2014/2015 Annual Report
Umoona Tjutagku Health Service Aboriginal Corporation ICN 7460
Our Vision
Innovative, responsive and culturally appropriate health services are accessible to Aboriginal people living in the Coober Pedy and surrounding regions.
Our Values Integrity
Commitment Ethics
Our Mission
To provide a holistic health care service that achieves positive health outcomes through primary health care intervention as well as safer communities through prevention and education.
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Contents Chairpersons Report.................................................................................... 1
Organisation Chart....................................................................................... 3
Chief Executive Officer Report................................................................. 5 Administration Report................................................................................ 7
Practice Manager Report........................................................................... 9 Clinic and Healthy for Life Report........................................................15
SEWB/BTH Report.......................................................................................21 Drug and Alcohol Services Report.......................................................25
Counselling Support Report...................................................................29
Trip to Tumby Bay......................................................................................31 Dunjiba Substance Misuse Report.......................................................33
P.O. Box 166, Lot 8, Umoona Road Coober Pedy, South Australia 5723
Umoona Tjutagku Health Service Aboriginal Corporation
Phone: 08 8672 5255 Fax: 08 8672 3349 e-mail: umoona@uths.com.au web: www.uths.com.au
Chairpersons Report The Board and my-self as the Chairperson of the organisation have pleasure in presenting you the Directors Report together with the Audited Financial Statements of the organisation for the Financial Year ending 30th June 2015’. The principal activity of the organisation is providing Primary Healthcare Services to the Indigenous people of Coober Pedy and closing the gap between the health and well-being of Indigenous and non-Indigenous people of the Region. There have been no significant changes in the nature of principal activities during this Financial Year. In the opinion of the Directors the results of the operations of the Health Centre were not substantially affected by any particular factor and are happy to see that under the able guidance of the CEO, the statistics relating to patient care have seen a significant growth over the past year. The Directors are also pleased to inform that due to the excellent performance of the Health Centre it has been able to retain funding for its existing Programs as well as the expansion of existing Programs which would greatly benefit the Indigenous population of Coober Pedy. Some of the main Programs run by the organisation are the Clinical Programs, Drug and Alcohol Programs, Chronic Disease Management Programs, Healthy for Life, Environmental Health and the Dunjiba Programs. There are also many other similar Programs managed by the organisation throughout the year which are aimed at improving the health and well-being of the Indigenous population.
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Umoona Tjutagku Health Service Aboriginal Corporation
I am happy to state that the organisation which is now governed by Office of the Registrar of Indigenous Corporations is conducting its business activities in an ethical and transparent manner and is an example to other similar organisations. These ethical business practices are conducive for further growth and expansion and I do hope that the organisation would be able to continue to provide an invaluable service to the community for many years to come. I am also delighted to inform you that the organisation was successful in obtaining ISO accreditation in January 2015’, and was among the first Community Controlled Aboriginal Health Services in South Australia to achieve this great feet. A big thanks to the CEO, Accreditation Support Officers and all the staff at Umoona Health for this great achievement. It is also with great pleasure that we inform you that neither towards the end of the Financial Year nor at any time during that year did any Director of this organisation acquire any monitory or non-monitory benefits from the organisation Finally I take this opportunity to thank the Board, the CEO and all employees of the Umoona Tjutagku Health Service who have put in a lot of time and effort to bring this organisation to where it is today, and in doing so have been a part of a great team which has dedicated its-self to improving the health and well-being of the Indigenous population in Coober Pedy.
Cristopher Warrior Chairperson
Board of Directors
CRISTOPHER WARRIOR Chairperson
RAMETH THOMAS Vice Chairperson
DEAN WALKER Director
DAMIAN RIESSEN Director
LILLIAN FATT Director
PATRICK LARKINS Director
MICHAEL LIPTSEY Director
PRISCILLA LARKINS CEO
DILSHAN PERERA Secretary
Annual Report 2014/2015
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Organisation Chart
UTHSAC Board
Umoona Tjatagku Health Service Aboriginal Corporation ICN 7460
Community Liason Officer
CEO
Community Liason Officer Practice Manager
Clinic Manager Registered Nurse Registered Nurse
H4L Coordinator Medical Receptionist Assist Medical Receptionist
Male Health Worker Transport Officer Female Health Worker Female Health Worker
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Umoona Tjutagku Health Service Aboriginal Corporation
Registered Nurse Environmental Health Male Health Worker Female Health Worker Child and Maternal Health Support Worker
Executive Assistant Business Services Manager
DAS Manager
Counsellor Dunjiba Substance Misuse Worker
Substance Misuse Worker
Accountant
DAS Program Coordinator
Finance Officer
Male Drug & Alcohol Worker
Payroll Officer
SEW/ Bring Them Home Cordinator
Activity Coordinator
Admin Support Officer
Male Hygiene Worker
Substance Misuse Worker Female
NGOTP Registred Nurse
Female Hygiene Worker
Senior Admin Support Officer
IT & Communicare Officer
Receptionist (Main Office)
Cleaner
Receptionist (DAS)
Facilities Officer
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Chief Executive Officer Report Welcome to the 2014 /15 Annual General meeting.
