1. 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

2. 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

3. Co-design
Patient
Feedback

4. 1:1 Therapy Engagement

5. Outcomes of Appointment System

6. 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

7. Introduction of warm handover
Behavioral Health Consultant and Health Coach roles

9. (Peer) Health Coaches

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

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

13. BHC, HIP, WA…

14. 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

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

16. 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

17. 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

18. 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

19. 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)

20. See the light come back in GPs eyes…

21. Contact Us Nicholas Cao Nicholas@ethc.co.nz Pallavi Mishra
David Codyre
Leona Didsbury