Provider Specific Terms and Conditions for the delivery of Community Youth AOD Clinical Services

Transcription

1 Hamilton, North and Surrounds Provider Specific Terms and Conditions for the delivery of Community Youth AOD Clinical Services National Service Framework specifications The services provided under this agreement are as per the following National Service Framework specifications: Tier One Mental Health and Addiction Specialist Services Tier Two Infant, Child, Adolescent and Youth Mental Health, Alcohol and/or Other Drug Services Tier Three Child, Adolescent and Youth Alcohol and Other Drug Community Services This provider specification is to be read in conjunction with the above national specifications This specification details elements of service, which are not articulated through the national service specifications above. Service Definition There are two aspects to this service:. 1. The provision of systems and leadership support to rangatahi/youth Alcohol and Other Drug (AOD) and co-existing problems (CEP) practitioners and services throughout the Waikato DHB 2. The provision of community based assessment and treatment service for rangatahi/young people with problematic to severe alcohol and/or other drug use problems Service objectives are: Reducing the impacts of substance issue on vulnerable and high needs populations Young people minimise their substance use and reduce the associated harm Young people are retained in treatment for as long as is appropriate to their needs Young people improve their quality of life and general functioning across a broad range of areas such as school performance, family functioning and peer relationships Ensuring family/whanau of youth with substance misuse issues know where to go for help and receive support Ensuring consistent quality and treatment across all Waikato DHB youth AOD services Secondary objectives include: Service is provided in accordance with the Waikato DHB Youth AOD Model of Care June 2015 Supporting local services/organisations engaging with young people to recognise (screen) and undertake brief interventions Supporting development of critical mass of clinicians/service providers who are effectively addressing youth AOD issues including responding to youth presenting with co-existing mental health problems (CEP) Contributing to whanau ora outcomes including opportunities to participate in Te Ao Maori Improving resilience and preventing relapse through improved collaboration between specialist and primary level services The service is provided to: Eligible persons within the Waikato DHB boundaries. The service will primarily focus on rangatahi/ young people aged twelve to nineteen years and their family/whanau, including peers. o the service will also provide services to those younger and older than this age band when developmentally appropriate or as otherwise required. Referrals are accepted from any source, including self/family referrals into the Service. A formal diagnosis of substance use disorder is not necessary for entry into the Service. However once the Draft PSTC Version 1.0 Page 1 of 15 Last printed 15/10/2015

2 engagement component has been completed the service will determine if ongoing access as a service user is appropriate or not, and the recommended length of treatment and follow-up. Service Coverage This youth AOD service (see table below) will provide both a Leadership/systems support service across the Waikato DHB district and a community youth AOD and CEP service to Hamilton, North and Surrounding areas. Funded components There will be community based youth alcohol and other drug (AOD) FTE in the Hamilton North and Surrounds area. These FTEs will also provide the Leadership component of service. The youth AOD FTEs will be made up of: 0.5 SMO FTE 7.65 Clinical FTE 1 Cultural FTE 2 Youth FTE The following table details how the resourcing will be applied for Hamilton North and Surrounds Leadership (DHB-wide) and the community-based service. FTE Type Leadership & support DHB-wide Treatment Services Hamilton North & Surrounds Treatment Services Hauraki & South Total FTE Senior Medical Clinical AOD Cultural support Youth support Total Service components 1. Leadership/systems support Leadership/system support service will use the Waikato Youth AOD Model of Care (July 2015) as their foundation document and will model best practice across the Waikato DHB district. Components of the leadership service will sit across a number of the positions within this team with areas of special expertise rather than being restricted to a specified position. It will be based in Hamilton and provide the following across the Waikato DHB district: Promotion of the Waikato Youth AOD Model of Care Provide Leadership for all youth AOD/CEP practitioners and services. This will include: o The AOD Senior Medical Officer being the clinical director for the Hamilton, North and Surrounds service, and a component of this role will be required to provide clinical consult/liaison for the two rural services in the Waikato (0.1 Hauraki and 0.1 South). o The clinical, cultural and youth positions will on average apply 10% of their time to developing and maintaining areas of proficiency within the service to guide system leadership and support functions. The areas of proficiency will include: Family/whānau facilitation Youth justice sector 1 See total clinical AOD in Table 1 Draft PSTC Version 1.0 Page 2 of 15 Last printed 15/10/2015

