E RUA TAU RURU - Te Rau Ora · In the past year Te Rau Matatini has renewed our commitment to engaging kanohi ki te kanohi with our people. We organised seven Māori Mental Health

E RUA TAU RURU

E RUA TAU WEHE

E RUA TAU MUTU

E RUA TAU KAI

NŌ REIRA, TĒNĀ TĀTOU E HUI AKE I RARO

I TE KOROWAI O TE TUHINGA KŌRERO MŌ NGĀ TAU

RUA MANO TEKAU MĀ WHĀ

RUA MANO TEKAU MĀ RIMA

NAU MAI, PIKI MAI, WHAKATAU MAI,

TĒNĀ KOUTOU, TĒNĀ KOUTOU, TĒNĀ KOUTOU KATOA

KA TAU!

MIHI

A message from the Board Chair - He kōrero mai i te Kaitiakitanga

A message from the Chief Executive - He kōrero mai i te Pou Ahorangi

Te Rau Matatini Priorities - Ngā mea nui o Te Rau Matatini

Board of Trustees - Ko mātou Tumuaki

Board of Directors - Ko mātou Rōpū Kaitiakitanga

Executive Team - Ko mātou Rōpū Whakahaere

Advisory Groups - Ngā Rōpū Kaitiaki

Our Workforce Programme for 2014-2015

Māori Mental Health – Hauora Hinengaro Māori

Māori Nursing – Ngā Neehi Māori

Youth – Rangatahi

Addiction – Te Hau Mārire

Research and Evaluation – Rangahau

Training and Education – Te Hau Māia

Suicide Prevention – Waka Hourua

Organisational Development – Whakawhanake

Te Rau Design

Financial Report

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Acknowledgement to those involved in our journey

Without the knowledge, commitment and dedication

demonstrated by great Māori leaders, the Māori health

sector would be a lot different. Therefore it is fitting that

acknowledgements are firstly given to the influential Māori

health leaders who passed away this year. Ngā mihi mahana ki

a Putiputi O’Brien, Paraire Huata, Papa Huatahi rātou ko Erima

Henare for your life-long dedication to making Aotearoa a

healthier place for Māori. Ka hinga atu he tētēkura, ka aramai

he tētēkura - As one fern frond dies, another is born to take its

place.

Significant highlights

It is with great honour that I present the 2014-2015 Te Rau

Matatini Annual Report.

It is exciting to witness Te Rau Matatini thriving and continuing

to provide opportunities for the Māori Mental Health and

Addiction workforce. The dedication to our people truly

reflects our position as the National Māori Workforce

Development centre.

New and established partnerships have enabled the delivery

of extensive programmes for enhancing clinical and cultural

competency. The programmes created for Māori by Māori

express improvement in the sector, as we continue toward

our goal of being the centre of excellence for Māori workforce

development. This is evident through rangatahi involvement

with the creation of publications such as Hīkaka te Manawa.

Developing the Māori mental health sector with

knowledgeable leaders for the future is a primary focus. As

Chair of the Board of Directors it is my role to ensure that our

group have oversight into the business decisions, to provide

opportunities for our people.

Rising to the Challenge – Mental Health and Addiction

Workforce Development

Te Rau Matatini have programmes and initiatives guided by

the Ministry of Health - Rising to the Challenge - Mental Health

and Addiction Workforce Development publication. Some

programmes have been contracted to be jointly delivered by

the five Mental Health and Addiction Workforce centres; Te

Pou o te Whakaaro Nui, Le Va, Matua Raki, The Werry Centre

and Te Rau Matatini. This group is able to accomplish optimal

incorporation of the national Mental Health and Addiction

workforce development programmes.

Kia ngātahi te waihoeTāhuri te kei o tō waka, whatiwhati ngaruHaere ki tua, papapounamu te moanaE topa, e rere ki uta.

Mihi

Te Rau Matatini Annual Report 2014-152

HE KŌRERO O TE KAITIAKITANGA - A MESSAGE FROM THE BOARD CHAIR

There are 100 actions within Rising to the Challenge including:

• improve mental health and well-being, physical health and

social inclusion for people with mental illness and addiction

issues

• encourage more effective use of resources

• enhance integration of Mental Health and Addiction services

• reduce disparities in health outcomes

• improve access to and reduce waiting times for Mental

Health and Addiction services

Our organisation work plan continues to be influential and

updated each financial year as deliverables are completed.

The next financial year provides a platform to embed new Te

Rau Matatini programmes into further workforce development

for our kaimahi, and most importantly for our future leadership.

The Hui-a-rohe completed earlier this year will help to

influence the next Rising to the Challenge document.

He Korowai Oranga

This high level Māori Health strategy framework supports the

Ministry of Health and District Health Boards to deliver a health

system which works for all New Zealanders. It has aspects of

Te Tiriti o Waitangi, Rangatiratanga and Māori aspirations and

contributions woven into it.

This framework determines how Māori mental health

workforce development deliverables will be approached. Te

Rau Matatini continue to use He Korowai Oranga as a guide to

enhance Whānau Ora, Wai Ora and Mauri Ora for all Māori in

the mental health sector.

Whānau Ora

Te Rau Matatini has developed a Whānau Ora Approach

document specific to Mental Health and Addiction which will

contribute to the further development and implementation

of Whānau Ora initiatives. This framework has been informed

by the Whānau Ora Workforce: A literature review, and advice

given from all five Mental Health and Addiction workforce

centres. Māori cultural and clinical leaders from District Health

Boards and non-government organisations also had input.

Suicide Prevention for indigenous communities

Waka Hourua is a direct response to the New Zealand Suicide

Prevention Action Plan 2013 – 2016 released by the Ministry of

Health. The suicide prevention programme is a Te Rau Matatini

and Le Va partnership to address the high numbers of suicide

among indigenous communities (a high risk population).

The programme is overseen by the National Leadership

Group which is chaired by Professor Sir Mason Durie. The

National Leadership Group launched the Community Funding

programme with the Strategic Research Agenda to evaluate

the process.

Waka Hourua has great ambitions to ensure that whānau and

Pasifika families feel well supported in developing their own

prevention programmes. The challenges of suicide and suicide

prevention are many and the Waka Hourua team are prepared.


Waka Hourua has great ambitions to ensure that whānau and Pasifika families feel well supported in developing their own prevention programmes.

“ “

with great pleasure that the Board confirmed her role in the

organisation. Marama has a background in nursing and general

management in PHARMAC. Her expertise in health and

leadership is hugely beneficial for the organisation. The future

looks positive with experienced and competent people joining

our team.

Without dedicated staff members it would be impossible for

Te Rau Matatini to accomplish everything it has done thus

far. Mihi nui ki a koutou katoa for your constant dedication to

ensuring change is made for Māori workforce development.

I would also like to take this opportunity to thank all the Board

members for your unceasing dedication to ensuring that Te

Rau Matatini reaches new levels of excellence. The Board is

supported and guided by Te Puea Winiata and the Trustees of

our shareholder. We are thankful for the insights that the Trust

is able to offer myself and the Board.

In closing, I would like to acknowledge Professor Sir Mason

Durie. His succinct comments on our debates and discussion

encapsulates hours of our out loud thinking easily and

understandably.

Kura Denness

Chair, Board of Directors

The future looks positive with experienced and competent people joining our team.

Without dedicated staff members it would be impossible for Te Rau Matatini to

accomplish everything it has done thus far.

“

“


Further Acknowledgements

It is with great pleasure that Te Rau Matatini can announce

that Kīngi Tūheitia is the official patron for Healing Our Spirit

Worldwide – The Seventh Gathering. The Gathering is being

held in Waikato and the pōwhiri has been blessed to take

place at Tūrangawaewae marae. This is a special opportunity

for Te Rau Matatini as it allows our whakawhanaungatanga

with Waikato-Tainui to strengthen.

Previous Co-Leader of the Māori Party and Minister for

Disability Issues, Dame Tariana Tūria played a vital role in not

only the enhancement of disability services, and the launch of

Te Whakaururoa in 2009, but also the social service welfare

policy Whānau Ora. Acknowledgement is expressed around

her integral role with Whānau Ora and how it has provided a

great foundation for Māori. This will continue to have great

influence throughout the coming years. Dame Tariana was

a great advocate in the parliamentary space and we will

continue to celebrate her mahi through our mahi.

Nau mai, haere mai ki ngā kaitiakitanga hou, ko Fiona Pimm

(Deputy Chair) rāua ko Eugene Berryman-Kamp. We are

very lucky to have them both. They have proven to be great

additions to the Board of Directors as their knowledge in

health, through District Health Board positions and other health

entities, provides great insight for the future of our organisation.

Nau mai, haere mai ki te Pou Ahorangi hou, Marama Parore.

After several months of being interim-Chief Executive it is

Our vision for the future

Te Rau Matatini strategic focus is underpinned by Māori

workforce development, education, clinical and cultural

capability and capacity for the advancement of our people.

This vision aligns with our goal to be the centre for excellence

for Māori workforce development by 2017.

Highlights from July 2014 to June 2015

Since the last Annual General Meeting, the 2014 – 2015 financial

year has been full of growth for Te Rau Matatini. We continue

to develop new partnerships to provide a strong voice in Māori

mental health and workforce development. Our partnership

with the International Indigenous Council, Te Rūnanga o

Kirikiriroa and Le Va reflect the importance of enhancing

clinical and cultural leadership, and ensuring that Te Rau

Matatini has a positive contribution to make in Whanau Ora.

In the past year Te Rau Matatini has renewed our commitment

to engaging kanohi ki te kanohi with our people. We

organised seven Māori Mental Health and Addiction regional

hui throughout the country. Each hui enabled participants

to express their views about current sector workforce

development. The hui identified key challenges within the

sector and solutions to address. Some key priorities taken from

the hui were:

Enhance Māori Cultural aspects of the Workforce; ‘Grow your

own’ Māori Strategy; Improve Education Pipeline for Māori;

Build Māori Leaders; and Improving Māori Retention.

Te Rau Matatini is able to use the data collected to develop

these key priority areas, supporting solutions to promote

positive sector growth.

The New Zealand Institute of Business provided in-house

training for 13 of our staff members to complete a Diploma

in Project Management. The 100% success rate sees Te Rau

Matatini kaimahi able to put their new found knowledge into

practice.

A snapshot of current programmes at Te Rau Matatini

Healing Our Spirit Worldwide – The Seventh Gathering is

happening in November 2015, Te Rau Matatini staff are

focussed on ensuring that attendees feel welcome to our

Gathering and are inspired by the speakers and performances.

The Gathering’s programme contains 300 presentations and

performances sharing indigenous knowledge, wisdom and

insight.

Kua tawhiti kē tō haerenga mai, kia kore e haere tonu.He tino nui rawa o ōu mahi, kia kore e mahi nui tonu.You have come too far, not to go further,You have done too much, not to do more.

Tā Hemi Henare (Ngāti Hine, 1989)


HE KŌRERO O TE POU AHORANGI - A MESSAGE FROM THE CHIEF EXECUTIVE

“

“

Waka Hourua is the National Māori and Pasifika suicide

prevention programme is designed to support communities

with tools, knowledge, skills and resources to prevent suicide.

He Ara Toiora, an innovative programme based around using

new technology to reduce Māori childhood obesity, has

launched its online portal. This programme marks a change in

the way content is delivered to our tamariki me ōna rangatahi.

The portal is designed for kōhanga reo and kura kaupapa

programmes for Iwi kainga o Waiwhetu.

Te Hau Mārire is making significant headway for Te Rau

Matatini with a focus on a whānau-centric model and the

Māori Addiction Workforce. Programmes are being created to

bring the issues of addiction into a space easily identified and

accessed for Māori impacted by addiction-related harm. Using

the Hui-a-rohe to gain information from kaimahi in the sector

provides a Māori voice to influence the next Rising to the

Challenge mental health strategy.

Huarahi Whakatū continues to provide the only dually

accredited Professional Development and Recognition

Programme (PDRP), specifically tailored for Māori by

Māori Nurses, operating outside of District Health Boards.

This programme has a philosophy of enhancing the dual

competency (clinical and cultural competency) of Māori

registered nurses and increasing the intake of new nurses

into the sector. The clinical competencies are drawn from

the Nursing Council of New Zealand, whereas the cultural

competencies are informed by Te Ao Māori.

Māori Rangatahi and Addictions is a publication created by

Te Kīwai Rangahau, the research and evaluation division of

Te Rau Matatini. The publication highlights key evidence for

factors leading to substance use and abuse by rangatahi.

This evidence is useful for changing this situation identifying

that rangatahi need support achieved by involving them in

workforce initiatives and service delivery to meet their needs.

Acknowledgements to those involved in our journey

Thank you to all of the sector funders; reference groups;

working group members; provider networks; students and

training institutes; and all others who continue to ensure Te

Rau Matatini demonstrates our commitment as a Leader

with an integral role to play in Māori mental health workforce

development.

