The principles of partnership participation and

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The principles of partnership, participation and protection underpin this relationship. Partnership: working together with iwi, hapü and Mäori communities to develop strategies for Mäori health gain and appropriate health and disability services. Participation: involving Mäori at all levels in decision-making, planning, development and delivery of health and disability services. Protection: working to ensure Mäori have at least the same level of health as non- Mäori, and safeguarding Mäori cultural concepts, values and practices.
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60 Primary Health Organisations: Service development toolkit for mental health services in primary health care Appendix 3: Mäori Health Perspective Mäori view of health Traditionally, Mäori have taken a holistic approach to health. These elements have been expounded in the Whare Tapa Wha concept, which describes four dimensions of health as contributing to health and wellbeing: te taha tinana (physical aspects) te taha hinengaro (mental and emotional aspects) te taha wairua (spiritual aspects) te taha whänau (family and community aspects). Te whare tapawha expresses the Mäori world view in an action-oriented manner and is seen as one of a number of Mäori models of working. This is indicative of the need for health professionals to have a range of skills and models with which to work with patients effectively. Mäori health experts also see health as the result of a complex set of relationships that include social, economic, political, cultural, historical and spiritual factors. Mental health is inextricably linked to those other factors or aspects, so that interventions, particularly in the primary health care setting, must reflect that. The whänau (kuia, koroua, pakeke and tamariki) is identified as the foundation of Mäori society. Whänau is a principle source of strength, support, security and identity, and plays a central role in the wellbeing of Mäori individually and collectively. A healthy family realises its potential to participate in and contribute positively to Te Ao Mäori (the Mäori world) and to wider New Zealand society. For whänau, this means that they are able to actively participate in developing services for Mäori and work with providers to improve the services they access, both mainstream and Mäori-specific. It is essential that health professionals in PHOs understand the paradigm of wellbeing held by Mäori, and that there are Mäori models of practice and approaches to address illness and maintain wellness for whänau living in the community. These models begin with general models, as identified with Te Whare Tapa Wha, and develop into community-specific approaches to implementation. It must be emphasised that Te Whare Tapa Wha is just one of several models that could be used by health providers, so that the challenge is to develop a range of appropriate health interventions. PHOs will need to develop appropriate resources as well as establish key relationships with Mäori providers in the NGO sector and Mäori mental health services in the DHBs (Coghlan et al 2001).
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  • Fall '19
  • primary health care, Primary Health Organisations

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