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Pivot – a Private Outpatient Alcohol and Other Drug and Wellbeing Service – Where Does It Fit in the Continuum of Care?

Tracks
Ballroom 2
Wednesday, May 14, 2025
11:20 AM - 11:40 AM

Overview

River Paton, Pivot By Explore Hapainga Ora


Speaker

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Ms River Paton
Specialist Service Manager - Pivot
Pivot By Explore Hapainga Ora

PIVOT – A private outpatient alcohol and other drug and wellbeing service – where does it fit in the continuum of care?

Abstract

PIVOT is a relatively new Drug and Alcohol Service, launched in June 2023, the first of its kind in NZ. An evidence-based service, currently offered through a fee for service model. Based on Sir Mason Durie’s ‘Te Whare Tapa Wha’ model of holistic health and wellbeing, the service is designed to be culturally responsive and clinically led, incorporating a partnership model between peer support – lived experience and clinical practitioners to enhance engagement and better connection with the people we serve. PIVOT works with individuals and families impacted by theirs or someone else’s substance abuse, including young adults through to the over 65 age group. PIVOT also partners with organisations and corporates to support the wellbeing of their workforce, in particular supporting employees that maybe struggling to remain in employment due to substance related harms.
We are unashamedly and proudly a harm reduction service responding to the needs of people experiencing moderate to severe levels of substance related harms. We are the ambulance at the top of the cliff, focusing on preventing further harms from occurring. PIVOT can be accessed in person or via digital and telehealth options.
This presentation will showcase our service, share with you our challenges and our successes and most importantly tell a story about how this innovative service is responding to the ‘missing middle’, meeting people where they are at in their wellbeing journey, working in partnership with ’Lived Experience’ peer support, providing access to a service that prevents further escalation of harm and increases overall health and wellbeing whilst also reducing demand on public funded specialist services.

Biography

River has worked within the addiction sector in Aotearoa NZ for many years. River is the Specialist Service Manager of PIVOT – Drug and Alcohol and wellbeing service. She is a registered Alcohol and other Drug Practitioner with post graduate qualifications both in health management and clinical practice. River’s extensive years of experience has seen her work in many types of services including, specialist youth, adult and CEP services, NGO’s, and government funded, residential and community based services. River brings all of this to the role she has now, leading and developing a private community-based service that firmly sits within a harm reduction and early intervention framework.
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