Te Kupenga mo Kawerau FINAL 2013 PUBLIC

KAWERAU SUICIDE PREVENTION STRATEGY & ACTION PLAN – Te Kupenga mo Kawerau (The Kawerau Support Net) 2013-2016 1

KAWERAU SUICIDE PREVENTION ACTION PLAN

Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016

Pūtauaki tū mai rā, tōku maunga tapu, tōku poutokomanawa e Koro Pūtauaki karanga mai rā e…


E rongo koe i te mahana a ō tuahine

Ngā maikūkū muramura o tō kuia e

Ko ngā pāpāringa o tō tīpuna a Whaitiripapa

Whakawhiti i te poho o ō tīpua e

E tama kia mau tā Hinemoana e

E moko kia mau tā Tangaroa e

Anā te ihi, anā te wehi, anā te wanawana e

Tau tau …Hi!

E kore e mutu te tangi mo a mātau tamariki ā, mokopuna hoki otirā, mo rātau katoa i tangohia e tēnei momo mate taurekareka, tēnei mate whakaheke

wairua o te tangata, o tōna Whānau me ōna hoa pūmau

Nā reira takoto mai koutou te hunga mate i ngā ringaringa o to tātau Matua-i-te-rangi, a tōna wā ko mātau ngā waihohanga iho e whai atu i a koutou

E mihi nei mātau, Te Kupenga Mo Kawerau ki a koutou ngā Whānau o te Riu o Kawerau, ngā Hapū, ngā Iwi, te Marae o Rautahi, te Marae o Hāhuru, te

Marae o Ruahāpia, Ngā Roopū Tautoko. Mēna i taka etahi o ō koutou ingoa i ahau, e kare ma aroha mai kei te whai mai etahi korero.

Na koutou i tū mārō, i tū whakahīhī ai mātau katoa me o mātau Whānau. No reira tēna koutou tēna koutou katoa

Kei muri ake nei ngā korero e whakamarama ana te kaupapa o Te Kupenga Mo Kawerau.

Anō ko ngā tohu mo ngā mahi kei te haere mai.

E kore e taea i te kupu anake ki te whakanui i te kaupapa, kia turakina, kia aukatihia te mate whakamomori i a tātau tamariki.

Ka huri

Timi Peri - Kaumātua, Te Kupenga Mo Kawerau, November 2013


Preface

This action plan was compiled by Te Kupenga mo Kawerau (The Kawerau Support Net) made up of whānau bereaved by suicide, community members, service

providers and the Clinical Core Group bringing together their collective knowledge and wisdom to develop the Kawerau Suicide Prevention Action Plan : Te

Kupenga Mo Kawerau (The Kawerau Support Net) 2013-2016 .

This document is to support the ongoing work of the previous Kawerau Suicide Prevention Action Plan (KSPAP) 2011-2012 which was developed following

increased concern amongst the community, with input from Ministers and government agencies, in relation to the suicides in Kawerau.

A community response to a community issue.

The Kawerau Suicide Prevention Action Plan : Te Kupenga Mo Kawerau (The Kawerau Support Net) 2013-2016 is considered to be an evolving working

document.


Contents Page

Purpose 6

Suicide in New Zealand 6

Evidence 7

He Korowai Oranga The Māori Health Strategy 8

The New Zealand Suicide Prevention Strategy 2006 – 2016 9

The New Zealand Suicide Prevention Action Plan 2013 – 2016 10

Overview of Kawerau 10

Methodology 11

The Approach 11

Leadership & Implementation 12

Emerging Themes 12

Strategic Alliances 13

The Kawerau Suicide Prevention Model 14

The Goals: GOAL 1: Education Awareness 15 GOAL 2: Whānau Engagement 18 GOAL 3: Provider Collaboration 19 GOAL 4: Communication 20


GOAL 5: Accountability 22 Glossary 23

References 24

Te Kupenga mo Kawerau (The Support Net) Terms of Reference 25


Purpose

The KAWERAU SUICIDE PREVENTION ACTION PLAN Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 provides a framework for a collaborative

community and government interagency service response to prevent suicide within Kawerau and will work together cohesively in suicide prevention with the

guidance and support of the Kawerau community.

