5 results on '"Clark, Mau Te Rangimarie"'
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2. 'E koekoe te Tūī, e ketekete te Kākā, e kuku te Kererū, The Tūī chatters, the Kākā cackles, and the Kererū coos': Insights into explanatory factors, treatment experiences and recovery for Māori with eating disorders – A qualitative study
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Clark, Mau Te Rangimarie, Manuel, Jenni, Lacey, Cameron, Pitama, Suzanne, Cunningham, Ruth, and Jordan, Jennifer
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TREATMENT of eating disorders , *QUALITATIVE research , *MENTAL health services , *SELF-efficacy , *RESEARCH funding , *INTERVIEWING , *HEALTH , *CULTURAL values , *INFORMATION resources , *EXPERIENCE , *MAORI (New Zealand people) , *THEMATIC analysis , *RURAL health services , *CONVALESCENCE , *RESEARCH methodology , *MEDICAL coding , *RURAL conditions , *SOCIAL support , *PATIENTS' attitudes , *PSYCHOSOCIAL factors , *INFORMATION-seeking behavior , *SELF-perception - Abstract
Background: Eating disorders are as common in Māori, the Indigenous people of Aotearoa-New Zealand, as they are in non-Māori; however, research has focused on the experiences of non-Māori. This paper will describe explanatory factors, treatment experiences and what helps with recovery for Māori. Methods: Kaupapa Māori research methodology informed the methods and analysis. Fifteen semi-structured interviews comprised thirteen Māori participants with eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder) and two whānau (support network) members. A thematic analysis was undertaken by a first cycle of coding that used deductive structural coding to identify data describing participants' perceived causes of eating disorders, their experience of treatment and recovery. A second cycle of coding used inductive analysis with descriptive and pattern coding. Results: Three overarching themes were antecedents (cumulative exposure), treatment (a system of complexities) and recovery (resource empowerment). Antecedents comprised cumulative exposure to body and sporting ideals and adversity as causal factors of eating disorders. In the treatment theme, a system of complexities critiqued rural settings for generalised mental health services, allocation of Māori cultural support, the economic burden of treatment, culturally incongruent treatment (methods, values) and a weight-focused discharge criterion. Recovery (resource empowerment) found appropriate health information, self-determination and connection to Māori culture and whānau aspirations helped with recovery. Conclusion: The diversity of birdcalls reminds us of the individuality of eating disorders. Health practitioners are reminded that just as the Tūī, Kākā and Kererū possess their own unique birdcalls, so do Māori with eating disorders and their whānau have their own experiences, needs and required treatment responses. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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3. The Right to Equal Health: Best Practice Priorities for Māori with Bipolar Disorder from Staff Focus Groups.
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Haitana, Tracy, Clark, Mau Te Rangimarie, Crowe, Marie, Cunningham, Ruth, Porter, Richard, Pitama, Suzanne, Mulder, Roger, and Lacey, Cameron
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HEALTH services accessibility ,BIPOLAR disorder ,MENTAL health services ,FOCUS groups ,RESEARCH funding ,MAORI (New Zealand people) ,HEALTH care reform ,RIGHT to health ,PSYCHOSOCIAL factors ,POVERTY - Abstract
Bipolar disorder (BD) is a serious mental health condition that is clinically complex to monitor and manage. While best practice guidelines exist, they vary internationally lacking consensus. Indigenous peoples, including Māori in New Zealand, experience higher community rates of BD. While New Zealand practice guidelines recommend providing culturally responsive care to Māori, studies show that Māori do not receive best practice. This qualitative study aimed to share the evidence about patterns of health service use and Māori patient experiences with focus group participants involved in the design and delivery of BD services, to discuss and develop guidelines for best practice for Māori with BD and address areas of unmet need. Three focus groups were conducted with 22 participants involved in the delivery of services to Māori with BD across three sites. Willing participants were sent background information and three focus group questions framed to elicit priority solutions to improve clinical, structural and organisational features of mental health service delivery for Māori patients with BD and their whānau (family). The nominal group technique was used to synthesise responses, and then develop a prioritised list of proposed solutions. Results identified system-level changes required at the clinical, structural and organisational levels of healthcare. Findings further evidence the need for healthcare reform in New Zealand, to be responsive to Māori with BD. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Culturally competent, safe and equitable clinical care for Ma¯ori with bipolar disorder in New Zealand: The expert critique of Ma¯ori patients and Wha¯nau.
