AUCKLAND DISTRICT HEALTH BOARD IN ASSOCIATION WITH LIFELINE REGIONAL SUICIDE PREVENTION SYMPOSIUM EVALUATION REPORT CROWNE PLAZA 128 ALBERT STREET AUCKLAND CITY FRIDAY 7TH MAY 2010 9.00 AM TO 4 PM
AUCKLAND DISTRICT HEALTH BOARD IN ASSOCIATION WITH LIFELINE
REGIONAL SUICIDE PREVENTION
SYMPOSIUM
EVALUATION REPORT
CROWNE PLAZA 128 ALBERT STREET AUCKLAND CITY
FRIDAY 7TH MAY 2010 9.00 AM TO 4 PM
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Denis Jury
Robert Ford
Candace Bagnall
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Evaluation Report ‐ Suicide Prevention Symposium Registered suicide prevention symposium participants were asked at the end of the symposium to fill an evaluation form. A total of 42 out of 83 participants responses were received (a 50% response rate). The evaluation form was brief and focused on identifying participants’ perspectives of the usefulness of the presentation and Symposium to their suicide prevention practice:
Ratings for total effectiveness of the Symposium in achieving its intended goals
Many participants commented on their overall satisfaction with the Symposium and its effectiveness:
‐ Good to have a place to hear about everything that is in development across a variety of sectors
‐ It was awesome. I’d love to be more involved. It’s great to understand such a broad overview and talk about strategies. Beautiful. It’s the best Symposium I have ever been to
‐ Good opportunity to focus on suicide prevention at a district level ‐ Good speakers, good variety of people. Nice venue. I hope the feedback provided
from the workshop is utilized ‐ Very effective. The importance of bringing a wide variety of individuals together to
discuss this major issue was achieved. Increases knowledge, shared new initiatives being heard with motivation and passion
‐ Goals were met really well and great opportunity to network and catch up with colleagues again
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Helen Moewaka Barnes Tuliana Guthrie
Patrick Au Merryn Statham
Stephen Bell, Ansie Nortje, Dylan Norton, Debbie Antcliff, Dr. Simon Hatcher,
Marie Hull Brown Dr. Christie, Lynne Weir
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Rating of the usefulness and relevance of the presentations
Presentations Very useful /useful
Not sure/mixed
Not useful
Specific factors/ causes related to intentional self harm and suicide among Māori
21 13 8
Specific factors/ causes related to intentional self harm and suicide among pacific people
23 11 8
Risk factors contributing to suicide and intentional self harming behaviours from a Asian and migrant’s perspective.
35 3 4
A holistic cultural view and understanding of Suicide
25 14 3
Can Mental Health Services Prevent Suicide? 31 10 1
Why paying attention to suicide prevention benefits everyone.
35 7 0
Suicide in those with addiction 30 10 2
The relationship between Mental Health and intentional self harm and suicide: The view from the coal face.
27 9 6
Factors/ causes related to intentional self harm and suicide in youth
30 9 3
Suicide prevention education based programmes 24 12 9
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Rate your satisfaction with the quality and relevance of the Symposium on a scale of 1 to 5 (1 indicating Very Satisfied, 2 indicating Satisfied, 3 indicating Unsure/Mixed, 4 indicating Unsatisfied, 5 indicating Very Unsatisfied)
Rate your satisfaction with the quality of the Symposium organisation on a scale of 1 to 5 (1 indicating Very Satisfied, 2 indicating Satisfied, 3 indicating Unsure/Mixed, 4 indicating Unsatisfied, 5 indicating Very Unsatisfied)
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Identify what you enjoyed or most valued about the Symposium.
Many participants regarded the quality of information presented as the Symposium’s most valuable aspect:
“Focusing on a difficult subject that raises more questions than answers”
‐ Good presentations which were relevant and specific ‐ Good selection of speakers on the panel ‐ Interesting presentations
Many participants also commented positively on the networking opportunities allowed through the Symposium:
‐ Good to get everyone together in the sector to promote suicide as an important issue ‐ Good chance to meet other professionals and organisations supporting clients
dealing in suicide Nice opportunity to meet and great others passionate about this topic
‐ Contact with diverse groups. ‐ Interaction with Early intervention services
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Suggestions and recommendations for improvement
Several participants would have liked to see representation from other mental health sectors at the Symposium:
‐ No consumer speakers, would be wonderful to hear individuals’ firsthand accounts of depression and suicidality
‐ Youth speakers
Several participants also recommended an expansion of Suicide Prevention Symposiums to other DHBs:
‐ Could this become mandatory for everyone? ‐ Every DHB should do this ‐ Any chance of making this an annual national event to share ideas, outcomes and
feedback.
