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SocietyAugust 13, 2016

Let’s fight to make Auckland a liveable city, not just an affordable one

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Achieving a better, fairer Auckland involves much more than just building affordable homes. Urbanist Jenny McArthur explains why liveability should be a key demand of the War for Auckland.

As an academic specialising in infrastructure and urban growth, I’ve been delighted by how The Spinoff’s War for Auckland series has helped stimulate the public’s interest in urban planning. Suddenly it seems everyone has a competing opinion on building consents, densification and upzoning. And that’s great. But instead of focusing entirely on house prices and the Unitary Plan’s capacity to accommodate forecast growth, I’d like to see the conversation expand beyond the private realm.

“To make Auckland the world’s most liveable city.” That’s the key objective of the Auckland Plan, the 30-year masterplan of which the Unitary Plan is just one component. To many, “liveability” is little more than glib political rhetoric. But liveability touches every aspect of the public debate over Auckland’s future. If liveability is to be translated into meaningful planning decisions we need to start taking the concept much more seriously.

Lola Palmer-Blandford, 4 of Kohimarama rides her scooter in Auckland's Wynyard Quarter, January 2014.
Lola Palmer-Blandford, 4 of Kohimarama rides her scooter in Auckland’s Wynyard Quarter, January 2014.

The idea of liveability first emerged as leefbaarheid, a term used in Dutch rural policy in the 1960s. As more people moved from the countryside into cities, questions were raised about whether the tide might be stemmed by improving the quality of life in rural areas. Several years later the concept was flipped into the urban context, as a slogan for local government elections in Vancouver in the 1970s. After several terms of “growth-centred” policies, it became apparent that making a city as economically productive as possible didn’t always result in a place where people wanted to live. According to Canadian geographer David Ley, liveability represented a more “humane, socially progressive, and aesthetic” approach to the urban development of Vancouver.

More recently, the liveability concept has been adopted by Monocle magazine and the Economist Intelligence Unit (EIU), who both publish annual “liveability rankings”. Auckland performs well in these rankings, and it is rarely outside the top 10. But do they tell us anything meaningful, or are such rankings simply a way of packaging the urban experience as another form of conspicuous consumption?

By definition, international rankings of the quality of urban life are only useful to those with the luxury to be able to make such decisions on where to live. This group, not coincidentally also Monocle’s target market, is typically made up of highly-skilled professionals with specific preferences for vibrant cities with good schools, an interesting restaurant and entertainment scene, ample sunshine, and good international transport connections. Any form of political unrest is undesirable: in 2015, Hong Kong fell 15 places in the EIU’s Liveable Cities Index as a result of the Umbrella Revolution, suggesting that exercising one’s right to peaceful protest is at odds with their version of liveability.

Liveability is a useful frame of reference, but I’d like to see Auckland re-appropriate it to serve not only the city’s international reputation, but Aucklanders themselves. French sociologist Henri Lefebvre talked about the “right to the city”, arguing that for cities to thrive, the people who live there need political agency, and to use that to shape the city’s development toward the common good (not just to preserve private property values). It doesn’t require a revolution, just that the public get involved. Exercising our “right to the city” means lobbying to shape urban development for a fairer Auckland, rather than leaving decisions to the politicians and bureaucrats.

It’s plain that liveability means something different to everyone: that is exactly the point. Cities are nearly always diverse; with an ethnic migrant population of 40%, Auckland is officially “super-diverse” and has a unique Māori heritage. Instead of focusing solely on housing, urban planning should consider and support Auckland’s unique diversity. The things we share in cities, including public spaces and infrastructure, can be designed in a way that works for different needs and preferences. At a recent Auckland Conversations event, Colombian urbanisation expert Gil Peñalosa framed it like this: “People who are 8 and 80 are the indicator species for good places to live. Redesign our cities to keep them safe, healthy and happy, and we’ll have a place that works well for everyone”. Simply expanding the design requirements for streets, public space and transit infrastructure so that they can be used by elderly or disabled residents, and allow children to play safely, makes a huge difference.

Factoring diversity into city planning means responding to the changing needs of the people who live there. Right now, London is partway through a £4.2 billion roading project – not to build more roads or expand capacity, but to retrofit dozens of major arterials and junctions. Currently, most of the road space and priority for movement is given to vehicles, while tens of thousands of pedestrians and cyclists shuffle around the edges each day, enduring unsafe levels of air pollution and an unreasonable risk of being hit by a vehicle. Redesigning transport infrastructure can open up new areas for locals to use, replacing busy intersections they’d previously try to avoid.

Liveability rests on the idea that there is a relationship between your experience of the built environment and your quality of life. Academics have been drilling down on these connections for decades, looking at the relationships between transit infrastructure and social exclusion; cycle paths and traffic safety; public lighting and reduced crime; and urban trees and air quality. The epitome of urban researchers’ obsession with this relationship is found in William H. Whyte’s The Social Life of Small Urban Spaces. The 1980 documentary the study of how the design of public spaces shapes how people use them and interact.

