Transcript Slide 1

Te Ao Maramatanga
New Zealand College
of
Mental Health Nurses Inc
Partnership, Voice, Excellence
in
Mental Health Nursing
www.nzcmhn.org.nz
Overview







MHN vision
TAM history and structure
TAM strategic plan, current projects, influence
on policy, professional practice and education
TAM - member opportunities
MHN – expanding scope of practice, why
MH Nursing – physical health and A & D issues
MH Nursing influence on addictions work
Mental Health Nursing – the vision
Maximising the potential of mental health
nursing
 Working with the whole person, whanau
and communities
 Working across sectors
 A well articulated MHN voice and role
within the health sector
 Politically active with the ability to
influence
7/16/2015
4
Members make the college
History








Psychiatric nurses’ meeting, Porirua, 1987
“Te Ao Maramatanga”
NZ became a Branch of ANZCMHN in 1994
Development of separate College began in 2002
College logo developed from 2003 Conference
Te Ao Maramatanga launched in 2004
Professional leadership in mental health nursing
Confirmed existing Standards of Practice
Tony O Brien
The President
Maori Caucus
 Maori
nurses
NZ – College structure reflects
who we are as a country, working in
partnership to achieve college objectives
and strategic goals
 Uniquely
Hineroa(Kaiwhakahaere)
Heather & Tony
Strategic Goals





Advocacy – to provide professional leadership for
members, and public advocacy on MH issues
Communications – to communicate effectively and
efficiently to college members, MH stakeholders, and the
public
Membership – to continually attract new members and to
maintain a diverse and representative membership base
Strategic Relationships – to develop and maintain
relationships with key stakeholders nationally and
internationally
Professional development – to advance the educational,
clinical and political expertise of members
Focal points
 Infrastructure
development
 Professional Issues
Recruitment and Retention of MH nurses
within the MH sector
 Professional Involvement and Identity
Mobilising the ‘power within’
Mobilising the ‘power internationally’

Boards
 Education
- Carmel Haggerty
 Professional
 Research
Practice - Kaye Carncross
- Brian McKenna
– Rita McKewen, Frances
Hughes Policy, Research
 Scholarships
Australia & New Zealand
Member opportunities










Representation in policy process
Representation in regulatory processes
Contribution to national MH nursing voice - Submissions
Development of position statements
Regular newsletter
Website
Conferences and Wananga
Project work
Networking nationally, practice networks
Access to International Journal of Mental Health Nursing
Conference Theme
Expanding scope of practice in
Addictions – policy, professional
practice and education
7/16/2015
17
Why is this important?
 40%
of people who met criteria for
substance use disorder also met criteria
for an anxiety disorder and 29% met
criteria for a mood disorder (Te Rau Hinengaro)
 74% had concurrent disorder – 65%
anxiety, 53% mood (Adamson et al. 2006)
Receiving methadone treatment
 33%
taking medication for a MH problem
 33% taking medication for physical health
problem (Deering et al, 2004)
 Lack of health consultation about +ve
hepatitis status (Deering, 2007; Sheerin et al. 2004)
 High rates of reported health concerns
with low rates of actual health
consultations (Sheridan et al. 2005)
Therefore
People who enter Addictions services
 Complex array of substance abuse
disorders and
 Coexisting MH, physical health and social
issues which impact on their day to day
functioning and limit participation in family,
whanau and community life
Registered Nurses
 Focus
on individuals, families and
communities responses to health and
illness in the context of daily life
 Have generic RN competencies
 Specialise into MH and addictions
 Maintain generalist knowledge, develop
specialist knowledge and skills – apply
both to meet needs in a holistic way
Case example - liaison

40 year old died of cervical cancer, never had a
smear test, detected via symptoms, palliative
care only – mental health stable at time of death
(depression with history of heavy alcohol use)
 Isolative – most significant relationship was with
MH team – no evidence of physical health
considerations as part of treatment plan
 Good treatment for MH issues - we kept the
patient alive by assessing and managing risks of
suicide but patient died anyway – this death was
preventable!
Physical Health
 Physical
health needs of people with SMI
well established
 Nurses practising in MH have a growing
awareness of their need to consider
physical health issues – screening, health
promotion, health education, recording
baseline and detecting changes, referring
on when appropriate
Generic RN competencies with MH and
Addictions specialty knowledge and
skills

As RNs we have a broad scope - seize this
opportunity, expanding the MHN scope of
practice to meet the health needs of the people
we work with

MH speciality, alcohol and drug additional
knowledge and/or qualifications on generalist
base knowledge
MH Nurses working with A & D
issues


Yes we can!
Yes we need to if A & D issues are an issue for
the client
 What can we do






Assessment and brief interventions
Health promotion/education
Enhance motivation for behaviour and lifestyle
change
Consultation and shared care approaches
Active linking and referral
Instil hope and be patient and realistic – change takes
time
MH Nursing influence on addictions
work
Working with the whole person – mental
disorder, mental health issues, addictions,
physical health issues
 Comprehensive assessment, health promotion,
health education, strong generic health
understanding, systemic ways of working, well
developed psychosocial skills, talking therapies,
coaching, motivating, partnership approach
 Clinical intervention, detox/withdrawal,
overdose, intoxication, motivational interviewing,
client education for harm reduction

7/16/2015
26
MH Nursing influence on addictions
work
 Understanding
pharmacology and
pharmacokinetics of commonly used
medications in A & D
 Referral to appropriate agencies, based on
clinical assessment and treatment
outcomes
 Co morbidities and impact on physical and
A & D treatment
 Legislative and ethical dilemmas
Maximizing the potential
 Of
MH Nursing - expanding scope of
practice to meet needs of people using
MH Services - physical health and alcohol
and drug issues
 Through mobilising the power within our
profession to influence policy, professional
practice and education - College
membership and contribution