PosterPresentationsTitleofposterpresentation Presentingauthors1.WingsTrust:Transforminglives;transformingfamilies;transformingcommunities

ClinicalTeam,WingsTrust

2.PasifikaFono-CreatingaCulturalIdentity CoreySenelaleHungaManaaki,MoanaHouse

3.CelebratingTransformationviatheVesselofWakaOra(ImpairedDrivingProgramme)

TomWhare&DailePeni-LeVaillantAODCounsellors,TeUtuhinaManaakitangaAODServices

4.AnInnovativeYouthFocusedApproachtoAddressingAddiction

DebFraser&TangiNoomotuDirector&ClinicalCoordinator,WhakaataTohuTohu/MirrorHQ

5.TransformingtheLandscape

DonnaEwartClinicalArtTherapist-PaiAkeSolutions

6.We’reinitTogether! LesleeBlackmore&GlynSkippCo-ExistingProblemCoordinators,CountiesManukauDHB

7.ExploringLayersofVisioninGamblingClientstoAddressImpactsofNewGamblingTechnologies

JennyCurry

8.“DrawingfromtheWellof‘Wows!”

LouisSmithCoordinator,CommunityAdvocacyandLiaison

9.Transformation–MatuaRakiConsumerLeadershipGroup:FromChrysalistoButterfly

MarcBeecroftRegionalAODConsumerAdvisor:OdysseyHouseRhondaRobertsonNationalConsumerAdvisor:TheSalvationArmy,Addiction,SupportiveAccom.&ReintegrationServicesSheridanPooleyRegionalConsumerAdvisor:CADSCommunityAlcohol&DrugServicesAdrienneFrueanKaihautu/SeniorCo-ExistingProblemsClinician:TuiOraLtd

10.HepatitisC–Removingbarrierstorecoveryandtransformation

NaomiWickensAddictionsPractitioner,SelfEmployed/WairarapaPrivateAddictionServices

11.Hakaahuatanga–Navigationalwhanaucentricpractice–supportingpathwaysfortransformation

PamArmstrongProjectLeader,NNR-NgaNgaruRautahioAotearoaMarinoMurphyManager,NgaMangaPuririNorthlandProblemGamblingService

12.TheTransformativePowerofDivorce

PaulSchreuderSeniorLecturer,WellingtonInstituteofTechnology

13.Transformation–WhānauOraapproachtoCEPCapability

RangimokaiFrueanSeniorCo-ExistingProblemsClinician,TuiOraLtdBridgetTaylorCo-ExistingProblemsClinician,TuiOraLtd

14.ManagementofClientswithAlcoholRelatedBrainInjury-Aliteraturereviewandsuggestionsfortransformationandimprovementstocurrentservices

Susana Lustig Addictions Clinician, Community Mental Health, Addictions & Disability Services, 3DHB John Mellors Addictions Clinician, Community Mental Health, Addictions & Disability Services, 3DHB

15.Tihei-waMauriOra:IndigenousResource

TeinaPiripiKaiArahiCounsellorAlcohol&DrugCommunityMentalHealth&AddictionsFarNorth,NDHB:Ngapuhi,TeRarawa,TeAupouri,NgatikuriVivienneBodyKaiArahiCounsellorTeRunagaOTeRarawa:Ngapuhi,Tuwharetoa

16.ManaakiandSACAT–morethanmeetstheeye!

TerryHuriwaiManagerTeHauMārireProgramme,TeRauMatatini

17.RethinkingtheWayweWorkinAOD–TheBreamBayTrustAODProject

TheresaBothaAlcohol&DrugCounsellor,NorthlandDHBHenriettedeVriesIntake/triageNurse,NorthlandDHB

18.ATangihangaandKaikarangaFramework,asanAlcohol,DrugandMentalHealthTransformativeModelofPractice

IrihapetiMorehuAddictions Assessor for Corrections, Tuwharetoa Ki Kawerau Health Education and Social ServicesMoerangiPotikiCommunity Mental Health Clinician, Poupoua Charitable Trust

19.WhaioraOnline–PostDischargeOutcomes

DallasHibbs&TanithPetersenCEHeWakaTapu&ITAdminManager

1.WingsTrust:Transforminglives;transformingfamilies;transformingcommunitiesWingsTeamClinicalTeam,WingsTrustWingsTrustwasformedin1986.InthelasttwoyearsWingsTrusthasbeenundergoingatransformation-newmanagement,newclinicalteam,newhouse,newAOD/AODTCcontract.Weaspiretoprovideadynamicservice,abletoidentifyandrespondtotheneedsofpeopleseekingsupportforchange.Ourpresentationwilldescribetheongoingtransformationofourservice,usingbestpractice,tomeetidentifiedneedsinthecommunity.WingsislocatedincentralAuckland,andbasedona12steptherapeuticcommunitymodel.Wehave8housesandamaximumof45residentsatanyonetime.Residentsareundergoingaprocessoftransformationastheypreparefortreatmentandastheyre-integrateintothewidercommunityposttreatment.Ourtreatmentprogrammeincludes1:1counsellingandgroupwork.Wingsencouragesfamilyparticipationthroughouttheprogrammeandlinksresidentsandtheirfamiliesintorelevantsupportswithinthecommunity.Researchindicatesthatpeopleattendingmutualaidgroupslocatedinthecommunityhaveimprovedoutcomesforsustainedrecovery.(Gossopetal2007)Blair,aresidentofWingssays-“IhavegainedsuchavaluableeducationfromWingsintheirapproachtogroups,professionalcounselling,AAmeetingsand12steps.Wingsisauniqueorganizationwithauniqueservicewiththoseidentifyingwithaddictioninanyform.Ihitrockbottomandfoundaspringboardfromwhichtorealizemyself,mypotential,andafreshstart.”

WingsTrustwillbepresentingasaclinicalteam.Theteambiographies:LyndaHoltom:IbecameinterestedinworkingwithintheAODFieldaftermyownpersonalexperiencesoftheimpactofAlcoholinmylifeandasanaffectedfamilymember.Ihavenowbeenworkingwithinthefieldforthepast16years.Iampassionateaboutsupportingpeoplewhoarewantingtomakechangesintheirlives.ChrisThomas:MyrelationshipwithWingsTruststartedin2009havingenteredtheprogramtofurthermysupportswithinrecoveryfromaddictions.HereIlearnttolivebyspiritualprincipleswhilepracticingtoolsgainedfromtreatment.ItwasthroughthisprocessIbecameinspiredtoworkwithintheaddictionfield,andwithsupportgainedfromwingsgainedaBachelor’sDegreeinAddictions.Thiswasanaidtogivebacktothosewhoalsosufferfromaddictionswithapassiontopromotepositivechanges.AnataMcKechnie:AnataenteredtheAODfieldin2010andwentontocompleteherBachelorofAddictionsStudiesdegree.AnatahashadexperienceinbothcommunityandresidentialAODservices.Anatahaspersonalexperienceofaddictionandrecoverywhichgivesherstrengthandempathyasaneffectiveclinician.ShehasanineyearoldsonwhoisthelightofherlifeAmyAlexander:Mypersonalrelationshipwithaddictionisthatofafamilymember(affectedother),beingbornintoafamilyinactiveaddictionthatthankfullytransitionedintorecovery.Ihaveakeeninterestinsupportingmyclientsandtheirfamiliestobetterunderstandboththeiraddictionandtherecoveryprocess.Stu Bunyan: My personal journey of recovery began in January 2009. I have completed a Bachelor’sdegreeinAlcoholandDrugstudiesandhaveexperiencedworkinginboththecommunityandresidentialtreatment environment. I have a passionwithworkingwith clients from the justice system, however Ienjoyworkingwithallclientsatvariousstagesofreadiness

