Clinical practice and evidence
This section presents tools and guidelines to support clinical practice, best practice and/or evidence based practice.
See also Recovery-oriented service delivery for measures and tools that support and evaluate recovery orientation of service delivery.
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A Guide to Talking Therapies for Older Adults (Te Pou, 2010) This best and promising practice guide provides information for people working in and using mental health and addiction services. It has a clinical focus, but may also be useful for non-government organisations and other agencies working alongside Older Adults. |
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An introduction to child and adolescent mental health - Online resource (The Werry Centre for Child and Adolescent Mental Health) This online resource has been designed to serve as an introduction to the knowledge, skills and attitudes that are necessary when working in child and adolescent mental health in New Zealand. |
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ASH: Research and information (ASH) This webpage provides links to research and information resources on different aspects of tobacco and health. It includes links to factsheets on tobacco related topics and New Zealand specific tobacco control research. |
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Asian Mental Health Training and Development CD (Centre for Asian Health Research and Evaluation, University of Auckland, 2008) This resource is made up of three modules – self-reflection, Asian philosophy and clinical issues. The modules include information on • Asian worldview, beliefs and philosophies, help seeking behaviours, special considerations for refugees, a table of considerations when providing therapy, videos from Asian clinicians, references and links to other resources. The resource can be purchased as a CD at minimal cost from Amritha Sobrun-Maharaj a.sobrun-maharaj@auckland.ac.nz or used online at the University of Auckland website. |
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A systematic review of the literature: The effectiveness of non-pharmacological interventions for behavioural and psychological (Health Services Assessment Collaboration, Health Services Assessment Collaboration, Health Sciences Centre, University of Canterbury , 2010) (PDF, 1.60mb) This systematic review provides a summary of the evidence on the effectiveness of different therapeutic interventions for the management of behavioural and psychological symptoms of dementia (BPSD) in long-term residential care settings. |
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Best health outcomes for Pacific peoples: Practice implications (Mauri Ora Associates, 2010) (PDF, 1.2MB) This resource booklet is designed to assist branch advisory bodies and help doctors to meet the cultural competence requirements of the Health Practitioners Competence Assurance Act 2003 (HPCAA) and to improve the health outcomes of all Pacific peoples. The booklet offers guidance on the cultural diversity of and cultural preferences for Pacific peoples in New Zealand. |
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Bibliotherapy for mental health service users Part 1: A systematic review (PubMed.gov, 2008) Part 1 of a two part article describing a systematic review of the evidence for the effectiveness of bibliotherapy in mental health services. |
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Burnout: 35 years of research and practice (Schaufeli, Leiter & Maslach, 2008) (PDF, 126KB) This paper reviews the concept of burnout over the last 35 years rather than reviewing research findings on burnout. |
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Carers as partners in mental health services for older people (Oyebode, 2005) (PDF, 310kb) This article asserts that a systematic planned approach that engages the carer as an integral part of the system of care has potential benefits for patients, carers and services. Examples of individual and group interventions for dementia carers are given, drawing on clinical experience and research literature. |
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Clinical Handbook of Co-existing Mental Health and Drug and Alcohol Problems (Amanda Baker and Richard Velleman (editor), 2007) This Handbook offers a range of articles by leading clinicians from the UK, the US and Australia. It provides practical descriptions of assessments and interventions for co-existing problems in primary care and clinical settings. It discusses training in how to detect, assess and formulate interventions for co-existing problems and few clinical guidelines exist. |
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Comorbid mental disorders in substance users from a single catchment area - a clinical study (Langas, Malt & Opjordsmoen, 2011) (PDF, 260kb) This research article examines the diagnosis of mental health disorders in substance users and explores its clinical implications. The paper investigates the prevalence of substance-induced versus substance-independent disorders in first-time admitted substance use disorders patients in Norway. |
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Competency and training program development - Mental Health Services for Older People (MHSOP) Auckland and Northland (Dr Nigel George, 2010) (PDF, 397kb) The presentation describes the Northern regional project of developing a set of core competencies for professionals working in Mental Health Services for Older People in Auckland and Northland. It is anticipated that this could then assist services with the implementation of Let’s Get Real. |
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Coping with financial stress: Looking after yourself and your family/whānau during tough economic times (Ministry of Health, 2009) (PDF, 662kb) This brochure provides practical advice to people who may be experiencing stress or mental health problems relating to financial hardship. |
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Culturally and Linguistically Diverse (CALD) resources (Waitemata District Health Board ) This website provides a platform for health practitioners and interpreters to access resources to establish cultural competence, support and enable cultural and language appropriate interactions with Culturally and Linguistically Diverse (CALD) patients. The website offers access to information on CALD cultural competency training courses, resources and an online forum. |