3 Co-existing problems (CEP) and Hamilton Cluster liaison Education sector Primary care sector Use and expertise in the Substances and Choice Scale (SACs), brief interventions and other tools such as Rangatahi/young people evidence based AOD and CEP treatment, including motivational interviewing (MI), solutions focused therapy (SFT) and strengths based practices Workforce planning Tikanga Maori Youth engagement Website maintenance support Support rural AOD service provision across the Waikato DHB district o Provide second opinion and consultation / liaison supports to rural youth AOD services in Hauraki and South o Support the development of staff consultation, practice and community education/training competencies and resources Finalise development of and provide maintenance of the Waikato Youth AOD Brand [approved brand and name to be confirmed] o Review, update and confirm the initial service branding requirements o Definition of best practice standards required by providers, including templates for use o Complete annual review of provider adherence to branding requirements o Complete annual review and update of requirements o Delivery of Brand Promotion activity (of approved Brand) Contribute to the development and maintenance of a relevant Waikato Youth AOD website and other social media, led by Waikato DHB Communications Team: o Actively provide advice and information to Waikato DHB, Communications team to ensure the website and other social media are relevant and current. o Complete monthly review of the website and other social media components, including whether it is working effectively for ALL stakeholders and where updates or refinements are needed. This is expected to include identification/development of relevant consumer, family and whanau information. Support Youth voice and influence in service planning, development and delivery: o Establishment, co-ordination and maintenance of a Youth Reference Group o Facilitation of training for youth so they can add value to their input into services o Facilitation youth input into best practice standards, branding and promotion o Clarification of Youth Engagement Plan requirements o All staff to have required competencies for working with youth o Co-ordination of Youth Audit/monitoring process Delivery of the approved Workforce development plan o Complete an annual training calendar to support staff competencies as follows: Working with rangatahi/young people Working with Māori (cultural competence) Working with family and whanau competence AOD clinical qualifications (for clinical positions) Co-existing problems competence o Facilitate local delivery of relevant national training programmes (where possible) for Rangatahi/Youth AOD and CEP practitioners in the Waikato o Facilitate screening and brief intervention training to relevant non-aod specialist working in other health and social services agencies including primary level care o Facilitate access to on-line and actual training opportunities Leadership in collaborative working arrangements o Develop, monitor and review the Collaborative Practice Pathways within the AOD sector and in conjunction with partner Model of Care sector leaders o Provide clarity to the sector on how to work in and monitor collaborative practice o Establish and then maintain and support the Waikato Youth AOD Network Group gatherings/forums Draft PSTC Version 1.0 Page 3 of 15 Last printed 15/10/2015

4 o o o Publish Local Youth AOD Leadership Plans and quarterly monitoring reports for each community on the Waikato Youth AOD website Contribute to clinical governance structures and processes within Mental Health and AOD Develop and maintain intersectoral links and relationships and model these for rural services 2. Community based specialist youth alcohol and other drug service Geographic coverage: The Hamilton, North and Surrounds geographic area aligns with the Hamilton Child and Youth Cluster boundary (known as the Greater Hamilton integrated network), but also includes Te Awamutu. The Greater Hamilton Integrated Network serves the Waikato District, Matamata-Piako District (including Te Aroha), Hamilton City and part of the Waipa District. The Waipa District includes Cambridge and extends as far South as (and includes) Harapepe, Ohaupo and Horahora. Boundaries are aligned to the respective Territorial Local Authority boundaries. Any issues arising from individual clients domicile or provision of client care across boundaries are to be resolved by a collaborative approach between services. The community-based specialist youth alcohol and other drug service will have a base in Hamilton. The base is to be easily accessible and located in the central city. It will focus on service provision for rangatahi/ young people aged with problematic substance use to severe substance use disorders and their family or whanau. As a minimum, the service is required to be CEP enhanced and therefore provide service to rangatahi/young people with both substance use issues and mild to moderate co-existing mental health problems. In addition the service is required to work as part of an integrated approach with the Greater Hamilton Integrated Network (Hamilton Cluster ) to address the needs of rangatahi /young people with moderate to severe mental health issues and coexisting substance use problems Where and when service is to be provided: Leadership/systems support You will provide leadership and systems support across the Waikato DHB district. Community-based youth alcohol and other drug service You must provide service in accordance with your Local Youth AOD service plan (see reporting section) across the Hamilton, North and Surrounds geographic area and meet the following: The Service must operate Monday to Friday 9.00am to 5.00pm, 52 weeks of the year (excluding public holidays). It must remain open over the Christmas/New Year period. The Service is required to provide a physical presence in specified locations. Table 1 outlines minimum service expectations for weekly clinical service provision across communities in the Hamilton, North and Surrounds area. Note this is for clinical FTEs only. Additional clinics or mobile services must be provided at times, days and places that are responsive to and reduce barriers to young people accessing them (for example, staff available when significant youth events occur like university orientation week), including after hours and weekend services. On line service information and contact options must also be available, including out of hours options. The above items must be agreed with Planning and Funding and published on the Waikato Youth AOD website Draft PSTC Version 1.0 Page 4 of 15 Last printed 15/10/2015