This Plan will be guided by the original five goals identified by the community of Kawerau and has been aligned to objectives of the New Zealand Suicide

Prevention Action Plan 2013-2016 .

Suicide in New Zealand

The following statistics have been taken from the provisional annual suicide figures for the year ending 30 June 2013 by Chief Coroner Judge Neil MacLean. The total number of suicides for the year was 541, a decrease of six from last year, and two less than the average number of suicides over the last six years. Judge MacLean said the annual suicide total has been stubbornly consistent since records began in July 2007 with between 531 and 558 suicides a year. There have been some positive trends observed in the year. Māori suicide has dropped for the first time since records began in July 2007, and the number of pre-teen and teen suicides is down from last year.” In the last year:

69 people in the 10 to 19-year-old age cohort took their own lives compared to 91 the year before. The average annual number of suicides for this age cohort over the past six years is 69.

105 Māori died by suicide, which is a significant drop after a spike last year of 132 suicides. The average annual number of Māori suicides for the past six years is 104.


The 2012/13 figures show:

The highest number of female (153) and lowest number of male (388) suicides since records began in 2007. Prior to 2012/13 the average male to female suicide ratio was about 3 to 1, while in the last year it was about 2.5 to 1.

The highest number of suicides in the 20 to 24-year-old age cohort since records began in 2007 with 75 suicides (the annual average over the past six years is 66).

The lowest number of suicides in the 30 to 34-year-old age cohort since records began in 2007 with 31 suicides (the annual average over the past six years is 43.5).

The drop in Māori suicide was largely accounted for by a decrease in male Māori suicide, in particular young male Māori suicide. In 2011/12 there were 94 male Maori suicides, while in 2012/13 there were 72.

Evidence

The causes of suicide are complex. Research indicates that suicide is usually caused by an accumulation of risk factors, with a mental disorder being the most

common risk factor. Other risk factors are broad ranging and including traumatic childhood events, life stressors, social isolation, family issues, genetic

characteristics, cultural factors and socio-economic issues. Research evidence also indicates that the way suicide is reported in the media can influence

vulnerable people to make suicide attempts that they would not otherwise have made.

Alienation from ones culture can be a risk factor for suicide. Even so, culture can provide a sense of belonging and self-worth that can act as a protective aspect

for suicide. For Māori a strong cultural base is a vital source of identity. Having a positive attitude about identity is important for Māori in achieving cultural and

spiritual wellbeing. Māori culture has specific terms and concepts in relation to suicide that need to be understood and respected.

Kaupapa Māori theory and praxis is recognised and evidenced based, therefore provides a platform for an integrated approach of both the clinical and cultural

deliverables.


He Korowai Oranga – The Māori Health Strategy

The guiding framework used in the health sector for responding to Māori health issues is outlined in He Korowai Oranga (HKO). The Māori Health Strategy

(Minister of Health 2002) and Te Puawaitanga: The Māori Mental Health National Strategic Framework (Ministry of Health 2002a). He Korowai Oranga identifies

four pathways to achieve better Māori health outcomes in the context of suicide prevention, such as;

1. Whānau, Hapū, Iwi and community development

2. Māori participation

3. Effective service delivery

4. Working across sectors

He Korowai Oranga reinforces to providers that whānau participation is vital in all aspects of health provision, as carers, supporters, learners, planners and

advocates. Whānau Ora recognises the whānau as being the foundation for wellbeing, inclusive of mokopuna, tamariki, taitamariki, pakeke, kuia and koroua,

and is about positive health outcomes for Māori ensuring;

• Whānau are nurturing and safe;

• Whānau have a secure identity, high self-esteem and confidence;

• Whānau experience wellbeing and control over their lives;

• Whānau have the choice to participate in both te ao Māori and wider New Zealand society;

• Whānau have physical, social and economic means to secure their health and wellbeing;

• Whānau live, work and play in safe and supportive environments;

• Whānau live longer and enjoy a better quality of life;

• Whānau come from and experience different lifestyles and their diverse realities are considered;


• Whānau groups may be made up of relatives from a common tīpuna or of unrelated friends, work mates; sports team members or church and school

associates who share common interest.

