Lecture 3: Cultural competency and Maori models Flashcards
1) Cultural competency documents
e.g. Health Practitioners Competence Assurance Act 2003
3) Code of Ethics
Bilingual document occurred in 2012
4) Te Tiriti o Waitangi (applying the principles in practice)
- The principle of partnership = establishing a working alliance with Maori
- Principle of Participation = engagement in work agreed to do with Maori
- Principle of Protection = ensuring safety of all Maori in process
- Principle of Protection of Maori customs (only in Maori version)
Cultural Competence
- Having awareness, knowledge and skill to perform various tasks that recognise diverse worldviews
- Understanding of self as a cultural bearer, the influences on health, development of relationships with trust and respect
- An informed appreciation of cultural basis of psychological theories, models & practices, to modify practice accordingly
Knowledge
- Understanding of cultural foundation & limitations of clinical psychology models and techniques from western world tradition
- Knowledge of impact of culture and/or individual diversity on assessment processes
- Understanding of concepts of stigma, discrimination and social exclusion as applied to diverse client groups
- Knowledge of cultural influences on clients presenting for health services
- Particular awareness of health status and needs of Maori in NZ
Skill
- Flexible incorporation of Maori models, practices, and protocols into clinical practice
- Recognition of cultural factors which influence health + illness and response to treatment
- Completion of cultural safe clinical assessments
- Integration of concepts of stigma, discrimination and social exclusion into assessment + treatment processes
- Application of clinical psychological models in a way that takes account of cultural diversity
- Development of accurate clinical conceptualisations
How to develop cultural competence?
1) Asking - who am I?
- Developing life-long self-awareness
- What do I value? Why?
- How do my values influence how I think, feel and behave?
How to develop cultural competence? (part 2)
2) Asking - what do I know?
- Developing on-going knowledge
- Psychological knowledges = links between theory, assessment + treatment
- Historical contemporary socio-political influences on wellbeing
- Culturally specific understandings of wellness + mental health
How to develop cultural competence? (part 3)
Asking - what can I do?
- Skill development
- Apply awareness and knowledge to practice of clinical psychology
- Work with difference, so as to honour client’s worldview
- Establish respect and rapport with clients and continue to check permission
- Gather appropriate info and be able to formulate effectively (assess)
- Implement or suggest implementation of intervention/therapy (treat)
- Seek cultural supervision to ensure you and cli
How to develop cultural competence? (part 3)
Asking - what can I do?
- Skill development
- Apply awareness and knowledge to practice of clinical psychology
- Work with difference, so as to honour client’s worldview
- Establish respect and rapport with clients and continue to check permission
- Gather appropriate info and be able to formulate effectively (assess)
- Implement or suggest implementation of intervention/therapy (treat)
- Seek cultural supervision to ensure you and clients are protected
Cultural competence is a process
- Personal, professional, cultural process
- Requires commitment
- Is transformative (involves change)
Enabling Maori Wellbeing (model)
1) Feeling positive about life
2) Whanaungatanga + belonging
3) Cultural connectedness
4) Cultural identity
- Reducing impact of depression and/or anxiety in lives of Maori
- Creating a socially inclusive NZ that is free of stigma + discrimination towards Maori with experience of mental distress
Te Oranga Hinengaro Key Findings
- Reflections on life = most feel positive and experience sig difficulties
= Rangatahi more difficult/hard to cope
= Have higher burden of depression + anxiety or psych distress - Whanaungatanga and belonging = good access to social support
= Strong connected whanau help protect from social isolation - Cultural connectedness = culture is important and some need help to protect
- Cultural identity = strong connection to culture, speaking Maori etc.
= most know iwi + marae
= Being able to manaaki others is an indicator of wellness
Tapa Wha Model (Durie, 1982)
- Taha hinengaro = mental + emotional wellbeing
= capacity to communicate, to think + feel, mind + body are inseperable - Taha whanau = social wellbeing
= capacity to belong, to share, where individuals are part of wider social systems - Taha tinana = physical wellbeing
= capacity for physical growth + development - Taha wairua = spiritual wellbeing
= capacity for faith + wider communication - Whenua: land/roots
Boat model
- Tinana = physical health + functioning
- Hinengaro = psychological + emotional wellbeing by client
- Iwi Katoa = service systems that provide support
- Wairua = connectedness + spirituality
- Taiao = physical env
- Nga hau e wha (4 winds) = margnialisation, racism, migration, colonisation
- Nga Roma Moana (4 ocean currents):
= Ahua (personalised indicators)
= Tikanga (Maori cultural principles)
= Whanau (relationship roles)
= Whenua (spiritual connection)
