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Maori Mental Health & Addiction Wellbeing Framework

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Maori Mental Health & Addiction Wellbeing Framework Midland Mental Health & Addiction Taiahaha Taiahaha - Māori Mental Health & Addiction Wellbeing Framework Prepared by Akatu Marsters April 2020 0 FINAL Karakia Nau mai ra e Let the call of the bellbird Kaha mai te wairua e Guide you, strengthening your spirit Ko te karanga o ngā Kōpara as we reach out to uphold and Ka whai atu e encourage you, welcoming you Kei roto ngā ringā I hāpaitia ra E te whānau e Nau mai ra He tāngata e Kia mau te aroha If we pluck the root of the flax I ngā wa katoa where will the bellbird sing? Koenei te mahara an ageless reminder Ki a mau tonu e hold on to dignity of life (aro ha) Hutia te rito O te harakeke Ke hei te ko mako e kō? E kī mai He tāngata e Acknowledgements Firstly, we would like to acknowledge Hine Moeke-Murray and the late Tau Moeke for the composition of the Midland Mental Health and Addiction (MH&A) waiata which has been published in this document as the “Karakia”. The Midland regional networks are forever grateful for the support and guidance provided by Tau over the years and we hope that through this “karakia” his memory will forever be connected to our region. We are grateful to Nick Tupara for gifting us Taiahaha Taiahaha, a “Call to Action”. The use of the phrase tai...a....ha...ha is the tide of breath, the breath of IO, the breath of papa, the breath of wellbeing. This illustration reflects what whānau who participated in all the Midland wānanga view as “wellbeing”. See Appendix 1 for a full description of the illustration and meaning. This document would not have been possible without the contribution of whānau and whānau lived experience gifting their time to provide information and views to support the development of Taiahaha Taiahaha – Māori Wellbeing Framework discussion document. We thank you for your generosity. Finally, we thank our Midland MH&A Taiahaha Taiahaha steering group and supporting whānau who helped with the planning and leading out the facilitation of the wānanga. See Appendix 2 for a full list of the Midland MH&A Taiahaha Taiahaha steering group. 1 Table of Contents Acknowledgements ........................................................................................................ 1 Purpose .............................................................................................................................. 3 Format ................................................................................................................................ 4 Self-Determination ........................................................................................................... 5 MISSION – THE WHY .......................................................................................................... 6 VISION – THE WHERE......................................................................................................... 7 VALUES – THE HOW .......................................................................................................... 7 ASPIRATIONS – THE GUIDE............................................................................................... 7 Ko wai au? Identity .................................................................................................. 8 Ngā Wāriu – Values .................................................................................................. 9 Ngā Tauira – Role Models ....................................................................................... 10 Kōrero Haumaru – Safe Talk and Safe Spaces.......................................................... 11 Māori Alcohol and Other Drugs .............................................................................. 13 Māori Workforce .................................................................................................... 15 THE FRAMEWORK – The Outline ................................................................................... 17 Midland MH&A Five Core Equity Statements .......................................................... 18 Māori Wellbeing Discussion.......................................................................................... 18 Appendix 1 – Taiahaha Taiahaha .............................................................................. 20 Appendix 2 – Taiahaha Taiahaha Project Steering Group Members ................ 22 Appendix 3 – Taiahaha Taiahaha Project Scope ................................................... 23 Appendix 4 – References ............................................................................................. 29 Appendix 5 – Glossary .................................................................................................. 30 Appendix 6 – Taiahaha Taiahaha by Rohe Participant List .................................. 