1. Tu Tangata Tonu A Service to support children in families where there is parental mental illness NetworkMosaic Conference, 10 August 2010 Seema Woollaston & Luci Falconer Kari Centre, ADHB

2. Pilot Project Timeframe for Project Initially 1 year, then extended Initially 1 year, then extended 1 December 2007 – 30 September 2009 1 December 2007 – 30 September 2009 Project Goals To scope the needs of the target group To scope the needs of the target group To implement a Pilot Programme, and to evaluate and determine the effectiveness of interventions provided To implement a Pilot Programme, and to evaluate and determine the effectiveness of interventions provided To provide a rationale and make a proposal for an ongoing Service for children in families where there is parental mental illness within ADHB To provide a rationale and make a proposal for an ongoing Service for children in families where there is parental mental illness within ADHB

3. Tu Tangata Tonu Name chosen in collaboration with Maori & Pacific Cultural advisors (acknowledgements to Anaru Roberts and Barry Afaaso) Name chosen in collaboration with Maori & Pacific Cultural advisors (acknowledgements to Anaru Roberts and Barry Afaaso) Reflects the importance of viewing children and families in a strengths-based manner that recognises and promotes their resilience Reflects the importance of viewing children and families in a strengths-based manner that recognises and promotes their resilience “Tu Tangata Tonu” carries meanings within Maori and Pacific Island languages, ideas of the importance, affirmation, strength and continuity of people “Tu Tangata Tonu” carries meanings within Maori and Pacific Island languages, ideas of the importance, affirmation, strength and continuity of people Highlights the fundamental focus of the Project: Highlights the fundamental focus of the Project: – providing support for people in the context of their family/ whanau – acknowledging the importance of their connections to the past and the future and that this primarily occurs through family – acknowledging the numerous strengths and capabilities already operating within their lives

4. Who is involved? Project Project Seema Woollaston, Registered Social Worker Seema Woollaston, Registered Social Worker Project Co-ordinator (0.5 FTE) Luci Falconer, Clinical Psychologist Luci Falconer, Clinical Psychologist Clinical Services Co-ordinator (0.3 FTE) Connect, NGO Connect, NGO Joy Wharton & Hinemoa McSweeney (1.5 FTE) Project Steering Group (until end of 2009) Project Steering Group (until end of 2009) Project Interest Group (ongoing) Project Interest Group (ongoing) Ongoing Service Keith Brown, Nurse Specialist/ Family Therapist (0.1 FTE) Keith Brown, Nurse Specialist/ Family Therapist (0.1 FTE) Still to be recruited (0.3 FTE) Still to be recruited (0.3 FTE)

5. Service Criteria Children and Adolescents 0-19 years Children and Adolescents 0-19 years The service user lives within the Auckland DHB catchment area The service user lives within the Auckland DHB catchment area The identified child or adolescent has a parent with a severe and/or chronic mental illness who is currently engaged with an Adult Mental Health Service; or whose family is currently engaged with a CAMHS Service within ADHB (provider arm) The identified child or adolescent has a parent with a severe and/or chronic mental illness who is currently engaged with an Adult Mental Health Service; or whose family is currently engaged with a CAMHS Service within ADHB (provider arm) The identified child or adolescent’s family or legal caregiver is involved in the referral and interventions, or has given their consent for the young person to be involved, if the young person is under 16 years of age The identified child or adolescent’s family or legal caregiver is involved in the referral and interventions, or has given their consent for the young person to be involved, if the young person is under 16 years of age The parent/ child/ referrer believes that the parental mental illness is having a adverse effect on the wellbeing and/or functioning of the child The parent/ child/ referrer believes that the parental mental illness is having a adverse effect on the wellbeing and/or functioning of the child

6. Project Plan & Pathways (Phase One, Phase Two, Phase Three) ADHB Adult Mental Health Services Clients/ families Clinicians/ keyworkers Parent group Children’s group Adolescent group Staff survey Psychoeducation packages/ resources/ information Revising Core Documentation to include children Kari Centre Workforce development eg staff training Pathways of referral to appropriate Services eg. Kari Centre/ NGO/ CYFS Clients/ families Clinicians/ keyworker s Pathway for assessment and intervention at Kari Centre Connect Family support work

7. Current Interventions NGO Support work Connect provide Support work to families who are identified as needing practical assistance and home-based support. A Support Plan is formulated with each family by the Support Worker Connect provide Support work to families who are identified as needing practical assistance and home-based support. A Support Plan is formulated with each family by the Support WorkerGroups KIDZONE - Peer support and psycho-education group for children aged 8-12 KIDZONE - Peer support and psycho-education group for children aged 8-12 H.O.P.E. – Parent group in collaboration with Adult Services H.O.P.E. – Parent group in collaboration with Adult Services YOUTHZONE - Adolescent peer support & psycho-education group for young people aged 13-18 (starting August 2010) YOUTHZONE - Adolescent peer support & psycho-education group for young people aged 13-18 (starting August 2010) Family Work Working with identified families to provide support, psycho education, strengthen family relationships, address relevant issues Working with identified families to provide support, psycho education, strengthen family relationships, address relevant issuesResources Resources for families and professionals, such as age-appropriate psycho-educational material, available for clinicians to use and/ or to share with families Resources for families and professionals, such as age-appropriate psycho-educational material, available for clinicians to use and/ or to share with families

8. Evaluation Research Run to end 2010 Run to end 2010 All clients of the Tu Tangata Tonu service were invited to participate All clients of the Tu Tangata Tonu service were invited to participate Pre – post qualitative interviews Pre – post qualitative interviews

9. Reflections Working on engagement is very important, at times slow Working on engagement is very important, at times slow Continued presence and visibility at Adult Services needed Continued presence and visibility at Adult Services needed Ongoing availability for liaison and consultation with Adult and other Services Ongoing availability for liaison and consultation with Adult and other Services Importance of input from Adult clinicians Importance of input from Adult clinicians Challenges of limited resources (need to be creative) Challenges of limited resources (need to be creative)

10. “Other things may change us, but we start and end with family” Anthony Brandt