2.PasifikaFono-CreatingaCulturalIdentityCoreySenelaleHungaManaaki,MoanaHouseMoanaHouseisalongtermresidentialtherapeuticcommunitylocatedinDunedinforadultmaleswhoarewantingtomakechangesintheirlives.Thenatureofourworkwithwhaioraisvast–includingbutnotlimitedtooffending,mentalhealth,addictionsandidentityalongsidewhanaurelationships.Theprogrammetakesaholisticapproachtowellbeing.Partofthisincludesstrengtheningculturalidentityandthetransformationalchangethatcanoccurwithinthisprocess.ThisposterprovidesanoverviewofourPasifikaFonowithintheresidentialprogramme.ThefonowasdevelopedinrecognitionandresponsetotheincreasednumberofPacificwhaioraenteringourservice.Thisissupportedbycontemporaryresearch,bothMasonDurieandKarlPolutu-Endemannplaceemphasisonthelinkbetweenaccessibilitytoculturalidentityandpositivehealthoutcomesforindigenouspeople.ThisisseenthroughtheFonofalemodelwherecultureistheroofofthefalethatshelterstheaigathroughculturalvalues,beliefs,customsandtraditions.OurPasifikaFonoisawhaioraledgroupthatincorporatesthebuildingofknowledge,traditions,customs,beliefs,values,languageandselfidentityinrespectivetoeachoftheirPolynesianorigins.Althoughsupportedbystaff,thewhaioraareencouragedtoconsiderwhattheycancontributetothegroupwhetheritbeasong,haka,prayerorMea’ai.Biography:CoreyisofSamoanandEuropeandecentandlivesinDunedinwithhiswife.HeisacurrentstaffmemberandgraduateoftheMoanaHouseprogramme.Coreyhasapassionforworkingwithpeoplewantinganewdirectionintheirlife.CoreyisadapaanzmemberandiscurrentlycompletingTeTaketake(AppliedDiplomainAddictionCounselling)tofurthersupporthisknowledgewithinthealcoholandaddictionfield.

3. CelebratingTransformationviathevesselofWakaOra(ImpairedDrivingProgramme)TomWhareAODCounsellor,TeUtuhinaManaakitangaAODServices,RotoruaDailePeni-LeVaillantAODCounsellor,TeUtuhinaManaakitangaAODServices,RotoruaWecelebratetransformationviathevesselofWakaOraanImpairedDrivingProgrammewhichencouragespeopletoaddressaddictionissues,safedriving,beingresponsibleandbeingmindfulofothersincludingindividuals,whanauandhaapori(widercommunity).The2012treatmentguidelinesreleasedbyMatuaRakisuggesta40yearhistoryoftreatingpeoplewhorepeatedlydrinkdriveinNewZealand.Treatmentwasoftenpunitiveandappearedtolackaconsistentapproachnationally.Wetooktheopportunitytoco-writeourprogrammewithanotherMaoriHealthProvider,TuhoeHauorautilisingtheprinciplessetoutintheguidelines.WakaOraisafiveweekprogrammedesignedtoreducereoffendingamongimpaireddrinkdrivers.TheprogrammeisdeliveredfromaMaoriparadigmutilisingTikanga.Itincorporatestactileactivitiesincluding‘WakaAma’,‘FatalVisionGogglesActivity’and‘FirstAid’.TheactivitiesprovideanopportunityforWhaioratoreflectontheirbehaviourwhilelearningtransferableskills,assessingriskandsafety.Thecontentincludesimpaireddrivinginformationandknowledgespecificallydesignedtoreducerecidivism.WhileparticipatinginWakaOra,participantslearnnewconcepts,whakaoho(awakeningtheirconsciousness)andgainskillstoutilisewithintheirwhanauandhaapori.Participantsengageinactivitieswithmoreconfidenceandinasafermanner.ParticipantsarepredominantlyMaorimalewith3+EBAcharges.Attendanceisconsistentand65/75completedthefullprogramme.FeedbackreceivedfromparticipantsandStakeholdershavebeenconsistentlypositive.Manyhavereportedhowtheprogrammehasbeenempowering,creatingmindfulnessofothers.Wehaveobservedparticipantstransformationandexcitementaboutlearningnewwaystosupportthemselves,whanauandcommunity.BiographiesTomWhareKoNgatiRangiwewehi,koTeArawangaiwi,koTeArawatewakaAODCounselloratTeUtuhinaManaakitangaAODServices,Rotorua,TakarangiAssessor,BachelorofAODDailePeni-LeVaillantKoNgatiPikiao,koTeArawangaiwi,koTeArawatewakaAODCounselloratTeUtuhinaManaakitangaAODServices,RotoruaTakarangiAssessor,BachelorTeaching,PostgraduateCertificateAOD,ParentsUnderPressureTherapisBothTom&DailehavebeentheleadfacilitatorsoftheWakaOraprogrammeforthepast2yearsandcontinuetodelivertheprogramme.

4.AnInnovativeYouthFocusedApproachtoAddressingAddictionDebFraser&TangiNoomotuDirector&ClinicalCoordinator,WhakaataTohuTohu/MirrorHQMirrorHQisaprovideroftheYouthExemplarServicefundedthroughthePrimeMinister’sYouthMentalHealthImitative.Whataredifferencesforyoungpeopleandtheirwhanausincethisservicehasbeeninplaceandwhathavewelearnedfromworkingfromamultidisciplinary,multiskilledteammodel.Arecentindependentevaluationhasoutlinedkeysuccessesfortheservice.Whatwerethekeyfindings?Stigmaisanongoingchallengeforourclientgroup.InwhatwayshasMirrorHQaddressedthese?BiographiesDebFraseristheDirectorofWhakaataTohuTohu/MirrorServicesandhas24years’experienceworkinginchildandyouthmentalhealth,addictionandsocialservices.DebhasdevelopedMirrorServicesfromateamoftwocounsellorstoastaffof33witharangeofserviceprovision.SheexpandedMirrorCounsellingService,establishedtheMirrorYouthDayProgrammein2001,thePrimaryLevelMentalHealthTeamin2011andtheMirrorYouthExemplarService(MirrorHQ)in2014.Debcontinuestoidentifyfurtherareasofdevelopmentinordertoassistchildren/youngpeopleandtheirwhanautoreachtheirfullpotential.TangiisClinicalCo-ordinatorofWhakaataTohuTohu/MirrorServicesandisbasedinMirrorHQworkingwith young people 12-22 years with mild to severe mental health and substance use issues. Prior tomovingtoMirrorServices in2013hewasTreatmentCo-ordinatoratMoanaHouse.Tangiwasthe2013recipient of the John Dobson Postgraduate prize which recognises the top student graduating in anaddictionandco-exisitingdisorderpostgraduatequalification.In2015,bothDebandTangicompletedaPostgraduateDiplomainHealthScienceEndorsedinaddictionandco-exisitingdisordersthroughtheUniversityofOtago&areregisteredDAPAANZPractitioners.

