Durie Mason
Massey University, Palmerston North, New Zealand.
Australas Psychiatry. 2011 Jul;19 Suppl 1:S8-11. doi: 10.3109/10398562.2011.583058.
The aims were to review progress in Indigenous mental health over the past 25 years and to identify possible directions for the next 25 years.
Māori involvement in health and health care was used to illustrate key Indigenous developments since 1984. Challenges in the decades ahead were discussed in the context of demographic transitions, life course epidemiology, global trends, technological innovations and health leadership.
Progress was measured by a range of indicators including Māori-referenced life expectancy, Māori agendas for health, strengthened cultural identity, the dissemination of health knowledge, and Māori participation in the health sector. In contrast to being ready to respond to change (future takers), active planning for the future (future makers) was seen as a better way of achieving Indigenous aspirations. One option for health advancement currently being developed in New Zealand involved an integrated approach premised on intersectoral delivery and a focus on families.
Indigenous health will be advanced by dedicated approaches to family wellbeing that avoid fragmentation, focus on positive strengths, and lead to positive outcomes for family members and the family as a whole.
回顾过去25年里原住民心理健康方面的进展，并确定未来25年可能的发展方向。
以毛利人参与健康及卫生保健为例，阐述自1984年以来原住民的关键发展情况。在人口结构转变、生命历程流行病学、全球趋势、技术创新和卫生领导力的背景下，探讨未来几十年面临的挑战。
进展通过一系列指标来衡量，包括以毛利人为参照的预期寿命、毛利人的健康议程、强化的文化认同、健康知识的传播以及毛利人在卫生部门的参与度。与随时准备应对变化（未来接受者）相比，积极规划未来（未来创造者）被视为实现原住民愿望的更好方式。新西兰目前正在开发的一种促进健康的选择涉及一种基于跨部门提供并以家庭为重点的综合方法。
通过致力于家庭福祉的专门方法可以促进原住民健康，这些方法避免分散、关注积极优势，并为家庭成员和整个家庭带来积极成果。
