Registered Social Worker and a Community Mental Health Clinician for Poupoua Charitable trust. 19. Whaiora Online – Post Discharge Outcomes Dallas Hibbs & Tanith Petersen CE He Waka Tapu & IT Admin Manager Abstract Whaiora Online (WO) is an online platform that captures outcomes. WO focus is on the service user’s experience transitioning from treatment to supported independence to independence from the whaiora’s perspective. WO utilses much of the functionality of an online community, with the MQQRQOR]RŬc^SeWbdMZZhcaMPYW]U_a^UaRbbMPa^bbVRMZcVM]QfRZZORW]UU^MZb WO has responded to our ‘user experience’ focus to simultaneously be: • beautiful and functional • technically sophisticated and easy to use • monitored and moderated by a health provider and regulated by service users In simple terms; • Funders will like the improved ability to make the attribution link between intervention and outcomes. • Service users will like the focus on their experience and wellness goals, as oppossed to being a secondary consideration in the design logic and execution of clinician led data collection tools. • Providers will like the ability to be connectable as and when service users are most desirous of bd__^ac^aMűa\McW^]Y]^fW]UcVMcbd__^acP^\\d]WcWRbMaRMbZWYRZhc^P^]caWOdcRMbbRaeWPR providers or clinicians. We know that being able to track the wellness journey post discharge will appeal to all three stakeholders. Biographies Dallas Hibbs Attributing much of his work and leadership style to insights gained working for Iwi Providers in Tai Tokerau, Dallas is quick to add the humility and hardworking traits of his parents continue to shape his work. Cutting Edge Conference 2016 57 poster presentations details And now, as Chief executive of He Waka Tapu, a provider of health and social services in Christchurch, 5MZZMbPaRQWcbMQdMZS^Pdb^]f^aY_ZMPRPdZcdaRM]QbcMŪ^f]RabVW_^SbcM]QMaQbMbZRMQW]UQWaRPcZhc^ ORccRabRaeWPRbFVR\^bc_ZRMbW]UMb_RPcb^S^daf^aYWbbRRW]UbcMŪORMPY]^fZRQURQOhcVRWa_RRabMb ORW]URgPRZZR]cMcfVMccVRhQ^;cWbMZfMhbUaRMcc^VRMaSa^\IVĦ]MdcVMccVRWaZWeRbMaRORccRaOdch^d know you’ve created a great workplace when peers regularly enjoy working together. Creating a work PdZcdaRS^PdbRQ^]RŪ^acM]QRŪRPcWeR]RbbPM]ORQ^]RW]MfMhcVMc\^OWZWbRbcVRORbcPaRMcWeRM]Q VMaQf^aYW]Ub_WaWc^S^dabcMŪbMhb5MZZMb Of equal interest to Dallas is the introduction of innovation in health and social services that support people take the lead in their own health and wellbeing. No reira, e aku tuakana, aku teina, hei arahi te waka oranga – Tena koutou katoa. Tanith Petersen is the IT & Admin Team Leader at He Waka Tapu. Tanith’s background has been in business ownership, sales and makeup artistry. For the past 4 years Tanith has been involved in the transformation of HWT’s online presence, social media marketing and building the online tool Whaiora Online. This project has been very successful with the help of IT partners Hairy Lemon. Moving forward HWT hopes to have this tool accessible to the sector. 