5.TransformingtheLandscapeDonnaEwartClinicalArtTherapist-PaiAkeSolutionsThearttherapiesareaformofpsychotherapyutilisingcreativemodalities,includingvisualartmaking,drama,anddance/movement,withinatherapeuticrelationshiptoimproveandinformphysical,mentalandemotionalwell-being.ArtTherapyprovidesanavenuetoexpress,explore,andexternaliseexperiences,thoughts,feelingsandbehaviours.Thevisualendresultoftheartworkcanfacilitatereflection.ArtTherapycanhelppeopleexpresstheirthoughtsandfeelingsthattheymaynotbeabletosaywithwords.Thistherapyisespeciallyhelpfulforpeoplewhohaveunderlyingpsychologicalissuesrelatedtotheiraddiction,suchasadepression,anxietyorahistoryofabuse.Sincecreatingartisoftenanonverbalprocess,andexpandsthewaysapersoncanconveyideasandemotions,arttherapyprovidesanopportunitytoexplore,understand,andresolveissuesinaperson’slifethathemaynotfeelcomfortabletalkingaboutinaregularconversation.Byhelpingtheindividualreconnectwiththeirtrue,authenticself,theytapintothestrongerpartofthemselveswhotheywerebeforetheaddiction.Insteadoftakingnegativebehavioursoutonourselves,throughself-expressionwemaybegintounderstandthevoidthattheaddictionwastryingtoreplace.Throughartwecanconveyourexperiencesinexpressivewayswherewordssometimesfail.Biography:OfNgapuhiandNgaitahudescent.Spentthepast25yearslivingbesidetheoceanontheWhaingaroaHarbour.Employedasaspeechandlanguagetherapist(1995)intheRaglandistrict.TrainedinArtTherapywithcontinuingeducationpapersatWaikatoUniversity(1995-98).CompletedMastersinCommunityPsychology(1999-2004).Employedas‘ArtTherapist’withHospice’sRainbowPlace(2004)EmployedatParentlineHamilton2006,traininginplaytherapy.CompletedArtTherapyMastersatWhitecliffe(2008-10)PaiAkeSolutions(2009)co-facilitatingWhānake,anadolescentgroupprogrammeanddevelopmentofTeAraWahine,women’sgroupprogramme.EmployedatPaiAkeSolutions(2010-current)

6. We’reinitTogether!LesleeBlackmore&GlynSkippCo-ExistingProblemCoordinators,CountiesManukauDHBMentalhealth…….addiction…….mentalhealth…….addiction…….neverthetwainshallmeet.Thankfullyaroadlesstravelled!HereatCountiesManukauDHBwearetakinganalternativeroutethatcombinesMentalHealthandAddictionsasoneholistic,comprehensiveandtherapeuticfoundationonwhichtocultivatehopeandpromotepersonalrecovery.We’reinittogetherproposestoillustrateandcelebratethetransformationofCo-existingproblemservicedeliverythroughoutCountiesManukauDHB,ourlocalcommunity,andforthoseinneedofCEPsupport.TocelebrateourtransformationwewillbegoingbacktoourCEProots.Herewewilllookattheservicestructureofthepastthroughtheeyesofthosethataremostlyaffected-theclientandtheirwhanau.Wewillbefocusingontheincreasingdemandforintegratedmentalhealthandaddictionserviceswithevidencetosupportagrowingservicepopulation.WewillthenlookatwherewecurrentlysitwithinCountiesManukauDHBmentalhealthandaddictionserviceswithaddressingCo-existingproblems.WewillbecelebratingthepositivestepsmadeinestablishingCEPworkerstodriveworkforcedevelopment,supportandeducateclinicianstoaddressclientsAODissues,andbuildbridgeswithotherAODagencies.HavingdiscussedthefoundationsandexpectationswehavesetourselvesforaddressingCEPinCMDHB,wewillthenlookattheroadahead–ourvaluesandvisionforthefuture.Nodooristhewrongdoor.........andwe’reinittogether.BiographiesLesleeBlackmoreRNcomesfromafamilywhohave4generationsofexperienceinsubstanceuse.After20yearsworkingforCadsshebitthebulletbecomingthefirstinherfamilytogotouniversity,andsheexpresseshergratitudetoFraserToddandDarylDeeringfortheirsupport.Workingacrossmostofthesubspecialitiesatonetimeorother,evendoingherturnatwritingforWomen’sWeeklyandWomen’sDaymagazinesaswellasresourceproduction,Lesleeisfollowingaplanshefirstthoughtofin1984toensureaddictionisaddressedforMentalHealthclients.Travellingall theway fromthemountainsofNorthWales,GlynSkippRMNarrivedontheshoresofNZwithawealthofexperienceandspecialistknowledgeinthefieldofAODwithinmentalhealthservices.Glynhasworkedasacareco-ordinator,specialisingincommunityAODdetoxifications.Hetookanactiveroleindevelopingserviceguidelinesensuringaholistic,collaborative,therapeuticapproachwasadoptedanddeliveredtoallwhoaccessedAODservices.Glyn shares the same drive, vision and enthusiasm as his co-worker Leslee to ensure addiction isaddressedinmentalhealthservicesatCountiesManukauDHB,asaddictionistheexpectationandnottheexception.

