School of Psychology, The University of Auckland, Auckland, New Zealand.
Eisdell Moore Centre for Hearing and Balance Research, The University of Auckland, Auckland, New Zealand; and.
Int J Speech Lang Pathol. 2020 Jun;22(3):281-289. doi: 10.1080/17549507.2020.1768288.
represents a Māori view of health and wellness in four dimensions: (spiritual health), (mental health), a (physical health) and (family health). This model of health focuses on indigenous Māori in Aotearoa/New Zealand but has relevance for all people. Speech-language pathologists, including those not familiar with this model, recognise that all four dimensions are needed to support health and wellbeing. includes the importance of culture and heritage to personal identity, an area that speech-language pathology (SLP) recognises as key to clinical competency. includes the need to express thoughts and feelings, another area particularly salient to SLP. The other two dimensions a (physical health) and (family health) are arguably more familiar in the day-to-day work of speech-language pathologists. Two broad strands of research are examined within this model of health exploring the challenges faced by vulnerable populations namely: (1) two community based groups (a Choir and a Gavel Club) for people with acquired neurological conditions such as stroke and Parkinson's disease, and (2) diagnosis and management of hearing loss and auditory processing disorder. Community based groups, explored through the CeleBRation Choir and the Gavel Club, highlighted the application of all aspects of to the experiences of people with neurological conditions participating in these community therapies. In the area of hearing loss and auditory processing disorder, gaps across all four dimensions of , , and were identified in the available literature and in examination of clinical provision for participants. provides a framework to consider all the elements that contribute to people living well while experiencing communication challenges within their (extended family). This approach relies on strong partnerships between clinicians, extended family, researchers, communities, organisations and other professionals. Clinicians and researchers are encouraged to consider how their beliefs, practices and impact could improve through consideration of Indigenous health models such as .
（精神健康）、（心理健康）、（身体健康）和（家庭健康）。这种健康模式关注的是新西兰的本土毛利人，但也与所有人有关。言语语言病理学家，包括那些不熟悉这一模式的人，都认识到需要这四个维度来支持健康和幸福。包括文化和传统对个人身份的重要性，这是言语语言病理学（SLP）认识到的临床能力的关键领域。包括表达思想和情感的需求，这是 SLP 特别关注的另一个领域。另外两个维度（身体健康）和（家庭健康）在言语语言病理学家的日常工作中可能更为熟悉。在这一健康模式内，有两个广泛的研究领域探讨了弱势群体面临的挑战，即：（1）两个基于社区的团体（合唱团和辩论俱乐部），为患有后天性神经疾病的人提供服务，如中风和帕金森病；（2）听力损失和听觉处理障碍的诊断和管理。通过 CeleBRation 合唱团和辩论俱乐部探索社区团体，突出了将 的各个方面应用于参与这些社区治疗的神经疾病患者的经验。在听力损失和听觉处理障碍方面，在现有文献和对参与者临床服务的审查中，发现了 的所有四个维度（精神健康）、（心理健康）、（身体健康）和（家庭健康）都存在差距。提供了一个框架，考虑到所有有助于人们在经历沟通挑战时过上美好生活的因素，这些因素存在于他们的（大家庭）中。这种方法依赖于临床医生、大家庭、研究人员、社区、组织和其他专业人员之间的强大伙伴关系。鼓励临床医生和研究人员考虑如何通过考虑毛利人健康模式（如 ）来改善他们的信仰、实践和影响。
