Engage Aotearoa

Category Archives: Politics And Policy

Celebrating the end of conversion ‘therapy’ in NZ

I breathed a massive sigh of relief last month when the government revealed plans to bring forward the ban on conversion ‘therapy’ in New Zealand and announced a timeline to have legislation in place before the middle of next year.

I want to take a moment just to send a huge congratulations and an even bigger thank you to all the LGBTQI+ advocates, activists and allies who have worked in so many ways, big and small, to get this safeguard underway. The Green Party’s Rainbow Spokesperson, Elizabeth Kerekere, quite rightly describes conversion ‘therapy’ as “torture for our rainbow community”.

If you would like some insider knowledge on what it is like to receive conversion ‘therapy’ and what it can actually look like in practice in New Zealand, check out Sherry Zhang’s article in the Spinoff and Trinity Thompson Brown’s first person account about surviving conversion therapy over at Re:News.

To be clear, conversion ‘therapy’ is not really a therapy at all. A therapy should be therapeutic, meaning it should have a net benefit effect on the person participating in it. Torture is never therapy. A therapy should resolve problems not invent them. Finding problems where there are none is not therapy. Discrimination, shaming, rejection, and ostracism are never therapy. These are forms of social control and coercion.

Zhang sums up what conversion ‘therapy’ really is for us when she writes, “Conversion therapy is a pseudoscientific technique that attempts to change or suppress someone’s sexual orientation or gender identity through shaming, emotional manipulation and/or physical trauma. The practice is primarily used within religious communities and has been linked to severe mental health issues, including depression and suicidal ideation.” Altogether now: this. is. not. what. therapy. looks. like. Full stop.

Here’s looking forward to 2022 when people subjected to this traumatising experience will have recourse in the law.

The Royal Commission of Inquiry into Abuse in Care: Stories from survivor advocates and how to get involved

Right now, New Zealand is carrying out a Royal Commission of Inquiry into Abuse in Care. This is an opportunity for people who have experienced abuse as children, youth or vulnerable adults in the care of faith-based or state institutions between 1950 and 1999 to shine a light on what happened to them, so this can be formally acknowledged, learned from, and hopefully better prevented in future. This invitation extends to people who have experienced abuse themselves and their supporters. The scope of the inquiry is broad and the commission is interested in all kinds of abusive experiences across all kinds of state care settings including social welfare, education, corrections, disability, health and mental-health settings.

Please take a moment to check out the Abuse in Care website to find out more how to get involved. www.abuseincare.org.nz/survivors/how-to-get-involved/

Another good reason to visit the Abuse in Care website is for the short films where survivor advocates share their stories and their hopes for justice and change. Each video is just a few minutes long but you will meet some remarkable people with a lot of wisdom. If you are a survivor of abuse in NZ institutions, you might find a bit of hope in seeing these stories being given voice and being heard – do think about getting involved if it feels right for you. You can do this in person or in writing, in private or as part of a public commission hearing. Nonetheless, these are difficult experiences to revisit and retell. There are lots of ways to support this kaupapa if it doesn’t feel right for you to participate yourself: it is also a big help to spread the word and help raise awareness. This is something we can all do, whether we are survivors of abuse in care ourselves or want to be an ally to those who are. You never know who is carrying a story that is ready to be told.

The commission is interested in hearing about experiences of “physical, sexual, and emotional or psychological abuse, and neglect” including “inadequate or improper treatment or care” and abuse “by a person involved in the provision of State care or care by a faith-based institution.” The commission recognises that “a person may be ‘involved in’ the provision of care in various ways. They may be, for example, representatives, members, staff, associates, contractors, volunteers, service providers, or others. The inquiry may also consider abuse by another care recipient.” While the inquiry is specifically focused on historic experiences of abuse that took place from 1950 to 1999, they may consider experiences of abuse that took place before or after this period.

The commission defines state care as follows: “State care means the State assumed responsibility, whether directly or indirectly, for the care of the individual concerned”. This can be as a result of “a decision or action by a State official, a court order, or a voluntary or consent-based process including, for example, the acceptance of self-referrals or the referral of an individual into care by a parent, guardian, or other person” and “the State may have assumed responsibility ‘indirectly’ when it passed on its authority or care functions to another individual, entity, or service provider, whether by delegation, contract, licence, or in any other way.”