5 Table 1 Indicative clinical FTE allocation Town Indicative Minimum expected service for the following locations each week clinical FTE allocation Hamilton 2 half day clinics per week in each of these schools: City Fraser High School including Fraser High Teen Pregnancy Unit Fairfield College, 1 half day clinics per week in each of the following schools Melville High School Hamilton Girls High Hamilton Boys High Hillcrest High 4.90 Provider plan for linking with Tertiary education centres: WINTEC Te Wānanga o Aotearoa Kawhia Raglan Te Awamutu Cambridge Services accessed in Hamilton 1 half day clinic per week 5 half day clinics per week, including a half day in Te Awamutu college 5 half day clinics per week, including a half day in Cambridge High School Matamata Morrinsville Waharoa Te Aroha Ngaruawahia Huntly half day clinics per week including a half day in Matamata College 3 half day clinics per week including a half day in Morrinsville College Services accessed in Matamata 1 half day clinic per week 2 half day clinics per week - based as suggested by community with half a day at Ngaruawahia High School 3 half day clinics per week with half a day at Huntly College, could also include half a day at Inspire Youth Hub. Te Kauwhata Services accessed in Huntly Total 6.90 Clinical FTE Note: Smaller communities will not generally have a physical presence (either based there or visiting). Youth and their families/whanau will access services from their closest center. Exceptions to this will be made for extraordinary events needing an AOD clinical response. LINKAGES The provider will collaborate with key agencies and ensure assertive, engagement-focused service provision in settings involved with tamariki/children and rangatahi/young people. (i) Community Linkages You must have clear referral pathways and shared care arrangement process with relevant organisations that provide service to youth in your community (see Tables 2 & 3 for services you are required to have clear working arrangements with) including; Draft PSTC Version 1.0 Page 5 of 15 Last printed 15/10/2015

6 Relevant child and youth cluster(s) in your area. (see Hamilton Cluster section below) Schools and other learning centres/institutes where youth ages attend Relevant Social Sector Trial site in your area ((Te Kauwhata and Ngaruawahia and Huntly) Youth one-stop shops or youth hubs or groups in your area Youth related services in your area (that you have identified in your Local youth AOD Plan eg CYFS, Youth Justice, Police, Hamilton Children s Team) Primary Health Organisations and GPs Hamilton Cluster Defined referral pathways will be developed, including with the Hamilton Cluster so that it is clear where young people would be best treated according to the level of their clinical need. While they will be separate, the two services (Hamilton, North and Surrounds youth AOD service and the Hamilton Cluster) will work closely together to ensure that rangatahi/young people are able to freely and quickly access appropriate services and/or their families/whānau know where to go to get information about their rangatahi/young person s alcohol and/or other drug use. Movement of young people and their families/whanau between services should be minimised where possible. Disruption and confusion for clients should be avoided. Youth with alcohol and other drug issues that also have moderate to severe mental health conditions will be able to access the Co-existing Problems (specialist CEP) positions located in the Hamilton Cluster. Social sector trials As a provider of services for youth in the Waikato Social Sector Trial site (Te Kauwhata, Ngaruawahia and Huntly) you must be: Aware of the local Social Sector Trial Action Plan. Engaged in the development of this plan as appropriate. Involved with the Social Sector Trials in the communities in which you deliver services, through integration and co-ordination of your activities/services to meet jointly agreed local health outcomes. (ii) Linkages with other AOD funded services In addition to the services delivered by you, the following DHB funded services will also be available to youth with AOD issues. Table 2 Service Provider Available to youth in the following areas Primary Youth Mental Health and AOD services Residential Alcohol and Drug services Crisis response (after hours) Midlands Health Network Hauora Hauraki coalition National Maori Coalition PHO Te Runanga O Kirikiriroa (Rongo-Atea facility Hamilton) Odyssey House (Auckland) Health Waikato Crisis Assessment & Treatment Service Linked to GPs so referrals will be relevant to where the GP is located Waikato DHB area Waikato DHB area Waikato DHB area Quality Requirements Your service must comply with the following throughout the term of this agreement: Proactively maintain your organisation s Youth AOD branding status. Draft PSTC Version 1.0 Page 6 of 15 Last printed 15/10/2015

