Durie M
School of Mäori Studies, Massey University, Palmerston North, New Zealand.
Aust N Z J Psychiatry. 1999 Feb;33(1):5-12. doi: 10.1046/j.1440-1614.1999.00526.x.
The objective of this paper is to illustrate trends in Maori health, examine earlier health policies and to suggest avenues for improved mental health.
Several sources of historical and contemporary data have been reviewed and there has been some analysis of mental health policies as they relate to Maori. The interplay between culture, socioeconomic circumstances and personal health has been used as a context within which strategic directions are discussed.
Five strategies are highlighted: the promotion of a secure cultural identity, active Maori participation in society and the economy, improved mental health services, workforce development, autonomy and control. It is recommended that mental health services should be more closely aligned with primary health care, Maori youth, Maori-centred frameworks, and evidence-based practices.
Improvements in Maori mental health require broad approaches which are consistent with Maori aspirations and coordinated across the range of sectoral and disciplinary interests. Active Maori participation in the process and the retention of a cultural base will be critical if the current trends are to be reversed.
本文旨在阐述毛利人健康状况的趋势，审视早期的健康政策，并提出改善心理健康的途径。
回顾了多个历史和当代数据来源，并对与毛利人相关的心理健康政策进行了一些分析。文化、社会经济状况和个人健康之间的相互作用被用作讨论战略方向的背景。
强调了五项策略：促进稳固的文化认同、毛利人积极参与社会和经济、改善心理健康服务、劳动力发展、自主权和控制权。建议心理健康服务应与初级卫生保健、毛利青年、以毛利人为中心的框架以及循证实践更紧密地结合。
改善毛利人的心理健康需要采取广泛的方法，这些方法要符合毛利人的愿望，并在一系列部门和学科利益之间进行协调。如果要扭转当前的趋势，毛利人积极参与这一过程并保留文化基础将至关重要。