Many people over these years have worked hard and contributed to progressing bigger and better things for Umoona Health. People come and people go including the ones that have shown a lot of enthusiasm and passion to improve in changes. Today our challenge is to continue to build our community leaders and strive for a better Health Service. Umoona Health delivers all the Comprehensive Primary Health Care Services, from Women’s & Child Health, Social Emotional & Wellbeing (SEWB), Youth Health, Prevention, Drug and Alcohol Harm minimisation, education, treatment, Health Promotion and Sexual Health.
Over the years we have listened to the needs of this community. The Board and I have evaluated the organisation strategically to take Umoona Health to another level and improve in its service delivery. In 2012 we had our first accreditation AGPAL and RACGP and have continued to maintain this throughout the years gone. In January 2015 we completed and received ISO International Standards Accreditation, which was a first for a Community Controlled Aboriginal Health Service in South Australia. These processes helps this organisation to build strong governance and policies that will enable us to move forward and improve as we go.
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Along the way Umoona Tjutagku Health Service has strived and have been challenged and demonstrated to Government that we are the best placed organisation to deliver comprehensive Primary Health Care. Over the past 3 years Umoona Health has gone through major changes, such as re-establishing the organisational culture, embedding the clinical model of care, building and strengthening our organisations capacity with a more focused business model and restructuring our workforce to accommodate these changes. Umoona Health’s workforce has been stable and our services delivery continues to strive. Organisational Governance with a compliance framework and confidentiality policy alongside risk management strategies such as regular management meetings and monitoring/reporting processes were realigned to meet the growth of Umoona Health. Our corporate governance has also undergone changes with our Board reviewing our corporation’s strategic plan and ensuring that Umoona Health is taken to the next level of excellence.
Priorities for the next 12 months • Umoona’s experiences to date have highlighted the need for us to better understand business modelling for our service. The role of the corporate world and what we can learn from them is clearer. • Umoona Tjutagku Health Service aims to become a stronger political voice for our community both within the health sector and in addressing the social challenges in Coober Pedy • Umoona will be working towards building relevant research partnerships with rheumatoid arthritis bedding down a research culture in Umoona and managing our data. • The Umoona Tjutagku Health Service Board plans to build the local workforce by creating training pathways and addressing the scope of practice for AHW’s.
We are also pleased to inform all our Members and other Stakeholders that despite an examination notice from ORIC due to unfounded allegations, the organisation is governed in a way that it meets Australian and International Accounting, Finance, HR, Governance and Reporting standards. Umoona Tjutagku Health Service holds three Accreditation standards such as ISO, AGPAL and RACGP achieved by the organisation is evidence of how well Umoona Health is being governed despite these allegations by an organisation that doesn’t even hold ISO Accreditation. Due to the mostly unfounded allegations made by ORIC Umoona Health has requested for a full review of the examination and is awaiting for confirmation of the outcome.
Umoona Tjutagku Health Service continues to always strive to improve the quality of services delivered out into the community and improve the gaps.
Thank you to the Chair and Board of Directors for their continued support and appreciation to the Executive and Senior Management Teams & staff for being part of the journey. The Umoona health team’s dedication, hard work and passion for this community astound me and I look forward to an exciting twelve months ahead.
Staff continue to provide a comprehensive Primary Health Care service while educating clients in the community. The feedback we’ve received has been both positive and negative but use it as a focus to improve in services.
Priscilla Larkins
Staff in all program areas have been working extremely well in working towards improving their statistics through a higher number of episodes of care and meeting its KPI’s as required. Staff are also improving on client care management with the support from their Managers and external Agencies.
