Working with Māori Cheryl Collier Specialty Nurse Early Dementia Mental Health Services for Older People Bay of Plenty District Health Board Tauranga NZ

Hikurangi is the mountain Waiapu is the river Ngati Porou is the tribe Making connections: peha. Finding out where in the world that the audience is from. Uruahi is the sub tribe Tinatoka is the chief

Making connections Who are Māori? Te Whare Tapa Whā: a Māori health model Working with kaumatua

Māori traditional beliefs Organised iwi (tribal group), hapū (sub tribal), whānau (family). Health includes; spiritual, mental, family and physical unity, harmony and wellbeing. Health foundations based in old world lores of tapu; protecting/ nurturing resources and tribal wellbeing. Past and future wellbeing is cared for by tikanga (customary practices), kawa (rituals) and karakia (prayers). (Department of Health, 1984)

Māori census data Population 215 000 (2013 census) 25% of Māori live here 18 iwi (tribal groups) 17.5% over 65 years (BOPDHB, 2016)

Māori realities the story of colonisation traditional and contemporary systems rural and urban shifts health and illness challenges

Te Whare Tapa Whā Taha wairua (spiritual) Taha tinana (physical) Taha hinengaro (mental/emotional) Taha whānau (family) (Mason Durie, 1985)

Working with kaumatua (elders) Considerations respect for cultural values and process respect for roles and responsibilities supporting whānau wellbeing

Summary Māori ways of being. Importance of using Māori health models. Working with kaumatua is respectful and dignifying.

Questions? He aha te mea nui o te ao? It is whānau! He tangata! What is the greatest thing in the world? It is whānau! It is hapū! It is iwi!

References Baxter, J; Kingi, TK; Tapsell, R; Durie, M & McGee, M. (2006). Prevalence of mental disorders among Māori in Te Rau Hinengaro: The New Zealand Mental Health Survey. Australian and New Zealand Journal of Psychiatry, 40 (10) 914-923. BOPDHB (2016). Bay of Plenty District Health Board Māori Health Plan 2016-2017. Tauranga: Author. Department of Health (1984). Hui Whakaoranga: Maori health planning workshop [Hoani Waititi Marae]. Available http://www.moh.govt.nz Durie, M.H. (1985). A Māori perspective of health. Social Science Medicine, 20(5) 483–486. Dyall, L; Kēpa, Teh, R et al. (2014). Cultural and social factors and quality of life of Māori in advanced age. Te puawaitanga o ngā tapuwae kia ora tonu- Life and living in advanced age: a cohort sudy in New Zealand (LiLACS NZ). Journal of the NZ Medical Association 127(1393) 62-79. Ministry of Health. (2013). NZ Framework for Dementia Care. Wellington: Author. bpacNZ (2011). Whānau Ora: The theory and the practice. Best Practice Journal, 37, 10-17. Available http://www.bpac.org.nz Black and white photographs from google images