58 Cutting Edge Conference 2016 exhibitors Cutting Edge Exhibitors 12 1 CC 11 Bay Trust Room 15 14 10 3 9 4 8 1 2 3 4 5 6 7 8 2 13 Rothbury Wilkinson Insurance Brokers Consult ONE Needle Exchange Services Trust Overeaters Anonymous Energize Matua Raki Narcotics Anonymous Te Rau Matatini 7 6 9 10 11 12 13 14 15 5 Alcoholics Anonymous WelTec Moana House Dapaanz Health Promotion Agency Indivior NSAD / Kina Family & Addictions Trust Cutting Edge Conference 2016 59 exhibitors 1 Rothbury Wilkinson Insurance Brokers Rothbury Wilkinson indemnity and other insurance packages. Dapaanz encourages members to get indemnity insurance, and supports Rothbury Wilkinson as our preferred provider of insurance products. Membership of dapaanz entitles you to considerable savings on professional indemnity insurance. What is indemnity insurance? Indemnity insurance will protect you against legal costs and claims relating to your practice. It is important to know that your organisation’s insurance may not cover you. We see indemnifying as an important aspect to the professionalisation of the addiction treatment workforce. Rothbury Wilkinson Insurance Brokers Rothbury Wilkinson was established in 1997, in 2014 partnering the Rothbury network of general insurance brokers. We are committed to providing an excellent standard of independent professional service. Our company and people take pride in quality service and our claims service will really take the hassle away should the need arise to make one. 2 Consult One >^^YW]US^aMPZWR]c\M]MUR\R]cEhbcR\Pdbc^\WbRQc^h^dab_RPWŬPaR`dWaR\R]cb* Consult ONE continues to develop to meet the needs of the mental health, PHO, DHB and addiction sector aR`dWaR\R]cb^ŪRaW]UMPZWR]c\M]MUR\R]cbhbcR\S^aM]h]d\ORa^SdbRabM]Q^ŪRabPdbc^\WbMcW^]c^ meet KPI’s, user access, automated PRIMHD data upload, at only a fraction of the cost of traditional options on the market today. Designed for the industry by a Counsellor and Drug and Alcohol Practitioner, this easy software solution is Web-based, adaptable and extremely simple to use, with incorporated secure storage and encrypted automatic backups standard with every account. IRMaRP^\_ZWM]cfWcVcVR?W]Wbcah^S:RMZcVS^aBD;?:5MQM_cMOZRM]Q^ŪRacVRůRgWOWZWchc^QRbWU] customised reports exclusive to your organisational needs. DRUMaQZRbb^Sh^da]RRQbfRMaRP^]ŬQR]ccVMcfRPM]^ŪRah^dMb^ZdcW^]cVMcfWZZaRbdZcW]W]PaRMbRQ performance and outcomes for your organisation. 4^]cMPcdb]^fS^aM]^]^OZWUMcW^]SaRRcaWMZ^aŬ]Q^dc\^aRMcfffP^]bdZc^]RW]S^P^]j 3 Needle Exchange Services Trust The Needle Exchange Programme is one of New Zealand’s most successful public health programmes. The NEP was established in 1988 as part of New Zealand’s response to the world HIV/AIDS epidemic. IR^ŪRabRaeWPRbcVa^dUVM]Rcf^aY^S\^aRcVM] _VMa\MPWRbMZcRa]McWeR^dcZRcbbdPVMbERgdMZ:RMZcV and the NZPC and around 21 needle exchange dedicated outlets throughout New Zealand. FVR@McW^]MZAűPR_a^eWQRbZRMQRabVW_c^cVR@6B^dcZRcbW]PZdQW]UP^ZZRPcW^]M]QQRbcadPcW^]]McW^]MZ distribution and supports best service delivery and availability for PWID. IRbd__ZhMaM]UR^SR`dW_\R]cW]PZdQW]UMeMaWRch^SbhaW]URM]Q]RRQZRbWjRbŬZcRabOdccRaůWRbIR ^ŪRaMSaRRRgPVM]URfVWPV\RM]bcVMcS^aReRahdbRQbhaW]URh^daRcda]h^dfWZZURcM\ZOMaaRZfWcV needle for free via the scheme. Although aimed at people who use drugs, the programme protects the wider, non-drug using community fVWPVSMPRbMUaRMcRaQM]URaSa^\cVRb_aRMQ^S:;HM]QVR_McWcWbW]SRPcW^]bcVM]WcQ^RbSa^\cVRRŪRPcb of drug use itself. The programme is primarily concerned with reducing the transmission of