Identification and group discussion of key workforce themes for DAO role
This was an opportunity for attendees to provide feedback on what they saw as the workforce development priorities for DAOs. The first 15 minutes were used to establish some of the overall workforce issues and agree upon some themes for group discussion.
The group agreed the issues put forward were able to be grouped into the following five themes.
- Rural.
- Cultural.
- Competencies and warranting.
- Training and education/supervision.
- Networks and information.
Each of the themes was given a respective workgroup, and attendees participated in the group that had most relevance for them. The groups were asked to consider and discuss the main issues reflected in their chosen theme, then suggest solutions that might be applied.
The table below shows what the workgroups raised as issues in each theme and a wide range of suggested solutions.
| THEME |
ISSUES |
SOLUTIONS |
| Rural |
- Safety/transportation
- Sole practitioner in an area
- Juggling clients - rescheduling
- Getting resources
- Police
- GPs
- Section 9 (2) (d)
- Privacy
- Section 9 (2) (d)
- Information/support
|
- Technology - cell phones/ videoconferencing
- Goodwill of colleagues
- Orientation
- Local clinical pathways
- Location/[scheduling] appointments
- Foster relationships with other services; e.g.
- Police
- Public health
- District nurses
- Reciprocity
- Debrief
- Senior staff in position
|
| Cultural |
- Youth, Age, Gender, Ethnicity
- Death or specific cultural practice
- ‘Old boys network'
- Registered Nurse versus Registered Psychiatric
- Nurse
- RNI programme
- Time constraints
|
- Look at other disciplines, e.g. social workers
- Training that values different cultural values
- Time is a value
- Secondment through services - three - six months(blurring team boundaries)
- Resource group - network
|
| Competencies and warranting |
|
- Demonstrating DAO competencies
- Peer review every three years
- Broad knowledge of MH(CAT)Act
- Activity log kept
|
| Training and education/supervision |
- Inconsistent training packages
- Ongoing training to DAOs
- Capping on DAO numbers
- No national recognition
- Rosters/availability to attend training
|
- Self-responsibility with support of DHB
- Takes many forms of supervision; e.g.
- Formal - with DAMHS
- Informal - tearoom
- EAP
- DAO peer review, incl. audit process
- National standards of education & national package with competencies - supported by DAMHS
- Mandatory inclusion of whanau, consumer, police
- Consequences for not meeting ongoing training requirements
- Linking in with PDRP, CASP - AHP
- Formalised preceptor - approx. six months
|
| Networks and information |
- No national network
- No national forum
|
- Network purpose
- Information [sharing] e.g. minutes of DAMHS meeting
- National statistics
- Secure access website
- Web-based social network
- National PMS [Patient Management System]
- DHB → Regional → National
- National credentialing - standard
- Web-based managed network
- National body - to lead
- Aligned to existing national network/body
- Technology use - VC [videoconferencing], Skype, email
|
Page last updated: 28 May 2009