The KAWERAU SUICIDE PREVENTION ACTION PLAN Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 is closely aligned to He Korowai Oranga,

joined by the guiding influence and emphasis on whānau and Whānau Ora for Māori health outcomes to lead the prevention of suicide in the Kawerau

community.

The New Zealand Suicide Prevention Strategy 2006-2016

The NZ Suicide Prevention Strategy (NZSPS) is an all age strategy that sets the high-level strategic platform to guide existing and future action that Government

expects to be the focus for suicide prevention policy from 2006 to 2016. Underpinned by the New Zealand Health Strategy (Minister of Health 2000) and the

New Zealand Disability Strategy, a substantial body of work has been progressed under the New Zealand Suicide Prevention Strategy.

The KAWERAU SUICIDE PREVENTION ACTION PLAN Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 aligns with the New Zealand Suicide

Prevention Strategy and particular reference and guidance is taken from Te Whakauruora Restoration of Health: Māori Suicide Prevention Resource (Ministry of

Health 2009).


The New Zealand Suicide Prevention Action Plan 2013 – 2016

The New Zealand Suicide Prevention Action Plan 2013–2016 outlines a programme of actions that the Government will implement over the next four years. It is

a cross-government Action Plan bringing together the work of eight agencies. The Action Plan builds on the previous action plan covering 2008–2012. Both

action plans reflect the goals of the New Zealand Suicide Prevention Strategy 2006–2016.

The KAWERAU SUICIDE PREVENTION ACTION PLAN Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 aligns with the New Zealand Suicide

Prevention Action Plan objectives.

Overview of Kawerau

Kawerau has a population of approximately 7,000 and notably the population is also declining. The town was built in the mid fifties to service the pulp and paper

industries. Over the last 20 years there has been significant change with the introduction of automation and industry restructuring. This has resulted in high

unemployment and a large, unskilled workforce. The social structure within Kawerau has changed with a high percentage of people who are employed,

commuting from outside the community. Māori comprise 60% of the population. This proportion is higher among younger age groups. Nearly 50% of Māori over

15 years of age have no formal qualifications. Unemployment is a significant issue, at 19% for Māori over 15 years of age. Over 30% of families in Kawerau are

single parent families (Census 2006). These are contributing factors to the profile of Kawerau as one of the highest impacted communities in terms of poor social

and economic status. Contributing factors to suicide (features of Mental Illness, major social stresses, physical complications, AOD use and abuse, whānau

dynamics, relationship issues and unresolved underlying issues of grief, abuse, loss of identity and Matemāori.

The presence of gangs is longstanding in Kawerau. Alcohol and Drug use is significant, with a major concern around the use and availability of “P” and marijuana.


Methodology

Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 is the next instalment of the original Kawerau Suicide Prevention Action Plan that was based

on an analysis of feedback drawn from consultation with a collective of groups representing whānau affected by suicide, the wider Kawerau community,

Kawerau-based service providers, and with the support of Kia Piki te Ora : Te Ao Hou Trust Opotiki . Under the Terms of Reference, Te Kupenga mo Kawerau is

authorised to promote and maximise consultation; conduct meaningful and respectful collaboration and maintain transparency. The focus of the plan is on

suicide prevention and will ensure Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 aligns to the New Zealand Suicide Prevention Strategy 2006-

2016. The New Zealand Suicide Prevention Action Plan 2013-2016 and He Korowai Oranga The Māori Health Strategy 2002.

The Approach

Te Kupenga mo Kawerau (The Kawerau Support Net) 2013 – 2016 will help whānau, the wider Kawerau community and agencies to work together in a more

collaborative, co-operative and transparent manner. It is envisaged and recommended that a Whānau Ora approach so that service providers implementing

actions in this plan should aim to be familiar with Māori models of health e.g Te Whare Tapawha, Te Wheke.

A Whānau Ora approach is well placed to facilitate whānau development and Māori potential within Kawerau in a number of ways. It provides the impetus to

initiate consultation, identify opportunities, enhance co-ordination and strengthen collaboration to mobilise Kawerau community by reinforcing the social and

interagency networks that already exist and bringing about community action for change at all levels to make the most positive difference “by Kawerau for

Kawerau”.