communicable diseases such as HIV/AIDS and hepatitis C. For more information about NEST visit www.needle.co.nz or www.hepc.co.nz. You can also visit us on Facebook/needleexchangeservicestrust and on Twitter: #NZNEP 60 Cutting Edge Conference 2016 exhibitors 4 Overeaters Anonymous Overeaters Anonymous is a Fellowship of individuals who, through shared experience, strength, and hope, are recovering from compulsive overeating. We welcome everyone who wants to stop eating compulsively. There are no dues or fees for members; we are self-supporting through our own contributions, neither b^ZWPWcW]U]^aMPPR_cW]U^dcbWQRQ^]McW^]bA2Wb]^cMűZWMcRQfWcVM]h_dOZWP^a_aWeMcR^aUM]WbMcW^] political movement, ideology, or religious doctrine; we take no position on outside issues. Our primary purpose is to abstain from compulsive eating and compulsive food behaviors and to carry the message of recovery through the Twelve Steps of OA to those who stillbdŪRa 5 Energize Quick, easy on-site shoulder massage – a boost! Be in quick during the lunch break for your 10 minute massage. 6 Matua Raki Matua Raki is the National Addiction Workforce Development Centre within Te Pou. We support innovation and work towards evidence-based workforce development solutions within the addiction treatment sector. Our work includes policy development, professional development training programmes, leadership, networking, resource development, research and competency development. We also work with allied health workforces to ensure the needs of people experiencing addiction are met. Matua Raki liaises with a variety of stakeholders to ensure that the addiction workforce is capable of \RRcW]UcVR]RRQb^ScVRSM\WZhM]QfVĦ]Md^S_R^_ZRfWcVMQQWPcW^]WbbdRb Contact: Vanessa Caldwell, National Manager Telephone: # Address: Level 2, 181 Thorndon Quay, Pipitea, Wellington BA3^gIRZZW]Uc^]E^dcV# Website: www.matuaraki.org.nz 7 Narcotics Anonymous Narcotics Anonymous is a global community-based organisation with a multilingual and multicultural \R\ORabVW_@2fMbS^d]QRQW]F^QMhcVRaRfRaR^eRa# \RRcW]UbVRZQfRRYZhW]P^d]caWRb f^aZQfWQRb_RMYW]U#ZM]UdMURb@2ZWcRaMcdaRVMbORR]caM]bZMcRQW]c^QWŪRaR]cZM]UdMURb@2fMb established in New Zealand in 1982. Currently there are more than 100 meetings a week held nationally. The Narcotics Anonymous primary message is that any addict can stop using drugs, lose the desire to use, M]QŬ]QM]RffMhc^ZWeR The name “Narcotics Anonymous” is not meant to imply a focus on any particular drug. The NA approach makes no distinction between drugs (including alcohol). ?R\ORabVW_WbSaRRM]Q@2VMb]^MűZWMcW^]fWcVM]h^dcbWQR^aUM]WbMcW^]b @2^ŪRabaRP^eRahSa^\cVRRŪRPcb^SMQQWPcW^]cVa^dUVf^aYW]UMbcR__a^UaM\\RW]PZdQW]UaRUdZMa MccR]QM]PRMcUa^d_\RRcW]UbFVRUa^d_Mc\^b_VRaR_a^eWQRbVRZ_Sa^\_RRabM]Q^ŪRabM]^]U^W]U support network for addicts who wish to pursue and maintain a drug free lifestyle. @2FA52K # # 8 Te Rau Matatini TŞ]ĦY^dc^dYMc^MFRDMd?McMcW]WWbcVR?Ħ^aWf^aYS^aPRQReRZ^_\R]c^aUM]WbMcW^]cVMcP^]caWOdcRbc^ fVĦ]Md^aM;cVMbWQR]cWŬRQcVRW\_MPc^SbdObcM]PR\WbdbRM]Q_a^OZR\UM\OZW]UMbfRZZMbMaM]UR ^SP^RgWbcW]UP^]QWcW^]b^]cVRfRZZORW]U^S?Ħ^aWW]QWeWQdMZbfVĦ]MdM]QP^\\d]WcWRbFR:Md?