7.ExploringlayersofvisioningamblingclientstoaddressimpactsofnewgamblingtechnologiesJennyCurryReferringtolookingatoneselfinthemirror,MichelFoucaultstates,“Fromthestandpointofthemirror,IdiscovermyabsencefromtheplacewhereIam,sinceIseemyselfoverthere”.(FoucaultinMirzoeffp.232).Theactoflookingandinterpretingchangesforsometodistortionwhenplayingpokiemachines.Inafullinterventionwithgamblingclients,counsellorswillaskthemwhatdoesthegamblingactmeansforthem.Inthecaseofpokiemachines,whatareyouthinkingwhenyouareplayingorhowdoyoufeelwhenplayingthemachine?Inmypractice,Ihaveextendedthedialoguetowhatdoyouseewhenyouareplaying?Whatisthemachinesayingtoyou?Inorderto‘own’theactivity,exploringthevisionpatternsandwhattheymeantotheclientisastepbackfromfeelingsandbeinginasafeplacethatoftenprevailsintheconversation.Byaskingtheclientwhattheyseeandhowtheimagesspeaktothemisthebeginningofownershipoftheactivitywhichmayhavebeendisownedforsometime.UsingVisualCulturetheorythatanalyseslookingasthe‘gaze’mayassisttheclienttoidentifytheirpatternsoflookingandhowthisempowers(rewardsandsustains)them.Fromthis,changingthelookingtothemselves,reconnectingwiththeiridentityandfeelingasenseofselfthathaslongbeenlost.Ifindthistechniqueempowerstheclientandcontributestotransformingtheirsenseofselftobeingwholeagain.Mirzoeff,N.(Ed).(2002).TheVisualCultureReader.Routledge:NewYork.BiographyMynameisJennyCurryandIhavebeenagamblingcounsellor,healthpromotor,socialworkerandtertiaryteacherinarangeofsubjectsfor25years.Ihaveusedvisualarttheorywithmyclientswithpokiemachineaddictionintapositivewayalongwithmotivationalinterviewing,CBTandgradedexposuretherapy.Ifirstbeganmyinterestingamblingissuesin1993whenthefirstgrantforagamblinghelplinewasgivenandIworkedasavolunteerandthenanemployee.IhaveworkedforCADSasaTrainer/Educatorandthenacounsellor/healthpromoterforgamblingissuesinarangeofroles.IhavequalificationsinSociology,ArtHistoryandDesign,SocialWork,CounsellingandTertiaryTeaching.RecentlyIwasacceptedbyDAPAANZasaClinicalSupervisor.

8. “DrawingfromtheWellof‘Wows!”LouisSmithCoordinator,CommunityAdvocacyandLiaisonPoriruacityislocatedintheWellingtonregionwithapopulationjustunder53,000.21%identifythemselvesasindigenousMaoriand23%as‘Pacific.’CannonsCreekandWaitangiruaaretwosuburbshousingprimarilyMaoriandPacificfamilies,withlowsocioeconomicstatusandhighdeprivation.Thesesuburbstendtodrawinterestingpeoplefromnumerousgovernmentagencies,academia,institutions,andwell-meaninggroupsseekingtoimprovethestatusofthesefamilies.Ourexperienceisthatcommunitiesgenerallyholdontotraditionsandvaluesthathavekeptthemgroundedintheroutinemanneroflife.Asinanycommunity,familiesfindthemselvesdisconnectedmomentarilyfromtheirroutine.Wehavewalkedalongsidecommunitiesandfamiliesintosomedark,darkspacesofbrokenness,deeptrauma,turmoilandcrisis;andbeenveryprivilegedtowitnessmovementsoftheheartandchangeemergingfromthissetting.Theseare‘wow’moments!Theyoccuratthe‘blinkofaneye!’Didyoucatchit?Didyouseeit?Whenitcomes,youwillknow.Youpause.Youbowdown.Yougivethanks.Whenistherighttimetoshareastory?Whoisabledrawfromthe‘WellofWows!’,andcapturetheessenceofthat‘moment’?Describingastorytothedepthofatransformedlifecallsforanunderstandingofthetiming,relationships,movements,experiencesandvaluesofthepeoplewalkinginthesespaces.Familiesandcommunitiescelebrateachangethroughprayerandthanksgiving,laughterandtears,song,danceandfood–it’satruecelebrationworthsharing!BiographyLouiscurrentlycoordinatescommunityadvocacyandliaisonwithTaeaomaninoTrust.HisfamilyisfromSamoaandTokelau.“Walkingalongsidecommunitiesandfamiliesintosomedark,darkspacesofbrokenness,deeptraumaand;andwitnessingthosemomentsofchangekeepsyouatthecuttingedge!”Morethan20yearsfacilitating‘talkingspaces’withstrugglingcommunitiesandfamilies,Louisrecalls‘HealingandRestoringFamilies’andtheLakota-SiouxpeopleandcommunityvoicesinCannonsCreeksharing.Powerfultestimony.AformerresearchfellowatKetteringFoundation,USA,Louisrecentlyparticipatedindialoguewithinternationalstounderstanding‘RacialHarmony–Whatthismaylooklike?’

9.Transformation–MatuaRakiConsumerLeadershipGroup:FromChrysalistoButterfly MarcBeecroftRegionalAODConsumerAdvisor:OdysseyHouse,ChristchurchRhondaRobertsonNationalConsumerAdvisor:TheSalvationArmy,Addiction,SupportiveAccommodationandReintegrationServicesSheridanPooleyRegionalConsumerAdvisor:CADSCommunityAlcohol&DrugServicesAdrienneFrueanKaihautu/SeniorCo-ExistingProblemsClinician:TuiOraLtdTheMRCLGhavebecomeafamilywithavisionofrecoveryfocusedservicedeliveryasweheadtowards20/20andbeyond.UsingtheMonarchButterflyasananalogytheMRCLGtakesyoubacktotheearlydaysoftheNationalMentalHealthSectorStandards–standard9andthefirstAODconsumeradvisors/positionsbeforetheturnofthecentury1999–highlightingextremesofthespectrum(paternalistictopartnership).Presenterstouchonthekeytasksofconsumeradvisors–supportservicestounderstandandimplementconsumerfeedbackmechanismsetc.andthechallengesthatwentwithit.Thegrowthandexpectationsoftheconsumernetworks;passionsflareaschangebecomesvisiblewithclearevidenceofconsumershavinginfluenceonservicedesign...ThepresentationdescribestheperiodoftimeleadinguptotheestablishmentoftheMatuaRakiConsumerLeadershipGroupin2009anditsroletoprovidestrategicdirectionandsupporttotheConsumerProjectLead.

• Tofacilitatetheongoingdevelopmentofconsumerleadershipintheaddictiontreatmentsector.• To provide strategic advice and support with the implementation of the Matua Raki Strategic

ImplementationPlan•

ThepresentationhighlightsMRCLGinitiatives,achievementsandleadershipincluding:- Ourcommongoalsaschampionsforincreasedpeersupportinclusioninservicedelivery.- OurunderstandingofAODservicedelivery,Nationalprioritydocumentsetc.- Strongrelationshipswithkeystakeholders- Moreacceptanceasavaluedvoice- Consumerstories-

Conclusion:Maturity…….BiographiesMarcworksastheRegionalAODConsumerAdvisorintheaddictionsectorforCanterbury,SouthCanterburyandWestCoast.HesitsonseveralNationalCommitteesandLeadershipGroupsliketheNationalAssociationofOpioidTreatmentProvider,NationalCommitteeofAddictionTreatmentandMatuaRakiConsumerLeadershipGroup.

