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  1. Article: A partnership between Māori healing and psychiatry in Aotearoa New Zealand.

    NiaNia, Wiremu / Bush, Allister

    BJPsych international

    2024  Volume 20, Issue 2, Page(s) 31–33

    Abstract: This paper describes an example of Māori healing and psychiatry working together in an Indigenous mental health context in Aotearoa (New Zealand). Each author outlines their perspectives on the context and the partnership. The case of a Māori teenager ... ...

    Abstract This paper describes an example of Māori healing and psychiatry working together in an Indigenous mental health context in Aotearoa (New Zealand). Each author outlines their perspectives on the context and the partnership. The case of a Māori teenager with pseudo-seizures and voice-hearing is described to illustrate the partnership in action.
    Language English
    Publishing date 2024-02-27
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2905058-3
    ISSN 2058-6264 ; 2056-4740
    ISSN (online) 2058-6264
    ISSN 2056-4740
    DOI 10.1192/bji.2022.25
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Te Ara Waiora a Tāne: a kaupapa Māori mental-health assessment and intervention planning approach.

    Bush, Allister / Campbell, Whetu / Ransfield, Maire

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 27, Issue 4, Page(s) 337–340

    Abstract: Objective: The aims of this paper are to describe a Māori approach to assessment and intervention planning using the Māori creation narrative Te Ara a Tāne (The Journey of Tāne) and to outline an evaluation one year after the model was implemented.: ... ...

    Abstract Objective: The aims of this paper are to describe a Māori approach to assessment and intervention planning using the Māori creation narrative Te Ara a Tāne (The Journey of Tāne) and to outline an evaluation one year after the model was implemented.
    Conclusions: Te Ara Waiora a Tāne is a kaupapa Māori (Māori-centred) mental-health engagement, assessment, goal setting and planning approach designed to enhance the mana (spiritual and personal authority) of whānau (individuals and family/families) at the point they enter a Māori service and during ongoing mental-health work. Preliminary evaluation indicated that staff considered the model user-friendly and helpful for whānau. Further evaluation is needed to assess the impact of this approach on Māori whānau engagement with services.
    MeSH term(s) Culturally Competent Care ; Delivery of Health Care/methods ; Health Services, Indigenous/organization & administration ; Humans ; Mental Health Services/organization & administration ; Native Hawaiian or Other Pacific Islander ; New Zealand
    Language English
    Publishing date 2019-02-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219829225
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  3. Article ; Online: Huarahi Oranga: an introduction to Māori concepts informing a Māori healing and psychiatry partnership.

    NiaNia, Wiremu / Bush, Allister / Epston, David

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 27, Issue 4, Page(s) 334–336

    Abstract: Objective: The aim of this article is to give an overview of Māori concepts informing a collaboration between a Māori healer (NiaNia) and psychiatrist (Bush).: Conclusions: Wairua (spiritual) problems can resemble psychiatric disorders or symptoms. ... ...

    Abstract Objective: The aim of this article is to give an overview of Māori concepts informing a collaboration between a Māori healer (NiaNia) and psychiatrist (Bush).
    Conclusions: Wairua (spiritual) problems can resemble psychiatric disorders or symptoms. Knowledge of relevant Māori concepts such as mauri, tapu, mana, matekite and manaakitanga may assist psychiatrists in collaborating with Māori healers and kaumātua (elders) to enable more appropriate cultural and clinical assessment, as well as helping to build rapport and clinical interactions with Māori whānau (individuals and families).
    MeSH term(s) Culturally Competent Care ; Health Knowledge, Attitudes, Practice ; Health Services, Indigenous ; Humans ; Mental Disorders/psychology ; Native Hawaiian or Other Pacific Islander ; New Zealand ; Psychiatry
    Language English
    Publishing date 2019-02-18
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219828191
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  4. Article ; Online: The Vanuatu Psychiatry Mentorship Programme: supporting the development of a fledgling mental health service in the Pacific.

    Obed, Jimmy / Bush, Allister / Stathis, Stephen / Hunter, Ernest

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 1, Page(s) 24–26

    Abstract: Objective: To describe the Vanuatu Psychiatry Mentorship Programme (VPMP) set up to support the sole mental health doctor and local nurses developing mental health service capacity in Vanuatu.: Method: Following a request from Vanuatu, the VPMP was ... ...

    Abstract Objective: To describe the Vanuatu Psychiatry Mentorship Programme (VPMP) set up to support the sole mental health doctor and local nurses developing mental health service capacity in Vanuatu.
    Method: Following a request from Vanuatu, the VPMP was set up under the auspices of the Faculty of Child and Adolescent Psychiatry of the Royal Australian and New Zealand College of Psychiatrists (the College) with three components: regular online supervision, yearly onsite visits and advice over the Internet on an as-required basis.
    Results: Onsite visits undertaken by three VPMP psychiatrists provided opportunities for mentoring and teaching activities related to clinical psychiatry, community liaison, social and ethical considerations and mental health policy matters. Online supervision sessions were initially hampered by technology difficulties. Ad hoc advice over the Internet allowed more rapid responses in complex acute psychiatry cases.
    Conclusions: Structured mentoring programmes can play a role in supporting the development of mental health capacity in low-resourced Pacific nations. Such programmes are likely to be more useful for Pacific participants if they are flexible, ongoing, sustained by support from the College and reviewed regularly.
    MeSH term(s) Capacity Building/organization & administration ; Humans ; Mental Health Services/organization & administration ; Mentoring/organization & administration ; Program Development ; Psychiatry/education ; Societies, Medical ; Vanuatu
    Language English
    Publishing date 2019-09-02
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219866370
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  5. Article ; Online: Vanuatu Psychiatry Mentorship Programme: a case illustrating cultural and clinical considerations.

