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Posters (subject to change) 1. How to use our superconscious mind to interconnect us all in the realms of the collective

unconscious and emulate the greatest good for ‘ADDICTION IS EVERYBODYS BUSINESS’ Bo (Donna) Roe 2. Autistic and Addicted - Whose Business Is It? Tanea Paterson 3. Te patua whakamaa – our people seeing themselves for real Haehaetu Barrett 4. A Cultural Approach to the 12 Steps Tommy Benefield 5. Toe afua se taeao fou Addiction is everybody’s business Aukusitino Senio 6. Pokies Go Home! Dr. Robin-Marie Shepherd 7. War on Meth Kevin Hollingsworth 8. Collaboration in practice – AOD and primary care

Toni Finlayson 9. Four providers partnering under one model of care with coordination and support

Rachel Haswell, Rachel Shaw, Michelle Jones and Katarina Hohepa 10. Weaving whānau and resources together: Delivering a supporting parents, healthy children

contract Michael Tuala

11. How Cultural Connectedness enhances transfromation recovery and wellbeing Rhonda Zielinski-Toki, Steward Eiao and Taniora Tauariki

12. Relapse is the Business of Addiction Work Mary Allan

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13 Using a computerised cognitive behavioural therapy programme (SPARX-R) in Youth Addiction Services

Raquel Barbiellini 14 'Knowing Someone Cares’ Kate Duder 15. ‘You can’t hate yourself thin’ - Self compassion and obesity recovery Katrin Ottley 16 Clients to leaders - peer mentors in a prison drug treatment programme Brendan Short 17 Mātūtū (Recovery): creating a bridge to recovery and wellbeing together Ken Kerehoma 18 Opportunistic provision of smoking cessation support at Starship, Children’s Emergency

Department Sam White 19 Whanaungatanga: fluidity in service provision, don’t just pass by the window, Haere Mai Leigh Wilson and Lance McCorkindale 20 'The Drug Treatment Programme Journey' Teresa Knowles and Thomas Moore 21 The Brave Hearts approach to alleviating addiction harm in families Erin Scarlett O’Neill

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1. How to use our superconscious mind to interconnect us all in the realms of the collective unconscious and emulate the greatest good for ‘ADDICTION IS EVERYBODYS BUSINESS’

Bo (Donna) Roe AOD Practitioner for Te Utuhina Manaakitanga DAPAANZ Clinical Supervisor Private Practice Abstract This poster presentation illustrates how to use our superconscious mind to interconnect within the realms of the collective unconscious and emulate an intention for the greatest good of

‘ADDICTION IS EVERYBODYS BUSINESS’.

Addiction is everybody’s business, why, because we are interconnected beings that transcend into the collective unconscious. Peer reviewed science verifies that humans have the ability to interconnect with each other, transcending from the analytical / egoic mind by using the super consciousness mind. We can create and manifest for the ‘greater good’ or create and manifest ‘for the worst’. Science also shows that humans are ‘vibrational beings’ interconnected, and creating the collective unconscious day-to-day. How can this be, simply because, every thought has a frequency and humans produce an electromagnet field; thoughts are the language of the brain and feelings are the language of the body and how we think and how we feel creates a state of being. Thoughts are electric and feelings are magnetic and when we change how we think and how we feel this brings about a whole new magnetic signature. Therefore, if how we think and how we feel creates our current reality and has an effect on the collective unconscious; don’t you think we need to start thinking about what we’re thinking about and start noticing how we act and become aware of our emotions, so we can create an electromagnetic signature using our super conscience mind emulating an intention for the greatest good of ‘Addiction is Everybody’s Business’. Presenter biography My name is Bo Roe. I am a registered DAPAANZ Addiction Practitioner and Supervisor. Over the last 14 years I have embarked on a journey to learn about the meanings and processes of the collective unconscious, subconscious and superconscious minds, and human transformation. My love for life creates an innate passion for interconnecting with others and motivates my thirst for knowledge about the science of the mind, and spirituality This work excites me because “this is a time in history when it is not enough to know, it is a time to know how” (LOHAS Dr Dispenzer 2013).

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2. Autistic and Addicted - Whose business is it? Tanea Paterson Otepoti/Dunedin, Dip. Applied Addiction Practitioner Abstract Autistic people face challenges with their psychological health, including substance use and addiction. Conventional wisdom holds that Autistic people don’t experiment with alcohol or other drugs, however new evidence suggests otherwise. This is most prominent in the more camouflaged Autistic who do not have any ID and possibly are unidentified/undiagnosed.

Many Autistic adults are diagnosed late or not at all. I have personal experience as a client of both mental health and addiction services for 25 years, before gaining a formal Autism diagnosis. There is a gaping hole in professional understanding for these issues, which results in exclusion from services. Whether this is mental health not able to deal with Autism or disability providers not able to manage addiction issues.

This leads to further compounding of these problems and puts people at serious risks, not to mention leaving their whanau at odds as to how to assist them. This means that not only are the Autistic people struggling to access help through services, it also means that their whanau and the service providers feel disempowered to support positive change. I will use my individual experience growing up as an unrecognised Autistic, to identify some key factors that I feel influenced my decision making. Drawing also on my professional skills and knowledge as an addiction practitioner and available current Autism specific research, including a recent article I was involved in written by Maia Szalavitz titled “The Hidden Link Between Autism and Addiction.” https://spectrumnews.org/features/deep-dive/autisms-hidden-habit/ Presenter biography Tanea Paterson ceased an eight year methadone dependence in 2006. Since then she qualified as an addiction practitioner with Moana House. She has many years experience as both a Mental Health and Addiction client and subsequently a practitioner. Two years ago at age 39 years she received a formal diagnosis of Level One Autism (previously Aspergers). This has led to an awareness of the intersection between Autism and Addiction. She recently sat on the Te Pou Autism Workforce Development Strategy Planning Panel and is presenting at the 2017 Altogether Autism Conference on Psychological Health, Substance Use and Autism.

