MidCentral District Health Board Suicide Prevention and Postvention Action Plan 1 Year 2018 2019

 
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MidCentral District Health
Board Suicide Prevention
    and Postvention
      Action Plan

         1 Year
       2018 – 2019

                             1
He Mihi Community

E ngā pae maunga o Ruahine o Tararua, o Tararua, e tu ake nei
E ngā wai o Manawatu, o Ōroua, o Rangitikei e rarapa mai ana
Karanga mai, karanga mai, karanga mai

E ngā mana, e ngā karanga maha huri āwhiotia i ngā tōpito o te aotūroa nei tēnā koutou katoa

Tena koutou i runga i ngā āhuatanga e uruhia mai nei i a tātou katoa, ahakoa ko wai, ahakoa nō hea

Kei āku nui, kei āku rahi, e ngā iwi kainga, arā, Rangitāne o Manawatu, Ngāti Kauwhata, Rangitāne o Tamaki Nui a Rua me Ngāti Raukawa ki te tonga,
karanga mai, karanga mai.

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Background
The original MDHB Suicide Prevention Postvention Action Plan was from 2015-2017. As the Ministry of Health is working through the best possible
way to progress with a national suicide prevention strategy, and with the Mental Health Enquiry taking place, the MoH have asked all DHBs who do
not have a current Suicide Prevention Plan in place to move forward with one.
The options were to do either a 1 year interim plan, or a 3 year plan. In consultation with the MDHB Suicide Prevention Postvention Response Team, a
1 year plan was decided upon due to time constraints and the impact this would have on the ability to consult widely.
During 2018-2019 work will commence on developing a long-term plan.

The MDHB Suicide Prevention Postvention Response Team’s role is to coordinate a response to suspected suicides, as well as engage in suicide
prevention initiatives. Membership consists of representatives from central and local government agencies and from appropriate health and social
service agencies that can assist with the purpose of the team. Also, when a person on school age dies by suicide there is the Critical Incident Response
Team available.

In late 2017, a Tararua Local Response Team was established to increase coordination and capacity of suicide postvention management, as well as to
support community wellbeing and development initiatives in the areas of mental health promotion and suicide prevention, within the Tararua district.
It consists of representatives from central and local government agencies and from community based health and social service agencies This team
provides a local response in partnership with the MDHB Suicide Prevention Postvention Response Team.

A Horowhenua Local Response Team is in the process of being created, with Local Response Teams for other areas of the community to also be
developed in the future.

The MidCentral Mental Health and Addiction Network, called Unison was established in 2017, and aims to deliver better services by providers for
mental health and/or addiction service users and their families/whānau.
Unison is a network of providers and stakeholders representing the complete continuum of service delivery across all age ranges. The combined
coordinated input of all representatives aims to create an integrated system of care which includes input from intersectoral agencies and all other
providers. Unison will play a role in supporting the implementation of mental health programmes, including the suicide prevention strategy, and

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ensuring connectivity between providers who have input to suicide prevention. The combined group of providers in the Unison Network work
together to identify and resolve the mental health and addiction needs of consumers who use their respective health, support and social services.

MDHB Locality plans in Tararua, Horowhenua and Manawatu have been developed in response to community needs. These include Mental Health &
Addictions initiatives for the year 2018-2019.

Population Suicide rates
In the 2013 census the MidCentral DHB population was assessed to be 162,564. The defined area is based on territorial authority and ward
boundaries, and for MidCentral DHB these include Manawatu, Tararua, Horowhenua, a part of Kapiti district (Ōtaki Ward), and Palmerston North
city. The gender split of the MidCentral population is 52% female and 48% male.

MidCentral District Population by Ethnicity at 2006 Census and 2013 Census (percentages):

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Suicide rates
From 2004 to 2014, the average suicide rate for MidCentral DHB was 16.2 per 100,000. This compares to the national rate of 12 per 100,000 over the
same time period. It is important to note that the rate for MidCentral tends to fluctuate to a large degree. As an example, 2005 had a rate of 22 per
100,000 people, while 2012 was 12.5 per 100,000.