Chief Executive Officer
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Administration Report 2014’/2015’ has been a very challenging but satisfying year for Umoona Health and its staff. Despite the heavy work load and the various obstacles faced by the staff the organisation can boast of higher levels of services offered to its clients and other stake-holders. Firstly, the organisation successfully obtained ISO Accreditation in January 2015, being amongst the first Community Controlled Aboriginal Health Services in South Australia to achieve this great feat. The CEO and the ISO Team which included the Practice Manager and the Business Services Manager, together with the greater cooperation of its staff members worked tirelessly to ensure that the organisation achieved its objective within the stipulated time frame. A big Thank You to the Board, CEO and all staff for your guidance and commitment with regard to this achievement. I am also pleased to inform you that we have been able to conduct Corporate Governance training to the Board, CEO and Secretary/Business Services Manager (BSM) during the past Financial Year. This has enhanced the Board and Senior Management Team’s knowledge and capabilities with regard to proper governance processes and procedures. We are also pleased to inform all our stake-holders that despite a highly unusual examination notice from ORIC with what we believe to be mostly unfounded allegations, the organisation is governed in a way that it meets Australian and International Accounting, Finance, HR, Governance and
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Reporting standards. Accreditations such as ISO, AGPAL and RACGP achieved by the organisation are evidence of how well Umoona Health is being governed despite these baseless allegations by an organisation which is not even ISO accredited it’s-self. Umoona Health has requested for a full review of the examination carried out by ORIC and is awaiting confirmation from them as to when it is going to happen and as to who will be conducting this review. We are hopeful that this will be an independent process conducted by appropriately qualified and experienced examiners. But at the time of completing this Report we have had no written confirmation from ORIC as to how they plan to conduct an independent and professional review. It is also with sadness that I wish to inform you that one of the organisations long-standing employees, Adela Paz (Finance Officer) will be leaving the organisation and Coober Pedy in her quest for greener pastures in Adelaide. We wish her all the best in all her future endeavours. We are also pleased to inform you that we have a new Accountant Sammi Silva who brings with her a lot of knowledge and experience which has been a great asset to the organisation, in particular to the Finance and Accounts team. As on previous Years the main set-back for the organisation has been its inability to attract suitably qualified personnel to work on a long-term basis in the organisation. The remote location of Coober Pedy is a major contributing factor to this issue. We do hope that the Audited Financial Statements prepared and presented by our Auditors Lee Green and Co. would give all our stake-holders confidence in the way the organisation is governed and managed and would act as a
deterrent to those who would like to put down this organisation. The only response from our end for such actions is simply requesting you to carefully scrutinise the Audited Financial Statements which is the greatest evidence we could provide of all-round Good Governance within the organisation. A big thank you to all those who help and support Umoona Health to reach greater heights and to those of you who throw bricks at us, rest assured that we will build this organisation further, with the bricks that you throw at us. Yours Sincerely,
Admin Staff
PRISCILLA LARKINS CEO
DILSHAN PERERA Business Services Manager
SAUMYA SILVA Accountant
ADELA PAZ Finance Officer
AVANTHA FERNANDO Payroll Officer
DAMIAN RIESSEN Senior Admin Support Officer
YUSHARNI PERERA Admin Support Officer
SHAN RODRIGO IT & Communicare Officer
RICHARD NAYLON Receptionist
DELESH PERERA Cleaner
JAMES TUMAPANG Facilities Officer
Dilshan Perera
Business Services Manager / Executive Assistant / Company Secretary
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Practice Manager Report Friendly and Caring Clinical Service UTHSAC clinical services are provided by Locum Doctors, Allied Health Specialists, Registered Nurses, Midwives, Aboriginal Health Workers, Pharmacists, and a visiting Dental team. These services are supported by the Practice Manager, Clinical Manager, Medical Receptionist, Transport Officer and Aboriginal Liaison Officers who make it possible to achieve the quality of work each day. By providing services in an inter-professional team, clients benefit from the expertise of each team member as well as from the collaboration of the team. In working to achieve better health care and active ageing for all Aboriginal people living in Coober Pedy and surrounding regions, at the start of the financial year we developed the better health initiative, which focuses on promoting good health; reducing the burden of chronic disease; and improving care for people in the community. There are difficult times in meeting all objectives, but we achieved our aim through dedication, hard work and excellent leadership. We deliver primary health care services tailored to the needs of the community and ensure the effectiveness of the service delivery and its outcomes. In 2014/15, the clinic and healthy for life program generated superior results on early childhood and prevention, women and men’s health, well person screening, child immunization, early detection and management of chronic disease. The organization continuously provides a
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comprehensive range of primary health care services along with a substantial number of GP and Allied Health visits to serve the significant number of local and transient clients. Our main achievements in clinical activities are outlined in Figure 1 which shows that the episodes of care increased in 2014/15 by 19% compared to 2013/14.
General Practitioners
Roving Registrar Mentor and Supervisor Program The GP team includes people with a diversity of skills including those attached to teams in antenatal, child and family health, mental health, chronic care and substance misuse. Many of the GPs work in the general medical stream, and provide opportunities for patients to have both walk-in consultations as well as consults by appointments.
SA Health funding for 0.5% GP hours and Medicare claims supported 18 GP visits this year. These visits were mostly filled by monthly visiting locum Dr Helen Sage who is an expert in community, mental and women’s health. The remaining visits were covered by Dr Jodie Whillas, Dr Judy McDonald and Dr Richard Buzacott. This enabled us to provide a better GP mix during the year. The MSOAP-ICD (Medical Specialist Outreach Assistance Program Indigenous Chronic Disease) continued to increase access to medical specialists for UTHSAC through GP visits to specifically target chronic disease prevention and management. Our two long-term experienced female GPs, Dr Jodi Whillas and Dr Judy McDonald, provided eight visits, each consisting of four days a week to assist clients with Aboriginal Health Checks and Chronic Disease Care Plans.
The Roving Registrar position aims to increase opportunities for GPs to train in the area of Aboriginal health and to support the health needs of the Aboriginal community. A Memorandum of Understanding (MOU) between UTHSAC and Sturt Fleurieu Education and Training created a training opportunity to secure another 10 GP (registrars) visits during the last year. Dr Robin Adams and Dr Jonathan Newchurch visited under this program. With all these support sources, UTHSAC achieved 75% of GP availability per month at the end of the financial year.
