Website intended for a NZ health professional readership
This article describes the three new roles in the integrated primary mental health and addiction model – health improvement practitioners, health coaches and Awhi Ora support workers. It also gives “a day in the life” vignettes for each role and explains how they work with the existing GP and nurse workforce to provide primary care focused on holistic wellbeing
References:
1. Oakley Browne MA, Wells JE, Scott KM (Eds). Te Rau Hinengaro: The New Zealand Mental Health Survey. Wellington, NZ: Ministry of Health; 2006. health.govt.nz
2. Dowell AC, Garrett S, Collings S, et al. Evaluation of the Primary Mental Health Initiatives: Summary Report. Wellington, NZ: Ministry of Health; 2009. health.govt.nz
3. Bodenheimer T, Ghorob A. Health Coach Curriculum. San Francisco, CA: Center for Excellence in Primary Care; 2014. cepc.ucsf.edu/content/health-coaching-curriculum
4. Robinson PJ, Reiter JT. Behavioral Consultation and Primary Care: A Guide to Integrating Services, 2nd edition. Switzerland: Springer International Publishing; 2016. behavioralconsultationandprimarycare.com
5. Appleton-Dyer S, Andrews S, Reynolds J, et al. Fit for the Future: Evaluating Enhanced Integrated Practice Teams. Synergia; 2018. tetumuwaiora.co.nz
6. Paterson R, et al. He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction. Wellington, NZ: Government Inquiry into Mental Health and Addiction; 2018. mentalhealth.inquiry.govt.nz
Pharmacist prescribers Linda Bryant and Leanne Te Karu discuss positive polypharmacy for heart failure. Current evidence shows the intensive implementation of four medications offers the greatest benefit to most patients with heart failure, with significant reductions in cardiovascular mortality, heart failure hospitalisations and all-cause mortality