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The film has dated, but the findings are still useful: “It is far easier and simpler to create spaces that work for people than those that do not – and a tremendous difference it can make to the life of a city”. Liveability pays more attention to human needs, but it isn’t socialism by way of urban policy – some of the biggest improvements toward urban liveability were made in New York and London, under the watch of mayors Michael Bloomberg and Boris Johnson, two firmly conservative politicians.

Instead, liveability looks to change the way we design a city’s shared areas and infrastructure so that they are places where people want to be. Some Aucklanders might argue that you don’t need public spaces if you have your own backyard. However the Unitary Plan allocates around 60% of growth to intensified development, often dwellings without a backyard. Making higher density housing viable depends on improving the quality of public space and transit infrastructure so that residents don’t lose out from living in a relatively smaller home.

Auckland may be able to accommodate a million extra people over the next 30 years, but at the current rate of vehicle ownership this will equate to around 700,000 more cars on the road network. Providing transit services that make car-free living a convenient and affordable option is non-negotiable to support the anticipated growth. Intensification without the accompanying investment and planning for liveable public spaces and infrastructure, risks making the newspapers’ “urban ghetto” scare stories a reality.

If Auckland’s problem isn’t framed properly in the first place, the solution isn’t likely to be something Aucklanders are satisfied with. In the same way, framing the city’s future solely as a question of housing supply and property prices ignores the critical role public spaces and transit infrastructure play in creating viable growth, and ensuring that Auckland is liveable for future generations.

Public space includes everything beyond the front gate: streets and transport infrastructure, parks and squares, walking and cycling paths and public facilities. The War for Auckland should not be reduced to a battle over private space alone. If Auckland is to be a city where people not only can afford to live, but want to live in the future, then public space, infrastructure – and yes, liveability – can’t be left out of the fight.

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SocietyAugust 12, 2016

Exclusive: leaked draft report calls 2016’s landmark mental health journalism ‘biased and inaccurate’

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2016 has been a breakthrough year for mental health reporting around the country. Yet a draft report leaked to Jess McAllen – herself a mental health reporter – shows that Mental Health Services are anything but welcoming of the scrutiny.

An editor once told me mental health stories were “unsexy”. Silky, lacy numbers like car crashes and cancer go to Victoria’s Secret, suicidality and negligent care are chucked over a shoulder into the daggy $5 g-string bin at Cotton On.

But things are changing. In the past, the news cycle was often in the hands of balding middle-aged men who couldn’t name two types of psychiatric drugs but would offer a cup of concrete at the hint of emotion. Despite pockets of excellent reporting, recent years have seen a wider range of journalists working on the mental health beat with vigour, sending District Health Boards scrambling.

I was recently leaked a document from a nationwide meeting of the DAMHS (Directors of Area Mental Health Service) who are worried negative media coverage is – in a convoluted roundabout way – causing staff to become more draconian. Turns out there are “increasing concerns” from higher-ups about the journalism being practised within the sector over “recent months”.

Mental health reporting  – with the exception of a few journalists  – has traditionally been tied to murder cases or high profile tragedies like Charlotte Dawson or Robin Williams. It’s not that this past year has seen a rise in suicides, missing persons, coercive practices or other questionable behaviour .  Rather, the media has been reporting on the above, constantly and with vigour.

It’s been a banner year for mental health coverage in the mainstream media. Ashleigh Stewart consistently ran stories for The Press on post-earthquake Christchurch’s mental health (breaking embarrassing stories about funding woes). Kirsty Johnston raised public concern regarding Ashley Peacock, the 37-year-old who has been in seclusion for five years. Nikki Macdonald reported on a patient who committed suicide at a Wellington mental health facility and whose family then had their privacy breached thanks to a staff-wide email. It’s possibly worth awkwardly mentioning that I’ve done my fair share of mental health reporting in the last year too.

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There’s also been educational accounts of mental illness, such as Tess McClure on anxiety, Rebecca Kamm on Selective Mutism and ADHD, Holly Walker on Post-Natal Anxiety, Ruth on Borderline Personality Disorder, an interview – by, er, me – with someone who has Obsessive Compulsive Disorder.

It’s been a welcome break from the over-familar “no one talks about suicide – We Must Talk”  300 word article that runs every time a public speaker specialising in mental health comes to town. Watching the past year’s analytical mental health journalism expand beyond faux-concern has been reassuring, not as a journalist but as a mental health consumer who is so used to having her narrative pushed aside.

This era of increased depth and sophistication of reporting on mental health issues is the backdrop to the leaked report, which indicates that the sector, far from welcoming a more thorough analysis, is instead shrinking from the moment.

Here’s some of the main points from the report, a draft briefing paper intended for the Ministry of Health “The Current Health of the Mental Health and Addiction Sector (MHAS)”:

There has (apparently) been “a growing level of inaccurate and biased media coverage of issues” and a lack of effective “counter discourse” to the coverage due to lack of funding and pressures within the Ministry of Health.

DHB leaders are worried about interest groups who repeatedly call for inspections and inquiries and allegedly run “personalised social media campaigns targeting individual clinicians, service leaders and staff”.