Since2003,MarchasbeeninvolvedinthedevelopmentoftheRecovery24/7SupportGroupwhichhecoordinatesandfacilitatesandforthepast4yearshehasbeentheleadfacilitator/coordinatorofthe“FridayGroup”supportgroup.RhondaistheNationalConsumerAdvisorfortheSalvationArmy’sAddiction,SupportiveAccommodation&ReintegrationServices.Rhonda’scurrentlyamemberoftheMatuaRakiConsumerLeadershipGroupandtheNationalCommitteeforAddictionTreatment.Overthepast13yearsRhondahasworkedinanumberofconsumerrolesinDHBandNGOthroughoutNewZealand.Sheridanfirstwalkedintoanaddictionserviceintheearly1980sandhasbeenaclientonandoffeversince.In2001shebeganworkingforCADSAucklandasregionalconsumeradvisorwhereshehasbuiltasmall(butperfectlyformed)consumerteamandhasbeeninvolvedinarangeoflocalregionalandnationalactivities.SheridanischairoftheMatuaRakiConsumerLeadershipGroupanother(perfectlyformed)teamofAODconsumerscommittedtoensuringservicesareresponsivetotheneedsofpeoplewithalcoholandotherdrugissues.AdrienneiscurrentlytheMāoriandPasifikaConsumer&FamilyRepresentativememberoftheMatuaRakiConsumerLeadershipGroup.AdrienneiscurrentlyanexecutivecommitteememberforDRUAPasifikaAddictionsNetworkandamemberofthenewlyformedPasifikaDisablePeoplesOrganisation(DPO).Forthepast13yearsAdriennehascontinuedtobeaproactiveadvocateforthedevelopmentofaNationalMāoriRecoveryNetworktoprovideavoiceforWhānauwhoareaffectedbyalcoholanddrugaddictionissues.

10.HepatitisC–removingbarrierstorecoveryandtransformationNaomiWickensAddictionsPractitioner,SelfEmployed/WairarapaPrivateAddictionServicesThestigmaattachedtoHepatitisChasdamagedpeopleemotionally,delayingrecoveryformany.AcrosstheglobepeoplehavebeenpreventedfromaccessingnewtreatmentsandinthispresentationIcanvasstheroleoftheglobaldrugcompanyGileadalongsidesomekeymessagesfromtheInternationalLiverConference2016(fromanon-attendeeconsumerperspective).AsanaddictionspractitionerwithHepatitisC,disclosuretomycolleagueswasanissueIfounddifficultovertheyearsduetoshame.Nowthereisacureandaglobalsupportnetworkwhichhasenabledmetofreemyselffromshame.AfterlivingwithHepatitisCfor40yearsIamnowcuredwiththeuseofgenericdirectactinganti-viraldrugsandmyjourneyisanintegralpartofthispresentation.Iwillreferspecificallytothe‘babyboomers’whocameintocontactwiththevirusfrominjectingdruguseinthe70sandarenowdevelopingotherhealthproblemsastheyage;manyremaininginOST.AcollectionofstoriesfromNZandoverseashighlightsthesortsofstigmapeoplehaveexperienced,andarestillexperiencingwhilelivingwithHepatitisC.Peopledonotneedtobedrugfreetobegintreatmentbutaharmreductionapproachisdesirable.TheFixHepCBuyersClub(Australia)facilitatesprescribing,deliveryandmonitoringofthenewdrugstoNewZealandersthroughtheRedemptionTrialatareasonablecost.ThroughaccesstonewtreatmentsclientscanbegintheirowntransformativepathwaysandIamproposingawayforagenciestoassisttheseclients.Facilitatingclientsaccesstothenewtreatmentswillassistthemtoachieveagreatersenseofwellbeingandhealth.BiographyIhaveworkedinthementalhealthandaddictionsfieldsince1992.IworkedintheDHBCommunitymentalhealthservicesfor12yearsandin1994developedastand-aloneMethadoneprogrammeintheWairarapa.In1996IsetupaHepatitisCclinic.IhaveanAdvancedAddictionCertificatefromCITandaPostgraduateCertificateinHealthSciencesendorsedinAlcohol,DrugsandAddictionsfromUniversityofOtago.IamaregisteredaddictionspractitionerwithDAPAANZandamcurrentlyself-employedwithWairarapaPrivateAddictionServices.MostimportantlyIhavejustbeencuredofHepatitisC.

11.Hakaahuatanga–Navigationalwhanaucentricpractice–supportingpathwaysfortransformationPamArmstrongProjectLeader,NNR-NgaNgaruRautahioAotearoaMarinoMurphyManager,NgaMangaPuriri(NorthlandProblemGamblingService)Tahiatearakiakiteaaitehuarahi,AhuatutematakiteAoMarama,keikonangauriwhakatupukahoreanoiwhanaumai,etatarimaianakiakoeClearawaytheobstaclesandturnourfacestothehorizonforitistherethatourfutureawaitsus.Thiswhakatauakirelatestothepathofaspirationaltransformation.Forsomeitmeansgettingovertheobstacleswhichcanincludethewaywethink,believeandact.Aspirationaltransformationhasthefuturepictureinmind.Hakaahuatangaisaresourcedevelopedfortheworkforcewithafocusoncompetenciesforwhanaucentricnavigationalpractice.Anavigationalwhānaucentricapproachcanbedefinedas:‘Supportingwhānauthroughsystems,processesandpracticesthatareholistic,aspirationbasedandfocusedonbuildingwhānaucapability’.Thisapproachsupportstransformativepractiseandisidealforanyoneworkingdirectlywithwhānau.Withinwhānauora,transformationisasimportantforserviceprovidersasitisforwhānau.Frontlineserviceproviderscanbestoffercompetent,transformativeservicesiftheyoperatewithinlearningorganisationenvironments,focusedontheirownadaptationbasedoncollaborativelearningwithwhānau.Itisimportantthateveryoneworkingdirectlywithwhānauareflexible,adaptiveandproductivesoastosupportwhānautransformation.TheHakaahuatangatrainingresourcepromptskaimahitothink,reflectandact.BiographiesPamisfromNgatiWai,NgatiWhatuaandNgapuhi.Shehasworkedintheaddictionssectorforseveralyearsasamanager,trainer,andpractitioner.PamhasbeenapartofanumberofworkforceinitiativesincludingtheTakarangicompetencyframeworkandmorerecentlytheWhānauoraHakaahuatangaresource.MarinoisfromNgatiHine,Ngapuhi.Shehasworkedintheaddictionssectorforthepast10yearsandiscurrentlyleadingthedevelopmentofanindigenousaddictionretreatprogrammebasedonasocialenterprisemodel.

