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Closing the rehabilitation utilization gap of New Zealand’s (Aotearoa) Māori people: Multiple case studies

Published online by Cambridge University Press:  21 December 2021

Ngonidzashe Mpofu*
Affiliation:
Department of Counseling, Idaho State University, Pocatello, ID, USA
Sasha Anderson
Affiliation:
Department of Rehabilitation Psychology and Special Education, University of Wisconsin-Madison, Madison, WI, USA
Caroline Brown
Affiliation:
Department of Counseling, Idaho State University, Pocatello, ID, USA
Minna Yoo
Affiliation:
Department of Counseling, Idaho State University, Pocatello, ID, USA
*
*Corresponding author. Email: ngonidzashempofu@isu.edu
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Abstract

We aimed to explore personal factors in use of rehabilitation counseling and mental health services by Māori adults. Participants were three Māori adults (females = 2, residing in major urban settings, age range 45–50 years old; male = 1, residing in a rural setting, age range = 25–30 years old). Thematic analysis yielded the following findings: (a) a preference of Māori service providers who understand whānau culture, (b) an understanding of whakapapa or the family structure as an integral source of social support as counselors are planning for treatment, (c) establishing and maintaining trusting relationships within the Māori community by non-Māori counselors, (d) having financial difficulties when attempting to access rehabilitation resources, (e) limited access to health care facilities and services or lack of information about the services available, and (f) a general mistrust of government operated systems. Rehabilitation and mental health services with Māori should address personal cultural and systemic exclusion factors for better service engagement.

Type
Articles
Copyright
© The Author(s), 2021. Published by Cambridge University Press and The Australian Journal of Rehabilitation Counselling

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Footnotes

This manuscript is an original work that has not been submitted to nor published anywhere else. The authors have read and approved the paper and have met the ICMJE criteria for authorship. The authors have read the discussion provided by the ICMJE on overlapping publications.