Age

Using the same 2004-2014 time period, MidCentral is over the national average for most age groups. Unlike nationally, MidCentral has a peak in the
40-44 year old (28.2 per 100,000) and 45-49 (29.2 per 100,000) demographics. This means those in middle age are a demographic that require
targeted initiatives.
As with the national average, MidCentral rates also peak for 20-24 year olds (29.5 per 100,000), meaning they are also a significant area that requires
targeting.

Gender

Men outnumber women in suicide statistics, and MidCentral is no exception. Data shows that men take their lives at three times the rate of women.
In particular, middle aged men are a key demographic that are over represented in MDHB.

No data is publicly available to show rates for those who are gender diverse.

Ethnicity

No public data sets show suicides by ethnicity on a DHB level. Nationally Maori have a higher rate of suicide than non-Maori.

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Locality

MidCentral is made up of four territorial authorities, Tararua District, Manawatu District, Palmerston North City, and Horowhenua District. The Otaki
ward of the Kapiti District is also part of MidCentral.

From 2004-2014 Tararua and Otaki were the areas that had the highest rates, although their smaller populations do mean that a small number of
suicides can dramatically shift their rate.
A Local Response Team was established in Tararua in early-2018, and another is being established for Horowhenua/Otaki.

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Key achievements of the previous action plan
 Established pathway for Coronial data, received from Clinical Advisory Services Aotearoa on behalf of the Minsitry of Health; and a response for all
  suspected suicides in MDHB region is undertaken.
 Development of a Tararua Local Response Team.
 Initiatives that support an inclusive environment for the rainbow community have been rolled out such as Gender & Sexual Diversity @ Work
  Trainings.
 Contracted the iwi Māori service provider Best Care Whakapai Hauora for Kaupapa Māori Suicide Prevention Services.
 Comprehensive report completed by YOSS and the Palmy Youth Network about young people’s experiences of cyber bullying in Palmerston North.
  The report found that over a third of the young people surveyed had been victims of cyber bullying.
 Cyberbullying workshops delivered across the region for schools and professionals working with young people. A cyberbullying resource was also
  developed and distributed, which lists key resources.
 ‘Coming together to remember those we have lost to suicide’ community gatherings held yearly, in collaboration with ACROSS Social Services. This
  was identified as a need from the community.
 A range of education and training workshops delivered to various attendees, examples of these are: Wellbeing presentation to rural community;
  Children, Tamariki, Whanau and Families Forum which included presentations from a variety of services (CAFS, MSF, ACROSS, Child Health, Barnados,
  Child Development, Gateways); and perinatal mental health and wellbeing forum.
  In collaboration with CAFS, mental health/wellbeing session for employees at a construction materials company; training on anxiety delivered to
  RTLBs, PHNs; and The Detection and Management of People at Risk of Suicide Seminar, delivered to a wide variety of participants including front-line
  workers, tertiary education sector, and the NGO sector.
 A wide variety of mental health, wellbeing and suicide prevention postvention resources and service information distributed to agencies and the
  community, such as the ACROSS bereaved by suicide support group. Resources and information also disseminated in regards to current affairs/media,
  as appropriate.
 Implemented Vintage Parties for older people with the Palmerston North City Council to address social isolation and enhance well-being.
 Implemented specific approaches to support initiatives for Māori suicide prevention; particularly wananga in Foxton, Shannon and Levin (paepae
  wananga and safe talk forums).
 Implemented resource Toolkit for whanau and people working with families, under Supporting Parents Healthy Children initiative.
 Engaged with the local media to ensure awareness of media guidelines ‘Guidelines and Reporting Suicide’.

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 Kaupapa Maori suicide workshop held March 2018 to develop initiatives from a kaupapa maori response to suicide prevention and intervention using
  the turamarama declaration (launched by Dr Mason Durie in 2016).
 Liaison and information now occurs between mental health and addiction services and suicide prevention coordinator. Emerging trends can be
  identified from data.
 Coronial data on suspected suicide now collected and analysed in terms of trends and planning needs in the district.