7 Commitment to actively deliver your organisation s Youth Engagement Plan, facilitate six monthly youth audits of your service and address any recommendations within thirty days of youth audit site visit. Actively participate in the Waikato AOD Sector Network Group Ensure full compliance with PRIMHD reporting requirements and as a requirement of this agreement allow Waikato DHB Planning and Funding to access to your PRIMHD data and PRIMHD Provider Reports. Maintain and demonstrate co-existing problems enhanced ability. Develop policies and procedures on how your service will support young people in their role as parents in your service. Where service users are parents, the Service responds to the needs of their young children using evidence-based/informed interventions (COPMIA). Where parents and/or siblings of service users have mental health and/or AOD concerns, the Service is active in facilitating engagement in services Quarterly reporting re the Ministry of Health transition planning - 95% of discharge plans completed Future measures. You will work with us to understand and agree appropriate outcome measures, with a view to including indicative volumes in future agreements. These include Triple Aim measures Robust consumer/family feedback processes are in place Wait time targets are achieved - 80% of clients seen by 3 weeks, 95% seen by 8 weeks for new clients Employment of staff Service providers are to employ staff with appropriate qualifications, skills and experience in meeting the needs of young people with Alcohol and Other Drug issues. You should implement appropriate knowledge, skills and attitude frameworks such as: Lets Get Real: o Working with service users o Working with Maori o Working with families and whanau o Working with communities o Challenging stigma and discrimination o Law, policy and practice o Professional and personal development Real Skills Plus ICAMH/AOD Real skills Plus Seitapu Te Whare O Tiki All staff must comply with the Health & Disability Code. Pre-employment check The provider must ensure that all new staff will be required to list in writing, prior to their employment (as either full or part-time workers), any criminal convictions and/or appearances in front of professional bodies as part of their job application, and that this document is maintained on record. You shall not employ any staff (including any volunteer workers) who to the best of the provider s knowledge has a criminal conviction relative to the role, a crime against the person; a crime involving dishonesty or criminal damage, or sexual offence. The provider shall ensure that an authorised police check is completed as part of the employment process for any person that will be delivering the services to service users. The provider is to ensure all applicants are made aware of the requirement to undertake an authorised criminal check Qualifications: Waikato DHB requires contracted youth AOD positions be filled by appropriately qualified staff. This requires staff with evidenced: 1. Youth competence 2. Cultural competence working with Maori 3. Family and whanau competence 4. AOD Clinical qualifications (for clinical positions) Draft PSTC Version 1.0 Page 7 of 15 Last printed 15/10/2015

