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

McClintock, Kahu; Sokratov, Ana; Mellsop, Graham; Kingi, Te Kani

doi:10.18584/iipj.2013.4.3.7

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…Additionally, the Safewards model provides a range of approaches designed to reduce conflict and restrictive practices and has effectively reduced seclusion in Australian mental health services (Fletcher et al., 2017). Culturally developed tools should be utilised when appropriate, such as Hua Oranga (McClintock et al., 2013) or the Meihana Model (Pitama et al., 2007). Moreover, effective communication is essential during de‐escalation as staff often perceive the severity of aggression differently to the person (Vermeulen et al., 2019).…”

Section: Discussionmentioning

confidence: 99%

Seclusion within the first 24 h following admission into inpatient mental health services and associations with referral pathways, recent service contact and HoNOS ratings

Lai,

Jury,

Tuason

et al. 2023

Psychiatric Ment Health Nurs

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Accessible SummaryWhat is known on the subject? Seclusion is a harmful and traumatising intervention for people accessing mental health services. People who are subject to seclusion in inpatient mental health services often first experience this within the first 24 h following admission. There is limited research examining how recent contact with services impacts the likelihood of seclusion when people are admitted to inpatient services. What the paper adds to existing knowledge? Males, Māori and Pasifika experience higher rates of seclusion within the first 24 h following inpatient admission. People perceived by clinicians as overactive, aggressive, disruptive or agitated are seven times more likely to be secluded within the first 24 h. People referred from police or justice services are three times more likely to be secluded within the first 24 h. People who had frequent contact with community mental health services prior to inpatient admission were less likely to be secluded. What are the implications for practice? The first 24 h of inpatient admission is a critical focus for eliminating the use of seclusion. Initial interactions with people recently admitted should focus on nurturing relationships and reducing distress. Mental health staff should consider the person's cultural needs, referral pathway, recent service contact and baseline ratings on the Health of the Nation Outcomes Scales (HoNOS) when working proactively to prevent the use of seclusion in the first 24 h following admission. Strengthening the focus on nurturing relationships, cultural understanding and non‐coercive de‐escalation approaches requires leadership support and strategic workforce development. AbstractIntroductionPeople who experience seclusion in inpatient mental health services often do so within the first 24 h following admission. There is limited research examining the potential contributing factors, particularly recent contact with services.Aim/QuestionTo identify factors associated with seclusion within the first 24 h following admission into acute inpatient mental health services.MethodA retrospective analysis was undertaken using routinely collected data from Aotearoa New Zealand mental health services.ResultsA higher likelihood of seclusion within the first 24 h following admission was associated with: males, Māori, Pasifika, referrals from police/justice services, inpatient transfers, recent contact with crisis assessment teams and clinician perceptions of aggression, problematic substance use, cognitive problems and hallucinations or delusions. Recent contact with community mental health services was associated with a lower likelihood.DiscussionPeople's cultural needs, referral pathway, recent service contact and HoNOS scores should be considered when working to prevent the use of seclusion in the first 24 h following admission.Implications for PracticeThe first 24 h following inpatient admission is a critical period for preventing the use of seclusion. Nurturing relationships, cultural understanding and use of non‐coercive de‐escalation approaches can support better outcomes for people recently admitted.

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Section: Discussionmentioning

confidence: 99%

Seclusion within the first 24 h following admission into inpatient mental health services and associations with referral pathways, recent service contact and HoNOS ratings

Lai,

Jury,

Tuason

et al. 2023

Psychiatric Ment Health Nurs

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“…This research provides the opportunity to develop a framework for marae-led community wellbeing that takes into account Māori models (McClintock et al 2013) of best practice, and will develop marae-based community wellbeing indicators. From a holistic approach to understanding long-term sustainability, kaitiakitanga (Lloyd 2018) is the traditional practice of guardianship of the natural world, whereas manaakitanga is usually more specific to showing generosity and care for people (Pohatu 2013).…”

Section: Discussionmentioning

confidence: 99%

Marae Ora Kāinga Ora: Indigenous Health and Wellbeing Solutions via Time-Honored Indigenous Spaces

et al. 2021

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Marae Ora, Kainga Ora (MOKO) is a three-year research study established as a marae-led intervention project to strengthen the provision of housing with five urban marae in South Auckland, Aotearoa New Zealand. In brief, marae are primarily places for cultural gatherings and are the centres of activity for Māori communities. Though just one of the marae involved is part of a pre-European tribal settlement, the four other marae were established to meet the cultural needs of Māori who had relocated many decades ago from their tribal areas outside of the Auckland region. The project works with Marae Research Coordinators (MRC) nominated by each marae to build research and development capacity and capability through the sharing of skills, information, and resources. Each MRC is affiliated with their respective marae, either through whakapapa (genealogical links) or through their contributions of service and leadership. The role of the MRC is critical in capturing the lived realities, experiences, and aspirations of their marae community. This was evident in the first year of the project (2020) when three of the five marae actively responded to the needs of their communities during COVID-19 lockdowns in Auckland. While the project has a housing focus, the marae involved demonstrate, in their own distinctive ways, how health and wellbeing is intrinsic to their core function.

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“…This model captures the physical, mental, social and spiritual aspects of a person ' s life in a holistic manner. The Hua Oranga measure has been developed and piloted in a number of M ā ori mental health services nationwide (McClintock et al, 2013).…”

Section: Symptomatologymentioning

confidence: 99%

Outcome measurement in New Zealand

Smith¹,

Baxendine²

2015

International Review of Psychiatry

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This paper provides a detailed description and critique of the development of routine outcome measurement (ROM) within New Zealand's mental health and addiction services. The paper will include a brief description of the New Zealand setting and the events that led to routine outcome measures, demographic and diagnostic characteristics of the population in New Zealand, characteristics of the New Zealand mental health and addictions services, a description of the outcome measures and rationale for their selection, the information collection protocol for the outcome measures, outcome data completion rates and aggregated outcome reporting uses, barriers and facilitators to the adoption of routine outcome measures in New Zealand, and current status and next steps.

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

Abstract: The key areas of development in this study were the criteria for the use of the Hua

Cited by 6 publications

References 7 publications

Seclusion within the first 24 h following admission into inpatient mental health services and associations with referral pathways, recent service contact and HoNOS ratings

Seclusion within the first 24 h following admission into inpatient mental health services and associations with referral pathways, recent service contact and HoNOS ratings

Marae Ora Kāinga Ora: Indigenous Health and Wellbeing Solutions via Time-Honored Indigenous Spaces

Outcome measurement in New Zealand

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