Journal of Indigenous Wellbeing
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Delivering on diversity: The challenges of commissioning for Whānau Ora
Get PDFAs the populations of Western, so-called “first-world” countries grow; so too do the pressures for the funding, purchasing, and provision of high-quality health care for their citizens. The drive to purchase and monitor outcomes, as opposed to simply accounting for outputs, has grown in strength in New Zealand and elsewhere, as a means of ensuring greater accountability for spending and ensuring every dollar invested in health care has some positive, downstream impact. This paper, based on a small qualitative research study, explores a specific model of purchasing for outcomes, namely the Te Pou Matakana (TPM) model of Whānau Ora commissioning. We explore how commissioning as a particular model for purchasing services has fared in terms of delivering for Whānau Ora. The paper provides a brief history of Māori health provider development, as a means of establishing the roots of the TPM commissioning approach. We then explore in greater detail the commissioning approach unique to this case study site before presenting the study itself, our data collection methods, results, and analysis of those results. The paper concludes that in the New Zealand context, commissioning as a purchasing model has benefited from alignment with Whānau Ora principles, to the extent that an Indigenous model of commissioning is apparent in the TPM commissioning approach
Life Skills Journey: Measuring the impact of a resilience-based intervention for Métis children in Alberta
Get PDFMétis peoples are descendants of unions between French or Scottish fur traders and First Nations women in Canada. Alberta is the only province in Canada with land-based Métis who live in self-governing communities known as Métis Settlements. University of Alberta’s Faculty of Extension and four Métis Settlements partnered in a community based participatory research project aimed at increasing children’s resilience through inner strength and support from peers and mentors. While working with community members, the learning needs of children were identified, prioritised, and included in a summer day-camp program for children (7 – 14 years). Pre- and post-program surveys with children used an adaption of the Youth Resiliency: Assessing Developmental Strengths Questionnaire. Results are presented using descriptive statistics and were tested for significance using the non-parametric Wilcoxon rank sum test. Positive change occurred in several areas of internal strength, including self-esteem, drug resistance, and planning and decision making. Risk factors also saw positive change, as did the area of external family support. Significant areas of positive change are encouraging given that they demonstrate success in major goals of the summer camp program. Significant areas of negative change require further analysis in order to understand the complexity of Métis youth resiliency
Sleeps Standing Moetū
Get PDFVincent McClintock reviews Sleeps Standing Moetū written by Witi Ihimaera and translated by Hēmi Kelly, published in 2017
Maea te toi ora: Māori health transformations
Get PDFDr Kahu McClintock reviews Maea te Toi Ora: Māori Health Transformations written by Te Kani Kingi, Mason Durie, Hinemoa Elder, Rees Tapsell, Mark Lawrence, and Simon Bennet; published in 2018
Adapting a person-centred planning tool for collecting qualitative data on an Indigenous research project
Get PDFPlanning Alternative Tomorrows with Hope (PATH) is a person-centred planning (PCP) tool that draws on visual imagery. Originally used to assist individuals with disabilities to plan for the future, PATH aims to “unlock” the imagination freeing people to better picture a positive future whilst remaining grounded in the present. PATH has since been further developed by Indigenous communities to facilitate strategic planning; more recently being adapted for use in a Kaupapa Māori context, working with whānau (families), hapū (subtribes), and iwi (tribes). Our experience with PATH has been in its use as a data collection tool; specifically, in interviews with whānau. Our use of PATH draws on both Western and Kaupapa Māori approaches, building on Māori oral and visual traditions, in pragmatic ways. Using PATH, we triangulated qualitative data, fieldnotes, and case notes to evidence the effective prevention of chronic conditions among whānau. The advantages of using PATH included ease of adaption for a range of situations and validation of data with whānau at the time of interview. We believe this method is useful when working with whānau as it fits with Māori strengths-based values, is responsive to the worldview of participants, and is participatory
The changing role of the leader in Māori society
Get PDFA book review: The changing role of the leader in Māori society
The aftermath of Aboriginal suicide: Lived experience as the missing foundation for suicide prevention and postvention
Get PDFThis paper aimed to highlight the systemic and theoretical barriers for Aboriginal and Torres Strait Islander people who have been bereaved by suicide. Incorporating the lived experiences of two advocates, Leilani Darwin and Julie Turner, and professional experiences of Matthew Trindall and Laura Ross, the paper explores the importance of including Aboriginal lived experiences in programs for Indigenous suicide prevention. Informed equally by an analysis of the lived experience and suicide prevention literature and the common themes presented throughout the lived experience accounts, it is recommended that more Indigenous-specific research is conducted in the sphere of lived experience in suicide bereavement, as well as dedicated effort to mentor and develop Aboriginal and Torres Strait Islander people with lived experience and support them to influence and design prevention strategies at a local level
The spirit of Indigenous youth: The resilience and self-determination in connecting to the spirit and ways of knowing
Get PDFGenerations of historical trauma and colonisation continue to oppress Native families and communities today leaving many Native youth in despair. While issues and problems involving Native youth are a priority. It is important to look at those Native youth who try to cultivate hope through agency and activism in promoting awareness and healing of these issues and crisis.This article is centred in understanding the resiliency and activism of Native youth, by focusing on a Native youth group known as The Spirit of the Youth. This group travelled on foot through their ancestral lands (Canada and USA) from 2005-2008, and 2011 and brought awareness regarding the importance of cultural knowledge, language and sovereignty not only for their lives, but for the future of their Peoples.The study also incorporates a qualitative Indigenous methodology from fourteen Haudenosaunee youth and five parents, as well a quasi-ethnographic methodology by the researcher. The knowledge gained from this research recognises that efforts of decolonising while incorporating Indigenous culture, knowledge and ways of knowing into a cultural praxis that empowers the resilience in Native youth in taking pride of their Native identity and nurturing their well-being through cultural approaches
Talking story with vital voices: Making knowledge with indigenous language
Get PDFThis paper describes our research practice using Indigenous languages to access and articulate the Indigenous knowledge systems and understandings of wellbeing from Indigenous language speakers. This research demonstrates community-engaged language revitalization practices involving (a) linguistic and cultural oversight in all forms of interpretation (b) the Rs of Indigenous education (Carjuzza & Fenimore-Smith, 2010; Galla, Kawaiʻaeʻa & Nicholas, 2014; Kirkness & Barnhardt, 1991), (c) Storywork principles (Archibald, 2008) and (d) language reclamation and documentation that will thrive in digital media. Our premise asserts that Indigenous language revitalizes us, not the other way around. If we take care of our language, it will take care of us. This is our wellbeing
Supporting the bereavement needs of Pacific communities in Aotearoa New Zealand following a suicide
Get PDFOn average, at least 60 people are directly impacted by a suicide death (i.e. family, friends, colleagues, school peers). As a result, in most cases, there is a lack of support for the suicide bereaved, mental health issues are intensified, there is increased suicide risk, a strain upon family relationships, there are poor coping skills, and for some, financial difficulties. What is also less known is the culturally relevant support needs of Pacific individuals, families and communities bereaved by suicide in Aotearoa New Zealand. An 18-month mixed methods project was designed to include an online survey, focus groups and fono (a commonly used term by some Pacific groups to refer to a ‘meeting’). This was undertaken among Pacific communities as well as service providers who worked with Pacific peoples bereaved by suicide. The results of the Pacific community survey are presented.The Pacific community survey drew a total of 173 unique responses, 153 conducted online and 20 via hard copy. This study is the first of its kind, both in Aotearoa, New Zealand and abroad, that specifically addresses the suicide postvention needs of Pacific communities.