Abstract
Objective: The aim of this study was to identify and operationalize aspects of a future planning process for sustainable delivery of Kaupapa Maori (Specialist Maori) mental health from a team called He Kakano, within Child and Adolescent Mental Health Services in South Auckland, New Zealand.
Methods: A 2-day hui (meeting) was held with members of the team and a facilitator, Whaea Moe Milne. Review of background national epidemiological data, local data, information from community, carer and tangata whaiora (consumer) stakeholders and the existing He Kakano Model of Care was undertaken. Use of tikanga (Maori protocol and practices) was evident throughout the hui.
Results: A number of aspects of tikanga were identified as essential to the positive outcomes of the future plan. This paper reports one in particular, that of whakatauaki (proverbs where the originator is known). “Whakaora nga moemoea o nga tupuna – living the dreams of the ancestors” is a whakatauaki articulated by Whaea Moe Milne, which was identified as helpful in influencing the strategic planning thinking and decision-making process for He Kakano. This whakatauaki enabled the identification of shared goals, values, beliefs, behaviours and an action plan. The existing and ongoing relationship with Whaea Moe Milne was identified as an important element in the way in which the whakatauaki was received and reflected on.
Conclusions: Use of tikanga Maori, in this case, whakatauaki, was helpful in developing future planning for He Kakano. This suggests that use of tikanga may be beneficial in other settings where planning for sustainable Maori responsive services is undertaken. Further work in this area is likely to benefit service development, strategic planning, workforce development and have an impact on improving health outcomes for Maori.