
Northland's Meth Crisis: 'There's No Magic Wand For Any Of This'
Organisations trying to help people get off meth in Northland towns like Kaikohe say they are overwhelmed by "a tsunami of need".
More funding - and residential care for addicts trying to quit - is desperately needed to tackle the problem, they say.
Wastewater testing has shown methamphetamine use tripled in Northland last year, which now has the unenviable title of meth capital of New Zealand.
Tia Ashby heads Te Hau Ora o Ngāpuhi, a Kaikohe-based iwi organisation that provides housing, health services and programmes like Paiheretia, which helps men caught up in the Corrections system.
She said the meth crisis was "real, complex and growing".
"We see the daily toll it takes on whānau, on their wairua, their homes and their hope. We do what we can, but the reality is, the demand is outpacing our capacity," she said.
"We're just not funded at the scale needed to respond to the tsunami of need we are facing."
Jade and Scott - they did not want to give their last names, because their work brings them into contact with organised crime - are employed by Te Hau Ora o Ngāpuhi as kaiarataki, or navigators, helping meth addicts and their whānau get the help they need.
Jade said the problem was getting worse, and the money spent on drugs meant other family members missed out on essentials.
"The biggest thing that we see is the effect on the kids, on the mokos. You've got whānau that are going without kai, the living conditions can be appalling. It's a real pandemic, you could call it, and has some real atrocious effects."
Scott said the men they helped came with a whole raft of problems, including homelessness, poor health, mental distress, and crime.
But when they burrowed deeper, they often found the underlying cause was meth.
Scott said there were many reasons behind the drug's prevalence.
"Obviously, the cost of living out there. High unemployment. And people's trauma as well. It's about unpacking it all to find out why people are addicted to methamphetamine. It ruins households, it ruins families, it ruins communities, it brings crime. Nothing will ever end good unless people stop taking it."
Ashby said the government's Resilience to Organised Crime in Communities ROCC programme, which had so far been rolled out in seven regions across New Zealand, was a good start.
Although still in its early stages, ROCC aimed to stop people becoming addicted in the first place.
"It will build up resilience within whānau and prevent rangatahi [youth] from ever wanting to pick up the pipe, by making sure they're on the right pathway for education or employment, and not being led by gangs," Ashby said.
"The focus needs to be upstream, we don't want to be the ambulance at the bottom of the cliff all the time. But the reality is, those who have addiction need support now. There's no magic wand for any of this."
While ROCC was "a step in the right direction", more and sustainable investment in prevention was needed.
Also desperately needed was comprehensive, culturally responsive residential treatment in mid-Northland for people who wanted to come off drugs.
Currently most providers of those services, such as Grace Foundation and Higher Ground, were based in Auckland.
Ashby said everyone would have to work together to tackle the meth conundrum.
Police, MSD, iwi, Māori providers and local services such as Whakaoranga Whānau Recovery Hub were doing their best with the resources they had, she said.
"But without the right tools, good intentions can only go so far. It's time to match the scale of the response with the scale of the need."
While the meth problem was not new, it hit headlines last month when Ngāpuhi chairman Mane Tahere made a public call for more policing and direct funding for iwi organisations whose work was slowed by government red tape.
Northland MP Grant McCallum subsequently met Tahere and Far North Mayor Moko Tepania, who lives in Kaikohe, as well as staff at the local medical centre.
He was shocked by the stories they told him.
They included accounts of a young man high on meth assaulting staff and "causing mayhem" at the medical clinic, and of drug-induced family dysfunction with girls as young as 11 becoming pregnant.
"But the thing that just got me is, you know how when we were growing up, your dad might give you a sip of his beer or something when you're a young kid? Well, in some families, they're giving him a little bit of P."
McCallum said he was pleased Tahere and Ngāpuhi were standing up and saying they had had enough.
"We have to try and break this cycle. It won't be fixed in five minutes, but we have to start, and one of the key things we've got to do to help break that cycle is get children to school and keep them there," McCallum said.
In the longer term, he said the answer lay in a stronger local economy and a good education system, so people in towns like Kaikohe had well-paying jobs and children had options for their future.
