3 Dec 2020 | Mental Health & Addiction Quality Improvement
Kia ora and welcome to this monthly update from the mental health and addiction (MHA) quality improvement programme | Whakapai i ngā mahi hauora hinengaro waranga hoki. Highlights for this month include the release of two powerful videos on consumers’ experiences of seclusion, and two well-attended and energising regional away-days for Zero seclusion project teams.
In this update:
The focus on re-energising efforts towards eliminating seclusion in New Zealand continues, with a particular focus on reducing seclusion rates for Māori and Pacific consumers.
We are privileged to be able to share videos of two consumers’ experiences of seclusion. These are the first two in a series of at least six videos about MHA priority areas. Our sincere thanks to Jenny Fenwick and Haki Davis for sharing their stories.
Jenny, who works as a consumer advisor at Nelson Marlborough district health board (DHB), and Haki, who is a member of Te Kete Pounamu, both have experience of being secluded when in in-patient services. In the videos, they tell how their experiences have affected them and what alternative actions they believe staff could have taken.
The videos are a ‘must see’ for anyone working in MHA services, and for those in the wider health sector, as we focus on eliminating seclusion in New Zealand.
We are also pleased to share the experiences of six DHB clinicians that have successfully reduced seclusion in their MHA services. Approaches showing promise include: improving admission processes, engaging differently with the individual and their family and whānau, greater use of cultural support, peer support, sensory modulation and other de-escalation approaches.
Two supra-regional away days, focusing on Zero seclusion, were held on 24 November (for the Northern and Midland regions), and 26 November (for the Central and South Island regions). The away days gave DHB project teams an opportunity to come together in person to meet with the national MHA quality improvement team and share ideas.
The workshops were full of energy and ideas, with a strong commitment from attendees to reduce and eliminate seclusion.
An online learning resource on addressing implicit bias is being developed by the MHA quality improvement programme, in partnership with Capital & Coast DHB. A project design group made up of six DHBs is meeting fortnightly.
The purpose of the resource is to raise the awareness of implicit biases and practices in the MHA sector with a broader goal to reduce seclusion and other restrictive practices. It is currently being tested by the Mental Health, Addictions and Intellectual Disability Service, and Waitematā and Auckland DHBs.
All DHBs are encouraged to use the resource once it is more widely available, which is expected to be early next year.
Te tautoko i a koe i tō haerenga whakapiki kounga
Supporting you on your quality improvement journey.