Māori social work views and practices of rapport building with rangatahi Māori
DOI:
https://doi.org/10.11157/anzswj-vol24iss3-4id124Keywords:
m?ori social work practice, rangatahi m?ori, mental health, rapport buildingl reflective practice,Abstract
This article presents the results of a qualitative study that explored Māori social workers’ perspectives of working to establish rapport with rangatahi Māori in community mental health services. The research was conducted using a social constructionist perspective, informed and guided by Māori-centred research principles. Six Māori social workers from different parts of the country volunteered to participate in semi-structured interviews. These face-to-face interviews were designed after reviewing current literature and were guided by a practice framework that enabled the voices of the Māori social workers to be heard, eliciting in detail where their views have come from. The findings from the research showed that Māori social workers view rapport as essential in their practice and therefore they practise in a way that facilitates this. They utilise values and beliefs in their practice, integrated with a Māori worldview, that contribute towards rapport building with youth and also with their whänau. Reflective practice is used constantly in order to maintain ethical practice. The practice implications are also discussed; that an understanding of how Māori social workers view and practise rapport can be beneficial, that there is a need for whānau involvement and that this can enhance rapport with rangatahi, that an inherent valuing of rangatahi is key and finally that reflective practice is essential for Māori social work professional and personal development.References
Abell, J., & Myers, G. (2008). Analysing research interviews. In R. Wodak & M. Krzyzanowski (Eds.). Qualitative discourse analysis in the social services (pp. 145-161). New York, NY: Palgrave Macmillan.
Antoniou, A. S., & Blom, T. G. (2006). The five therapeutic relationships. Clinical Case Studies, 5(5), 437-451.
Barbour, R. S. (2008). Introducing qualitative research – A student’s guide to the craft of doing qualitative research. London: Sage Publications.
Baxter, J. (2008). Māori mental health needs profile. A review of the evidence: Summary. Palmerston North: Te Rau Matatini.
Beresford, P., Croft, S., & Adshead, L. (2008). ‘We don’t see her as a social worker’: A service user case study of the importance of the social worker’s relationship and humanity. British Journal of Social Work, 38(7), 1388-1407.
Berg, B. L. (2007). Qualitative research methods for the social sciences (6th ed.). Boston: Pearson/Allyn & Bacon.
Berger, P. L. & Luckmann, T. (1971). The social construction of reality: A treatise in the sociology of knowledge. Harmondsworth: Penguin Books.
Biasiny-Tule, P. (2006). Rangatahi in the twenty-first century: A new century, a Māori millennium. In M. Mulholland (Ed.), State of the Māori nation: Twenty-first-century issues in Aotearoa. Auckland: Reed Publishing.
Bickman, L., Vidas de Andrade, A.R., Lambert, E. W., Doucette, A., Sapyta, J., & Boyd, A. S. (2004). Youth therapeutic alliance in intensive treatment settings. The Journal of Behavioral Health Services & Research, 31(2), 134-148.
Bogo, M. (2006). Social work practice: Concepts, processes and interviewing. New York: Columbia University Press.
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101.
Cahill, J., Barkham, M., Hardy, G., Gilbody, S., Richards, D., & Bower, P. (2008). A review and critical appraisal of measures of therapist-patient interactions in mental health settings. Health Technology Assessment, 12(24), 1-18.
Cram, F., Smith, L., & Johnstone, W. (2003). Mapping the themes of Māori talk about health. The New Zealand Medical Journal, 116(1170), 1-7.
Cunningham, C. (1998). A framework for addressing Māori knowledge in research, science and technology. In Te Pūmanawa Hauora (Ed.), Te Oru Rangahau: Māori Research and Development Conference July 1998 (pp. 387-397). Palmerston North: Te Pūtahi ā Toi, Massey University.
Denscombe, M. (1998). The good research guide for small-scale social research projects. Buckingham: Open University Press.
DiGiuseppe, R., Linscott, J., & Jilton, R. (1996). Developing the therapeutic alliance in child-adolescent psychotherapy. Applied & Preventative Psychology, 5, 85-100.
Duncan, B. L., Miller, S. D., & Sparks, J. A. (2004). The heroic client: A revolutionary way to improveeffectiveness through client-directed, outcome-informed therapy. (Rev. ed.). San Francisco: Jossey-Bass.
Durie, A. E. (2001). Te rërenga o te rä: Autonomy and identity: Mäori educational aspirations. (Unpublished doctoral dissertation). Massey University, Palmerston North, New Zealand.
Durie, M. H. (2001). Mauri ora - The dynamics of Māori health. Auckland: Oxford University Press.
English, A., Selby, R., & Bell, H. (2011). Working with whānau: Māori social work in schools. Otaki, New Zealand: Te Wananga o Raukawa.
Garcia, J.A., &Weisz, J. R. (2002). When youth mental health care stops: Therapeutic relationship problems and other reasons for ending youth inpatient treatment. Journal of Consulting and Clinical Psychology, 70(2), 439-443.
Hawley, K., & Weisz, J. (2005). Youth versus parent working alliance in usual clinical care: Distinctive associations with retention, satisfaction, and treatment outcome. Journal of Clinical Child and Adolescent Psychology, 34(1), 117-128.
Hirini, P. (1997). Counselling Māori clients: He Whakawhiti Nga Whakaaro i te Tangata Whaiora Mäori. New Zealand Journal of Psychology, 26(2), 13-18.