"But ultimately - and this applies to any community, we're not picking on Kaikohe here, it's just the first cab off the rank - the community has to own this problem. If they don't want drugs in their community, they need to make it clear they don't want it in their community. And they need to push back and feed information through to the police when they find people dealing."
During a recent visit to Whangārei, Mental Health Minister Matt Doocey said the government was focussed on trying to stop drugs entering the border, coming down hard on dealers and organised crime, and taking a health-led approach to drug users.
Although wastewater testing had shown a big jump in meth use, other data showed the number of users had not increased significantly.
That suggested the same group of people was taking more meth, he said.
Doocey offered a sliver of hope to organisations like Te Hau Ora o Ngāpuhi, who were calling out for more funding to prevent people becoming addicted in the first place.
"We're looking at the Proceeds of Crime Fund to fund some of that. When you look at some of the high-need areas like Northland, it will be a more targeted response. Also, we'll be looking at how we can resource existing services on the ground, who are already delivering, to scale up to the need," he said.
The Proceeds of Crime Fund, which reopened recently for applications after a three-year freeze, would now focus on reducing violent crime.
Such crime was often driven by drugs, Doocey said.
Meanwhile, back on the front line, Jade said collective action and more funding were vital.
"I'm not sure that heavy handedness in the justice system, and filling the jails in a system that isn't working for our people anyway, is the right solution," he said.
"It's going to get worse unless we can get ahead of it, and work together in the same direction. I'm not saying we haven't done that in the past but it's going to need an even more collective approach. And I'm hoping people come with wallets open because it's going to need to be funded."
Scott highlighted the need for comprehensive residential treatment in Northland, so people didn't need to have to be shipped off to Auckland for help.
"You'll never stop drugs, but we can come together and try to minimise it. What that looks like, I don't know. Police are obviously under the pump out there, like everyone else," he said.
"I think we need some more healing centres for whānau up here in Kaikohe. I don't like using the word rehabilitation. What's needed is a one-stop shop where people can reside, they can heal, get counselling, work on physical fitness, and the kids can go to school."
Whatever the answer, for the kids Scott and Jade see every day, it can not come soon enough.
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Reducing her mum to tears was not the aim of Claire Turnbull's latest book but she felt she had to lay it all on the line if she was going to be able to effectively help people, the Queenstown-based nutritionist tells Rebecca Fox. Claire Turnbull believes it is hard to help others if you have not experienced tough times yourself — so she is "brutally honest" about her own journey. "I think when you've got to the point where you didn't want to be alive any more and you've gone through the process of wanting to take your own life, I think off the back of that, where I've got to now, is, like, I've literally got nothing to lose by putting this out there because I nearly wasn't here anyway." If by "ripping off my Band-aids and just sharing it" helps her connect with people, then she is willing to do it. "Because we've all got our battle scars and I think that's where the healing is, and I think we don't need to be defined by those, but they are part of us. "And I just hope that by revealing some of my own scars that someone can feel more comfortable with theirs." She is quick to point out that she is not 100% healed and will never be. "I'm still on the journey. But I can pick up a marshmallow and be like, oh, I don't really fancy that and put it down. But I'm a person that used to, literally, if I looked at a bag of Maltesers I'd already eaten three bags of them." Turnbull, a trained dietitian and fitness instructor, details that journey in her latest book alongside insight, advice, tips and tricks on how people can change their relationship with food for the better "for free". Having practised as a dietitian for two decades she has seen a repeated pattern of people getting to the point where they are struggling with their weight and fatigued but wanting to eat better and look after themselves. "But the first thing they default to is the next diet. And what happens is people get results, and then they can't maintain it because it's unrealistic, and really they haven't got to the root of the problem for themselves." Food information can be quite subtle and sneaky these days, but anything that restricts what you eat is a diet and will be hard to maintain long-term, she says. "It's bull.... and people know it. But we all think, gosh we'll get there. Well, you know, it's not worked the 20 times we've done it before, it's still not going to work this time. It cannot be fixed in six weeks, it cannot be fixed with a pill." Many people reach for food or alcohol for comfort or due to boredom. For others it is a way to manage difficult feelings resulting from abuse and trauma, while for