McLachlan Andre, Levy Michelle, McClintock Kahu, Tauroa Roimata
a University of Otago , Christchurch , Christchurch , New Zealand.
J Ethn Subst Abuse. 2015;14(1):96-109. doi: 10.1080/15332640.2014.947460. Epub 2014 Dec 23.
Parental substance use disorders (SUDs) for Māori, the indigenous people of Aotearoa/New Zealand and an ethnic minority, are considered to be contributors to adverse effects on outcomes for their children. This article offers a review of international and Aotearoa literature in regard to key considerations for Māori parents with SUDs who present to an Alcohol and Drug specialist for assessment and treatment. Factors to increase positive outcomes for Māori children of parents with SUDs are promoted. Effective adult AoD services provide support to parents with SUDs through comprehensive assessment and intervention plans that consider both individual and familial risk and protective factors. In this context, it is imperative that possible child welfare issues are identified early to ensure prevention or intervention. The AoD workforce must have the knowledge and skills to facilitate access to other relevant sectors, such as education, employment, and housing. An AoD workforce that is effective with Māori must not only have these abilities, but also have at least some basic knowledge and skills in Whānau Ora philosophy and Whānau-centered best practice. To address these processes, AoD specialist services need to acquire a set of knowledge and skills. These include increasing the knowledge and skills associated with the realities of lifestyles centered in low socioeconomic communities and co-occurring issues that contribute to poor health outcomes. To assist Māori, several key processes are proposed. This includes working in a Whānau-centered approach with Whānau as a collective entity, based on Māori foundations; understanding intergenerational dynamics; and endorsing a group capacity for self-determination. Research and training in Whanau ora philosophy and Whānau-centered best practices will be essential for developing an appropriate AoD workforce, which would provide the foundations for improving AoD service delivery for Māori parents with SUDs.
对于新西兰原住民毛利人这一少数民族而言，父母的物质使用障碍被认为是对其子女的成长结果产生不利影响的因素。本文回顾了国际和新西兰的文献，探讨了向酒精和药物专家寻求评估和治疗的患有物质使用障碍的毛利父母的关键考量因素。文中还倡导了一些能为患有物质使用障碍的毛利父母的子女带来积极结果的因素。有效的成人酒精和药物服务通过全面的评估和干预计划，为患有物质使用障碍的父母提供支持，这些计划会考虑个体和家庭的风险及保护因素。在这种情况下，必须尽早识别可能出现的儿童福利问题，以确保预防或进行干预。酒精和药物领域的工作人员必须具备相应的知识和技能，以便为其他相关部门（如教育、就业和住房部门）提供便利。对毛利人有效的酒精和药物领域工作人员不仅要具备这些能力，还必须至少掌握一些关于“家庭福祉”理念和以家庭为中心的最佳实践的基本知识和技能。为了落实这些流程，酒精和药物专家服务机构需要掌握一系列知识和技能。这些知识和技能包括增加与以低社会经济社区为中心的生活方式实际情况以及导致不良健康结果的并发问题相关的知识和技能。为了帮助毛利人，文中提出了几个关键流程。这包括以家庭为中心的工作方式，将家庭视为一个集体实体，基于毛利人的基础理念；理解代际动态；以及认可群体的自决能力。对“家庭福祉”理念和以家庭为中心的最佳实践进行研究和培训，对于培养一支合适的酒精和药物领域工作人员队伍至关重要，这将为改善为患有物质使用障碍的毛利父母提供的酒精和药物服务奠定基础。
