Spring Issue 1 - October 2016
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Mental Health and Addictions Regional Network

"Quality, Infrastructure, Integration, Workforce, Relationships, Early Detection and Recovery Information"

Kia ora, Kia orana, Talofa, Namaste, Hello

Welcome to our inaugural Midland Mental Health & Addictions Spring Newsletter.

Our newsletter will replace the quarterly reports that we post to the Midland website, this allows us more flexibility to bring you news of what is happening across our region. With all the changes that are occurring in our sector it is important that we share pockets of innovation and creative ways of working across sectors. This newsletter features the work that the team is directly responsible for and the progress they are making in their respective areas.

Our website has undergone an upgrade and has a fresh new look. Akatu has done a phenomenal job in getting it sorted for us. If you notice something not working please let us know and we will fix it straight away

If you have something that you would like to share with us please contact us so we can promote your organisations work. Sharing innovation helps us all.

Please take note that it is important when sending emails to the regional network team that a "subject line" is included to ensure your email reaches its destination.

We hope you enjoy this Spring Newsletter and forward onto your colleagues to subscribe.

Until the Summer Newsletter

Malo le soifua

Featuring the Midland Team

The Midland MH&A Network team are here to support the Midland region. Click here read their profiles.
Success is not the work of one
but the work of many..
Ehara taku toa I te toa takitahi
Engari, he toa takitini...

Midland MH&A Scattered Across the Region

Ashley Bajaj - PRIMHD Decision Support has vacated the Midland office at Lakes DHB and has moved into the HealthShare Ltd office based at 100 Eleventh Avenue, Tauranga.  With Akatu Marsters being the sole occupant of the office in Rotorua the team has downsized to a smaller room at the DHB in the old medical ward, Bridgman Wing North.
The Clinical Workstation Coordinator - David Ireland is based at the HealthShare office on 16 Clarence Street, Hamilton while Nathalie Esaiah-Tiatia - Workforce Planning Lead and Eseta Nonu-Reid - Regional Director work from their residence in New Plymouth and Auckland.

Despite the distances between for five members of the regional Mental Health & Addiction team they keep connected meeting regularly, frequent communication via telephone, FaceTime and email whilst meeting the demand of the Midland region.


Ngarepo Eparaima, Kaumatua Support

The Midland MH&A team invited Ngarepo Eparaima, kaumatua of Tuhourangi to the September team planning day to support the regional team to look at its current vision and mission statement to ensure the content is culturally inclusive and appropriate.  We also asked him the following questions so the region can learn a little about him.

He nui nga whakapapa moku. Timata ki Te Taitokerau, rere ki Mataatua, e whakatipu au I te rohe o Te Arawa. Kei te tunu kai I nga ngawha a ka ruku moni I te awa o Whakarewarewa.

No reira

Ko Tuturu te hiwi, Ko Puarenga te awa, Ko Te Pakira te marae, Ko Wahiao te hapu, Tuhourangi te iwi, Ko Te Arawa te waka, Ko Charles Ngarepo EPARAIMA ahau.

I have a beautiful wife Vanessa, three adult children aging 23 to 18 and a grandchild Keita who is my heart.

I currently work as an administrator of Tuhourangi Tribal Authority and I sit on our paepae at Whakarewarewa.

One of the tasks encompassed in the administrator role is to manage a kaumatua contract and also a trustee on the Te Papatakaro o Te Arawa board.  This roopu has a responsibility to help with the health and wellbeing of the tribe.  To read more, click here...

Lifewise Trust Rotorua - Supreme Runner Up Award Winners - Workplace Innovation Award 2016


The Matua Raki Workforce Innovation Award seeks to showcase innovations in work practices that contribute to improving workplace wellbeing and staff engagement. They focus attention on addiction treatment organisations and services engaged in best workforce practices.

The 2016 winners were announced by Dr Vanessa Caldwell at the Oscarz Awards dinner at the Cutting Edge Conference in Rotorua. Vanessa said that there had been a record number of entries this year and the standard was very high.

