1. Working with Māori Cheryl Collier Specialty Nurse Early Dementia
Mental Health Services for Older People
Bay of Plenty District Health Board
Tauranga NZ

2. Hikurangi is the mountain Waiapu is the river Ngati Porou is the tribe
Uruahi is the sub tribe
Tinatoka is the chief

3. Making connections Who are Māori?
Te Whare Tapa Whā: a Māori health model
Working with kaumatua

4. Māori traditional beliefs
Organised iwi (tribal group), hapū (sub tribal), whānau (family).
Health includes; spiritual, mental, family and physical unity, harmony and wellbeing.
Health foundations based in old world lores of tapu; protecting/ nurturing resources and tribal wellbeing.
Past and future wellbeing is cared for by tikanga (customary practices), kawa (rituals) and karakia (prayers).
(Department of Health, 1984)

5. Māori census data Population 215 000 (2013 census)
25% of Māori live here
18 iwi (tribal groups)
7% over 65 years
(BOPDHB, 2016)

6. Māori realities the story of colonisation
traditional and contemporary systems
rural and urban shifts
health and illness challenges

7. Te Whare Tapa Whā Taha wairua (spiritual) Taha tinana (physical)
Taha hinengaro (mental/emotional)
Taha whānau (family)
(Mason Durie, 1985)

8. Working with kaumatua (elders)
Considerations
respect for cultural values and process
respect for roles and responsibilities
supporting whānau wellbeing

9. Summary Māori ways of being. Importance of using Māori health models.
Working with kaumatua is respectful and dignifying.

10. Questions? He aha te mea nui o te ao? It is whānau! He tangata!
What is the greatest thing in the world?
It is whānau!
It is hapū!
It is iwi!

11. References
Baxter, J; Kingi, TK; Tapsell, R; Durie, M & McGee, M. (2006). Prevalence of mental disorders among Māori in Te Rau Hinengaro: The New Zealand Mental Health Survey. Australian and New Zealand Journal of Psychiatry, 40 (10) BOPDHB (2016). Bay of Plenty District Health Board Māori Health Plan Tauranga: Author. Department of Health (1984). Hui Whakaoranga: Maori health planning workshop [Hoani Waititi Marae]. Available Durie, M.H. (1985). A Māori perspective of health. Social Science Medicine, 20(5) 483–486. Dyall, L; Kēpa, Teh, R et al. (2014). Cultural and social factors and quality of life of Māori in advanced age. Te puawaitanga o ngā tapuwae kia ora tonu- Life and living in advanced age: a cohort sudy in New Zealand (LiLACS NZ). Journal of the NZ Medical Association 127(1393) Ministry of Health. (2013). NZ Framework for Dementia Care. Wellington: Author. bpacNZ (2011). Whānau Ora: The theory and the practice. Best Practice Journal, 37, Available Black and white photographs from google images