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Dementia care at home: A guide for family caregivers (Home Instead: Senior Care) (PDF, 1.16mb) This useful guide and tool for learning developed in Ireland aims to support family caregivers provide enhanced care of their loved ones. The booklet outlines basic facts about different forms of dementia and looks at practical ways of dealing with some of the common issues associated with dementia |
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Development of mental health first aid guidelines for panic attacks (Kelly CM, Jorm AF, & Kitchener BA, BMC Psychiatry, 9,49, 2009) (PDF, 259kb) |
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Drug and alcohol education for consumer workers and caregivers: A pilot project (Cleary et al., 2009) (PDF, 152kb) This study highlights the effectiveness of targeted workshops for caregivers and consumer workers in Australia. The paper advocates that nurses take a more active role in educational projects involving stakeholders. |
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Dual Diagnosis Australia and New Zealand (Dual Diagnosis Australia and New Zealand) The website is a resource repository created to contribute to better outcomes for people with co-occuring substance use and mental health disorders. |
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Dual diagnosis: Management within a psychosocial context (Abou-Saleh, 2004) (PDF, 319kb) A review of evidence of the effectiveness of psychosocial treatments and models of service in the United Kingdom is presented. The paper also considers the challenges for optimal care and outlines potential interventions at different stages of treatment. |
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Educational needs of practice nurses in mental health (Prince & Nelson, 2011) (PDF, 440.70kb) This open access research paper describes the needs of practice nurses in mental health education and explores an involvement with patients with mental health concerns. The need for collaboration between secondary mental health services, primary mental health nurse and tertiary institutions is highlighted. This collaboration combined with targeted education is anticipated to result in a more confident and competent workforce. |
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Electroconvulsive Therapy (ECT) in New Zealand; What you and your family and whānau need to know (New Zealand Ministry of Health, 2009) |
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Examples of mental health resources for disaster planning and responsiveness across IIMHL countries (International Initiative for Mental Health Leadership [IIMHL] / Te Pou, 2011) (PDF, 5mb) This document provides links to resources and information to protect and improve people's mental health and wellbeing following a disaster. Resources listed are for individuals and families, organisations and policy makers from International Initiative for Mental Health Leadership [IIMHL] countries. Illustrations from New Zealand are also presented. |
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HealthEd (Ministry of Health ) This website provides access to a catalogue of free health resources and pamphlets that help members of the public make informed health decisions. Information on a range of health issues including mental health and children's health is presented. |
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Health Navigator New Zealand (Health Navigator) |
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Health Translations Directory (Victorian Government Health Information ) This user-friendly directory offers reliable links to translated online health resources from government departments, peak health bodies, hospitals, community health centres and welfare agencies. A great resource for health practitioners working with culturally and linguistically diverse communities can use this directory. Open access to over 10,302 multilingual resources is provided. |
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Impact of an ageing population on NZ health care systems (Lakes District Health Board) (PDF, 449kb) This presentation by Dr Darren Malone, a psychiatrist for the older adult service, highlights workforce concerns, demographic changes and the impact these have on the general hospital and mental health service |
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Integrated care for co-occurring disorders: Psychiatric Symptoms, social functioning, and service costs at 18 months (Craig et al., 2008) (PDF, 475kb) This study evaluates the effectiveness of a program for South London case mangers training them to manage substance use disorders among persons with severe mental illness. Useful insights into integrated treatment for co-occurring disorders provided by nonspecialist mental health staff are presented. |
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Integrated treatment for co-occurring disorders evidence-based practices (EBP) kit (Dual diagnosis Australia & New Zealand ) The resource provides a clear, operationally achievable definition of integrated treatment. It describes an evidence base around integrated treatment as an approach that helps people recover by offering mental health and substance abuse services at the same time and in one setting. The kit targets the needs of program planners, administrators, project managers and professional care providers and comprises of a DVD, CD-ROM, seven booklets, a PowerPoint presentation and brochure |
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Intervention Guide for Mental Health Services Users on Antipsychotic Therapy (New Zealand Mental Health Metabolic Working Group, 2008) |
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Investing in Addiction Treatment: A resource for funders, planners, purchasers and policy makers (National Committee for addiction treatment, NZ , 2008) (PDF, 364kb) |
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Knowing the People Planning (KPP) (Te Pou) |
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Obesity Reduction and Prevention Strategies for Individuals with Serious Mental Illness (National Association of State Mental Health Program Directors, Medical Directors Council, 2008) (PDF, 17mb) |