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Action Area 1: Promote Mental Health and Wellbeing and Prevent Mental Health Problems
Activity/Objective      Action                           Performance                     Partners                      Key Lead
                                                         Measure/Milestone
Support mental health   Support a coordinated approach   Develop appropriate initiatives Public Health Service,        Public Health Services
and wellbeing for       to youth wellbeing and safety                                    Netsafe,
people experiencing                                                                      Schools, Youthline,
bullying                                                                                 CAFS, WellStop

Build community         Identify effective models of     Effective resiliency programs      Youth One Stop Shop,       Public Health Services,
resilience              resilience                       for youth, young adult and         Secondary Schools,         YOSS
                                                         older persons identified           Massey University,
                                                                                            Lesbian and Gay Rights
                                                         Effective programs for the         Association, G.P.
                                                         youth Rainbow community.           Practice teams,
                                                         Rainbow community - gender         Age Concern, Federated
                                                         and sexual diversity inclusivity   Farmers, Rural Support
                                                         initiatives and trainings          Networks,
                                                                                            Employers Federation,
                                                                                            Kia Piki Te Kaha Suicide
                                                                                            prevention
                                                                                            Coordinators, Sport
                                                                                            Manawatu, Central PHO,
                        Implement Youth Leadership       Implemented                        Te Tihi o Ruahine          Mental Health Services,
                        Programmes                                                                                     Mana o te Tangata Trust,
                                                                                                                       CPHO

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Develop a 5 Ways to Wellbeing                                        Suicide Prevention
                           style resource for young people     Resource is developed            Postvention Response       Central PHO, Te TiHi
                                                                                                Team, Mental Health
                                                                                                Foundation

To coordinate key          To support the coordinated          Establishment of Unison sub-     Ministry of Social         Service Director MH&AS,
government and social      response                            committees which address         Development, Housing       MDHB UNISON
service agencies                                               wider health determinants e.g.   NZ, Public Health Unit,
initiatives to address                                         housing, employment.             City Council, UCOL,
identified service users
issues

Increase capacity &        Facilitate workforce Suicide        Forums held annually across      Clinical Mental Health     Public Health Services,
capability of mental       Prevention Forums to discuss        the region. Focus on             Services,                  NGO Project Coordinator
health addictions          ongoing suicide prevention to       Horowhenua and Tararua           Iwi/Māori, Pacific,
workforce around           include update on current                                            Refugee Services, NGOs,
suicide prevention and     research, activities, issues, new   Extra community meetings         Kia Piki Te Kaha Suicide
postvention                resources                           held if a suicide cluster or     prevention Co-
                                                               contagion develops               ordinators, G.P.
                                                                                                Practices, Pharmacies,
                           GP Practice Education Seminars      A series of 9 GP Education       Specialist Child           Central PHO
                                                               Seminars per annum               Adolescent and Family
                                                                                                Mental Health Service,
                           Trainings delivered that cover                                       Public Health Services,

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suicide prevention, identification,                                  Central PHO                CAFS and Public Health
                          screening, management, referral
                          pathways

Increase the              Trainings delivered in settings       Trainings are delivered        Child Adolescent Mental    Public Health Service,
confidence, skills and    that may be not be commonly           throughout the region          Health team, Ministry of   CAFS,
knowledge of the          accessed e.g. rural community.                                       Health (workshop           NGO Project Coordinator
community around                                                                               trainings)
suicide prevention, as    Provide national community
well as mental health     trainings e.g. LifeKeepers
wellbeing
                          Community led-initiatives are
                          supported

Support mental health     Identify effective and evidence       Initiatives                    Suicide Prevention         Suicide Prevention
and wellbeing             based initiatives/programmes for      supported/implemented          Postvention Response       Postvention Response
initiatives for men       men                                                                  Team                       Team

Build mental health       Provide Mental Health Awareness       Communities are informed       Supporting Families in     NGO Project Coordinator,
literacy and depression   Training workshops e.g. Mental        about availability of          Mental Illness, Marae,     Public Health Services
awareness                 Health 101 and                        workshops                      workplaces, rural
                          Depression Awareness workshops                                       support agencies,
                                                                Information on referral        NGO’s, Social Services,
                          QPR Suicide Training Tool             pathways for help seeking is   PHO, pharmacies,
                          Gatekeeper Training                   shared                         Age Concern
                          ASIST Training Tool

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Activities documented and
                                                                evaluated