References

Abramson, C. M., & Dohan, D. (2015). Beyond text: Using arrays to represent and analyze ethnographic data. Sociological Methodology, 148. https://doi.org/10.1177/0081175015578740 Google ScholarPubMed
Andrews, G., & Slade, T. (2001). Interpreting scores on the Kessler psychological distress scale (K10). Australian and New Zealand Journal of Public Health, 25(6), 494497. https://doi.org/10.1111/j.1467-842x.2001.tb00310.x.CrossRefGoogle Scholar
Auckland University of Technology. (2021). Postgraduate diploma in rehabilitation psychology. https://www.aut.ac.nz/study/study-options/health-sciences/courses/postgraduate-diploma-in-rehabilitation-psychology Google Scholar
Best Practice Advocacy Centre New Zealand. (2010). Substance misuse and addiction in Māori. https://bpac.org.nz/BPJ/2010/June/addiction.aspx Google Scholar
Britannica, T., Editors of Encyclopedia. (2021). Māori. Encyclopedia Britannica. https://www.britannica.com/topic/Maori Google Scholar
Capital & Coast District Health Board. (2017). A guide for health care workers (Kaimahi Hauora). https://www.ccdhb.org.nz/our-services/a-to-z-of-our-services/maori-health/43875-tikanga-maori-web.pdf Google Scholar
Centers for Disease Control and Prevention. (2018). Health insurance portability and accountability act of 1996 (HIPAA). https://www.cdc.gov/phlp/publications/topic/hipaa.html Google Scholar
Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In Valle, R. S. & King, M. (Eds.), Existential-phenomenological alternatives for psychology (pp. 4871). New York: Oxford University Press.Google Scholar
Commission on Rehabilitation Counselor Certification. (2021). Rehabilitation counselor scope of practice. https://crccertification.com/scope-of-practice/ Google Scholar
Committee on Indigenous Health. (1999). The Geneva declaration on the health and survival of indigenous peoples 1999. Geneva: WHO.Google Scholar
Connor, J., Broad, J., Rehm, J., Vander Hoorn, S., & Jackson, R. (2005). The burden of death, disease, and disability due to alcohol in New Zealand. New Zealand Medical Journal, 118(1213), U1412.Google ScholarPubMed
Freeman, B. M. (2019). Promoting global health and well-being of indigenous youth through the connection of land and culture-based activism. Global Health Promotion, 26(3), 1725. https://doi.org/10.1177/1757975919831253 CrossRefGoogle ScholarPubMed
Government Health & Safety Lead. (2020). Mental health facilitation guides. New Zealand Government. https://www.healthandsafety.govt.nz/reports/good-practice-guides/mental-health-facilitation-guides/ Google Scholar
Graham, I., Logan, J., Harrison, M. B., Straus, S. E., Tetroe, J., Caswell, W., & Robinson, N. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 26(1), 1324. https://doi.org/10.1002/chp.47 CrossRefGoogle ScholarPubMed
Health and Disability System Review. (2020). Final report. https://systemreview.health.govt.nz/ Google Scholar
Health Navigator. (2021). Te whare tapa whā and wellbeing. New Zealand Government. https://www.healthnavigator.org.nz/healthy-living/t/te-whare-tapa-wh%C4%81-and-wellbeing/ Google Scholar
Human Research Protection Program and Institutional Review Board. (2010). Snowball sampling. Oregon State University. https://research.oregonstate.edu/irb/policies-and-guidance-investigators/guidance/snowball-sampling Google Scholar
Johnsen, M. (2021). Study shows poverty accounts for more Māori being victims of crime. Radio New Zealand. https://www.rnz.co.nz/news/te-manu-korihi/440028/study-shows-poverty-accounts-for-more-maori-being-victims-of-crime Google Scholar
Kāpiti Coast District Council. (2013). A strategy for Māori economic development and well-being in Kāpiti 2013. New Zealand Government. https://www.kapiticoast.govt.nz/media/34315/strategy-maori-economic-development-wellbeing-kapiti.pdf Google Scholar
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., Walters, E. E., & Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in nonspecific psychological distress. Psychological Medicine, 32(6), 959976. https://doi.org/10.1017/s0033291702006074.CrossRefGoogle Scholar
Medical Assurance Society. (2019). Taha tinana (Physical side). https://www.mas.co.nz/hub/taha-tinana/ Google Scholar
Medical Council of New Zealand. (2021). Find a Māori health provider. https://www.mcnz.org.nz/support/support-for-patients/find-a-maori-health-provider/ Google Scholar
Mental Health and Addiction Inquiry. (2021). 3.2 Our conclusions. New Zealand Government. https://mentalhealth.inquiry.govt.nz/inquiry-report/he-ara-oranga/chapter-3-what-we-think/3-2-our-conclusions/ Google Scholar
Miles, M. B., Huberman, A. M., & Saldaña, J. (2014). Qualitative data analysis, a methods Sourcebook (3rd ed.). Los Angeles, CA: SAGE Publications.Google Scholar
Neale, J. (2016). Iterative categorization (IC): A systematic technique for analyzing qualitative data. Addiction, 111(6), 10961106. https://doi.org/10.1111/add.13314 CrossRefGoogle Scholar
