A Māori-informed approach to health social work

Boulton, Amohia; Cvitanovic, Lynley; Cropp, Tracey

doi:10.4324/9781003117285-19

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Whānau Ora framework sets out seven core principles supporting an active role for Māori in determining how social and health services are delivered to better meet the needs of whānau. The principles, consistent with the Treaty of Waitangi, reflect key responsibilities for both Māori and the Crown in achieving whānau well‐being, or whānau ora 37 . They are: Ngā kaupapa tuku iho (Māori values, beliefs, obligations and responsibilities guide whānau in their day‐to‐day lives); whānau opportunity (to be part of their communities and socially connected); best whānau outcomes (whānau empowered to live healthy lives and achieve optimum well‐being); whānau integrity (recognition and acceptance of whānau accountability, dignity and ability to facilitate their own transformation); coherent service delivery (integrated service provision in the best interests of whānau); effective resourcing (scoped to the work to be carried out with whānau and clearly linked to achieving outcomes); and, competent and innovative provision (recognising the need for skilled and creative practitioners committed to whānau empowerment and to supporting whānau transformation) 33 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Chronic conditions in the community: Preventative principles and emerging practices among Māori health services providers

Gifford

Cvitanovic

Boulton

et al. 2020

Health Prom J of Aust

Self Cite

View full text Add to dashboard Cite

Issue The pressing chronic conditions prevention needs of Māori (the Indigenous peoples of Aotearoa New Zealand) are yet to be adequately addressed using mainstream approaches. This study investigated how Māori health service providers (MHSP) are positioning themselves to better meet the chronic conditions prevention needs of Māori. Methods Kaupapa Māori methodology underpinned a three‐phase research project that investigated three Māori health service provider‐based chronic conditions prevention cases, in different regions of Aotearoa New Zealand, using an instrumental case study design. Two small group interviews with seven participants and 44 individual key informant interviews were conducted. All participants were associated with one of the three MHSP. Document reviews and observations were also carried out. Following the identification of a prevention case study, within each provider, in‐depth investigation of prevention practices was undertaken. Results Achieving well‐being through health service delivery is challenging for the three providers which are largely reliant on state funding to support their work through defined contract outputs. The drivers of service delivery norms impacting providers include the dominant medical conditions focused discourse and addressing the high levels of acute need characteristic of provider communities. There are examples of shifts in organisational structure and delivery configurations that demonstrate challenging and reframing these norms. We identified emerging approaches to prevention that move beyond being “the ambulance at the bottom of the cliff” to “building a fence at the top.” Conclusion Consolidation of provider prevention approaches, increased resources and a broader health services systems level response that prioritises prevention are required. So what? MHSP are reframing services to better meet the well‐being needs of the communities they serve.

show abstract

Section: Resultsmentioning

confidence: 99%

“…The principles, consistent with the Treaty of Waitangi, reflect key responsibilities for both Māori and the Crown in achieving whānau well-being, or whānau ora. 37 They are:…”

Section: Ta B L E 1 Key Informants (Ki) By Māori Health Service Provi...mentioning

confidence: 99%