Aug

06

2018

The Buttery’s b.well Program: Client Success Story

The Buttery’s b.well program, funded through North Coast Primary Health Network, operates across the NSW Northern Rivers Region. b.well provides support within the community for people with mental health issues who are concerned about the impact of their use of drugs and alcohol on their well-being.

The philosophy of the b.well team is to instil hope and understanding and to create a sense of belonging for people who identify as having mental health and substance abuse issues.

b.well is free and confidential and people can self-refer to the program. Through b.well people can access a range of services including:

  • Psycho education
  • Peer support groups
  • Individual support
  • Activities programs
  • Life skills programs
  • Early intervention
  • Living healthily programs

The b.well service is free and confidential. People of all ages take part. For details of current groups please contact [email protected] or phone (02) 6687 1658.

Now I Believe in Myself: Jonathan’s Story

Now 22, Jonathan is a former b.well client who has started a new life in Melbourne. Recently, he reported that he is happy, employed and has established a new network of friends.

By 21 Jonathan had overcome more challenges than most young men his age. After a childhood dealing with a host of family issues, at 16 he broke his back in a motor bike accident.

“I thought I’d never walk again and have a life of pain.”

After major surgery and rehabilitation, he managed to walk again. However, after the accident Jonathan suffered extreme anxiety.

“I was so anxious I couldn’t even go into a supermarket. I was unsteady around people and depressed.”

It was an unsettling time for him. Although he’d never taken illicit drugs, Jonathan started going to doofs and taking ecstasy and MDMA. Expelled from school, he started delivering pizzas until the pizza shop went bankrupt. Unemployed and aimless he smoked cannabis daily.

“I didn’t want to be lonely so I hung out with people smoking pot all day.”

Jonathan’s life changed dramatically after testing positive for cannabis in a police drug test. He lost his licence and he said his anxiety became even worse. Jonathan started taking part in The Buttery’s b.well program for people who may have substance misuse and mental health issues.

His counsellor Amanda Hewitt has the lived experience of recovery from addiction and of managing her own mental health issues.

“I’d been to a psychologist before and I didn’t relate to him at all with his nice clothes and the way he talked. I came away from the sessions feeling worse. With Amanda it was different. She really understands what its like to feel extremely anxious and to have issues with drugs.”

“Amanda has taught me how to understand the triggers for anxiety and how to practise mindfulness and other techniques. I feel 100% more comfortable in my own body.”

“Amanda taught me how to start my day. She suggested I buy some joggers and start walking for regular exercise. She told me to stop thinking about my troubles, get a routine; go out for a walk and eat healthily.”

“Words can’t describe how good she’s been for me. She makes me believe in myself and gives me practical advice on how to lead a better life.”

Jonathan now has a job he likes and is becoming physically fit. He’s optimistic about his future and is considering further study to become a counsellor so he can help other people.

b.well Coordinator Frances Pidcock said her team of six was very connected and involved people from different walks of life.

“We have 50% lived experience, we have a peer worker, two lived experience counsellors, one with a welfare background and a psychologist, a great skills mix. We generally run our groups with one lived experience person and one without and when we facilitate activities we use peer workers who are volunteers as well.”

b.well activities include walking groups, drumming groups, weaving and art therapy.

b.well has also set up a group for 14 to 16 year old girls at Nimbin Central School. Two workers visit weekly and are available for young people who want to talk about early intervention.

“The transition to womanhood group has been a big success. The girls are encouraged to talk about social media, sexuality, mental health and addiction in a conversational style with support from a welfare worker and a psychologist. It’s going so well the girls don’t want it to end.”

If you think you or someone you know would benefit from b.well, they can call (02) 6687 1658 to find out more.

flags We acknowledge the traditional custodians of the land we live and work, the Bundjalung, Arakwal, Yaegl, Gumbaynggirr, Githabul, Dunghutti and Birpai Nations, and their continuing connection to land, sea and community. We pay our respects to elders past, present and future.

