A delay in early intervention assessment and

  • No School
  • AA 1
  • 91

This preview shows page 15 - 18 out of 91 pages.

A delay in early intervention, assessment and treatment and associated trauma are risk factors for poor treatment outcomes. Mäori enter secondary and tertiary services at a more severe stage in their illness, so early intervention at the primary health care stage would vastly improve this trend. Public health priority areas have a direct relationship to services provided by PHOs: reducing tobacco consumption reducing Mäori suicide rates addressing physical activity and nutrition issues and reducing obesity improving immunisation rates reducing interpersonal violence. Active Mäori participation in the design, development and delivery of services can improve assessment, treatment and follow-up. Mäori models of health acknowledge all dimensions of the person, family and community, so represent an important element that needs to be included in the design and delivery of services (for example, Whare Tapa Wha and Whänau Ora) (Minister of Health and Associate Minister of Health 2002). Mäori wellness is inextricably related to social, economic, historical, cultural and spiritual factors.
Image of page 15
10 Primary Health Organisations: Service development toolkit for mental health services in primary health care The outcomes that PHOs should be looking to promote through the development of this resource are: earlier access by Mäori to mental health services, so Mäori access services at a less acute level a reduction in the access of Mäori to mental health services through justice and welfare agencies improved first contact outcomes for Mäori through the development and/or incorporation of holistic assessment tools, better Mäori community provider connections and effective follow-up service delivery processes that reflect the nature and needs of the population. Elements of a kaupapa Mäori service It is generally accepted that culture and health are closely linked. Therefore, it is important that health providers are aware of that link and understand how they might provide a service that acknowledges that relationship and aligns with improved outcomes. This may require the application of ‘cultural inputs’ (Durie et al 1995): whänau participation use of Mäori language Mäori leisure pursuits a Mäori workforce. Framework for considering high quality health care for Mäori Professor Mason Durie suggests, on the basis of the New Zealand experience, that it is possible to construct a 12-point framework within which quality care for Mäori can be assessed (Durie 2003b). Twelve-point framework The 12-point framework within which quality care for Mäori can be assessed has (Durie 2003b): Three goals: equitable access human dignity – related to the process of care best outcomes. Three principles: indigeneity clinical expertise cultural competence.
Image of page 16
Primary Health Organisations: 11 Service development toolkit for mental health services in primary health care Three pathways: Mäori-centred Mäori added pathways collaborative pathways.
Image of page 17
Image of page 18

You've reached the end of your free preview.

Want to read all 91 pages?

  • Fall '19
  • primary health care, Primary Health Organisations

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern

Stuck? We have tutors online 24/7 who can help you get unstuck.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes
A+ icon
Ask Expert Tutors