Objective: The prevalence of suicidality within the farming community, especially during time of stress, is well documented. During 2016, the global milk prices fell, impacting the New Zealand dairy farm profitability and viability, as well as taking a toll on farmer well-being. This article discusses the role of agricultural professionals as a support mechanism for farming families during times of stress and their ongoing contribution in recognising and mitigating stress on farmers. Design: Qualitative, using thematic analysis. Setting: North Island, New Zealand. Participants: Dairy farming women, large animal veterinarians, farm consultants and members of rural support organisations. Results: Thematic analysis demonstrated the following aspects: the value of the long-term relationships between agricultural professionals and their clients; the duty of care agricultural professionals feel towards their clients; and the benefits of the planning and practical problem-solving services offered by these professionals, especially in times of crisis. Conclusion: Farmers prefer to use established relationships with agricultural professionals and focus on problem-solving in times of stress. Agricultural professionals should therefore be included as part of any integrated approach to addressing farmer stress. K E Y W O R D S agricultural professionals, crisis, dairy farming, health promotion, mental health 204 | STANLEY-CLARKE
Within New Zealand's statutory mental health services staff struggled to know how to implement government policy as part of service development; rather, operational concerns, patient need, local context and service demands drove the service development process.
Purpose - The purpose of this paper is to discuss the lessons learnt from the process of implementing a new model of governance within Living Well, a New Zealand statutory mental health agency. Design/methodology/approach - It presents the findings from an organisational case study that involved qualitative interviews, meeting observations and document analysis. Archetype theory provided the analytical framework for the research enabling an analysis of both the formal structures and informal value systems that influenced the implementation of the governance model. Findings - The research found that the move to a new governance model did not proceed as planned. It highlighted the importance of staff commitment, the complexity of adopting a new philosophical approach and the undue influence of key personalities as key determining factors in the implementation process. The findings suggest that planners and managers within statutory mental health agencies need to consider the implications of any proposed governance change on existing roles and relationships, thinking strategically about how to secure professional commitment to change. Practical implications - There are ongoing pressures within statutory mental health agencies to improve the efficiency and effectiveness of organisational structures and systems. This paper has implications for how planners and managers think about the process of implementing new governance models within the statutory mental health environment in order to increase the likelihood of sustaining and embedding new approaches to service delivery. Originality/value - The paper presents insights into the process of implementing new governance models within a statutory mental health agency in New Zealand that has relevance for other jurisdictions.
Community-based harm reduction workshops are delivered to reduce a range of community-based risks. In this instance, a community-based non-government organisation (NGO) delivered workshops to 18 villages in a rural setting in Cambodia. This article presents the approach to the delivery of these workshops. The article explores a journey of learning for the community, local authorities and delivering NGO when moving from a more traditional approach to that of a participatory one and the impact on the organisation, community and local authorities as this journey took place. The methods and approaches are explained, findings are presented and discussed, and recommendations for future community-based harm prevention work are made.
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