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3. Patua Whakamaa Art and Therapy Programme Haehaetu Barrett Service Manager, Mental Health and Addictions, Lifewise Trust, Methodist Mission ki Te Arawa Abstract Patua te Whakamaa is a programme delivered at Lifewise by Onekura Ltd (Chanz Mikaere) is as a creative therapy initiative for those experiencing addiction and mental illness Patua te Whakamaa is literally the removal of whakamaa (the shame associated with addiction and mental illness). The project aims to reduce de-stigmatization at a peer level to build resilience via art and therapeutic techniques supported by Manaakitanga. Through creative expression, residential participants are given an opportunity to visually work out their ideas and create goals for strengthening their own Mana Tangata (Health and Wellbeing). The first Patua te Whakamaa programme, intended to provide a creative outlet for Residential participants members to express their individual paths of recovery. Each had to design and paint three canvasses. Each canvas had a purpose. Tuatahi: Acknowledging individual illness and or addiction with personal histories. Tuarua: The Journey with Lifewise. The tools and lessons, recognition of the current individual personal position on the path to recovery. Tuatoru: Visualizing the future, recovery and re-integrate into the community. Presenter biography Te Arawa te Waka Te Arawa te Tangata Ngati Whakaue te Iwi Ngati Karenga te Hapu Ngongotaha te Maunga Utuhina te Awa Te Papaiouru te Marae Tamatekapua te Tupuna Whare Ko Haehaetu Barrett toku ingoa. 15 Years Management and Leadership, Maori Mental Health within Te Arawa and Midland Region. Te Rau Matatini 2005 Trailblazer for Maori Mental Health Leadership Cohort Regional Maori Mental Health Workforce Development Leader Te Arawa, Rangatakapu Leader under Hon Minister Te Ururoa Flavell Chair of Te Tauamta o Ngati Whakaue Iho Ake Trust Very proud mummy of 2 Children and one beautiful granddaughter!

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4. A Cultural Approach to the 12 Steps Tommy Benefield Principal Advisor AOD, Corrections Abstract The presentation will demonstrate the correlation between Maori and Pasifika models of therapy and the inherent principles and practices of 12-step recovery:

“The 12-step traditions of starting meetings with karakia, providing kai, encouraging whanau attendance, and welcoming tamariki so that parents can attend etc. are all closely aligned with Maori traditions of tikanga and manakitanga. For Maori 12-step recovery culture fits parallel with their own culture…”

It will highlight the benefits of 12-step recovery in a culturally diverse modern society:

“…first to officially create a policy of inclusivity when it comes to race, gender, sexual identity, and religion… a safe and welcoming place for gay, lesbian and transgender peoples and other marginalised groups such as mental health sufferers and people with learning difficulties.”

It will illustrate how the socially isolating impact of modern life and increased dependence on devices and social media is directly addressed via the 12-step approach:

“…the current theories about addiction being a response to isolation and an issue of no-connection are addressed directly by the community approach of 12-step fellowships. This again mirrors a fundamental element of all Maori and Pacific models which is whanau and community.”

It will clarify the myths about AA and NA and demonstrate effective ways of supporting clients to overcome these myths and personal bias and gain access to the free, immediately available, easily accessible, culturally inclusive, recovery community that exists all over Aotearoa. Presenter biography Tommy Benefield has been an AOD clinician since 2002 working at NGO's and DHB's at a senior level since 2006. He has postgraduate qualifications in psychotherapy and runs a small private practice as a group therapist and supervisor. Tommy has managed multiple AOD and mental health services and has recently taken on a role at corrections as Principal Advisor - Alcohol and Drugs.

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5. Toe afua se taeao fou Addiction is everybody’s business Luamanuvae Toma Petelo Ministry of Justice & Court Administration Justice Mata Tuatagaloa Ministry of Justice & Court Administration Muliagatele David Carter Ministry of Justice & Court Administration Aukusitino Senio TUPU Services Abstract Dealing with AOD related offences has been a major challenge for the Samoan Justice System in the past years. A community approach re-introducing back to basics cultural, spiritual and village communities’ collaboration has been the focus of our new Samoan ADC. Safer communities are everyone business has been the Samoa ADC philosophy. In the year 2012, some 43% of offences dealt with by the Supreme Court, were linked to the use of AOD. In 2013, this figure rose even higher to 51%. In 2014, it rose to 72%. Clearly, a primary focus of fighting crime lies in addressing the issue of substance abuse. Vision: To provide a Safe and Quality service for Samoan by Samoan Mission: Hence the setup of the Samoa Alcohol and Drugs Court to reduce AOD use consumptions and dependency, reduce re-offending, reduce the use of imprisonment and to positively impact on health and wellbeing. Purpose: The Samoan Culture, Values and Beliefs are the key components of the programme. To influence changes the ADC is working collaboratively with village Mayors, Church Ministers and significant others acting as Community Justice Supervisors. They are the ears and eyes of the Court. The Court hopes to encourage offenders to see the effect their use of mind altering substance can have on children, since kids emulate their parents, it is important to provide a good example, so that children learn the value of being responsible to others, and to themselves. Presenter biography Aukusitino Senio - Former ADC Samoa Case Manager

