Whai Ao! Whai Mārama!

Terina Moke

Cutting Edge Conference,

Wellington 6 Māhuru 2012

Tupac Amaru Shakur 1971 - 1996

Changes

C’mon, C’mon That's just the way it is

Things will never be the same That's just the way it is

aww yeah

Lyrics & Music: Tupac Shakur

Whai Ao! Whai Mārama!

• Drivers of Crime work programme;

• Provide evidence on the effectiveness of AOD treatment services for Māori within the criminal justice system;

• Established a Māori AOD advisory roopu;

• Scope (key components): – Environmental scope;

– Case studies highlighting exemplars of effective practice; and

– Key informant interviews.

Ngā mihi

• Māori AOD advisory group: Paraire Huata, Rawiri Evans, Maynard Gilgen, Terry Huriwai, Sharon Henare, Peter Mellars, Donna Blair, Waylyn Tahuri-Whaipakanga, Andre McLachlan, Taipu Moana, Tisa Ingley and Takurua Tawera;

• Case Studies: Whaea, Hone, Tyrone Tama, Tony, Jenny, Gina, Ken, Mereana, JT and Trish;

• Key informant interviews: Rawiri, Mere, Hinerangi, Samantha, Tane, Hera, Hone, Tama, Henare and Anahera; and

• Others: Judge Lisa Tremewan, Mihaka Hohua, Lucy Bush, Pahia Turia, Tracey Potiki, Paddy Whiu, Simone Bull, Wayne Panapa, Ross Bell, Dr Fraser Todd, Claire Aitken, Chas McCarthy, Nathan Clark, Peter Kennerley, Tuari Potiki, Kristen Maynard, Te Puea Winiata and Care NZ staff at Rimutaka and Arohata prisons.

New Zealand’s international obligations

• UN Declaration on the Rights of Indigenous Peoples 2007 (NZ 2010);

• Single convention on Narcotic drugs 1961, as amended by the 1972 protocol;

• Convention on Psychotropic Substances 1971; and

• Convention against the illicit traffic in Narcotic Drugs and Psychotropic Substances 1988.

Mental health and addiction sector

• $1.182 billion spent on mental health and addiction services in Aotearoa;

• Roughly 10 percent of this is ring-fenced for Māori specific services;

• Approximately 25,000 people access addiction services every year; and

• Māori more likely to access than any other population group.

Access to AOD treatment services

Henare

“I have had enough of prison and I tried to seek help from the screws. I asked them to help me become a better man. They liked the question but didn’t know the answers”

Incentives / Innovation

Definition of insanity

• Appoint a committee to study the horse. Better yet, bring in an army of consultants to study the horse;

• Arrange to visit other countries to see how other cultures ride dead horses;

• Reclassify the dead horse as living-impaired; • Provide additional funding and/or training to

increase dead horse’s performance; and • Rewriting the expected performance

requirements for all horses.

Provision of culturally appropriate (and competent) AOD treatment services

Kaupapa Māori Service Provision

“We waste our time and energy debating what a kaupapa Māori service is. It shouldn’t matter

what type of service they are. At the end of the day, are they seeing Māori people and

importantly delivering from a particular paradigm which is Māori centred? Are they helping to reduce addiction-related harm? Surely that’s

what its about and not about contract compliance?”

Terry Huriwai quoted in He Tētē Kura 2008; pg.163

Growing the evidence base - Māori Research Agenda

“We have to stop being scared of having our practice scrutinised. If we’re good, what’s the problem? We need to show our whānau (family) that they can have confidence in referring to us and confidence in what we do”.

Terry Huriwai quoted in He Tētē Kura, 2008 pg. 150

Whānau Ora

“Our approach is driven heavily from the therapeutic community approach; the kaupapa

has always been if we are working with the partner then we want to meet the wahine that’s

in his life and their tamariki. What we have found is that when we have done that, they have

wanted to be a part of us” Kaupapa Māori AOD Provider

Building capability and capacity

Summary

• Improve access to AOD treatment services;

• Incentives / innovation;

• Culturally and clinically competent services;

• Māori AOD Research Agenda;

• Whānau Ora; and

• Continuing to build capability and capacity.

Samantha

“I am grateful for places like this; it’s put me on the right path, it’s given me hope for my future. Without these places, god knows where I would be. I actually probably would be dead”