logo
Call For More Rural Psychologists To Help Farmers With Mental Health

Call For More Rural Psychologists To Help Farmers With Mental Health

Scoop5 days ago

While many farmers are feeling good about record meat and dairy prices, mental health is still a massive issue with disproportionately high suicide statistics in rural areas.
Depression is something Federated Farmers president Wayne Langford is familiar with, after his own battle began eight years ago.
"It's amazing how it creeps in. It affects your farm, your family and your entire life.
"I describe it creeping in like a fog - all of a sudden you find yourself in a bit of a mess and you need help to get out," he said.
Langford is grateful for the support his wife wrapped around him, and urges other farmers in his situation to reach out.
"The key for me was getting off farm, spending time with kids and family," he said.
The sector is welcoming a $3 million funding boost for the Rural Support Trust over four years to improve access to mental health services, but it's sparked calls for more clinical psychologists in rural areas.
Clinical psychologist Sarah Donaldson told RNZ that through her work with the Trust she sees high demand from the farming sector.
"Our largest proportion for referrals is distress - from mild through to acutely suicidal.
"There are greater risk factors in the rural sector unfortunately - huge workloads, isolation, work and home are all wrapped up in one bundle and there's lots riding on it," she said.
The Rural Support Trust helps farmers access the help they need, which Donaldson describes as a 'lifesaving' service. But she's worried about a shortage of specialists in rural areas, such as clinical psychologists.
"We need more people that have some clinical training that can be attached to rural support or do outreach services.
"There are people scattered around the country but there's no specific channel to train in rural mental health currently," she said.
Mental Health Minister Matt Doocey assured RNZ that the government is working on a workforce plan in a bid to reduce wait times for patients needing mental health services, which he said will also have an impact in rural communities.
"But let's be very clear, one of the biggest barriers to people accessing timely mental health and addiction support is too many workforce vacancies," said Doocey.
He said a key factor is the lack of clinical internship placements.
"Sadly, only up to a couple years ago there was only 30 clinical internship places a year. We've committed to doubling that, growing it by 100 percent to up to 80 placements by 2027," said Doocey.
The new funding for the Rural Support Trust is on top of another $3 million over the next four years allocated through the Ministry for Primary Industries, and $2 million of health funding is being invested in the Rural Wellbeing Fund.
Rural Support Trust chair Michelle Ruddell said the farming sector has been calling for this for years.
"We are immensely grateful for the funding and it means our rural people will be better supported.
"We are going to be able to deliver our core work - it's one on one, free, impartial and at a time and place that suits them," she said.
Ruddell describes the demand for their services as "huge" and said a key part of the work is getting farmers to speak up when they need help.
"Looking after our mental health is really hard and it often gets left behind - our rural people not only struggle to ask for help on a day to day basis, but actually don't often ask for help very often for their own wellbeing," she said.
It's a challenge the group is up for, they're determined to reach more farmers in every nook and cranny of Aotearoa.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Private use of publicly-funded cancer drugs will widen inequities, doctors warn
Private use of publicly-funded cancer drugs will widen inequities, doctors warn

Otago Daily Times

time2 days ago

  • Otago Daily Times

Private use of publicly-funded cancer drugs will widen inequities, doctors warn

By Ruth Hill of RNZ A move to allow private patients to access publicly-funded cancer drugs threatens to increase wait times for those in the public system, warn senior doctors. Under "transitional access", which comes into effect on July 1, private patients who are already receiving treatment - or about to start treatment - with a newly funded medicine will not have to shift to the public system for 12 months. Associate Health Minister David Seymour, who has championed the rule change, said it would lessen stress on private patients by enabling continuity of care, and pressure on the public system which would no longer have to deal with a sudden influx of patients. However, the move has been criticised by opposition politicians as "a subsidy for private insurers", which already cover the cost of medicines newly funded by Pharmac, and of little benefit to patients. The Association of Salaried Medical Specialists, which represents 6500 senior hospital doctors and dentists, said its members working in oncology and haematology had "significant concerns" the change would widen inequities for patients. Change will create 'two-tier' waiting list In a letter on June 13 to Pharmac's acting chief executive Brendan Boyle, the union's director of policy and research, Harriet Wild, quoted a briefing to the minister saying the policy change "would not increase volumes of cancer medicines provided in New Zealand, as only the location of treatments will change". "It will simply shift some of the existing capacity to the private system, where patients will need to fund infusion costs out-of-pocket," Wild wrote. "There will be pressure on the public system to ensure a smooth transition in treatment regime, which may mean delaying treatment for other people already waiting on the public list and unable to self-fund to start in private. "This potentially creates a two-tier waiting list and a system where those with more financial resources, will be prioritised for treatment." Furthermore, the shift of resources and inevitable increase in demand was likely to speed up the exodus of staff to the private sector, making public waiting lists even longer. Minister signals broadening access further A "back-pocket Q&A" provided to Seymour ahead of a Cabinet meeting on April 7 noted that the current eligibility criteria in the Pharmaceutical Schedule (excluding patients in private settings) was "designed to ensure public funding for medicines was prioritised for those managed in the public health system for cancer treatment, assessed by need, rather than public funding supporting those who chose to access treatment in private facilities. "Often the private treatment is funded from private health insurance that people have paid premiums into." In the same document, the minister said there was no plan to expand the policy to include other types of medicines or treatments "at this stage". "With that said, I've asked the Ministry [of Health] to do further work in this area to explore the possibility of broadening access to all publicly-funded medicines in private facilities - not just newly funded cancer medicines. "I encourage the private health providers and insurance companies to work closely with the ministry to support their understanding of how this might work in practice." Wild said opening access to publicly-funded drugs even wider would pull more staff away from the public system, reducing access for the majority who relied on it. "That would establish a system where a patient's ability to receive timely cancer care would depend on whether they could afford the out-of-pocket infusion costs." Pharmac's Budget boost needs 'back up' The government's 2024 Budget boost to Pharmac to widen access to medicines for patients had not been accompanied by extra resources for Te Whatu Ora to deliver the treatments, when public oncology services were already swamped with demand, Wild said. "Our members are increasingly needing to manage deteriorating patients, who are unable to access chemotherapy infusions in clinically acceptable timeframes. "This is unacceptable and represents a significant failure to invest in a planned and co-ordinated way to enable the public system to meet the needs of cancer patients, including those eligible for newly funded cancer medicines. "Whenever a new cancer drug is funded, it must be accompanied by an increase in the full package of care (staffing, infusion space, pharmacy) so that patients can actually receive the medicines within clinically acceptable timeframes." The Health Minister and David Seymour's office have been approached for comment.