Leadership & Implementation

This Plan will guide future community-driven and government health priorities and responses to suicide prevention in Kawerau.

Emerging Themes

The emerging themes from the initial consultation include:

- the need for collaboration, communication and transparency

- a Whānau Ora approach to ensure “whānau and community have a voice” and that whānau/community focus is paramount;

- accountability, responsiveness by providers;

- availability and accessibility of information and training;

- communication systems are effective


Strategic Alliances

The following organisations and agencies have been involved in the previous Kawerau Suicide Prevention Action Plan 2011-2012, a community response to a

community issue - suicide.

There is an expectation that all services and government agencies will contribute to the actions for the implementation of The Kawerau Suicide Prevention

Strategy & Action Plan– Te Kupenga mo Kawerau (The Kawerau Support Net) 2013-2016.

PROVIDER / SERVICE GOVERNMENT AGENCY

Tūwharetoa ki Kawerau Health, Education and Social Services

Te Huinga Social Services

Whānau Bereaved Suicide Support

Te Ao Hou Trust – Kia Piki te Ora

Pou Whakaaro

MANNA Support Service

Community Mental Health Service

Voyagers

Eastern Bay Primary Health Alliance

Collaboration Bay of Plenty (COBOP)

Kawerau District Council (KDC)

KOPER8

New Zealand Police

Work and Income New Zealand (WINZ)

Child Youth & Family (CYF)

Housing New Zealand (HNZC)

Te Puni Kōkiri (TPK)

Bay of Plenty District Health Board (BOPDHB)

Ministry of Health (MOH)

Ministry of Youth Development (MYD)

Ministry of Social Development (MSD)

Ministry of Education (MOE)

Group Special Education (GSE)



Allignment to

New Zealand Suicide

Prevention Action

Plan 2013-2016

(NZSPAP)

Objective 1: Support families, whānau, hapū, iwi

and communities to prevent suicide

Action Area Objectives Actions Detail

1.Build the capacity

of Māori whānau,

hapū, iwi and

communities to

prevent suicide

1.1 Promote health seeking, destigmatising

mental health issues, improving coping skills

and increasing protective factors

1.2 Develop and strengthen RESILIENCY

1.3 Reduce the impact of isolation felt by

whānau and the wider community

1.4 Remove barriers to services

information and knowledge

1.5 To embed cultural and emotional

Marae based programs

: Rangatahi

Strengthening Cultural Identity

: Mau Rākau

: Whakapapa

: Mahi Kai

:Tikanga & Kawa

Māori models of practise

:Holistic Wellbeing

: Whare Tapa Whā/Te Wheke,

Pounamu / Te Tūariki o te

Tangata

Dept of Corrections

(Innovation funding, under

TKKHESS)

GOAL ONE : Education Awareness


competency into all activities / initiatives

Research

TRM research to collate current

outcomes and to identify

research funding for current

2013-2016 plan

Local Support groups

:Grief and loss

:Gender / lifestyle based

Grass Roots Conference on

Preventing Suicide

Te Rau Matatini

:Kawerau Bereaved Whānau

stories

-Bereaved Whanau Suicide

Support Trust

-Mana Tangata

-Te Huinga Social Services

:Takatapui :Empowering

Men’s Group

2. Ensure good quality

information and

resources on suicide

prevention are

available to families,

whānau, hapū, iwi,

community and

frontline workers.

2.1 Provide education or access to programs

that directly address contributing factors to

suicide.

