These researchers systematically reviewed the international and Aotearoa literature concerning key considerations for Māori parents with substance use disorders (SUDs) who present to an Alcohol and Drug (AoD) specialist for assessment and treatment. This paper details the knowledge and skills that adult AoD services must possess in order to provide effective support to parents with SUDs. Comprehensive assessment and intervention plans must consider both individual and familial risk and protective factors. Possible child welfare issues have to be identified early to ensure prevention or intervention. The paper also notes that the AoD workforce must have the knowledge and skills to facilitate access to other relevant sectors, such as education, employment, and housing. An AoD workforce that is effective with Māori must not only have these abilities, but also have at least some basic knowledge and skills in Whānau Ora philosophy and Whānaucentered best practice. The paper describes a set of knowledge and skills that are essential for developing an appropriate AoD workforce and improve service delivery for Māori parents with SUDs. This skillset must be based on Māori foundations, understand intergenerational dynamics, and endorse a group capacity for self-determination. Moreover, the paper recommends that AoD services increase their knowledge and skills associated with the realities of lifestyles centered in low socioeconomic communities and co-occurring issues that contribute to poor health outcomes.