ĦaWaRWb the addiction programme within Te Rau Matatini and the addiction scholarships (Hoe Tahi and Hoe Rua) sit within this programme as does a range of competency and practice development activity. Come visit our QRbYM]QŬ]Q^dcfVMcfRVMeRORR]Q^W]UM]QfVMcfRVMeRc^VRZ_h^dM]Qh^dab@Md\MW_WYW\Mi! Cutting Edge Conference 2016 61 exhibitors 9 Alcoholics Anonymous Professionals who work with alcoholics share a common purpose with Alcoholics Anonymous: to help the Alcoholic stop drinking and lead a happy, productive life. 2ZP^V^ZWPb2]^]h\^dbWbM]^]_a^ŬcR]cWaRZhW]QR_R]QR]cSRZZ^fbVW_]^cMZZWRQfWcVM]hbRPc denomination, politics, organisation or institution”. Yet AA is in a position to serve as a resource to _a^SRbbW^]MZbcVa^dUVWcb_^ZWPh^SP^^_RaMcW^]Odc]^cMűZWMcW^]fWcVcVR_a^SRbbW^]MZP^\\d]Wch We can serve as a source of personal experience with alcoholism as an ongoing support system for recovering alcoholics. A.A.’s primary purpose, as stated in our preamble is “…to stay sober and help other alcoholics to achieve sobriety.” Members share their experiences in recovery from alcoholism on a one-toone basis and introduce the newcomer to AA’s Twelve Steps of personal recovery and it’s Twelve Traditions that sustain the fellowship itself. At the heart of the program are its meetings, which are conducted autonomously by AA groups in cities and towns throughout the world. Alcoholics Anonymous in New Zealand can be contacted on 0800 AA Works or www.aa.org.nz 10 WelTec WWcVPM\_dbRbW]2dPYZM]QM]QIRZZW]Uc^]IRZFRP^ŪRab^eRabcdQh^_cW^]bSa^\caMQRbc^QRUaRRb Our Health and Social Services School provides programmes in addictions, community care, counselling, supervision, health psychology, youth development, and professional practice. WelTec learning is practical and applied, and takes place through work experience and in the classroom. Our students enjoy learning from highly experienced tutors who have close industry connections. We constantly work with professional bodies to make sure that our study options are recognised, applicable and approved. AdaMQQWPcW^]b_a^UaM\\RbW]PZdQRPRacWŬPMcRbQW_Z^\MbOMPVRZ^aQRUaRRbM]QUaMQdMcRQW_Z^\MbIR MZb^^ŪRa]Rf_^bcUaMQdMcR_a^UaM\\RbM]QM?MbcRab`dMZWŬPMcW^]8a^fh^dad]QRabcM]QW]UW]cVR^ah and practical strategies to treat clients and manage their addictions. You’ll learn through research tested content, in-class practice, and real-life environments. Part-time study options available. Blended learning in PZMbbM]Q^]ZW]RWbMZb^^ŪRaRQ4^]cMPcdb WelTec BV^]R I6>F64 Email: [email protected] Web: www.weltec.ac.nz 11 Moana House Moana House Programme Moana House is a residential therapeutic community in Dunedin, run by the Downie Stewart Foundation, and has been in existence since 1987. Operating from an ordinary house in the suburbs, the therapeutic P^\\d]WchVMbMbca^]UPdZcdaMZS^Pdb^daMaRM^SRg_RacWbRWbf^aYW]UfWcV^ŪR]QRabfV^QdRc^OMaaWRab are often ineligible for other rehabilitation services. For further information please visit our website: www.moanahouse.org.nz Moana House Training Institute – Te Taketake Te Taketake is a 2 year DAPAANZ endorsed NZQA Level 7 Diploma in Applied Addictions Counselling. Te Taketake has a proven reputation for delivering an intensive clinical/cultural focused curriculum suitable for RWcVRabcdQR]cbR]cRaW]UcVRMQQWPcW^]bŬRZQ^acV^bRfWbVW]Uc^W\_a^eR_aMPcWPRfWcVcVRZMcRbccRMPVW]UbM]Q techniques. For our past students there is a bridging option to move to Level 7 available in 2017. “Te Taketake offers a seamless connection between a cultural framework and the counselling process” 2016 Student. 