Raukura Hauora O Tainui Ki Tamaki

Mission Statement
"To Provide Leadership And High Quality Services For All"

Philosophy
"Where There Is No Vision,
The People Will Perish"
- Na Kingi

Raukura Hauora O Tainui Ki Tamaki is divided into the following services:

• Primary Care Services;
• Specialist Services; and
• Mental Health Services.

The following sections summarise what each of these services offers.

Primary Care Services

GP Clinics
The core business of Raukura Hauora O Tainui Ki Tamaki is the delivery of Primary Care Services through its Family GP Clinics.

Currently there are three Family GP Clinics in South Auckland, one in Otahuhu, one in Mangere and one on site at Middlemore Hospital, next to the Emergency Department. This is currently operated as an after-hours service from 6.00pm on Fridays to 1.00am the next morning, and on Saturdays and Sundays from 8.00am to 1.00am. Each clinic is staffed by a full-time GP, practice nurse, receptionist and community health worker. These clinics have been strategically situated in areas with a high density of Maori people.

All the clinics charge very affordable fees: free visits for children under 6; $2 for students; $5 for community card holders; and $10–20 for others. Payment by koha is also accepted. The Te Puea Marae Clinic operates on a koha basis.

The clinics provide a comprehensive range of services including:

• Medical assessments
• Cervical screening
• Diabetes diagnosis/prognosis
• Asthma diagnosis/prognosis
• Immunisations
• Vaccinations
• ‘Well Woman’ checks
• ‘Well Child’ checks
• Family planning
• Skin cancer checks.

Staff, Medical Clinic, Otahuhu

Staff, Medical Clinic, Mangere

Public Health
Raukura Hauora O Tainui Ki Tamaki is committed to providing Public Health services to the population of South Auckland. The Public Health Co-ordinator for Raukura Hauora O Tainui Ki Tamaki, Karla Armstrong, runs a number of programmes targeting groups such as rangatahi, kaumatua and tamariki.

Karla Armstrong Public Health Co-ordinator

These Public Health services mainly focus on Tihei Mauri Ora (a smokefree programme); He Whai Ao (The Ideal – nutrition and exercise); Kia Tupato (Injury prevention); and Kia Maarie (Drug and alcohol awareness). The Public Health services of Raukura Hauora O Tainui Ki Tamaki also offer supplementary activities that support its main focus areas, such as Water Walking, Water Aerobics, Line Dancing and Smoking Cessation Programmes. It also offers other programmes, such as Health Education Health Awareness and Health Promotion.

Community Health
The development of the Raukura Hauora O Tainui Ki Tamaki Community Health Team is a unique part of its strategy to improve the health status of Maori. The Community Health Team is part of a Pre-Primary Care Strategy that focusses on wellness for the Maori population it serves.

Some of the services provided by the Community Health Team are:

• Health Education and Promotion
• Screening and Prevention
• Social Support Services
• Advocacy and Liaison
• Disability Support Services
• Care Co-ordination.

The Community Health Team also provides appropriate education and effective information dissemination to whanau through hui, training and awareness programmes about:

• Asthma Prevention/Management
• Diabetes Prevention/Management
• Smokefree Lifestyles
• Alcohol and Drug Abuse
• Sexual and Reproductive Health
• Nutrition and Exercise
• Immunisation
• Cervical and Breast Screening
• Blood Pressure
• Testicular Cancer
• Height and Weight Screening.

In answer to the question, “What sets the primary health services of Raukura Hauora O Tainui Ki Tamaki apart from the rest out in the community?” Morehu McDonald, General Health Manager, responded:

The aim of Raukura Hauora O Tainui Ki Tamaki primary services is to remove the barriers for Maori people seeking access to health care, by providing services which are affordable and client focussed, in a comfortable environment both clinically and culturally. They are services that are managed efficiently, and are secure and robust enough to withstand time.

Mokopuna Ora
The Mokopuna Ora Team is a dedicated group of nurses and community support workers working together to provide holistic care for each tamariki and whanau in their homes. Its main focus is the ‘hard-to-reach children’ under five years of age and for these children it provides ‘Well Child’ check-ups; assessments of each child’s well-being; immunisation; And information to families on child health issues and health care.

Specialist Services

Te Ara Hou
Te Ara Hou is a residential alcohol and drug programme based at the Weymouth Estuary. It is situated close to the sea, which allows for healing processes within a cultural environment.

The programme follows customary concepts of Te Toi o Mataariki, which is a model designed to incorporate the philosophies and cultural values of Maori.

The staff at Te Ara Hou are trained in delivering services, using this model, with the resident’s (akonga) recovery and well-being being first and foremost in mind.

Wahine Whare Te Ara Hou, Weymouth Estuary

Tane Whare Te Ara Hou, Weymouth Estuary

Ka Awatea
Ka Awatea is a community alcohol and drug service that incorporates assessment and referral, education and promotion night and day programmes for male and female adults and also for young people and follow-up and support. These programmes are based in Manurewa, Mangere and Otahuhu.

ACC - Vocational Rehabilitation Training Programme
The Vocational Rehabilitation Training Programme is designed to provide appropriate pathways to employment for ACC claimants who are in transition from being ‘fit for selected work’ to being ‘work ready’.

The programme currently targets the ‘tail end’ (long-term) claimants with the aim of providing a customised programme suitable for each claimant’s specific needs.

ACC - Cultural Awareness Programme

Mental Health Services

Te Rangihaeata is a sub-service of Raukura Hauora O Tainui Ki Tamaki. It provides a range of psychosocial, cultural, religious and primary health care services to a predominantly Maori clientele, aged 17 years and over, who have a mental illness.

The service ensures that Maori clients who have experienced ongoing mental health problems, and their whanau, are supported and have access to the services and resources they need to live good quality lives in the community of their choice.

The range of support services Te Rangihaeata offers includes:

• Whanau (family) support
• Cultural counselling and education in mental health
• Tikanga (protocols of compliance)
• Rongoa Maori (traditional medicines and practices)
• Access to Tohunga (traditional healers)
• Whakawhanaungatanga (re-unification and consolidation of family and genealogical links).

Also considered essential, if the service’s desired outcomes are to be achieved, are waiata, kapa haka and mau raakau (traditional song and dance); karakia (prayer); and Te Reo Maori and whaikorero (traditional religious observance) in the Maori language and oratory).

The service also advocates for its clients with both government and non-government departments and services.

The service considers most eligibility, and gives priority to:

• Maori over the age of 17 years with an Axis 1 clinical diagnosis
• Maori who have been referred from and received clinical treatment from South Auckland Mental Health Services
• Maori whose lifestyles have been disrupted over the last six months or more as a result of their illness
• Maori who have exhausted all other support options
• Situations where there are young children in the care of clients requiring the service
• Situations where there is a recent history of acute in-patient use and/or crisis services.

The Iwi Support Team (Te Rangihaeata) consists of six iwi support workers and a registered comprehensive nurse. It currently has a client ratio of 1 to 15. The Te Rangihaeata service became operational in March 1999. In response to the question, “What sets our Te Rangihaeata’s mental health services apart from the rest out in the community?” Winston Maniapoto, Mental Health Manager, answered: Because it is Maori working for Maori, incorporating kaupapa and tikanga Maori standards, protocols and practices in all aspects of service provision. This, I think, is the key. We come under the korowai of an Iwi Provider. RAUKURA HAUORA O TAINUI KI TAMAKI

Staff, Mental Health Services