Māori preferences and practices in systemic health and social service collaborative practice

Andre McLachlan (Ngāti Apa, Muaūpoko), Suzanne Pitama (Ngāti Kahungunu), Simon J Adamson
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Abstract

In the field of mental health and addictions, there is a lack of research that acknowledges or considers Indigenous needs, preferences, and approaches to the design, development and maintenance of collaborative health and social initiatives in rural communities. This study presents a Kaupapa Māori (Indigenous Māori research approach) qualitative case study in a small rural community. The study focused on three groups involved within service collaboration. These included 10 individuals who were identified as Indigenous community leaders; 10 individuals experiencing substance use and related problems; 12 family members; and two focus groups involving 21 health and social service practitioners working within this community. The study findings present a dynamic whānau (families) and rural community-centred model of collaboration. This model reflects a continuum of collaboration that incorporates service users, their whānau, and culture as core components. The key barriers and enablers to collaboration across the continuum are discussed.
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毛利人在系统卫生和社会服务合作实践中的偏好和做法
在心理健康和成瘾领域,缺乏承认或考虑到土著居民的需求、偏好以及在农村社区设计、发展和维持协作卫生和社会倡议的方法的研究。本研究提出了一个小型农村社区的Kaupapa Māori(土著Māori研究方法)定性案例研究。该研究主要关注服务协作中涉及的三个群体。其中包括10名被确定为土著社区领袖的个人;有药物使用和相关问题的10人;12名家庭成员;还有两个焦点小组,涉及21名在这个社区工作的卫生和社会服务从业人员。研究结果提出了一种动态的whānau(家庭)和以农村社区为中心的合作模式。该模型反映了将服务用户、他们的whānau和文化作为核心组件的协作连续体。讨论了跨连续体协作的主要障碍和促成因素。
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来源期刊
CiteScore
2.40
自引率
10.50%
发文量
72
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