8 5. Co-existing problems enhanced ability Only transitional arrangements that have been formally approved by Executive Director Planning and Funding, Waikato DHB will be deemed to meet the qualification requirements of this clause subject to the terms outlined in the formal approval letter. Transitional arrangements will allow providers/staff to work towards meeting the new requirements by 30 September Alcohol and other drug clinical staff qualifications: Alcohol and other drug (AOD) clinical positions must meet one of the requirements listed below: Criteria for a registered AOD practitioner Attained an NZQA Level 7 (or higher) AOD specific qualification from an approved learning institute (see below) and also be a current registered Drug and Alcohol Practitioners Association Aotearoa New Zealand (DAPAANZ) Competent Practitioner; or Attained an NZQA Level 7 (or higher) non AOD specific qualification and also attained a post graduate AOD qualification from an approved learning institute (see below) and also either; o be a current registered DAPAANZ Competent Practitioner; or o have a current Drug and Alcohol Nurses of Australasia (DANA) registration for addiction speciality nurses Criteria for a registered health practitioner working in AOD Attained an NZQA Level 7 (or higher) non AOD specific qualification and also be one of the following: o Be a registered health professional regulated by the Health Practitioners Competence Assurance Act 2003 (HPCA) and hold a current Annual Practice Certificate (APC); or o Be a registered Social Worker as per the Social Workers Registration Act 2003 and hold a current Annual Practice Certificate (APC); or o Be a registered NZAC Counsellor (degree level or above) and hold a current Annual Practice Certificate (APC). Note: Midland DHBs are reviewing the acceptance of NZAC as part of accepted clinical criteria for AOD service provision in the region. Staff meeting the above requirements of this section will be acceptable until such time as this review is completed however if criteria are then varied by the funder these staff may require DAPAANZ registration. Refer to Midland Accepted AOD qualifications and Learning institutes section below for NZAC Counsellor Approved Courses. 1. Staff with approved clinical transition arrangements Any person with clinical transition arrangements that have been formally approved by Executive Director Planning and Funding, Waikato DHB will be deemed to meet the AOD clinical qualification requirements of this clause subject to the terms outlined in the formal approval letter. 2. Midland accepted AOD qualifications and learning institutes Midland DHBs have agreed a range of NZQA Level 7 (or higher) AOD specific qualifications, post graduate AOD qualifications and learning institutes in relation to clinical AOD qualifications for AOD which are listed on the appropriate website. Please see the Midland Mental Health and Addictions Network website Overseas qualifications will be considered on a case by case basis with the funder. Vulnerable Children Act 2014 According to section 15 of the Vulnerable Children Act 2014, children s services cover the following: Services provided to one or more children Services to adults in respect of one or more children NB At a future date, the scope of children's services can be expanded, by regulations. Expansion may include services to adults which could significantly affect the well-being of children in that household. Draft PSTC Version 1.0 Page 8 of 15 Last printed 15/10/2015

9 Child protection policy If you provide children s services as per section 15 of the Vulnerable Children Act 2014 you will adopt a child protection policy as soon as practicable and review the policy within three years from the date of its adoption or most recent review. Thereafter, you will review the policy at least every three years. In accordance with the requirements set out in section 19(a) and (b) of the Vulnerable Children Act 2014, your child protection policy must apply to the provision of children s services (as defined in section 15 of the Act), must be written and must contain provisions on the identification and reporting of child abuse and neglect in accordance with section 15 of the Children, Young Persons, and Their Families Act Worker safety checks You acknowledge that the under the Vulnerable Children Act 2014, new requirements to conduct staff safety checks are to be introduced. You will ensure that you keep up to date with developments in this area so that when the safety checking requirements come into force you are able to meet these requirements. Prevention of abuse/neglect All staff must comply with the Code of Health and Disability Services Consumers' Rights Appropriate safeguards will be put in place to protect service users, staff and visitors from neglect or abuse, including physical, mental, emotional, financial or sexual maltreatment by the service itself and services to whom it makes referrals to. You will have written implemented and reviewed policies and procedure on preventing, detecting and removing abuse and/or neglect. These will include definitions of abuse and neglect and will clearly outline the responsibilities of all staff who suspect actual or potential abuse, including immediate action; reporting, monitoring and corrective action. The procedures will also include reference to the Complaints Procedure. Risk management The provider will immediately advise the Planning & Funding of any significant clinical or service issue that has caused serious harm or has the potential for adverse media comment, and will ensure that a review of the incident is conducted and actions for improvement or to prevent re-occurrence are identified and undertaken. A significant clinical or service issue is defined as an event which: has resulted in an unanticipated death or major permanent loss of function not related to the natural course of the consumer s illness e.g. suicide is a major systems failure has the potential for serious adverse media attention has resulted in potential or actual harm to an individual or group of consumers, staff or public is attempted or alleged sexual abuse or rape. Smokefree policy You are required to have a smokefree policy applying to all their staff, patients/clients, families/whānau and visitors, facilities and vehicles. This is to ensure provision of a smokefree environment for all staff, patients, family/whānau and visitors. This policy will also align with recommendations outlined in the New Zealand Smoking Cessation Guidelines (2007). REPORTING This table provides a summary of reporting requirements required as part of this agreement. Report Submission Frequency Leadership System/Support Programme of Work Leadership System/Support - Progress Report Support Administrator, Waikato DHB annual Leadership Systems/Support Programme of work, for publication on Waikato DHB website Support Administrator, Waikato DHB against annual Leadership Systems/Support Programme of work, for publication on Annual initially three months following commencement of agreement Quarterly (20 th month following end of quarter) Draft PSTC Version 1.0 Page 9 of 15 Last printed 15/10/2015

