Lecture 23- Māori Health Flashcards
What was Māori health like before colonisation?
before colonisation Māori were a thriving population and there is little evidence to suggest that they struggled with mental health
What impact did Te Tiriti cause to Māori health?
Te Tiriti caused many issues in discrimination and racism, leading to mental health issues and issues in the health care they are receiving
Determinants of Health –> Environment and Epigenetics
you inherit opinions and ideas to certain illnesses, which then increase risk to health
Determinants of Health –> Race and Privilege
access to health
- Māori are less likely to be referred to specialised services
Determinants of Health –> Unequal Treatment by Societal Institution
not individual and more on how we set up institutions, and whether there is unequal treatment
Determinants of Health –> The Importance of Worldviews and Positionings
taking into consideration of how cultures may deal with healing and outcomes differently, yet it may be more beneficial for that culture
Strategies to Improve Māori Health –> Kaupapa Māori Theory
doing things in the Māori way
Strategies to Improve Māori Health –> Matauranga Māori
drawing from Māori knowledge
Strategies to Improve Māori Health –> Indigenous Psychology
increasing the amount of Maori psychologists
Strategies to Improve Māori Health –> Māori Health Models
provide us with a tool to understand and approach Māori health
What is the Te Whare Tapa Wha model?
this is the first model to be designed and shared, it was developed as Maori were worried that western health focused mainly on physcial aspects rather than mental
idea was that you can’t achieve wellbeing without all factors being complete
What are the 4 factors of the Te Whare Tapa Wha model?
- Taha Tinana (physical)
- Taha Hinengato (mental and emotional)
- Taha Wairua (spiritual)
- Taha Whanau (family and social)
What is ‘taha tinana’ in the Te Whare Tapa Wha model?
physical
What is ‘taha wairua’ in the Te Whare Tapa Wha model?
spiritual
What is ‘taha hinengaro’ in the Te Whare Tapa Wha model?
mental and emotional
What is ‘taha whanau’ in the Te Whare Tapa Wha model?
family and social
What is the Whiti Te Ra model?
cultural identity is positively related to mental health, understanding whakapapa
What are the 6 components of the Whiti Te Ra model?
- Reo Māori (language)
- Taiao (connection to environment)
- Wairua (spiritual beliefs and practices)
- Mahi-a-toi (expressive art forms)
- Whanau (family)
- Whakapapa (intergeneration relationships)
What is ‘Reo Māori’ in the Whiti Te Ra model?
Māori language
What is ‘taiao’ in the Whiti Te Ra model?
connection to environment
What is ‘Wairua’ in the Whiti Te Ra model?
spiritual beliefs and practices
What is ‘mahi-a-toi’ in the Whiti Te Ra model?
Māori expressive art forms
What is ‘whanau’ in the Whiti Te Ra model?
Māori relational values, family
What is ‘whakapapa’ in the Whiti Te Ra model?
intergenerational relationships
What is the Meihana Model?
basic concept is that patient and family are united and important together, waka is pointing towards wellbeing, but it being pushed by the winds and the currents
What are the 5 components on the waka in the Meihana Model?
- whanau (support networks)
- tinana (physical health)
- hinengargo (psychological wellbeing)
- wairua (connectedness and spirituality)
- taio (external environment)
- iwi kato (iwi systems)
What is ‘tinana’ in the Meihana Model waka?
physical health
What is ‘hinengargo’ in the Meihana Model waka?
psychological wellbeing
What is ‘wairua’ in the Meihana Model waka?
connectedness and spirituality
What is ‘taio’ in the Meihana Model waka?
external environment
What is ‘iwi kato’ in the Meihana Model waka?
iwi systems
What are the 4 nga hau e wha (winds) in the Meihana Model?
- marginalization
- colonisation
- migration
- racism
What are the 4 nga roma moana (currents) in the Meihana Model?
- ahua (personal indicators)
- whanau
- whenua (land)
- tikanaga (customs)
