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Collaborative and Indigenous Mental Health Therapy – Book Review

Collaborative and indigenous mental health therapy: Tātaihono – Stories of Māori healing and psychiatry

NiaNia,W., Bush, A. & Epston, D. (2017). Routledge.

This book is about understanding the paradigm of traditional Māori mental health practices and how they can work in line with Western models of medicine. It’s about the acceptance of Māori cultural needs and understanding how that works in the rehabilitation of Māori clients. And of course the acceptance of a Māori world view by clinicians is always a factor in the recovery of Māori clients.

Each chapter in the book recounts the story of a young person and their family’s experience of Māori healing. One of these stories is about a 17-year-old named Shannon.

Her world was rocked by the death of her paternal grandmother, which she was not prepared for. She descended into drugs and alcohol. Her grandmother had been her rock, she was faced with the fact she no longer had a shoulder to lean on, someone to cry with, confide in, or laugh with, and that’s when her world spiralled into a dark hole.

I read this book and had to gather my thoughts around partnerships and indigenous wellbeing. Yes, there is room for us to practice our cultural practices within mainstream but my thoughts will be always, how will our Treaty partners accept this?

There is a quote from my uncle Sir James Henare: “We have come so far not to go further; we have done so much not to do more.” It’s up to us how far we travel together, to insure the wellness of whanau, and how we can work together always for our whānau to flourish.

My review ends with two of the authors – Wiremu Nia Nia, a cultural therapist who brought his gift of tohungatanga to Te Whare Marie, a Māori mental health service in Porirua, and Allister Bush a psychiatrist, and how they combine their skills for the wellbeing of their clients and how both can flourish with the best of intentions, as in the story of Shannon.

I highly recommend this book. Please read it.

Mauri ora.

Reviewed by Witeria Ashby, former kaitakakawaenga at the MHF.

Rāhina / Monday

Take Notice | Me Aro Tonu

A fresh week, blank slate and a new beginning. Let's start the week by setting purpose and intention, today is the day to take stock – how have you been feeling recently, are there any events or stresses that you need to sit with and unpack? 

Developing the ability to be fully present and conscious without being overly reactive or overwhelmed is no easy feat, it takes practice to achieve the delicate balance of awareness. When we take notice or practice mindfulness, we’re creating space for ourselves—space to think, space to breathe, space between ourselves and our reactions.  

Use today as a reminder to pay more attention to the present moment, to our thoughts and feelings, and to the world around us. At the end of the week, you can reflect on how you felt at the start of the week, and how putting each of the Five Ways into practice has helped to boost your mental health.

A few ideas to help you take notice:

Rātū / Tuesday

Give | Tukua

Today is all about kindness. When we give selflessly to others, whether through our time, resources, or support, we create a positive ripple effect that extends beyond the people we engage with. Carrying out acts of kindness boosts our happiness, life satisfaction, and overall wellbeing. When we help others, it gives us purpose and a sense of belonging – it’s a win/win!  

Think about how you might be able to brighten the day of someone you care about, or even a complete stranger. A small gesture might mean the world to someone else, and you’ll get a bit of a boost, too!

A few ideas to help you give:

Rāapa / Wednesday

Be Active | Me Kori Tonu 

We're nearly over the midweek hump and are inching closer to the weekend. Today is the perfect opportunity to give yourself a refreshing boost by engaging in some physical activity. Wi tēnei rangi to get the blood flowing through your tinana/body?   

Physical activity stimulates the release of endorphins, the "feel-good" hormones, which can uplift your mood and increase feelings of happiness. It reduces stress and anxiety levels, promotes relaxation and enhances overall mental resilience. It can even sharpen our thinking and boost our creativity. 

Being active doesn’t always mean high-intensity cardio workouts, there are lots of ways you can move your tinana to uplift your mood, reduce stress, and feel a sense of achievement. Choose to do something that is purely for feeling good or having fun, and dedicate it to your wellbeing.

A few ideas hei āwhina/to help you be active:

Rāpare / Thursday

Connect | Me Whakawhanaunga

It’s nearly Friday – why not tap into those weekend vibes early, and carve out some time for some meaningful connection? Use today as a sign to arrange that outing or gathering with friends, participate in social events that you might be finding an excuse to skip, or seek out opportunities for shared experiences that deepen your connections.  

Connect refers to making social connections, or whakawhanaungatanga. A sense of feeling connected, loved or belonging with others is strongly associated with better wellbeing and other health outcomes by providing a sense of meaning, safety, support and purpose.  

A few ideas to help you connect:

Rāmere / Friday

Keep Learning | Me Ako Tonu

It might be the last day of MHAW, but today’s the day to reflect on what you’ve learnt throughout the week and implement those tools into the weekend and weeks beyond. 

Evidence suggests that learning or trying new things creates a sense of achievement, competence and stimulates engagement with the world around us. There are lots of ways that you can Keep Learning today and every day. 

A few ideas to help you keep learning: