Exploration of Pacific perspectives of Pacific models of mental health service delivery in New Zealand

Abstract

There is increasing concern about the inequalities, overall health outcomes, and mental health of Pacific peoples residing in New Zealand. The New Zealand Mental Health Survey (Te Rau Hinengaro), conducted in 2003/2004, identified Pacific peoples as having a higher 12-month prevalence of mental disorders than the general population. The burden of mental health amongst Pacific peoples was identified as high and associated with other socioeconomic correlates. Pacific peoples were also more likely not to access professional mental health assistance. The aim of this study was to provide indepth qualitative data that explored Pacific perceptions and experience of the theory, practice, and utilisation of Pacific mental health services in New Zealand. This paper documents: (i) the different models of care practiced in the Pacific mental health sector, and (ii) the specific components that: (a) make these models uniquely Pacific, and (b) that consumers and families identified as integral to the recovery process. Pacific peoples’ views of mental health from the following three perspectives were studied: (i) the service provider, (ii) the mental health consumer, and (iii) the family member, using focus group interviews in Auckland, Hamilton, Wellington, and Christchurch.