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Ko te amorangi o ki mua Ko te hapai ki muri From chaos and confusion to navigating one’s pathway to hope and learning - PowerPoint PPT Presentation


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Ko te amorangi o ki mua Ko te hapai ki muri From chaos and confusion to navigating one’s pathway to hope and learning. Culture. Beliefs & values Competence Time, space, meaning & assessment. Values & Beliefs. Western Maaori -separation -integration -individuality -collective

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Koteamorangi o kimua

Kotehapaikimuri

From chaos and confusion to navigating one’s pathway to hope and learning

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Culture

  • Beliefs & values

  • Competence

  • Time, space, meaning & assessment

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Values & Beliefs

WesternMaaori

-separation -integration

-individuality -collective

-nuclear -extended

-privacy -company

-disease/disorder -imbalance/breach/kehua

-negative connotations -positive

-medication -wairua/holistic health

-viewed as disabled -gifted/spiritually in tune

-words do not hurt -kanga can

-respect jobs held -whakapapa, tohunga

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Psychosis - Clinical

and Cultural

Western Maaori

-start with diagnosis -understanding

-personal dysfunction -system

-psychic meaning not -symptoms informative

essential for recovery

-medications -external interventions

-social supports -individual problems –

wider dynamics

-evidence based -ecological based

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Service delivery

and practice

  • Policies and procedures

  • By Maaori for Maaori Services

  • KaupapaMaaori Services

  • TahaMaaori Services

  • Mainstream Services with Maaori staff

  • Bicultural, clinical and best practice

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Ko Manawanui te wharenui

Ko Whatua Kaimarie te whenua

Ko Ngati Whatua te manawhenua

Nga tohu o tou aroha

E oranga mo apopo

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Service Strengths

  • History 1970s-current

  • OrangaHarakeke

  • Takarangi Framework

  • Service specific

  • cultural assessments

  • KatahiOra

  • Liaison

  • PA- wellness form

  • Maaori therapeutic

  • programmes

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Maaori Therapeutic

Programmes

  • Kapahaka

  • Mau taiaha

  • Hauoratinana

  • Incredible Years

  • Ahuwhenua

  • Wahine Toa Ataahua

  • Maori oke

  • Open Employment

  • Art Therapy

  • Hearing voices

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Maaori Models of Health

  • Te Powhiripoutama

  • Te wharetapawha

  • Te wheke

  • Dynamics of whaanautanga

  • Te Pounamu

  • Te PaeMaahutonga

  • Rangimatix

  • Service specific models

  • Lots more

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Te whare tapa

wha

Te Whare tapa wha

  • Understanding health & wellbeing

  • Address health problems

  • Framework for measuring health outcomes

  • Evaluate Maaori wellbeing

  • Four dimensions of health

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Taha wairua

  • Connection to the natural environment

  • Empathy & understanding

  • Code for living – tikanga

  • Cultural identity

  • Capacity for spiritual engagement

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Taha Hinengaro

  • Emotions

  • Intellect

  • Behaviour

  • Communication

  • World views

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Taha Tinana

  • Mobility

  • Distress

  • Fitness

  • Level of risk

  • Development

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Taha Whaanau

  • Relationships

  • Social engagement

  • Support to others

  • Dependency

  • Participation with whaanau

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Hua Oranga

  • Wairuatikanga, respect, identity te reo, relationship

  • te reo, environment envir management

  • Hinengaro education, occupation social outcomes,

  • mental wellbeing risk taking

  • Tinana mobility, fitness, sport Height, weight, BP

  • pain, blood

  • Whaanau intergenerational relationships

  • capacity to care social cohesion

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Hine’s thoughts

Worst things

“Confusion”

“Didn’t know why I was there”

“Getting offers to work with Maaori MH staff when I did

not understand what was going on for me”

“Given and injection and it was not explained why”

“It hurt, I was mystified”

“I would prefer a few mad or manic days, weeks or months

than the 20kg I put on in one year”

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Hine’s thoughts

Best things

“Making friendships at Manawanui”

“Meeting people on similar level”

“When I was going to Kapahaka and Mau tiaha it meant I

could mix and mingle”

“Having keyworkers that help with day to day

stuff not the psychological”

“Access to some free interventions”

(medication, dietician, AOD, groups)

“I have a choice whether I use them or not”

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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Ruia te kakaano o te tumanako ki roto i te maara o te hinengaro

“Aspire, perspire, inspire, expire”

T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"


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