The Board of Trustees and the Board of Directors, provide

guidance around strategies and business development

We acknowledge after many years of service and dedication

to Te Rau Matatini the retirement of Papa Tunu Walker, our

kaumatua. He now joins the list of kaumātua who have come

through our doors and made this organisation what it is today.

Kei te mihi ki a Papa Tunu mō tō mahi whakaihi i ngā wā katoa.

Mei kore ake koe hei manaaki i a mātou.

Last but not least, thank you to my team for your remarkable

dedication, hardwork and commitment to ensure that Te Rau

Matatini takes our learning from our whakapapa with an eye

on the future to support whanau to Mauri ora – Flourishing

Whanāu.

Marama Parore

Pou Ahorangi – Chief Executive


Our purpose

To provide a strategic focus for workforce development

solutions and advancement of indigenous wellness. This

strategic focus aims to improve the quality, utility and

relevance of workforce development and training programmes

and strengthen Māori health leadership development. In doing

so allows the strengthening of responsiveness to services for

Māori.

Our vision

To contribute as a leading organisation with a strategic focus

on becoming the centre of excellence for Māori workforce

training, education and capability-building solutions for the

advancement of indigenous wellness.

NGĀ MEA NUI O TE RAU MATATINI -TE RAU MATATINI PRIORITIES


Whakaahua 1 Ngā tamariki o Te Ara Whānui kei Waiwhetu marae mō te whakanui o He Ara Toiora


The Trust Board was established in 2002 as an independent

not-for-profit legal entity (hosted by Massey University).

The Trust comprises of experts in Māori health, Māori

mental health, mental health, addiction, education and Māori

development perspectives. The Trust provides quality,

relevance and a strong reputation which supports the strategic

direction for Te Rau Matatini.

The Trust

• Te Puea Winiata – Chair (Ngai Tamarawaho, Ngāti Ranginui)

• Chris Webber – Deputy Chair (Ngāti Toa Rangatira, Te Ati

Awa, Ngāti Raukawa)

• Rocky Hudson (Ngāti Ruanui, Ngā Ruahine, Whakatōhea)

• Eugene Davis (Ngāti Haua)

• Ellen Norman (Muriwhenua, Ngāti Kuri, Ngāti Kahu)

• Monica Stockdale (Ngāti Kahungunu)

• Kim Whaanga-Kipa (Rongowhakaata, Ngāti Kahungunu, Te

Atianga-ā-Mahaki)

The functions

• Meet the objectives of the Board of Trustees

• Provide kaitiakitanga to Te Rau Matatini and the kaupapa

• Act diligently as the shareholder of Te Rau Matatini Ltd

• Contribute to the Strategic Direction and statement of Intent

• Promote the kaupapa of Te Rau Matatini

• Provide quality assurance to the work of Te Rau Matatini.

KO MĀTOU TUMUAKI - BOARD OF TRUSTEES


Te Rau Matatini Ltd is an independent not-for-profit limited

liability company established in 2005 by the Trust Board.

The Directors

• Kura Denness – Chair (Te Ati Awa)

• Fiona Pimm – Deputy Chair (Ngāi Tahu)

• John Walters (Te Aupouri, Te Rarawa, Ngāpuhi)

• Ana Sokratov (Ngāpuhi, Te Rarawa, Te Aupouri)

• Barry Bublitz (Ngaitai ki Tamaki, Ngāti Kohua, Tangahoe

Taranaki ki Tonga)

• Donovan Clarke (Waikato, Ngāti Te Ata, Ngāti Hine)

• Eugene Berryman-Kamp (Te Arawa)

The Board of Directors acknowledges the contribution of ex-

officio member:

• Materoa Mar (Ngāpuhi, Ngāti Porou, Ngāti Whātua) until

October 2014

The responsibilities

• Company vision

• Leadership and stewardship

• Strategy and performance

• Legislative compliance

• Risk management

• Resource procurement

• Chief Executive’s appointment and performance

Board Policies

The Board of Directors and management utilise a number of

policies and a governance manual.

Board Meetings

Board meetings are scheduled quarterly, 12 months in

advance. The Chairperson and Chief Executive develop the

agenda for each Board meeting with papers distributed in

advance. The Board of Directors and Board of Trustees hold

quarterly joint meetings.

Board Committees

The Board of Directors maintains two sub-committees. The

Audit and Risk Sub-Committee comprises three members

and Chairperson (ex-officio member). The Nominations and

Corporate Governance Sub-Committee comprises four

members.

KO MĀTOU KAITIAKITANGA - BOARD OF DIRECTORS


The Executive Team

• Professor Sir Mason Durie – Senior Advisor (Rangitāne, Ngāti

Kauwhata)

• Marama Parore – Chief Executive, Pou Ahorangi (Ngāti

Whātua, Ngāti Kahu, Ngāpuhi)

• Tunu Walker – Kaumatua (Tainui, Ngaiterangi)

• Lucy Bush – Kaumatua (Ngāpuhi)

• Leigh-James Henderson – Service Development Manager

(Ngāi Tuhoe, Ngāti Kahungunu)

• Dr Kahu McClintock – Research Manager (Waikato / Tainui,

Ngāti Mutunga, Ngāti Porou)

• Maria Baker – Workforce Innovation manager (Ngāpuhi)

• Lois Moran – Education and Training manager (Japanese)

• Cecilia Kim – Company Accountant (Korean)

• Sonya Rimene – Programmes and Relations manager (Ngāti

Kahungunu, Rangitāne, Te Arawa, Ngāi Tahu)

The Executive Team acknowledges the contribution of the

ex-officio members:

• Kamielle Tauaneai – Corporate Services Manager

(Muaupoko, Waka Ahitereiria) until 21 August 2015

• Maraea Johns– National operations Manager (Tūhoe) until 4

January 2015

There are currently five teams within Te Rau Matatini:

• Chief Executive Office

• Workforce Innovation

• Business Management Group

• Training and Education

• Research and Evaluation

The Delegation Framework

The Board of Directors have delegated the conduct of the

day to day affairs of Te Rau Matatini to the Pou Ahorangi. The

Pou Ahorangi is responsible for implementing the decisions

of the Board. The Pou Ahorangi has the sole authority for

employment and personnel matters as specified in the Board

Policies.

Te Rau Matatini employees 60 permanent staff to deliver their

core work programme, and specialist or experts for one-off

projects. Te Rau Matatini also houses Te Hau Māia – Private

Training Establishment and Te Rau Design – a specialist Māori

contemporary design agency.

Te Kīwai Rangahau is the Research and Evaluation arm of Te

Rau Matatini. Located in Kirikiriroa, Hamilton, housed within

Te Rūnanga o Kirikiriroa, Hamilton, and the office was officially

opened in October 2014.

KO MĀTOU RŌPŪ WHAKAHAERE -EXECUTIVE TEAM

Henry Rongomau Bennett Foundation CommitteeProfessor Sir Mason Durie, Dr Pam Bennett, Clive Banks, Te Rina Moke, Maaka Tibble, Te

Puea Winiata, Rozi Pattison, and Patricia Siaosi.

Te Hau Mārire Dr Vicky MacFarlane, Annette Harris, Eugene Davis, Louise Leonard, Maynard Gilgen, Moe

Milne, Phyllis Tangitū, Taipū Moana, Terry Huriwai, and Tania Wilson.

Henry Rongomau Bennett Advisory PanelDr Diana Rangihuna, Dr Mark Lawrence, Dr Matthew Shepherd, Charlizza Harris, Dean

Rangihuna, Hamiora de Thierry, Joanne Henare, Parewahaika Harris, Paula-Mauri Mokomoko,

Pikihuia Pomare, Riripeti Haretuku, and Andre McLachlan.

He Ara ToioraDr Mason Ngāwhika, Leonie Matoe, Darrio Penetio-Hemara, Callie Corrigan, Roy Hoerara, Tim

Corbett, and Te Rae Ngaheke.

NGĀ RŌPŪ KAITIAKI - ADVISORY GROUPS

Te Rau Matatini acknowledges the members of our Committee and Reference Groups who have provided valuable support and

advice which guide our programmes.

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Topatopahia te Rere o te WakaTerry Huriwai, Donna Blair, Claire Aitken, Maureec Ngawaka-Nathan, and Eroni Clark.


Waka Hourua - Strategic Research AgendaDr Linda Nikora, Dr Te Pora Emery, and Dr Mele Taumoepeau.

Huarahi WhakatūTish Siaosi, Devi Ann Hall, Hineroa Hakiaha, May Hart, Ruelle Khan, Candy Cassidy, and

Ronald Baker.

Whānau OraTerry Huriwai, Moe Milne, Manase Lua, Tania Wilson, Novi Marikena, Denise

Kingi-Uluave, Tuta Niho Niho Haereroa, Aroha Noema, Joanne Henare,

Dallas Hibbs, Sharon Henare, and Patricia Siaosi.

Waka Hourua – Māori RōpūDr Candy Cookson-Cox, Rose McClutchie, Kelly Te Rinii, Phoenix Rūka, Eru Kapa-Kingi,

Rebecca Hooker, Joanne Aoke, Michael Nāera, Emma Kūtīa, Danielle Oaks, Peta Rūha,

Witī Ashby, and Byron Perkins.


KO MĀTOU RŌPŪ TUAKANA / TEINA - OUR STRATEGIC PARTNERSHIPS AND RELATIONSHIPS

Te Rau Matatini has established working relationships with various Government, Non-Government, Tertiary Education centres; Health

Workforce centres; National Māori providers and other Mental Health sector organisations. Expanding Te Rau Matatini networks

throughout the country allows further influence on all matters Māori. As policies, best practice and innovative programmes are being

established it enhances the input from Māori for Māori.

Te Rau Matatini appreciates and gives thanks to all strategic partnerships throughout the country that have been established over

the years. The organisation continues to flourish and moves closer to becoming the lead organisation for Māori Health Workforce

Development. Identifies the range of stakeholders Te Rau Matatini engage with throughout Aotearoa.

Māori Mental Health – Hauora Hinengaro Māori

Māori are disproportionally represented in Mental Health

statistics. Due to the disproportionate use of services by Māori

it is important to ensure health care and services are delivered

appropriately within communities, and are effective. Te Rau

Matatini is focused on strengthening Māori health leadership

because it is essential in supporting health services and

continuity of quality improvement of health care. Fostering

Māori leadership is also important for ensuring the delivery

of health care is culturally responsive for Māori within our

communities. Therefore effective Māori health leadership and

culturally responsive services are mechanisms to reduce the

numbers of Māori tāngata whaiora.

Te Rau Matatini is focused on increasing the number of Māori

entering into the Mental Health and Addiction workforce;

working alongside the Ministry of Health, Health Workforce

New Zealand, District Health Boards and Non-Government

organisations around the country. This ensures tailored

programmes are available for the next wave of leaders in

mental health. Te Rau Matatini has supported the Whānau Ora

Framework, Te Hau Mārire and the Henry Rongomau Bennett

Foundation and its scholarship programme to empower

individuals, whānau, hapū and iwi to strengthen Māori health

leadership.

Whānau Ora Framework

The Whānau Ora Framework is an interagency approach to

provide health and social services to build the capacity of all

whānau in need. It empowers whānau as a whole rather than

focusing separately on individual members and their difficulties.

Enhancing the presence of Māori health leadership in

influential areas through the Whānau Ora Framework, ensures

the future development of effective services, underpinned by

whakaaro Māori (Māori ideologies).

The Whānau Ora Approach document specific to Māori Mental

Health and Addiction, contributes to the further development

and implementation of Whānau Ora initiatives. This Framework

was informed by the Whānau Ora Workforce:

A Literature Review coupled with advice provided through a

collaborative approach; led by Te Rau Matatini and supported

by Matua Raki, The Werry Centre, Te Pou o Te Whakaaro Nui

and Le Va.

The document A Mental Health and Addiction Workforce

Framework: A Whānau Ora Approach was launched at the

National District Health Board Family / Whānau Advisors

Annual National Hui 5 November, at Wellington Hospital. Since

the launch, the Family / Whānau Advisors particularly from the


OUR WORKFORCE PROGRAMME FOR 2014-2015Whakaahua 2 Professor Sir Mason Durie providing insight into Māori Health


Northern Region District Health Boards, have been supported

by Te Rau Matatini to implement Whānau Ora as contributing

to best practice when working with Māori.

Understanding best outcomes and implementing best practice

for whānau involves knowing how whānau, hapū and iwi

operate. The Whānau Ora Framework reflects this through

the use of whakaaro Māori and expert advice, allowing the

development of effective services to establish influential

change.

Te Hau Mārire

Te Hau Mārire: Addiction Workforce Strategic Framework for

people working with Māori experiencing addiction-related

harm (2015-2025), brings together the knowledge and

experiences of Māori in the addiction treatment sector. This

guides the development of a competent workforce that will

contribute to the minimisation of addiction-related harm and

achievement of Whānau Ora.