Support mental health      Community suicide prevention         Relationship with Suicide         Iwi Services,             Kia Piki Te Kaha Māori
and wellbeing              initiatives                          Prevention Coordinators and       Central PHO,              Suicide Prevention
initiatives for Māori      are supported by (Kia Piki Te Kaha   Iwi Providers are strengthened    Community Nurse for       Coordinators, Public
and Pasifika               Service)                             and initiatives supported         Pasifika                  Health Services, Pasifika
                                                                Initiatives documented                                      Advisory Group

                           Establish/strengthen relationships Assistance with initiatives and     Pasifika Advisory Group
                           with Pasifika Community            resources provided on request       Levin

                           Kaupapa Maori Suicide                Assistance with establishing      Iwi Services, NGO’s       Kia Piki Te Kaha Maori
                           Prevention Roopu strengthen          initiatives aligned with          Mana o te Tangata Trust   Suicide Prevention
                           Turamarama Declaration               Turamarama Declaration.           Central PHO               NGO Coordinator
                           initiatives.                         Initiatives documented            Ministry of Education     Mana o te Tangata Trust

Support mental health      Further strengthen relationships     Mental Health/Wellbeing           Public Health Nurses,     Public Health Services
and wellbeing              with refugee services and offer      presentations delivered to        Red Cross Refugee
initiatives for refugees   assistance with identified           refugees as part of the           Service,
                           activities                           orientation programme for         Multicultural Council,
                                                                new families are implemented      Central PHO
                                                                and evaluated

Support mental health      Provide education on link            Training delivered re screening   MDHB Family Violence      MDHBFamily Violence
and wellbeing              between violence, sexual abuse       for family violence in primary    Intervention              Intervention Coordinator,

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initiatives for people   and mental health                   care                              Coordinator,              NGO Project Coordinator,
experiencing             Family violence screening and                                         Public Health Service     Public Health Services
violence/domestic        referral processes to be more                                         Promoters, CPHO,
violence                 fully implemented                                                     Manawatu Abuse
                                                                                               Intervention Network,
                         Support agencies working in                                           Te Aroha Noa (Men’s
                         family violence and sexual abuse    Staff of these agencies receive   Group), Police,
                                                             QPR or other appropriate          Community Corrections,
                         Encourage health professionals to   community based training          Women’s Refuge, Kia
                         use opportunities to engage with                                      Piki Te Kaha Service,
                         patients about domestic violence    Information disseminated to       Kauri Integrated Family
                         e.g. 6 week post-natal check        health professionals              Health Centre

Support mental health    Work with Age Concern and           Programs are provided and         Age Concern,              MDHB Family Violence
wellbeing for older      MDHB Star ward to identify issues   evaluated                         Police, City Council’s,   Intervention Coordinator,
people experiencing      and coordinate a response                                             Housing NZ, Primary       NGO Project Coordinator,
elder abuse                                                                                    Mental Health Service,    Public Health Services
                                                                                               Health Promotion
                                                                                               Advisers

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Action Area 2: Improve the Care of People who are Experiencing Mental Disorders Associated with Suicidal
Behaviour
Activity/Objective         Action                         Performance                        Partners                      Key Lead
                                                          Measure/Milestone
Recognition and support    Disseminate “help seeking”     Two workshops a year are           Supporting Families in        Public Health Services,
for people experiencing    information through non        advertised, delivered and          Mental Illness, Kia Piki Te   NGO Project Coordinator
mental health &alcohol     mental health sector e.g. Work evaluated                          Kaha Coordinators
and drug problems          and Income, workplaces                                            Public Health Services,
                                                                                             Health Promoters
                                                              Dissemination of information   Iwi Providers, YOSS,
                                                              recorded via the NGO           Primary Mental Health
                                                              Workforce Development          Service, Specialist AOD
                                                              Coordinator                    Service, Youthline, MASH
                                                                                             Trust
Raise awareness of signs   Deliver Mental Health 101          Training delivered and         Mental Health Services,       NGO Project Coordinator,
and symptoms exhibited     Workshops,                         documented by existing         Skylight,                     Public Health Services
by people experiencing     Mental Health Awareness            workforce development          Kia Piki Te Kaha Service
mental health, alcohol &   Workshops,                         monitoring frameworks
drug addiction problems    Information provided on
among health               bereaved by suicide support        Training requirements          Training Providers
professionals and other                                       identified and provided
front line workers         Identify specific training needs   where requested
                           for G.Ps practice Teams
                                                              Number of participants
                                                              completing training are
                                                              documented
Refugees/immigrants        Strengthen relationships with      Programs and workshops         English language              Public Health Services,