The Problem Gambling Foundation of New Zealand was the unanimous choice for Supreme Winner. They gave an account of a number of transformations within their service. Their overall aim was to take a comprehensive approach to making use of available staff skills to achieve better outcomes for clients. This not only enriched staff involvement but included the consumer voice and an outcomes measurement tool.

The Likewise Trust from Rotorua were runners-up. They use the therapeutic setting of their new facility to provide emergency and transitional accommodation for those struggling with mental health and addiction issues. The Service Manager, Haehaetu Barrett said "Our team practice basic principles under Te Ara Ora, the pathway to wellness. We are only navigators of hope at a time darkness in people's lives and provide services that meet clinical and non-clinical aspects under the Mauri of Love".

Four entries were highly commended. They were He Waka Tapu from Christchurch, Te Utuhina Manaakitanga Trust from Rotorua, the Nelson Marlborough Addictions Service with Nelson Bays Primary Health and the Moana House Programme from Dunedin.

Congratulations to all providers.

What Midland did with the Infant Perinatal MH&A Funding

In 2015 the Ministry of Health provided a small amount of funding for Infant Perinatal Mental Health and Addiction. The Midland region chose to use its funding to provide:
  • Wrap around packages of care
  • Attachment training provided by Dr Denise Guy
  • E-Learning Tool for Support Workers in partnership with the Central Region

The graph trends illustrate the numbers of Maternal/Perinatal Mental Health face to face and non-face to face contacts for the Midland DHBs & NGOs combined over a period of six quarters (January 2015/June 2016). There is a marked increase in the last quarter figures for Hauora Tairawhiti primarily because their Maternal Mental Health team was established early this year.  Click here to view Midland Infant Perinatal Contacts for DHB & NGO.

Midland PRIMHD Mapping Documents Workshops

The month of July saw workshops being held across the region to provide Midland NGO services with the understanding of how to work through PRIMHD Mapping Documents and their obligations when changes occur in their organisations and how this may affect mapping documents.

Click here to

Frequently asked PRIMHD Questions

Do you twiddle your fingers when you are not sure of certain things in PRIMHD or with Mapping documents?  Look no further, we have put together a "Frequently Asked Questions" page to help you. Click here to view Q&A.

If there are any further questions and you need clarity click here to contact Ashley Bajaj - Midland Decision Support & PRIMHD.

Midland District Wide Workforce Planning Workshops

Workshops were delivered across the Midland region to the five DHB areas by Nathalie Esaiah-Tiatia alongside Klare Braye (Matua Raki) and Terry Huriwai (Te Rau Matatini) during the months of May and June.

Working with Te Rau Matatini, Matua Raki and the Werry Centre to deliver the district wide workforce planning workshops was ‘refreshing’ and ‘rewarding’.  I enjoyed working with likeminded people to support a district wide approach to planning for the future, being able to dream about what we wanted health services to look like. 

The workshops highlighted workforce commonalities, needs and wants for people in our communities.  The reward for me was listening to the desire for better health services from good people working in mental health and addictions.  Thank you everyone for your support.  Nathalie Esaiah-Tiatia


It was a privilege to work with all involved to deliver the District Wide Workforce Planning Workshops across the Midland region.  This was a wonderful opportunity to profile workforce planning, build relationships and model this approach to the sector. Klare Braye

Helping to support and facilitate the Midland District Workforce Planning hui was very much appreciated. I believe it gave an impartial voice to stimulate and challenge ideas and dialogue.

From a Te Rau Matatini perspective it provided an opportunity to hear the needs and aspirations of the workforce - unfiltered by strategic vision and organisation demand. This is important to ensure that the workforce centres are relevant and future focused. The hui reinforced the need to communicate and to help make strategic initiatives and activity relevant to all parts of the sector. They also provided evidence that there are some committed and passionate people working in the sector all looking to make a difference. Terry Huriwai


Minutes were circulated - click here to view……Reports will be available in October


Project Update

Mid year, the eSPACE Programme Board met to discuss the potential impacts of a situation change in the eSPACE Mental Health and Addictions (MH&A) work.

