Pacific island mental health for

Oceania

Igniting communities, creating change

Dr Monique Faleafa CEO Le Va

#IIMHLSydney2017

LeVaPasifika

LeVaPasifika

LeVaPasifika

LeVaPasifika

LeVaPasifika

LeVaPasifika

Blended Learning

Traditional

values,

contemporary

execution

Enhancing cultural responsiveness

LeVaPasifika

LeVaPasifika

Blended Learning

Cultural Authenticity

LeVaPasifika

Responsive Systems

We can only

travel at the

speed of trust

LeVaPasifika

Blended Learning Responsive Systems

Cultural Authenticity Strengths Based

- Relationships are paramount - Culturally self-aware- Biomed integrated with culture- Diversity of the workforce- Include social determinants

- Better & earlier access- Reduction in DNA rates- Higher level of satisfaction- Compliance with treatment

change outcome

LeVaPasifika

What does it look like when culture and care connected in mental health?

What would it look like if culture and care connected in your organisation?

LeVaPasifika

National Maori and Pacific Suicide Prevention Programme

B.R.A.V.E

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Evidence based approach

• National Collaborating Centre for Mental Health (NCCMH).E-therapies systematic review for children and young people with mental health problems. London: NCCMH 2014

• New Zealand Guidelines Group (NZGG). Identification of common mental disorders and management of depression in primary care. Wellington: NZGG 2008.

• Office of the Prime Minister’s Science Advisory Committee. Improving the transition. Reducing social and psychological morbidity during adolescence. Auckland, NZ, 2011

• Pierce D. Problem solving therapy - use and effectiveness in general practice. Aust Fam Physician 2012;41:676–9.

• Pennant ME, Loucas CE, Whittington C, et al. Computerised therapies for anxiety and depression in children and young people: a systematic review and meta-analysis. Behav Res Ther 2015;67:1–18

• Fleming T, Dixon R, Frampton C, et al. A pragmatic randomized controlled trial of computerized CBT (SPARX) for symptoms of depression among adolescents excluded from mainstream education. Behav Cogn Psychother 2012;40:529–41.

• Merry SN, Stasiak K, Shepherd M, et al. The effectiveness of SPARX, a computerised self-help intervention for adolescents seeking help for depression: randomised controlled non-inferiority trial. BMJ 2012;344:e2598.

Best Practice Journal, 2016. 72, pp 20-31

LeVaPasifika

build.test.repeat…build.test.repeat…build.test.repeat

LeVaPasifika

End users as experts = compromise

LeVaPasifika

www.auntydee.co.nz

Is it working?

Average positive mood change of +1 on completion

Sneak peak at results so far… (n=2170)

What are you prepared to compromise in order to get better outcomes across cultures?

LeVaPasifika