12.TheTransformativePowerofDivorcePaulSchreuderSeniorLecturer,WellingtonInstituteofTechnologyA journalist from the Rolling Stone magazine, when interviewing the late rock star Warren Zevon,describedaninterventionasan‘executionwithahappyending’.Zevon,wassomeonewhoassertedthathe needed to sever all ties with alcohol or die. Quite a few well known individuals have ‘outed’themselves, in their autobiographies, as people whose lives were transformed by the power ofabstinence.Whilst formanypeoplewhocometoaddictiontreatmentproviders,atrialseparationfromtheobjectof their desiremay lead to a successful harm reductionoutcome, thosewhohave themostsevere organic problems may profit from an absolutistic divorce - not only for themselves but forsignificantothers in their lives.Analyzing thediscourseof a small groupofhighly successful individualswhohave severed their relationshipwithalcohol, (andwho report a stateofhappy sober living)offerssupport for abstinence based goals, and highlights the potential transformative power of obtaining acompletedivorce.BiographyPaulSchreuderhasbeeninvolvedintheaddictionfieldforabouttwentyfiveyearsandhasbeenaneducatoratWELTECfornineteenyears.HehasworkedatNSADasapractitionerandhasdeliveredafter-careprogrammesfortheHanmerclinicandfacilitatedrelapsepreventiongroupsfortheProblemGamblingFoundation.AtWeltecheisthecourseleaderforthe'CBTcourse',the'Gamblingandothernon-substancedisorders'courseandthe'Introduction

13.Transformation–WhānauOraapproachtoCEPCapabilityRangimokaiFrueanSeniorCo-ExistingProblemsClinician,TuiOraLTDBridgetTaylorCo-ExistingProblemsClinician,TuiOraLTD

MentalHealthandAddiction“NeverthetwainshallMeet”.

TuiOraMentalHealth&AddictionService(MHAS)isundergoingchangefromoperatingamentalhealthserviceandanalcoholanddrugsservicetoaMHASthatisco-existingproblems(CEP)responsive.Thedevelopmentofaco-existingproblemsteamtaskedwiththeKaitiaki(caretaking)roleofoverseeingthetransformationandattimestheKaihautu(leader)roleleadingthedevelopmentfortheserviceisinsightful.Analogyisusedtodescribethetransformationprocess.TheMeetingoftheWatersisascenicplaceoutsideofNewPlymouthwheretheWaiwakaihoRiverturbulentlycomesdownfromMaungaTaranakiitmeetsinatranquilplacebeforecontinuingthejourneyouttosea.Likewise,theWaitaraRivercomesfromMountMessengerandmeetswithMaungaTaranakiwaterthecolourofthewaterdeterminesthesource.TheWhānauOraoutcomesareusedtotransformservicedeliveryfrommentalhealthandaddictionservicestoCEPcapable(‘meetingofthewaters’spacefor‘thetwaintomeet’).TheanalogyoftheseTaranakiRiversdepictsandupholdsthemanaofbothwaters(mentalhealthandaddictionsspace)wheretheymeetistheCEPspace.TheCEPspaceisoneoftranquillity,harmoniumandserenity,theblending/meetingoftwowaters(mentalillnessandalcoholanddrugproblems).InthisspacetheCEPTeamprovidessupport(in-serviceofscreeningtools,briefinterventionsforbothmentalhealthandA&Dworkers,advice(CEPworkshopsdeliveredbyMatuaRaki)andmanagement(clinicalmanagementofclients).BiographiesRangimokaiiscurrentlytheSeniorCo-ExistingProblemsClinicianforMHASTuiOrataskedwithdevelopmentoftheAODTeamandtheCEPspace.RangimokaiisamemberofDRUAPasifikaAddictionsNetwork,amemberofthePasefikaDisablePeoplesOrganisation(DPO)andtheMāori&PasifikaConsumer&FamilyRepresentativememberoftheMatuaRakiConsumerLeadershipGroup.Forthepast13yearsRangimokaihasworkedpassionatelyinvariousrolesacrosstheaddictionandrecentlymentalhealthsectorsbothatDHBandNGO.SheisacurrentpostgraduatestudentwiththeNationalAddictionCentretostrengthenherCEPclinicalskillbase.BridgetgraduatedfromWaikatoUniversity;sheinitiallyworkedinacommunityadolescentalcoholandotherdrugserviceforfouryearsbeforemovingontoWomen’sRefuge.ShebecameinvolvedinaWhanauOraProjecttodevelopaWhanauOramodelofcareforhercurrentorganisation.FollowingthecompletionofthatprojectsheacceptedaroleintheMentalHealthandAddictionsServiceastheCo-ExistingProblemsClinicianwhereshehasworkedforthepastfouryears.TostrengthenherpracticewithinCo-ExistingProblemssheiscurrentlystudyingtowardsaPost-GraduateDiplomainHealthSciencesmajoringinAlcoholandOtherDrugstudiesattheUniversityofAuckland.

14.Management of Clients with Alcohol Related Brain Injury - A literature review and suggestions for transformation and improvements to current services Susana Lustig Addictions Clinician, Community Mental Health, Addictions & Disability Service, 3DHB. John Mellors Addictions Clinician, Community Mental Health, Addictions & Disability Services, 3DHB. Alcohol related brain injury is a relatively common presentation to health services. Clinical staff is often perplexed by the complexity of presentations of this group who invariably need co-ordinated care with other mental health services and NGO organizations. Our clients and their whanau suffer as clinicians scramble through a maze of services that struggle to meet the needs of people in this cohort. We would like services for people with these complexities to improve in order to provide better quality of care and improved treatment outcomes. The Substance Addiction (Compulsory Assessment and Treatment) Bill (SACAT) which is currently going through its second reading in Parliament will have repercussions on the way we deliver service to this vulnerable population. The SACAT will assist services to hold and begin to treat people with cognitive impairment based on individual capacity assessments. These assessments will also assist services to define the degree and nature of an alcohol related brain injury. The pertinent question that flows from this, is the how, where, and what kind of service provision should we provide for this group of people? Consideration of resource implications and a perceived paucity of services currently led us to a literature review with the intention of discovering what best practice looked like internationally and how this could be applied in New Zealand. Biographies Susana Lustig (Bachelor of Applied Social Sciences, Psychotherapy; Graduate Diploma Addictions Studies; Post Graduate Certificate in Health Sciences, endorsed in Addictions and Co-existing Disorders) is an addictions Clinician with the Community Mental Health, Addictions & Disability Service 3DHB at Hutt Valley. She has been working in the addictions field for seven years. Susana is passionate about her work. She focuses strongly in building a solid therapeutic relationship with clients, to enable transformation into a life of 'recovery' and ‘wellbeing’. John Mellors (Bachelor Alcohol and Drug Studies) is an Addictions Clinician with Community Mental Health, Addictions & Disability Service 3 DHB at Hutt Valley. He has been working in the field for eight years, both individually with clients as well as facilitating groups. John is a trained DBT clinician and utilises mindfulness and skills in his practice. Team This project has been a team effort involving all Hutt Valley AOD Clinicians which consist of Janet Deihl; May Chapman, John Mellors; Susana Lustig, and Sharon Dillon, Registered Nurse. We are also grateful to have had the help of Jonathan Sims, Weltec Addictions student. Thanks to Doctor Tom Flewett, Clinical Leader Addictions, and Clarissa Broderick, Professional Leader Addictions.

