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Better Sooner More Convenient Primary Care - New Zealand Doctor

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Implementation plan: to June 30<br />

Development of the Mental Health Co-ordinator role<br />

develop job descriptions and competencies required based on the role expectations<br />

outlined in the guidance paper<br />

identify FTEs required in Greymouth, Buller and Hokitika<br />

identify potential funding stream and transition of human resource<br />

develop assessment procedures: screening for anxiety and mood disorders, screening<br />

for substance use disorders, detailed comprehensive assessment when clinically<br />

indicated<br />

develop patient pathways for all new referrals to mental health services<br />

identify resource requirements for extending maupapa Māori Mental Health service to<br />

include tangata whai ora in primary settings<br />

develop a range of „packages of care‟, eg. brief intervention counselling provided by the<br />

co-ordinator, ongoing psychosocial support provided by the co-ordinator, client referred<br />

to community based support with or without ongoing review by co-ordinator, brief<br />

intervention counselling provided by primary mental health psychologist/ counsellor,<br />

client is referred for management to secondary mental health services, „shared care‟<br />

arrangements are supported by the co-ordinator.<br />

Enhance general practice team roles<br />

develop a pathway for selected patients who require only brief intervention counselling<br />

from psychologist/counsellor to be assessed by the general practice team and to access<br />

this counselling directly<br />

provide further training in screening and assessment to general practice teams<br />

up-skill nursing team in management of anxiety/panic/depression.<br />

Greater integration between secondary services and general practice teams<br />

enhance the psychiatric consultant liaison role to support GPs, providing phone support,<br />

educational sessions, medication reviews<br />

implement primary/secondary Multi Disciplinary Team meetings.<br />

Support for patient self care<br />

widely distribute PHO developed self help materials in a variety of formats<br />

promote approved mental well being resources supplied by CPH and available for patients<br />

and health professionals at IFHCs.<br />

create link to Community & Public Health website on PHO website<br />

enhance access to web based patient support programmes via publicity campaign eg.<br />

www.healthnavigator.org.nz, access to Monkey See DVDs<br />

develop links between primary mental health professionals and mental health promoters<br />

develop closer linkages with community agencies eg. PACT, Richmond Fellowship, Te Ara<br />

Mahi, Homebuilders and Focus Trust etc.<br />

Business case appendices V12 AC 25Feb2010 Page 95

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