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6. Pokies Go Home! Dr. Robin-Marie Shepherd Counselling Tutor, Wellington Institute of Technology Abstract This is a short animated film on pokie addiction and how it affects the four main communities in New Zealand. This can be employed as a prevention measure to all ages via television (for example). It is about four animals who represent Maori, Asian, Pacific Peoples and Pakeha and how Pokie addiction affects individuals, whānau and communities. The four main characters are Marley Morepork, Kerry Kea, Karl Kiwi Bird, and Peetie Penguin. They are all misfits in their community until they decide to do something about the pokies in a fun and adventurous way. Presenter biography I have over 30 years experience in the addictions and mental health field. I started my career in 1985 working at a Veterans psychiatric hospital followed by addiction training in 1989 at Harvard University. I have research, education and clinical experience in mental health and addictions in four countries (USA, UK, New Zealand, Thailand). My Ph.D. examined social anxiety and the self-medication hypothesis. A large focus in my career was research and clinical work on problem gambling in three countries. Currently, I’m a counselling tutor at Wellington Institute of Technology teaching evidence based practice, dual disorders and counselling young people.

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7. War on Meth – its everyone’s business Kevin Hollingsworth, AoD Clinician, Te Utuhina Manaakitanga Abstract The poster illustrates the concept of my own addiction and the pathway to change, through a monopoly board game format. I have implemented diagrams that I currently use my in presentation in the community called; “War on Meth". I have included a pie graph and line graph which reflects my current presentations, from the feedback and evaluations. It highlights that the War on Meth; a community project working together to educate people in our community about the rising issue of methamphetamine in our communities. The objective of the poster, it will be on displayed at the Cutting Edge Conference and played as a board game which aligns with "Addiction is Everybody's Business" Included in the Poster is the continuum of use. It looks at cannabis being the gate way drug, going from experimental to hazarded use. High lights the impacts gate way drugs like cannabis can lead to, in this case, methamphetamine. It looks at the cycle of change going from the pre-contemplative to contemplative, and the impact of going to prison. In preparation stage as you move around the Poster; to Treatment, Action stages of change. And finally Maintenance stage of change to Termination of Treatment with Whānau support. The Poster looks at the facts and effects of meth is doing in our community, from use to how it is presented on our streets from manufacturing to treatment Presenter biography On my own journey to self-discovery, I developed a passion for working with whānau who have addiction issues. I gained a Bachelor in Applied Social Sciences and completed an internship with Te Utuhina Manaakitanga working in the Community Adult AOD Service. Furthermore, I am in my last year of study with Te Taketake. In 2016, I was fortunate to receive the dapaanz Newcomer Award acknowledging my contributions to my work and team. I am currently working full time with Te Utuhina Manaakitanga as a Youth Practitioner in the Taupō region supporting the Rangatahi and their whānau through recovery.

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8. Collaboration in practice – AOD and primary care Toni Finlayson Liaison Practitioner, Specialist AOD & Primary Care Project, Odyssey Heidi Brightmore Advanced Practitioner, Admissions and Continuing Care, Odyssey Abstract Primary health care has been acknowledged as an area where AOD Services and primary care medical professionals can work together to provide support to individuals and families presenting with AOD concerns, particularly in the areas of prevention and early intervention. This presentation will discuss how the Odyssey Primary Care Collaboration supports these goals, describing a successful pilot programme underway in Auckland. Odyssey has joined forces with primary care professionals in a West Auckland medical practice providing a free addictions support service to the practice’s clients. How this programme is operated, including how the upskilling of primary health care professionals to effectively screen for AOD issues will be presented. We currently provide this service to Totara Health in New Lynn and, recently, The Doctors New Lynn joined the programme. Since the project started in May 2016, we have received over eighty referrals. We work both onsite at the practices and at the Odyssey community hub in New Lynn, whichever the client prefers, offering appointments both during the day and after work hours. Clients present with a range of addiction issues including alcohol, methamphetamine, opiates, cannabis, gambling, smoking and polysubstance use; some want to take a harm minimisation approach, while others have a goal of abstinence. Eighty-five percent of the population visit their GP at least once a year. By working in partnership, primary health care and AOD services can offer responsive services to support the best possible outcomes for patients and their families. This presentation will demonstrate this principle in action. Presenter biographies Toni Finlayson, In 2005, following a career in Corporate Communications, Toni became a Lifeline telephone counsellor, then a Gambling Helpline counsellor while completing qualifications in mental health and addictions. Toni then spent six years as a mental health support worker at an NGO, where she became the CEP champion. After completing a Post-Graduate Diploma of Counselling, Toni took on a role as a Smoking Cessation Practitioner at a PHO and had a small part-time counselling practice. In May 2015, Toni joined Odyssey as the Primary Care Project Practitioner at its community services hub in New Lynn, Auckland.