Te Hau Mārire aims to be a comprehensive strategy which

will enable the Addiction Workforce to flourish and grow in

capacity and capability, while still maintaining diligence around

remaining responsive to the needs of Māori with addictions.

Te Hau Mārire recognises that Māori are the highest users of

addiction services in Aotearoa, and as a result, the strategic

framework advocates to ensure this population is provided

with adequate services to assist in the reduction of addiction-

related harm.

On behalf of the Ministry of Health, the development of Te Hau

Mārire is in collaboration with other influential members of the

addiction treatment sector; Matua Raki, The National Addiction

Workforce Programme, The Werry Centre for Child and

Adolescent Mental Health, and Te Pou o te Whakaaro Nui. Te

Rau Matatini would like to thank the respective organisations

who released staff to attend meetings and teleconferences

as part of the reference group. As past service users, family

members, practitioners, and leaders in the addiction sector, the

reference group brought a vast range of knowledge, skills and

experience.

Henry Rongomau Bennett Foundation

Leadership among Māori is an achievement which is always

significantly celebrated as role models for Māori are important.

The leadership experienced by Henry Rongomau Bennett

is no exception. In early 2011, the Henry Rongomau Bennett

Foundation was launched. The Foundation manages a range

of programmes, including the scholarships, to meet the goals

of developing leadership pathways for existing and emerging

leaders, and facilitating Māori leadership networks in health.

Utilising the HRB Foundation as a tool to foster and nurture

new and current Māori leaders, guarantees the development

of effective services in the future which appreciate how Māori

understand, think and work. Working closely with the HRB

Foundation to provide access to scholarships expresses the

dedication to best outcomes and Whānau Ora for Māori.

Henry Rongomau Bennett Scholarship

Identifying that leadership among Māori is a mechanism

to enhancing the lifestyle of all whānau, in 2001 the Henry

Rongomau Bennett (HRB) Scholarship Programme (named

in honour of the first Māori psychiatrist) was established to

encourage young Māori psychiatrists to continue their studies.

In recognition of the concepts of mental health beyond

psychiatry, the scope of the scholarship programme was

extended. This included other mental health disciplines, such

as psychology, nursing, addiction and public health. As the

importance of Māori leadership in health was increasingly

recognised, the Committee overseeing the HRB Scholarship

Programme moved to align the scholarships to support the

development of Māori leadership in the health sector.

The Henry Rongomau Bennett Scholarship Programme has

been a successful mechanism to increase the level of Māori

participation across the Health sector. Recognising that this

approach works for Māori, expresses the fundamental value

of scholarships to develop new Māori leaders. The purpose of

the scholarship is to develop and build Māori Leadership and

excellence in health with competence in clinical aspects and

Te Ao Māori.

In 2015, 15 candidates were selected, consisting of seven

undergraduate and eight postgraduate recipients. As at 30

June 2015 all recipients have accepted the scholarship and 14

first payments have been successfully completed.

A list of study fields being pursued in 2015 are:

• Bachelor of Medicine and Surgery

• Postgraduate Certificate in Health Science

• Masters of Science

• Masters of Health care

• Postgraduate Dip in Psychology (Clinical)

• Bachelor of Nursing

• Doctorate Clinical Psychology

• Doctoral of Philosophy

• Postgraduate Dip in Clinical Pharmacy.

The outcomes for the Henry Rongomau Bennett Māori

Leadership in Health Scholarship Programme towards 2030

are to:

• Continue to improve academic outcomes for recipients

• Increase numbers of existing and emerging leaders

enrolling and completing undergraduate and postgraduate

studies (certificate, diploma or degree level) in selected

discipline relevant to Māori and health

• Increase the support and promotion of Psychiatry as a

specialty to medical students

• Increase the number of Māori Psychiatric registrars and

Māori Psychiatrists by at least ten.

Maintaining contact with scholarship recipients allows Te Rau

Matatini to observe future leaders with great potential to initiate

change in the sector.


Whakaahua 3 Māori Nursing


Derryn was born and raised in Auckland and is the eldest of

five children, one of which is her twin sister, Chloe. During

2003 – 2007 her family moved to Northland and live in Ahipara

in the Far north which is Derryn’s turangawaewae. It is also

where her father and paternal grandfather originated from.

Whilst in Ahipara Derryn was able to meet the people and see

the places that influenced her father and grandfather’s life.

Derryn’s mother identifies as Pākehā, however her maternal

grandfather is of Ngāi Tahu descent.

Derryn attended Ahipara Primary school for three years

and Kaitaia College for one year. The time spent at Ahipara

School was one of the best experiences of her life, and she

is proud to say she was a member of the Ahipara Community

Problem Solving (CmPS) team. After leaving Ahipara to return

to Auckland where Derryn attended Botany Downs Secondary

College. She was fortunate to be selected for the Otago on

Campus Experience, which was a life-changing event.

This trip inspired her to travel to Otago University to partake in

the First Year Health Sciences course with the hope of getting

into medical school. After being unsuccessful first time around;

Derryn decided to finish her degree in Physiology, whereby

she graduated with the Bachelor of Science at the end of 2013.

Derryn gained entry into medical school at Auckland as a

postgraduate student and now she is currently in her third

year for medicine. She is also a proud recipient of the Henry

Rongomau Bennett scholarship, which she received earlier

this year. Derryn is thoroughly enjoying her career so far

and wishes to return to work in the Far North as a medical

professional in the future.

Ko Te Rarawa, Ko Ngāti Kahu ngā iwi

Ko Te Ōhaki, Ko Paatu ngā Marae

Ko Whangatauatia te maunga

Ko Wairoa te awa

Ko Karirikura te moana

Ko Derryn taku ingoa

Mihi

HENRY RONGOMAU BENNETT SCHOLARSHIP RECIPIENT 2015

Whakaahua 4 Henry Rongomau Bennett scholarship 2015 recipient, Derryn Manga

Tohu Hiranga – Excellence and Innovation Awards

The Excellence and Innovation Awards aim to acknowledge

and recognise excellence in Māori health, Mental Health and

Addiction area (individuals, groups and organisations) and

encourage the development of innovative approaches to

achieving best outcomes for tāngata whaiora and whānau.

The specific objective is to recognise and endorse professional

achievements, and high levels of Māori excellence by

awarding the Harry Pitman (Māori Addiction Services) and

Bob Henare (Māori Mental Health) Excellence and Innovation

Awards, and the Tā Tātou Mahere Korowai Awards.

Harry Pitman Awards

The Harry Pitman Award recognises existing and emerging

leadership in the Alcohol and other Drugssector and the

work aimed at minimising addiction-related harm to Māori.

Transformation, innovation and best practice in the AOD sector

requires strong Māori leadership.

Bob Henare Awards

The Bob Henare Award was created to acknowledge and

support the professional achievements and high level of

excellence of rangatahi Māori (under 25 years) working in Māori

mental health.

The Award also recognises and encourages the development

of innovative approaches to achieving best outcomes for Māori

in the mental health sector.

Tā Tātou Mahere Korowai Awards

The Tā Tātou Mahere Korowai Guidelines provide a model for

Mental Health, Addiction and Whānau Ora Services to develop

services which reflect the perspectives and aspirations of

rangatahi and, by doing so, meeting the needs of rangatahi.


Whakaahua 5 Healing Our Spirit Worldwide Rangatahi


Healing Our Spirit Worldwide – The Seventh Gathering

In association with the International Indigenous Council,

Waikato Tainui, Te Wānanga o Aotearoa and Waikato

University, Te Rau Matatini are leading the 2015 Healing

Our Spirit Worldwide - The Seventh Gathering from 15 – 19

November.

400 Abstracts

300 Delegate presentations

230 International presenters

21 New Zealand key notes

13 Themes

The purpose of The Gathering is for Indigenous peoples across

the world to come together to share their strength, hope,

and wisdom as they face community health, governance,

and substance abuse issues. It provides a forum to discuss

solutions and to connect and learn from other peoples to heal

the spirit, heal the earth, and sustain cultural practices for the

next generation.

The Gathering will be connecting over 1,500 delegates and

their communities from 17 countries. Delegates are coming

from Canada, United States of America, Hawaii, China,

Kenya, Mila, Australia and Aotearoa. The event received over

400 abstracts, and will provide presentation from over 300

delegates.

The overarching theme for The Gathering is Mauri Ora –

meaning life force, a positive state of being, a continuous

energy flow, life, good health and vitality. Mauri Ora is about the

health and well-being of indigenous communities flourishing in

positive directions.

Within the theme of Mauri Ora, there are key aspects which

celebrate indigenous innovations. The aspects focus on

leadership, solutions, potential and the future of programmes

for indigenous populations, worldwide. These four aspects

within the Mauri Ora theme for The Gathering, are strengths-

based and forward focused in their approach. Healing Our

Spirit Worldwide - The Seventh Gathering is about building the

capacity of indigenous leaders, highlighting and celebrating

indigenous solutions, and realising indigenous potential for

healthy flourishing futures.

The Gathering will also host an international creative arts

village and a cultural performance stage.

Whakaahua 6 Healing Our Spirit Worldwide (HOSW) International Indigenous Council (IIC) members.

There is a disparity in health outcomes for Māori. Māori tāngata

whaiora using mental health services are no different. Mental

Health is one of the high priority areas for whānau and families

around Aotearoa because the mental health of one member

in the community can impact their wider whānau. Appropriate

care and understanding of resources and services available

for tāngata whaiora have been identified as mechanisms to

improve health outcomes, and reduce health inequalities of

Māori tāngata whaiora.

Discussions were initiated with tāngata whaiora and whānau to

develop important relationships to work in collaboration with

the five Mental Health Workforce Development centres. This

led to identifying priority areas in mental health which needed

to be addressed within communities.

A range of development and delivery resources and

programmes for the community have been identified and

supported. These include: Part A Workforce programme, Kia

Pūmau te Oranga Wānanga, Hui-ā-Rohe, Tāngata Whaiora and

Best Practice Framework.

The overall aim of each programme is to provide tāngata

whaiora with adequate support to achieve Whānau Ora and

Pae Ora.

• Assessing Effectiveness

• Co-existing Problems

• Drivers of Crime

• E-learning

• Evaluation of Sensory Modulation

• Knowledge Exchange, Transfer, Information

• Use, Information Leadership

• Leadership Development

• Māori Youth Mental Health

• Regional Workforce Collaboration

• Seclusion and Restraint

• Talking Therapies Evaluation

• Workforce Development and Service Improvement

• Workforce Stock-take

• Working to top of scope

• Working with Māori.

Each of these components reveals an area where

improvement is required to allow the development of whānau,

hapū and iwi. Through improvement in these areas, Māori are

provided the opportunity to develop leaders and flourish within

their communities, as well as the Mental Health and Addiction

workforce.

HAUORA HINENGARO - MĀORI MENTAL HEALTH


Whakaahua 7 Māori Mental Health nurses attending a workshop to discuss future innovations


Kia Pūmau te Oranga wānanga

In April, Ngāti Hine, Moe Milne, Tukaha Milne and Koha

Aperahama delivered the Kia Pūmau te Oranga wānanga.

This was held at Otiria Marae, Moerewa Northland. The

wānanga was designed for both Māori and non-Māori health

professionals, and students to discuss the protection of lifelong

well-being for our whānau and those experiencing mental

illness and addiction. Developing Māori and non-Māori health

professionals to use and understand tikanga when working

with Māori, ensures that service delivery is tailored for each

whānau or tangata whaiora according to their requirements.

The kōrero (discussion) during the three day wānanga included

important topics such as:

• Pregnant māmā, pēpi and whānau

• The importance of physical activity to ones well-being

utilising Te Ao Māori

• Mahi-ā-Atua

• Tāngata Whenua based models of practice with examples

of whānau transformation

• The use of Te reo me ōna tikanga, marae and whenua

• Being in and between two worlds as a Māori Psychiatrist

• Traumatic brain injury and the impact upon wairua of

whānau

• Solution focused strategies for and with Māori workforce

development strategies

• Aspirations of Māori medical students, and leadership.

The wānanga proved to be insightful as it provided a safe

place for people to inspire and share challenging experiences

when working with Māori in the Mental Health and Addiction

sector. The richness of the kōrero captured provides valuable

insight into how those working with Māori in the Mental Health

and Addiction sector can ensure programmes and approaches

encapsulate the wairua (essence) of tāngata whaiora and

whānau. This in turn results in developing programmes

dedicated to the enhancement of whānau, ensuring that best

outcomes are identified and positively influence the future of

the Māori health system.