The inquiry can consider abuse “by entities and service providers, including private entities and service providers, whether they are formally incorporated or not and however they are described.” These may be residential or non-residential settings and may provide voluntary or non-voluntary care. For the purpose of the inquiry, ‘State Care’ includes the following settings:

  • Social welfare settings, including: (A) care and protection residences and youth justice residences: (B) child welfare and youth justice placements, including foster care and adoptions placements: (C) children’s homes, borstals, or similar facilities.
  • Health and disability settings, including: (A) psychiatric hospitals or facilities (including all places within these facilities): (B) residential or non-residential disability facilities (including all places within these facilities): (C) non-residential psychiatric or disability care: (D) health camps.
  • Educational settings, including: (A) early childhood educational facilities: (B) primary, intermediate, and secondary State schools, including boarding schools: (C) residential special schools and regional health schools: (D) teen parent units.
  • Transitional and law enforcement settings, including: (A) police cells: (B) police custody: (C) court cells: (D) abuse that occurs on the way to, between, or out of State care facilities or settings.

The inquiry may consider abuse occurring in any place within the above facilities or settings and in the context of care but outside a particular facility. For example, abuse of a person in care, which occurred outside the premises, by a person who was involved in the provision of care, another person, or another care recipient.

Here is that link again:
www.abuseincare.org.nz/survivors/how-to-get-involved/

British Psychological Society releases position statement on psychologists with lived experience

The British Psychological Society’s Division of Clinical Psychology released a position statement on clinical psychologists with lived experience of mental health difficulties on the 19th of August.

The document opens by stating, “The Division of Clinical Psychology publicly recognises and supports the unique and valued contribution that lived experience of mental health difficulties brings to individuals working within clinical psychology.”

It goes on to recognise how many therapists with lived experience there are among the profession, the diversity of these experiences, the complexity involved in making decisions to disclose these experiences, the impact of stigma, and the value these experiences bring to the work and the field as a whole.

They close by writing, “Overall, this statement wishes to make clear that lived experience of mental health difficulties does not have to be a barrier to training or practising as a clinical psychologist. On the contrary, people with lived experience are an asset to the profession and make a significant contribution to it”.

As a therapist with lived experience myself, it is a wonderful thing to see these points written down by such a well respected group. I look forward to the day that the professional bodies here in New Zealand take similar steps. I am incredibly grateful to the good folks at In2Gr8 Mental Health for the hand they had in making this a reality.

Read the full position statement here www.bps.org.uk/news-and-policy/statement-clinical-psychologists-lived-experience-mental-health-difficulties


Te Pou: Towards restraint-free mental health practice

Te Pou is pleased to launch Towards restraint free mental health practice: Supporting the reduction and prevention of personal restraint in mental health inpatient settings. This resource is the latest in a suite of work aimed at reducing and preventing the use of seclusion and restraint. Services can use this resource to plan and identify best practices that support a least restrictive approach to service delivery.

Contact:
Te Pou
Level 2, Building B, 8 Nugent Street, Grafton, Auckland 1023.
Telephone: +64 9 373 2125www.tepou.org.nz

New Ministry of Health guidelines for COPMIA

The Ministry of Health will soon release the national COPMIA guideline, currently in draft.

This guideline will outline the responsibilities all mental health and addiction services have to the children of parents with mental illness and or addiction (COPMIA) and their families and whānau. For some, this is going to mean a big shift in the way that services operate. The guideline envisions a mental health and addiction sector that is inclusive of family and whānau, focusses on strengths, and promotes and protects the wellbeing and rights of children. It promotes early intervention in the lives of children to support resilience, offering evidenced based and culturally appropriate ways of working, and across sector partnerships to meet the needs of children and their families and whānau.

For more information click on this link to Te Pou.

Or contact Mark Smith at Te Pou
Phone number: 07 857 1278
Mobile number: 027 687 7127

IIMHL New Zealand Special Update

The following links are a summary of the IIMHL AND IIDL UPDATE – 15 NOVEMBER 2014

If you want further information on the IIMHL organisation go here. To sign up for their mailing list go here.