A few participants also recommended a longer allotment of time for the Symposium to allow for more discussion:
‐ I would like the Symposium extended over more days so that there is an opportunity for fuller discussion that could be turned into actions, more time for question and debate
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Other recommendations
1. Make gatekeepers training more available to staff in the workforce
2. Need more clinician driven initiatives
3. Specific panel on postvention next time
4. Presentation on the effective treatments for addressing triggers of suicide
5. Some of the panel members did not adequately address the specific topics, they were talking to.
6. Community based speakers
7. Would have liked to have seen more spread of services like CYFS and Corrections also to be present.
8. 10 mins each was not long enough. Would have preferred less speakers with more time each so a detailed elaboration in 20 minutes
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REGIONAL SUICIDE PREVENTION SYMPOSIUM WORKSHOPS
The participants were asked to join any one of the three groups to discuss and identify ways to sustain suicide prevention, with an emphasis on being solution-focused.
The three groups were:
1. Suicide Prevention from a Health Perspective 2. Suicide Prevention from a Cultural Perspective 3. Suicide Prevention from an Age Perspective.
HEALTH WORKSHOP
Facilitator: Dr Clive Bensemann
Areas of discussion:
(1) Access/Integration
• Inclusive services, umbrella services • Clearer language and communication for different communities and accessing
health services, not just specialist services. • Clarity and strong relationship at the interface and a pathway of alliance. • Link to new Primary Care Direction, schools and specialist mental health services. • Integration of care and prediction/prevention.
(2) Move Away From Medicalisation
• Redirection of resources maybe specifically dealing with suicidality and self harm, separate from medical model. Problem focused.
• Having a community based, non‐medicalised setting.
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(3) Public Community Based Health Initiatives
• Mental Health first aid programmes in Australia Can we develop something similar for NZ?
• More public programmes. • Health education promotion • Wellbeing • Stigma – language • Along with all others • Mental health as part of a first aid course, suicide? Suicide ideation.
(4) Training
• Training a wider range of professional, schools, nurses, and teachers. Shifting focus away from risk assessment to needs assessment and management of meeting needs.
• Integrate suicide prevention into tertiary training and study post graduate or under graduate with therapies that equip mental health staff to manage need.
(5) Advocacy
• Bring to the notice of the Ministry of Health emerging issues.
AGE WORKSHOP
Facilitator: Dr Simon Hatcher
Areas of discussion:
• Increase the visibility of the Suicide Prevention Coordinator in the DHB • Name the services available • Forum within the DHB • Change the focus of assessment • Gatekeeper training i.e. ASIST, QPR • People involvement consumers/carers • People involvement universal screening tool • Increased specialist out of hours • Increased technology
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CULTURAL WORKSHOP
Facilitator: Dr Debbie Antcliff
Areas of discussion:
• Enhance culturally specific liaison between primary care and secondary care. • Provide education sessions in Fonofale and Whare Tapa Wha – models for primary
care. • Support Whanau Ora – community screening use of QPR and ASIST Programmes. • Use HEADS or similar screening. • Tools more in primary care/education to screen and plan, particularly for young
people. • Ask about cultural identity and cultural needs routinely in all settings. • “Men’s Culture” run a Men’s Conference to identify ways to enhance men’s
wellbeing. • Promote use of free trained mental health interpreters in primary and secondary
care. • Use video conferencing more between primary care and specialist cultural workers.
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All 42 people who gave feedback found the workshops to be useful. Most agreed that it’s most useful aspect was the opportunity it allowed different health sectors to share their different perspectives and network:
‐ Gain better understanding of the different perspectives within the mental health umbrella
‐ Networking ‐ Opportunity for sharing ‐ Meet people and heard what services are out there and how to access them ‐ Good to hear different opinions from different organizations or groups ‐ The opportunity to brainstorm and discuss for all different professionals and
workforces ‐ Information on older and youth services ‐ Overview of the mental health system ‐ The level of awareness of suicide prevention needs to be raised and be more
integration of services in regards to suicide prevention ‐ Discussion on a positive change towards increasing access to services for high risk
groups. ‐ Concrete concepts about cultural concepts ad ideas about what services could do. ‐ Hopefully some of the group ideas will be taken forward as a number of good initiatives
were derived from the discussion.
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Participants Sharing Morning Tea at the Crowne Plaza
Closing Remarks by Anil Thapliyah
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