Crisis engagement in mental health: a New Zealand Māori contribution

Making Education Easy

Authors:

Drury N, Munro TA

August 4, 2011

Summary:

Fundamentally a review of national and international literature on the delivery of mental health crisis services. Crisis presentations are viewed as those who might pose a threat to the community or themselves, of which most receive coercive placement and treatment. The authors of this article advocate for crisis service provision in New Zealand that promotes “therapeutic alliances” between the clinician and tangata whaiora (consumer) and one that should be more interested in “how we deliver” not “what we deliver”. The authors believe crisis service provision for Māori could be improved by the inclusion of indigenous processes and knowledge as well as provision of an atmosphere where relationships and respect are enhanced.

Comment:

A recurring theme on the importance of developing culturally relevant health services for Māori. The authors provide various examples viewed helpful to assist those who deal with tangata whaiora (consumers) in crises. These approaches focus on de-escalating situations and are premised on building relationships, providing solutions and mutual respect.

Reference: Int J Ment Health Nurs. 2008;17(5):317-25.

Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.