For general enquiries about these links or for other IIMHL information please contact Erin Geaney at erin@iimhl.com.

  1. The Physical Health of People with a Serious Mental Illness and/or Addiction: An evidence review
  2. Stories of Success
  3. Tihei Mauri Ora: Supporting whānau through suicidal distress
  4. New ‘wellbeing bank’ for baby boomers
  5. “There is always someone worse off…” (regarding the earthquakes in Christchurch)
  6. Debriefing following seclusion and restraint: A summary of relevant literature
  7. Families and whānau status report 2014: Towards measuring the wellbeing of families and whānau
  8. Growing Up in New Zealand: Vulnerability Report 1: Exploring the Definition of Vulnerability for Children in their First 1000 Days (July 2014)
  9. Parents or caregivers of children with a disability have a voice in New Zealand (video playlist)

Also recommended in the update are:

Effective parenting programmes: A review of the effectiveness of parenting programmes for parents of vulnerable children
(2014, April 14). Wellington: Families Commission

New Zealand practice guidelines for opioid substitution treatment
(2014, April). Wellington: Ministry of Health

 

 

Fair Funding: unfair funding practices must change

Fair Funding aims to re-establish an equitable funding system and stop the decline of the NGO system of community care. This follows exhaustive attempts to resolve these issues over successive years but with no meaningful response from DHBs. They continue to ignore the situation.

New Zealand must see a return to fair funding practices for NGOs to be at their best and fully responsive to community needs. Every year many DHBs compromise this and as a result are placing great strain on a previously effective working partnership with the NGO sector.

Unless DHBs take immediate corrective action, New Zealand faces a future without sufficient community-based mental health and addiction care. This would see a return to days gone by when people couldn’t access services in a timely way, resulting in them and their families in distress, and crisis and emergency services overrun with people desperate for help.

Link here for more information and to add your support.

Fair Funding for the Future of Mental Health

In order for mental health to have a future, we need government and DHBs to change their funding practices. The Fair Funding campaign is calling on the Government and DHBs to do just that.

For more information and to show your support for us, please visit: www.fairfunding.org.nz

Please support us by:

  • Sending an email to MPs and the Chairs and CEOs of the 20 DHBs (an automated email system is set up here: http://www.fairfunding.org.nz/support/thanks)
  • Sharing the campaign details on Facebook
  • Telling as many people as you can about the issue and asking them to show their support by visiting the website, sharing the information and emailing MPs and DHBs about the issue.

There will also be a political debate on the topic at 7pm on Monday the 28th of July at One Tree Hill College in Auckland. Further details to come.

Many thanks for your time and support on this crucial issue,

Laura

Laura Ashton (MSocP (1st class hons), PGDip, BA)
Business Services Manager
Mind and Body Consultants
Ph: (64 9) 630 5909 ext 801
Mob: (027) 212 9225
Fax: (64 9) 630 5944
www.mindandbody.co.nz

The Press: Mental Health Wards Clogged with the Homeless

Olivia Carville of The Press writes on Stuff.co.nz:

“The CDHB is trying to deal with the “urgent dilemma” created by the city’s social housing shortage. At a CDHB meeting yesterday, specialist mental health services manager Toni Gutschlag said the housing shortage was causing “significant problems”. On any given night, up to 25 patients were staying in Hillmorton Hospital – when they did not need to be there – because of a lack of affordable housing options.”

Read the rest of the article here.

Engage Aotearoa is aware that acute wards of hospitals in every city are often used by those with no better place to go. We feel it highlights the need for better and more viable accommodation options for those coming out of acute care.

New Like Minds, Like Mine National Plan 2014-2019

The Ministry of Health has just released the new Like Minds, Like Mine National Plan 2014-2019.

The plan sets the guiding principles for service delivery of the Like Minds, Like Mine programme for the next five years. It provides direction for the continuation of the journey towards greater social inclusion for people with mental illness in New Zealand. Download it here: (PDF)

It begins: “This Like Minds, Like Mine National Plan 2014–2019 will take the programme into and past its 20th year. It is timely then to look back on its considerable success in reducing stigma and discrimination and to consider how the programme needs to evolve in order to build on that success in the future.”