Hui-ā-Rohe

In understanding the workforce development requirements, as

recognised by those working the front-line, Te Rau Matatini is

able to advocate for and influence change in the Māori Mental

Health sector. To determine what this valuable information is, a

series of seven Māori Mental Health and Addiction forum were

facilitated in Te Tai Tokerau, Tāmaki-Makau-Rau, Midlands,

Manawatu, Te Whanganui-ā-Tara, Te Tau Ihu and Ōtautahi.

Each hui provided great insight from the perspective of sector

kaimahi, where they expressed their own experiences on how

to facilitate change in workforce development, innovative ideas

and concepts, as well as addressing any issues which came to

light.

These hui were successful and the facilitators were able

to gather vast amounts of important data. After all hui were

completed the information was collated, analysed and placed

into a feedback report document outlining requirements for

the Māori Mental Health sector.

Key priorities identified by kaimahi for sector development

included:

• Enhance Māori Cultural aspects of the Workforce

• Affirmative Māori Recruitment Strategies

• ‘Grow your own’ Māori Strategy

• Improve Education Pipeline for Māori

• Tailor Workforce Development programmes for Workforce

• Build Māori Leaders

• Build Māori Mental Health and Addiction nursing Workforce

• Build Unregistered Māori Mental Health and Addiction

Workforce

• Improving Māori Retention.

Developing the key areas identified by sector kaimahi will

provide incentive for Māori who are contemplating on working

in the Māori Mental Health sector. As those who contemplate

entering the workforce are persuaded by new changes to the

system, workforce numbers are increased with newly qualified

kaimahi. This also reflects the retention rate of kaimahi, and

reinforcing a strong succession strategy for the sector.

foster therapeutic relationships with Māori, to reduce the use

of seclusion techniques. This partnership is recognised as

a means to influence change for whānau and communities.

Continuing to work alongside Te Pou o te Whakaaro Nui

as well as Te Ao Māramatanga will strengthen further the

understanding of the seclusion and restraint work.

Developing strong and trusting relationships in the sector to

gain insight and understanding through kaimahi and other

organisations is important for sharing and analysing data

findings. This was expressed when Ngā Hau e Whā:

National Consumer Group invited Te Rau Matatini to

discuss findings from He Kai i te Rangatira, He Korero a

report completed by Maria Baker (Te Rau Matatini). Baker’s

report was constructed following a consumer led hui to

find solutions to breaking down restrictive practice of Māori

(i.e. high use of Mental Health Act; seclusion and restraint).

Specific recommendations from the report included the

need for a national Māori consumer voice; follow-up hui with

other consumer, and better sharing of available resources

developed by and for consumers.

Making a Stand for Change was the follow-up hui held at Tainui

College, (Hopuhopu, Ngaruawahia) September 30. Participants

attended from areas as far as Northland to Dunedin, with 80%

of the participants having tāngata whaiora experience. Others

who attended were whānau of loved ones with serious mental

illness. This follow up hui was designed to further encapsulate

information from those with tāngata whaiora experience, and

use it to create new, less restrictive mental health models of

care.


Tangata Whaiora

A literature review has been completed on tāngata whaiora

and ‘chemical restraint’ techniques used on Māori during

admittance into acute units. This review has highlighted what

‘chemical restraint’ means in Aotearoa, and presents the limited

attention given to the way medications such as Clozapine are

used in the treatment of mental illnesses, and subsequent

behaviours. Understanding that the negative side effects of

Clozapine result in 30 years being reduced from a patient’s

life (taking into account that Māori already have a lower life

expectancy rate than that of non-Māori) working with sector

partners to understand alternative approaches for Māori is a

high priority.

Māori are the highest users of Mental Health services

in Aotearoa, strategies to reduce the instance of health

professionals opting for ‘chemical restraint’ as a primary

restraint technique, as well as improving mental health

professional competency with medication prescribing,

management and monitoring; have been discussed with

the Māori Pharmacists Association. Working with the Māori

Pharmacists Association, a proposal to co-investigate the

impact of second generation antipsychotics on the well-being

of Māori has been developed. It is important to note the stories

among the Mental Health sector of increased mortality rates of

tāngata whaiora since the introduction of medications, such as

Clozapine.

A small study completed among Māori Mental Health Nurses

employed in acute inpatient mental health units, in partnership

with the Māori Caucus of Te Ao Māramatanga, is proving

insightful. The study highlights strategies of Māori staff in acute

mental health units applying traditional Māori approaches to

Whakaahua 8 Hui a Rohe, Kirikiriroa


Best Practice Framework

Te Hau Mārire created a document with the intention to

provide information surrounding Best Practice for mental

health services for Māori. It was revealed that an assertive

indigenous response to increasing Māori Mental Health will

involve the recognition of success within Māori Mental Health

services, and of Māori health professionals. The development

of a Best Practice Framework to underpin the design of future

programmes and services for Māori, interrelates with the

continual strive for excellence and the enhancement of the

Māori mental health workforce.

Evidence suggests that effective Māori mental health services

operate in accordance to specific elements of Te Ao Māori (the

Māori worldview). These elements are based around the desire

to enhance well-being for whānau, hapū and iwi. As priorities

differ from whānau to whānau around Aotearoa, a locally led

Māori mental health solution has been recognised as the most

effective approach. Tailoring to the corresponding community

and their requirement for support and resources encourages

an increase in service / programme buy-in and utilisation.

Establishing and strengthening connections between whānau,

hapū and iwi is also recognised as being important when

developing programmes for communities. This is because

whakawhanaungatanga is integral to Māori cultural values,

practices and models. During the programme construction,

identifying the answers to a list of key factors will help to

determine how effective the programme will be.

• Does the programme make a difference for Māori?

• Does it assist tāngata whaiora in feeling comfortable with

the service provided?

• Is there an improved sense of support and understanding

for the affected whānau?

• Are relationships strengthened between the Māori health

professional and the tangata whaiora, whānau and/or

employers?

Whakaahua 9 Making a Stand for Change attendees


There is a strong focus on supporting qualified Māori health

practitioners that have a dual competency within the health

sector. Māori nursing is a prime example of why it is important

to ensure Māori are trained in providing care within rural Māori

communities.

Nurses work in fast paced environments where no day is ever

the same. Success in this career requires enthusiasm to learn,

the ability to communicate well and recognise the values of

others, as well as prioritise multiple demands. The role of Māori

nurses is more than providing care as they also play a crucial

role in shaping the way health and social services respond

to people with mental health or addiction issues (Ministry of

Health, 2012), as well as providing support for Māori whānau to

achieve Whānau Ora (Te Puni Kōkiri, 2013).

The unique set of skills and experience Māori nurses bring to

their role provides them with a different approach to working

with clients. Māori nurses tend to focus on the person and their

whānau (Barton & Wilson, 2008), which fosters the connection

of their nursing care with Māori cultural values and principles.

Increasing the number of Māori health professionals has been

recognised as an important factor which improves Māori

patient access to health services and their experiences of

holistic care (Ratima et al., 2007).

To ensure Whānau Ora is achieved for Māori whānau, hapū

and iwi throughout Aotearoa, more effort is required to improve

the workforce of Māori mental health nurses. However, over

the last decade Māori registered nurses have struggled to

exceed 7% of the overall registered nurses workforce. Te Rau

Matatini recognises the importance of Māori nurses, their role

in the community and their service delivery, and has a strong

focus the on recruitment and retention of Māori nurses.

NGĀ NEEHI MĀORI - MĀORI NURSING Whakaahua 10 Hemaima Hughes, President of Te Kaunihera


‘Growing our Workforce’ strategy

Partnering with the Māori Caucus of Te Ao Māramatanga to

facilitate a series of regional hui, and developing the Māori

Mental Health Nursing: Growing Our Workforce, proved to

be an innovative approach to establishing a Best Practice

guideline. Te Ao Māramatanga are recognised as one of

the largest Māori registered health professional groups in

Aotearoa. Although the partnership produced a great guideline

for Māori nurses, challenges remain around increasing

recruitment and retention of the Māori nursing workforce to

effectively meet the health needs of Māori.

To address the issue of recruitment and retention, a range

of initiatives for enhancing Māori nursing development over

the years have been facilitated. One initiative is through the

message ‘Every whānau should have a Māori nurse’. The aim

for this is to increase access for all whānau to Māori nurses

and assist whānau, hapū and iwi to increase the workforce

numbers, capacity and capability of Māori nurses who work

across the health and disability sector.

Utilising Te Pae Māhutonga (Durie, 2009) as the guiding

framework for Māori Health Promotion, six core elements

necessary for growing and supporting the ongoing

development of the Māori mental health nursing workforce are

identified. These core elements are:

• Mauriora: Specialised and uniquely distinctive Māori mental

health nursing practice

• Toiora: Supporting Māori mental health nursing excellence

• Waiora: Protective and nurturing practice environments

• Te Oranga: High quality, relevant Māori mental health

nursing training pathways

• Ngā Manukura: Strategic, connected, and sustainable

leadership

• Te Mana Whakahaere: Self determined pathways.

Alongside Te Pae Māhutonga, Māori Mental Health Nursing:

Growing Our Workforce enhances the understanding of, and

the confidence in the unique contributions made by the Māori

mental health nursing workforce.

Māori Mental Health Nursing: Growing Our Workforce was

blessed by kaumātua and launched at Te Whare Mārie,

Kaupapa Māori Mental Health services (Capital & Coast District

Health Board) in August 2015. Since then, 500 copies have

been distributed to key stakeholders such as the Chief Nurses

Office, Ministry of Health, Executive Directors of Nursing

(District Health Boards), Directors of Mental Health Nursing,

Māori Nurse Leaders, Māori Mental Health nurses, Māori

nursing students and others.

As achieving a higher recruitment and retention rate for

Māori Mental Health nursing in order to help whānau achieve

Whānau Ora is the priority for Māori nursing.Utilising the

feedback received from the sector provides enough detailed

information to enhance the current system, capacity and

capability of the Māori Mental Health nursing workforce.

Huarahi Whakatū Professional Development and

Recognition Programme (PDRP)

Huarahi Whakatū PDRP is the only Māori professional

development programme in Aotearoa.

The programme is coordinated by a Māori registered nurse,

guided by a cultural and clinical governance board with access

to mentors and Māori Assessors. Since its establishment it

has maintained its relevancy as a professional development

recognition programme, based on dual competency for

Māori Registered Nurses in Aotearoa. In October 2014, the

programme received its second accreditation by the Nursing

Council of New Zealand, which validates it for another five year

period.

The Huarahi Whakatū framework is specifically tailored for

Māori Registered Nurses to enhance their cultural and clinical

competencies. This framework contains the six domains of

Māori cultural competencies, as well as the expected domains

of practice as outlined by the Nursing Council of New Zealand.

Within this framework nurses are able to apply for four levels

of practice:

• Puna Whakato (Competent)

• Puna Whakatau (Proficient)

• Puna Rahi (Expert)

• Puna Rangatira (Leadership).

The programme is applicable to the majority of domains

where Māori registered nurses may be employed. Examples

include: primary care; youth heath; public health; Mental Health

and Addiction; Hauora Māori; school nursing and Māori nurse

lecturers (within undergraduate and postgraduate nursing

education). The majority of nurses who participate and show

the most interest in the programme are already within the

Mental Health and Addiction sector. 22 Māori nurses have

successfully completed the programme this year, with 18 of

those being within the Mental Health and Addiction sector and

four in other sectors.

Haidee Renata (pictured second from left) is the first Māori

Mental Health nurse at the Waitematā District Health Board

Mental Health services, and acute inpatient Mental Health

services to complete the programme. Haidee has achieved Te

Puna Whakatau.

Having the programme also accepted within District Health

Boards is important as they contribute to the majority of

employed registered nurses. They are also key allies to ensure

Māori Registered Nurses receive professional development

hours in order to complete their portfolio, as well as receive

contractual remuneration payments when nurses achieve:

Puna Whakatau, Puna Rahi and Puna Rangatira in Pūkenga

Haumanu (clinical).

Currently the Huarahi Whakatū programme is accepted in

the following District Health Boards: Northland, Waitemata,

Counties Manukau, Lakes, Tai Rāwhiti, Whanganui, Wairarapa,

Capital & Coast, Hutt Valley, Nelson-Marlborough, and

Southland.

Medibank Telenursing

Te Rau Matatini takes this opportunity to appreciate the

contribution Medibank made to providing Telenursing

Scholarships for Māori nurses. Telenursing is the use of

telecommunications and information technology for the

delivery of nursing services. Medibank’s assistance ensures

Māori nurses are afforded adequate opportunities to excel

within Māori nursing through new technology.

Telenursing has been identified as an effective way to ensure

Māori have access to Māori nurses 24/7. Enhancing the clinical

competencies of Māori nurses, while they utilise their cultural

competency, allows Māori access to services they understand.

This is a crucial point of difference as most rural areas have

little access to effective nursing for Māori populations. Ngā

mihi mahana ki a mātou tuakana, ko Medibank. Mei kore ake

koutou hei tautoko me awhina i a mātou.

