Shifts in seclusion practices for Māori communities
This report examines the impact of taking a cultural-clinical approach to reducing eliminating seclusion for Māori.
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The Health Quality & Safety Commission (the Commission) has for several years worked in collaboration with Te Pou, a national centre for workforce development for the addiction, disability and mental health sector in New Zealand, as part of its mental health and addiction quality improvement programme. Below is a description of how both organisations are involved in the Zero seclusion project.
The Zero seclusion: Safety and dignity for all | Aukatia te noho punanga: Noho haumanu, tū rangatira mō te tokomaha project specifically focuses on eliminating seclusion in Aotearoa New Zealand. The project is part of the wider MHA quality improvement programme, funded by localities.
The Zero seclusion project has been underway since early 2019. Our goal is to continue sector work with localities to eliminate seclusion in MHA services.
Te Pou works alongside mental health and addiction services to understand their priorities and workforce challenges in reducing the use of restrictive practices. We then use our range of projects and expertise to meet these needs providing tools, training, and resources to improve outcomes and information use.
This report is the result of collaboration between Te Pou and Te Tāhū Hauora Health Quality and Safety Commission. It examines the impact of taking a cultural-clinical approach to reducing eliminating seclusion for Māori. This information is for the mental health and addiction workforce, particularly those actively involved in eliminating the use of seclusion.
The recent publication of the revised Guidelines to the Mental Health (Compulsory Assessment and Treatment) Act 1992 provides a timely opportunity to identify workforce development initiatives that will support good practice in the use of the Act and promote awareness and understanding about people’s rights. (See Ministry of Health. 2020. Guidelines to the Mental Health (Compulsory Assessment and Treatment) Act 1992. Wellington: Ministry of Health.)
Te Pou has developed a series of e-learning modules for the workforce alongside additional resourcese for people interfacing with the Act and their whānau.
The MHA quality improvement programme provides updates via the dashboard, resources to reduce and eliminate seclusion such as our PONO videos and Change Package, quarterly news updates through our e-digest.
Least restrictive practice evidence updates present findings from systematic reviews and some of the research studies in concise, accessible formats. These updates capture the highlights and context for these new findings and are created and disseminated in collaboration with various stakeholders.
This report examines the impact of taking a cultural-clinical approach to reducing eliminating seclusion for Māori.
Supporting seclusion reduction for Māori: the findings of a small study completed by Māori Caucus, Te Ao Māramatanga
Strategies to reduce the use of seclusion and restraint with Māori
Te Pou has a wide range of evidence-based resources and tools to help the mental health, addiction and disability workforces.
Learn MoreTe Pou works alongside mental health and addiction services, and disability organisations to understand their priorities and workforce challenges.
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