Turnbull it was low self-esteem and a tendency to be obsessive. "There's all these different reasons why we struggle with food, and it's this horrible cycle of self-hatred and self-blame and shame around the way that we eat and we think that the next diet is gonna be the answer, and I just want people to understand why they've got themselves into this position and then find a way through that is a lot more compassionate." If it is an emergency and you feel like you or someone else is at risk, call 111. She warns the book is not a "quick fix" and that people's journeys, like her own, will be ongoing. "Real life is always going to throw you curveballs and always going to throw you challenges and unfortunately all these diets that sell you the quick-fix option. Turnbull, who has a positive psychology diploma, worries that each time someone experiences that, it erodes their soul. But there is another way, she says. "We just need to realise that we are all human, we are all imperfect. We all are going to struggle with very different things. We're all going to make mistakes." She firmly believes the solution is to find the root cause of the problem and work on that as food is often the symptom of a situation — hence the use of the iceberg analogy. "So when people understand themselves, that is the first point of change. So through my 20 years of working, the biggest thing I know is that awareness is the first stage of change." The book aims to help people understanding why they struggle with food — why they eat when they are bored or tired or to manage their emotions. "We eat very habitually. People finish their food off their plate because we were told to do that when we were children. We eat when something is offered to us because it's rude to say no. We eat food when it's there at a morning tea shout or a lunch thing or picking out of our kids' lunch boxes when it's there. "There's so much eating and drinking that happens that has got absolutely nothing to do with us consciously, like, nourishing our bodies." So if people are able to eliminate what Turnbull calls "non-hungry" eating and manage those behaviours they do not need to go on a diet because a lot of the extra food and drinking they are doing is what has sent them off-track. Instead of using a restrictive or limitation method which just makes the food more appealing, she urges people to flip the way they think about food. "What I encourage people to do instead then is actually approach food from a place of what can you add in to the way that you're eating to help nourish your body better? How can you improve the way that you eat?" She also looks at sleep. How much or how little people get impacts on appetite and cravings and ability to manage emotions. It helps to look at how people grew up, their parents' relationship with food and how that influences their own behaviours, she says. Turnbull grew up when everyone's mothers were going to Weightwatchers or on a diet and watching their weight. It was one of her mother's diet books that triggered her own journey to an eating disorder including secret bingeing and throwing up. She was in her second year of university when her mental health took a turn for the worse and she decided she wanted it to be all over but luckily a friend walked in and took her to the doctor. Getting her mother to proof-read the book was very difficult. "She cried a lot because she didn't know what happened to me. I didn't go into detail of what happened, but dear God, it was a hard read." It was also hard as her mother blamed herself despite her behaviour being completely normal for that era. "It's like smoking, you know, no-one knew the implications of putting your kid on a diet or telling them they were a bit too fat, you know?" Turnbull is thankful both of them have a healthier relationship with food these days. "She's in a really good place with food, because of the work that I have done. And I said, 'Mum, if we'd not been through this journey together, this book and the work that we've done together is not going to help all the other mothers and daughters out there that have been through the same thing'." The important thing for parents to realise is that children are watching carefully their language and actions around food as it is behaviour not words that children take in, she says. "It's so difficult for children to eat well in this modern environment that we live in. But they are not listening to what you say, they are watching what you do." But what Turnbull wants people to be aware of is that they are only human and do not have to be perfect every day. She aims for a balanced lifestyle which means nothing is off limits and she enjoys the odd treat. And no, she is not judging you when she sees you in the supermarket or in a restaurant. "I would just like to always say to people, I don't care what's in your trolley. If I'm around a friend's house or out for dinner, I genuinely am not thinking about what other people are eating. They're probably thinking about it more than I am, to be honest. There's no place for judgement." The book End Your Fight With Food , Claire Turnbull. How to change your eating habits for good, Allen and Unwin, RRP $36.99. Where to get help: Lifeline: 0800-543-354 or (09) 522-2999 Suicide Prevention Helpline: 0508-828-865 (0508 TAUTOKO) Youthline: 0800-376-633 or free text 234 Samaritans: 0800-726-666