Using technology to enhance access for tāngata whaiora

and whānau to achieve Whānau Ora, also influences the

recruitment number of Māori nurses and the services being

delivered to Māori. As technology becomes increasingly

utilised throughout the 21st Century, more Māori in rural areas

will become increasingly reliant on it for medical care. By

ensuring that nurses, both culturally and clinically competent,

are given opportunities to excel, the health of Māori in rural

areas will enhance and reflect the services provided.



Gina Chaffey-Aupouri

Gina has worked as a Registered Nurse for 20 years in her

community. Currently employed at Te Whare Hauora o Ngāti

Porou as a rural health nurse, Gina’s role is focused on bringing

nursing services to patients. Gina believes telenursing will add

value to rural based nursing, particularly enabling access to

information and expertise in difficult situations. Māori health

is a holistic field of practice which requires a set of skills and

knowledge to empower each whānau to make clear decisions

about their health. Telehealth will provide a mechanism to help

break down the barriers associated with distances between

the patient, whānau, and health services, and the resources

needed to ensure attention to key health issues.

Logan Murray

Logan is currently studying at Otago University completing

his postgraduate Certificate in Health Science (Mental Health)

after the successful completion of his Bachelor’s Degree in

Health Science (Nursing). Logan comes from an extended

whānau with strong Māori values and active involvement in the

community.

Since graduating in 2006 as a registered nurse, Logan has

worked in most areas of nursing where he has gained a lot

of people and professional experience. Logan’s portfolio of

experience includes working in Māori Mental Health, acute

inpatient and community mental health, medical and surgical

nursing and most recently in immigration detention in Australia.

Logan became interested in Telenursing after his exposure

during work on the remote Christmas Island in Australia.

Through this experience, he realised that telenursing and

telemedicine was a successful practise when in remote areas.

MEDIBANK TELENURSING SCHOLARSHIP 2015 RECIPIENTS

Whakaahua 11 Left: Gina Chaffey-Aupouri

Te Rau Matatini has established a strategy to incorporate

rangatahi throughout the work of Te Rau Matatini. Māori

rangatahi are over represented in correctional statistics and

have been identified as less likely to transition into higher

education which results in poorer life outcomes than those

who continue on to higher education. Therefore, developing

programmes and initiatives which support the recruitment and

retention of rangatahi within the health workforce is important.

As rangatahi are also tāngata whaiora, incorporating rangatahi

advisors and opinion leaders to assist in the development

of innovative approaches helps to provide effective health

resources and programmes to other rangatahi. This is evident

in the range of consultation hui and health career pathway

resources.

The increased focus on recruitment, retention and innovative

approaches to incorporate rangatahi perspectives is essential

to supporting and strengthening the future Māori health

workforce of Aotearoa.

Fostering a Rangatahi voice

In October 2015, a strategy was established to identify and

enable a rangatahi perspective throughout the work of Te

Rau Matatini. Initial planning sessions involving the team

looked at how to foster this rangatahi voice. This work has a

focus in 2015-2016 on Suicide Prevention and Cyberbullying.

Approaches of interest to the team will include good co-

design principles, leadership and safety.

Other existing knowledge and expertise on staff includes Dr

Kahu McClintock who has developed a model for Children

Adolescents Mental Health Service (CAMHS) delivery, and

culturally appropriate clinical assessments. Dr McClintock has

also recently published a joint literature review on Rangatahi

Māori and Addictions. This review identifies that Māori youth

are over represented in both binge drinking and other problem

drug use data. Broader factors relating to the ongoing impacts

of colonisation continue to create these negative statistics.


RANGATAHI - YOUTH Whakaahua 12 Toitū Hauora Māori Rangatahi attendees.


A rangatahi focused project running during 2015, Ka Hao

te Rangatahi, included a scope of action indicated by key

advisors knowledgeable in youth and rangatahi issues and

service provision. This initiated a literature review which

identified a lack of recent information about rangatahi Māori,

with little presentation of data from quantitative based surveys

and systems reporting that identifies Māori youth separately

from all youth in Aotearoa. A concurrent research process

identified the critically high rate of young Māori (aged 18-25

years) incarcerated by the Justice system each year, revealing

that 50% of prison inmates are Māori.

National consultation on rangatahi workforce

development

The need to focus on rangatahi, their engagement in health

training, education and qualifications were emphasised in

the consultation hui with Māori Mental Health and Addiction

Services and workforce. Consultations took place during

February 2015 in Whangarei, Auckland, Hamilton, Palmerston

North, Wellington, Nelson, and Christchurch. The comments

from the hui specific to rangatahi Māori highlighted the

nationwide issue of the lack of Māori staff (nurses and doctors),

and too few young Māori entering health career pathways.

Recommendations to address this included:

• Creating clearly defined career pathways and support for

school leavers moving into the Health Sector,

• Creating a comprehensive educational pipeline tailored

specifically for rangatahi. The education pipeline will provide

an array of career pathways in Te Ao Māori, Clinical and

Community-based mahi (work). This approach will offer

a clear understanding of how to achieve certain career

pathways,

• Tailoring Māori workforce programmes to ensure there

is an increase in the amount of relevant courses/practice

development for Māori in the workforce,

• Increasing cultural competency of the workforce,

• Increasing funding opportunities to enable relevant study

and training schemes, which will highlight and improve the

academic pathways of Māori education, as well as tackle the

attrition rate of Māori from academic learning,

• Growing the capacity and capability of the Māori Mental

Health and Addiction Workforce through wānanga/e

learning to reiterate the importance of Dual Competency. An

increase in rangatahi and kaimahi support to join the

workforce can be achieved through providing more

educational pathways,

• Increasing the number of Māori in strategic positions dealing

with policies, strategies and recruitment, through

highlighting the educational pathway for kaimahi and other

Māori;

• Envisioning the Māori workforce will be youthful, resilient

and full of excellent role models for rangatahi (youth), who

can follow the clearly defined career pathways to

governance roles, and

• Developing a comprehensive educational pipeline tailored

specifically for rangatahi. The education pipeline will provide

an array of career pathways in Te Ao Māori, Clinical and

Community based mahi (work). This approach will offer

a clear understanding of how to achieve certain career

pathways.

Māori Health Career Pathways – Developed for

Rangatahi, by Rangatahi

A series of print and online resources have been designed

to support rangatahi to pursue a career in Mental Health. The

new resources have been designed to reduce the lack of clear

information regarding pathways for rangatahi seeking to enter

into a Mental Health career. Mental Health Career Pathways

resources provide information about 13 career pathways in

Mental Health. Each Pathway outlines qualifications rangatahi

will need to achieve at secondary school and tertiary education

if they wish to begin their journey toward their chosen career.

These resources also provide descriptive information about

the role of each career, expected salary and future job

prospects to ensure rangatahi are able to make an informed

decision about the career they wish to embark on. Mental

Health Career Pathways also provides information regarding

the types of support rangatahi are able to access while

studying toward their desired career. This ensures they are

able to complete their qualifications and enter into the mental

health workforce. These resources were released in mid

October 2015.

The next focus will be on a series of resources based around

career progression once rangatahi have entered a Mental

Health career. This will focus on clinical pathways, scopes of

practice and career change. These resources will be available

from December 2015.

Kia Ora Hauora – National Māori Health Career’s

Programme

Kia Ora Hauora ‘Supporting Māori into Health’ is a national

programme established in 2008 to increase the overall

number of Māori working in the health and disability sector.

The programme has a national base within Auckland, and

four regional co-ordination centres in Northland, Rotorua,

Wellington and Christchurch.

Te Rau Matatini is the National Non-Government Organisation

partner for Kia Ora Hauora, providing opportunities for

partnership and an alignment of strategic objectives. Kia Ora

Hauora currently has 3,867 Māori students engaged in its

programmes.

Improving Māori student achievement in Science –

Joint Project with Kia Ora Hauora

A discussion document has been created for the Kia Ora

Hauora Expert Advisory Group on Māori achievement in

sciences from Years 9 – 13. The discussion document is based

on a recent literature review, completed by Te Rau Matatini.

The literature identifies the National Certificate in Educational

Achievement (NCEA), and other current barriers / enablers key

to Māori engagement and progression on health qualification

pathways.

Māori experiences in schools may either support and enable

their engagement in science, or be barriers to Māori success

in science. Some elements are summarised within tables

outlining enablers for education in science, disablers of

knowledge and positive learning experiences of science, some

commonly held perceptions and misunderstandings about

Māori engagement and success in science and; the elements

which support Māori and others to be ‘science choosers’, or

those who continue on with science studies, into qualifications

needed for health pathways and professions.

Through this discussion document key actions and intervention

points will be identified to lift Māori achievement in Sciences,

and assist in increasing numbers of rangatahi who can pursue

tertiary level health qualifications.

Tā Tātou Mahere Korowai Guidelines

Tamariki and rangatahi are key to the future well-being of Te

Ao Māori and more broadly Aotearoa New Zealand. Health

services play an important role, and rangatahi know what

type of health services they prefer. It has been identified that

services which are holistic, recognise the influence of their

relationships with whānau and school friends; are confidential,

non-judgemental, free or affordable; locally delivered, youth-

friendly, and offer a range of services that are easy to access,

are what rangatahi are looking for.

Tā Tātou Mahere Korowai provides a model for Mental Health,

Addiction and Whānau Ora services to infuse the views and

aspirations of rangatahi, ensuring services are meeting their

needs. As Whānau Ora encourages health services to place

whānau at the centre of service delivery, these guidelines

actively recognise the importance of incorporating rangatahi in

the planning and delivery of services for young people.

The use of korowai represents (when based on Māori cultural

values) how services can wrap around whānau, tamariki and

rangatahi to support and increase well-being and resiliency.



The Tā Tātou Mahere Korowai Award was created to support

Child and Adolescent Mental Health, Addiction, and Whānau

Ora service providers to establish Rangatahi Advisory Groups.

The Tā Tātou Mahere Korowai Guidelines provide a model for

Mental Health, Addiction and Whānau Ora Services to develop

services which reflect the perspectives and aspirations of

rangatahi, meeting the needs of rangatahi.

Below is an excerpt from a conversation between Maria Baker

and Maureec Ngawaka-Nathan about providing feedback on

the programme.

What do you think are the key highlights Tā Tātou Mahere has

provided in regard to the establishment of ‘ rangatahi experts’

in your service?

One of the highlights for me has been coming to the realisation

that the expertise of our rangatahi can inform so many more

areas than just cold-face delivery in youth services. Their

guidance and recommendations had implications for us at an

operational and policy level, guided service development in

our pākeke teams, and produced changes in wider HR [Human

Resource] processes.

TĀ TĀTOU MAHERE KOROWAI AWARD RECIPIENT 2014 - 2015

I was inspired by watching our rangatahi and kaumatua work together

It has also informed strategic development for the entire

organization. I don’t think we expected this when we

commenced the project...or at least I didn’t.

Another highlight was in how much our rangatahi valued the

input and support of kaumatua in them carrying out their mahi.

I was inspired by watching our rangatahi and kaumatua work

together with staff in clinical and clerical positions acting as

their servants. To me it was a microcosm of how our sector

would ideally work in a more ‘Whānau Ora’ friendly world.

What will be important for you and the team to continue on

with this investment?

Finding the financial means to continue these roles (i.e.

rangatahi and kaumātua) with remuneration which recognises

the value of their expertise and support, and convincing our

funders. Generally speaking these are not areas of knowledge

and experience upon which they place much value. We’re just

so grateful that organisations like yours do.

“ “

Whakaahua 13 Scholarship recipient Maureec Ngawaka-Nathan

Hīkaka te Manawa

Through a shared vision of improving the mental health

and well-being of rangatahi Māori, Te Rau Matatini and the

Mental Health Commissioner produced a document outlining

strategies and priorities for Mental Health and well-being

services for rangatahi Māori. This strategic document was

released by consistency with introduction of Professor

Sir Mason Durie at Te Rūnanga o Kirikiriroa in March 2015,

presenting a primary focus on four recommendations (Funding

and Planning, Workforce, A model / philosophy for services

for rangatahi, and Conduct disorder) of ensuring mental health

and well-being services for rangatahi Māori are sufficient and

efficient.

The Hīkaka te Manawa: Difference for Rangatahi was created

with the assistance from 21 services throughout Aotearoa, all

dedicated to the advancement of rangatahi mental health and

well-being. Through the process of identifying success factors

of services which are supporting improved outcomes for

rangatahi, this information has been collated and disseminated

throughout the sector. As well as providing success factors, it

also highlights common challenges met within Mental Health

and Addiction services, enabling the necessary change to be

identified and advocated for.

The report’s recommendations advocate for future

development of services which build on the strengths of

rangatahi and provide solutions to the common challenges, to

maximise rangatahi development and whānau inclusion. It also

recommends that lessons learned for improving outcomes for

rangatahi are applicable to all youth services and cultures.