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with mental health issues   refugee/immigrant services      provided as identified and      partners, Red Cross        Central PHO
are well supported          and provide opportunities to    requested by Refugee            Refugee Services,
                            support refugees experiencing   Services/Manawatu               Mental Health Services,
                            mental health and alcohol &     Multicultural Centre            Manawatu Multicultural
                            drug addiction problems                                         Centre, Central PHO, G.P
                                                            Access to refugee/Immigrant     Practice Teams,
                                                            support services/information    Pharmacies
Improve the care for        Public Health Service to        Initiatives are                 Suicide prevention         Kia Piki Te Kaha, Public
Māori who have mental       support and work alongside      supported/strengthened as per   Coordinators, Clinical     Health Services
health, alcohol & drug      Suicide Prevention              Te Whakauruora Resource e.g.    Mental Health Services,
issues associated with      Coordinators                    advocate for a choice of        Central PHO,
suicidal behaviours         in the delivery & support for   services to be available and    Iwi Services,
                            marae, whānau and Māori         appropriate for whānau to       Whānau/family Advisor,
                            communities                     access help when required       Māori Women’s Welfare
                                                                                            League,
                                                                                            Pharmacies

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Action Area 3: Improve the Care of Service Users Who Make Non-fatal Attempts
Activity/Objective         Action                             Performance                          Partners                Key Lead
                                                              Measure/Milestone
Provide appropriate        Establish follow up support for    Follow up strategies identified   ACROSS Social Service,     Supporting Families in
support for service        family/ whānau of a person         and recorded                      Clinical Mental Health     Mental Illness Service
users, parents family,     who has attempted suicide or                                         Services, Emergency
whanaū (including Māori    self-harm e.g. individual/group                                      Department,
and Pacific) who have      support, support from                                                GP Practice Teams,
children who have          agencies, information and                                            NGOs,
attempted suicide/ self-   education                                                            Ministry of Education,
harm                                                                                            Youth One Stop Shop,
                                                                                                Supporting Families in
                                                                                                Mental Illness,
                                                                                                Oranga Tamariki,
                                                                                                Kia Piki Te Kaha Suicide
                                                                                                prevention Coordinators,
                                                                                                Safe Community
                                                                                                Coordinator-Palmerston
                                                                                                North City Council

Improve communication      Continued collaboration            Follow up processes are           Specialist Mental Health   Specialist Mental Health
and referral processes     between ED and Mental Health       documented                        Services,                  Services,
between GP Practice        Services on follow up of clients                                     Central PHO,               Central PHO,
Teams, Specialist Mental   after a suicide attempt or                                           Emergency Department,      Emergency Department
Health Services and        serious self-harm                                                    Mental Health Emergency
Emergency Department                                                                            Team ,
following a person’s       A prompt online notification is                                      IT/Emergency

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self-harm attempt        provided to GP Practice Team’s   Establishment of WEBPAS         Department,
                         following an attempted suicide
                         or self-harm

                         Support improved referral        Strategy for improving
                         pathways from GP Practice        timeliness of assessment
                         Teams interface with clinical    identified
                         Mental Health Service

Suicide and suicide      Support Māori Suicide            Māori and Pacific people are    Suicide Prevention          Kia Piki Te Kaha Suicide
attempt rates among      Prevention Coordinators to       able to access the service of   Coordinators Kia Piki Te    Prevention Co-ordinators,
Māori and Pacifica are   assist people to navigate        their choice                    Kaha Service, Iwi and       Public Health Service
reduced                  through the mental health                                        Māori Services,
                         system to receive culturally                                     DHB Pacific Mental Health
                         appropriate help                                                 Liaison Coordinator