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9. Four providers partnering under one model of care with coordination and support Rachel Haswell Operations Manager, Youth Intact, Odyssey Rachel Shaw Care NZ Michelle Jones Te Korowai o Hauraki Katarina Hohepa Taumarunui Kokiri Trust Abstract In 2014 the Waikato District Health Board approached their community to seek feedback and input for the development of a new and more effective way to deliver AOD services for rangatahi/ young people in the region. In response a model of care was developed that incorporated a whole of community youth development approach. This model weaves together a multi layered responsive and accessible ‘youth friendly’ community based alcohol and drug service in the Waikato DHB region – Youth INtact. This service is currently delivered by four providers, Odyssey, Te Korowai Hauora o Hauraki, Taumarunui Kokiri Trust and Care NZ. To ensure a consistent and effective service all providers involved in this integrated service delivery model have committed to work as partners. Consultation, integration and development of our leaders and support systems are integral in maintaining our gains so we can further support rangatahi/young people’s pathways through our services. Odyssey leads the Leadership Systems and Support Plan co-ordinating and supporting all providers to use the Model of Care to effectively address youth AOD issues. This presentation reviews our journey as we mapped out the plan to embed the model, develop our leaders and systems and shares our many learning’s and experiences from being partners in this mahi. Presenter biographies Rachel is the Operations Manager for Waikato Youth INtact with Odyssey in Hamilton. Rachel is a Registered Social Worker who after working in therapeutic programmes has been in Management for the past six years working with youth with complex presentations. She has been involved with implementing evidenced based programmes across the Waikato Region working alongside Mental Health clusters and community social services. Rachel joined Odyssey in July 2016 to lead the implementation of the Hamilton and Surrounds team and to develop and support the Leadership Systems and Support to all providers of Youth INtact. Katarina is the Manager of Kokiri te Oranga Pai the Mental Health and Addictions service line of Taumarunui Community Kokiri Trust. Katarina is a Registered Social Worker with more than 20 years experience in the field of mental health as both a clinician and a manager. Within her role as manager Katarina has been involved with the collaborative implementation of the Youth Intact service pathway within Otorohanga, Te Kuiti, Pio Pio and Taumarunui. Rachel Shaw is Team Leader / AOD Clinician for South Waikato CareNZ Youth Intact service. Rachel is a registered AOD Clinician with 10 years experience in the field of addiction. Rachel has been involved in working collaboratively to implement Youth Intact in South Waikato. Rachel role has enabled her to work closely with local colleges and enhance youth service in Tokoroa and surrounding areas

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10. Weaving whānau and resources together: Delivering a supporting parents, healthy children contract

Michael Tuala Youth Practitioner, Stand Up! & Amplify!,Odyssey Jennie Valgrie Clinical Manager, Odyssey Abstract The Supporting Parents Healthy Children Guideline (2015) recognises the wellbeing of children is everyone’s responsibility and not just infant, child and adolescent services. It provides a mandate for all mental health and addiction services to work in a strengths-based and family-focused way to help parents. All addiction providers have a role to play supporting and promoting positive family relationships and the development of all children with parents of mental health and/or addiction issues to ensure optimal outcomes for our future generations. Te Puawai Aroha (‘Blossoming Love’) is a Supporting Parents, Healthy Children programme funded by Counties Manukau DHB, delivered by Youth Odyssey since 2014. The focus of the programme has been to support clients and their whānau to grow stronger, together, utilising an innovative delivery framework. This presentation will examine the growth and development of the programme over the three year period and how Odyssey aligns services with its Supporting Parents, Healthy Children contract. Key features of the programme has included the whānau centred and culturally appropriate service delivery and how that is brought to life through the use of marae-based settings, family friendly kai and cultural resources. Join with us as we weave our own Kōrowai that reflects the strength and resilience that resides in individuals and whānau and comes together to represent the protections and supports that are available when resources are utilised. Voices of our whānau will share their own journey towards blossoming love and inspire your own services to become part of something wonderful. Presenter biography Michael’s role as a Youth Practitioner in Odyssey’s schools based programme also encompasses the delivery of Te Puawai Aroha, a Supporting Parents Healthy Children programme. Michael has played an integral role in growing the programme with a particular focus on using holistic and culturally appropriate models. He has worked in the addiction sector for the past two and half years, after a background in youth development, has a Bachelor of Human Services from Auckland Univiersity and is a member of DAPAANZ.