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Management of attention deficit and hyperkinetic disorders in children and young people (Scottish Intercollegiate Guidelines Network, 2009) (PDF, 670kb) |
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Mental health and addiction services for older people and dementia services (Ministry of Health, 2011) Guideline for district health boards on an integrated approach to mental health and addiction services for older people and dementia services for people of any age. This guideline is designed to (a) encourage and disseminate good practice, (b) achieve greater consistency in the quality of services and the way they are delivered between DHBs, (c) assist DHBs to make the best use of their existing funding by providing cost effective models of care. This document aligns with the Nationwide Service Framework. |
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Mental Health Delivery Plan: Development of peer specialist roles - A literature scoping exercise (Scottish Development Centre for Mental Health ) This paper reports on the scoping exercise undertaken on the development of peer specialist roles in Scotland. The project aimed to transfer learning on the development of peer specialist roles to aid the creation of a model of peer support appropriate within a mental health setting. |
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Mental health problems – are they or are they not a risk factor for dropout from drug treatment? A systematic review (White Rose Research Online, 2009) (PDF, 188kb) This literature review examines whether dually diagnosed clients are less likely to be retained in drug treatment than clients without mental health problems, and if so, whether this varies for clients diagnosed with different types of mental health problems. Service providers and clinicians seeking a deeper understanding of retention in comorbid patients will find this resource useful |
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Mental health services for older people: A UK perspective (Dening, 2001) (PDF, 92kb) This paper outlines the approach of the UK government to providing modern and high quality mental health services for older people. The article discusses existing policy for older people and mental health services. |
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National Cultural Competency Tool (NCCT) for Mental Health Services (Multicultural Mental Health Australia, 2011) This resource pack outlines standards for cultural competency and background rationale for each standard. It includes a "how-to" guide for implementation and a self-assessment checklist for organisations to assess the extent to which they are meeting cultural competency standards. |
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National Cultural Competency Tool (NCCT) for Mental Health Services (Multicultural Mental Health Australia) |
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National Dual Diagnosis E-Learning Resource (Coventry University) The online training resource seeks to raise awareness on basic issues on dual diagnosis and and offers a good introduction to the topics. It is aimed at clinicians, service users, carers, and people interested in the subject area. |
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National population projections: 2009 (base) - 2061 (Statistics New Zealand , 2009) This document presents nine series of population projections using different combinations of fertility, mortality, and migration assumptions. A further five series are presented in the Additional 'what if?' scenarios section. Detailed projection results, including projections for individual years and projections by age and sex are provided. |
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New Zealand health system (Ministry of Health) This webpage provides a useful overview of New Zealand's health and disability system. It does this by outlining the main organisations and structures in the system, their roles, functions, and legislative responsibilities. |
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No health without mental health: the supporting evidence (Royal College of Psychiatrists & Academy of Medical Royal Colleges, Guthrie, E., et al. , 2009) (PDF, 492 kb) The aim of this report is to draw attention to the close links between physical and mental problems that are associated with, or arise from, physical illness. |
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Nurse Practitioners - A Healthy Future for New Zealand 2009 (Ministry of Health, 2009) (PDF, 1.99mb) A publication celebrating New Zealand first 50 Nurse Practitioners (NP) and shows the vital contribution NPs can, and are already, making to the health of New Zealanders and their communities around the country. |
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NZMA: Marmot Symposia (New Zealand Medical Association ) This webpage offers open access to presentations, factsheets, and papers from a symposia facilitated by researcher and advocate on inequalities in health, Prof Sir Michael Marmot. |
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Pacific peoples in New Zealand (Tukuitonga, 2011) (PDF, 326KB) A useful book chapter on Pacific peoples in New Zealand. An overview of Pacific population characteristics, health and service use patterns is presented. The chapter also provides guidance on caring for Pacific peoples. |
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Pharmacological treatment of mental disorders in primary health care (World Health Organisation, 2009) (PDF, 883 kb) |
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Post-traumatic stress disorder following disasters: a systematic review (Psychological Medicine 38, 467-480., 2008) This systematic review looked at the burden of PTSD following exposure to disasters. Post-disaster PTSD was found to be associated with a range of correlates including event exposure characteristics, social support factors and personality traits. |
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Post-traumatic stress disorder in children and adolescents: a clinical overview (Sheldon J. Kaplan, 2002) This article looked at the symptoms, prevalence, risk and clinical considerations, assessment methods and treatment methods related to post-traumatic stress disorder among children and adolescents. |
