AratakiSupport
Arataki Ministries havebeen contracted bytheMinistryofHealth (MoH)to provideCommunity SupportWorkforpeople recoveringfrom amental illness who liveindependentlyin the community. The aim isto assist peopleto improvethequalityoftheirlifein the communityoftheir choice.
An CommunitySupportWorkerbuilds relationship with the client, and togethertheywork with the existingclinical team, family/Whanauand othercaregivers. Theywork alongsidepeopleto:
•Achievegood health outcomes fortheclient consideringthewholeperson (mental, physical, social cultural and spiritual),
• Identifystrengths and support needs,
•Achievetheirindividualrights andresponsibilities forsuccessful communitylivingincluding privacy, finance,accommodation, communityand health resources, vocational and leisure opportunities,
• Support theiruseofservices availablein the community,
•Encourage and enhanceself confidence, self esteem selfdetermination, andasenseof belonging,
• Strengthen links with specialist services (counselling, clinical treatments, and skills training)
• Maintain and strengthenlinks with familyand othersupport networks.
Arataki Ministries staffhavediverse experiencesoflife and can offer empathyand encouragement as a result. Ourstaffaretrained in supportingpeoplein the community. Theyarenotclinicians. As aChristian organisation we considerall people ashaving equal value. Wedo not discriminateor condemn and arereadyand willingto work with anyoneand to offerthe compassion ofChrist to all who desireit. Wework togetherto help peopleachieveameaningful lifestylein thecommunityof their choice.
Arataki Supportis provided under contract to theMoH and is availablefreeto clients who have significant disabilityresultingfrom diagnosed mental illness. TheAratakiSupport serviceoperates in Whangarei and KaiparaDistricts, with bases in Whangarei, Dargavilleand Maungaturoto.
Referral forms are availableon request from theMobileServices TeamLeader. Dianeworks from
Whangarei.
Contactnumbers:
Whangarei: / (09)4303 044 / Fax (09)4303 544 Box 5028, Whangarei 0140Dargaville: / (09)4394 651 / Community Health, DargavilleHospital.
Maungaturoto: / (09)4319091 / 3 GorgeRoad, Maungaturoto
ARATAKIMINISTRIESLtd,PO BOX 5028,WHANGAREIPH (09)4303044 FAX (09)
Supportfor peoplewithmentalillness in communityand supported homesituations
Referralto AratakiMinistriesCommunity Support
Phone Fax
PatientInformation NHI Number
PatientName……………………………………………………RCSServiceAuthorization
AKA……………………………………………………………………WinzServicesNo…………………………………………………………………
ContactAddress………………………………………………..IRDNo…………………………………………………………………………………
………………………………………………………………………….. Formfilledoutby:…………………………………………………….
………………………………………………………………………….. Position…………………………………………………………………….. PhoneNumber…………………………………………………. Primary Nurse…………………………………………………………… FaxNumber………………………………………………………. Psychiatrist………………………………………………………………..
D.o.B……………..……….……………….Age………………….. CMHN………………………………………………………………………..
Gender M F
NextofKin………………………………………………………………..
Children/Dependants………………………………………. Relationship………………………………………………………………
Detalsofwhohasaccess………………………………….. Address……………………………………………………………………..
………………………………………………………………………….. ………………………………………………………………………………….. Ethniciity PhoneNumber…………………………………………………………
European Maori Other G.P…………………………………………………………………………….
PhoneNumber…………………………………………………………
……………………………………Pleasestatewhat.
ClinicalInformationCurrentDiagnosis
AxisI………………………………………………………………………………………………………………………………………………………………. AxisII…………………………………………………………………………………………………………………………………………………………….. Pleasedetail anyphysical/biological problems thepatienthas.Includeanyspecial treatmentrequired.
……………………………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………….. Mental HealthAct/CriminalJusticeActStatus MHA 29 MHA 30 CJA 118
Other Dateofnextreview……………………………….. Pleaespecify…………………………………………………………………………….
ResponsibleClinician……………………………………………………………… NextMHA Satusreview…………………………
CurrentMedication……………………………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………………………………………….. IMIInjection? NextDue…./…./…. Scriptlastgiven…./…./…. NextDue…./…./…. OtherDiagnosisDependencies
Alcohol Marijuana HistoryofViolence AttemptedSuicide Culturalboundsyndrome SelfHarm Solvent Other
AnyknownDrugAllergies/Reactions
PsychiatricInformation continued
FirstPresentationDate…………………………………………… Place………………………………………………………………….. Reasons……………………………………………………………………………………………………………………………………………………
………………………………………………………………………………… NumberofAdmissionsSince…………………………….
HavetheybeenStableonMedicationsbetweenAdmissions? Yes No
CurrentlevelofFunctioning CurrentlevelofInsight CurrentlevelofCompliance
Verypoor
Poor Average Good Excellent
Pleasedeatilhistoryof DangerousBehaviour/Self Harm
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
CurrentlevelofDangerousness
CurrentlevelofSelfHarm
Low Medium High
Referredto:
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
Reason forReferral
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
ClientsIntentions
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
DetailsofanyCourtcasespending. /Otherlegal Issues/Notices
DateofAppearance…./…./…. CourtRoom……………………………at……………………………………………………………. Legal Representative/Advocate…………………………………………………………………………………………………………… ..
Comment
…………………………………………………………………………………………………………………………………………………………………
PleaselistOtherAgenciesinvolvedwithpatient:…………………………………………………………………………………
…………………………………………………………………………………………………………………………………………………………………
OtherComments:…………………………………… Whatotherinformationisavailablecanbeprovided
AneedsAssessment
……………………………………………………………….. PsycologicalReport(Ifanny)
APsychiatristsClinicalAssessment
……………………………………………………………….. SocialWorkerReport
OccupationalTherapistReport
……………………………………………………………….. ANHRAServiceAuthorizationForm
FCSAuthorizationNumbercopyofAssessment
CompletedNHRAClientdetailsForm
ACurrentRelapsepreventionplan
Anyotherinformationdeemednecessary.
SupportNeeds.
Howmuchhelpdoyouneedwiththefollowing? (Consideroverthepast12months)
Ratings 0None
1A Little
2Some
3A Lot
4Needsomeoneelsetotakefull responsibility
0 / 1 / 2 / 3 / 41) / Gettingand/orkeepingthehomeyouwant
2) / Gettingand/orkeepingpaidorunpaidwork
3) / Doingthingsyouliketodo
4) / Buyingandpreparingfood(e.g. shopping/cooking/eating)
5) / Gettingandmanagingyourmoney
6) / Lookingafteryourselfandtheplaceyoulivein(soyoufeelsafe
andcomfortable)
7) / Stayingmentallywell (e.g. recognizingwarningsigns,seekinghelp
whenneeded,etc)
8) / Makingfriendsandgettingonwithpeople.
9) / Managingday todayproblems anddealingwithstressful events
10) / Feelinggoodaboutyourself.
Score
Addupthe total scoreoftheboxes.
A scoreof0-12indicatesthatyouhavelowoverall needforsupportinyourliferightnow.
A scoreof13-29indicatesthatyouhavemedium-high,overall supportneedsinyourliferight now.
A scoreof22-40indicatesthatyouhavehighoverall supportneedsinyourliferightnow.