2.2 Undertake development and training

activities for Suicide Self harm Response

Policies

Resource Development

Archive current resources

:Talking book

:Kawerau service directory

:TK toolkit / resources

:Suicide /self harm policy

template

Develop an app – 4 LYFE

: stories of hope, strategies

solutions 4 LYFE

3.Train community 3.1 Upskill Whānau /Community Service Whanau Ora scouting, engaging Te Kupenga Training to be


health and social

support services staff,

families, whānau,

hapū, iwi and

community members

to identify and

support individuals at

risk of suicide and

refer them to

agencies that can

help

Providers

3.2 Enlist participants for a suite of funded

training and supported opportunities of

career development

3.3 Influence policies of school/community

providers/marae, to develop a suicide/ self

harm response policy

community

CCG / KIRT ongoing

Develop relationships

Bereaved whānau support

developed for Kawerau

whānau

2014 Grassroots Conference

Waka Hourua

National collaboration with

Te Rau Matatini to rollout Te

Whakauruora


Alignment to

New Zealand Suicide

Prevention Action Plan

2013-2016

(NZSPAP)

Objective 2: Support families, whānau, hapū, iwi

and communities after a suicide

Action Area Objectives Actions Details

4.Ensure a range of

accessible support services

is available for families,

whānau and others who are

bereaved by suicide

4.1 Provide advocacy / navigator for

whānau /community as required

4.2 Increase awareness, an identify risk

factors of Suicide-Self Harm

- Consistency with WHĀNAU

ORA approach/philosophy

- Promote and be guided by

forums to engage whānau

- Identify early, crisis

intervention and management

plans

Bereaved whānau for whānau

interventions

Regular Kaumatua / Marae /

Hapū / Hāahi and community

consultation

5.Support communities to

respond following suicides,

especially where there are

concerns of suicide clusters

and suicide contagion

5.1 Promote understanding of Suicide-

Self Harm

- CCG / KIRT ongoing

- Develop risk management

plans

- Maintain and update risk

register

Ongoing interface with TKMK

/ CCG / KIRT

GOAL TWO : Whānau Engagement


Allignment to

New Zealand Suicide


2013-2016

(NZSPAP)

Objective 3: Improve services and support for people at high risk of

suicide who are receiving government services


6.Improve services and

support for people

experiencing mental health

problems and alcohol and

other drug problems

6.1 Formal collaborative relationships

are established and maintained

between providers and agencies

6.2 Specialist skill are made accessible

to whānau and community

- Seamless delivery in a Whānau

Ora approach

TKMK key relationships

-TKKHESS

: Sacred Pathway Programme


support for children and

young people in contact

with Child, Youth and Family

(CYF)

7.1 Providers to work collaboratively to

provide an on-going sharing of care

process of support to whānau.

- Providers to promote the

services they deliver and the

referral pathway

TKMK key relationship

- Social Sector Trial 0-18yrs

- REAP


support for people in prison

8.1 Appropriate services are accessible

to whānau

- To awhi, clients through a

continuous seamless service

Innovation Project

Community Respite Care

GOAL THREE : Provider Collaboration


Allignment to

New Zealand Suicide


2013-2016

(NZSPAP)

Objective 4: Use of social media to prevent suicide

Action Area Objectives Actions Timeframe

9.Identify and respond to

suicide contagion through

social media

9.1 Develop a community

communication plan to engage with

and promote TKMK

9.2 Work with media to provide factual

and accurate information

- Raise community awareness,

understanding and building

resilience

-Positive promotion of the

community initiatives

-Clear understanding of how and

where to access services

Take control

:time

:place

:content

:approval

10.Reduce cyber bullying 10.1 Ensure information tools and

resources on good cyber citizenship and

reducing cyber bullying continue to be

available to schools, parents and young

people

10.2 Delegate group to interact with

-Develop a policy template for

groups / organisations

-Media safety campaign

Cyber Mate

: photos / photo voice

: poetry / song writing

: homemade videos

Support Groups

Counseling sessions

Relationship building

resilience

GOAL FOUR :Communication


media

10.3 Recognise and promote positive

steps in working with the media


Allignment to

New Zealand Suicide


2013-2016

(NZSPAP)

Objective 5: Strengthen the infrastructure for suicide prevention


11.Make better use of the

data the government

already collects on suicide

deaths and self-harm

incidents

11.1 Ensure information, resources and

trends is current.

Develop a local data collection

process of completed suicide

self-harm incidents.

