1. Disability Support Link Maori NASC
Kaupapa: Tino Rangatiratanga
Maori Self Determination
Shirley Easton
Candida Monkley
DSL Maori NASC Assessor/Service Coordinators
Disability Support Link Maori NASC
“in IT together”
AgeWISE Seminar 2017 ’

2. Maori NASC
Disability Support Link (DSL) is a Needs Assessment and Coordination Service (NASC) providing O65 community and residential services throughout the Waikato region funded by Waikato DHB (WDHB).
DSL is committed to actively providing and promoting Maori Services and initiatives
Reduce inequity for O65 Maori in WDHB rohe
Improve DSL Maori NASC service delivery for O65 Maori in WDHB rohe
O65 Maori currently represents 8.3% of DSL within the community
DSL is the only DHB NASC in Aotearoa who have a recognised Maori NASC providing service for Maori O65 & Under 65.

3. MAORI NASC
Te Puna Oranga
DSL Maori NASC
O Assessor Coordinator
Candida Monkley
U Assessor Coordinator
Independent
Manu Kuaka
(Assessors)
Maori
Providers
Te Roopu
Tiaki Hunga Hauaa
DSL Manager
Graham Guy
Shirley Easton
Provide information to the client family/whanau about available services
Refer the client to the Service Provider
Approve plan and funding
Review changes as required but at least annually and 3yrly Needs re-Assessment or as required
liaises with the client, then identifies suitable support services/agencies, sends referrals providers and reviews if the arrangement is working for the client
AGE RANGE: MAKE SURE THIS IS EXPLAINED AND THAT UNDER DSS FUNDING THAT WHEN TURNS 65YRS THAT CLIENTS DO NOT AUTOMATICALLY GO FROM DSS TO District Health Board FUNDING

4. MAORI NASC
The journey for Maori began approximately17 years ago seeking ‘Maori for Maori’ services as an option and/or choice for Maori by DSL Management and Maori Service Coordinators whom identified gaps in service delivery from referral, assessment and coordination processes
Consultation hui occurred over 2 – 3 year period with Kaumatua and Maori Providers from the 4 Iwi within Waikato DHB rohe
Tainui
Maniapoto
Raukawa
Hauraki
Provide information to the client family/whanau about available services
Refer the client to the Service Provider
Approve plan and funding
Review changes as required but at least annually and 3yrly Needs re-Assessment or as required
liaises with the client, then identifies suitable support services/agencies, sends referrals providers and reviews if the arrangement is working for the client
AGE RANGE: MAKE SURE THIS IS EXPLAINED AND THAT UNDER DSS FUNDING THAT WHEN TURNS 65YRS THAT CLIENTS DO NOT AUTOMATICALLY GO FROM DSS TO District Health Board FUNDING

5. MAORI NASC
The outcome from these hui resulted in the development for Maori:
Te Aromatawai - Maori Needs Assessment tool. - based on Te Whare Tapa Wha – four cornerstones of Maori health - Mason Durie. Te Aromatawai is recognised as the tool to assess Maori within WDHB rohe
Manu Kuaka - Maori Needs Assessor. Maori Health Community workers employed by the Iwi/Maori Provider who were already working and known to the community
Maori Service Providers based in each rohe providing WDHB contracted Homebased Services.
Trained Kaiawhina (Support Workers) employed by Maori Providers – ‘Maori for Maori – Kanohi ki te Kanohi’ ( face to face)
DSL brochure in Te Reo informing of NASC services and processes
Maori Service Coordinators
Whakatau Roopu – representative from each Maori provider and Kaumatua and Kuia who met regularly re DSL accountability to Maori and Maori accountable to WDHB
Provide information to the client family/whanau about available services
Refer the client to the Service Provider
Approve plan and funding
Review changes as required but at least annually and 3yrly Needs re-Assessment or as required
liaises with the client, then identifies suitable support services/agencies, sends referrals providers and reviews if the arrangement is working for the client
AGE RANGE: MAKE SURE THIS IS EXPLAINED AND THAT UNDER DSS FUNDING THAT WHEN TURNS 65YRS THAT CLIENTS DO NOT AUTOMATICALLY GO FROM DSS TO District Health Board FUNDING

6. MAORI NASC
DSL Maori NASC is the result and success of ongoing services for Maori within DSL today.
However there have been changes with the O65 delivery of service Maori for Maori.
The introduction of InterRai, a Canadian clinical assessment tool which impacted significantly on how Over65 Maori would be assessed.
Te Aromatawai was no longer the leading assessment tool to assess O65 Maori.
Te Aromatawai continues to be used as an assessment tool for U65 Maori.