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11. How Cultural Connectedness enhances transfromation recovery and wellbeing Rhonda Zielinski-Toki, Clinical Manager, Te Ha Oranga Steward Eiao AOD Counsellor, Te Ha Oranga Taniora Tauariki Mental Health Worker, Te Ha Oranga Background Te Hā Oranga is the health arm of Te Rūnanga o Ngāti Whātua. Te Hā Oranga delivers a range of health services delivered from four locations in central Auckland, Helensville, Wellsford and Dargaville. Te Ha Oranga has provided an AOD service since 2007. The service currently sees around 80-100 clients who live around Auckland City. Uniqueness of Te Ha Oranga AOD Service and He Waka Eke Noa Te Ha’s AOD service is based on the practices and principles of Te Ao Maori, encompassing Te reo me ona Tikanga. This is done by upholding on a daily basis the 3 sacred obligations of Mana Ngati Whatua, Manaakitanga, and Kaitiakitanga. Often when clients enter our service, many are unaware of their genealogy, whakapapa, and pepeha, which is critical to knowing oneself and being able to fulfil the Rangatira space for which we were all destined. Through our support group “He Waka Eke Noa”, clients find a sense of belonging. Through whanaungatanga they create a true sense of connectedness to others. Learning karakia, waiata/haka, they create a sense of identity, being proud of who they are. Clients actively engaged in He Waka Eke Noa have witnessed the transformation in their own lives, and in the lives of their peers. Tikanga maori recovery programs are successful in creating a vehicle that enhances cultural connectedness for whanau recovering from the effects of alcohol, drugs, and other substances. It is a powerful tool in the difficult transformation journey. Kaupapa Maori based recovery works if done by skilled and culturally competent practitioners. We believe that Te Ha Oranga has a model of care that works. Presenter biographies Rhonda Zielinski is the Clinical Operations Manager of Te Ha Oranga. In 1992 graduated with a RegCompN diploma Northland Polytech then completed a Post Grad Dip Health Sciences 2002, at Auckland University. Rhonda has an extensive working knowledge of Primary Health Care and is passionate about Maori health and bringing innovation and creativity to her practice. Under Rhonda's leadership and guidance Te Ha Oranga were the 2016 recipients of the NDHB Hauora Maori SERVICE TO EXCELLENCE - SUPREME AWARD that resulted in the Kaipara immunisation coverage increasing from 63% to 94% within 12 months. Rhonda is a staunch advocate for Maori Health and challenges the norm. Steward Eiao works for Te Ha Oranga in the role as AOD Counsellor. Steward In 2010 completed a Degree in Counselling and a Diploma in Biblical studies. Previous to this Steward worked for the Epsom Lodge as a Senior Support Worker, and at the Salvation Army as an AOD Clinician. He was also the cultural advisor for Epsom Lodge, and the Salvation Army. Steward moved into the Maori Health Sector in 2015, and developed our AOD recovery support group, He Waka Eke Noa. This has shown outstanding results in transforming the lives of recovering addicts. Steward brings innovation, creativity, strong Tikanga and a solution-focused approach to his work. Taniora Tauariki is employed by Te Ha as a Mental Health Support Worker. Graduating in 2007 with a Bachelor of Fine Arts, he also holds a Certificate in Performing Arts. Currently completing a Level 4 Mental Health Certificate through Mahitahi Trust. Taniora is a gifted and skilled song writer and has a

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passion and love for music, a gift that he implements within his role. Recently Taniora was commissioned by the NDHB, providing an original waiata as a resource to support the National methamphetamine harm reduction national initiative- Ara Oranga.

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12. Relapse is the Business of Addiction Work Mary Allan Alcohol and Drug Counsellor/ Caseworker Wellington Salvation Army Bridge Programme Abstract It is now widely accepted that recovery from addiction is a long term process that typically follows a chronic relapsing course. Sellman D (2010). Why then do we expect that clients in residential treatment will not lapse? and if they do then discharge them prematurely from treatment? The Salvation Army Bridge programme in Wellington accepts that addressing relapse prevention creatively is fundamental to recovery and is the core business of addiction work. We view lapses as a potential opportunity for new learning. This poster will outline the way that the Wellington Bridge programme responds to lapsing using a process of functional analysis that assists clients to more fully understand the triggers and cravings that perpetuate their addiction. Within our programme we work in a manner that is consistent with what we currently know about what works in addiction treatment. The “Testing the Bridge” study Patterson et al (2015) Evaluation of the SAB programmes model of treatment provided strong evidence for the programmes overall effectiveness. A recommendation from that study was that the issue of clients lapsing during the programme be further explored. Our programme teaches clients a variety of skills and strategies within a group process that reduces the likelihood of relapse and allows adequate time for these skills to be integrated. We use a Community Reinforcement Approach that supports the development of a wider recovery culture that makes addiction everyone’s business. This also involves improving the coordination of care for our clients in the interface between health, justice and whanau based services. Presenter biography Mary Allan is an Alcohol and Drug Counsellor and Part time Clinical Lecturer in Post Graduate Addictions Studies. I have a Masters in Social Work and I completed a Post Graduate Diploma in Health Sciences with Otago University and NAC in 2001. I have extensive experience working in Corrections and Adult Mental Health and Addictions. My current role is as a group facilitator and case worker at the Salvation Army Bridge programme in Wellington. I have some training in Psychodrama and I enjoy the challenges and rewards of group work. .

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13 Using a computerised cognitive behavioural therapy programme (SPARX-R) in Youth Addiction Services

Raquel Barbiellini Community Action, Youth and Drugs (CAYAD) Advisor, Auckland Council Grant Christie Consultant Psychiatrist and Senior Lecturer, CADS Youth Service, WDHB, Auckland, NZ & University of Auckland, Auckland, NZ David Newcombe Senior Lecturer University of Auckland, Auckland, NZ Abstract SPARX (sparx.org.nz) is an award-winning Ministry of Health funded e-Intervention designed to support adolescents with mild to moderate symptoms of depression. It has been shown to be effective in community and ‘at risk’ populations. This study had two main aims. The first was to explore the acceptability and feasibility of using SPARX-R in Altered High Youth Services. The study collected preliminary data on whether the addition of SPARX-R to usual community alcohol and other drugs (AOD) treatment enhances treatment outcomes for clients.

The second aim of this study was to evaluate the use of SPARX-R computerised cognitive behavioural therapy as an adjunct to usual AOD counselling as a means to address co-existing mental health and substance-use problems in a group of young people attending a community AOD service in Auckland, New Zealand.

As part of the overall evaluation of SPARX- R, we interviewed ten clients and six clinicians. Information collected via questionnaire and semi-structured interviews included feedback about its acceptability (to clinicians and young people), overall utility, benefits and limitations. Clinician and client’s feedback was generally very positive, reporting SPARX-R to be ‘engaging and helpful’. SPARX-R (cCBT) can be successfully incorporated into youth AOD treatment service and has promise as a way of providing evidence-based mental health interventions in this population to address co-existing mental health and substance-use problems. Moreover, the implementation of computerised CBT can be used to address a shortage of trained health professionals to deliver effective treatment for clients with co-existing mental health and substance use problems.