12 To encourage and

promote the social

obligations and

responsibilities of all parties

towards ensuring and

maintaining the wellness of

our community

12.1 Agencies/service providers are

responsive and accountable (ethically)

to the COMMUNITY/WHĀNAU

- Service providers are

monitored

and reviewed on service delivery

in a timely manner

-Consumers are made aware of

their rights to a quality service

and advocacy

GOAL FIVE : Accountability


Glossary

suicide the act of taking one’s own life whānau family

self-harm self-inflicted injuries tīpuna ancestor

suicidal ideation suicidal thoughts mate Māori an illness or sickness of Māori origin

wharekura school intervention immediate actions taken

tuākana elder sibling / relative awhi support

postvention actions undertaken after a suicide resilience ability to recover readily

teina younger sibling / relative kaumātuatanga elderly

contact triage assessment of needs on first point of contact whakapapa genealogy

mau rākau the art of weaponry tīkanga protocol

kawa custom hāahi church / religion

rangatahi youth Tohunga an expert, knowledged person

prevention actions taken to minimise or reduce the incidence of suicide or self-harm


References

Ministry of Health. (2013) New Zealand Suicide Prevention Action Plan 2013 -2016 Ministry of Health Wellington

Ministry of Health. (2006) New Zealand Suicide Prevention Strategy 2006-2016 Ministry of Health Wellington

Ministry of Health (2002) He Korowai Oranga : National Māori Health Plan. Ministry of Health Wellington

Ministry of Health (2002a) Te Puawaitanga: The Māori Mental Health National Strategic Framework. Ministry of Health Wellington

Ihimaera, L., & MacDonald, P. (2009) Te Whakauruora – Restoration of Health : Māori Suicide Prevention Resource. Ministry of Health Wellington


Purpose/Pūtake

Formerly known as “Kawerau Implementation Team (KIT)” Te Kupenga (TK) is a group of whānau, community members, and providers

from the Kawerau community bringing their collective knowledge and wisdom to address the impact of self harm and suicide.

Sponsor/Kaitautoko

Tūwharetoa ki Kawerau Hauora Education and Social Services

Guiding Document

The Kawerau Suicide Prevention Action Plan Te Kupenga mo Kawerau (The Support Net for Kawerau) 2013-12016

Scope/Te Whānui

Inclusion/Ki roto

● To work in collaboration with key stakeholders, services / providers, whānau, hapu, iwi and wider community to reduce the impact of

suicide and self harm in our community.

Te Kupenga mo Kawerau The Kawerau Support Net

Terms of Reference


Exclusion/Ki waho

● All clinical matters to be referred to the Core Clinical Group.

Functions/Powers, Ngā mahi/Ngā mana whakahaere

○ Collaboration

○ Communication

○ Transparency

○ Accountability

○ Consultation

○ Support

○ Awhi

○ Tautoko

Deliverables/Ngā Otinga/Ngā hua

To provide leadership and support in suicide prevention

● locally

● regionally

● nationally

To establish, maintain, and foster good relationships to advance and enhance the wellbeing of the Kawerau community.


Timeframes/Ngā wā whakatau

● Te Kupenga team shall meet on a monthly basis. Venue, time to be determined.

● The quorum for an official meeting will be four members in attendance.

● A review of a decision/s made in the absence of any team member can be called, (at the meeting immediately after), upon the receipt

of the members apologies.

Relationship Principles:

The Treaty of Waitangi is recognised as a living document offering adherence to the principles of:

Participation:

Ensuring there is equal participation of partner organisations and that there is Māori participation in decision making, planning and the

development of resources and processes;

Partnership:

Ensuring there is ongoing relations between the Crown and its agencies and Māori;

Protection:

Actively protect and promote Māori health and wellbeing.

Team Values

1. Members will work together in a way that honours and respects the dignity and maintains the integrity of each other.

2. Members to work collaboratively.


Te Kupenga Members:

Any individual, group, service, agency, organisation who shares a passion and a commitment to reduce the impact of self harm and suicide

on the whānau (Family), hapū, iwi and wider community of Kawerau are more than welcome to join and share the journey.

Key Stakeholders

Bereaved Whānau Whānau, hapū , iwi Wider community

Services and providers Government agencies

Adopted and passed Date 21.8.13

Documents

Te Kupenga mo Kawerau FINAL 2013 PUBLIC