Community Health Social Work

• Ones mans view• Local perspective• NGO context• Political context• Community Development informned

“Why should we cherish “objectivity”, as if ideas were innocent, as if they don’t serve one interest or another? Surely, we want to be objective if that means telling the truth as we see it, not concealing information that may be embarrassing to our point of view. But we don’t want to be objective if it means pretending that ideas don’t play a part in the social struggles of our time, that we don’t take sides in those struggles.Declarations of Independence: Cross-Examining American Ideologyby Howard Zinn

A short political history• Te Uri Karaka• Toi the Navigator• Ngati Huarere of Arawa• Ngati Paoa• 1821 Hongi Hika• Ngati Paoa return late 1820’s• Logging and Mining• 1850, all the trees are gone• 1921 Ostend and Orapiu Roads Board• 1947 Auckland City takeover bid rejected after local opposition • 1955 Waiheke Roads Board formed from amalgamation of Onetangi and Orapiu• 1970 Waiheke County Council• 1973 Gulf News• 1981 County Council declares Waiheke Nuclear Free• 1989 Amalgamation with Auckland City Council• 1990 de-amalgamation vote• 2008 Royal Commission on Governance of Auckland

A short Organisational history• Traditional village care and midwifes• Retired ships doctor• Volunteer midwives• Quarantine station• Hospital board• Public health and district nursing• Area Health board• Colocation of some services, MH nursing• WHT political initiative, unique structure, opportunity to change the locus of power• Devolution of some services, fight for A&D• Collaborative servicing• Hau Ora separates • Persistent contracting out and underfunding

A day in the life a community health worker on Waiheke1. Triage2. Team update3. Urgent4. Booked, “Jims big break”5. Walk in ‘Brenda’s painful benefit”6. Booked Alfie’s last stand7. Monthly stats8. Urgent request for ISA HV9. Phone outs10. Missing Mac11. Melanna check in12. WSNG wine and chips

Community Health Social Work

• Ones mans view• Local perspective• NGO context• Political context• Community Development informned

“Why should we cherish “objectivity”, as if ideas were innocent, as if they don’t serve one interest or another? Surely, we want to be objective if that means telling the truth as we see it, not concealing information that may be embarrassing to our point of view. But we don’t want to be objective if it means pretending that ideas don’t play a part in the social struggles of our time, that we don’t take sides in those struggles.Declarations of Independence: Cross-Examining American Ideologyby Howard Zinn

A short political history• Te Uri Karaka• Toi the Navigator• Ngati Huarere of Arawa• Ngati Paoa• 1821 Hongi Hika• Ngati Paoa return late 1820’s• Logging and Mining• 1850, all the trees are gone• 1921 Ostend and Orapiu Roads Board• 1947 Auckland City takeover bid rejected after local opposition • 1955 Waiheke Roads Board formed from amalgamation of Onetangi and Orapiu• 1970 Waiheke County Council• 1973 Gulf News• 1981 County Council declares Waiheke Nuclear Free• 1989 Amalgamation with Auckland City Council• 1990 de-amalgamation vote• 2008 Royal Commission on Governance of Auckland

A short Organisational history• Traditional village care and midwifes• Retired ships doctor• Volunteer midwives• Quarantine station• Hospital board• Public health and district nursing• Area Health board• Colocation of some services, MH nursing• WHT political initiative, unique structure, opportunity to change the locus of power• Devolution of some services, fight for A&D• Collaborative servicing• Hau Ora separates • Persistent contracting out and underfunding

A day in the life of the CH SWKr on Waiheke1. Triage2. Team update3. Urgent4. Booked, “Jims big break”5. Walk in ‘Brenda’s painful benefit”6. Mrs M & T7. Booked Alfie’s last stand8. Monthly stats9. Urgent request for ISA HV10. Phone outs11. Missing Mac12. Melanna check in13. WSNG wine and chips

Tools and issues1. Triage: bias, the 51 vet and the worried well2. Team update: language barrier3. Urgent; On whose terms4. Booked, “Jims big break”: section 8 or section 9 and a hearty5. Walk in ‘Brenda’s painful benefit”: a new professor of pain asses need? Relationships

long term6. Mrs M & Tea7. Booked Alfie’s last stand; who are the family, who provides care, what issues are

relevant, is there informed consent, who is being protected, Getting past Roy8. Monthly stats; Can anything this tedious be useful, measuring changing referral pattern9. Urgent request for ISA HV, which judgements matter10. Phone outs pep pharma by copper11. Missing Mac; burglary bloke12. Melanna check in, a fragile peace: what is the social work role13. WSNG wine and chips: The listener, enabling powerful conversations.