7. Referral – Assessment – Coordination Process
MAORI NASC
Referral – Assessment – Coordination Process
Referral received
Identifies as Maori
Triaged to Maori Service Coordinator
Whanau have the choice to be assessed by Maori/non Maori assessor
Referral sent to Manu Kuaka - Independent Maori Assessor/non Maori for assessment
Assessment completed and returned to Maori Service Coordinator for coordination of service

8. Maori Providers MAORI NASC Rauawaawa Kaumatua Charitable Trust
Te Kohao Health
Raukura Hauora O Tainui
Raukawa Charitable Trust
Maniapoto Marae Pact Trust
Te Korowai Hauora O Hauraki

9. Te Roopu Tiaki Hunga Hauaa
MAORI NASC
Te Roopu Tiaki Hunga Hauaa
This is a collective roopu of Maori Service Providers and non–Maori Service Providers who provide services for Maori. This roopu was established approximately 2007.
Kaupapa: To strengthen service providers in the Maori disability sector within Tainui, through whanaungatanga, sharing of information and working collaboratively together, to achieve the best for whanau.

10. Ko Awatea Co-Design Project
MAORI NASC
Ko Awatea Co-Design Project
Kaupapa:
Tino Rangatiratanga Maori Self Determination
Over65 (O65) Maori in control of their own decision making
The Co-Design Project focused on O65 Maori Kaumatua and Kuia who would decide the environment where they would like to be assessed.
The Project began with Rauawaawa Kaumatua Charitable Trust over many hui who agreed to walk alongside and support this Kaupapa. Rauawaawa Kaumatua Charitable Trust agreed to be in partnership with DSL Maori NASC providing the support of Kaumatua who guided us along the way in Karakia and Tikanga.
DSL Maori NASC worked collaboratively with Maori Service Providers/Te Roopu Tiaki Hunga Hauaa from a Maori world view and inclusive of the Treaty of Waitangi values – Partnership, Participation and Protection of Kaumatua and Kuia.
The Co-Design included Kaumatua and Kuia who were vital for the success of this project
Kaumatua Survey Collated result: Survey responses : Own Whare: Maori Health Clinic: 33 – RHOT 20 TeKH 11 – provide services located on the Marae & GP based Marae: Other: 7 community, park, beach, rest home, whanau room, son/daughters whare, hospital

11. Maori NASC What difference did we make?
“Tino Rangatiratanga” The voice of Kaumatua and Kuia being heard - telling us what they wanted and not what we ‘think’ for them.
The Co-Design process clearly identified Kaumatua and Kuia venue choices for an assessment and identified the reasons why this was best for Maori
The Co-Design process also identified support for the Kaupapa from Maori Providers & Manu Kuaka (Independent Maori Assessors)
 “By delivering our service on the clients terms in an environment that meets their cultural needs we are able to reduce some of the barriers to accessing supports and thereby reduce health inequities” Graham Guy -DSL Manager

12. The Journey of DSL Maori NASC continues
Maori Provider supported to access appropriate funding for whanau to attend a Kaupapa Maori Day Programme by DSL processes - began October 2016 – March This is maintained on a regular basis
Funding secured from the Day Programme gave an opportunity for Maori Provider to create a new position for employment to work solely with DSL Kaumatua base
Supporting DSL colleagues working with Maori in the hospital/community by attending whanau hui to ensure cultural safety for whanau and colleague
Regular hui with Maori Providers to korero of issues pertaining to the rohe they are servicing and DSL updates
Regular monthly hui with Maori/non Maori providers
Building relationships with Pacific Island Providers based in Hamilton/Tokoroa
Working collaboratively with DSL Manager and O65 Team Leader

13. MAORI NASC The Treaty of Waitangi principles are valued for Maori O65:
Participation Protection Partnership
Tino Rangatiratanga: Kaumatua and Kuia have a voice to choose how they wished to be serviced.
Focused on removing barriers and improving access and services for Kaumatua and Maori Providers
Provide information to the client family/whanau about available services
Refer the client to the Service Provider
Approve plan and funding
Review changes as required but at least annually and 3yrly Needs re-Assessment or as required
liaises with the client, then identifies suitable support services/agencies, sends referrals providers and reviews if the arrangement is working for the client
AGE RANGE: MAKE SURE THIS IS EXPLAINED AND THAT UNDER DSS FUNDING THAT WHEN TURNS 65YRS THAT CLIENTS DO NOT AUTOMATICALLY GO FROM DSS TO District Health Board FUNDING

14. Whakatauki Maori NASC He aha te mea nui o Te Ao
He Tangata, He Tangata, He Tangata
What is the most important thing in the world
Tis people, Tis people, Tis people

15. Maori NASC