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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

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

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  1. 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"

  2. Culture • Beliefs & values • Competence • Time, space, meaning & assessment T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"

  3. 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"

  4. 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"

  5. 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"

  6. 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"

  7. 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"

  8. 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"

  9. 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"

  10. 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"

  11. 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"

  12. Taha Hinengaro • Emotions • Intellect • Behaviour • Communication • World views T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"

  13. Taha Tinana • Mobility • Distress • Fitness • Level of risk • Development T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"

  14. Taha Whaanau • Relationships • Social engagement • Support to others • Dependency • Participation with whaanau T.Herewini 21.06.09 - Pscyhosis Conference - "Ko tenei te wa"

  15. 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"

  16. 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"

  17. 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"

  18. 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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