    Obed, Jimmy / Bush, Allister / Stathis, Stephen / Hunter, Ernest

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 1, Page(s) 58–60

    Abstract: Objectives: The objectives of this article are to describe a case highlighting challenges in managing an acute psychiatric presentation, the process of mentorship and the significance of cultural matters influencing family engagement in Vanuatu.: ... ...

    Abstract Objectives: The objectives of this article are to describe a case highlighting challenges in managing an acute psychiatric presentation, the process of mentorship and the significance of cultural matters influencing family engagement in Vanuatu.
    Method: Case description.
    Results: This case highlights resourcing constraints facing a small mental health team in the Pacific, the clinical significance of the concept of
    Conclusion: A structured mentoring programme to foster mental health capacity development in Vanuatu can support psychiatric decision-making in complex cases, reflection on the role of culture in formulation and family engagement, and mutual learning.
    MeSH term(s) Adult ; Culturally Competent Care ; Decision Making ; Family/ethnology ; Humans ; Mental Disorders/ethnology ; Mental Disorders/therapy ; Mental Health Services/economics ; Mentors ; Native Hawaiian or Other Pacific Islander/ethnology ; Program Development ; Psychiatry/education ; Vanuatu
    Language English
    Publishing date 2019-12-31
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219895186
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  6. Article ; Online: He korowai o ngā tīpuna: Voice hearing and communication from ancestors.

    NiaNia, Wiremu / Bush, Allister / Epston, David

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 27, Issue 4, Page(s) 345–347

    Abstract: Objective: This article describes the voice hearing experiences of a young Māori man, and the joint Māori healing and psychiatry assessment he received, in which the Māori healer (WN) concluded that some of the young man's experiences could be accounted ...

    Abstract Objective: This article describes the voice hearing experiences of a young Māori man, and the joint Māori healing and psychiatry assessment he received, in which the Māori healer (WN) concluded that some of the young man's experiences could be accounted for by ancestral
    Conclusions: Kaitiaki
    MeSH term(s) Adolescent ; Culturally Competent Care ; Culture ; Hallucinations/ethnology ; Hallucinations/therapy ; Humans ; Male ; Medicine, Traditional/psychology ; Native Hawaiian or Other Pacific Islander ; New Zealand ; Patient Acceptance of Health Care/psychology ; Spiritual Therapies/psychology
    Language English
    Publishing date 2019-03-12
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219833792
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  7. Article ; Online: Pasifika Study Group: a child and adolescent mental health capacity building and leadership workshop with Pacific nations doctors and psychiatrists.

    Robertson, Paul / Hagali, Monica / Allen, Myrielle / Leao-Tuitama, George / Kowalenko, Nick / Bush, Allister

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 1, Page(s) 42–45

    Abstract: Objective: To describe the Pasifika Study Group (PSG), a biennial workshop for Pacific nations psychiatrists and doctors working in psychiatry under the auspices of the Royal Australian and New Zealand College of Psychiatry Faculty of Child and ... ...

    Abstract Objective: To describe the Pasifika Study Group (PSG), a biennial workshop for Pacific nations psychiatrists and doctors working in psychiatry under the auspices of the Royal Australian and New Zealand College of Psychiatry Faculty of Child and Adolescent Psychiatry.
    Method: Since 2013 the PSG has brought together doctors and other health professionals from eight Pacific nations for a two-day study group.
    Results: On evaluation the PSG is considered informative and relevant and participants were generally confident of adapting the material to their own context.
    Conclusion: The PSG demonstrates a successful approach to regional engagement in mental health in the Pacific region.
    MeSH term(s) Adolescent ; Adolescent Health Services ; Capacity Building ; Child ; Child Health Services ; Education ; Health Workforce ; Humans ; Mental Health Services ; Pacific Islands ; Physicians ; Psychiatry/education
    Language English
    Publishing date 2019-09-16
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219871893
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  8. Article ; Online: Asiasiga: a Samoan intervention to address the immediate mental health needs of Samoan communities after a tsunami.

    Tamasese, Taimalieutu Kiwi / Parsons, Tafaoimalo Loudeen / Waldegrave, Charles / Sawrey, Richard / Bush, Allister

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 1, Page(s) 31–33

    Abstract: Objective: To describe an Indigenous Samoan psychosocial intervention developed to address the mental health needs of affected communities in Samoa following a tsunami.: Method: A partnership was established between Samoan therapists, Samoan Catholic ...