Our regional partners

  • Local Health District partners in our footprint: Mid North Coast Local Health District (MNCLHD) & Northern New South Wales Local Health District (NNSWLHD)
  • Aboriginal Medical Services (AMS)
  • The Royal Australian College of General Practitioners (RACGP)
  • Australian College of Rural and Remote Medicine (ACRRM)
  • Rural Doctors Network (RDN)
  • Rural Clinical Schools & Regional Training Hubs
  • General Practitioners
  • Registrars and International Medical Graduates
  • North Coast Allied Health Association (NCAHA)
  • Local Councils
    Pharmaceutical Society of Australia (PSA)
  • Universities including: Charles Sturt University (CSU), University of New South Wales (UNSW), Southern Cross University (SCU)

Aged Care Disaster Management Planning

Strategic Priority Area: One team

North Coast is identified as the region most likely to be impacted by climate change in Australia and also forecasted greatest growth in those 65+.

Healthy North Coast takes a lead role in ensuring the older population and the sector that supports them are prepared for, can respond to and recover from disasters and other emergencies.

We have led eight regional disaster management capacity building workshops, bringing together SES, community organisations and the aged care sector.

We have also developed disaster preparedness tip sheets for both residential and community aged care providers.

Voluntary Assisted Dying

Strategic Priority Area: One team

In May 2022, the NSW Parliament passed the Voluntary Assisted Dying Act 2022. Effective from Tuesday, 28 November 2023, eligible people have the choice to access voluntary assisted dying. 

Healthy North Coast has developed a webpage for both health professionals and consumers, with links to available information and resources.

Living with Dementia resources

Strategic Priority Area: No one is left behind

Healthy North Coast has worked with people living with dementia, their families and local service providers to develop an information booklet that will help them connect with local and national supports along their journey.

Highly regarded by a range of professional supporting those on or starting the dementia journey, the booklet includes commonly asked questions for people to ask their GP and/or specialist.

“It’s a fantastic resource and I give it to everyone on their first diagnosis. Its easy to read, so well planned and thought through and has lots of really useful information, tailored to the region.
I also find it very helpful when educating clinical staff.”

−Geropsychiatric Nurse Practitioner, Mid North Coast.

The resource is available in digital and printed copies, with more than 5,000 distributed across the region. An e-version is available to clinicians via the Dementia and Cognitive Impairment HealthPathway.

Deteriorating Resident Triage Tool Pilot

Strategic Priority Area: One team

The Deteriorating Resident Response Tool (DRRT) has been developed to guide RN’s in Residential Aged Care homes (RACHs) to better understand, anticipate and make clinical decisions responding to the deteriorating health of residents.

The objective of the DRRT is to give RACH staff clear information to triage and provide appropriate care for a range of residents’ health conditions, and, in turn, prevent unnecessary presentations to ED.

The tool has been designed together with a specialist geriatrician, consulting with stakeholders such as Residential Aged Care Managers, NSW Ambulance, GPs, and experts from Mid and North Coast LHDs.

The pilot commences in March with four participating RACHs. Evaluation measures will include effectiveness in building RN confidence and reported reduction in unnecessary hospitalisations. Findings will inform a future planned, region-wide implementation.

North Coast Care Finders Program

Strategic Priority Area: No one is left behind

The Care Finders program is a free region-wide service to support vulnerable older people who have no-one else to help them, to learn about, apply for and set up support services.

Care finders can help people understand what aged care services are available, set up an assessment, and find and choose services. They also help people with access to other supports in the community, both accessing services for the first time and changing or finding new services and supports.

On the North Coast, Healthy North Coast has commissioned four organisations to provide this important service: EACH, Carexcell, Lifetime Connect and Footprints.

icon with person and hands

Psychological services in residential aged care homes

Strategic Priority Area: Improving Lives Now

Healthy North Coast commissions two service providers to deliver psychological therapies and supports for older people with, or at risk of developing, a mental illness and who are living in residential aged care homes (RACHs).

The aim of the program is to both provide direct support to residents and their families and carers, as well as upskill the RACH workforce to respond to the needs of residents presenting with mental health concerns.