10 Youth AOD Brand requirements met Local Youth AOD Service Plan Youth AOD Service Plan progress Report PRIMHD Pre-service and postservice activity Support for co-existing problems (CEP) clients Waikato DHB website Support Administrator, Waikato DHB confirmation of compliance with Brand [Insert Name of Brand TBC] requirements, for publication on Waikato DHB website Support Administrator, Waikato DHB against annual youth plan, for publication on Waikato DHB website Support Administrator, Waikato DHB against annual youth plan, for publication on Waikato DHB website Reporting to the Ministry of Health Information Directorate Support Administrator, Waikato DHB on required template (see below) Support Administrator, Waikato DHB on required template (see below) Annual initially three months following commencement of agreement Annual initially three months following commencement of agreement Quarterly (20 th month following end of quarter) Monthly (20 th month following service) Quarterly (20 th month following end of quarter) Quarterly (20 th month following end of quarter) Discharge Planning Progress against 95% target Quarterly (20 th month following end of quarter) Outcomes Report Review of services agreed against services delivered (FTEs) Support Administrator, Waikato DHB on required template Support Administrator, Waikato DHB on required template Six monthly (31 st month following end of six month period) Six monthly (31 st month following end of six month period) Annual Audited accounts Support Administrator, Waikato DHB on required template Annually (five months following Providers balance date) 1. LEADERSHIP SYSTEM/SUPPORT FUNCTION You are required to submit a plan detailing your programme of work for the year within three months of service start. This will be agreed with the DHB and will include o Activity in each of the following areas: Workforce competency/training plan/calendar Youth voice & influence on service delivery Finalising youth brand Liaison with DHB communications function on website operation Collaborative Practice Pathways including sector networking forums Supporting service provision in rural areas o Progress in establishing the roles within the team The Programme of Work must include measurable actions and be reported against quarterly (20 th month following). The Programme of Work and quarterly reports will be published on the Waikato DHB Youth AOD [Insert approved brand name TBC website within five days of receipt. 2. WAIKATO YOUTH AOD BRAND REQUIREMENTS Draft PSTC Version 1.0 Page 10 of 15 Last printed 15/10/2015

11 You are required to meet Waikato Youth AOD Brand requirements (when they are available) throughout the term of this agreement, Confirmation of compliance and completion of a plan to maintain compliance to be submitted within three months of service start (dependent upon the availability of the name and brand) Brand requirements include the following components: a. Utilise the brand [Insert approved brand name TBC] and logo b. Provide service in accordance with Waikato Youth AOD Model of Care, Best practice guidelines and utilise [Insert approved brand name TBC] approved Brand templates and/or processes c. Provide required service information and reports for publication on the [Insert approved brand name TBC] Waikato Youth AOD website within required timeframe (Local youth AOD Service Plan, Youth Engagement plan etc) d. Ensure all staff meet the minimum competencies (clinical, youth, Māori, family and whānau) required in this agreement e. A commitment to working towards meeting the service objectives (including the secondary objectives) outlined in this specification. 3. LOCAL YOUTH AOD SERVICE PLAN You are required to submit a Local Youth AOD Service Plan to guide service planning for the term of this agreement, within three months of service start A separate plan is required for each identified community (see Table 1) where you are contracted to provide service. The plan must include the following components with measurable actions to operationalise: a. Leadership function Detail how your organisation will provide youth AOD leadership for the local community b. Service operations Detail how your organisation will provide an effective and responsive specialist community-based youth AOD service that includes a youth engagement plan and complies with Waikato Youth AOD brand requirements, national service specifications and these agreement requirements. c. Workforce plan Ensure all staff where appropriate meet Clinical requirements, Youth, Cultural, Family competencies and comply with Youth Workers Code of Ethics. d. Collaboration List significant organisations/services in your local community that collaborative working relationships will be developed with and how this will occur. e. Support Detail how your organisation will support agencies developing responses to youth AOD problems, including coaching, mentoring, supervision, consultation/ liaison and more broadly, strategic leadership locally f. Promotion - List how your service plans to promote services locally, including any local youth/aod events that your service will participate in and what you plan to do. g. Local accountability Detail how your organisation will ensure your service is meeting the needs of local young people, family and community members Youth engagement plan to incorporate the following eight elements: o Youth participation o Youth voice in service delivery o Training of youth t enable partnership o Service visibility o Engagement in treatment o Role of support staff in engaging youth o Appropriate wait times o Annual feedback mechanisms You are required to reported against your Local Youth AOD Service Plan - Progress Report Quarterly (20 th month following). The quarterly report is to include: 1. Report (by month) against your minimum expected levels of service delivery by specified towns or local communities 2. How the clinic resource (both clinical and non-clinical time) is being utilised: Volume of hours spent on clients/families seen for treatment Draft PSTC Version 1.0 Page 11 of 15 Last printed 15/10/2015

