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 0140
Dargaville: / (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.

ClinicalInformation
CurrentDiagnosis
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 / 4
1) / 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.