New Zealand Disability Support Network. (2021). New ministry for disabled people. https://nzdsn.org.nz/new-ministry-for-disabled-people/ Google Scholar
New Zealand Government. (2020). 100% Pure New Zealand: Māori culture. https://www.newzealand.com/us/maori-culture/ Google Scholar
New Zealand Immigration. (2021). Skills shortage list checker: Rehabilitation counsellor. https://skillshortages.immigration.govt.nz/rehabilitation-counsellor/ Google Scholar
New Zealand Ministry of Health. (2009). Alcohol use in New Zealand: Key results of the 2007/08 New Zealand alcohol and drug use survey. Wellington: Ministry of Health.Google Scholar
New Zealand Ministry of Health. (2013). Disability survey: 2013. https://www.stats.govt.nz/information-releases/disability-survey-2013 Google Scholar
New Zealand Ministry of Health. (2021). Māori health providers. https://www.health.govt.nz/our-work/populations/maori-health/maori-health-providers Google Scholar
New Zealand Ministry of Health. (2021). New Zealand health system. https://www.health.govt.nz/new-zealand-health-system Google Scholar
Palmer, R. (2021). Government announces new Ministry for Disabled People and accessibility law. Radio New Zealand. https://www.rnz.co.nz/news/political/454501/government-announces-new-ministry-for-disabled-people-and-accessibility-law Google Scholar
Smith, J. A., & Osborn, M. (2015). Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain. British Journal of Pain, 9(1), 4142. https://doi.org/10.1177/2049463714541642 CrossRefGoogle ScholarPubMed
Smith, L. T. (1989). Te reo Māori: Māori language and the struggle to survive. ACCESS, 8, 39.Google Scholar
Stats NZ Tatauranga Aotearoa. (2020). Māori population estimates: At 30 June 2020. https://www.stats.govt.nz/information-releases/maori-population-estimates-at-30-june-2020 Google Scholar
Swarbrick, N. (2015). Greeks – The Hellenic community. Te Ara: The Encyclopedia of New Zealand. https://teara.govt.nz/en/greeks-the-hellenic-community/print Google Scholar
Terare, M., & Rawsthorne, M. (2020). Country is yarning to me: Worldview, health and well-being amongst Australian first nations people. The British Journal of Social Work, 50(3), 944960. https://doi.org/10.1093/bjsw/bcz072 CrossRefGoogle Scholar
Tikkanen, R., Osborn, R., Mossialos, E., Djordjevic, A., & Wharton, G. A. (2020). International Health Care Systems Profiles: New Zealand. The Commonwealth Fund. https://www.commonwealthfund.org/international-health-policy-center/countries/new-zealand Google Scholar
United Nations. (2016). State of the world’s indigenous peoples: Indigenous peoples’ access to health services. https://www.un.org/esa/socdev/unpfii/documents/2016/Docs-updates/SOWIP_Health.pdf Google Scholar
United Nations. (2020). Indigenous peoples at the United Nations. https://www.un.org/development/desa/indigenouspeoples/about-us.html Google Scholar
United Nations Department of Economic and Social Affairs/Indigenous Peoples. (2014). First international decade of the world’s indigenous people (1995–2004). https://www.un.org/development/desa/indigenouspeoples/second-international-decade-of-the-worlds-indigenous-people/7276-2.html Google Scholar
University of New Zealand. (2021). Diploma in Arts (disability and rehabilitation studies). https://www.massey.ac.nz/massey/learning/programme-course/programme.cfm?prog_id=93405&major_code=PRHST&study_year=2022 Google Scholar
University of Otago. (2021). Postgraduate diploma in rehabilitation (PGDipRehab). https://www.otago.ac.nz/wellington/departments/medicine/postgraduate/rehabilitation/study/otago021193.html Google Scholar
Williams, K., Potestio, M. L., & Austen-Wiebe, V. (2019). Indigenous health: Applying truth and reconciliation in Alberta health services. Canadian Medical Association Journal, 191(Suppl 1), S44S46. https://doi.org/10.1503/cmaj.190585 CrossRefGoogle ScholarPubMed
Wilson, J. (2015). Other Western Europeans. Te Ara: The Encyclopedia of New Zealand. https://teara.govt.nz/en/other-western-europeans Google Scholar
Wilson, J. (2020). History: Māori arrival and settlement. Te Ara: The Encyclopedia of New Zealand. https://teara.govt.nz/en/history/page-1 Google Scholar
World Health Organization. (2006). Knowledge-to-action (KTA) framework. https://www.who.int/reproductivehealth/topics/best_practices/greatproject_KTAframework/en/ Google Scholar
World Health Organization. (2010). Indigenous Health – Australia, Canada, Aotearoa New Zealand and the United States – Laying claim to a future that embraces health for us all. World Health Report – Background Paper, No. 33. https://www.who.int/healthsystems/topics/financing/healthreport/IHNo33.pdf Google Scholar
Yin, R. K. (2009). Case study research: Design and methods (4th ed., Vol. 5). Thousand Oaks, CA: Sage.Google Scholar