Growing public criticism of the mental health sector (and subsequent pressure from politicians and DHB boards) is resulting in “increasing levels of stigma and discrimination”, “perverse changes in care with increased levels of coercion”, decreased staff morale and “major recruitment and retention problems”.

Mental health leaders are seeking an appointment with Minister of Health Jonathan Coleman to discuss their concerns and pitch a “political sponsorship of a major quality improvement initiative” that would “reassure the general public that the sector is focusing on increased quality and safety of services” and provide opportunities for service improvement.

At first blush – and keeping in mind this is a draft – it seems like DHBs are using increased public awareness about mental health treatment as a scapegoat for failing initiatives. In the report they make clear there’s no panacea for the complex problems that arise in the mental health sector, but what initiatives they do have they say are being undermined by “a culture of blame and in some areas personalised attacks on staff and services when things have not gone as expected”.

The report says the result of this is “a degradation of the quality and humanity” of mental health and addiction services.

It’s a far stretch – and a cop-out.

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For context, it feels like this report is a not-so-subtle dig at cases like Nicky Stevens – the high profile suicide of a young Waikato man who went missing from the Henry Bennett centre in Hamilton after taking unescorted leave. His family have been very vocal in their grief – a way of healing is hoping to make a change – on social media and in newspapers. A few weeks ago another patient, a young woman, died in a similar way after also taking unescorted leave.

The knee-jerk reaction from the public and politicians is to ask: why are patients at risk of suicide allowed to leave the one place they should be safe? But mental health patients aren’t prisoners and being locked up isn’t necessarily going to help anyone get better.

And things have been getting more restrictive, according to a woman who was at the Henry Bennett centre last year.

“Things have changed significantly,” she told me, “processes have changed, some for the good and some for the not-so-great.

“Ward 35 now has a big fence around it. Before you could go out there and if you really did want to, you could jump the fence and go to town. They’ve locked the door from the ward out onto the courtyard. If they’ve got anybody that’s at risk the door is locked and you have to ask staff if you can go out to the courtyard.”

The narrative of a mentally ill person used to be (more) easily dismissed in the same way a man might speak of all his “crazy” ex-girlfriends. This added an extra element of difficulty to reporting on the sector. Who would believe the person that gets delusions – even if only for one week a year – over the carefully crafted words of a communications professional?

There was also the “who cares” factor. I once spoke to a journalist who spent a day at court where the parents of a young girl who committed suicide were trying to make a case for negligent care. She told me there was no story because “if she was going to kill herself, she was going to kill herself”. The damaging idea that nothing can be done to help suicidal people is pretty insulting considering how many people get past the point of suicide once they get adequate help.

Basically, media pressure means politicians and senior health people are supposedly pushing those on the ground to take a harder line to minimise risk, which then leads to Ashley Peacock-type stories about a lack of human rights. It’s a life-risking merry-go-round.

None of this is to suggest that the sector isn’t working its hardest to improve, nor that they don’t have a ferociously difficult job to do. The professionals at inpatient facilities have to make judgement calls every day on whether someone is well enough to be allowed out on unescorted leave (at-risk patients aren’t allowed to take it) but the people making such judgements are only human.

This doesn’t mean that grieving families should be blamed for DHB boards coming down hard on mental health nurses or the media chastised for reporting on such cases and getting politicians worried. Rather, the DHBs should be looking internally at what protocols they have for risk assessment. A review of mental health services would also be nice some time this century.

The report says criticism has resulted in an “increased level of pressure brought to bear on clinicians and services by politicians, DHB boards and CEOs, to be more reactionary and coercive in certain policies and practices.”

Without the jargon, they are basically saying: we don’t want to lock mental health patients up like animals but if we let someone out and they kill themselves the media beats us up about it.

Not all media have been that great in coverage of mental health. Beyond the Herald, some of the coverage by other media outlets in relation to the Ashley Peacock story amounted to naked and uninformed fear-mongering. However, the Mental Health Foundation usually call out such disasters and hold them accountable. If the DHBs think the public have lost faith in them, then my advice would be: don’t shoot the messengers – listen to them.

Canterbury DHB were approached for comment when their Chief Psychiatrist Sue Nightingale chaired a recent meeting regarding concerns outlined in the draft briefing paper. The DHB said it would be “inappropriate to comment before there’s been an opportunity for the Ministry to review it”.


Where to get help:

Lifeline – 0800 543 354 

Suicide Crisis Helpline (open 24/7) – 0508 828 865 (0508 TAUTOKO)

Depression Helpline  – 0800 111 757 – this service is staffed 24/7 by trained counsellors 

Samaritans  – 0800 726 666 

Youthline (open 24/7) – 0800 376 633. Text 234 for free between 8am and midnight, or email talk@youthline.co.nz.

0800 WHATSUP (0800 9428 787), Open between 1pm and 10pm on weekdays and from 3pm to 10pm on weekends. Online chat is available from 7pm to 10pm every day at www.whatsup.co.nz.

Healthline – 0800 611 116

For more information about support and services available to you, contact the Mental Health Foundation’s free Resource and Information Service on 09 623 4812 during office hours or email info@mentalhealth.org.nz