Family of woman killed by mental health patient say they feel 'forgotten'
Family of woman killed by mental health patient say they feel 'forgotten'

Otago Daily Times

time2 days ago

  • Otago Daily Times

Family of woman killed by mental health patient say they feel 'forgotten'

By Sam Sherwood of RNZ A man whose wife was murdered by a forensic mental health patient three years ago has not heard from authorities for more than a year and says his family feels "forgotten". The Minister of Mental Health says the level of contact is unacceptable, and has reinforced his expectations that the family would be regularly updated and provided support by Health New Zealand. Zakariye Mohamed Hussein stabbed Laisa Waka Tunidau to death as she walked home from work on 25 June 2022. Hussein was on community leave at the time of the killing. Two reviews were ordered, one into Hussein's care, and another looking at Canterbury District Mental Health Services. The mother-of-four's husband Nemani Tunidau met with staff from Hillmorton Hospital in early 2024. He says it was the first and last time he has heard from them. He told RNZ his family felt "forgotten". "It just makes me angry and feel that they don't want to blame themselves for what has happened to my wife. "We are suffering from loneliness, especially the children." He wants compensation for HNZ's "carelessness that caused the death of my beloved wife". In October last year another mental health patient Elliot Cameron murdered pensioner Faye Phelps at her Christchurch home. It has since been revealed that Cameron killed his brother in 1975. He was found not guilty by reason of insanity and ordered to be a special patient. Correspondence released to RNZ under the Official Information Act revealed that on 24 April, a principal advisor at the Ministry of Health emailed the manager of media relations at the Ministry of Health and the Director of Mental Health Dr John Crawshaw about the report into Canterbury District Mental Health Services and media coverage of family experience. The email included a link to an article written by this journalist while at the New Zealand Herald. The article from January 2024 was an interview with Tunidau, who said he had not heard from authorities since his wife's death 18 months earlier. Dr Crawshaw replied saying: "This reinforces the need to discuss how the contact with the family will be managed." The principal advisor agreed and said it had to be a "key priority" for the next fortnight's conversations with Health New Zealand and with ministers. "No one should be exposed on this - including the families affected by both incidents. "It's partly why I think an approach to the coroner's office is useful, too. Given the patchy family engagement, I think we should be leading the best practice - the coronial file will have a case manager who should be in regular contact with the family. That case manager would appreciate a heads-up of the report publication and surrounding media coverage." Phelps' daughter Karen Phelps said she and her brother had a meeting at Hillmorton on 18 December. Since then, they had received one email that had been forwarded on by police from Canterbury Specialist Mental Health Services general manager Vicki Dent on 14 March. Dent said the independent review into Cameron's care was "progressing well". "The panel were onsite at the end of February (a little later than originally planned) and have completed much of their information gathering. They are now working through the analysis, findings and recommendations. "This is taking a little longer than we had originally hoped, but it is important that this is completed thoroughly." Dent was unable to give a "definitive timeframe" for when the review would be completed, but said she would keep the family updated. Dent said she was stepping away from the general manager role, and said the director of nursing would be the point of contact going forward. Phelps told RNZ it was "extremely disappointing" that Health NZ had "not been keeping our family better informed". "The fact we have had to take the lead on seeking information obviously just adds to our trauma and stress. "I fear their independent internal investigation is taking the same track as the Laisa Waka Tunidau investigation that many years later has still not been finalised or the details released. In my view that cannot be seen as anything other than a blatant disregard for the families and a complete reluctance to release findings to the public." She said the longer it took for reports to be completed "the longer the public is at risk". "The fact we feel we have to fight to try to get the findings of the report released in a timely manner is shameful. "For me it is also a stark indication of Hillmorton's generally incompetent processes, which have resulted in these unnecessary deaths in the first place." In response to questions from RNZ, Minister of Mental Health Matt Doocey said the level of contact Tunidau received was unacceptable. "After any family has sadly gone through the tragedy such as what the Tunidau family have sadly experienced, I would expect Health New Zealand would be regularly updating the family and providing the needed support. "I have reinforced this expectation to Health NZ that they will get in touch with the family to ask how they can better support them going forward and have reinforced I do not find the level of contact described as acceptable." Health New Zealand spokesperson Phil Grady said in a statement to RNZ that HNZ always made contact with families following "serious events" to help provide answers where they could. "We have done this in both cases, however we recognise there is always room for improvement in our communication with families." In some cases, families choose to communicate with HNZ through their lawyer or the police. "Following serious events such as these we undertake a review and this process can be lengthy. During the review process we are often limited in what we can share with families without compromising the independence of the review. During this period we do offer family liaison support where appropriate. "We are making contact with the families' preferred representative to offer an update and a further opportunity to meet." HNZ was also refreshing national guidelines to support improved communication with families following serious incidents. "We are always available and encourage families to reach out to us if it is helpful to them." A Ministry of Health spokesperson said the ministry recognised the importance of keeping families informed in these circumstances. "The ministry plans to soon be in contact with both the Tunidau family and the Phelps family as part of the arrangements involved in finalising a report into systemic issues within local mental health services, including forensic services, which was sparked in part by the tragic death of Laisa Waka Tunidau." Director of Mental Health Dr John Crawshaw said he acknowledged both families' concerns and he intended to meet with both families face to face once the report was complete - should they wish for this to happen.

