Rangihuna Diana, Kopua Mark, Tipene-Leach David
Consultant Psychiatrist and Head of Psychiatry, Hauora Tairāwhiti District Health Board, Gisborne.
Tohunga, Hauora Tairāwhiti District Health Board, Gisborne.
N Z Med J. 2018 Mar 9;131(1471):79-83.
Māori demand on New Zealand mental health services is out of proportion to the size of the Māori population, and the psychiatric service response is limited by lack of capacity. But there is also an inherent lack of capability, that is, the ability of a Western paradigm psychiatric service to meet the needs of an indigenous community. The Mahi a Atua narratives-based programme established in the primary mental healthcare services of the Tairāwhiti/Gisborne area has created a new approach to psychiatric assessment, diagnosis and therapy that is appropriate, but not confined, to the Māori community.
毛利人对新西兰心理健康服务的需求与其人口规模不成比例，而精神科服务的响应因能力不足而受限。但同时也存在内在的能力欠缺，即西方范式的精神科服务满足本土社区需求的能力。在泰拉维提/吉斯伯恩地区的初级精神卫生保健服务中设立的基于“马希阿图阿叙事”的项目，创造了一种适用于毛利社区但不限于该社区的精神科评估、诊断和治疗新方法。
