1. Co-Existing Problems Capability Project Steering Group Update February 2013

2. WDHB CEP Plan 2011 CEP Capability Project Plan 2011-12 6 x Workstreams 2013 District Plan Regional Plan Steering Group Working Group Operational Tailored

3. WDHB CEP Plan Goal 1: Client centred: To provide a client centred service which reflects a coherent and comprehensive understanding of the needs of service users and families Goal 2: Service development: To provide an integrated mental health and alcohol and addiction service which is CEP responsive and CEP capable

4. WDHB CEP Plan Goal 3: Integrated systems of care: To apply a stepped care approach across the District to support an integrated response to service users Goal 4: Workforce development: To establish a highly skilled workforce that is CEP responsive and effective.

5. CEP Capability Project Purpose To achieve effective CEP capability across the Waitemata District including the NGO sector and to support primary healthcare providers within a stepped care model. To support an integrated approach to planning, training, mentoring and monitoring within the District.

6. Services in Scope Adult including Cultural teams & Local Coordination Service Child, Youth & Family CADS Forensics MHSOA NGO and inform PHOs

7. Stocktake activity  Current Assessment tools in HCC and tools used in NGO and primary settings  Audit of assessment practice and compliance  Training available and undertaken

8. Research activity  Reviewed available screening and assessment tools  Potential to pilot WHO Assist Lite and a two-step screening process  Identifying best practice interventions and measures

9. Established the Approach Applying a stepped care approach: -Matching the capability of the team to the Service Users’ needs for CEP interventions at the right level of intensity Identifying the resources the team needs to reach this level of capability (over time) -One or more ‘Champions’ of CEP per team and develop these people to Level 3 -60% of Clinical workforce practising at Level 2 -100% have essential CEP knowledge (Level 1)

10. Strengthen Medical Capability Added a half day training in the Regional Registrar Training programme open to all trainers and supervisors. Content will consist off basic concepts and skills for recognising co-existing problems how to proceed role of the doctor in care planning and clinical reviews WDHB Registrar supervision includes CEP training by Susanna

11. Workstreams The Working Group has developed specific work plans to increase capability across five work streams: Adult services including Cultural teams & LCS CADS services Forensic services Child, Youth and Family NGO providers Plus MHSOA Training package developed

12. Workstream Common Elements 1.Scope 2.Purpose 3.Goals 4.Define capability –Level 1 –Level 2 –Level 3 5.Stocktake capability –current –gaps 6.Communicate with stakeholders 7.Train 8.Evaluate

13. 2012 Structure Steering Group Working Group Representative of 5 streams NGOs Bi - Monthly Fortnightly Annemarie Wille, Susanna Galea, Megan Jones, Alix McGinity, Johnny Dow, Aaron Carey, Charles Joe

14. 2013 Proposed Structure Steering Group Project Coordination Group AdultCADS CAMHSForensic NGOs Quarterly Bi-Monthly Reporting up Common G:drive Working Group + Annette Shea, ADHB Primary

15. For Discussion National competencies ADHB collaboration Primary sector representation Links to other work e.g. Stepped Care talking therapy pathway in CMHTs e.g. Motivational Interviewing component of Psychosis Relapse Prevention package