15.Tihei-waMauriOra:IndigenousResourceTeinaPiripiKaiArahiCounsellorAlcohol&DrugCommunityMentalHealth&AddictionsFarNorth,NDHB:Ngapuhi,TeRarawa,TeAupouri,Ngatikuri.VivienneBodyKaiArahiCounselorTeRunagaOTeRarawa:Ngapuhi,TuwharetoaTihei-waMauriOraindigenousresourcecardsareauniquetransformations/solutionsbornoutofKaupapaMaoriapproachtocounseling.TheposterdepictstheimageryoftheTihei-waMauriOraindigenousresourcecards.TheimagesarebasedonMaoriculturalunderstandingsoflifeandbeingTeKorekore,KiTePo,KiTeWhei-Ao,KiTeA0Marama,whicharethesourceofinspiration.TheposterincludestheoriginalposteroftheWinneroftheNationalMaoriFlagCompetition(1990).TheflagisalsoknownasTinoRangatiratangadesigned/createdbythreeWahineMaori.BoththeflagandTihei-waMauriOraresourcecardsaredynamictransformativeimagerybasedinTikangaMaori.Theyareuniquesolutions/sourcesofhealinginandofthemselves/ourselvesfromwithinourownculturalcontextsoflifeandbeing.BoththeTihei-waMauriOra:indigenousresourcecardsandTinoRangatiratangaFlaghavetheirgenesisfromwritingsandlinkstotheMaoriMarsden(1924-1993),TeHikuOTeIka,mengawhakaaropaiongaWahineMaori.BiographyTeina Piripi- is of Ngapuhi and Te Rarawa descent, living in Ahipara with her husband and their fivechildren who all attend Te Kura Kaupapa Maori O Pukemiro. Dedicated to Tino Rangatiratanga, sheweaves Kaupapa Maori into counseling practices. Currently employed as a counsellor with Far NorthCommunityMentalHealth and&AddictionsNDHB. Teinahas aBachelorofArtsdegree inPsychologyMasseyUniversity(2004)andPostgraduateCertificateinHealthSciencesinMentalHealthandAddictionsUniversityofAuckland(2013).TeinaCo-AuthoredtwopublicationswithVivienneBodyinrelationtotheindigenous resource Tihei-wa Mauri Ora! (New Zealand Journal of Counselling, 30 (1), 2010) alsocontributed to Tihei-wa Mauri Ora: Te Tipuranga. In Pacific Identities and Wellbeing: Cross-CulturalPerspectives.(Ed).OtagoUniversityPress(2013).

16.ManaakiandSACAT–morethanmeetstheeye!TerryHuriwaiManagerTeHauMārireProgramme,TeRauMatatiniThenewsubstanceaddiction(compulsoryassessmentandtreatment)Act,SACAThasanexpectationthatwhānauengagedinitsregimewillexperiencemanaprotectingandenhancingpractice.TheembeddingofaMāoricentredconceptandvalueaspartofalegislativeprocessisboldandtobeapplauded…engaribut…therearechallenges.Firstly,whatdoesmanaaki(thepracticeofprotectingandenhancingmana)looklikeintheassessmentandtreatmentprocesses.Howwilltheintegrityofmanabemaintainedandmonitoredintheprocess.Whataretheworkforceimplicationsforpractitioners,administratorsandservicesinvolvedintheSACATregime.Manaconcernsitselfwithrelationshipsandwairua.Thisworkshopwillexploretheconceptofmana,thecompetencyofmanaakianditsimplicationforeffectiveoperationalisationoftheSACATAct.BiographyTerryHuriwaiisofTeArawaandNgātiPoroudescent.HelivesinChristchurchandhas20years-experienceintheaddictiontreatmentsectorworkinginarangeofsettingsandroles.CurrentlyTerryistheprogrammemanagerfortheTeHauMārireprogrammewithinTeRauMatatini(TRM).AkeyroleofTRMisthere-invigorationofkaupapaakepracticeandcontributingtoanaddictionworkforcethatcanintegratemātaurangaMāoriwithinitsday-to-daypractice.

17.RethinkingthewayweworkinAOD–TheBreamBayTrustAODProjectTheresaBothaAlcoholandDrugCounsellor,NorthlandDHBHenriettedeVriesIntake/triageNurse,NorthlandDHBOneofthechallengesofworkingintheMentalHealthandAddictionsfieldistherateofnon-attendance.Asaservice,weareonlyeffectiveifweareavailableandaccessible.TheservicenoticedthatsomeareasinNorthlandhadhigherratesofnon-attendancethanothers.Themostcommonreasonsfornotattendingwerealackofresourceslike:notransport,nolicence,novehicle,noworkandlivingremotely.Oneofthemodelsforincreasingaccessisaboutaco-located,communitybased,co-configuredmodel.WeentereddiscussionswithBreamBayTrustwhohadbeenrequestingourservice.ItwasdecidedtoalignourserviceonaWednesdaywiththeavailabilityofaGPandbudgetingservice.Overthesixmonths(31stofMay-16December2015)theAODserviceoffered;assessments,healtheducation,smokingcessation,whanausupport,homevisits,awomen’sgroupandcounsellingtothecommunity.Co-locationincreasedthenumberofreferralsandattendanceimproved.Thebiggestchallengesthattheservicefacedwasthecomplexityandseverityofpresentations.Anumberofevaluationmeasureswereused,includingtheADOM,andclientandserviceevaluationquestionnaires.Resultsindicatedpositivechangestosubstanceuse,positiveexperienceoftheserviceandanimprovedrelationshipwiththecommunity.Accessincreasedandnon-attendancedecreased.EvaluationmeasuresandsuccessstorieshaveindicatedthatasuccessfulpartnershiphasbeendevelopedbetweentheAODservice,theNGOandthecommunitywhichenabledustotakeamuchneededservicetothecommunityandmakeadifference.Biographies“MakingadifferencetoeachpersonImeetdaily”.Mypassionistoworkwithpeople,findingwhatmakesthem“tick”andequippingthemwiththenecessaryskillstoputintheirkitetoutilisewhenevertheyarefacedwithchallengesinlife.Istartedworkingin2008asanAlcoholandDrugcounsellorforNorthlandDHBdevelopingandpresentingdifferentgroups,designingnewpathways,trainingstaffindifferentskillsandengagedwithassessmentsandcounselling.IhadtheprivilegetoworkinpartnershipwithNorthtechprovidingsupervisionandtrainingtostudentswhodidtheirBachelorsinSocialScience,majoringinCounselling.AspartofmycollaborationjourneyIstartedtwoyearagoprovidingsupervisiontooneofourNGO(Aratakiministries)AODpeersupportworkers.Workingincollaborationwithdifferentorganisationsandpeopleissuchahumblingexperienceandprivilegetobepartofsomeone’sjourneymakingadifferenceintheirlives.