Medical Specialists and Allied Health Services With principal support from the Rural Health Outreach programme and the MSOAP, the health service has worked with various specialists targeting chronic disease clients. This reduced the need for people to travel away from home for consultations and treatments. To follow are a few of the specialised services provided: • Endocrinologist to provide review and support to clients with Diabetes • Asthma/Respiratory Physician to provide review and support for Asthma clients each quarter
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Practice Manager Report •
Occupational Therapy to assist community members develop strategies to help them manage daily living activities safely
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Ear, Nose and Throat Specialist and Audiologist visit as well as follow-up appointments including ear operations for clients (adults and children) with chronic ear disease
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Additional Allied Heath visits including Audiologist, Speech Therapist, Physiotherapist, Dietician and Podiatrist
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Ophthalmologist and Optometrist visits bi-annually
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Liver Specialist (for viral Hepatitis) Clinic bi-annually.
Comprehensive Care UTHS evaluated the previous nKPI report, identified gaps and prioritised health needs. Accordingly, UTHSAC exhibited excellent clinical health outcomes, supporting funding activities. Sustainable gains in Aboriginal and Torres Strait Islander health remains a priority for the Clinic and Healthy for Life team. Staff were engaged in all areas which encourages doctors to carry out regular comprehensive health checks for clients. Child Health Checks are important to detect early health
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concerns such as dental, ear and skin conditions. UTHSAC is becoming more systematic in how these checks are offered through the Healthy Kids Clinic. Figure 02 illustrates the percentage of Indigenous children aged 0–4 who had an MBS health assessment in 2014/15 with the comparison of industry average. In the same way, Adult Health Checks are also performed to detect health problems. Current data demonstrates that UTHSAC has seen a significant increase in the number of Aboriginal and Torres Strait Islander Health Assessments (MBS Item 715) completed in 2014/15 compared to 2013/14.
Childhood immunisation is highly effective in reducing the incidence of vaccine-preventable diseases thus reducing morbidity and mortality. Figure 03 illustrates the percentage of Indigenous children aged 12 months to less than 24 months who were fully immunised compared with the industry average. Cervical screening is recommended every two years for most women aged 18-69, including women who have been vaccinated against HPV. Figure 04 illustrates the percentage of Indigenous female clients aged 20-69 who have not had a hysterectomy and had a cervical screening compared with the average of AHCSA organizations.
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Practice Manager Report The above charts provide an update about how UTHSAC is improving rates of testing, monitoring and control of patients in line with the industry average. All staff have worked diligently to improve the community’s health outcomes and wellbeing.
Dental and Pharmacy
The HbA1c level reflects the mean glycaemia over the last 2–3 months. Best practice clinical guidelines recommend that clients with type 2 diabetes have an HbA1c test every six months. The percentage of Indigenous clients with type 2 diabetes who had an HbA1c recorded within the specified periods by June 2015 is illustrated in figure 05. Early detection and management of chronic diseases results in better health outcomes which is what UTHSAC aims toward. The GP Management Plan (GPMP) is designed for patients to develop a structured approach to managing their own health care. The percentage of Indigenous clients with Type II Diabetes who have received a current GPMP within the previous 24 months is illustrated in figure 06.
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Throughout the year, the Clinic continued to raise awareness of the need to maintain a better standard of dental health through culturally appropriate dental health, treatment, followup, education/promotion, and referrals to SA Dental. Dental teams visited on a monthly basis and provided services to the local community and surrounding regions. UTHSAC continued to provide the S100 pharmacy as well as the Patient Assistance Transport Scheme (PATS) for clients who needed to attend specialist health professionals for tests or surgery outside the community.
Quality Improvement and Accreditation This year, UTHSAC successfully achieved ISO 9001:2008 accreditation for the next three years. This is testament to the clinic achieving its best results ever and showing excellent leadership. We implemented state of the art quality management systems including clinical governance and risk frameworks to ensure that the quality of clinical services continues to improve. This is a significant achievement considering UTHSAC became the first Aboriginal health service in South Australia to obtain ISO 9001:2008 certification.
Challenges The decrease in subsidiaries for GP visits continued this year. However, the new ICD Outreach programme assisted UTHSAC with additional medical specialist services. The continuous dedication of ICD Outreach to provide this specialist clinic to UTHSAC is very much appreciated and clearly demonstrates their commitment in improving the health and wellbeing of our Aboriginal community in Coober Pedy.
Remedies and Sustainability Evaluating current partnerships and seeking potential future partnerships will help UTHSAC to maximize outcomes, given limited resources. We will focus on developing Care Plans and ATSI Health Checks to ensure wellness of the client and the community, and generate a healthy revenue base for the organization to obtain more GP hours and specialist visits.
