"The big problems kids are facing is that our families aren’t as healthy as they should be. Families were the cornerstone of our traditional Māori values, and if the families are not healthy or supported enough, then the problems can get passed down generation to generation.”
Today, he believes those working in government and the mental health system should look at what’s working. “A lot of government and and influential people are looking for ideas, like what can we implement to fix these problems and all that.”Māori have been discussing this kaupapa for a long time, he says, and now they can share that knowledge. It’s time to show people that “this is definitely a good way of fixing these problems, and I think that’d be really beneficial for New Zealand, for all of the families, Māori and Pākehā, and all the kids."If you use the tools from the Māori and Pākehā you will be more likely to succeed. So I think having a mix of both whānau and we all come together, that’s how we can push each other out of these bad situations.”
But introducing tikanga to mental health isn’t just helpful to Māori, mental health campaigners say. Pākehā also stand to benefit from more holistic, community-focused models of care.Mary O’Hagan, a mental health activist, expert and consumer, says the existing system is too medicalised, too focused on psychiatry and diagnosis, rather than building an community model of care.“The tragic thing is, if you're Māori, you're more likely to be using [mental health services]. And if they’re alienating and not helpful for me as a Pākehā, it’ll probably have double that effect if you’re Māori. We need to use that very holistic, nurturing, collective worldview when we’re designing these systems and we’ve got it right on our doorstep.”O’Hagan is a mental health advocate who has seen the system from both sides of the fence. She was institutionalised a number of times in her 20s, but has since spent her life managing her mental health outside the hospital system, and advocating for others attempting to do the same. She sits in the offices of PeerZone, a Mental Health peer-support organisation in Wellington. The meeting room wall is covered with an enormous mural of a wharf, stretching out toward the horizon. Her hair is cut into blunt white bob and she is a straight-forward, unapologetic talker. “My background is, of course, someone who’s used mental health services,” she says. “So I probably come with a different lens than someone who went to nursing school or medical school. You come out with a different sort of worldview.”"We need to use that very holistic, nurturing, collective worldview when we’re designing these systems and we’ve got it right on our doorstep.”
Back when O’Hagan was being hospitalised with a mental health diagnosis, the system had little to offer beyond “pills, pillows and psychiatry,” she says. Now, she’s advocating for a system that takes psychiatry out from the centre of mental health, and makes it just one spoke in the wheel of community-based care.“The crux is that we don’t need a better mental health system, we need a community well-being system,” she says.Her latest project has been in drafting a ‘community wellbeing manifesto’ of changes to the system. It includes re-allocating resources to support people experiencing mental distress while they’re in the community, and offering more holistic support—help with accommodation, education, job-hunting, social support and community integration.“All of this has a lot of resonance with Māori cultural approaches—it’s about being connected with your community, it's about a holistic approach that does not privilege the medical approach but gives equal credence to the mind, the spirit the social context as well as the physical.“I believe that we need to use a Māori worldview in helping us design these type of systems.”"The crux is that we don’t need a better mental health system, we need a community well-being system”
“It’s not just helpful to Māori, but everyone.”Need to talk?
Free call or text 1737 any time for support from a trained counsellor
Lifeline – 0800 543 354 or (09) 5222 999 within Auckland
Suicide Crisis Helpline – 0508 828 865 (0508 TAUTOKO)
Healthline – 0800 611 116
Samaritans – 0800 726 666This series was made with help from Like Minds Like Mine and the Mental Health Foundation.Follow Tess on Twitter: @tessairini