As a result of this meeting:

  • work on the single-option (West Coast) MH&A eSPACE business case has stopped
  • the focus of the Mental Health and Addictions workstream has shifted to reviewing all potential options.

That said, it is important to be clear that:

  • only the MH&A business case work has stopped
  • work on all other elements of the eSPACE Mental Health and Addictions workstream continues as previously advised, including regional forms agreement, identifying migration requirements, extracts and reports.

This update outlines the following in further detail.

  • The background to the eSPACE Programme Board’s decision.
  • What elements of the eSPACE MH&A workstream will be carrying on in ‘business as usual’ mode.
Click here to


Why Be Involved with Clinical Workstation?

Angela Field, Clinical Nurse Manager, Lakes iCAMHS Service has shown a high level of interest and engagement in the process of developing regional consistency of forms and clinical processes.

During meetings with the Lakes MH&A Champions groups she has always provided robust input and has not been afraid to ask the difficult questions while always wanting to know how the regional clinical portal will benefit service users.

This makes Angela a valuable contributor to the process that is being undertaken and someone who will ensure are done so they benefit the right people.

It is this approach that led to interviewer her.  Click here to read her interview.

Wet Houses Stories

Wet House' plan to tackle Wellington homelessness – MSN NZ News
Wellington mayoral candidate Justin Lester says his plan for the country's first wet house would help addicts on the road to becoming more independent.

A wet house is a residential facility where alcoholics can continue to drink, and research from Washington University found most of those people would halve their intake while they were there.

The move has been welcomed by those who work with rough sleepers, who said the city's homeless population and begging problem was growing. Click here for the full story and additional stories.

We would really value your thoughts on the following:
  • Do you think 'Wet Houses' are the way to go for Addiction Treatment?
Click here and give us your thoughts, we would love to hear from you.

Meet Brian Thomas - Chair of Midland Family Whãnau Network

The Midland MH&A team values the support provided from the regional stakeholders, representatives from across the five DHB areas. All our regional networks are led by the chairs that are nominated for a two year period and supported by the Midland MH&A team.

We asked Brian Thomas the chair of the Family Whanau Leadership Network - Te Ao Whanau questions about his role as chair and commitment to family whanau.  Click here to read more...

Midland Website Upgrade

“Informing to inform” is what communication is all about!!
In today’s world there is no better way to keep everyone informed than via the internet.  The Midland website has been upgraded to give it a clean, clear and new look.  As much as we loved our previous website it was very much cluttered with a lot of information.  They say “less is more” something we continue to work on with the content of our website.
All information added to the website is uploaded by the Midland MH&A team members via SilverStripe content management system so, if you have any news and events or anything you would like to share please feel free to contact Akatu Marsters.
Check it out at

Regional Workshops & Conferences Registrations

I guess you are wondering what is so special about ‘registrations’ for regional workshops and conferences?  Well, for a regional team it means a ‘lot to us’ for demographic and justification purposes for reporting.
All workshops and conferences come about through feedback from you, the region via our regional networks and also priorities from the Ministry of Health.  Before these are delivered they are ratified within our regional networks and then organised via the regional team. 

Participant numbers to workshops are capped therefore it is encouraged registrations are received before the closing date. Where registrations are over and above the full capacity these are arranged to ensure each service has representation from both NGO and DHB.  Confirmation is sent out to all confirmed participants and those that missed a placement will be advised and retained on a waiting list. Click here to read more.

Evaluating Regional Workshops & Conferences

This is one of the most important aspects after every workshop held within the Midland region is the ‘evaluations’.
Why?  There are many reasons why evaluations are necessary however for the regional team the feedback allows us to identify common themes, what other information would be relevant and whether the learning is of value to the region.  Feedback also determines whether the workshop will be rolled out again in the future and whether follow up workshops need to occur.
From the feedback gathered, an ‘evaluation report’ is progressed with recommendations and tabled to our regional network groups prior to distribution to the sector and publication to the Midland MH&A website.
Your feedback assists us to ensure we are meeting the needs of our sector.

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