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Te Ao Maramatanga New Zealand College of Mental Health Nurses Inc Partnership, Voice, Excellence in Mental Health Nursing


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 ... – PowerPoint PPT presentation

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Title: Te Ao Maramatanga New Zealand College of Mental Health Nurses Inc Partnership, Voice, Excellence in Mental Health Nursing

  • Te Ao MaramatangaNew Zealand College of
    Mental Health Nurses Inc Partnership, Voice,
    Excellence in Mental Health Nursing
  • www.nzcmhn.org.nz

  • 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

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Mental Health Nursing the vision
  • Maximising the potential of mental health nursing
  • Working with the whole person, whanau and
  • Working across sectors
  • A well articulated MHN voice and role within the
    health sector
  • Politically active with the ability to influence

Members make the college
  • 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
  • Uniquely NZ College structure reflects who we
    are as a country, working in partnership to
    achieve college objectives and strategic goals

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

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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

  • Education - Carmel Haggerty
  • Professional Practice - Kaye Carncross
  • Research - Brian McKenna
  • Scholarships Rita McKewen, Frances Hughes
    Policy, Research

Australia New Zealand
Member opportunities
  • Representation in policy process
  • Representation in regulatory processes
  • Contribution to national MH nursing voice -
  • Development of position statements
  • Regular newsletter
  • Website
  • Conferences and Wananga
  • Project work
  • Networking nationally, practice networks
  • Access to International Journal of Mental Health

Conference Theme
  • Expanding scope of practice in Addictions
    policy, professional practice and education

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)

  • 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

Physical Health
  • Physical health needs of people with SMI well
  • 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
  • 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
  • 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
  • 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

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
  • 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
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