Michael Fernando, Practice Manager
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Clinic and Healthy for Life Report Overview of the Clinic’s Performance UTHS has been providing excellent clinical services for both the community as well as transient clients. Our current regular number of clients is between 500 and 600. However, we have over 2000 transient clients and most of them are very active at the clinic. Our focus on client’s centred care through client’s feed-back has been the key to our success. We acknowledge clients’ feedback and work collaboratively with them to ensure their satisfaction of our services. We prepare patients’ – centred care plans that aim at improving patients’ care in collaboration with the patients to ensure continuity of care. Our services have greatly improved within the year and they will keep improving until all our clients get better. There have been improvements in all aspects of clients’ care and this is evident in our national KPIs and the statistics of our clients’ records. For instance we had 37% of our diabetes clients who had their HbA1cs reduced to 7% or less within the year and we still have most of the clients consistently improving with their HbA1cs and ACRs. 65% (54 out of 82 clients who attended the clinic 3 times or more) had their GPMPs done to ensure consistency and continuity of care. The pride of seeing our clients get better with smiles on their faces drives us to devote our time and energy to clients’ centred care. With diabetes and its related complications being a major problem in the community, the clinic focussed on achieving better care outcomes for diabetes within the year and we
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achieved it. We achieved a significant improvement in diabetes management as the improvements in our client’s HbA1cs and ACRs proves it. We also improved in other areas such as liver health, immunisations, asthma care, child health, men’s and women’s health care. The clinic works in conjunction with the Healthy for life team and the environmental health worker to ensure complete clients’ care.
Healthy for Life
Umoona health believes that to deliver the best practice, the client must be actively involved in the service delivery. Hence, our health care services are informed by the perspective of our clients as they are the recipients of the services. The healthy for life team visits clients in the community and talk to them to determine what works for them and how they are going with their health. Our outreach and community visiting has increased the availability of services and has promoted trust and ongoing relationships with the community. The H4L team continues to monitor the health outcomes of our clients using appropriate follow ups.
Women’s Health
Our health service has 3 female visiting Doctors who are dedicated to comprehensive and management for a range of women’s health issues including contraception, Pap smear, antenatal checks, osteoporosis, anxiety and depression, hypertension, diabetes, maintaining good health and wellbeing. We had 50% cervical screening for 85 women out of 168 women who attended the clinic 3 times or more within the year. Further, we do community outreach to help our women in the community with their health and we ensure our female clients are cared for by female staff depending on their preferences.
Men’s Health We take the health of our men seriously. We ensure our men are cared for by men staff if they prefer to be. We do community outreach care for our men. We also do men’s health checks to determine how to properly care for our men clients.
Chronic Disease Prevention • We have achieved great positive outcomes regarding our clients’ health and we did this through client centred care, constant education and deep listening to our clients. We listen to our clients and get feed -back from them to determine how they want their care done through their feedback. • Our average birth weight has been maintained at over 3kg since 2013. • Most of our clients who have high blood pressure, now have their blood pressures close to normal as possible • 100% of our children clients are fully immunised • Both Adult and child health checks have increased greatly this year • There was no low birth weight in this quarter as compared to 1 in the last quarter
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Clinic and Healthy for Life Report
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Our diabetes clients who have chronic disease assessment completed have increased Team care arrangements have increased and care plans have increased as compared to the last quarter. We would like to ensure all our clients have care plans done in the next quarter because that is how we can determine if any of our clients is at risk of having chronic disease complications. With early detection and early intervention we can avoid a lot of complications
Umoona Tjutagku Health Service Aboriginal Corporation
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Our diabetes clients who have HbA1cs done have increased as compared to the 2nd quarter. This is a very good achievement and we need to keep it up. By the next annual general meeting, we would like to ensure that all our diabetes clients have their blood sugars below 10mmol/L and HbA1c at 7% or lower. This will help with the prevention of diabetes related complications such as heart diseases, kidney diseases, eye problems and many other diseases that are related to poor blood flow
•
At the moment, 32.7% of our diabetes clients have their HbA1c reduced to 7% or lower and we hope to have the rest reduced too. This is a very good achievement and can get even better because our clients are getting better understanding of diabetes and are eager to reduce their BSLs
We give our clients education regarding chronic disease prevention, we follow them up in the community; we do check- ups and education regarding better understanding of conditions such as asthma; diabetes; high blood pressure; and how to prevent complications. We do explanation of test results to ensure our clients understand their results. We work collaboratively with our clients to ensure positive outcomes. We listen to them; we get feedback from them to determine how feel and how they want their care done so we can meet their needs.
Asthma Clinic We do asthma clinics. During the asthma clinics, we do spirometry test on our clients to determine their lung functions so that the respiratory physician can use the results for intervention. Further we give asthma education for medication management and the prevention of attacks on our clients.
Child Health We had 87% child health checks for 167 children out of 190 who attended the clinic more than 3 times within the year. This helps with the prevention and protection of the children in this community from having chronic diseases. Hence we do child health checks for early detection and early intervention. We encourage parents to come in with their children for their health checks to be done. It may take about forty minutes of your time but it is very rewarding. Those forty minutes could be the key to your child’s chance of avoiding a chronic disease that may be in the family. It may be true that your family has a history of chronic illness which puts the whole family at risk of having that illness. However, the healthy for life team at Umoona Tjutagku Health Service is telling you that, you or your children do not have to have that chronic illness even if it is in the family. Having it should not be a must because it can be prevented. If you already have the chronic disease, we can work with you to prevent it from getting complicated.
