Healthmatters (HMNZ) provides GPs, nurses and allied health & community workers with an opportunity to become proficient in providing effective one-on-one self-management support to people with long-term health conditions (e.g. diabetes, arthritis, cancer, depression, anxiety, pain, ME, etc.). This can be achieved by individuals attending a two-day workshop at you facility. We have been involved in delivering Flinders training across New Zealand since 2005. Please contact us for a training proposal. Minimum of 4 participants required to deliver the training.

The Flinders Integrated Programme (including Flinders Tools) is ideal for providing a structured approach for long-term condition management.

The evidence-based Flinders Programme consists of a generic set of tools and processes. It is grounded in psychological principles and enables providers to work collaboratively with their patients/clients to assess self-management behaviours, identify problems, set goals and formulate individualised care plans. This Flinders programme is useful for improving health outcomes for patients with long-term conditions, those with moderate to complex conditions, or supporting ‘at risk’ patients/clients to make positive changes. It is now being used extensively in Australia, Canada and the USA.

The Flinders Programme is designed to enable participants to gain competencies to:

• understand a structural framework for better long-term condition management
• understand the theory and evidence for self-management
• assess self-management capacity, client problems, and formulate a personalised care plan
• use skills and tools to more effectively implement chronic care management
• understand the theory and practice behind goal setting, care planning, motivational techniques, and outcome measurement
• gain a ’Certificate of Competence - Flinders Programme‘ from Flinders University
• gain credit points towards nursing post-graduate certificate
• gain 14 CME points for GPs
• gain a Certificate of Attendance for professional portfolios.

For more general information about the Flinders Programme, please see http://som.flinders.edu.au/FUSA/CCTU/self_management.htm,

Please email Charlene charlene@healthmatters.co.nz for a registration form or more information

"The process has changed my focus to what I don’t know about the patient rather than what I think I know" (GP)

"A relatively quick and simple system for care planning" (GP)

Responses to Flinders Process

"I learned the difference in expectation (importance of listening). What I thought was unacceptable pain, patient had long accepted and tolerated. Don't make assumptions" (Nurse)

"The usefulness of the PIH and C&R forms highlighted gaps in knowledge which I assumed client knew" (Nurse)

"Great training, thank you, Kia ora Charlene, excellent facilitator" (Participants)

Responses to Flinders Process

"I like the way patients have to use their own words - it often allows far more to come out than my previous experience of assessments has unveiled. It does still allow for my knowledge, training and experience to advise, suggest possible directions, steps and solutions" (Physiotherapist)

"I felt increased confidence in applying it to my work, it was an enjoyable experience & and being able to hear what the client felt" (Dietitian)

 Patient/Client Response to Flinders Assessment

"The interview helped me look in more detail how my chronic back pain affects my life and helped me find solutions" (Mr T, 62y, chronic back pain for 16y, Type 2 Diabetes)

"I found the process great, it made me stop and think and become more serious about improving my health, I can take little steps to achieve positive outcomes" (Mrs M, 47, Pre-diabetic, Obesity, Arthritis (knee), Hypertension)

For more information & registration form please email charlene@healthmatters.co.nz

We can come to you!

For organisations wishing to contract HMNZ to provide Flinders training to staff or providers, please contact Charlene for a training proposal Charlene charlene@healthmatters.co.nz

Stanford Programmes

Self-Management for Long-Term Conditions Programmes (Group Self-Management Support)

Expressions of Interest Invited for MT Training Events, Cross-Trainings, One-Day Leader Refresher Courses or Delivery of the 6-week SME Programmes

Healthmatters (HMNZ) provides health professionals and non-health professionals (peers) with an opportunity to become proficient in providing effective group self-management support to people with long-term health conditions (e.g. diabetes, arthritis, cancer, depression, anxiety, chronic pain, ME, etc.).  This can be achieved by individuals attending a four-day leader training in the core Stanford University Chronic Disease Self-Management Programme (CDSMP).

We can be contracted to provide the four-day leader training for your organisation or facility. Please contact us for a training proposal.

Alternatively contact us if you are in Auckland as trainings are currently being planned by some providers (DHBs/PHOs) and volunteer leaders (peer leaders) are actively being recruited for training. 

CDSMP was developed at Stanford University Patient Education Research Centre as a collaborative research project between Stanford University and the Northern California Kaiser Permanente Medical Care Programme. The primary developers were Emeritus Prof Kate Lorig, Virginia Gonzalez, and Diana Laurent, all of whom are at Stanford University in Palo Alto, California.

Several assumptions underlie CDSMP, that

• People with long-term conditions have similar concerns, challenges and problems
• People with long-term conditions must deal not only with their condition/disease(s), but also with the impact these have on their everyday living and their emotions
• Lay people with long-term conditions, when given a detailed leaders manual , can teach the programme as effectively, if not more effectively, than health professionals can
• The process or way by which the programme is taught is as important, if not more important, than the subject matter that is taught.

Classes are participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.