12 Volume of hours spent on clients/families seen service engagement Volume of hours spent on other agency collaboration (e.g. school counsellors, community meetings) Volume of hours spent on more general community-based education 3. How the local community is aware of the service: Evidence of engagement with the public e.g. opening hours, website updates etc A report of service for each school six monthly for the first year then annually thereafter. Note a template will be developed & provided by the DHB 4. PRIMHD Under this agreement [Insert Provider Name] is required to: submit all PRIMHD data relating to purchased services to the Information Directorate within 20 days from the end of each calendar month and that it meets all compliance and accuracy requirements. Ensure that all PRIMHD data is submitted in accordance with the health care user s accurate NHI number and in accordance with the PRIMHD code-set and dataset documentation. You will be required to utilise one of the following Team Types for the community based service purchased via this agreement o Team Type 03 Alcohol and Drug Team o Team Type 10 Alcohol and Drug Kaupapa Maori Team Agree to allow access to their NGO PRIMHD Provider Reports, by Waikato DHB Planning and Funding. 5. PRE-SERVICE AND POST-SERVICE ACTIVITY The purpose of this reporting is to understand the extent of and effectiveness of engagement by the service including Engagement of youth Engagement of their family/whanau Use of a cultural role in engagement Engagement can be of a general nature or in relation to a specific client and should only relate to activity undertaken pre-referral i.e. prior to a client s acceptance in to a service. (Volumes of service engagement activity post-acceptance will be captured via usual PRIMHD activity coding and is not the focus of this report). Report to be submitted quarterly and to be broken down by as follows: No. of youth engagement contacts by phone, by text or in person No. of youth engagement contacts cultural support provided No of family engagement contacts by phone, by test or in person No of family engagement contacts cultural support offered Where group sessions are held - no. of attendees at each session No. of one-to-one family contacts Report to include any narrative commentary on the above - overall impact re engagement strategies, improvement in Did Not Attend rates etc. Note a template will be developed & provided by the DHB 6. CO-EXISTING PROBLEMS (CEP) SHARED CARE CLIENTS RECEIVING DHB FUNDED MENTAL HEALTH SERVICES Quarterly reporting to include: The number of current shared care clients at the end of each month (by ethnicity) 7. OUTCOMES FOR CLIENTS Draft PSTC Version 1.0 Page 12 of 15 Last printed 15/10/2015