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Practice guideline for the treatment of patients with major depressive disorder: Third edition (Psychiatry Online, 2010) (PDF, 2.38mb) An update of the new guidelines for major depressive disorder by the American Psychiatric Association (APA) |
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Primary care guidance: early interventions in psychosis - looking after bodies as well as minds (Mental Health in Higher Education, UK, 2009) (PDF, 428 kb) |
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Problem gambling in New Zealand (Ministry of Health) This webpage provides an overview of the ways in which the Ministry of Health works to develop the problem gambling workforce. Information on workforce development initiatives in public health and problem gambling counselling intervention programmes is provided. Funding details for the scholarship programme aimed at supporting emerging gambling researchers is also available. |
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Professional supervision guide for nursing supervisees (Te Pou, 2011) This Guide seeks to support nurses who are new to the professional supervision process. |
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Professional supervision guide for nursing supervisors (Te Pou, 2011) The Guide is designed for mental health nurses who have already been supervising others but want a refresher and inspiration for continuing this important role. |
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Psychevisual – Lectures about mental health therapy for refugee communities (New South Wales Service for the Treatment and Rehabilitation of Torture and Trauma Survivors, 2007) This site includes a range of presentations about delivering care to refugee communities. Presentations cover topics from therapeutic considerations when working with refugee communities to the use of specific approaches such as physiotherapy, neurofeedback, mindfulness and counselling. |
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Psychiatric rating scales and diagnostic aids (University of Adelaide) |
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Psychological first aid: an evidence informed approach for acute disaster behavioral health response (Compelling counseling interventions: VISTAS 2009, 2009) This article describes psychological first aid including core concepts. Psychological first aid is an evidence-informed model used into assist those impacted in the hours and early days following a disaster. |
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Psychosis with coexisting substance misuse: Assessment and management in adults and young people (NHS Evidence - National Library of Guidelines , 2011) (PDF, 384kb) This comprehensive UK guideline offers best practice advice on the assessment and management of people with psychosis and coexisting substance misuse. The resource aims to help healthcare professionals guide people with psychosis and coexisting substance misuse to stabilise, reduce or stop their substance misuse, to improve treatment adherence and outcomes, and to enhance their lives. |
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Reducing the use of ineffective health care interventions: Working Paper 2010/5 (University of Technology Sydney, 2010) (PDF, 306kb) The report covers international and Australian models for reducing the use of ineffective interventions, also described as disinvestment. It also identifies a number of case studies and pilot projects. |
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Refugee Healthcare: A Handbook for Health Professionals (Ministry of Health, 2001) The book contains concrete recommendations to assist health professionals to respond to mental health needs of people from refugee. Chapter 5 focuses on information on mental health and refugee communities. |
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Refugee Health Website (Auckland Regional Public Health Service) This website contains a range of background information on refugee and asylum seekers, links and descriptions of available services and links to a range of resources including training, factsheets and research publications. |
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SCIE Guide 3: Assessing the mental health needs of older people (Social Care Institute for Excellence) This UK guide is primarily for the use of front-line social work practitioners working with older people in non-specialist settings. It seeks to develop practitioner knowledge, skills and encourage creative thinking. |
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Sensory modulation for seclusion reduction (Te Pou) This introduction package includes a factsheet and video presentation where clinicians and service users describe their experience of using sensory modulation. |
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SPINZ: Suicide prevention information New Zealand (SPINZ) This website seeks to provide high quality information to promote safe and effective suicide prevention activities. It offers information and resources tailored for community groups, family and friends, health practitioners and the media. |
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Substance abuse treatment for persons with co-occuring disorders: A treatment improvement protocol TIP42 (U.S. Department of Health and Human Services, SAMHSA, 2005) (PDF, 2mb) This is a useful resource for clinicians as it presents information about developments and treatment options in the co-occuring substance use and mental disorders field. The document synthesises knowledge and grounds it in the practical realities of clinical cases. |
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Talking Therapies for Pasifika Peoples: Best and promising practice guide for mental health and addiction services (Te Pou, 2010) |
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Talking Therapies for Asian People: Best and promising practice guide for mental health and addiction services (Te Pou, 2010) |
