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National Refugee Resettlement Forum Health & Wellbeing in the Auckland Metro Region Samantha Bennett Asian, Migrant and Refugee Health Gain Manager Auckland and Waitemata DHBs
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Outline 1.Health needs of young people from refugee backgrounds 2.Auckland, Waitemata and Counties Manukau District Health Boards (DHBs) response to working to support refugee youth health 3.Culturally responsive services for working with refugee youth with mental health concerns
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Refugee youth health needs in New Zealand Access to services Edgewalking Sexual health Mental health Substance abuse Diet
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Snapshot of the Auckland metro region Culturally appropriate Platforms, Programmes & Services GovernanceForums Projects - Umma Trust - R.Y.A.N Mainstream services - Mental health - School-based health - General practice Localities
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Governance platforms 1. Auckland Regional Asian & MELAA Primary Care Working Group
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Cont… 2. Auckland DHB a)Funds a collaborative Youth Service Level Alliance Team (YSLAT) Members: PHOs in Auckland DHB Determines work programme and how money is spent including school-based health services b) Youth Clinical Governance Group ‘Youth are able to reach their full potential and thrive in their communities’ Members: Family doctor’s(GPs), Registered Nurses (RNs), funding and planning (ADHB), Child and youth health team (ADHB), NGO, Community Alcohol and Drug, School guidance counsellor, paediatrician, Ngati Whatua, Consumer leadership and mental health
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November, 2015 Youth health -What matters to young people 1. Edgewalking - living in two worlds 2. Sexual health issues for young people 3. Substance abuse Aug, 2016 deep dive into a key topic arising from this Forum 1.
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2. Auckland School-Based Nurses Group
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Services/Programmes 1. Umma Trust Youth Development Project Aim Young Muslim New Zealanders have a strong sense of belonging & positively contribute to society Values All initiatives reflect The Umma Trust values – support one to empower many All initiatives take an intergenerational approach where parents and whanau are consulted at all levels
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Districts DHBAreas of work Auckland & Waitemata DHBsMain scope is to work with clients and agencies Counties Manukau HealthSocial workers work with clients in Counties Manukau DHB, and have a volunteer working with Muslim families in Manukau
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2. Refugee Youth Action Network
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DHB funded services 1. Mental Health Services for Youth Refugees as Survivors New Zealand (RASNZ) To deliver high quality, culturally appropriate mental health services for all refugees entering and resettling in New Zealand
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Districts DHBMainstream services Waitemata DHBMarinoto Child and Youth Mental Health Services (0-19 years) Auckland DHBKari Centre (13-18 years) Counties Manukau Health Whirinaki Child, Family and Youth Mental Health - Child & Youth Mental Health Services (4-18 years) Kidz First Centre for Youth Health (12-24 years) Regional Altered High (Alcohol or drug use) (13-20 years)
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Cont… 2. Primary Care Refugee Wrap Around Services for the Auckland metro region Support for General Practices to provide free (or with very small subsidy) medical care for eligible enrolled refugees including youth (50+ practices on-board) resided in New Zealand for 10 years or less Extended consultation (up to 45 minute consultation in total) Flexible consultation (one-off, episodic) e.g. flu jab Work closely with NZ Red Cross volunteers and Mangere Refugee Resettlement Centre Increase in practice staff completing cultural competency CALD 1 & 3 training and greater access to language support such as Interpreter services
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Cont… 3. School-based health services Nurse educators deliver on-site health services DHBProviderKnown schools with refugee youth WaitemataDecile 1-3, some decile 4 Youth health hub Massey High Henderson High AucklandDecile 1-3, some decile 4 Youth Service Level Alliance Team (YSALT) Onehunga High Mt Roskill Grammar School (63 known) Selwyn College Counties Manukau Decile 1-4 schools Centre for Youth Health (CMDHB)
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Localities engagement (Auckland DHB) August & Nov, 2015 Burmese refugee young people and adults in Glen Innes
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Common themes What’s stressing me out School work, mum scolds me Where can I get support At home Who can support me Mum and friends How can I support myself Talking to someone
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Together we can make a difference Samantha Bennett Samantha.Bennett@waitematadhb.govt.nz
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