CLINICIAN BELIEFS AND PRACTICES RELATED TO INCREASING RESPONSIVITY TO THE NEEDS OF M<ovl>A</ovl>ORI WITH ALCOHOL AND DRUG PROBLEMS

Robertson, Paul; Collier, Ann Futterman; Sellman, J. Douglas; Adamson, Simon J.; Todd, Fraser; Deering, Daryle; Huriwai, Terry

doi:10.1081/ja-100104487

Cited by 8 publications

(23 citation statements)

References 11 publications

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“…Additionally, the fact that Māori are more likely to be employed in lower-paid support roles rather than as 'professionals' needs to be accounted for [33,34,36]. Thus, it is critical to address both the low pay of support workers and increase the number of Māori with 'professional' qualifications.…”

Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

“…Some recent studies indicate, for example, that Māori men make up just over half of the work-force (52%) in the Māori AOD treatment field [31 -35]. Additionally, while gender congruency may contribute to treatment success, other worker characteristics may also have an influence [15,32,36]. It also appears that although female clients tend to have a preference for gender congruency this is less marked for males who make up the majority of the AOD clientele [15,32,33].…”

Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

“…Improving remuneration and developing clear career pathways is clearly important to recruitment and retention, although the potential impact of fiscal constraints within the health sector on this must be acknowledged. Additionally, the fact that Māori are more likely to be employed in lower-paid support roles rather than as 'professionals' needs to be accounted for [33,34,36]. Thus, it is critical to address both the low pay of support workers and increase the number of Māori with 'professional' qualifications.…”

Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

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A review of work-force development literature for the Māori addiction treatment field in Aotearoa/New Zealand

Robertson

Haitana

Pitama

et al. 2006

Drug and Alcohol Review

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Māori, like Indigenous Australians and other indigenous people world-wide, are simultaneously over-represented among those presenting with addiction-related problems and under-represented within various health professions. Providing the opportunity for individuals and whanau (family/extended family) to work with ethnically matched health workers is likely to increase service accessibility and to improve treatment outcomes. In New Zealand, a number of initiatives have been instigated to increase the capacity of the Māori health work-force and reduce related barriers to treatment. This article provides an analysis of relevant literature and policy documents, and identifies five strategic imperatives currently informing work-force development in the Māori alcohol and other drug (AOD) and gambling treatment sector.

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Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

Section: Increasing Capacity: Recruitment and Retentionmentioning

confidence: 99%

See 1 more Smart Citation

A review of work-force development literature for the Māori addiction treatment field in Aotearoa/New Zealand

Robertson

Haitana

Pitama

et al. 2006

Drug and Alcohol Review

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“…As these groups share parallel histories of European colonization and control, we would certainly expect some similarities in the perceptions and use of EBTs. For example, publications regarding substance abuse and mental health treatment for the Maori suggest there are indeed similar concerns about the cultural adaptation of standard treatments [106,107] and there are efforts such as the Healing our Spirit Worldwide that aims at linking the efforts of indigenous groups internationally [108]. However, it is equally important to note each of these indigenous communities is also quite distinct with important differences in their histories and contemporary circumstances.…”

Section: Introductionmentioning

confidence: 99%

Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursuing quality in the crucible of practice and policy

Novins

Aarons

Conti³

et al. 2011

Implementation Sci

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BackgroundA variety of forces are now shaping a passionate debate regarding the optimal approaches to improving the quality of substance abuse services for American Indian and Alaska Native communities. While there have been some highly successful efforts to meld the traditions of American Indian and Alaska Native tribes with that of 12-step approaches, some American Indian and Alaska Natives remain profoundly uncomfortable with the dominance of this Euro-American approach to substance abuse treatment in their communities. This longstanding tension has now been complicated by the emergence of a number of evidence-based treatments that, while holding promise for improving treatment for American Indian and Alaska Natives with substance use problems, may conflict with both American Indian and Alaska Native and 12-step healing traditions.DiscussionWe convened a panel of experts from American Indian and Alaska Native communities, substance abuse treatment programs serving these communities, and researchers to discuss and analyze these controversies in preparation for a national study of American Indian and Alaska Native substance abuse services. While the panel identified programs that are using evidence-based treatments, members still voiced concerns about the cultural appropriateness of many evidence-based treatments as well as the lack of guidance on how to adapt them for use with American Indians and Alaska Natives. The panel concluded that the efforts of federal and state policymakers to promote the use of evidence-based treatments are further complicating an already-contentious debate within American Indian and Alaska Native communities on how to provide effective substance abuse services. This external pressure to utilize evidence-based treatments is particularly problematic given American Indian and Alaska Native communities' concerns about protecting their sovereign status.SummaryBroadening this conversation beyond its primary focus on the use of evidence-based treatments to other salient issues such as building the necessary research evidence (including incorporating American Indian and Alaska Native cultural values into clinical practice) and developing the human and infrastructural resources to support the use of this evidence may be far more effective for advancing efforts to improve substance abuse services for American Indian and Alaska Native communities.

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“…In New Zealand, culturally appropriate interventions for Maori with problems associated with alcohol and substance use are being encouraged, developed and supported by treatment services (Huriwai 2002;Robertson et al 2001). Extended family (whanau) and relationships are important key concepts in treatment (Huriwai et al 2001).…”

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confidence: 99%

Intrinsic and Extrinsic Barriers to Health Care: Implications for Problem Gambling

Clarke

2007

Int J Ment Health Addiction

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To establish guidelines for research into help for problem gambling, this paper reviews literature on barriers to access and utilisation of health care for alcohol abuse, substance abuse and mental health problems. Research findings from international and New Zealand studies are examined, highlighting gender differences and cultural aspects. Intrinsic factors are presented within the transtheoretical model of change (TTM). Extrinsic barriers consist of predisposing, enabling and need factors, according to the socio-behavioral model (SBM). The dynamic interaction between intrinsic and extrinsic factors is explained by the network-episode model (NEM) which emphasises the importance of social networks and events. Personal, socio-cultural and institutional reasons for delays in seeking help are presented. The greatest barriers to seeking health care are intrinsic. Specific research questions regarding the implications for barriers to help for problem gamblers and their families are proposed. In conclusion, the SBM and the NEM seem to explain barriers to health care access and utilisation for addictive disorders and mental health problems better than the TTM. Barriers to health care access and utilisation for substance abuse and mental health problems may have some relevance to similar barriers for problem gamblers and their families.

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CLINICIAN BELIEFS AND PRACTICES RELATED TO INCREASING RESPONSIVITY TO THE NEEDS OF MAORI WITH ALCOHOL AND DRUG PROBLEMS

Cited by 8 publications

References 11 publications

A review of work-force development literature for the Māori addiction treatment field in Aotearoa/New Zealand

A review of work-force development literature for the Māori addiction treatment field in Aotearoa/New Zealand

Use of the evidence base in substance abuse treatment programs for American Indians and Alaska natives: pursuing quality in the crucible of practice and policy

Intrinsic and Extrinsic Barriers to Health Care: Implications for Problem Gambling

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