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Database of New Zealand mental health research

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Status
Completed 28 February 2009

Created
15 January 2010

Last updated
20 January 2010

Development of a child, adolescent and family mental health service for Pacific young people in Aotearoa/New Zealand

Investigator(s) / AuthorsAllister Bush, Fa’amausili Chapman, Mercy Drummond and Tofa Fagaloa

 
Principal contact
Name Dr Allister Bush
Email allister.bush@ccdhb.org.nz
The research
Summary This paper describes the development of a dedicated Pacific child, adolescent and family mental health service based in Porirua, Aotearoa/New Zealand(NZ).
Objectives Particular reference is made to, firstly, the social and demographic characteristics of the population we serve, and referrals to our service, and secondly, to key Samoan research findings which emphasize the Samoan relational concept of self as a fundamental concept underpinning Samoan notions of mental wellbeing.
Study design We discuss the practical application of this concept in our work with Samoan and other Pacific young people and their families, including implications for engagement, assessment and treatment processes. E lē tulolo fua la’au o le vao E falala ona o le matagi (When the trees bend in the forest, there is always a reason) Samoan proverb
Methods Audit / Quality Monitoring, Evaluation, Qualitative
Results The early development of our Pacific child adolescent and family mental health service has focused on accessibility and engagement with Pacific families. Samoan research has strongly informed our reflection on our clinical practice.
Conclusions Similar qualitative research focused on cultural concepts of mental health and wellbeing with other Pacific nations groups is necessary to support the development of Pacific CAMHS services, as well as outcome studies to show which mental health treatments work for Pacific young people and their families. Dedicated Pacific CAMHS in Aotearoa/NZ have a responsibility to foster the development of qualified CAMHS practitioners from all Pacific nations and support the development of child and adolescent mental health services in less well resourced communities across the Pacific.
Key Descriptors Child & Adolescent Mental Health, Family, Service Development, Workforce Development
Disciplines Multi disciplinary
Settings DHB (District Health Board)
Diagnostic Categories Anxiety & Phobic Disorders, Bipolar Disorder, Child and adolescent disorders, Post-traumatic stress disorder, Psychotic Disorders, Other
Populations General Population, Pacific
Other Keywords child, adolescent and family; Samoan relational concept of self, Samoan culture
Ethics approval Yes
Academic led No
Service led Yes
How were service users involved Participants of the research
Publication in peer review journal Yes
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