Presenter biography Raquel is an experienced social worker, youth health worker and youth alcohol and other drugs clinician. She has completed her Bachelor in Social Sciences at The University of Sao Paulo in Brazil, a Postgraduate Diploma in Health Sciences specialising in Alcohol and Drug Studies and a Master Thesis in Health Sciences at The University of Auckland. Raquel presented abstracts at International Conferences with the focus on youth health e.g., Australasian Youth Justice Conference in Canberra/Australia. She has worked for Odyssey House Community Services, CADS Youth Service and is now an Advisor for Community Action, Youth and Drugs (CAYAD), Auckland Council.

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14 'Knowing Someone Cares’ Kate Duder Community Contracts Manager - Community Action, Youth and Drugs (CAYAD), Auckland Council 'Knowing Someone Cares’ is a reflection of the alcohol and drug (AoD) experiences of at-risk West Auckland young people. The 2015 study was conducted by CAYAD in response to a need for organisations working with at-risk young people to demonstrate the needs of their young people in order to create change. It focuses on vulnerable young people, who have a higher probability of experiencing AoD harms. The aim of this study was to understand and visually document the experiences of at-risk young people in order to create empathy and understanding, inspire thinking, and influence the development or improvement of policy, practices and interventions that support the reduction of AoD harms. The study comprised of a quantitative survey with 166 young people and qualitative interviews with 21 young people aged 14–24. Key insights include: a distinction between young people having someone who cares versus knowing someone cares - not knowing someone cared lead to them caring less about themselves and what they did; exclusion from school was one of the biggest factors that increased their AoD use; and from a young age a number of Taha Whānau protective factors were not present, with risk factors present, for the majority of these young people. Since its release Knowing Someone Cares has influenced conversations with schools regarding their exclusion practices and was a key driver for the development of a West Auckland Collective Impact initiative that looks to address some of the barriers to education identified in the report. http://www.aucklandcouncil.govt.nz/SiteCollectionDocuments/aboutcouncil/planspoliciespublications/knowingsomeonecares.pdf Presenter biography Kate has been a Senior Advisor in the Community Action Youth and Drugs (CAYAD) team at Auckland Council for 2 ½ years and was recently seconded into the role of managing the teams that deliver CAYAD, Graffiti Vandalism Prevention and Safer Communities. In 2015 Kate led the Knowing Someone Cares study of at-risk young people and is passionate about creating positive change for young people in New Zealand. Kate previously managed core infrastructure and service delivery projects for Youthline Auckland and has worked in parts of Africa, Brazil, Russia and China for a leadership development organisation based in London.

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15. ‘You can’t hate yourself thin’ - Self compassion and obesity recovery Katrin Ottley Master’s student, National Addiction Centre, University of Otago Abstract Obesity is a major public health concern. While our scientific understanding of the addictive component of excessive food intake and subsequent obesity is increasing rapidly, transference of these insights into everyday clinical practice is limited. In light of this discrepancy research exploring the experience of food addiction recovery may be of benefit to researchers and health care providers. The exploration of relational concepts, for instance the notion of self-compassion and its role in food addiction, might further our understanding of the complex interactions of factors involved in recovery from food addiction. Kia Akina is an obesity recovery network providing addiction-orientated support. The notion of self-compassion is emphasized within Kia Akina’s components. This observational study will explore the following questions in qualitative interviews with Kia Akina members: • How do people with obesity experience their journey of recovery from obesity, and what, if

anything, does Kia Akina add to this journey? • Do perceptions of self-compassion change during participation in the Kia Akina network, and if so,

how? • In addition, these questions will be explored using quantitative statistics: • Do levels of self-compassion change throughout the recovery process? • Is there an association between changing levels of self-compassion and weight loss during

participation in the Kia Akina network? • The presentation will focus on findings of the qualitative interviews, and emerging themes of obesity recovery and self-compassion in this context will be discussed. Quantitative findings will be indicated. Presenter biography Katrin Ottley is a Master’s student with the National Addiction Centre at the University of Otago. She holds a Diploma in Clinical Herbal Medicine and Nutrition, a Graduate Diploma in Applied Addiction Studies, and an Honours Degree in Psychology.

Katrin is originally from Germany, though she has lived in beautiful New Zealand for the past 15 years. She is passionate about evidence based treatment and research for addictions and has been working and studying in this area for the past five years.

Katrin’s research interests include obesity in a food addiction context, and self-compassion and its role in addiction recovery.

