12.07.2015 Views

Better, sooner, more convenient health care in Midlands

Better, sooner, more convenient health care in Midlands

Better, sooner, more convenient health care in Midlands

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7 Deliver<strong>in</strong>g on <strong>health</strong> targetsMental <strong>health</strong>Health targetPercentage of long term clientswith up to date relapse plans(NMHSS criteria 16.4) anddescribe how this is assuredNational WDHB TDHB TDH LDHBTotal 93% 90% 90% 100% 90%Maori 53% 43% 55% 60% 43%Pacific Island 54% 42% N/A N/A N/ACurrent performanceCurrently specialist acute mental <strong>health</strong> services are delivered by providers where the focus of thecl<strong>in</strong>icians is on the top 3% client group and their mental <strong>health</strong> needs. This <strong>care</strong> is provided usuallyat the exclusion of a patient’s other medical conditions and social needs. A grow<strong>in</strong>g frustration forprimary <strong>care</strong> and many NGO providers is their <strong>in</strong>ability to ga<strong>in</strong> access to community mental <strong>health</strong>services for second op<strong>in</strong>ions or for clients they genu<strong>in</strong>ely believe require specialist support.Approximately 50% of current <strong>in</strong>vestment is <strong>in</strong> community-based providers <strong>in</strong>clud<strong>in</strong>g rehabilitation,residential <strong>care</strong>, kaupapa maori providers and other related support services. Additionally, primary<strong>care</strong> has embraced the new model of <strong>care</strong> for people with mild to moderate conditions. Evidencesuggests that early <strong>in</strong>tervention <strong>in</strong> this area is likely to reduce the impact of co-morbidities andimprove service coord<strong>in</strong>ation.Social services play a major role <strong>in</strong> the support of people <strong>in</strong> the community.Needs projectionsThere are currently no <strong>health</strong> projections for mental illness <strong>in</strong> this geographical area.Regional PromisesTo those people <strong>in</strong> <strong>Midlands</strong> who experience mental illnessPromise 8:Promise 9:If you live with mental illness you will have a Relapse Plan that is current andactively managed.If you live with mental illness you will have s<strong>in</strong>gle po<strong>in</strong>t access for all your<strong>health</strong><strong>care</strong> needs.103

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