Ear Health We do ear health checks for both adults and children for early detection of ear infections and prevention of complications, to improve hearing and better child’s health, education and social life. With Glenys Dodd and Robert Hele as leading ear health practitioners, our healthy for life team has done a great job with ear health in the last quarter. We are passionate about the ears of our clients because ears are so vital to language, families, stories; learning and it help people to be safe and strong. We give the credit to NACCHO for imparting such great knowledge to us to better the health of people in this community. With this knowledge we are able to improve the ear health of our people through otoscopy, audiometry and tympanometry.
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Clinic and Healthy for Life Report Healthy 4 Life Staff
Clinic Staff
MICHAEL FERNANDO Practice Manager
KWA GYAN Clinic Manager
JOSIE WARRIOR Community Liaison Officer
TANIA ZAMAN Registered Nurse
LILIAN FATT Female Health Worker
PHILLIS LINDSAY Child and Maternal Health Support Worker
GLENYS DODD Female Health Worker
PAULINE CROMBIE Female Health Worker
MARIENA RODRIGO Medical Receptionist
RACHAL NIKOLAU Assist medical Receptionist
ROBERT HELE Male Health Worker
DYLAN WARREN Environmental Health
COREY CULLEN Transport Officer
MISHO MILLER Male Health Worker
Finally we would like to keep working with you, using client’s centred culturally appropriate care. Hence we need your feedback to achieve this aim. Thank you all.
Clinic Manager Kwakyewaa Gyan
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TRISH TURNNER Registered Nurse
INGRID LOPEZ Registered Nurse
Environmental Health We have a qualified environmental health worker who does community outreach programs including pest control, infection control, home assessment, waste management, advice education, dog health control and many others that enhance health promotion in the community.
JANINE LEBOIS H4L Coordinator
PHILLIS LINDSAY
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SEWB/BTH Report Social and Emotional Wellbeing and Bringing Them Home (SEWB/BTH) The Social & Emotional Wellbeing and Bringing Them Home program delivers comprehensive clinical and non-clinical services to Aboriginal Clients in Coober Pedy region to identify the needs for culturally specific services that take into consideration their holistic concept of health, their spiritual and cultural belief and the contexts of their lives.
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Under the leadership and management support provided by the SEWB/BTH coordinator, SEWB have an experienced and proud team that works well between, Counsellor, Substance Misuse Workers, Aboriginal Health Workers and Clinicians to care, support, treat and assist in the recovery of clients. Services provided by the SEWB/BTH program includes, • Provide counselling support including: Narrative therapy, Grief and loss counselling, Motivational interviewing, person centred therapy and Anger management counselling. • Assist and refer clients to UTHSAC Drug and Alcohol services and other local service providers in Coober Pedy.
• Assist and organise Bringing Them Home link up projects.
Episode of care and Client contacts
• Liaise with mental health clinicians: Coordinate 3 monthly Psychiatrist clinics and organise face to face appointments or by Tele psychiatry.
During this period there was significant and increasing demand on client needs in Mental Health and the complexities of issues presented. During the year under review, number of individual patients increasing whilst the episode increased by 75% client contacts have been completed year 2014/15.
• Facilitate women’s programs.
Ngangkari Service
Access
• Organize cultural activities, Yarning circles and programs. • Support and Resilience • Provide case management and coordination support. • Advocating on behalf of individuals, families or groups.
Psychiatrist Service The psychiatry service provides mental health care within a culturally safe environment. We provided mental health consultations sessions to our clients through visiting Psychiatrists Dr Adriana Lattanzio and Dr Nigel Cord- Udy throughout the year. 32 number of client have been referred to Psychiatrist.
Ngangkari services deliver through; • Ngangkari clinics • Consultations and treatments. • Cleansing of public buildings, health care facilities, private houses, and outdoor areas • Educational workshops
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Ngangkari service offers a wide-ranging of traditional health care service which follows through in-take assessment process, patients’ feedback and regular follows ups to ensure that clients’ health care needs are met. The Ngangkari Service associated with Psychiatrist services to empower cultural connections and self-determinants. Educational workshops and training packages are offered to meet specific cultural needs of our clients. Ngangkari program is flexible to make any specific changes to implement our educational workshops and training packages to achieve clients’ needs and UTHS objectivise.
Stolen Generation Project It is vital to highlight the upcoming stolen generation project. The project aims to provide an opportunity to heal the impacts of intergenerational trauma.
This project will be producing an exceptional outcomes for the community, including : overcome social isolation and building social cohesiveness, provided a good foundation and strengthen the relationship between and members and their lost culture, Demonstrate a viable way of living and dealing with trauma, overcome social isolation and building social cohesiveness, through yarning sessions with stolen generation members, sharing stories and ventilation of feelings will be healing the future generation. Healing camps/workshops and healing gatherings also will be providing additional support successfully complete the project. As reported in previous AGM reports the demand for Social and Emotional Wellbeing/ Brining Them Home program is greater than what is able to be offered. I will be focusing on team-building, motivation, meeting new people, and building cultural awareness and confidence.