Social prescribing (Healthy Me Healthy Community)

Strategic Priority Area: Securing a Healthier Future

Delivered by Feros Care, the Healthy Me, Healthy Community program aims to build individual and community connections to reduce loneliness and improve wellbeing in Port Macquarie.

The program helps people to connect with community, activities, supports and services that address their broader social determinants of health, as an alternative or supplement to a clinical approach.

icon with person and hands

Telehealth in Residential Aged Care

Strategic Priority Area: Improving Lives Now

The Royal Commission into Aged Care Quality and Safety identified several critical areas affecting aged care residents and our health system. Key challenges include:

  • Limited access to general practitioners (GPs) and allied health professionals in aged care facilities.
  • Difficulties accessing out-of-hours services

Telehealth offers valuable opportunities to enhance support for residents living in aged care homes. Funded by the Commonwealth Department of Health and Aged Care, this initiative provides telehealth equipment and staff training as part of the response to the Royal Commission’s findings.

By improving access to primary care clinicians, specialist services, and other service providers through telehealth, we can significantly enhance health outcomes for residents, reducing unnecessary hospital transfers and emergency department visits.

The selection of telehealth equipment was guided by our Healthy Ageing Strategy (HAS), a comprehensive digital discovery questionnaire, and consultation workshops with various stakeholders. These efforts included interviews with residents to understand their attitudes toward telehealth, ensuring the initiative meets their needs and preferences.

icon with person and hands

Greater Choice at Home Palliative Care Program

Strategic Priority Area: Improving Lives Now

Aims to provide people who have life limiting conditions the opportunity to exercise choice and receive high quality care at home, harnessing improved and better coordinated supports and services that meet their individual needs.

Program objectives:

  • Improve access to palliative care at home and support end-of-life care systems and services (in primary health care and community care)
  • To enable the right care at the right time and in the right place (to reduce unnecessary hospitalisation)
  • Generate and use data to support continuous improvement of services across sectors
  • Use available technologies to support flexible and responsive palliative care at home, including in the after-hours.

These objectives will contribute to achieving the following intended overarching outcomes of:

  • Improved capacity and responsiveness of services to meet local needs and priorities
  • Improved patient access to quality palliative care services in the home
  • Improved coordination of care for patients across health care providers and integration of palliative care services in their region.

Education & training funding elibility

Funding is open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.

Workforce Locum support and R&R funding criteria

  • Available to primary care services in disaster impacted communities within the Healthy North Coast footprint.
  • Available to support short-term workforce coverage, allowing clinicians to rest and recover.
  • Workforce-support funding in total is capped for each site, over a 12-month period:
    • $10k for GPs and/or
    • $5K for nursing and/or
    • $5k administration support and/or
    • $5K allied/pharmacy and other.
  • Funding is not to be used to fill gaps in staffing that have not been able to recruit to and not to replace existing staff.
  • Healthy North Coast will assess requirements and approve available funding directly with the service requesting support.
  • Priority will be given to sites that have immediate, short-term workforce support needs.
  • Requests will be reviewed and supported on a case-by-case basis.
  • Program funding administered via RCTI Agreement (Recipient Created Tax Invoice) to be paid monthly, or on completion of the placement (whichever comes first).
  • Practices will be required to complete a request for payment form monthly, or on completion of the placement (whichever occurs first).

Wellbeing Flexible Funding Criteria & Eligibility

  • Open to all primary care providers within disaster affected communities across the Healthy North Coast footprint.
  • Activity must be purposeful, with the aim of increasing the wellbeing of your team.
  • Requests will be assessed on a case-by-case basis, with funding allocated based on team size.*
  • Following approval by Healthy North Coast, funding will be administered via RCTI Agreement (Recipient Created Tax Invoice) upon providing proof of expenses.
  • Funding cannot be used for the purchase of alcohol, or any other goods or services where the vendor cannot quote their Australian Business Number.
  • Planned activities must occur prior to 30th June 2024.
  • Funding will not be available for retrospective activities.
*Team Size
(Total staff and contractors)
Funding Available
Small (1-5)$500-$1500
Medium (6-20)$1500-$4000
Large (>20)$4000-$5000