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Action Area 4: Reduce Access to Means of Suicide
Activity/Objective            Action                           Performance                        Partners               Key Lead
                                                               Measure/Milestone
Reduce access to potential    Monitor coronial data that       Evidence of action is           Suicide Prevention        Public Health Services,
suicide methods in order to   looks at method of suicide to    documented and reported to      Postvention Response      Suicide Prevention
reduce suicide risk           determine action for             Community Prevention            team                      Postvention Response
                              prevention e.g. firearms         Postvention Reference Group     Primary Mental Health     Team
                              storage                                                          Services,
                                                                                               Police, Federated
                              Work with local councils,        Repetitive sites/methods for    Farmers,
                              institutions and businesses,     suicide attempts are identified Public Health Services,
                              for any recognized repetitive    and the appropriate             TA’s
                              suicide methods e.g. jump        authority/business are          NGO Sector,
                              sites                            supported to take action        Clinical Mental Health
                                                                                               Services,
                              Advise those caring for          Ensure information is           Central PHO,
                              people at high risk of suicide   available for distribution to   Public Health Services
                              to remove potential means to     carers, family/whānau
                              suicide e.g. toxic substances,
                              firearms
Increase awareness for        Provide information to           Information provided to         Primary Mental Health     Public Health Services,
community about ways to       friends/family of people to      friends/family about reducing   Services, Specialist      Suicide Prevention
reduce access to means of     limit possibility of future      suicide means as a prevention   Mental Health Services,   Postvention Response
suicide                       suicide attempts                 strategy                        NGOs,                     Team, NGO Project
                                                               e.g. pathways to helping        community agencies,       Coordinator
                                                               agencies                        Crisis Intervention
                                                                                               Response Team, Kia Piki

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Te Kaha Suicide
                                                                                        Coordinators, Public
                                                                                        Health Mental
                                                                                        Promotion health
                                                                                        Advisors
Safer                       Work with GP Practice Teams Action documented               Central PHO,               NGO Project Coordinator
dispensing/prescribing of   on providing information of                                 Pharmacies,
medications                 dangers of over prescribing                                 Integrated Medicine
                            medication to those who                                     Management Leadership
                            have attempted suicide or are                               Alliance,
                            at risk of suicide                                          Specialist Mental Health
                                                                                        Services,
                                                                                        Clinical Services &
                                                                                        Pharmacy

Reduce access by Māori to   Support and work alongside   Support and strengthen         Iwi and Māori Providers,   Public Health Service, Kia
means of suicide            Iwi/Māori Providers to       initiatives as per Te          MidCentral Health,         Piki Te Kaha Māori Suicide
                            provide information to       Whakauruora Plan e.g.          NGOs, Primary Mental       Prevention Coordinators
                            families/whānau to remove    Provide choice and access to   Health
                            potential means              services including tohunga,
                                                         Māori healers

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Action Area 5: Promote Safe Reporting and Portrayal of Suicide Behaviour by the Media
Activity/Objective           Action                             Performance                            Partners         Key Lead
                                                                Measure/Milestone
Agencies and community       Resources and information          Resources and information        Suicide Prevention     Public Health Services
have appropriate             disseminated in regards to         disseminated as needed           Postvention Response
information and resources    current affairs/media                                               Team
in regards to current
affairs/media

Action Area 6: Support Family/Whānau, Friends and others affected by Suicide or Suicide Attempt
Activity /Objective         Action                        Performance                       Partners                    Key Lead
                                                          Measure/Milestone
Establish/strengthen        Promote and support           Information about             Suicide Prevention Response     Public Health Services,
relationship                services for those bereaved   supportive agencies           Team, ACROSS Social Service,    ACROSS Social Service, Kia
with agencies that will     by suicide                    distributed                   Kia Piki Te Kaha Suicide        Piki Te Kaha Suicide
offer support to those      through general practice,                                   prevention Coordinators,        Prevention Coordinators
bereaved by suicide         media, churches, funeral                                    Public Health Services,
including supporting the    directors, social services,   Facilitators of Bereaved by   Supporting Families in Mental
capacity and capability     marae, workplaces, clubs,     Support Groups feel well      Illness,
of facilitators of          sports groups and             supported                     Iwi Services,
specialist suicide-         community groups                                            Victim Support,
prevention programs                                                                     Funeral Directors,
                            Support for suicide                                         Workplaces,

