Development of a culturally attuned psychiatric outcome measure for an indigenous population

Hua Oranga: Service Utility Pilot of a Mental Health Outcome Measurement for an Indigenous Population

“…For the ultimately chosen option, the correlations were generally and a greater number of coefficients achieved statistical significance. The qualitative findings also favoured this option for ease of application and understanding (McClintock, Mellsop, & Kingi, 2011).…”

“…The reliability and validity phase of the Hua Oranga tool was completed in 2010 (McClintock, Mellsop & Kingi, 2011) (see Appendix for Hua Oranga schedules). In that phase, two versions of the Hua Oranga were piloted and tested for inter-rater reliability between pairs of the three stakeholders on each of the four dimensions of mental health.…”

Utilizing Psychiatric Diagnosis and Formulation in the Clinical Process: Meeting the Needs and Expectations of Service Users

“…Much debate about culture has centred on diagnostic issues, for example culture bound syndromes and the pathoplastic effect of culture on disorders (eg Strakowski et al 1993;WHO, 2000;Udomratn, 2009;Mellsop & Smith, 2007). Other literature emphasizes the importance of cultural consistency or safety across the spectrum of psychiatric or psychological clinical activities (McClintock et al, 2011a(McClintock et al, & 2011b.…”

Which family – What therapy: Maori culture, families and family therapy in New Zealand

“…Disconnectedness from wh ä nau or impaired relationships within it indicate incomplete health -a view that confi rms that the nature and quality of a person ' s social network is an important determinant of health in a Maori context. A recent study has developed and examined the applicability of outcome measures for mental health using the construct of hua oranga which is derived from the framework just described (McClintock et al, 2011a). This study compared different versions of a standardized assessment developed from the te whare tapa wha model of health.…”

“…This model has been termed ' whare tapa wha ' (a four-sided house) in which health status is described in terms of the balance between physical, mental/emotional, spiritual and family well-being. A standardized assessment questionnaire and outcome measure has been developed in New Zealand based upon this particular paradigm (McClintock et al, 2011a). This research tool employs the concepts of taha wairua, the spiritual wall having the capacity for faith and wider communion with unseen and unspoken energies; taha hinengaro, the mental wall enabling people to communicate, think and feel; taha tinana, the physical wall enabling physical growth and development; and taha whanau, the extended family wall that gives the capacity to belong, care and to share with one ' s family (Durie, 1999a(Durie, , 1999b.…”