Feedback to
Planning &
Funding from the
Youth AOD sector
on:
- Provider Specific Terms
and Conditions
- Best Practice Guidelines
Outline of the Presentation
•  Opening
•  Background
•  Explanation of the documents (Provider Specific Terms and Conditions
and Best Practice Guidelines)
•  Presentation of feedback received by Planning & Funding
•  What now
•  Close
Background
•  The project has been underway since April 2014
•  We have undergone extensive consultation with youth, their family/whanau and
providers working in the area of Youth AOD, and allied organisations
•  We are now developing a Request for Proposal (RFP) for Youth AOD services.
There will be two components of service:
1)
The provision of systems and leadership support to rangatahi /youth alcohol and
other drug (AOD) and co-existing problems (CEP) practitioners and services
throughout the Waikato DHB area.
2) The provision of community based assessment and treatment service for rangatahi/
young people with problematic to severe alcohol and/or other drug use problems in
Hamilton, North and Surrounds
•  Local arrangements are currently being discussed for South & Hauraki – No
RFP at present
•  As part of the RFP we have developed some local Provider Specific Terms and
Conditions (PTSC) and some Best Practice Guidelines
Points to note
•  This is a new approach to service delivery
•  We are the first in the country to have published a Youth
AOD Model of Care to guide service purchasing and delivery
•  The name and brand are still in development by rangatahi/
young people
•  While the Provider Specific Terms and Conditions (PTSC)
and Best Practice Guidelines have been developed for the
RFP, they will apply to all DHB-contracted Youth AOD
providers
Points to note
•  You will have the opportunity to ask questions about the documents of
Planning & Funding and Andre McLachlan (Clinical Advisor to the project
in the development phase)
•  Due to Andre’s strong links with Youth Social services, AOD and Mental
Health providers in the Waikato, he will not be involved in the RFP phase
of the project.
•  Andre is not on the RFP evaluation panel
•  Andre will be unable to assist in the development of any organisation’s
RFP response
•  We will not cover details of the RFP today. Any queries regarding this will
be through usual RFP processes.
What’s this presentation about?
• 
We want to improve services for rangatahi/young people with alcohol and other
drug issues in our district, focusing on those 12-19 years
• 
Shortly the DHB will be entering a contestable process (Request for Proposal) for
youth AOD services:
–  community-based assessment and treatment services for Hamilton, North and
Surrounds; and
–  district-wide leadership and systems support service
• 
We sent you a copy of the Provider Specific Terms and Conditions and the Best
Practice Guidelines and they are on our website
• 
We asked for your comments and feedback on these documents
• 
We will present the feedback we have received and update you today - We want
to make sure we haven’t missed anything important in these documents before
we publish the RFP
What documents are we talking about?
•  Provider Specific Terms and Conditions (PSTC) - will form
part of contracts with all providers of Waikato DHB Youth
AOD services
•  The Best Practice Guidelines are guidance for the whole
Waikato youth AOD sector and will also be part of contracts.
•  Both documents based on previous consultation and the
Waikato Youth AOD Model of Care (2015)
•  Developed by a team within Planning & Funding with advice
from the project clinical advisor (Andre McLachlan)
What are PSTC?
•  These are local requirements (service specifications) that will
apply to all providers of youth AOD services
•  The PSTC we have developed are based on the messages we
received during consultation and the Waikato Youth AOD Model of
Care that many of you had input into
•  The national service specifications will still apply
–  Tier One Mental Health and Addiction Specialist Services
–  Tier Two Infant, Child, Adolescent and Youth Mental Health, Alcohol and/or
Other Drug Services
–  Tier Three Child, Adolescent and Youth Alcohol and Other Drug Community
Services
What do the PSTC include?
•  What is being sought (leadership/systems support &
community-based assessment and treatment services)
•  Where it is to be provided (detail of expected clinics in
specific Hamilton, North and surrounds communities)
•  How it is to be provided (information about branding, best
practice guidelines)
•  To whom is it to be provided (rangatahi/youth with a focus
on those 12-19 years)
•  Who should be providing it (staff qualifications)
•  Quality requirements – high standards
•  Reporting requirements – measuring if we are making a
difference
Feedback received by the DHB on the PSTC
•  We had 2 pieces of feedback on the PSTC, one that was about the
proposed changes generally (to be addressed directly with to
respondent), and one related to the PSTC content as follows:
•  Age – clarification requested, suggest upper limit 18 years
•  Geographic boundary – Te Awamutu and Kawhia should remain with
the South
•  Staff time spent in face-to-face consultation – 30 half day clinics for 6.9
FTE was seen as too onerous. Travelling time needs to be factored in.
•  Entry criteria – clarification requested - seems to encompass both
primary and secondary
•  Potential for fragmentation flagged
•  Acute crisis – clarification requested
Any Questions about the Provider
Specific Terms and Conditions?
What are Best Practice Guidelines?
•  Set of systematically developed statements (based on best available
evidence) to assist practitioner and service user decisions about
appropriate health care for specific clinical (practice) situations (Field
and Lohr, 1992).
•  “the integration of best research evidence with clinical expertise and
patient values…Patient values refer to the unique preferences,
concerns, and expectations that each patient brings to the clinical
encounter” (Institute of Medicine, 2001. p147).
• The delivery of Best Practice will rely on further sector development,
support and workforce development when the leadership/systems support
service is in place.
• Guidance for the whole of the Waikato DHB Youth AOD sector
What do the Best Practice Guidelines include?
• 
Relate to the five steps of the Integrated Practice Pathway as established in the
Waikato Youth AOD Model of Care:
–  identification, screening and brief intervention;
–  referral to AOD services, engagement and assessment;
–  integrated case management - AOD/CEP treatment;
–  Continuing care - transitions to Te Ao Rangatahi
• 
Three levels of rating:
–  Essential: These are minimum standards and criteria that are critical to care. Failure
to meet these standards and criteria would result in a significant threat to the service
users safety, rights or dignity and/or may breach the law;
–  Expected: These are standards and criteria that a professional and/or team providing
a good service would be expected to meet, and that rangatahi/young people and their
families and whānau (incl carers) should expect to receive;
–  Desirable: Criteria that indicate excellent practice and care. They may not be the
direct responsibility of staff, professionals or services; or may be beyond current
resourcing.
Feedback to the DHB on Best Practice Guidelines
•  No feedback received on Best Practice Guidelines
Any Questions about the Best
Practice Guidelines?
What now?
Further thoughts or comments you may have – please put stickies on the
large sheets of paper around the room under the relevant category:
• 
• 
• 
• 
• 
Overall objectives of the Waikato Youth AOD Project
Provider Specific Terms and Conditions
Best Practice Guidelines
Leadership service
Community-based Assessment and Treatment Service
These will be collated and posted on our website and considered
alongside the feedback we have already received.
http://www.waikatodhb.health.nz/about-us/engaging-with-our-communities/
waikato-youth-alcohol-and-drug-project/
What now?
•  Planning & Funding will consider the feedback received and refine the
PSTC and Best Practice Guidelines as appropriate.
•  We will release the Youth AOD RFP in mid-November for Hamilton,
North and Surrounds, and a district-wide leadership/system support
service
•  The best practice guidelines and planning templates will be further
refined by the successful provider of the leadership/system support
service when contracted, during a developmental phase
•  The leadership/system support service will also need some time to
review and build on the work already done to identify the best ways to
support the other youth AOD providers in enhancing their practice.
•  We are expecting some exciting and innovative proposals - our Waikato
rangatahi/youth deserve great services