The Healthy Living Course (HLC)

Self-Management for Long-Term Conditions 

The HLC course has been designed to help people with long-term health conditions such as asthma, respiratory disease, kidney disease, heart disease, depression, anxiety and many more manage better. Over six weeks a range of “self-management tools” are introduced so that increased confidence are gained to manage long-term conditions, live a healthy life and to keep well. Topic include for example:

• Techniques to deal with frustration, fatigue, pain and isolation
• Physical activity for maintaining and improving strength, flexibility, and endurance
• Medication usage and evaluate new treatments
• Effective communication with family, friends, and health professionals
• Making healthy food choices
• Dealing with negative emotions
• Making decisions
  
• Weight management
• Getting a good night’s sleep
• Preventing falls
• Goal setting and problem solving
• Planning for the future

 Chronic Pain Self-Management Course - ACC approved course

The Chronic Pain course has been designed for people with long-term pain where getting through a normal day seems difficult and managing simple tasks become overwhelming, for example those with low back pain, neck pain, complex pain, repetitive strain injury, fibromyalgia, or phantom limb pain. The programme has been created with these challenges in mind and aims to provide individuals with self-management skills to gain more vitality, independence and confidence to manage their chronic pain day to day.

The Chronic Pain course includes for example

• Strategies for handling frustration, fatigue, pain, isolation, and poor sleep
• Physical activity for strength, flexibility and endurance
• Mind/body strategies for managing pain, including pacing and rest
• Understanding and appropriate use of pain medication
• Effective communication
• How to evaluate new treatments.

 Diabetes Self-Management Course

The Diabetes course has been designed for people with diabetes and/or their care givers. The Diabetes programme helps participants to develop “self-management skills” to deal with the challenges of living well with diabetes, gain a better understanding of the condition, and take care of their health.

The Diabetes course includes for example

• Healthy eating
• Preventing complications, fatigue, pain, low blood sugar, stress
• Skin and foot care
• How to deal with difficult emotions such as depression, frustration
• Physical activity
• Monitoring blood sugar levels
• Appropriate use of medication, working more effectively with health care providers, sick days

 Positive Self-Management for HIV Course (PSMP)

The Positive Self-Management course is for people with HIV and/or their care givers. The course provides participants with tips, skills, tools, ideas and resources how to become effective self-managers, live a healthy life and overcome the physical, emotional and social problems caused by the long-term condition.

The PSMP course includes for example:

• How to best integrate medication treatment into every-day life
• Techniques to deal with frustration, fear, fatigue, pain and isolation
• Physical activity, healthy eating
• Effective communication
• Evaluating symptoms, new or alternative treatments
• Planning for the future

 Licensing Requirements

Any organisation providing a Stanford community based programme (as outlined above) must purchase a license. A schedule of training and licensing fees can be found on the Stanford University fees page http://patienteducation.stanford.edu/licensing This license must be obtained from Stanford University prior to the training.

The Auckland region is covered by a multiple license held by the three DHBs, in other parts of New Zealand various DHBs, PHOs or NGOs hold individual licenses. 

Types of Licenses available

Stanford University offers two types of licenses for their self-management programmes, i.e. a single-programme license or a multiple-programme license. If an organisation plans to offer one programme, such as CDSMP only, then a single-programme license is the most economical. However a multiple-programme license can be purchased for a flat fee from Stanford if an organisation wishes to offer other programmes such as Diabetes, Chronic Pain or others. 

Master Training in Stanford CDSMP 2017 - Expression of interest now invited!

We are currently inviting expressions of interest in the 2017 Stanford CDSMP Master Trainings. 

Master Trainers have the ability to:

• facilitate the CDSMP programmes in their community
• train Leaders for the CDSMP to build capacity for long-term conditions self-management
• maintain programme fidelity and quality assurance associated with the programme
• coach, mentor and monitor leaders
• optimise self-management support in the community for people with long-term conditions

Master Trainer certification requirements

• Note: There is an expectation that by attending this training organisations and master trainers would work together so that Master Trainer certification can be attained, certification can be maintained, and the programmed be sustained as per Stanford guidelines.

  Master Trainers serve as the organisations own on-site trainers for the future.

Chronic Pain Cross-Training for Master Trainers 2017- Expressions of interest now invited

Master Trainers

• Learn how to conduct the Chronic Pain Self-Management program with one other trained co-leader
• Use the Chronic Pain Self-Management Leaders Manual and accompanying book "Living a Healthy Life with Chronic Pain" (2015)
  
• Deliver the Moving Easy Program consisting of 26 motion and flexibility movements as part of an exercise routine
  

Note: Depending on the number of registrations received the pain cross-training may be opened to Leaders previously trained in CDSMP. 

Join us for learning, fun and meeting others!

REGISTRATIONS NOW ACCEPTED!

We can come to you!

For a training proposal or information about the Stanford Self-Management programmes (CDSMP, Chronic Pain, Diabetes or PSMP) please email charlene@healthmatters.co.nz

Chronic Pain Cross-Training

To register interest in the chronic pain cross-training please contact Pam Antill  jpantill@ihug.co.nz