scholarly journals He oro hauora: How do kaupapa Māori models of health relate to my music therapy practice in an adolescent acute mental health unit?

2021 ◽  
Author(s):  
◽  
Nolan Hodgson

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>

2021 ◽  
Author(s):  
◽  
Nolan Hodgson

<p>This project explores the relationship between understandings of health within kaupapa Māori frameworks and music therapy with a particular focus on Durie’s Te Whare Tapa Whā (1998), Pere’s Te Wheke (1991) and ecological perspectives in music therapy. This research took place within an acute adolescent mental health unit that operates with a model of healthcare that emphasises Māori approaches to wellbeing. Secondary analysis of data involving techniques developed within grounded theory is used to investigate clinical notes from my music therapy practice in order to identify processes relevant to the four dimensions of Te Whare Tapa Whā. Themes that emerged were examined and used to investigate further data until a clearer picture of the relationship between music therapy and kaupapa Māori health frameworks became evident. This project particularly acknowledges the unique qualities of music and its practical application in music therapy in order to address and support a person's wairua within modern mental health practices. Specifically, the concepts of mana, mauri and whatumanawa appeared particularly relevant to the process of music therapy and the state of whakamā also emerged as significant within this mental health context. Parallels between kaupapa Māori understandings of health and ecological perspectives within music therapy were also noted and particular reference made to the work of Carolyn Kenny and her Field of Play (2006) model in developing the discourse linking indigenous perspectives with the music therapy profession.</p>


2021 ◽  
Author(s):  
◽  
Ruby Solly

<p>This research focuses on developing the use of taonga puoro as part of an individual's music therapy practice, within the context of an acute mental health unit. This was qualitative research guided by Kaupapa Māori Theory, using a self-reflective action research design of three cycles. Through the three action research cycles, themes were observed and developed within the secondary analysis of clinical notes and a reflective journal, with action plans created as a response. At the end of the three cycles, a model for using taonga puoro in music therapy, 'Nga Pou e Ono', was created by looking retrospectively at the cycles. This research acknowledges the importance of narrative, depth of tpic, acknowledgment of self-determination, spirituality, personal power, and the environment within taonga puoro based music therapy. This research has been inspired by the works of other Māori and Indigenous music therapists such as Dennis Kahui (2008), Nolan Hodgson (2014), and Carolyn Kenny (1989), as well as acknowledging the traditions of taonga puoro for healing within Māori society, and the revivalists whose mahi aroha helped to further embed taonga puoro within te ao Māori.</p>


2021 ◽  
Author(s):  
◽  
Ruby Solly

<p>This research focuses on developing the use of taonga puoro as part of an individual's music therapy practice, within the context of an acute mental health unit. This was qualitative research guided by Kaupapa Māori Theory, using a self-reflective action research design of three cycles. Through the three action research cycles, themes were observed and developed within the secondary analysis of clinical notes and a reflective journal, with action plans created as a response. At the end of the three cycles, a model for using taonga puoro in music therapy, 'Nga Pou e Ono', was created by looking retrospectively at the cycles. This research acknowledges the importance of narrative, depth of tpic, acknowledgment of self-determination, spirituality, personal power, and the environment within taonga puoro based music therapy. This research has been inspired by the works of other Māori and Indigenous music therapists such as Dennis Kahui (2008), Nolan Hodgson (2014), and Carolyn Kenny (1989), as well as acknowledging the traditions of taonga puoro for healing within Māori society, and the revivalists whose mahi aroha helped to further embed taonga puoro within te ao Māori.</p>


2017 ◽  
Vol 41 (S1) ◽  
pp. S607-S607
Author(s):  
L. González ◽  
B. Pecino ◽  
C. Gomez ◽  
M. Anibarro ◽  
C. Ortigosa

IntroductionAdjustment disorders are a common psychiatric disorder in primary care and mental health units, with point prevalence estimates ranging from 0.9% to 2.3%. These disorders have been recently defined as a stress response syndrome in the fifth edition of the DSM, causing emotional and social difficulties and also a large economic burden on society.ObjectivesThe aim of this descriptional study was to analyse the socio-demographic characteristics and treatment of the patients diagnosed with adjustment disorders in the first visit in a mental health unit.MethodsThe study sample consisted of 128 patients admitted for a psychiatric consultation in a mental health unit in Alicante (Spain) from their primary care physician, between February and July 2016. Variables of gender, age, current employment status, diagnosis and treatment were measured. Data analysis was conducted using SPSS software.ResultsThe data from 31 patients who were diagnosed with adjustment disorders meant a 24% of the sample. The median age was 47 years old in the adjustment disorders group. Among those with adjustment disorders, 61% were women, and 52% of them were unemployed. Almost 60% of them had at least one pychotropic prescription and only 22% were derived to psychology.ConclusionsAdjustment disorders are considered as an intermediate category between no mental disorder and affective disorders. Most authors recommend to start with a psychotherapeutic intervention. Despite starting with medication has not proved effectiveness in the studies, most of the patients had at least one psychotropic prescription before the psychiatric evaluation.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 33 (3) ◽  
pp. 159-164 ◽  
Author(s):  
J. Cowman ◽  
P. Whitty

ObjectiveThere is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.MethodsEach week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.ResultsOn average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.ConclusionsAccommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.


2017 ◽  
Vol 48 (4) ◽  
pp. 629-641 ◽  
Author(s):  
T. Ford ◽  
C. Parker ◽  
J. Salim ◽  
R. Goodman ◽  
S. Logan ◽  
...  

BackgroundChildren with poor mental health often struggle at school. The relationship between childhood psychiatric disorder and exclusion from school has not been frequently studied, but both are associated with poor adult outcomes. We undertook a secondary analysis of the British Child and Adolescent Mental Health Surveys from 2004 and its follow-up in 2007 to explore the relationship between exclusion from school and psychopathology. We predicted poorer mental health among those excluded.MethodPsychopathology was measured using the Strengths and Difficulties Questionnaire, while psychiatric disorder was assessed using the Development and Well-Being Assessment and applying Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM IV) criteria. Exclusion from school and socio-demographic characteristics were reported by parents. Multi-variable regression models were used to examine the impact of individual factors on exclusion from school or psychological distress.ResultsExclusion from school was commoner among boys, secondary school pupils and those living in socio-economically deprived circumstances. Poor general health and learning disability among children and poor parental mental health were also associated with exclusion. There were consistently high levels of psychological distress among those who had experienced exclusion at baseline and follow-up.ConclusionsWe detected a bi-directional association between psychological distress and exclusion. Efforts to identify and support children who struggle with school may therefore prevent both future exclusion and future psychiatric disorder.


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