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Talking Therapies for Māori - He Rongoā Kei Te Kōrero. Wise practice guide for mental health and addiction services (Te Pou, 2010) Authored by Moe Milne, this Te Pou publication provides a summary of the engagement principles and ways for delivering talking therapies that meet the needs of Maori. It is a useful resource for all people working in mental health and addiction services who are looking to strengthen their therapeutic relationship with Maori tangata whaiora. |
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Talking therapies for People with Problematic Substance Use (Te Pou, 2010) This best and promising practice guide has been developed to assist practitioners who work with people who experience problematic substance use. Produced in collaboration with Matua Raki, it draws from international research and consultation with New Zealand practitioners to provide an overview of the talking therapies and other common models used when working with this service user group. It also takes an in-depth look at what practices can be effective in engaging a person with problematic substance use in therapy. |
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Te Ariari o te Oranga. The assessment and management of people with co-existing mental health and substance use problems 2010 (Ministry of Health, Wellington, New Zealand, 2010) |
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Te Pou research update: Asian mental health service responsiveness (Te Pou, 2011) This research update seeks to inform the practice of clinicians working in the area of mental health and addiction with people or groups from Asian communities. The update aims to inform practice through looking at new research and resources related to issues of service delivery, quality and practice. |
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Te Pou research update: Refugee and migrant mental health service responsiveness (Te Pou, 2011) This research update seeks to inform the practice of clinicians working in the area of mental health and addiction with people or groups from refugee and migrant communities. The update aims to inform practice through looking at new research and resources related to issues of service delivery, quality and practice. |
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The development of old age psychiatry in the UK (C. Hilton and T. Arie, 2011) (PDF, 456kb) |
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The effectiveness of clinical supervision in nursing: An evidenced based literature review (Brunero & Stein-Parbury , 2008) (PDF, 770kb) This paper reviews the available evidence regarding the effectiveness of clinical supervision in nursing practice in order to inform the embedding of clinical supervision in Australian mental health services. |
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Therapies for refugees, asylum seekers and new migrants (Te Pou, 2010) |
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The Whānau Ora Tool (Public Health Workforce Development) A practical guide to developing health programmes where whānau, hapu, iwi and Māori communities play a leading role in achieving whānau ora. It places Māori at the centre of programme planning, implementation and evaluation. |
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Toolkit for primary mental health care development: Effective services for a sustainable future (University of Otago & Synergia, 2010) (PDF, 1.55mb) This toolkit aims to support policy makers, service managers and clinicians' primary mental health care development work. It does this by enabling more structured problem solving and planning independent of consultation and advisors. The resource can be integrated into regular planning or used on an acute problem solving basis. |
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Transforming mental health: The impact of Māori perspectives (Massey University) (PDF, 4.68mb) This PowerPoint presentation explores four pathways of transforming the mental health sector from 1984 to 2011. These include Māori models of health; indigenisation of mental health services; establishment of independent Māori provider organisations and the development of a Māori health workforce. |
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Trauma-informed care (Te Pou) This webpage provides information on trauma-informed care. It includes links to local and international organisations that work in the field, workshops details and downloadable workshop resources such as the Mental Illness and Violence toolkit. |
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Trauma pages (Trauma pages) |
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User and carer involvement in mental health training (Livingston & Cooper, 2004) (PDF, 311kb) |
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Using Data for Success: Five Activities for Workforce managers to Use with Frontline Staff (Public/Private Ventures, 2009) (PDF, 2.26mb) |
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Victorian Transcultural Psychiatry Unit (Victorian Transcultural Psychiatry Unit , 2010) This Victorian Transcultural Psychiatry Unit page includes links to a number of translated and adapted mental health instruments and research about translating and validating assessment resources. The site includes links to instruments in some cases, and refers to research that has used the tools, or information on the validation processes, in others. |
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Whānau Ora: Transforming our futures (Ministry of Health , 2011) This booklet looks at Whānau Ora - an approach that empowers New Zealand whānau to transform their futures by taking control of their lives. It recommends that services, providers and agencies work differently and centre their focus on improved health outcomes for New Zealand families. |
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Working as a culturally competent mental health practitioner (Kulunga Research Network, 2010) (PDF, 310kb) |
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Workforce for the care of older people (Health Workforce New Zealand, 2011) (PDF, 700 kb) This report reviews the needs of older people; current and future service provision. Key recommendations emphasis the need to direct attention to prevention and rehabilitative service options for older people, emphasising short-term interventions focused on maximising the potential for independence. |
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WRAP and Recovery Books (Mental Health Recovery & WRAP) |