Rangatahi groups such as Te Ahurei a Rangatahi provide the

foundation for youth to participate in and mould their future

into something they can be proud of. This was evident during

the document’s release when stories were shared from

rangatahi about their background and the aspirations they had

for the future. Understanding the pathway that rangatahi are

striving toward initiates the discussion around what needs to

be done to achieve their goal. This is important for the future of

Aotearoa and the well-being of Te Ao Māori.


Whakaahua 14 Rangatahi


Taitamariki Substance Misuse Prevention Services

The Taitamariki Substance Misuse Prevention service is

an initiative funded by the Ministry of Health to reduce

substance misuse among Māori aged 10 to 13 years, and their

whānau. The service model uses an ‘indicated and selective

prevention’ approach by targeting those taitamariki (young

people) considered to have a high level of risk for developing

substance misuse. The prevention service aims to engage with

taitamariki to strengthen protective factors and reduce the

risks of developing substance misuse problems.

Ongoing monitoring and evaluation are a key component of

this initiative. The evaluation assesses whether the prevention

services have played a role in preventing taitamariki from

developing mental health and addiction problems. Investments

in prevention, early intervention and improved access to health

services for children and youth are the key focus areas.

Two workshops were scheduled to be held. The final

workshop was not delivered on the request of the Ministry

of Health. On 8 October 2014 the first workshop was held in

Wellington with 17 attendees from Ngā Kete Mātauranga,

Maketu Hauora, Te Whānau O Waipareira Trust, The Werry

Centre, The Ministry of Health, and Te Rau Matatini.

Literature review

There is a current focus on informing the issue of a major

shortage of trained and qualified Māori health workforce,

nationally. Nationwide people are asking “how do we get more

Māori youth into health workforce careers and professions?” A

literature review currently being redrafted for final peer review

identifies the barriers and enablers which are key to Māori

engagement, progression with sciences and other training on

the Health qualifications pathways.

The literature review collates evidence from existing strategies

and programmes which can contribute to changes and

enhance the recruitment and retention of Māori into health

careers. Presently the pathways are not well mapped out, and

a critical shortage of qualified teachers of science and health

sciences in secondary schooling, who are also bi-culturally

aware and able to mentor young Māori students to success,

is an ongoing issue. The science curriculum in New Zealand

is not Māori inclusive and neglects to recognise Mātauranga

Māori (knowledge) in the domains of Pūtaiao (science),

Whānau Ora (family well-being) or Hauora (health). The review

hopes to address these issues with key recommendations.

Whakaahua 15 Rangatahi

There is a key focus on promoting growth in capacity and

capability within the Mental Health and Addiction workforce,

while remaining responsive to the needs of Māori with

addictions. In order to increase the capacity of the Mental

Health and Addiction workforce Te Rau Matatini has

recognised that scholarships are an essential part of ensuring

the future workforce will flourish. Key strategic areas have

been identified where scholarships needs to be focused to

bring about maximum opportunity for those interested in

pursuing careers within the sector. A range of research and

work based scholarships are provided through the Topatopahia

te Rere o te Waka scholarship programme. These scholarships

are designed to assist Māori into Mental Health and Addiction

careers.

It has been estimated one quarter of Māori experience

substance misuse and other addictions in their lifetime,

therefore it is important to ensure the services are responsive

to the needs of Māori with addictions. Te Rau Matatini was

involved in the development of Te Hau Mārire: Addiction

Workforce Strategic Framework for people working with Māori

experiencing addiction-related harm (2015-2025). This guides

the development of a competent workforce that will contribute

to the minimisation of addiction-related harm and achievement

of Whānau Ora.

Through providing increased access to scholarships and

strategic frameworks for those who are pursuing a career

in Māori Mental Health and Addiction, Te Rau Matatini can

observe and influence the calibre of those soon to enter

the Mental Health and Addiction workforce. This has great

implications for tāngata whaiora as the next wave of kaimahi

are demonstrating expertise which will provide fantastic

strategies, models and programmes for the future.


TE HAU MĀRIRE - ADDICTION Whakaahua 16 Left to Right: Rod Jefferies (IIC Chair), Tio Sewell, Tima Tuinasau and Barry Bublitz


Kim Laurence is a recipient of the scholarship for 2014-

2015. This scholarship supported her training in working with

addiction in a real-time.

Kim plans to develop her skills in working with addiction. She

also understands that developing her knowledge and respect

of Te Ao Māori will provide further understanding into her role.

Kim hopes to continue working for Higher Ground following

the end of the scholarship, with a role working with residents

within the clinical team. However, if this is not possible she

is confident that the skills and experience she has gained

will show promise of opportunity within other addiction-

related programmes. Kim plans to register with the New

Zealand Association of Psychotherapists (NZAP) upon

completion of her studies, and the Addiction Practitioners’

Association Aotearoa New Zealand (DAPAANZ), as a Māori

Psychotherapist. Kim’s aim is to work effectively with a wide

range of clientele, specialising in working with Māori, whānau

and communities.

The support of Te Rau Matatini and the Higher Ground Drug

Rehabilitation Trust, provides Kim with confidence that her

practise in the field of addiction will continue to develop with

her experience. As a paid placement in a field of personal

interest, this scholarship enables Kim the opportunity to focus

on her practise without the stress finding additional part-time

employment.

Kim considers herself very fortunate for the opportunity that

the Te Rau Matatini scholarship enables her to achieve in order

for her to focus on her experience and development in the

addiction field. The future is looking promising for Kim as she

anticipates 2015-2016.

TOPATOPAHIA TE RERE O TE WAKA SCHOLARSHIP RECIPIENTS 2015

Hoe Tahi – Alcohol and Other Drug Addiction Scholarships

Whakaahua 17 Hoe Tahi scholarship recipient, Kim Laurence

Kruz Noda Adams was the recipient of a one year placement

at Te Puna Hauora ki Uta ki Tai in a leadership role where he

helps facilitate the Tuakana/Teina Rangatahi Advisory Group

with the other youth leaders. He also has the opportunity to

network and liaise with other Rangatahi Advisory Groups.

Kruz’s scholarship contract ended in June however he was

given the opportunity to stay. He currently works as a part-time

employee as he is also attending Polytech to obtain a level

4 certificate in Mental Health. The level 4 qualification can be

added to the Whānau Tū Whānau Ora training he received at

Ngā Mataapuna Oranga.

This placement has given Kruz the chance to experience

what is like to work in the Mental Health and Addiction sector.

Working for Te Puna Hauora ki Uta ki Tai has given him

knowledge to further his career in the Health sector. Kruz has

found this time inspirational as it has given him insight into

his future aspiration of becoming a registered nurse, with

the intention of working in the addiction field. Once Kruz has

completed his Level 4 certificate he will attend his nursing

studies, while working part-time as a Healthcare Assistant in

mental health.

Kruz has learned a lot about the Mental Health and Addiction

sector in Aotearoa during his placement and course. With his

new found knowledge Kruz is able to identify contributing

factors leading to Mental Health and Addiction; and how

co-existing problems impact on service consumers and their

whānau.

Kruz is grateful for this opportunity and he hopes that in the

future, other young people a given similar opportunities.


Hoe Rua– Work-based placement

Whakaahua 18 Hoe Rua scholarship 2015 recipient Kruz Adams-Noda


Dr Anne Macaskill has now completed a large portion of

the planned experiments for this research project. In 2015

she has been travelling to share her findings and to develop

connections with other gambling researchers. In July, Anne

visited Australia, where she visited gambling researchers at

Sothern Cross University in Coff’s Harbour, New South Wales.

She also visited Lewis Bizo at University of New England

Armadale campus. Dr. Bizo is a member of the advisory panel

for her fellowship. This was a very productive visit as Anne

was able to join the new University of New England gambling

research group as a collaborator, and planned some research

work with Lewis. This will involve conducting some follow

up research replicating and extending an interesting finding

from his lab, and working together on a journal article for

submission. During Anne’s trip, she also presented on research

from her fellowship project at the Australian Learning Group

Conference. This was a great chance for her to get a sense of

the relevant research being conducted in Australia. Anne has

also been pleased to be asked to become an editorial board

member for the journal Analysis of Gambling Behaviour. This is

a new journal, which is becoming increasingly established and

publishing very interesting research.

At the New Zealand Association for Behaviour Analysis

conference in Christchurch, Anne presented data from a

project investigating “off-line wins”. An off-line win occurs

when a combination of winning symbols occurs on a pokie

line on which the gambler did not wager. One recent paper

suggested that offline wins might be aversive or unpleasant

because people might feel frustrated that they “just missed” a

win. However, counter to this, Anne has found that participants

prefer to gamble on machines that produce off-line wins. She

thinks that it is important to look at off-line wins as previous

research has tended to focus on older style “near win” events

that are less likely to occur on current multi-line slot machines.

Anne recently completed data collection for a set of

experiments following up on this result where she hopes

to better understand the effects of offline wins. Anne has

previously found that participants respond to offline wins as

if they provide information about the likelihood that a win will

occur in the future. In that study, participants could wager

on one of three lines on a simulated multi-line slot machine.

If they bet, for example, on Line 1, and then there were five

matching symbols on Line 3 (an offline win) they were then

a little more likely than usual to wager on Line 3 on the next

spin - acting as if that line might currently be “lucky”. This has

not been demonstrated previously to her knowledge but it fits

in with a body of research showing that people often think that

pokie outcomes can be predicted in some way even though, in

truth, they are completely random and unpredictable.

Hoe Whā– Post Doctoral Research in Problem Gambling

Whakaahua 19 Hoe Whā scholarship 2015 recipient Dr Anne Macaskill

All programmes conducted through Te Rau Matatini are

evaluated to assess effectiveness for the intended audience.

Te Kīwai Rangahau (Te Rau Matatini Research and Evaluation

group) conduct these evaluations through quantitative and

qualitative approaches to ensure data can be accurately

represented and disseminated throughout the sector. As

programmes or literature are evaluated it allows insight into

new and innovative approaches to Māori well-being, whether

it be for rangatahi or kaumātua. Each programme has a set of

achievements and deliverables it needs to meet in order to be

evaluated as a success.

Toro Mai tō Ringa

Earlier in 2015 Te Kīwai Rangahau, carried out an online survey

with New Zealand Infant Child and Adolescent Mental Health

Services (ICAMHS), about the Māori ICAMHS resources

available through the Toro Mai tō Ringa website (www.toromai.

com).

While the sample size was modest, Te Kīwai Rangahau are

pleased that there was representation from 5/6 of the District

Health Boards with the highest Māori populations.

The results show that there is room for improving awareness

of the Māori ICAMHS resources available on the Toro Mai To

Ringa website, with only 30.4% of respondents knowing about

them. It is encouraging though that 100% of the respondents

who were not aware of the resources prior to the survey were

interested in learning more about them. Further to that, 83.3%

of all the people who responded were interested in learning

about future ICAMHS resources and research that Te Rau

Matatini might develop. Respondents also suggested other

ICAMHS resources they would like developed such as those

that utilised Māori tikanga (customs) and Māori whakaaro

(ideas).

Hauraki Primary Health Organisation (PHO)

The Hauraki PHO is a primarily rural population demography,

encompassing the rohe of Hauraki, Coromandel, northern

and southern Waikato, as well as parts of Hamilton City; it

also umbrellas 26 medical practices. Te Kīwai Rangahau and

Hauraki PHO have agreed to collaborate together to facilitate

three rangatahi provider forum hui to find commonality and

solutions to rangatahi issues, within the PHO region.

RANGAHAU - RESEARCH AND EVALUATION


Whakaahua 20 Rangatahi from the Rongoatea programme, Te Runanga o Kirikiriroa.


The approach will be three pronged and involve;

• Working in partnership to support local providers to find

commonality and solutions as this affects rangatahi in their

communities;

• Maintain and develop a Kaupapa Māori focus as a priority by

all Hauraki PHO partners; and

• Te Kīwai Rangahau will work with the PHO and its partners

to identify workforce development opportunities, as they

relate to rangatahi workforce in Hauraki and Waikato.

Provider forums were held in Thames (Hauraki) and Kirikiriroa

in early June 2015 facilitated by Te Kīwai Rangahau, Te Rau

Matatini. Forum data is being analysed, and was presented to

participant stakeholders in July.

Kaumātua Training Evaluation

During the 2014-2015 financial year, Te Kīwai Rangahau

conducted an evaluation of the Kaumātua Supervision

Training – Toka Tū Moana. Feedback from Te Kīwai Rangahau

assisted in producing key findings, leading to the enhanced

understanding of the programme’s effectiveness. Te Kīwai

Rangahau established that this programme provides kaumātua

with an opportunity to improve the influence of positive

change, at both a practitioner and managerial level.

