MENTAL HEALTH SUPPORT WORK ADVISORY GROUP TE PUAWAITANGA O TE ORANGA HINENGARO MÄORI MENTAL HEALTH WORKFORCE SUPPORT WORK DEVELOPMENT CONSULTATION REPORT MARCH 2003 First Printed January 2003, Wellington Reprinted and up-dated March 2003, Wellington Te Puawaitanga o Te Oranga Hinengaro Contents Contents.............................................................................................................................................i Mihi....................................................................................................................................................1 Foreword ...........................................................................................................................................2 Acknowledgements ..........................................................................................................................4 1. Executive Summary....................................................................................................................5 1.1. Overview................................................................................................................................5 1.2. Strengths and Weakness of the National Certificate in Mental Health Support Work (Level 4) .6 1.3. Proposals for Improvement.....................................................................................................6 1.4. Proposals for Future Mental Health Standards & Qualifications...............................................7 1.5. Treaty Based Relationship......................................................................................................8 1.6. Recommendations..................................................................................................................8 2. Background...............................................................................................................................11 2.1. Mäori Mental Health NGO / Iwi Providers..............................................................................11 2.2. Mäori Population...................................................................................................................11 2.3. Mäori Mental Health Workforce.............................................................................................13 3. Overview of Mäori Mental Health Workforce Initiatives ..........................................................14 3.1. Kia Tu kia Puawai.................................................................................................................14 3.1.1.1. Te Rau Puawai.........................................................................................................14 3.1.1.2. Kia Tu Kia Puawai Demonstration Sites....................................................................15 3.2. Tuutahitia te Wero: Meeting the Challenges.........................................................................15 3.2.1. Miria te Hinengaro ....................................................................................................16 3.2.2. Nga Oranga o te Rae ...............................................................................................16 3.2.3. Te Rau Matatini........................................................................................................17 3.2.3.1. Nga Kitenga o nga Rangahau Te Rau Matatini Survey Results.................................17 3.2.3.2. Type of Participating Organisation............................................................................17 3.2.3.3. Types of Services.....................................................................................................18 3.2.3.4. Workforce Roles.......................................................................................................18 3.2.3.5. Key Training Needs..................................................................................................18 3.2.3.6. Cultural Training Needs............................................................................................18 3.2.3.7. Summary of Nga Kitenga o nga Rangahau...............................................................19 3.3. Mäori Mental Health Training Providers / Programmes..........................................................19 3.3.1. National Certificate in Mental Health Support Work...................................................19 3.3.2. Mäori Mental Health Local Qualification Accreditations .............................................20 3.3.3. Non-NZQA Registered / Accredited Training Programmes........................................21 3.3.3.1. Te Korowai Aroha Aotearoa: Whaiora Kahurangi.....................................................21 3.3.3.2. Te Ngaru Learning Systems Ltd ...............................................................................21 3.4. National Training Grants.......................................................................................................22 4. Consultation Overview .............................................................................................................23 4.1. Consultation Objectives ........................................................................................................24 4.2. Consultation Process............................................................................................................24 4.3. Mäori Mental Health Providers Consulted .............................................................................25 4.3.1. Types of Providers Consulted & Services Delivered..................................................25 4.3.2. Geographical Spread of Respondent Mäori NGO / Iwi Mental Health Providers ........26 4.3.3. Individuals who Responded......................................................................................27 4.4. Respondents Expectations from the Consultation .................................................................27 5. Provider’s Proposals................................................................................................................29 5.1. Feedback for the National Certificate in MHSW.....................................................................29 5.1.1. What are the Strengths of the National Certificate in MHSW? ...................................29 5.1.2. What are the Weaknesses of the National Certificate in MHSW? ..............................30 5.1.3. What are the Recommendations for Improvements to the Nat. Cert. MHSW? ...........31 5.1.3.1. High Priority & Most Common...................................................................................31 5.1.3.2. Low Priority & Less Common....................................................................................32 5.1.3.3. Quality Issues for the Nat. Cert. in MHSW ................................................................33 5.2. What are the Future Standards & Qualifications?..................................................................34 5.2.1. Key Competencies for Mäori Mental Health Workforce .............................................34 5.2.1.1. High Priority & Most Common...................................................................................34 5.2.1.2. High Priority & Less Common...................................................................................36 5.2.1.3. Low Priority and Less Common ................................................................................36 Page i Te Puawaitanga o Te Oranga Hinengaro 5.2.2. Mäori Mental Health Workforce Issues......................................................................36 5.2.2.1. Mäori Mental Health Training Issues.........................................................................36 5.2.2.2. Standards and Qualifications Outside the Scope of MHSWAG..................................37 5.3. Treaty Based Relationship – MHSWAG Mäori Caucus..........................................................38 6. Consultation Conclusions........................................................................................................41 6.1.1.1. Value of National Certificate in Mental Health Support Work (Level 4).......................41 6.1.1.2. Improvements to the Nat.Cert.MHSW.......................................................................41 6.1.1.3. Removal unit standard 13425 ...................................................................................42 6.1.1.4. Basic Clinical Knowledge vs Models of Wellness ......................................................42 6.1.1.5. Quality Issues of the Nat. Cert. in MHSW .................................................................42 6.1.1.6. Lack of Mäori participation in the design of and mätauranga Mäori in the National Certificate in Mental Health Support Work (level 4) ...................................................42 6.1.1.7. Mäori mental health key competencies .....................................................................43 6.1.1.8. High levels In-house training activities ......................................................................43 6.1.1.9. Lack of responsiveness by the education and training sector. ...................................43 6.1.1.10. Lack of culturally and industry appropriate learning environments. .......................44 6.1.1.11. Ad hoc succession training ..................................................................................44 6.1.1.12. Lack of nationally accessible higher level qualifications ........................................44 6.1.1.13. Lack of mental health bridging