20 District Health Boards
TU TANGATA SERVICE FOR YOUNG PEOPLE
STATUS: These service specifications may be NON-MANDATORY amended to meet local agreement needs.
Review History Date
Published on NSFL July 2002
Amendments June 2012 Purchase units added/specified: MAOR0120, MAOR0123
Note: Contact the Service Specification Programme Manager, National Health Board Business Unit, Ministry of Health to discuss the process and guidance available in developing new or updating and revising existing service specifications. Web site address of the Nationwide Service Framework Library: http://www.nsfl.health.govt.nz/ Tu Tangata Service For Young People Service Specification PU: MAOR0120, MAOR0123
1. Objective of the Service
The objective of the Tu Tangata service is to improve academic achievement amongst young people (particularly young Maori people). This objective is achieved through raised self-esteem which reinforces positive attitudes, beliefs and values regarding health and well-being. As a result the health status of young people who are part of the programme is improved.
The concept of Tu Tangata is well known to Maori and literally means “stand tall”. It is based on the philosophy that encourages young people to stand up and be counted, and take responsibility for their futures.
The service will provide a supportive environment within a school setting which enables behaviour change in the areas of drug and alcohol problems and other ‘at-risk’ behaviour.
To achieve its objectives the service will adopt the following strategies: encourage intersectoral collaboration between Education, Health, Justice, Work and Income New Zealand and Maori Development agencies in order to provide a co-ordinated response to service the needs of young people encourage local community agencies to work collaboratively to meet a wide range of young people’s needs develop protocols and processes for referral to appropriate services for young people identified with drug and alcohol problems maximise access for students identified with drug and alcohol problems to locally provided services provide support for ongoing behaviour and attitudinal change of young people in regard to drug and alcohol, and other ‘at-risk’ behaviour run health education and promotion programmes targeting young people which concentrate on improving young people’s health and catching problems early, to reduce the risk of injuries and damaged health resulting from alcohol and drug related, and mental health, problems.
2. Maori Clause The service is expected to contribute to the reduction in health inequalities, the 13 priority Population Health Objectives, as well as the Maori health gain objectives, in particular, targeting services to impact on asthma, diabetes, injury prevention, smoking, hearing, mental health, oral health and immunisation, including violence prevention.
The Maori Health Strategy: He Korowai Oranga is referred to and Maori Health requirements are outlined in the General Terms and Conditions and Provider Quality Specifications. In addition the provider arm of the DHB is to develop and implement a Maori Health Plan that outlines how it will contribute to improving outcomes for Maori for the services contained in this service specification.
The Plan should include the following objectives as a minimum:
How you will ensure that Maori utilisation is at least equal to the Maori population in the provider's catchment. How you will ensure your effectiveness and the acceptability and accessibility of services to Maori How links with primary care - general practice, community providers and Maori providers will be effective for improved outcomes in Maori health; How discharge planning and rehabilitation processes will meet the needs of Maori; Links with the DHB provider arm's Maori Health Plan and other contractual quality specifications, especially consultation with Maori. How these objectives will be monitored and measured for Maori health outcomes.
3. Scope of Services to be Provided
3.1 Aims of the Service The service is aimed at providing a supportive school environment in which both Maori and non-Maori students and their parents feel comfortable. The school environment contributes to the ongoing development of the student through raised educational achievement and self esteem. The service is seen as a community development model with a partnership between the community and the school aimed to benefit students.
The service will contribute to the inequities in health status by ensuring that Tu Tangata services respond to those with greatest need. The service can be divided into three categories that relate to the specific health promotion and education strategies, which will be delivered in a supportive school environment: 1. providing appropriate information and education to improve student’s health, and to catch problems early in regard to drug and alcohol misuse and exposure to risks associated with other lifestyle choices such as smoking, unplanned pregnancy and unprotected sexual practices particularly amongst young Maori people 2. working with students, (particularly Maori students) improve their academic achievement resulting in raised self esteem and self responsibility 3. providing support for students to develop skills to deal effectively with drug and alcohol, mental health problems and personal crisis and to make healthy lifestyle decisions. 3.2 Service Components Required Service component Description of service component
Providing health Provide programmes which concentrate on improving young people’s promotion and health and catching problems early. education programmes Heighten student and their whanau’s awareness of the health risks associated with drug and alcohol related and mental health problems.
Provide information and advice to young people on local health and social services and assist them to access them.
Assist students to develop individual strategies relating to interpersonal relationships, recognising and dealing with stress, depression and personal crisis and healthy lifestyles including non-smoking, and exercise.
Provide support for student’s skill development, ongoing behaviour and attitude change in regard to ‘at-risk’ behaviour associated with the above lifestyle problems/issues.
Improving academic Encourage full participation of students in all education activities at achievement amongst school. students Provide support for students within a school environment.
Provide support for teachers in specific classes through the presence of Tu Tangata Education Support Officers.
Feedback monitoring information gathered on student’s conduct and work output to students and whanau (family) to assist them with personal development.
Feedback gathered on student’s conduct and work output to teachers to allow further development of effective teaching and class management strategies.
Community Liaise with local health and community providers to develop strategies co-ordination relating to interpersonal relationships, recognition of and dealing with stress, depression and personal crisis and healthy lifestyles including non-smoking, and exercise.
Develop and implement a protocol and process for referring young people identified as requiring drug and alcohol services in conjunction with the school guidance counsellor.
Gather data on the Develop a data base on student performance areas such as effectiveness of the absenteeism, work output and behaviour conduct. service Develop an inventory of health promotion and education strategies used which the provider considers have contributed to: healthy lifestyles improvements in health status improvements in interpersonal skills reductions in the uptake of drug and alcohol usage amongst students.