It is clear that Toka Tū Moana has significant benefits for Māori

whānau, hapū, iwi and kaumātua. Participants at the training

programme expressed the need for Toka Tū Moana to carry

the New Zealand Qualification Authority (NZQA) approval, and

obtain official recognition as a programme to be placed on the

New Zealand Qualifications Framework.

Delivering a kaumātua training programme with national

recognition will provide benefits such as increasing the profile

of programmes available to Māori. As a result of increasing the

programme’s profile, more kaumātua are likely to enrol. More

enrolments correlate to added opportunities for establishing

Whānau Ora throughout the motu; resulting in healthier

whānau. This provides incentive for Te Rau Matatini to ensure

that the consumers’ voice is heard by the Ministry of Health

and the New Zealand Qualifications Framework.

Hua Oranga Outcome Assessment

Outcome measures are critical to the development of quality

mental health services and for their continuous improvements

(Mellsop & Wilson, 2006).

Hua Oranga uses a holistic method of outcome assessment

and is founded on an existing model of Māori health, Te Whare

Tapa Whā: the four dimensions of taha wairua (spiritual), taha

hinengaro (cognitive), taha tinana (physical) and taha whānau

(family) (Durie, 1994). This framework is an accepted Māori

representation of health and was selected as it appeared to be

the most familiar to Māori health service providers.

From a Māori perspective, constructing a measure around the

model involves assessments of the four dimensions, taking into

account the perspective of three key stakeholders: tangata

whaiora (consumer), whānau and clinicians. This is constructed

within the context of mental health treatment and care. The

training model uses a combined face to face and e-learning

approach to the administration and interpretation of the Hua

Oranga tool and Outcomes and Recording Analysis (ORA)

data. A plan is being developed to promote the programme

throughout District Health Boards and Regional Workforce

Coordination Centres.

Outcomes Recording Analysis (ORA) Database

The Outcomes Recording and Analysis database is an online

tool developed by Te Rau Matatini. The prime function of the

ORA database is to generate accurate, timely, comprehensive,

and useful Māori mental health service data. The reports

created through the ORA database are based on the Hua

Oranga Māori Mental Health Outcome Measurement

questionnaire sets which are entered and updated by health

service providers registered to access the ORA database.

Currently, Te Kīwai Rangahau supports Waitemata District

Health Board Moko services to ensure the ORA database is

functional and purposeful for service users.

Māori Rangatahi Addictions Review

A widespread review on Māori Rangatahi Addictions

throughout Aotearoa was conducted and launched at the 20th

Cutting Edge conference in September. The conference was

hosted by Addiction Practitioners’ Association (DAPAANZ).

The evidence is conclusive and unsurprising that a great

portion (estimated to be over 1/3) of rangatahi Māori, ages

12 to 24, are involved with substance use and abuse. It was

also highlighted that some rangatahi express a degree of

dependency on alcohol and other drugs.

The findings from Te Kīwai Rangahau support earlier research

from the Christchurch Health and Development Study

(Horwood & Fergusson, 1998), which uncovered substance use

disorders were the most common mental health issue among

young Māori. These affects are arguably established through

the intergenerational influences of colonisation, socioeconomic

deprivation and age structure.

This information will be used as a means to reduce the rate

of substance use and abuse by our rangatahi. Identifying the

triggers and ensuring that suitable support is received by

rangatahi will support our future leaders. This will enhance

the sense of self-awareness, and encourage our rangatahi to

aim high and achieve personal objectives, once thought to be

unattainable.

Te Mauri - Pimatisiwin - International Journal of

Indigenous Health and Well-being

The Pimatisiwin Journal of Aboriginal and Indigenous

Community Health was a peer reviewed, web-based journal

published twice each year by Native Counselling Services of

Alberta, in partnership with Te Rau Matatini in New Zealand,

Papa Ola Lokahi in Hawaii, and the International Indigenous

Council for Healing Our Spirit Worldwide.

Journal Mandate

The goal of the Pimatisiwin Journal was to promote the sharing

of knowledge and research experience between researchers,

health professionals, and Aboriginal leaders and community

members. The journal provided a forum for this diverse

population to publish on research process and findings in a

cross-disciplinary, cross-cultural setting.

The primary focus was on health and health research in

Indigenous communities, broadly defined. Articles can be of

interest to many fields, including sociological, psychological,

medical, anthropological, experiential, methodological, both

qualitative and quantitative in nature.

In 2013 the Pimatisiwin Journal ceased publication. In 2015, the

Native Counselling Services of Alberta agreed to transfer the

Pimatisiwin journal to Te Rau Matatini. It will be known as Te

Mauri - Pimatisiwin, International Journal of Indigenous Health

and Well-being. Te Mauri - Pimatisiwin will be relaunched at

Healing Our Spirit Worldwide – The Seventh Gathering, 15-19

November 2015. Dr Kahu McClintock is the leading editor for

the journal.

Te Mauri - Pimatisiwin is promoting the sharing of multi-

disciplinary indigenous knowledge and research experience

between researchers, health and well-being professionals,

leaders and community members. It is an open-access web-

based indigenous publication hosted by Te Rau Matatini.

Te Māuri - Pimatisiwin will publish original, informative and

scholarly articles on the broadly defined topic of indigenous

health and well-being. Te Mauri - Pimatisiwin will serve as a

forum for the clarification and exchange of ideas. It will feature

articles on projects which make a significant impact on the

understanding of indigenous health and well-being.

The 2015 Editorial Board Members for Te Mauri - Pimatisiwin

are Members:

• Chair: Professor Linda Nikora - The University of Waikato

• Deputy Chair: Barry Bublitz - International Indigenous

Council, Healing Our Spirit Worldwide, Aotearoa New

Zealand Director

• Deputy Vice Chancellor Māori Paul Meredith - Victoria

University of Wellington

• Professor Denise Wilson - Auckland University of

Technology

• Dr Sarah-Jane Tiakiwai - Waikato-Tainui College for

Research and Development

• Dr Amohia Boulton - Whakauae Research for Māori Health

and Development, Whanganui.



The Private Training Establishment, Te Hau Māia, formed

in 2011 provides all training and education development

programmes generated by Te Rau Matatini. The in-house

training establishment works closely with whānau related

health, education and workforce sectors; with a primary focus

of contributing to and maintaining the high rate of programme /

qualification completion, and achievement for whānau and non-

Māori health professionals, in order to help whānau, hapū and

iwi achieve Whānau Ora and Pae Ora. The words Te Hau also

represents a connection to the four cardinal winds of the four

corners of Aoteāroa as Māori see it: Te Taitokerau (North), Te

Taitonga (South), Te Tairāwhiti (East), and Te Taihauāuru (West).

Dedication to the development of the Māori Workforce is critical

for effective services being designed for Māori and non-Māori.

The overarching vision of Te Hau Māia is “To strengthen and

further equip the Māori workforce through applied, relevant and

accessible training programmes to maximise health gains for

whānau.” These services equate to having great influence on

future programme models and delivery for Māori. The current

mainstream environment provides little in the way of adequate

understanding of how Māori understand information received

from health professionals. Through input from Māori into the

types of services required and how they should be delivered,

a comprehensive and accurate portrayal provides the ability to

tailor programmes for Māori Workforce Development. It is the

community and stakeholder voice that allows the step forward

to enhancing the standard for all involved in the development of

the Māori workforce.

Māori Public Health

In response to what whānau and stakeholder’s want,

some programmes have been held on local marae where

participants feel relaxed and comfortable. Using this ‘kanohi

ki te kanohi’ (face to face) approach in familiar territory,

delivered by Māori through Māori ideologies, develops

positive experiences and ensures positive expression between

the facilitator(s) and participants. Ensuring services which

understand Māori ideologies are created and delivered allows

Māori to feel increasingly confident in the understanding and

retention of important information, for theirs and their whānau

well-being.

Māori public health workforce development is a priority of Te

Uru Kahikatea: The Public Health Workforce Development

Plan (2007-2016) (TUK). TUK is the national strategy to guide

public health workforce development within Aotearoa, over the

next 10+ years. The document emphasises a range of actions

required to meet immediate priorities, and adopts a future

focus which aims to prepare the public health workforce to

face future challenges. Since 2005, Te Rau Matatini has been

addressing consumer concerns by supporting the Māori Public

Health workforce and the wider needs to improve cultural

competencies. By developing the cultural competency of

Māori and non-Māori practitioners, effective assessment

models can be developed which in turn reflects on the service

provided to whānau and its method of delivery. Effective

delivery then equates to an increase in the way Māori absorb

and retain important information about specific health and/

or special services. As a result of providing information which

works for Māori, more Māori are likely to utilise the services in

or around their community, and pass on important information

to whānau, hapū and iwi.

TE HAU MĀIA - TRAINING AND EDUCATION Whakaahua 21 Rangatahi from Waiwhetu on Petone Beach

The key programmes for improving cultural competencies

among Māori and Non-Māori health professionals are:

Kaitiaki Ahurea – Cultural Competency Training: This is an

interactive course which builds on the skills of the learners

to expand and challenge their understanding. The course

is appropriate for new public health practitioners, as well

as experienced practitioners wanting to further develop

their cultural competencies. The intention of the learning

includes the application of Te Ao Māori principles to everyday

practice within a public health role, when working with Māori

communities.

Tūhono Tuarā - Māori Public Health Training Programme:

This programme has been specifically designed to support

Māori working in a public health setting. The programme

focuses on increasing public health workforce knowledge

and understanding of health promotion, from a Māori cultural

context. The provision of tools and skills to the public health

workforce is designed to assist the implementation of health

promotion activities in Māori communities.

These programmes are conducted throughout Te

Waipounamu (South Island) in response to the Ministry

of Health identifying the need for more Māori focused

programmes to align with southern District Health Boards.

Providing these programmes in Te Waipounamu ensures

that those working with South Island Māori are more attune

to tikanga, Te Ao Māori and whakaaro Māori to provide better

opportunities and enhanced understanding.

Toka Tū Moana

The development and delivery of the 2015 Kaumātua

Supervision Training – Toka Tū Moana, at two sites, Ōtautahi

(Christchurch) and Tūranganui (Gisborne) saw 15 ākonga

(students) participate. Toka Tū Moana aims to develop

kaumātua to enhance cultural competencies which result

in the contribution to effective leadership development.

By enhancing critical thinking and attitudes to allow for

successful mentoring, advocacy and cultural supervision,

there is a succession plan integrated into communities for

future kaumātua and Te Ao Māori. This is important for the

maintenance of Māori as traditions, customs and language are

passed through whakapapa as an intergenerational sharing of

knowledge.

The programme is designed to take place over a six month

period to ensure sufficient opportunities for the learning

outcomes can be applied, and evidence can be both gathered

and assessed.

He Ara Toiora

He Ara Toiora is an innovative whānau-centric approach to

reducing the prevalence of Māori childhood obesity, and

promoting healthy living. Working closely with an Advisory

group and the local community, Waiwhetu Marae, the

programme has been fine-tuned to ensure its effectiveness

through a technological method of delivery. The use of

interactive smart technologies ensures that whānau can follow

instructions via web-based content, which encourages physical

activity both indoors and outdoors.

The content has been developed around Atua Māori (Māori

Gods) and their role in the creation story. Utilising their

association with primal movements and activities tamariki,

whānau or hāpori can set goals for wellness and enhanced

lifestyles. From there individual members can choose their

own goals, while whole whānau select Atua Plans.

An online portal has been tailored for the Waiwhetu

community as it encourages groups of people, be it whānau,

hapū or iwi, to set physical activity challenges for other

groups to attempt. All whānau members track their progress

through individual dashboards which show a summary of their

progress. Support is provided by a dedicated coach working in

the community and schools, with access to online resources

allowing whānau members to progress at their own pace.

The challenges set between whānau or community groups

allows proactive enhancement of lifestyle, and attempts to

reduce the rate of Māori childhood obesity by setting positive

examples for children.

The programme has an overarching aim to reduce the

prevalence of Māori childhood obesity, and ensure that

healthy activities become an everyday occurrence within

whānau around Aotearoa. Waiwhetu Marae have been an

integral component to the establishment of the programme,

as they reveal how the programme will be used by other Māori

communities.



The Māori Community Suicide Prevention Programme

– Ko Au, Ko Koe, Ko Tātou

Assisting Māori Community Suicide Prevention programmes to

develop, realise and support their own whole-of-community

suicide prevention plan is the outcome for Ko Au, Ko Koe,

Ko Tātou. This is the suicide prevention programme which

empowers Māori community change. Pou Ārahi (community

change agents) are provided to assist the implementation of

the community programmes. The Pou Ārahi are working in

partnership with Kia Piki te Ora and District Health Boards in

Northland, Waikato, Tai Rāwhiti, Canterbury and Southland.

The approach is ‘rarangahia te taurawhiri tangata’, weaving

whānau, community leaders and groups together to create

safe, sound individual, whānau and community responses to

suicide prevention and postvention. Working with communities

throughout the country is a big driver for Ko Au, Ko Koe, Ko

Tātou. Delivering the prospect for communities to establish

their own suicide prevention programmes or tools results in

increased buy-in form communities which helps to reflect

better statistics for the Māori suicide rate.