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Haitana, Tracy, Pitama, Suzanne, Cormack, Donna, Clark, Mau Te Rangimarie, and Lacey, Cameron
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CULTURAL identity ,HEALTH services accessibility ,RESEARCH methodology ,TRANSCULTURAL medical care ,INTERVIEWING ,QUALITATIVE research ,CULTURAL competence ,PSYCHOSOCIAL factors ,MAORI (New Zealand people) ,FAMILY relations ,BIPOLAR disorder - Abstract
Objective: Research designed to increase knowledge about Māori with bipolar disorder is required to understand how health services support wellbeing and respond to identified levels of community need. This paper synthesises the expert critique of Māori patients with bipolar disorder and their whānau regarding the nuances of cultural competence and safety in clinical encounters with the health system. Methods: A qualitative Kaupapa Māori Research methodology was used. A total of 24 semi-structured interviews were completed with Māori patients with bipolar disorder and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Results: Three themes were evident from participants' critique of clinical components of the health system. Theme 1 established that the efficacy of clinical care for bipolar disorder was dependent on Māori patients and whānau having clear pathways through care, and being able to access timely, consistent care from clinically and culturally competent staff. Theme 2 identified the influence of clinical culture in bipolar disorder services, embedded into care settings, expressed by staff, affecting the safety of clinical care for Māori. Theme 3 focused on the need for bipolar disorder services to prioritise clinical work with whānau, equip staff with skills to facilitate engagement and tailor care with resources to enhance whānau as well as patient wellbeing. Conclusion: The standard of clinical care for Māori with bipolar disorder in New Zealand does not align with practice guidelines, Māori models of health or clinical frameworks designed to inform treatment and address systemic barriers to equity. Research also needs to explore the role of structural and organisational features of the health system on Māori patient and whānau experiences of care. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Eating disorders in New Zealand: Implications for Māori and health service delivery.
- Author
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Lacey, Cameron, Cunningham, Ruth, Rijnberg, Vivienne, Manuel, Jenni, Clark, Mau Te Rangimarie, Keelan, Karen, Pitama, Suzanne, Huria, Tania, Lawson, Rachel, and Jordan, Jennifer
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BULIMIA diagnosis ,DIAGNOSIS of eating disorders ,TREATMENT of eating disorders ,ANOREXIA nervosa ,HEALTH services accessibility ,HEALTH status indicators ,LONGITUDINAL method ,MEDICAL care ,MENTAL health ,HEALTH of indigenous peoples ,DESCRIPTIVE statistics - Abstract
Objective: Lifetime prevalence rates in Te Rau Hinengaro (The New Zealand Mental Health Survey) suggest eating disorders are at least as common in the Māori population as the non‐Māori population, yet little is known at a population level about those accessing specialist mental health treatment for eating disorders in New Zealand. The aim of this study was to describe the population undergoing specialist mental health treatment for eating disorders and compare Māori and non‐Māori clinical characteristics and service use. Method: This study uses the Programme for the Integration of Mental Health Data data set, managed by the New Zealand Ministry of Health to describe the characteristics of people with eating disorders and their use of specialist mental health services from 2009 to 2016. Results: There were 3,835 individuals with a diagnosed eating disorder who had contact with specialist mental health services in this time period, 7% of whom were Māori. Within the cohort, Māori had a higher prevalence for a bulimia nervosa diagnosis, fewer diagnosed with anorexia nervosa, and a higher prevalence of other psychiatric comorbidity than non‐Māori. Discussion: There is discrepancy between the proportion of service users accessing specialist mental health services who are Māori and the assessed crude prevalence of eating disorders for Māori in national estimates. Once Māori are in specialist services; however, their use of services is comparable to non‐Māori. Further research is needed to highlight the experiences of those Māori with eating disorders and address barriers to accessing services for Māori with eating disorders. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
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