3.4 Key Linkages The service must establish effective links with public and personal health services and co-operate with other agencies/organisations which provide complimentary services. Such organisations include: local marae local Maori authorities Maori wardens drug and alcohol providers sporting clubs police Maori health providers local health providers hospital services schools Ministry of Education Ministry of Health Te Puni Kokiri.
You will have written protocols and systems in place to facilitate these linkages.
4. Quality Requirements
4.1 Philosophy The Ministry of Health wishes to purchase health services for people that meet the needs of the communities served. In doing so, particular attention must be paid to health gain priority areas of: Maori health child health mental health asthma diabetes dental health injury prevention tobacco control sexual health alcohol and drug.
In regard to Maori health services specifically, the Ministry of Health sees this service as meeting the following Government and Ministry of Health objectives: ensuring purchasing arrangements enable greater participation by Iwi and Maori groups ensuring services provided for Maori are culturally appropriate being responsive to aspirations and interests of Maori recognising the tikanga and mana of each Iwi in the region being aware that Iwi have their own vision for health.
In addition to the general quality requirements, the following quality requirements apply to this service.
The service must demonstrate that it: is designed in consultation with and responsive to the needs of the young people it serves seeks the satisfaction of the multiple agencies (such as education, health) who purchase the service. 4.2 Staff Training- Disability, Violence and Abuse Disability Staff training must be given specifically in: 1. disability awareness to ensure disabled children/adults and disabled carers are given appropriate access and support 2. specific issues in the patterns and identification of abuse and interpersonal violence for these groups. Violence/Abuse Staff must have training in how to identify, support and refer victims of child/adult abuse and interpersonal violence. The agency must have protocols in place to support staff in this intervention.
4.3 Requirements The service should operate in accordance with the four principles set out below: 4.3.1 Accessibility The service will take appropriate measures to maximise access for young people with drug and alcohol problems (particularly Maori) to appropriate drug and alcohol services. 4.3.2 Effectiveness The service will endeavour to improve the academic achievement of students leading to healthy lifestyles and improved health status. The responsiveness of the service will be measured through: a six-monthly client satisfaction survey monitoring the following specific performance indicators in the educational achievement and health status of students on Tu Tangata: – absenteeism – work output – work volume. 4.3.3 Acceptability The service will be based in schools and easily accessible by its students and others whom may have left the school. The service must ensure that it: reflects the needs of young people (in particular Maori) demonstrates respect for individual dignity by providing a supportive environment that is sensitive to cultural values is sensitive to cultural differences and meets community needs and is based upon consultation with relevant community members and groups has practices and procedures appropriate to the nature of the service, and in particular in relation to protecting the privacy of personal information collected as part of the service. 4.3.4 Efficiency The service must work towards achieving efficiency gains in health promotion services for young people in schools. For example, efficiency gains will be achieved by: co-ordinating access to services for young people working intersectorally to promote educational achievement and healthy lifestyles for young people.
5. Purchase Units
The provider will provide the services in accordance with this specification and in particular will provide the following outputs. 1 Create an inventory of health promotion and education strategies used as part of the service which the provider considers to have contributed have led to healthy lifestyles, improvements in health status, improvements in interpersonal skills and reductions in the uptake of drug and alcohol usage amongst students. 2 Refer students with identified drug and alcohol problems to appropriate services. 3 Provide information, advice and awareness programmes for students about the health risks associated with drug and alcohol and mental health related problems. 4 Provide support for students to fully participate in education activities at school. 5 Monitor information from a data base on student performance, absenteeism, work output and behaviour conduct. 6 Establishment and maintenance of an ongoing client register including the following information by age, gender and ethnicity* Total number of clients on register.
6. Reporting
Reporting requirements will include providing to the Ministry of Health a quarterly report on the outputs noted in section 4, including a qualitative narrative on the progress of the service, describing in particular: an inventory of health promotion and education strategies used which lead to healthy lifestyles, improvements in health status, improvements in interpersonal skills and reductions in the uptake of drug and alcohol usage amongst students together with an explanation about why the programme or strategy has been effective the database on performance areas such as absenteeism, work output and behaviour and conduct of students (such data is not to include any information which identifies, or may identify any individual student or any other personal information) the referral protocols and referral processes for young people in need of drug and alcohol services (developed in conjunction with the school guidance counsellor, other Maori alcohol and drug providers and the hospital services progress on contacts made with local community agencies summary of consumer feedback and how issues raised were addressed.
Financial and Services Reporting
Service Reports
The provider will report on service delivery and programme development progress using the performance indicators specified in the schedules.
Service reports for each quarter Report due by
1st quarter ended 30 September 20 October 2nd quarter ended 31 December 20 January 3rd quarter ended 31 March 20 April 4th quarter ended 30 June 20 July
Financial Reports The provider will supply the following financial reports to the Ministry of Health, Wellington:
Financial reports for each quarter Reports due by
1st quarter ended 30 September 20 October 2nd quarter ended 31 December 20 January 3rd quarter ended 31 March 20 April 4th quarter ended 30 June 20 July
Monthly payments will be suspended if reports are not received by the due date.
The reports are to consist of an Income and Expenditure Account (accrued), Balance Sheet and a Cashflow Statement (not accrued).
Draft end of year reports (Income and Expenditure Account and Balance Sheet) are to be supplied to the Ministry of Health, Wellington within one month of the end of the financial year, ie, 30 June 1999. The provider will use its best endeavours to have audited end of year financial reports (Income and Expenditure Account and Balance Sheet) supplied to the Ministry of Health within three months of the end of the financial year, ie, 30September 1999.