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The contributions of culture and ethnicity to New Zealand mental health research findings

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Authors:
Summary:

This review of studies conducted in specialist psychiatric and primary care populations in New Zealand allowed comparisons between Māori and non-Māori in terms of clinical phenomena, therapeutic care and cost of care. While there were variations in the methodologies used and subsequent results this paper reported obvious differences in therapeutic experiences, cost of care and diagnostic patterns between Māori and non- Māori. The authors proposed that the variations emphasise differences between these ethnic groups, which account for the differences in experiences of the users. The authors also advocated that the variations may reflect inadequacies in service provision for Māori and that an examination of the validity of Western approaches in relation to appropriateness for Māori is warranted.

Comment:
This article follows the previous paper in terms of promoting the notion of cultural appropriateness of mental health service delivery. Furthermore, research in the validity of Western approaches in the context of Māori mental health service improvement will go some way to address the concerns expressed.
Reference: Int J Soc Psychiatry. 2007;53(4):317-24.
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.

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