Te Ara Tauwhirotanga new model of care for mental health and addictions in Lakes

The mental health system’s new model of care for the Lakes area is the product of a five month co-development process with tangata whaiora, people with lived experience of mental illness, whanau/family members, communities and a range of local service providers (DHB clinical staff, NGOs and primary care). The model of care is named Te Ara Tauwhirotanga to echo the aspirations of the community that services and systems are designed to “act with kindness”. 

Click here to read more about Te Ara Tauwhirotanga and see the graphic of the model of care.  

Implementation of Te Ara Tauwhirotanga

Lakes DHB has already started changing its thinking and aligning service provision to the principles of Te Ara Tauwhirotanga. We are looking at new evidence-based interventions and asking the community what solutions best fit their needs. Ben Hingston is the Lakes DHB project manager for this work.

The Te Ara Tauwhirotanga Implementation Advisory Group began in early 2019 to support the implementation of the new model of care across the Lakes district.

Implementation Plan

The Te Ara Tauwhirotanga Programme Team and Implementation Advisory Group have recently completed the Tranche 1 March - December 2019 Implementation Plan of Te Ara Tauwhirotanga. Click here to see the plan.

It is primarily focused on delivering ‘infrastructure’ projects - ensuring that the right data, information, processes and systems are in place to give affect to the principles of tangata, tikanga and taiao that underpin Te Ara Tauwhirotanga.

The Implementation Plan is made up of 16 key projects that have been identified to date that are critical to achieving a sector that is focused on delivering the aspirations of Te Ara Tauwhirotanga.

Key projects include a Health Needs Assessment providing detailed information on current service utilisation and projecting future need for services across the spectrum of service delivery and a Workforce Capacity and Capability Assessment Project to better understand the current and future needs of our MH&A workforce.

The Implementation Plan is a living document, that is likely to evolve and change as new initiatives and directions emerge across the sector. It recognises the need for Lakes DHB to be more innovative and responsive to change and opportunities as they occur.



E mental health project

E-Mental Health Collective Update:

The first meeting of the e-Mental Health and Addictions Collective was held in July with members excited at the opportunity to be part of a collaborative and innovative approach to increasing the number of early intervention supports available in our communities. The collective is particularly interested in ensuring that more people are supported to get well and stay well at earlier points along the mental health and addictions continuum.

Click here to read more about the e-mental health project.

Visits to see other acute mental health services

In March 2019, a group of Lakes DHB staff and Linkpeople consumer employees visited four Auckland acute services. Click here to read about a visit to see mental health services in Auckland- a consumer view.

Future State Blueprint

The Lakes Mental Health and Addictions Future State Blueprint was approved by the Te Ara Tauwhirotanga Advisory Group in April 2019 and provides a strategic overview of the planned new operational state that is to be achieved following the implementation of Te Ara Tauwhirotanga – the Mental Health and Addictions Model of Care.
Click here to read more. Click here to see the blueprint.

The Primary Perinatal Mental Health Project Report click here.

The Community Perinatal Mental Health Project Report has now been completed. The report’s recommendations include developing a range of interventions across a stepped care approach to improving perinatal mental health services in Lakes DHB. Lakes DHB Strategy, Planning and Funding would like to thank Tina Berryman-Kamp and Bianca Taute for their time, energy and commitment to producing a comprehensive report providing detailed recommendations on how to transform community perinatal mental health in Lakes DHB to give affect to Te Ara Tauwhirotanga – the Lakes DHB Mental Health and Addictions Model of Care.

Moving forward, Lakes DHB Strategy, Planning and Funding will work with a number of key stakeholders with the expertise to provide valuable input into the development of future community perinatal mental health services. 


Click here to see newsletters about the project to build a new mental health facility. The new mental health facility design is being guided by the Te Ara Tauwhirotanga.