13 You will be required to utilise the Substances and Choices Scale (SACS) screening assessment Part B (and related scoring) for each client at commencement of their treatment and (as far as this is possible) at the completion of their treatment. Use of the tool at other intervals is at the discretion of the clinician. Use of any other screening and assessment tool is at the discretion of the clinician but will not relate to be relevant to fulfilling this requirement. You will ensure that suitable electronic systems (including ensuring workforce capability) are in place for data collection set up and use so that an aggregated summary of outcome scores can be reported to us. At six monthly reporting periods you will: Provide a report on aggregated results for the SACS assessment tool report for each of questions 1 to 10 in Section B only o Report to be for all those clients who have been discharged from treatment in that quarter by ethnicity and by discharge type. o Report to include the total number of clients where an outcome can be measured (i.e. screening tool was completed at outset and at discharge). This may include use of tool at a midpoint in treatment episode if no screening occurred at treatment completion. o Report to include the total number of clients where the outcome tool was completed at commence (and perhaps at a midpoint) but where no end point score is available. o Report to include the totals of all client scores at treatment commencement and at discharge. Note a template will be developed & provided by the DHB 8. REVIEW OF SERVICES AGREED AGAINST SERVICES DELIVERED (FTES) [Insert Provider Name] will return funding where service provision information indicates under-delivery against purchase units provided on a six-monthly basis. Six-monthly reports By 31 January and 31 July of each year, you must provide us with a schedule of the actual volume and description of the purchase units provided by you under this agreement during the previous six months ending 31 December (due 31 January) and 30 June (due 31 July). The schedule must be submitted electronically and as a hard copy, and is to include the following details, by purchase unit: full name of employee employee s clinical qualifications relevant to position Confirmation of employees competency working with o Māori, o youth o Family and whanau start date of employee leaving or transfer date of employee (if relevant) each month s average number of hours worked per week per employee relevant to the provision of the purchase unit broken down by Leadership Systems/Support (ie: expected to be 10% of role in one of the identified areas) and in community based AOD service provision (i.e. expected to be 90% for actual service delivery, including relevant administration, staff meetings, training and/or writing up case notes). Hours reported should be inclusive of annual and/or sick leave. A maximum of 40 hours (1.0 FTE) per employee should be reported and should exclude hours not related actual service provision as outlined above; Note; reporting for the Senior Medical Officer FTE is to also state the average hours per week for o Hamilton, North and Surrounds o Hauraki o South The signature of an appropriate senior representative of the organisation verifying authenticity and accuracy of the information provided on the hard copy submission. Calculating the wash-up The following will be used to calculate any potential funding repayable to the DHB: a. the unit price payable per FTE for each purchase unit b. the total value of services actually provided: [actual FTE provided x (a)] c. the total amount already invoiced during the period. Draft PSTC Version 1.0 Page 13 of 15 Last printed 15/10/2015

14 If the total value of services actually provided (b) is less than the total amount already invoiced during the period (c) per purchase unit, then this difference must be repaid to Waikato DHB. Over-delivery of FTE In the interests of maximising service provision, in situations where there may be over-delivery of a purchase unit within a reported six-month period, this may be considered against an under-delivery of the same purchase unit within the balance of the financial year (1 July 30 June). It is noted that this is a capped agreement and that there is no requirement for additional payment if the services provided within the 12-month period exceed the amount in the payment schedule. Recovery of funds [Insert Provider Name] will be invoiced for the amount of recovery as established above. In the event of non-payment of this invoice, Waikato DHB retains the right to offset outstanding monies owing against future funding payments due to [Insert Provider Name], or to follow standard debt recovery processes. Reporting Forward the wash up report it to the DHB electronically (via excel spreadsheet) to support@waikatodhb.health.nz and post signed hard copy to Planning and Funding Support Administrator, Level 3 Hockin Building, PO Box 934, Hamilton Wash up process and business rules Refer to Mental Health Wash up Requirements (updated December 2010) for full outline of the Wash up process and business rules. You can access copies from your Portfolio Manager. 9. ANNUAL AUDITED ACCOUNTS A copy of your annual accounts along with an audit opinion must be provided five months following the end of your financial year. If you are not required to be audited, a copy of your annual accounts signed as correct by your Board Chairman needs to be submitted within five months following the end of your financial year. Alternative methods of financial reporting may be agreed with us. These include: confirmation from directors or trustees that audited accounts have been produced and formally considered by your governing body and assurance that your organisation is solvent and able to meet its obligations; or confirmation from bankers of credit worthiness; or an auditors certification of solvency and financial viability. 10. GST Goods and services Tax under the Goods and Services Tax Act Subject to this Act, a tax to be known as goods and services tax shall be charged in accordance with the provision of this Act at a rate determined in the Act. 11. RELATIONSHIP MEETINGS As part of the Waikato DHB commitment to continuous improvement and strengthened relationships with service providers, the Waikato DHB and [Insert Provider Name] will meet/teleconference monthly and as required to review service delivery. The dates, times and how these meetings occur will be by mutual agreement. APPENDIX 1 Best Practice Guidelines (including best practice templates TBA) APPENDIX II Reporting Templates TBA Local Youth AOD Service Plan - Progress Report template Pre-service and Post service activity template Outcomes template Draft PSTC Version 1.0 Page 14 of 15 Last printed 15/10/2015

15 Glossary This Service Specification should be read in conjunction with the Waikato Youth AOD Model of Care, which describes the terms and concepts used in this document more fully Draft PSTC Version 1.0 Page 15 of 15 Last printed 15/10/2015