Trish Gledhill

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SHARING THE KETE
A Youth and Cannabis Project Involving Families
Trish Gledhill Involve 08 Relate
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SHARING THE KETE Families As Agents Of Change

• A Pan DHB project
• Key themes in family inclusive practice
• The framework
• Youth and whanau outcomes

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Fostering FIP in Addiction Services HB

• Viewing a snapshot of service delivery
• FIP Introductory training

• Engaging whanau as agents of change
• Developing a model
• Training, implementing and reviewing outcomes

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Practitioners and FIP
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• Rangi- 16 year old rangatahi
• Alcohol, cannabis Rangi and whanau
• Depression, suicidal ideation
• CAMHS service

Inclusive practice in HBDHB History of FIP in
HB FIP guide content HB Kina Trustees Current
data Training
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• Sarah - 17 year old Pakeha
• Cannabis
• Mental illness issues anxiety, drug induced
  psychosis
• Relapse and hospitalisations
• Addictions service

Next steps Clairfy measures for youth
outcomes Set up a focus group to work on
development of the model Refine model to
training and implementation Measure outcomes for
clients and staff practice
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Whanau coming together to facilitate change
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Kina Trust
Reduced cannabis, alcohol and other drug use
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Enjoying life more
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Whanau changing AOD behaviours to reduce harm
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Small gems....

• 9 young people and whanau
• 7 young people abstinent or marked decrease in
  AOD use
• Improved social outcomes
• High engagement
• 3 family members changing AOD use

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The thinking behind it
Behavioural Models
Ecological Models
The social environment promoting change
Resilience Models
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Points of difference?

• Engagement focus.
• Whanau strengths at all stages
• Using visuals, hands on and interactive
  processes.
• Knowledge and information sharing. worker and
  whanau
• Whanau regularly reviewing processes and outcomes

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Key Collaborative Approaches

• Validating connections that will supporting
  change.
• The worker is active but not central to change.
• Non - pathologising or judging.
• Ensuring transparency with youth and whanau.
• Planning and flexibility - 2 sides of the
  therapeutic coin
• Keeping it doable

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Setting the scene
Contact ? How do we keep in touch? A counsellor
could phone you, text, or maybe drop a note?
Where? Addiction Services are based in Napier and
Hastings but we also see people in their homes
and communities. What would work for you for your
first appointment?

• Who?
• In our service we see whanau and friends as
  having an important role and often making a big
  difference to what happens for young people. Who
  would you like to bring to your appointment? Who
  could maybe help out?

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Using the Kete....
What strength and resources do we
contribute? Where exactly does this information
go?
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The Whanau Plan

• Whanau strengths and agreed goals
• Whanau actions/activities that will set up for
  success and prevent triggers for AOD use
• Responses to AOD use as it happens
• Acknowledgment and rewards when the young person
  maintains their goals and to encourage them
  further

• Applying natural consequences of use and
  maintaining agreed limits for behaviour

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Comments from practitioners.
I cant help but add this to my other work

• The whanau gained a sense of ownership of the
  therapy and a sense that they can get through
  this

• The home visit made a big difference in engaging
  the family

• The family are very motivated to be agents of
  change

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Next steps....

• An FIP Guide for working with youth
• Training workers in FIP and youth
• Trial in other AOD youth settings