    Abstract Objective: To describe an Indigenous Samoan psychosocial intervention developed to address the mental health needs of affected communities in Samoa following a tsunami.
    Method: A partnership was established between Samoan therapists, Samoan Catholic pastoral workers and non-Samoan mental health clinicians, informed by Samoan concepts of self and wellbeing. The format developed for visits to significantly affected households was based on a Samoan cultural practice known as
    Results: Household visits were offered to affected families in villages throughout southern and eastern Upolu and the island of Manono. There was a high degree of acceptance of the programme by Pulenu'u (village governance leaders) and family leaders and members.
    Conclusions: Mental health responses to the needs of Indigenous Pacific communities following a disaster need to be embedded in the values of those communities. The Samoan practice of
    MeSH term(s) Adult ; Culturally Competent Care/organization & administration ; Disasters ; Humans ; Intersectoral Collaboration ; Mental Disorders/ethnology ; Mental Disorders/etiology ; Mental Disorders/therapy ; Mental Health Services/organization & administration ; Pastoral Care/organization & administration ; Psychotherapy/organization & administration ; Samoa/ethnology ; Tsunamis
    Language English
    Publishing date 2019-09-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219866321
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  9. Article ; Online: Asiasiga i A'oga ma Nu'u: a child and adolescent post-tsunami intervention based on Indigenous Samoan values.

    Tamasese, Taimalieutu Kiwi / Bush, Allister / Parsons, Tafaoimalo Loudeen / Sawrey, Richard / Waldegrave, Charles

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2019  Volume 28, Issue 1, Page(s) 34–36

    Abstract: Objective: To describe a community-based single-session group intervention designed to address psychosocial needs of Samoan young people following a tsunami.: Method: This programme resulted from collaboration between Samoan therapists, Samoan ... ...

    Abstract Objective: To describe a community-based single-session group intervention designed to address psychosocial needs of Samoan young people following a tsunami.
    Method: This programme resulted from collaboration between Samoan therapists, Samoan Catholic pastoral care workers and non-Samoan mental health clinicians. Informed by Samoan concepts of self and wellbeing, it incorporated cultural and spiritual practices familiar to Samoan young people and their families as well as body-centred therapeutic techniques, the 'Tree of life' exercise and provision of a cooked meal.
    Results: Following household visits to affected families in villages throughout southern and eastern Upolu and the island of Manono, the programme was devised and carried out in 11 villages with 1295 children participating. There was a high degree of acceptance of the programme by Pulenu'u (village governance leaders), young people, their families and community members.
    Conclusions: Interventions to address the psychological needs of Indigenous Pacific children and adolescents following a major disaster need to be embedded in the values of their communities. This paper describes an innovative programme based on Samoan values that was consistent with evidence-informed principles used to guide post-disaster responses.
    MeSH term(s) Adolescent ; Adolescent Health Services/organization & administration ; Child ; Child Health Services/organization & administration ; Culturally Competent Care/organization & administration ; Disasters ; Humans ; Intersectoral Collaboration ; Mental Health Services/organization & administration ; Pastoral Care/organization & administration ; Program Development ; Program Evaluation ; Psychotherapy/organization & administration ; Samoa ; Tsunamis
    Language English
    Publishing date 2019-09-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856219866323
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  10. Article ; Online: Voice hearing and pseudoseizures in a Māori teenager: an example of mate Māori and Māori traditional healing.

    Bush, Allister / Niania, Wiremu

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2012  Volume 20, Issue 4, Page(s) 348–351

    Abstract: Objective: The aim of this paper is to describe a Māori traditional healing approach to assessment and treatment of distressing psychiatric symptoms in a young man.: Method: We describe the case of a 17 year old Māori male with voice hearing and ... ...

    Abstract Objective: The aim of this paper is to describe a Māori traditional healing approach to assessment and treatment of distressing psychiatric symptoms in a young man.
    Method: We describe the case of a 17 year old Māori male with voice hearing and pseudoseizures and the assessment and intervention by one of the authors (WN). We report on the young man's and his family's experience of this treatment. We outline concepts from a Māori world view that illuminate an indigenous rationale for this approach.
    Results: A single session traditional Māori healing intervention was associated with immediate resolution of this young man's psychiatric symptoms and restoration of his sense of wellbeing, despite cessation of antipsychotic treatment. He and his family felt satisfied with the cultural explanation about the origin of his distress, which was congruent with their world view. He remained well at follow-up one year later.
    Conclusions: Collaboration between psychiatrists and traditional Māori healing practitioners can enhance the mental health care of Māori whaiora (service users) and their families. Indigenous research is required to further evaluate the acceptability and effectiveness of such joint approaches.
    MeSH term(s) Adolescent ; Culture ; Hallucinations/ethnology ; Hallucinations/therapy ; Humans ; Male ; Medicine, Traditional/psychology ; New Zealand ; Oceanic Ancestry Group ; Patient Acceptance of Health Care/psychology ; Spiritual Therapies/psychology
    Language English
    Publishing date 2012-08
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/1039856212456090
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