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Speaker 1: So corner Tan Ti Haha says the system is broken

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Speaker 1: after probing the suicides of six young people, These young

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Speaker 1: people that she looked at age between twelve and seventeen. Now,

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Speaker 1: some of these children, some of these young people had

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Speaker 1: contact with up to seventeen agencies, and yet still fell

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Speaker 1: through the gaps and the coroner's messages blunt, streamline care

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Speaker 1: or this will keep happening. My work. Psychologist Sarah Chatwin

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Speaker 1: is with me this morning. Good morning to you, Sarah. Sorry, Sarah,

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Speaker 1: my mouse is not working. I'll use my finger. No,

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Speaker 1: that doesn't work either. Ah, there we go, got you on,

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Speaker 1: I got it. I've got a sticky mouse, So there

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Speaker 1: we go.

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Speaker 2: Oh dear, we don't want one of those this early in.

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Speaker 1: The morning, Sarah. How on earth does this happen? How

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Speaker 1: do so many children slip through cracks?

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Speaker 2: That was a particularly hard rate, and you know, it's

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Speaker 2: hard to not be Yet another voice suggesting that the

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Speaker 2: needs of the and are not being met by an

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Speaker 2: enormous amount of services and groups that don't seem to

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Speaker 2: be interfacing, sharing information, you know, picking up on the need,

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Speaker 2: picking up on those kids who are presenting in a

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Speaker 2: way that must be you know somewhat clear in these situations.

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Speaker 2: So you know, it's just hard not to sound like

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Speaker 2: another person who says the continuity of care when dealing

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Speaker 2: with these kids going through these issues is just wow,

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Speaker 2: it ain't there, right, No.

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Speaker 1: Well, with so many agencies seventeen some had contact with seventeen,

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Speaker 1: you have to wonder whether the left hand knows what

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Speaker 1: the right hand is doing, and whether the right hand

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Speaker 1: is actually just presuming and assuming that the left hand

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Speaker 1: is doing all the work and when it isn't happening.

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Speaker 2: And even if that isn't the case, and it clearly

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Speaker 2: looks to be that because there is no continuity of care,

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Speaker 2: because the conversation, the transparency between agencies, I mean, it

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Speaker 2: just can't exist or in a form that's workable. You

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Speaker 2: think to yourself, wow, we can understand the coroner's suggestion,

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Speaker 2: you know, about providing a single coordinated care pathway. Yes,

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Speaker 2: that sounds tremendous. Then of course we go to the

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Speaker 2: fact of, okay, how do we do that? So we

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Speaker 2: have all these agencies up to seventeen and the kids

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Speaker 2: that were highlighted in this article were I think six,

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Speaker 2: you know, they had been through they had seen thirteen agencies,

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Speaker 2: seventeen agencies they had experienced, you know, a raft of situations, bullying,

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Speaker 2: domestic violence, you know, disconnection with far no family parents.

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Speaker 2: The symptoms were very very similar in most cases, and

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Speaker 2: they had been in front of these agencies, but for

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Speaker 2: whatever reason, whether it was the lack of transparency, agency

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Speaker 2: picked it up but didn't transmit to another agency when

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Speaker 2: they lost the child because clearly the child wasn't seeing

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Speaker 2: them all at the same time, there weren't any of

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Speaker 2: those markers, any of will, any people putting their hands

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Speaker 2: up and saying, hey, we are seeing this person now

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Speaker 2: and then and ongoing. So clearly something has to be

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Speaker 2: more focused with regard to this particular person, with regard

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Speaker 2: to that particular person. But it's just not happening being

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Speaker 2: identified or being followed through with.

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Speaker 1: If they create a single coordinated care pathway, it's still

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Speaker 1: going to be the same people that start it, and

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Speaker 1: they've just been amalgamated into one unit.

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Speaker 2: So well, I think the key is that that doesn't happen.

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Speaker 2: The key is that if you are providing a single

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Speaker 2: coordinative care pathway, you clearly have to change the people up.

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Speaker 2: You clearly have to put people in place that have,

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Speaker 2: you know, communication skills, the ability to be transparent, the

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Speaker 2: willingness to deal with these issues, not just have thinking

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Speaker 2: groups and focus groups and documentation that proves that we

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Speaker 2: have this problem. Oh yes, in New Zealand, we clearly

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Speaker 2: have this problem. We are being viewed by other countries

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Speaker 2: as a country with a huge problem with regard to

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Speaker 2: teen suicide rates. So I think you're right. It can't

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Speaker 2: be an amalgamation. A single pathway that the coroner suggests

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Speaker 2: cannot be just an amalgamation of what we're going on

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Speaker 2: with at the moment with the same people, because clearly

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Speaker 2: this isn't working, and the people who are in this system,

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Speaker 2: there may be some who don't work. So it has

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Speaker 2: to be changed up and looked at. This will take

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Speaker 2: time and this will take resources.

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Speaker 1: All right, Sarah Chah, I thank you. Yes, attending a

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Speaker 1: meeting in a room is not actually helping a kid

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Speaker 1: in any way, shape or form. James Murray twelve, Maya

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Speaker 1: Marshall fourteen, Harmawara elis Araje seventeen, Marty Leffen, Romanoli fifteen,

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Speaker 1: Summer Mills, Mecca fifteen at Harbor you hit at sixteen

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Speaker 1: on behalf of those responsible. We're so sorry for your family.

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