Foundations of equitable speech-language therapy for all: The Treaty of Waitangi and Māori health

Brewer, Karen; Andrews, Waimirirangi

doi:10.1080/2050571x.2015.1122876

Cited by 13 publications

(9 citation statements)

References 17 publications

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“…It is pivotal to acknowledge that heightened consciousness and reflection form part of this process. As each SLT is an intentional being (Heidegger, 2008), this process cannot be a tacit one, but should be conscious and active as it has implications for the extent to which the SLP profession can continue to engage in transformation that will result in just and equitable service provision for all the people of the country irrespective of colour, race, creed, culture, religion or gender (Brewer & Andrews, 2016; Espinoza-Herold & González-Carried, 2017). A collaborative effort by private, public and tertiary institutions is crucial for the success of this transformation.…”

Section: Resultsmentioning

confidence: 99%

“…The problem of culture-fair assessment is not unique to South Africa (Laher & Cockcroft, 2017; McLeod, 2014), but a global problem that has been identified in regions such as Australia (Ball & Peltier, 2011), Eastern Europe (Moro, 2008), USA (Hamilton, 2014), New Zealand (Brewer & Andrews, 2016) and Canada (Thordardottir, 2011). However, the suggestion proposed in the study is especially relevant to the South African context as it is based on African language and cultural experience (Makiwane, Nduna, & Khalema, 2016).…”

Section: Introduction and Literature Reviewmentioning

confidence: 99%

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The cat on a hot tin roof? Critical considerations in multilingual language assessments

Mdlalo¹,

Flack

Joubert

2019

South African Journal of Communication Disorders

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Background In speech-language pathology (SLP), there is a paucity of resources to provide just and equitable services to South Africa’s culturally and linguistically diverse population. Although South Africa is a multilingual country, English remains the dominant language. However, there is limited research on resources for English additional language (EAL) speakers. Objectives This article addresses this gap by presenting the results of a critique of a commonly used language screening tool, the Renfrew Action Picture Test (RAPT), on EAL speakers. Method This tool is used as an example to broadly critique the use of culturally biased assessment instruments with EAL speakers from an indigenous linguistic and cultural background. It is administered to children who are EAL speakers and then critiqued by the children too. Their voice, often ignored in research, is central to the research. A mixed methods approach is used, including focus groups and test administration. This article is based on the results of the thematic analysis used to closely examine the patterns that emerge. Results A key finding is that the cultural and linguistic background of the child assessed cannot be disregarded, as it plays a crucial role in understanding the response of the child. The interpretation of the response of the child to the presented material of the language assessment tool significantly influences the result of the assessment. Conclusion The speech language therapist has a responsibility to avoid skewed results based on uninformed interpretation of the response of the child. These findings provide useful insights for clinicians regarding culture-fair assessment.

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Section: Resultsmentioning

confidence: 99%

Section: Introduction and Literature Reviewmentioning

confidence: 99%

The cat on a hot tin roof? Critical considerations in multilingual language assessments

Mdlalo¹,

Flack

Joubert

2019

South African Journal of Communication Disorders

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“…This is not only an example of the inequities between the populations, but also suggests a greater need for an appropriate speechlanguage therapy service for Mäori. However, it is estimated that only around 4% of New Zealand speech-language therapists are Mäori, not all of whom are proficient speakers of te reo (Brewer & Andrews, 2016). Most therapeutic interactions with Mäori will therefore be cross-cultural and dependent on the culturally safe practices of the dominant professional culture.…”

mentioning

confidence: 99%

The experiences of whānau and kaiako with Speech-Language Therapy in Kaupapa Māori education