Suhara Perera
SEWB/BTH Program Coordinator
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Drug and Alcohol Services Report This year has been another busy and productive year at UTHSAC DAS Since moving into the new Drug and alcohol Centre we have developed Hygieneand Breakfast programmes, Harm Minimisation programmes, Bush trips and wood collecting programmes, Music Groups, Women’s art and painting programmes, Youth basketball, and men’s and women’s camps. Alcohol Manager and Peter Boafo, Drug and Alcohol Counsellor. Other staff including Tony Lindsay, Mentor, Ben Buller, Activities Manager, Kaylene O’toole, and Rameth Thomas made helpful contributions. Martin Peel worked as Hygiene worker. Statistically Umoona Tjuatagku Health Service Drug and Alcohol Service has had its busiest year with 20,279 contacts; 1299 DAS Counselling sessions, 86 Psychiatrist sessions, 307 ATSI Health Checks,2802 breakfasts served,430 groups with 5155 attendees, 383 at youth basketball programmes.
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Highlights of the year have been: • The gaining of ISO 9001:2008 Accreditation; • Excellent men’s camp to Thuruna Bay, Tumby Bay, SA with 8 participants and 3 staff’ over 5 days; • Training of staff in QUITSKILLS and Motivational Interviewing; and • Achievement of Cert1V in AOD by DAS Manager and Cert III in AOD by Michael Liptsey
During the year we had well attended PITSTOPS and Health Checks with assisting GP’s and visits by dentists at programmes. The new Footsteps Road to Recovery Residential Rehabilitation Service in Port Augusta offers an opportunity to recover using a 3 month stay in the therapeutic community Our Centre has been unveiled in the new name of the Robin Walker Drug and Alcohol Centre and is a tribute to a man whose vision it was to reduce alcohol and drug abuse, to provide people with a place to come for treatment and an opportunity to develop programmes to assist people. UTHSAC DAS staff have worked tirelessly with other service providers including AFSS, Red Cross, Housing SA ,Sobering Up Unit, Complete Personnel, Centrelink, Uniting Care Wesley Country SA, Medicare Locals, Coober Pedy Hospital and Health SA, SAPOL, Corrections and Courts, ALRM, AHCSA, Allied Health professionals and Education Department.
Since the changes in the Liquor Licensing Laws in Coober Pedy and the opening of the Footsteps programme in 20th October 2015 Aboriginal people will have added resources to deal with abuse of alcohol and drugs and employment opportunities. Soon UTHSAC DAS will be further developing the Men’s group, restarting youth programmes, and developing Leather and Wood burning art programmes. In this the Day Centre and Activities centre will be open continuously for activity and therapy. New ngangkari programmes have been developed for people seeking traditional cultural therapy.
Other training for staff included Safe Care of Intoxicated Persons and the Social determinants of Aboriginal Health
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Drug and Alcohol Services Report The Day centre continues to develop with an holistic approach linked to people attending Breakfast and hygiene programme then referred to GP, allied health and other specialist services, incorporated into either the harm minimisation programme, Bush Trips, Music programmes, art groups, Men’s group or associated men’s and women’s camps. These are inlets to Drug and Alcohol Counselling, pharmacotherapy through psychiatrists, GP’s and Mental health nurse Jose Kuriakose leading to Residential Rehabilitation services with activities on discharged to guard against relapse. Thank you to our funders and CEO and Board for giving the staff at Robin Walker centre the opportunity to make a difference in people’s lives.
Drug and Alcohol Service Staff
GEORGE LASLETT DAS Manager
PETER BOAFO Counsellor
JOSE KURIAKOSE Registered Nurse NGOTGP
SUHARA PERERA SEWB/BTH Program Coordinator
MICHAEL LIPTSEY Activity Coordinator
MATTHEW CROMBIE Substance Misuse Worker
DONNA BAILES Substance Misuse Worker Female
CHRISTINE LENNON Dunjiba Substance Misuse Worker
JOHNNY NAYLON Male Hygiene Worker
ANNETTE GILBEY Female Hygiene Worker
George Laslett DAS Manager
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Counselling Support Report Kupa Piti Mamaku Health Group 2014-2015 The Kupa Piti Mamaku Health Group was very busy during the period up to August 2015; planning the Men’s camp at Thuruna. This camp finally came on during the second week of September 2015. Eight clients went on this camp and the experience they gained over there included lessons and discussions on Men’s health, Drug and Alcohol issues, Grief and Loss, Family relationships and Exercise and Recreation. The Kupa Piti Mamaku Health Group once again supported the Pit Stop concept with a Men and Women’s health check day in March 2015, where men and women (both young and old) came to have a check-up. All those who had a health check were given vouchers for their efforts. The main purpose of these programs was to improve our clients’ health. Hence, during the program, clients are educated regarding ways of improving their health and health check s are done for those who need them.