HenriettedeVriesMypassionisworkingwithMentalHealthandAddictionclients,providingthemwithsupportandeducationintheirrecoveryjourneyenablingthemtounderstandandhavemorecontrolovertheircondition.Ihavebeensofortunatetobepartofarecoveryfocussedgroupthathasdevelopedasmokingcessationgroupapproachtosupportpeoplewithlongtermmentalhealthandaddictionproblems.IhavealsoprovidedsupervisionfornewgraduatementalhealthnursesaspartoftheNESPprogram.Furthermore,IhadtheprivilegetobepartofasupervisionteamthathasprovidedgroupsupervisiontoGPpracticenursesaspartofamentalhealthandaddictioncredentialingprogram. 18.ATangihangaandKaikarangaFramework,asanAlcohol,DrugandMentalHealthTransformativeModelofPracticeIrihapetiMorehuAddictionsAssessorforCorrections,TuwharetoaKiKawerauHealthEducationandSocialServicesMoerangiPotikiCommunityMentalHealthClinician,PoupouaCharitableTrust

AlcoholandDrugPractitionersandMentalClinicians,engagewithpeoplewhohavebeenmarginalisedanddis-empoweredoveraperiodoftime.TheongoingchallengePractitionersandClinicians,whenworkingwithMaoriwhanauisthenegotiatingofthose‘coatingsofnegativity’inthemodeofethicalpractice.Understandinghowthese‘coatingsofinter-connectiveness’andfunctionsallowusvariouswaysof‘sighting’theboundariesandhowtheycanbesafelynegotiated.ThisposterisfromourMaoriworldview,anditopensoptionsofethicalpracticesoastoengageinethicalrelationships.AlcoholPractitionersandMentalHealthCliniciansareconstantlyfacedwiththefollowingquestions;WhatplacedoMaoriculturetemplatesandframeworkshaveinguidingourpractice?‘and’Howsafearethesewithintheirworkplace?.Therecurrenceofsuchquestionssuggeststhatthe‘culturalintegrity’andrepetitivenessstrivesforthesequestionstobeanswered.Theseon-goingchallengesand‘toxicity’thatoccurforMaorithereisaneedfor‘tino-rangatiratanga’sothesequestionscaneventuallybeanswered.Inamainstreamenvironment,therecontinuestobe‘individuality’initspractice,andmorethanoftenitseemsthattheycontinuetobeopposed‘collectiveness’anditsphilosophies,withtheirhomogenisedregimentedreworkedandrewordedintent.FromaMaoriworldview,workinginthefieldofdrug,alcoholandmentalhealthfieldpushesustoseek’ourpast’inorderto‘moveforward’withethicalandsafepracticeforthose‘weserve’asPractitionersandClinicians.SuchamodelofpracticeisinherentinusasMaori,anditallowsusfurtherexploretheculturaldefinitionsandtheinterpretationswithinourframework,andithasthepotentialtobea‘transformativemodelofpractice’whichcanonlyadvanceethicalAlcoholDrugandMentalHealthpracticeinAotearoaNewZealand.

BiographiesIrihapetiMorehu:IamaDAPAANZ,AddictionsAssessorforCorrections,asanemployeeofTuwharetoaKiKawerauHealthEducationandSocialServices.IamalsoanAlcoholandDrugCounsellorandPractitionerandhavebeenworkinginthisfieldforsevenyears.MoerangiPotiki:IamaRegisteredSocialWorker.IamaCommunityMentalHealthClinicianforPoupouaCharitabletrust.

19.WhaioraOnline–PostDischargeOutcomesDallasHibbs&TanithPetersenCEHeWakaTapu&ITAdminManagerWhaioraOnline(WO)isanonlineplatformthatcapturesoutcomes.WOfocusisontheserviceuser’sexperiencetransitioningfromtreatmenttosupportedindependencetoindependencefromthewhaiora’sperspective.WOutilsesmuchofthefunctionalityofanonlinecommunity,withtheaddedbenefitofvisuallytrackingprogressacrosshealthandwellbeinggoals.WOhasrespondedtoour‘userexperience’focustosimultaneouslybe:

• beautifulandfunctional• technicallysophisticatedandeasytouse• monitoredandmoderatedbyahealthproviderandregulatedbyserviceusers•

Insimpleterms;

• Funderswillliketheimprovedabilitytomaketheattributionlinkbetweeninterventionandoutcomes.

• Serviceuserswilllikethefocusontheirexperienceandwellnessgoals,asoppossedtobeingasecondaryconsiderationinthedesignlogicandexecutionofclinicianleddatacollectiontools.

• Providerswillliketheabilitytobeconnectableasandwhenserviceusersaremostdesirousofsupportoraffirmation,knowingthatsupportcommunitiesareaslikelytocontributeasserviceprovidersorclinicians.

Weknowthatbeingabletotrackthewellnessjourneypostdischargewillappealtoallthreestakeholders.BiographiesDallasHibbsAttributingmuchofhisworkandleadershipstyletoinsightsgainedworkingforIwiProvidersinTaiTokerau,Dallasisquicktoaddthehumilityandhardworkingtraitsofhisparentscontinuetoshapehiswork.Andnow,asChiefexecutiveofHeWakaTapu,aproviderofhealthandsocialservicesinChristchurch,Dallascreditsadualfocusonworkplaceculture,andstaffownershipofstandardsasleadingdirectlytobetterservices.Themostpleasingaspectsofourworkisseeingstaffbeacknowledgedbytheirpeersasbeingexcellentatwhattheydo.Itisalwaysgreattohearfromwhanauthattheirlivesarebetterbutyouknowyou’vecreatedagreatworkplacewhenpeersregularlyenjoyworkingtogether.Creatingaworkculturefocusedoneffortandeffectiveness,canbedoneinawaythatmobilisesthebestcreativeand‘hard-working’spiritofourstaff,saysDallas.OfequalinteresttoDallasistheintroductionofinnovationinhealthandsocialservicesthatsupportpeopletaketheleadintheirownhealthandwellbeing.Noreira,eakutuakana,akuteina,heiarahitewakaoranga–Tenakoutoukatoa.TanithPetersenistheIT&AdminTeamLeaderatHeWakaTapuTanith’sbackgroundhasbeeninbusinessownership,salesandmakeupartistry.Forthepast4yearsTanithhasbeeninvolvedinthetransformationofHWT’sonlinepresence,socialmediamarketingandbuildingtheonlinetoolWhaioraOnline.ThisprojecthasbeenverysuccessfulwiththehelpofITpartnersHairyLemon.MovingforwardHWThopestohavethistoolaccessibletothesector.