The Mental Health and Wellbeing Commission will oversee the performance of the whole mental health and wellbeing system, provide leadership and support, and challenge it to perform better.
The Initial Commission developed two outcomes and monitoring frameworks for the Commission to consider adopting:
The He Ara Oranga outcomes framework will provide a structure for measuring performance across the whole mental health and wellbeing system. A successful outcomes framework will determine if we are making a real difference to improve our mental health and wellbeing – if we are achieving the outcomes and equity of outcomes, set out in He Ara Oranga.
The He Ara Āwhina framework is a separate, but interconnected, framework that will monitor mental health services and addiction services and be used to advocate for improvements to those services.
Alongside these frameworks, the Initial Commission made recommendations to address information gaps to monitor performance, and how measuring outcomes fits within the broader performance story of the mental health and wellbeing system.
How the Initial Commission developed the He Ara Oranga wellbeing outcomes framework
The He Ara Oranga wellbeing outcomes framework was developed in phases:
- Co-define (hearing views on how a framework could be developed) April to May 2020
- Conceptual framework (what is important to demonstrate success) June to September 2020
- Data (how success can be measured and where data gaps exist) August to November 2020
How the Initial Commission developed the He Ara Āwhina service-level monitoring framework
Like the He Ara Oranga wellbeing outcomes framework, the He Ara Āwhina framework is being developed in three phases.
- Co-define phase - October to December 2020
- Conceptual framework - January to March 2021
- Data and methodology phase - April to May 2021
We are currently seeking feedback for the co-define phase.
Visit the have your say section on our website for more information about how you can provide feedback.
Outcomes framework principles
The Initial Commission was guided by an overarching set of principles. You can see these on the Initial Commission home page.
The following principles guided the Initial Commission's work to develop the outcomes frameworks.
Scope and content
- Wellbeing (oranga) focused, whilst anchored and relevant to mental health and addiction
- Population-level (everyone in Aotearoa), with a focus on groups who experience poorer wellbeing outcomes, and cascading of population outcomes to mental health and addiction service-levels
- Focused on outcomes, not processes or outputs
- All-of-life wellbeing view
- Wellbeing includes a balanced view of multiple interconnected domains
- Wellbeing is relational and experienced at many levels – including individuals, family, community and society levels
- Positive – focuses on the development of strengths and growth, rather than absence of difficulties, and includes prevention and early intervention
- Draws from and connects to (where appropriate) existing models, frameworks and thinking – “don’t reinvent the wheel”
Easy to interpret and relatable
- Simple to understand and concise
- People can see themselves in it
Designed to support use and improve results
- Provides a clear sense of direction
- Drives collective action, including what is and is not working
- Clarity on who is accountable for what, and to whom
- Meaningful to, and promotes alignment between, government and non-government audiences that contribute to wellbeing and have a role to play
Indicators and measures
- Conceptual drives the data, not data drives the conceptual
- Selective– measure only what is most important and relevant for current and future growth
- Try to use existing data first (where appropriate)
- Strive to measure outcomes, from short-term to long-term. Noting some proxy process data may be necessary (but not necessarily desirable)
- Acknowledge not everything important is currently measured. Seek to address data gaps going forward
- Enable monitoring of change over time
- Combination of quantitative and qualitative
- Honour principles and practice of data sovereignty
- Enduring framework with a long lifespan
- A living framework – evolves over time and is iterative so content is relevant and current
- Significant and sustained support for implementation and embedding its use, noting this will take time and will require a shared responsibility