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16 Clients to leaders - peer mentors in a prison drug treatment programme Brendan Short Operations Manager Specialist Services, Odyssey. Abstract Clients within a drug treatment programme (DTP) in a custodial environment are often complex in their presentations. Keeping people engaged and supported during their treatment is always a challenge irrespective of practice setting. To assist, Odyssey has introduced peer mentors to support and foster engagement for people during their treatment in the DTP at Auckland Prison. The peer mentor model encourages people to make often difficult and confronting transformations in their lives related to the role of their AOD use and offending. Our peer mentors are graduates who remain in the unit to offer ongoing support to those still participating. They help people to explore new ideas and to look more closely at themselves, what they want to achieve and any barriers standing in their way. In this complicated practice setting peer mentors are instrumental in maximising engagement. Our peer mentors are offered ongoing support by staff to work alongside their peers in the programme, identifying with common struggles and providing a perspective that complements the programme Odyssey delivers. This poster will explain the ways peer mentors work to specifically engage clients. It will show how mentors welcome new members to the community by helping them learn the daily routine; how they model the tools, programme rules and terms used in the DTP, and how they provide encouragement to build engagement in the programme. This model has been effective for Odyssey in this challenging setting to assist people to manage their own learning and maximise their potential. Presenter biography Brendan Short is the Operations Manager for Specialist Services at Odyssey, Auckland, New Zealand. He worked within the alcohol and other drug sector in London for a decade in a variety of community-based services. He joined Odyssey upon returning to New Zealand in 2014 and presently leads teams delivering the local drug court pilot (AODTC), prison-based treatment (DTU) and Odyssey adult community support. Brendan is leading the implementation of the Odyssey community hub.

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17 Mātūtū (Recovery): creating a bridge to recovery and wellbeing together Ken Kerehoma Cultural Advisor, Odyssey Piripi Davis Kai Arahi Māori, Odyssey Abstract This poster will describe Odyssey’s integration of Mātūtū (Recovery) throughout our service delivery, particularly in our community services hub, Te Tāwharau. Mātūtū is the kaupapa Māori element of Te Tāwharau’s continuing care community groups for tangata whaiora. The poster will illustrate how Mātūtū bridges the gap between our residential kaupapa Māori groups and building ongoing recovery, including how Mātūtū incorporates Māu rākau, Raranga, and Kapa Haka. Mau rākau Mau rākau is widely used on marae as a model to help Māori re-connect to their culture. Mau rākau is also widely used in Corrections, health and education sectors. Experienced Mau rākau tutors deliver the values, principles and standards around mau rākau from a historical context to current practice settings. Raranga (weaving) Traditional weaving methods and material has been a long standing interest for many New Zealanders. Experienced tutors who have a passion for the survival of their art, teach traditonal and modern values, principles, methodologies and methods through Raranga as a healing pathway to Māori culture. Kapa Haka Kapa Haka is also described in this poster as a modern day phenomemon that Māori across all generations use to reconnect with their Māoritanga. The poster will include a description of Odyssey’s work to facilitate Mātūtū as a gateway for our whaiora to enter wānānga and university. For example, our current partnership with Te Wānanga o Aotearoa to accept Mātūtū Mau rākau classes (delivered by Odyssey) for NZQA assessment and grading, alongside their own Mau rākau offerings. Presenter biography Ko Te Rarawa me Ngāti Whātua Orākei nga iwi. Ko au te Kai takawaenga Māori mo te whare oranga o Ōtihi. Ko Ken Kerehoma ahau. Ken Kerehoma is of Te Rarawa and Ngāti Whātua descent. Ken is the Cultural Advisor for Odyssey House. Ken has a long and proud involvement with his marae at many levels. Ken has a passion for all things Māori esepecially the revival and survival of te reo Māori and and tikanga Māori. Ken is based in Tāmaki Makaurau – Auckland. He ahikaroa tōku ahi. Kaore e weto!

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18 Opportunistic provision of smoking cessation support at Starship, Children’s

Emergency Department Sam White, PhD Student, University of Auckland Professor Chris Bullen University of Auckland Associate Professor Natalie Walker University of Auckland Abstract The ability to offer AOD intervention in a busy Emergency Department poses many challenges particularly for parents who are attending with a sick child. This research project investigated if a Children’s Emergency Department (CED) represents an acceptable venue to offer opportunistic cessation advice and support to parents who smoke. Parents of children ill from acute respiratory illness (ARI) such as bronchitis who are especially at risk from the adverse effects of second hand smoke were a particular focus. This poster will describe a cross-sectional study conducted at Auckland’s Starship CED with a sample of parents who smoke, presenting with a pre-school aged child. Parents (N = 166) were asked if CED was an appropriate setting to offer cessation advice and support when they presented with their sick child. Information was also collected about the child’s second-hand smoke (SHS) exposure, the parent’s previous experiences with cessation support, and what a preferred intervention would be, if one was offered at CED. The poster will outline how parents expect to have a dialogue with clinicians and are open to receiving opportunistic support. Practical strategies are needed to assist parents to stop smoking when they present at CED including immediate access to NRT. Clinicians may need support to confidently engage in cessation discussions in CED to assist parents but this is vital as many parents may not understand the link between SHS and ARI. The study also found that specific focus may be required for Pacific parents who were over-represented in this study. Presenter biography Sam is currently an Organisational Development Project Manager at Odyssey. This position allows Sam to follow her passion for AOD Workforce Development. Most recently Sam also was a Professional Teaching Fellow, School of Population Health at the University of Auckland where she taught on the Postgraduate Health Sciences programme, Alcohol and Drug Specialisation for several years. Sam's clinical background is working in Mental Health and Addiction settings with complex clients and their families. She has held roles in Adult and CAMHS services in DHB, NGO and Kaupapa Māori services. She is currently pursuing PhD study at the University of Auckland.

