Ko te amorangi o ki mua Ko te hapai ki muri From chaos and confusion to navigating one’s pathway to hope and learning T.Herewini Pscyhosis Conference - "Ko tenei te wa"

Culture T.Herewini Pscyhosis Conference - "Ko tenei te wa" Beliefs & values Competence Time, space, meaning & assessment

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Values & Beliefs WesternMaaori -separation-integration -individuality-collective -nuclear -extended -privacy -company -disease/disorder-imbalance/breach/kehua -negative connotations-positive -medication-wairua/holistic health -viewed as disabled-gifted/spiritually in tune -words do not hurt-kanga can -respect jobs held-whakapapa, tohunga

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Psychosis - Clinical and Cultural Western Maaori -start with diagnosis -understanding -personal dysfunction -system -psychic meaning not -symptoms informative essential for recovery -medications -external interventions -social supports -individual problems – wider dynamics -evidence based -ecological based

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Service delivery and practice Policies and procedures By Maaori for Maaori Services Kaupapa Maaori Services Taha Maaori Services Mainstream Services with Maaori staff Bicultural, clinical and best practice

Ko Manawanui te wharenui Ko Whatua Kaimarie te whenua Ko Ngati Whatua te manawhenua Nga tohu o tou aroha E oranga mo apopo T.Herewini Pscyhosis Conference - "Ko tenei te wa"

Service Strengths History 1970s-current Oranga Harakeke Takarangi Framework Service specific cultural assessments Katahi Ora Liaison PA- wellness form Maaori therapeutic programmes

Kapa haka Kapa haka Mau taiaha Mau taiaha Hauora tinana Hauora tinana Incredible Years Incredible Years Ahu whenua Ahu whenua Wahine Toa AtaahuaWahine Toa Ataahua Maori okeMaori oke Open EmploymentOpen Employment Art TherapyArt Therapy Hearing voicesHearing voices Maaori Therapeutic Programmes T.Herewini Pscyhosis Conference - "Ko tenei te wa"

Maaori Models of Health Te Powhiri poutama Te whare tapa wha Te wheke Dynamics of whaanautanga Te Pounamu Te Pae Maahutonga Rangi matix Service specific models Lots more

Te whare tapa wha Understanding health & wellbeing Address health problems Framework for measuring health outcomes Evaluate Maaori wellbeing Four dimensions of health T.Herewini Pscyhosis Conference - "Ko tenei te wa" Te Whare tapa wha

Taha wairua T.Herewini Pscyhosis Conference - "Ko tenei te wa" Connection to the natural environment Empathy & understanding Code for living – tikanga Cultural identity Capacity for spiritual engagement

Taha Hinengaro T.Herewini Pscyhosis Conference - "Ko tenei te wa" Emotions Intellect Behaviour Communication World views

Taha Tinana T.Herewini Pscyhosis Conference - "Ko tenei te wa" Mobility Distress Fitness Level of risk Development

Taha Whaanau T.Herewini Pscyhosis Conference - "Ko tenei te wa" Relationships Social engagement Support to others Dependency Participation with whaanau

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Hua Oranga Wairua tikanga, respect, identity te reo, relationship te reo, environment envir management Hinengaro education, occupation social outcomes, mental wellbeing risk taking Tinana mobility, fitness, sport Height, weight, BP pain, blood Whaanau intergenerational relationships capacity to care social cohesion

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Hine’s thoughts Worst things “Confusion” “Didn’t know why I was there” “Getting offers to work with Maaori MH staff when I did not understand what was going on for me” “Given and injection and it was not explained why” “It hurt, I was mystified” “I would prefer a few mad or manic days, weeks or months than the 20kg I put on in one year”

T.Herewini Pscyhosis Conference - "Ko tenei te wa" Hine’s thoughts Best things “Making friendships at Manawanui” “Meeting people on similar level” “When I was going to Kapa haka and Mau tiaha it meant I could mix and mingle” “Having keyworkers that help with day to day stuff not the psychological” “Access to some free interventions” (medication, dietician, AOD, groups) “I have a choice whether I use them or not”

Ruia te kakaano o te tumanako ki roto i te maara o te hinengaro “Aspire, perspire, inspire, expire” T.Herewini Pscyhosis Conference - "Ko tenei te wa"