The document discusses the large unmet need for mental health services in New Zealand, noting that over 1.7 million people will experience a diagnosable mental illness in their lifetime but existing services would be overwhelmed if they all sought help. It proposes using cell phone technology and text messaging to provide drug and alcohol education to teenagers, who are at high risk but difficult to reach, as well as support services for mental health issues. Support for this proposal is expressed from groups involved in drug education, academia, and healthcare.

1. There’s something new on the Horizon

2. Necessary Introductions Trevor Woudt (rhymes with Trout) Introduction / 1

3. B.Com – Canterbury – 1987 MBA – Massey – 1996 GDipSci (Psych) – Massey – 2008 Currently enrolled in Massey MSc (Psych) program Academic Introduction / 2

4. Employment Accounting – 2 years Consumer product market research – 3 years Computer industry – 5 years Property investment – 2 years Administration management – 7 years Business development – 2 years Introduction / 2

5. About me / 4 Current Interlogue Software Ltd Inter active Dialogue I have a Psychology degree but I am not a registered psychologist I am a trained Lifeline counsellor and do my shift on the phones every week

6. A very large unmet need

7. Mental Illness Unmet need / 1 According to DSM IV criteria, 41% of white middle class people will suffer from a diagnosable mental illness during their lifetime. Recent research of the Maori population indicates that Maori prevalence rates are around 49% (Kingi 2006)

8. Based on this figure, there are over 1.7 million New Zealanders now living who will experience a clinically diagnosable mental illness during their lifetime. Mental Illness Unmet need / 2 There is evidence that the current DSM IV criteria for depression is too strict, the diagnosis criteria is likely to be relaxed when the DSM V is released.

9. The University of Auckland study shows 23 per cent of women in urban areas and 28 per cent in rural areas suffered some form of sexual abuse when under 15 years-old. NZ Herald 24/10/07 Sexual abuse Unmet need / 3 Only 9% of sexual abuse cases get reported

10. A review of literature on sexual assault notes that victims symptoms are similar to Post Traumatic Stress disorder. 91% of sexual abuse victims must learn to cope with the effect of their abuse on their own Sexual abuse Unmet need / 4

11. Unmet need / 5 Getting Help If everyone who is currently experiencing mental illness sought help, existing services would be totally overwhelmed There are approximately 1,200 registered psychologists in New Zealand – all the ones I know are already very busy. Anecdotal evidence suggests that female rape victims often have a wait of six weeks before they can see a professionally trained counsellor.

12. Mental Illness Many people who have mental illnesses do not seek help There are groups in NZ Society the have a particular reluctance in seeking help. Maori men and Asian populations in particular Unmet need / 6

13. Mental Illness Unmet need / 7 How do some people deal with the after effects of sexual abuse or unresolved psychological or emotional issues?

15. There is a large body of research that links substance abuse to sexual assault or unresolved psychological or emotional issues. Drugs and alcohol are used to numb emotions Once substance abuse habits are established they are very hard to change. When should substance abuse education start? Mental Illness Unmet need / 7

16. Teenager / 1 Who’d be seventeen (or fourteen?)

17. Who’d be seventeen (or fourteen?) Puberty Emotional instability Mood swings Peer pressure Search for identity Defiance of parental control Experimentation with sex and drugs Teenager / 2

18. Teenage years are a critical time The National Drug Policy seeks to minimise harm, seeking to delay awareness and experimentation and prevent experimentation turning to abuse. When should education start? - Early teens Teenager / 3

19. Teenager / 4 But teenagers are notoriously hard to reach…

20. Cell phone / 1 A potential answer to a difficult question.

21. Half the World has a cell phone. 93% of New Zealanders do Cell phone / 2

22. Cell phone / 2 In 2005 on the 25th anniversary of the release of the IBM PC, the Economist Magazine predicted that the product that would take over the mantle of the primary source of computing power would not be the desktop computer or laptop, it would be the cell phone . Cell phones aren’t just cell phones

23. Comm mods / 1 More ways to communicate

24. Comm mods / 2 Computer to Cell Phone (SMS)

25. Comm mods / 3 Computer to Cell Phone ‘Push’ Txt

26. Comm mods / 4 Interactive communications

27. This technology might be cool but… What’s the point?

28. Lets give it a go Give it a go / 1 If you have a cell phone send the message Hi to 021 182 9632

29. Expressions of Support Exp / 1 Drug Education Working Group Mark Corrigan – Special Education Facilitator – Ministry of Education Dr Kieren Faull – Clinical Development Facilitator – QE Health Melanie Ingram – National Clinical Manager – Lifeline Inc. Philip Parkinson – Manager Central Region – Alcohol Liquor Advisory Council River Paton – Unit Manager – Drug and Alcohol Unit – Taranaki DHB Wendy Payne – School Guidance Counsellor – Inglewood High School

30. Expressions of Support Exp / 2 Academic Dr Keith Tuffin – Associate Professor – Massey University Jhanitra Gavala (Ngapuhi) – Lecturer – Massey University

31. Expressions of Support Exp / 4 Collaborators Nigel Lawry – previously a Director of Saatchi and Saatchi NZ (Auckland) Vince Martin-Smith – Owner / Director TISEC Ltd (New Plymouth) Robert Chauval – Managing Director – QEMS Ltd (Auckland)

32. PDA Medical Technological Community Kakano O Marama Framework Cell phone Specialist Community Nurse Call Centre Recording Adherence Exercise Adherence Dietary Adherence Appointment Adherence Medication Adherence Adherence Security Internet SMS Web Education Client PHO DHB Pharmacy Community Marae Church School (NCEA) Rangitira Apopo / Whanau Monitoring devices GP Interactive Support

33. Demonstration – the Jeeves Language Engine Jeeves / 1