Update on the NZ ASD Guideline from the Ministry of Health December 2008
Here is the latest official news on the Austism Spectrum Disorder Guideline from the Ministry of Health. Some of the formatting and visual information has been lost in translation but you can see the original pdf at  New Zealand Autism Spectrum Disorder (ASD) Guideline Updates
http://www.moh.govt.nz/moh.nsf/pagesmh/8594/$File/asd-newsletter-dec08.pdf
Two new tenders have also just been released as part of the implementation process. They are for family and whanau outreach services and communication and behaviour support – both in the Auckland region. For people interested in more detail they are on the government’s GETS website and through the www.nzgg.org.nz website. So things are moving.
Autism Spectrum Disorder Dec 2008
Implementation of the ASD Guideline has required significant commitment from many people across the sector. This newsletter brings together information from some of the key groups who have been involved, and their updates or links to updates are included in this newsletter.
These groups include:            1) Ministry of Health            2) Ministry of Education            3) New Zealand Guidelines Group and the Implementation Advisory Group            4) Altogether Autism            5) Autism New
  • In line with the directives approved by Cabinet in 2007 the Ministries of Health and Education have been working with the New Zealand Guidelines Group (NZGG) to complete the implementation plan within the broad priorities set by the Implementation Advisory Group.        Â
   • We are pleased to announce that the Ministry of Health has been given approval to allocate funding for improving services in line with the recommendations of the New Zealand Autism Spectrum Disorder Guideline. Â
Prioritisation and Allocation Process The New Zealand Guidelines Group is contracted to support the implementation process. The New Zealand Guidelines Group established an implementation advisory group, made up from people who have experience of living with autism and/or supporting people living with autism. This includes family/whanau, professional carers, people working in support organisations clinicians and educators. NZGG have worked closely with the Implementation Advisory Group to determine the priorities for the allocation of funding. These priorities were:            1) Assessment and diagnosis            2) Support for families            3) Interventions (including early intervention and behaviour support to strengthen families, and transitions)            4) Respite Â
Improving co-ordination and developing the workforce flows through all of the above priorities. A brief analysis of the services provided and work activity currently underway in these areas was completed, which focused on support for individuals, families and carers. The result of this work then informed two further prioritisation discussions:      i. with the IAG on 14 August 2008 http://www.nzgg.org.nz/download/files/ASDTechnicalInformationService-1.pdf      ii. with the Ministry of Health on 18 August 2008. Â
 Throughout the prioritisation process, the New Zealand Guidelines Group ensured that investments would contribute to implementing guideline recommendations. Discussions on priorities were framed by the following principles:            1) How effective would the service be in improving the lives of people living with ASD?            2) How equitable would the service be (in terms of improving equity of access)?            3) How does the service contribute to the achievement of whänau ora?            4) Are there any constraints that might limit or prevent service development?  The results of the prioritisation process were then incorporated into the implementation plan. The following process map depicts this visually. December, 2008NASCA ConferencePrioritisation and allocation process  N.B. TIS is the Technical Implementation Service made up of a consortium led by the New Zealand Guidelines Group.
Implementation Three phases of service development are planned to implement this funding. These include:            1. scaling up existing, proven programmes and services            2. bringing on stream new initiatives and embarking on ‘investment’ activities            3. delivering on the ‘investment’ activities, consolidating initiatives and incorporating measures to provide for sustainability
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Broadly, the allocation is shown in the following table:
| Purchase Phases | Priorities |
It is important to note that this allocation does not implement all of the guideline’s recommendations. To do this will require additional funding and reallocation over time. Relationship between phases and financial years
The purchasing phases are not directly linked to financial years. The following picture indicates that, for example, funding allocated in the first financial year can go into bringing on stream new initiatives, which is a phase two activity. This is depicted in the diagram below:
 2) Ministry of Education
The Ministry of Education, as co-sponsor of the NZ ASD Guideline, is working closely with the Ministry of Health, NZGG and Altogether Autism to support the implementation plan. Education is taking the lead on the ‘Living Guideline’ work programme, and commissioned the technical reviews of published research on the use of applied behaviour analysis interventions for people with ASD. Education’s existing ASD ‘investment’ work programme is already well aligned with the NZ ASD Guideline – for details, see www.minedu.govt.nz/goto/ASD. During the past three months a number of workshops and presentations have been given to raise awareness about the impact of ASD and the implications of the Guideline recommendations for practice. 2008/ 092009/ 102010/ 11Extend currentinitiativesto fill gapsPlan/ develop new initiativesaligned to ASD Guideline Implement newinitiativesPhase 1Phase 2Phase 3All PhasesOne-off initiativesOne-off initiativesOne-off initiatives2008/ PhasesPhase initiatives
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3) New Zealand Guidelines Group and the Implementation Advisory Group The first newsletter from the ASD Technical Information Service can be accessed through the following link http://www.nzgg.org.nz/download/files/ASDTechnicalInformationService-1.pdfThis newsletter provides information about the New Zealand Guidelines Group, the role of the Implementation Advisory Group and the decisions they are required to make, and the work they are doing to inform the Ministry of Health to implement the New Zealand Autism Spectrum Disorder Guideline.
4) Altogether Autism
Altogether Autism is the National Autism
A highlight for Autism New Zealand this year was the biennial conference held in September in
Autism
