Mental Health Aids logo

Do you, or does someone you know, need help now?

Community delivery model

Image: The concept paper for the new service was handed over to Tricia Keelan, the Regional Wayfinder for Health New Zealand | Te Whatu Ora, Te Ikaroa (Central Region), over Matariki 2024.

“Everyone has a soul, the kaupapa for the model starts with Wairua (listening to your heart).”  

The work towards a new Māori Mental Health and Addiction Service for Te Awakairangi is led by an expert Kaitiaki Rōpū of stakeholders, drawing on outcomes from the community workshops that were held over Matariki in 2023.  

Priorities

The community identified the following priorities for the new service: 
 
Access and quality of service 
 
  • Decrease in people attending Emergency Departments seeking support with mental health, addiction, and social concerns 
  • Decreased wait times  
  • Decrease in unattended appointments and in people losing contact with their supporting team 
  • Whānau engagement and satisfaction with service  
Growing the workforce 
 
  • Kaupapa Māori roles elevated within the service, including increased representation at a leadership level 
  • Upskilling and growing Māori whānau into roles 
  • Continued workforce development 
  • Research and evidence of improved outcomes 
Holistic care, whānau ora 
 
  • Crisis café available for all tāngata 
  • Basic human needs being met – warmth, shelter, kai, connection 
  • Culturally safe, whānau centred and preventative care is available. 
Connection 
 
  • Maintaining strong relationships with existing services 
  • Making sure services are not duplicated 

These priorities guided the Kaitiaki Rōpu in designing a community delivery model, developed at a series of wānanga starting in late 2023. 

Three stages

While this is a mental health and addiction service, it will have a broad scope, with a strong focus on service delivery based in the community and offering practical help with the social factors that affect people’s mental health and recovery. 
 
A multi-stage delivery model focuses first on meeting the most immediate needs of the Te Awakairangi community. It is envisaged that the three stages will focus on:   
 

Tuatahi: Development of a wharenui-based service will take place, at which specialist kaupapa Māori kaimahi will provide support to whānau (Māori of all ages) who are experiencing mental distress. This service will prioritise those with moderate to high need and work in partnership with MHAIDS to provide culturally safe, whānau-centred and preventative care.  

It will be grounded in Te Ao Māori, standing in its own mana motuhake and tino rangatiratanga. It will advance community relationships, whānaungatanga, whakapapa, rongoā and wairua.   
 

Tuarua: Proposal to commission a Whare Whakanoa (place or environment of physical and spiritual wellbeing) submitted to the regional wayfinder for endorsement.  

The proposed Whare Whakanoa would prioritise after-hours and weekend availability, be available to all tāngata, and be run by kaupapa Māori specialist kaimahi and supported by gifted wairua (Peer Support Workers).  

Tuatoru: Whānau ora outreach clinics will be established in existing community hubs and mārae in the more isolated communities of Te Awakairangi. The goal of these clinics is to reach tāngata whaiora who live in more isolated areas, who are unable to access existing services due to distance and transport challenges. 

Connection

“Muturangi has many navigation paths, with tentacles reaching out across the Pacific.” 
 
In Māori pūrākau, Muturangi is a Tohunga whose kaitiaki is a giant wheke (octopus). Kupe chased the wheke across the ocean, leading him and his family to Aotearoa. 
 
Te Wheke a Muturangi was identified by the rōpū as a symbol of the community delivery model, with its many tentacles and skill at navigation speaking to the multitude of connections needed between organisations and people to create a successful service. 
Last updated 4 October 2024.