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Grandparents Raising Grandchildren

Whaioranga Trust

Bay of Plenty DHB – Public Health Nurses

Alcohol and drug services for children and young people

Drug and Alcohol Services (Bay of Plenty DHB)

Provides a service primarily aimed at adults but with some in-school support services

Ngaiterangi Iwi Services

Provides the KAD programme – a public health anti-drug education programme aimed at raising awareness of the drug impact in the Maori community

Child and Adolescent Mental Health Services (Bay of Plenty DHB)

A dual-diagnosis nurse works with young people with both mental health and addiction issues

Drug Arm

A Christian-based organisation providing individual counselling and support for young people with drug issues

Respite support services – see also Priority 5

Open Home

Provides foster-care placement and social services support for children, usually on referral from Child, Youth and Family

ADHD Association

Provides crisis respite care for children with other families experienced with ADHD

City Life Church Arndt House

A residential facility for 12-16 year-olds who are unable to be cared for at home, for periods from one day to six months depending on need

Youth Horizons Trust

Provides respite for families with children suffering from a mental health disorder (service starting mid-2006)

Service delivery issues

The following three key issues were raised by providers:

The capacity of assessment and treatment services both in the education and health sectors.

The need for better co-ordination across all agencies in all sectors.

The need for new services and options that don’t currently exist for these priority families.

There is frustration with the difficulties families face in gaining access to child behaviour assessment services. Although the efficiency of the agencies has been questioned, the managers of those agencies report being overwhelmed by the volumes of referrals in comparison with their resources. This means if children with very high needs cannot get the help they need from government agencies, it is left to community agencies to try to help. But their resources are even more stretched and children whose needs are less severe are unable to access any appropriate services at all.

One option to help the current resources cope better with the current demand is the greater co-ordination of services and collaboration among the agencies. In February 2005, the Bay of Plenty DHB formed its Child and Youth Technical Advisory Group. This group involves a range of key agencies from across the community who work with children. One of the group’s first projects has been to achieve better co-ordination of services for children with “mild to moderate disruptive behaviours or development disorders”. These children are at the less severe end of the spectrum. If this work is successful, it will help address some of the problems raised.

However, finding solutions for these children and their families will require more than better co-ordination. We will need to

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