Data Shows Mental Health Access Improving
Data Shows Mental Health Access Improving

Scoop

time3 days ago

  • Scoop

Data Shows Mental Health Access Improving

Minister for Mental Health Minister for Mental Health Matt Doocey has welcomed the latest quarterly results for the Government's mental health and addiction targets, saying the access targets reflect real progress in delivering faster, more accessible support to New Zealanders. "I'm pleased to see that at a national level, 84.3 per cent of people are accessing primary mental health and addiction services within one week, well above the 80 per cent target and well above the quarter one result of 80.8 per cent,'Mr Doocey says. 'In addition, 82.4 per cent of people are being seen by specialist services within three weeks of referral, also exceeding expectations and two per cent higher than the quarter one result.' While the positive national trends in access are encouraging, the Minister acknowledged that performance remains uneven across regions and emphasised the need to lift results in underperforming districts. 'I have been meeting with Health NZ's Regional Deputy Chief Executives to understand the challenges and plans to lift performance. 'In particular, performance on reducing emergency department (ED) stays for mental health related presentations remains a challenge. The national result rose to 66.1 per cent in quarter three, up from 63.5 per cent in quarter one.' This average result falls short of the 74 per cent milestone for the Shorter Stays in ED target, twelve of the twenty districts have reached it in quarter three. 'We know that EDs aren't always the best place to seek mental health support for a number of reasons, but every year thousands of Kiwis turn up at EDs look for mental health support. That is why we are investing in peers support specialists in eight large hospitals over two years. We are also opening 6 new crisis cafes and boosting telehealth and our community services,' Mr Doocey says. 'These results show we're making good progress, but we're not there yet. This Government is committed to partnering with those working on the frontline to ensure they have the support they need to support others in when they need it. 'As New Zealand's first Minister for Mental Health, I have consistently said that accountability is vital and that we will continue to take a proactive approach to improving access and providing timely mental health and addiction support when and where it's needed.' Notes: Factsheets for quarter three results can be found here. Faster access to specialist mental health and addiction services: target of 80 percent of people accessing specialist mental health and addiction services are seen within three weeks. 82.4 percent of people were seen by specialist mental health service within three weeks in quarter 3, compared with 80.4 percent in quarter 1. Faster access to primary mental health and addiction services: target of 80 percent of people accessing primary mental health and addiction services through the Access and Choice programme are seen within one week. 84.3 per cent of people were seen by primary mental health service within one week in quarter 3, compared with 80.8 percent in quarter 1. Shorter mental health and addiction-related stays in emergency departments: target of 95 percent of mental health and addiction-related emergency department presentations are admitted, discharged, or transferred from an emergency department within six hours. 66.1 per cent of people were admitted, discharged, or transferred from an emergency department within six hours in quarter 3, compared with 63.5 percent in quarter 1. Increased mental health and addiction workforce development: target of training 500 mental health and addiction professionals each year. Increased mental health and addiction workforce development – 349 (This number includes semester one intake only) Strengthened focus on prevention and early intervention: target of 25 percent of mental health and addiction investment is allocated towards prevention and early intervention.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into a world of global content with local flavor? Download Daily8 app today from your preferred app store and start exploring.
app-storeplay-store