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19 Whanaungatanga: fluidity in service provision, don’t just pass by the window, Haere Mai

Leigh Wilson Pou Tohutohu, Pou Maihi, Ngaakau Tapatahi Lance McCorkindale Pou Tohutohu, Pou Maihi, Ngaakau Tapatahi Abstract Whaea Reen keeps bees, her face, lined with the wisdom of many winters and her whakapapa, as much etched into the palms of her hands as it is into the delicate curve of her stoic chin. Other practitioner say she is ‘difficult to engage’; ‘obstructive’ and ‘a hard lady’; their assessment on the surface might have rung true if not for the lens of Whanaungatanga. The first time I saw Whaea Reen she was wild-eyed and wailing, at the time, a duly authorized officer had sectioned her moko and the boy was being taken away. Whanaungatanga hears aroha and sees an accessible, articulate and vulnerable Kuia. Whanaungatanga: an approach that varies depending on context, and involves value processes that are inter-related. Every person, animal, plant, rock, and thought, across all time and space are embraced beneath the korowai of Whanaungatanga, the concept is inclusive. The roles are non-static and evolutionary in their approach and application. Whanaungatanga listens to better hear what Whānau who have mental health and addiction stories need. Whanaungatanga weaves the many different strands of healthcare providers, social services and other stakeholders into a bespoke korowai that whānau may put on, take off or share as THEY determine needful. This not about approaching te ao Maori philosophies with the view to rewrite or reright their position in service provision, it is about closing the gaps between what is known; increasing health and wellbeing outcomes for Maori, to what is known; increasing health and wellbeing outcomes for all. Presenter biographies Leigh Wilson: It is a pleasure to deliver from my existing skill set as a facility manager for a Kaupapa Maori Mental Health and Addiction Service, though a desire to work kanohi te kanohi with whānau who have mental health and addiction stories led me to return to study. Though challenging, the journey was thoroughly fulfilling. As a new graduate I am humbled by the resilience that whānau demonstrate when faced with the adversities of addiction and mental ill health and it is truly a privilege to walk alongside those who seek guidance and I embrace their whakapapa as toanga. Lance McCorkindale: “I stand here before you, but the vibration you hear is that of my ancestors”. Lance, a poet and principal-author of Ngati Soul; life in sound, a therapeutic approach says, ‘Journey within the realm of karakia every day, travel on the ancient sounds that intersect the notion of tapu and noa, thus guiding wairua, tinana, hinengaro. Through the lens of life’s memories waiata and karakia provide a portal that connects us to the past, sound a conduit that establishes and maintains the connection, thus informing the practice of establishment and recovery of health and wellbeing, what do you hear?’ #thenewoldway #differentbutthesame #stayconnected #tekorowaiongakakano #maiteam #livedexperience #activate #woke #bemyauthenticself #mystory #mytruth

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20 'The CareNZ Drug Treatment Programme Journey' Teresa Knowles CareNZ Clinical Managers of intensive drug treatment programmes within Arohata Women’s Prison and Otago Correctional Facility Thomas Moore CareNZ Clinical Managers of intensive drug treatment programmes within Arohata Women’s Prison and Otago Correctional Facility Abstract CareNZ clinicians share this diagram with prisoners who are potential programme participants. Clinicians find that the colourful diagram enhances engagement by helping people to quickly understand what to expect if they enter the programme. It succinctly illustrates the complex process from entry to the unit through to post-release support in the community. The hand-drawn images depict the key elements of the treatment process (assessment and treatment planning, group and individual counselling, electives/constructive activity and aftercare). It also shows how CareNZ supports the participant by working collaboratively with the Department of Corrections, their whānau/family and support agencies in the community. The journey diagram is a clinical tool that works particularly well with people who have low levels of literacy and who may initially lack confidence about their ability to successfully complete the programme. It reduces potential unease by demonstrating that from the outset CareNZ staff have the tools and techniques to convey complex messages in engaging ways. CareNZ staff also use this diagram to increase awareness amongst Corrections staff of how the drug treatment programme operates. This means staff in the prison can promote the programme to prisoners and answer any initial questions. Presenter biographies Teresa Knowles is the Clinical Manager of the Drug Treatment Unit at Arohata Women’s Prison established by CareNZ in 1997. Teresa has more than ten years’ experience in the AOD sector and is currently leading efforts to further integrate gender responsive and trauma informed intervention models in the three month women’s programme. Thomas Moore is the Clinical Manager of the CareNZ Drug Treatment Unit at Otago Correctional Facility. Thomas has more than 25 years in the AOD and problem gambling sectors. He is working closely with Corrections to implement a holistic ‘open therapeutic community’ environment within the unit. This means greater opportunity for programme participants to attend other rehabilitation and reintegrative interventions while undertaking their AOD treatment.

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21 The Brave Hearts approach to alleviating addiction harm in families Erin Scarlett O’Neill Founder & Trustee, Brave Hearts NZ Abstract Last year, having walked a difficult journey ourselves with a methamphetamine addicted family member, we set up a support group for families similarly affected by a loved one's addiction. We were astounded that 60 people turned up to our first meeting. It was obvious that whānau were crying out for help and many were not aware of the signs and symptoms of meth addiction or the types of behaviour to look for. Many affected family members were not aware of where to go, or how to get help. From humble beginnings and in a short space of time, Brave Hearts has grown into something much bigger than any of us expected. It is all about people who have been through this experience supporting others who are going through the same in the hope that their sufferings will be alleviated. This poster presentation will show the journey of the registered charity Brave Hearts and the scope of the work we are doing to make things easier for families experiencing the pain of a family member who is addicted to methamphetamine. Presenter biography Erin is the Founder and Trustee of Brave Hearts NZ. She is the mother of a son who has struggled with addiction to methamphetamine. Because of her own experience Erin is passionate about supporting other families in similar situations and educating the parents of secondary school children to prevent future harm.