Howgego, I. M., Yellowlees, P., Owen, C., Meldrum, L., & Dark, F. (2003). The therapeutic alliance: The key to effective patient outcome? A descriptive review of the evidence in community mental health case management. Australian and New Zealand Journal of Psychiatry, 37(2), 169-183.
Huriwai, T., Robertson, P. J., Armstrong, D., Kingi, T., & Huata, P. (2001). Whanaungatanga - A process in the treatment of Māori with alcohol - and drug-use related problems. Substance Use & Misuse, 36(8), 1033-1051.
Jonson, H., Su’a, T., & Crichton-Hill, Y. (1997). Biculturalism and counselling across cultures. In R. Manthei (Ed.), Counselling - The skills of finding solutions to problems, pp. 18-35. Auckland: Addison Wesley Longman.
Keen, M. (2005). Integrated practice in mental health social work. In M. Nash, R. Munford & K. O’Donoghue (Eds.), Social work theories in action (pp. 80-92). London: Jessica Kingsley Publishers.
Kingi, T. (2005). Mäori mental health: Past trends, current issues, Māori responsiveness. Auckland: Te Mata o te Tau Academy for Māori Research and Scholarship.
Maidment, J. (2006). The quiet remedy: A dialogue on reshaping professional relationships. Families in Society: The Journal of Contemporary Social Services, 87(1), 115-121.
McCutcheon, L. K., Chanen, A. M., Fraser, R. J., Drew, L., & Brewer, W. (2007). What every clinician wants to know… Tips and techniques for engaging and managing the reluctant, resistant or hostile young person. The Medical Journal of Australia, 187(7), 64-67.
McLean, J. M. (2007). Pushing the boundaries: Relationships with adolescents. (Unpublished master’s thesis). Victoria University of Wellington, New Zealand.
Mead, L. T. (1996). Ngā aho o te kakahu matauranga: The multiple layers of struggle by Mäori in education. (Unpublished doctoral dissertation). University of Auckland, Auckland, New Zealand.
Ministry of Health & New Zealand Guidelines Group. (2003). The assessment and management of people at risk of suicide. Wellington: Author.
Nafisi, N., & Stanley, B. (2007). Developing and maintaining the therapeutic alliance with self-injuring patients. Journal of Clinical Psychology: In Session, 63(11), 1069-1079.
Nash, M., Munford, R., & O’Donoghue, K. (2005). Introduction: Integrating theory and practice. In M. Nash, R. Munford & K. O’Donoghue (Eds.), Social work theories in action (pp. 15-28). London: Jessica Kingsley Publishers.
Norfolk, T., Birdi, K., & Walsh, D. (2007). The role of empathy in establishing rapport in the consultation: A new model. Medical Education, 41(7), 690-697.
O’Brien, A. J. (1999). Negotiating the relationship: Mental health nurses’ perceptions of their practice. Australian and New Zealand Journal of Mental Health Nursing, 8(4), 153-161.
O’Brien, L. (2001). The relationship between community psychiatric nurses and clients with severe and persistent mental illness: The client’s experience. Australian and New Zealand Journal of Mental Health Nursing, 10(3), 176- 186.
Okamoto, S. K. (2003). The function of professional boundaries in the therapeutic relationship between male practitioners and female youth clients. Child and Adolescent Social Work Journal, 20(4), 303-313.
O’Leary, Z. (2004). The essential guide to doing research. London: Sage Publications.
Reid, H. L., & Fielding, A. J. (2007). Providing support to young people: A guide to interviewing in helping relationships. New York, NY: Routledge.
Ruwhiu, L. A. (1995). Home fires burn so brightly with theoretical flames. Te Kōmako 7(1), 21-24.
Ruwhiu, L. A. (2001). Bicultural issues in Aotearoa New Zealand social work. In M. Connolly (Ed.), New Zealand social work: Contexts and practice (pp. 54-71). Auckland: Oxford University Press.
Ruwhiu, P. T., & Ruwhiu, L. A. (2005). Ko te pae o te atua mai i nga whakaaro hohonu nei, hei oranga mo te ira tangata. Te Komako 17(2), 4-19.
Shattell, M. M., Starr, S. S., & Thomas, S. P. (2007). ‘Take my hand, help me out’: Mental health service recipients’ experience of the therapeutic relationship. International Journal of Mental Health Nursing, 16(4), 274-284.
Statistics New Zealand. (2010). Demographic trends: 2010. Retrieved from http://www.stats.govt.nz/browse_for_stats/population/estimates_and_projections/demographic-trends-2010/chapter1.aspx.
Sterlin, R. (2006). Where relational theory andattachment theory intersect: A real relationship and a real attachment. Clinical Social Work Journal, 34(2), 161-174.
Thomas, G. (2007). The power of the therapeutic relationship: Bringing balance to evidence-based practice. Social Work Review, 19(4), 55-66.
Walsh-Tapiata, W., Metuamate, A., Rikihana, T., Webster, J., Warren, T., & Kiriona, D. (2006). Māori youth (rangatahi) lead positive social change in identifying health issues. Commonwealth Youth and Development Journal, 4(1), 2-16.
Ware, N., Tugenberg, T., & Dickey, B. (2004). Practitioner relationships and quality of care for low-income persons with serious mental illness, Psychiatric Services, 55(5), 555-559.
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