35 Appendix 7 – Taiahaha Taiahaha Wānanga Programme ................................... 36 Appendix 8 – Taiahaha Taiahaha Consultation Survey ........................................ 37 Disclaimer This paper relies on the information provided and views expressed by key stakeholders. Care has been taken in gathering and presenting the information herein to ensure accuracy, however no warranty is given that the information supplied is free from error or omission. 2 FINAL Purpose Kia tika te mau o te aho tāhuhu hei whāngai ko te piko o te māhuri tērā te tipu o te rākau kia uhi wero kia uhi taia mo ngā mokopuna e whai ake nei…. Haumi e hui e taiki e. 1. Ensure the fibre that weaves the pathway is strong; set flawlessly to shape and determine future directions for the health and wellbeing of our children 2. Navigating new potential to ensure equity for Māori through strategic alignment underpinned by Mātauranga Māori The purpose of Taiahaha Taiahaha is to articulate the aspirations of Māori to ensure succession, continuous transmission, development and prosperity through a Māori wellbeing framework. Taiahaha Taiahaha recognises that all generations are part of a continuum; that we inherit our world from our ancestors, and we hold it sacredly in trust for our future generations. A project scope (See Appendix 3) was developed by the project steering group and the following objectives were identified: 1. An overarching Māori Wellbeing Framework 2. Structures to access and provide resourcing – evidence for direction 3. Achieve equity for Māori in health and wellness 4. Understanding of equity for Māori by Māori 5. A solutions focused approach rather than deficit focused 6. Strategic direction to Ministry of Health for Midland that is underpinned by ngā whakaaturanga Māori This document explores how we propose to nurture and care for the taonga of our ancestors, how we enjoy and relate to those taonga in our lifetime, and how we protect and pass those taonga on to our mokopuna in a state that is physically and spiritually healthy, culturally rich, politically secure and in a condition that will provide abundantly and sustainably for their total wellbeing, for their oranga. The whakatauaki in the opening korero of this document provides the rationale. These two whakatauaki provide the dimensional guidance for both the physical and wairua that we need to sustain us throughout our life and the life – time(s) of others to follow; held at the forefront of all our being: He kākano ahau I ruia mai I Rangiātea I am the seed of chiefs sewn and formed in the heavens of Rangiātea and I will never be lost. E tipu e rea mō ngā rā o tō ao Grow and mature according to the needs of your time Ko tō ringa ki ngā rakau a te Pākeha hei ara mō Master modern skills for your physical to tinana wellbeing Ko to ngākau ki ngā taonga ō tīpuna Māori Cherish your ancestral culture for your dignity. hei tikitiki mō tō māhunga Ko tō wairua ki tō Atua nāna nei ngā mea katoa. Have faith in your architect who is the author of all things. 3 FINAL This document endeavors to: • Understand the clear aspirations of Māori mental health and addiction wellbeing • Encourage and enable whanaungatanga for Māori by Māori in guiding the future of the Midland region • Provide Midland DHB districts with an overarching wellbeing framework to assist in local approaches that develop and build sustainable services and community options • Exercise rights of self-determination through the Midland Māori Wellbeing Framework • Honour the implementation of the rights of Māori health, wellbeing and aspirations as protected by Te Tiriti o Waitangi (and acknowledged within the United Nations Declaration of the Rights of Indigenous Peoples, to which New Zealand has been a party since their endorsement of the Declaration in 2010) Taiahaha Taiahaha was guided by: • Midland MH&A Regional Planning Day Report, 2019 • He Ara Oranga: Report of the Government Inquiry into Mental Health, 2018 • Midland Māori Mini-conference – Recognising Whānau Ora and CAMHS Mental Health, 2012 • Midland Māori Summit – Hei Wero, Hei Taniwha, 2014 • Midland Family Whānau Summit – An Unskilled Workforce…Yeah Right!, 2013 • Midland Family Whānau Competency Framework, 2014 See Appendix 4 for References. Format Taiahaha Taiahaha is a little different from your standard Model of Care – so its format is also a little different. A glossary of specific Māori words and terms used has been included in Appendix 5. Midland is represented by dynamic tribal groups within the five DHB catchments with statistics, particularly for Māori being poor. To that end a Steering Group (See Appendix 2) was established to develop thinking on how to best canvass participants to ensure the voices of whānau Māori were captured. Taiahaha Taiahaha is tailored to the vision/kaupapa
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