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bereavement facilitators                                Sports Clubs,
                                                                                MidCentral Health , General
                        Initiatives untaken as                                  Practice,
                        identified and appropriate                              Family/Whanaū Advisor,
                                                                                Skylight, Mental Health
                        Engage with tertiary sector   Tertiary sector are       Foundation,
                        to ensure good                supported following an    Youthline, Manawatu Police,
                        coordination following a      event                     Specialist Mental Health Services
                        suicide
Ensure those bereaved   Liaise with Victim Support,   Resources and agency      Victim Support,                     Suicide Prevention
by suicide have         Police and other mental       information is provided   ACROSS Social Services,             Postvention Response
appropriate knowledge   health stakeholders to                                  Police, Kia Piki Te Kaha Suicide    Team
of                      identify and provide up to                              Prevention Coordinators,
self-help agencies      date resources                                          NGO sector

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Action Area 7: Expand the Evidence about Rates, Causes and Effective Interventions
Activity/Objective         Action                         Performance                        Partners                      Key Lead
                                                          Measure/Milestone
Respond to Coronial        Identify opportunities for     Opportunities identified and    Clinical Advisory Services       Suicide Prevention
Data for all suspected     intervention                   implemented                     Aotearoa (CASA), Specialist      Postvention Response
suicides in the district                                                                  Mental Health Services,          Team, Public Health
                           Debrief meetings held as       Findings from evaluation will   Community Suicide Prevention     Services
                           identified                     be feedback to services with    Reference Group, Public Health
                                                          recommendations                 Services , Mental Health
                                                                                          Clinical Executive,
                                                                                          Mental Health Serious Adverse
                                                                                          Events Review Group

Child Youth Mortality      Member of MidCentral           Attendance at meetings and      Child Youth Mortality Review     Public Health Service,
Review Committee -         region Child Youth Mortality   contribute as appropriate.      Committee Group                  Child & Youth Mortality
Review, to identify        Review Committee with                                                                           Review Coordinator
opportunities for          information provided as
prevention/modification.   requested, and attend
                           meetings

Increase                   Research is undertaken         Research report/findings is     Mental Health Services           Mental Health Services
evidence/research                                         produced on high end users
                                                          and high risk populations in
                                                          contact with mental health
                                                          and addictions services

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Action Area 8: Increase the Coordination and Capacity of Suicide Postvention Management for at Risk People
Activity/objective        Action                       Performance                         Partners                    Key Lead
                                                       Measure/Milestone
A coordinated             A Suicide Support Model is   Procedure of support             Community Suicide              Public Health Service, Suicide
response to suicide is    developed including the      following a suicide to prevent   Prevention Reference           Prevention Postvention
implemented for all       formation of Governance      contagion or cluster is in       Group, Public Health           Response Team
identified at risk        Group, and Local Response    place                            Services, Local Response
groups                    teams across the district                                     Team, CASA
                                                       A governance group is
Note: a protocol                                       formed.
already exists between
MidCentral Health
CAMHS, Public Health
Service and Ministry of
Education for traumatic
events such as
suspected suicide
involving early
childhood centre and
school children

Local Response Team is    Liaise with communities to   Local Response Team for          Youth One Stop Shop,           Public Health Service, Suicide
developed for             discuss development of a     Horowhenua region is             Tararua REAP Team, Tararua     Prevention Postvention
Horowhenua district       Local Response Team          established                      Youth Service, Strengthening   Response Team
                                                                                        Families Network, Minsitry
                          Continue to support the                                       of Social Development,
                          Tararua Local Response                                        Oranga Tamariki, Levin

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Team                                                         Community Networks,
                                                                                      Horowhenua Strengthening
                                                                                      Families
Liaise with Clinical     Emerging trends are            Emerging trends are notified Prevention Postvention         Public Health Service, Mental
Mental Health Services   identified from data           to Suicide Prevention         Response Team, Clinical       Health Service
and community to map                                    Coordinator for any follow up Mental Health and
suspected suicide                                       actions                       Addictions services, Victim
clients and identify     Clinical Mental Health                                       Support,
trends                   Services                       An appropriate response is    Public Health Services
                         notified of Coronial Data to   developed e.g. a trend is
                         identify whether suspected     identified as a workplace     Mental Health Services
                         suicide is under Clinical      therefore help-seeking        Adverse Event Review Group
                         Mental Health Service’s        information and support is
                                                        provided to the workplace
                                                        Information is shared with
                                                        Mental Health Services
                                                        Adverse Event Review Group
                                                        and actioned as per
                                                        processes

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