62 Cutting Edge Conference 2016 exhibitors 12 Dapaanz Dapaanz is the member association representing the professional interests of people working in addiction caRMc\R]cAda\R\ORabMaR_MbbW^]McRMO^dc\MYW]UMQWŪRaR]PRS^aW]QWeWQdMZbfVĦ]MdM]QP^\\d]WcWRb M]QfRMaR_MbbW^]McRMO^dc\MYW]UMQWŪRaR]PRS^a^da\R\ORab4^\RM]QPVRPY^dccVR]RfQM_MM]j aRb^daPRbMc^dabcM]QIRf^dZQZ^eRc^cMZYc^h^dM]QMaRaRMZZhYRR]c^Ŭ]Q^dcV^ffRPM]ORccRa bd__^ach^da\MVW;Sh^dMaR]^chRcM\R\ORa_ZRMbRSRRZSaRRc^P^\RM]QŬ]Q^dccVROR]RŬcb^S membership and registration. We have a very brief survey for you to complete so we can get better at meeting your needs. All who do the survey, will go into the draw to win a prize. We hope to see you there! 13 Health Promotion Agency The Health Promotion Agency (HPA) is the Government’s lead agency on national health promotion, with a mission to inspire all New Zealanders to lead healthier lives. For those working in the addiction sector, HPA’s work supports transformation through: • resources, tools, advice and research about alcohol harms, hazardous drinking and cutting back on alcohol (visit alcohol.org.nz, 24/7 free Alcohol Drug Helpline 0800 787 797) • information, support and help for people with depression and anxiety (visit depression.org.nz, 24/7 SaRR5R_aRbbW^]:RZ_ZW]R ΄ W]S^a\McW^]M]Qbd__^acS^aW]QWeWQdMZbIVĦ]MdM]QP^\\d]WcWRbcVMcfM]cc^ORP^\Rb\^YRSaRR (visit smokefree.org.nz, 24/7 free Quitline 0800 778 778) ΄ W]S^a\McW^]VRZ_M]Qbd__^acS^acV^bRMŪRPcRQOhUM\OZW]UeWbWcPV^WPR]^cPVM]PR^aU]jΧSaRR 8M\OZW]U:RZ_ZW]R ## 14 Indivior Indivior is the world leader in addiction treatment with over 20 years’ experience and a unique patientfocused approach. Our endeavour is to understand the journey of individuals suffering with addiction. We partner with healthcare professionals, the public health community, pol icy makers, and payers to ensure _R^_ZRbdŪRaW]USa^\MQQWPcW^]MaRcaRMcRQXdbcZWYRM]h^cVRa_McWR]cbbdŪRaW]USa^\MPVa^]WPaRZM_bW]U medical condition. At Indivior our endeavour is to focus on individual patients around the world. The patient continues to drive our decisions. Our guiding principles foster a corporate culture of trust, innovation, and a pioneering spirit. We work with the urgency and zeal required to achieve our vision of ensuring unrestricted access to high-quality treatments for the chronic relapsing conditions and co-morbidities of addiction. 15 NSAD / Kina Family & Addictions Trust Coffee with NSAD & Kina Korero over coffee! After the resounding success of the last two years NSAD and Kina are pleased to again support Cutting 6QURfWcVM]^]bWcRP^ŪRRPMacM]QSaRRP^ŪRRM]QV^cOReRaMURbS^aQRZRUMcRbM]Qb_RMYRab IRV^_Rh^dZZŬ]Qh^daP^ŪRRc^ORMbcW\dZMcW]UMbcVWbhRMabP^]SRaR]PRcVR\R4RZROaMcW]U Transformation – a topic that’s close to the heart of NSAD and Kina. We encourage you to take a moment to share your views and opinions with your fellow delegates. BZRMbReWbWcdbMccVRP^ŪRRPMacS^ah^daSaRRP^ŪRRIf you fear change, leave it in the donation jar! Cutting Edge Conference 2016 63 notes 64 Cutting Edge Conference 2016 notes Cutting Edge Conference 2016 65
© Copyright 2026 Paperzz