Primary Mental Health Service for Nirvana Health Group Wellness Support Team Awhi atu, awhi mai Supporting you, supporting me Primary Mental Health Service for Nirvana Health Group Increasing Access to Wellness Support: Meeting people where they’re at

GP care Nirvana’s Wellness Support Team Psychiatry review Manage Better Course Wise Mind Skills Group (DBT Informed) Triple P Therapy/ Psychology Mindfulness & Awareness Aotearoa MH nurse monitoring & support Case review & supervision Educating and upskilling GPs and nurses

Co-design Patient Feedback

1:1 Therapy Engagement

Outcomes of Appointment System

Decreasing wait to be seen and increasing engagement by 50% Aim: Decreasing wait to be seen and increasing engagement by 50% Primary Drivers: Connection to patient and choice of options Activation of clinic and staff Timely response, reduced delay

Introduction of warm handover Behavioral Health Consultant and Health Coach roles

(Peer) Health Coaches

Medication Reconciliation Patient is VIP Action Planning Agenda Setting Medication Reconciliation Ask-tell-ask Administer Health Forms

Health coaches support behavioural health consultants & GP team Self-management experts

BHC, HIP, WA…

Dimension BHC Therapist Primary consumer GP Patient/Client Care context Team-based Autonomous Accessibility On-demand Scheduled Appointments Ownership of care Referral generation Results-based Independent of outcome Productivity High Low Care intensity Problem scope Wide/General Narrow/Specialized Termination of care Patient progressing toward goals (no termination) Once patient has met goals

Ongoing communication with GP’s critical GP’s love simplicity and immediate results Ongoing communication with GP’s critical

Glen Innes - see more people with complex high needs 2018 Warm Handover 170 people seen behaviour health consultant,77 seen health coach, 38 both 65 Glen Innes CBT Referrals seen in 2017 from 200 referrals (96 scheduled) MENU OF OPTIONS RAPID ACCESS REACH PEOPLE

Dawson Road - see more people with complex high needs 61 Dawson Rd CBT referrals seen in 2017 from 180 referrals (80 scheduled) 2018 Warm Handover, 110 people seen behavioural health consultant, 135 seen health coach, 33 both

See more young people, Maori & Pacific GLEN INNES Referral System 2017 Warm Handover 2018 YTD # People <26 years seen 11 (all females) 31 # of Maori Pacific seen 17 79 Dawson Rd Referral System 2017 Warm Handover 2018 YTD # People <26 years seen 16 10 # of Maori Pacific seen 15 61

Outcomes Very positive helpfulness ratings (8.95/10) Duke Health profile follow up to baseline 70% improve at follow up 10 % stable 20 % worsen “I was very comfortable. This the most hope I've felt in 10 years. Would like to come back.” (BHC client) “It help me a lot to talk about what happening around my life and health. Thank you so much.” (BHC + HC client)

See the light come back in GPs eyes…

Contact Us Nicholas Cao Nicholas@ethc.co.nz Pallavi Mishra Pallavi.mishra@ethc.co.nz David Codyre David.codyre@ethc.co.nz Leona Didsbury leona@ethc.co.nz