Counselling The UTHSAC Drug and Alcohol Services provide Drug and Alcohol Counselling that assists Aboriginal people to find solutions to drug and alcohol dependency and abuse. It assists people to develop a harm minimisation approach to stop drinking through assessments, brief interventions and other programs. It also assists people to enter withdrawal centres for detoxification and residential rehabilitation. During the period 1st July 2014 to 30th June 2015, 1352 individual counselling interviews were held at UTHSAC Drug and Alcohol Services and other places including bush trips, breakfast programs, music programs
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and harm minimisation programs. This number is higher compared to the previous year’s total of 1280 individual counselling sessions. This is because the previous counsellor has moved to become the Drug and Alcohol Services Manager and transition of clients meant that both the manager and the new counsellor were conducting face to face counselling sessions. Also, the great work being done by the Drug and Alcohol Services staff in educating clients about the harmful effects of excessive alcohol consumption has been a factor in the number of clients attending counselling sessions.
Many transient clients also attended counselling for a few times and returned to the APY Lands. What is interesting is that many clients selfreferred themselves and presented that they have reduced their alcohol consumption and do not want to go back to their binge drinking days. Some were willing to stay and spend more time during counselling sessions. Many referrals from Corrections Department and Complete Personnel were received. These referrals are all people with drug and alcohol issues, anger management issues and not yet job ready. They have been attending counselling to deal with these issues and then get ready to take control of their lives and become productive members in the community. The clients from Complete Personnel are mandated by Centrelink to attend counselling and participate in DAS programs to deal with their drug and alcohol issues before getting their income support. It works like the work for the dole concept. During counselling sessions clients found to have health issues are referred to the Umoona clinic to see the doctors and nurses. As a social worker I am determined to empower clients to take control of their own lives and build confidence in them. This will be my focus in the coming days and months.
Peter Boafo
Drug and Alcohol Counsellor
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Trip to Tumby Bay
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Dunjiba Oodnadatta Substance Misuse Service Report Special events that OSM was involved in were running MAPS services for the Bronco Branding and Oodnadatta races this year where clients who had been drinking and needed safe passage to home were taken home from the Oodnadatta Race Course. This was deeply appreciated by the community and good relationships and alcohol information was given to participants. OSM has also been at the forefront of organizing with SAPOL the Blue Light Disco for children, as well as developing Alcohol Free days for the Dunjiba community where the Transcontinental Hotel is closed and family activities take place. Christen Lennon has also worked on developing a Health Expo with Health SA at the Clinic where hats, drink bottles, manicuring sets and men’s packages were distributed. The programme works closely in collaboration and by receiving and giving referrals to SAPOL, Housing SA, Centrelink, GP’s , the Clinic, UTHSAC Clinic, Courts, Oodnadatta Aboriginal School, Dunjiba community Council, Oodnadatta Aged Care, Outback Areas, and Community Health in Coober Pedy. Oodnadatta Substance Misuse Programme has 35 regular clients as well as itinerant people visiting from Finke and APY lands. Present Dunjiba Oodnadatta Services Programme coordinator Christene Lennon reports that she has been busy involved in counseling, case work, case management, advocacy, referral to residential rehabilitation services, running harm minimisation activities and diversion programmes. Christene reports that she is often involved in community activities Including funerals, town meetings, consultation with Dunjiba Community Council and involvement in Community projects.
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Christene has been strongly involved with the Women’s Shed and soon each participant will receive a beautician’s award. OSM relates to UTHDSAC Drug and Alcohol and members of the community attended the recent camp to Thuruna and enjoyed fishing, and travel whilst making decisions about longterm drug and alcohol trajectories. Earlier in 2014-15 Bobby Warren participated in the OSM as coordinator and was instrumental in bring young people over for training in football matches as well as accompanying some residents to games.
Counseling and programs at OSM programme was moved to a new location from the Aged Care/Youth Club to an office transportable on the grounds of Dunjiba Council, Oodnadatta.
Other activities included bringing clients across to see UTHSAC GP’s and Dentists, Allied health providers; as well as transporting clients to medical
This has proven to be valuable as many participants regularly drop in to see staff.
It is a busy life in Oodnadatta, and Christene Lennon is often on call after 6 pm as people knock on her door, and there are Drug and Alcohol difficulties during the evenings and weekend.
Both Bobby Warren and Christene Lennon have used strong community development skills to assure that all consultations are around meals. Christine Lennon has also been busy as the key person of the community relating to untimely deaths in the Community.
appointments, court, Centrelink, Medical appointments and bail hearings.
On her second time at OSM Christene is doing a fabulous job to lift the profile of Harm minimization in regard to AOD abuse. Christene Lennon has also attended mandatory training as well; also staff meeting and OH and S training.
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Activities
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P.O. Box 166, Lot 8, Umoona Road Coober Pedy, South Australia 5723
Umoona Tjutagku Health Service Aboriginal Corporation
Phone: 08 8672 5255 Fax: 08 8672 3349 e-mail: umoona@uths.com.au web: www.uths.com.au