Faithfull¹,

Brewer²,

Hand³

2020

MAI Journal

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In New Zealand, speech-language therapists work through both the health and the education systems. In common with many Indigenous peoples, Māori have faced inequities in both health and education for decades. Kaupapa Māori education systems have been developed to support educational success and the survival of kaupapa Māori knowledge and te reo Māori. However, disparities between Māori and non-Māori still exist in the delivery of speech-language therapy services. The study reported in this article explored Māori experiences of speech-language therapy in kaupapa Māori education using Kaupapa Māori methodology, an Indigenous research approach that privileges Māori culture and knowledge. Six whānau members and educators all connected to one kōhanga reo participated in a focus group, where they reported a mix of positive and negative experiences. Thematic analysis was used to identify four significant themes. The whānau emphasised the need for te ao Māori to permeate all aspects of the therapy process, including a focus on te reo Māori, suitable settings for therapy, use of relevant resources, and appropriate methods of communication.

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“…Te tiriti was an agreement between the crown and tangata whenua, to ensure both had equal rights and access to resources, such as land. What was later found is that the two versions, one written in te reo and the other in English had two very different meanings which meant that the crown had more power and control (Brewer & Andrews, 2016). As more British settlers arrived in Aotearoa, Māori identity was changed, with the introduction of the English language and different ways of life.…”

Section: Te Tiriti O Waitangimentioning

confidence: 99%

“…Statistics help to capture positive or negative trends over time. There are negative statistics that show Māori have: higher rates of hospitalisation and lower life expectancy than non-Māori (Brewer & Andrews, 2016); higher rates of drug and alcohol abuse (Zambas & Wright, 2016) and psychological distress (Maclennan, Wyeth, Wilson, & Derrett, 2014). Māori people are more likely to come from low socio-economic backgrounds leading to inequity in employment, total household income, education, and access to healthcare (Zambas & Wright, 2016).…”

Section: Te Tiriti O Waitangimentioning

confidence: 99%

Treating with Te Tiriti in Mind

Whautere¹

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Background: Statistics have shown inequity in health outcomes for Māori. Māori are overrepresented with higher rates of hospitalisation and lower life expectancy than non-Māori (Brewer & Andrews, 2016), have higher rates of drug and alcohol abuse (Zambas & Wright, 2016) and psychological distress (Maclennan, Wyeth, Wilson, & Derrett 2014). Māori people are more likely to come from low socio-economic backgrounds leading to inequity in employment, total household income, education, and access to healthcare (Zambas & Wright, 2016). As a profession kaiwhakaora ngangahau occupational therapists are well placed to be catalysts for change, to better the health outcomes for Māori. Aim: This study aimed to investigate and understand how kaiwhakaora ngangahau occupational therapists are working with Māori post-injury within Aotearoa and share this understanding with others to encourage discussion within the profession to inform practice with Māori. Methods: A qualitative interpretive description approach (Thorne, 2016) was used, and ethical approval was gained from the Otago Polytechnic ethics committee. Through purposive sampling, a sample was selected from the population of kaiwhakaora ngangahau occupational therapists within a private health and rehabilitation company. Semi-structured interviews were completed with five therapists. Questions explored the thought processes of the participants when working with Māori and how the culture of the client informed the occupational therapy process. The interviews were then analysed using thematic analysis. Findings: Three main themes were identified with associated subthemes. These were rapport building, therapist experience and reducing barriers. There was evidence of Māori principles being utilised, these were Manaakitanga, Kaitiakitanga, Wairuatanga, Whanaungatanga, Kotahitanga and Rangatiratanga. Conclusion: This study identified that kaiwhakaora ngangahau occupational therapists are actively adapting their practice when working with Māori. Implications for the funder included needing to reconsider the service and funding model to allow a more culturally responsive practice for providers. Implications for the therapists included ideas for actions to implement in practice such as involving family/whānau.

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Foundations of equitable speech-language therapy for all: The Treaty of Waitangi and Māori health

Cited by 13 publications

References 17 publications

The cat on a hot tin roof? Critical considerations in multilingual language assessments

The cat on a hot tin roof? Critical considerations in multilingual language assessments

The experiences of whānau and kaiako with Speech-Language Therapy in Kaupapa Māori education

Treating with Te Tiriti in Mind

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