WAKA HOURUA - SUICIDE PREVENTION

E Tu He Māori is underpinned by the vital concepts Māori

communities are bound to; te reo me ōna tikanga, Te Ao Māori,

whānau, mokopuna, rangatahi and kaumātua; whakapapa

and whanaungatanga, whilst achieving full potential in Te

Ao Hurihuri (contemporary Aotearoa). The outcomes foster

collective responsibility for Māori suicide prevention, whilst

promoting continual Māori development and Māori aspirations

in its broadest terms, as important features to Waka Hourua.

With the application of Pae Ora, its principles of Whānau Ora,

Wai Ora and Mauri Ora are taken into account.

The rates of Māori self-harm and completed suicides are

the highest in Aotearoa. This requires a strong, proactive

and aspirational approach to a serious issue. E Tu He Māori

(Stance of Māori) provokes the personal, whānau, and national

ideal as tāngata whenua (Indigenous people of this land in

Aotearoa), and encourages those in need to stand tall within

themselves (their whānau, hapū, Iwi), the Māori culture, and

as Māori. Within E Tu He Māori are specific outcomes which

focus on mokopuna, rangatahi, wahine and tane. Through

these components, a collective, integrated and multi-layered

approach is created to support reducing suicide among Māori.

These programmes have been designed for supporting Māori

within their communities through ‘rarangahia te taurawhiti

tangata’ and their own suicide prevention programmes.

Whakaahua 22 Waka Hourua

The Community Fund

The Community Fund (a one-off contestable fund of $2

million) has been established to support community-based

suicide intervention initiatives or projects. Māori and Pasifika

community groups, whānau, hapū, iwi and Pasifika families

registered and applied for the Community Fund online. The

Fund being divided into two funding streams:

• Māori Whānau, Hapū, Iwi, and communities

• Pasifika families and communities.

As communities respond differently to suicide prevention

approaches it is necessary to develop individually tailored

approaches for each community. By allowing communities to

be a part of the identification process for the tools needed, the

chance of success increases.

Positive contributions and dedicated engagement from

Māori communities allows for effective programmes to be

manifested for the community. The number of communities

assisted by Ko Au, Ko Koe, Ko Tātou and the Community Fund

project is outlined in the tables below.

Community Number of initiatives

Auckland 12

Tai Te Tai Tokerau 8

Waikato 4

Bay of Plenty 12

Taranaki 1

Tai Rāwhiti 2

Hawkes Bay 3

Horowhenua 3

Wellington 3

Canterbury 3

Otago 2

Community Number of engagements

Northland 43

Tai Rāwhiti 64

Waikato 38

Canterbury 23

Southland 58

The project outcomes for Māori and Pasifika communities are

designed to contribute to families, whānau and communities

being strongly connected to one another through leadership,

as they develop, implement and share their own approaches

to building resilience and resistance to suicide. If a suicide

is completed, the affected community will then have the

resources needed to support each other, while also ensuring

there is confidence in talking about personal difficulties with

family or friends.

Examples of programmes working within the community are

The Aranui Eagles Rugby League Club and Youth T.E.A.M

Trust. These two applicants stood out for their particularly

direct and innovative proposals. The Aranui Eagles Rugby

League Club developed a concept of applying a simple

suicide help-seeking message to t-shirts and track pants.

The club has evidence of the success of such a project as it

already promotes the “It’s Not Ok” message. The club knows

it works and getting a suicide awareness message out in this

simple way will mean a lot to the members. It is recognised

as being able to achieve a lot in the Aranui area by increasing

awareness and initiating conversation, among the community.

Youth T.E.A.M. Trust also presents a highly innovative case for

educating and mobilising Māori and Pasifika hairdressers and

barbers to hear their clients’ stories. Here they have the ability

to read the warning signs and use the close relationships they

enjoy with their clients to make sure suicide prevention and

postvention messages get out into communities. The project

focuses on a less obvious role that hairdressers and barbers

can have in the prevention of suicide. Giving hairdressers and

barbers who work in predominantly Pasifika communities

the tools and resources for dealing with suicide ideation will

give them confidence to listen to their clients’ challenges and

difficulties.

Hair4Life involves suicide prevention workshops being

delivered in hair salons and barber shops to establish a

suicide prevention capability. These workshops will provide

hairdressers with suicide prevention tools and resources

to initiate a greater community awareness, while creating

leaders to assist the building of resilience among customers

and reduce the risk of suicide through simple information.

Hairdressers and barbers will also be given the opportunity

to receive suicide prevention training through programmes

like ASSIST and SafeTalk. Ensuring sustainability beyond

the workshops and provides a support network within the

community.



Organisational growth is imperative for development. Te Rau

Matatini understands this and places emphasis on ensuring

that all employees are provided with opportunities for

professional development. As capability and capacity among

employees and the organisation are enhanced, it allows higher

performance and quality programmes to be established, with

knowledgeable staff to assist in community implementation.

The organisational development plan (ODP) is designed to

support the organisation’s long term strategic intent and

priorities. This is achieved by building capability in areas

which will directly impact on success. The strategic focus

is addressed through the challenge of developing a high

engagement/high performance culture within a Māori

workforce context.

Te Rau Matatini have taken care to ensure that the ODP

is aligned to the organisation mission and vision; to be the

leading organisation in building a strong Māori workforce,

for the advancement of Māori health and wellness. This

ultimately aligns with the long term goal to be Centre of Global

Indigenous Excellence.

WHAKAWHANAKE - ORGANISATIONAL DEVELOPMENT

The ODP seeks to include alignment, execution and renewal

initiatives which will see the organisation grow in leadership

position and impact. Te Rau Matatini acknowledge that future

successes rest on the ability to be more collaborative, but

at the same time the organisation must find innovative ways

of being effective. Te Rau Matatini understand the need to

express what it means to be a high performing organisation.

Noting that individual staff members are exemplars of ‘high

performers’, the aim is to have all staff at the same level of

cultural and specialist skills.

International Standardisation Organisation

Accreditation

Completion of stage 1 of audit for International Standardisation

Organisation (ISO) 9001:2008 recertification was concluded

prior to the one-site audit dates of 22-23 January, 2015. The

audit was carried out by two auditors from Health Audit New

Zealand issuing six Corrective Action Requests as a result

from the audit. All corrective actions were remedied through

‘proposed corrective actions’ and approved by the Lead

Auditor so that the organisation may be recommended for

Certification. Recertification was received in July 2015, valid for

a period of three years.

Whakaahua 23 Te Rau Matatini staff at NZQA assessment conclusion

All staff currently employed by Te Rau Matatini now have a

minimum Level 5 qualification. Further opportunities will be

presented for all those with Level 5 qualifications to continue to

a Bachelor’s Degree.

Staff have attended all nine workshops and completed

assignments relating to developing a project charter, compiling

a project plan and producing a body of evidence for all

interactions and decisions.

The programme has provided staff members with a

foundational knowledge of project management best practice

which Te Rau Matatini will continue to develop.

Nōna Te Ao

In 2014 Te Rau Matatini undertook a process to identify Mental

Health and Addiction service performance improvement

through the provision and support for e-learning resources.

E-learning was defined as “Learning that is enabled or

supported by the use of digital tools and content”.

As a result, a consistent approach to the use of e-learning

technology when delivering learning opportunities to staff in

mental health and addiction was proposed according to these

imperatives:

• Develop accessible, effective and culturally appropriate

e-learning across the sector as a whole;

• Support the sector in responding to technological change;

and

• Ensure that E-learning capability develops efficiently.

Te Rau Matatini has approached Catalyst to commission

the implementation of an e-learning platform to address

imperative three for and within Te Rau Matatini. The name

of this initiative is Nōna Te Ao. The name is inspired by the

whakataukī. Ko te manu e kai ana i te miro, nōna te ngahere.

Ko te manu e kai ana i te mātauranga, nōna te ao, - The bird

that partakes of the miro berry reigns in the forest. The bird that

partakes of the power of knowledge has access to the world.


Moving forward, Health Audit New Zealand has scheduled

Audit Surveillance for January 2016. These audits are used

to evaluate the ongoing maintenance of the organisations

management system and to close out any Corrective Action

Requests raised at a previous audit.

New Zealand Qualification Authority review

In 2011 Te Rau Matatini was granted approval by New

Zealand Qualifications Authority (NZQA), under section 251 of

the Education Act 1989, to provide training schemes to the

wider public. For Te Rau Matatini to maintain Private Training

Establishment registration, the Kaitiaki Ahurea programme was

registered on the Framework as a Level 2 Training Scheme.

Engagement in periodic external evaluation and review is

one of NZQA’s policies. Each external evaluation and review

provides an independent judgement of the educational

performance and capability in self-assessment of all non-

university tertiary education organisations.

During May an NZQA External Evaluation and Review (EER)

assessment was completed. The external review resulted

in a rating as Highly Confident in educational performance,

and Highly Confident in the organisation’s capability in self-

assessment. This is the highest rating possible under this

system.

• Educational performance is the extent to which the

educational outcomes achieved by the TEO represent

quality and value for learners and the wider community.

• Capability in self-assessment indicates the effectiveness

of an organisation to use self-assessment information

and understand performance and how to bring about

improvement.

New Zealand Institute of Management training

The New Zealand Institute of Management provided the Level

5 National Diploma in Project Management for staff. Te Rau

Matatini provided this opportunity for staff members through

funding from the Māori Performance Development Scheme

(MPDS).


Staff Well-being - Te Whaioranga

Te Rau Matatini implemented two workplace programmes

for staff members to improve staff wellbeing. The first was

a physical health check conducted by registered nurses

from Ora Toa Health Services. Height, weight, glucose and

cholesterol measurements were all taken, providing a baseline

for each of the participating staff members.

Information sessions were also conducted throughout the day

with medical professionals discussing heart disease, cancer

prevention and testing, as well as highlighting the risks caused

by lifestyle choices. The second programme is a whānau fit

physical health workout. This programme continues on from

the health checks and provides Te Rau Matatini staff with the

opportunity to set nutrition and health goals. Fitness sessions

will be held with qualified staff from the SWET gymnasium to

ensure that all staff are empowered to lead a healthy lifestyle.

Hamilton Office Opening

Te Rau Matatini has expanded into a second office which is

located within the Te Rūnanga o Kirikiriroa Office at 59 Higgins

Street, Dinsdale, Hamilton. The office space was opened with a

soft launch on Monday 29 September 2014.

Te Rūnanga o Kirikiriroa hosts four staff within their Higgins

Street facility. This facility is a fully open plan office. The

office uses smart technology for internal and external

communications.

By working together, the two organisations will gain better

outcomes and business synergies, resulting ultimately in better

heal outcomes for Māori.

Information and Communication Technology Strategy

The Te Rau Matatini Strategic Information and Communication

Technology (ICT) plan 2015-2018 was completed in August

2015. This keystone document provides a three-year roadmap

of strategic initiatives in order to align the ICT environment, its

people, processes and technology with Te Rau Matatini and its

current and future business needs.

Te Rau Matatini has led the Māori health sector recently with

the development of Māori Health and well-being websites and

apps, the implementation of leading edge Voice over Internet

Protocol (VoIP) communications systems, enabling remote staff

with 24/7 collaborative access and mobile workspaces, and

the exponential growth of social media profiles, sites, reach

and distribution.

The overall themes identified in the plan will be used to

develop interrelated projects and effective action plans which

will be implemented over the next three years. Te Rau Matatini

will initially focus on continually enhancing communications

and document management, throughout the organisation

using technology.

Te Rau Matatini

Hamilton Office

Level 2, 59 Higgin Street,

Hamiltion

Whakaahua 24 Hamilton Office


Te Rau Design believe that experience and passion for both

design and the Māori culture has the power to make a positive

difference. Further information is available via email designs@

matatini.co.nz

Te Rau Design is the in-house design team at Te Rau Matatini

committed to creating unique and innovative contemporary

Māori design that illuminates our publications and resources.

All of the artwork used in the publications and this booklet is

by Te Rau Design. Te Rau Design is available to all external

customers as a specialist Māori contemporary graphic and

web design company, specialising in managing the design

life cycle of brand development for both individuals and

companies. This includes design and development of graphic

requirements for websites, digital displays, tablet and mobile

sites, and stylised clothing. It also includes traditional printed

materials such as reports, documents, brochures, flyers,

posters and promotional information.

TE RAU DESIGN

www.matatini.co.nz n 0800 matatini n 49www.matatini.co.nz n 0800 matatini n 49

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Documents

E RUA TAU RURU - Te Rau Ora · In the past year Te Rau Matatini has renewed our commitment to engaging kanohi ki te kanohi with our people. We organised seven Māori Mental Health