title: Crisis engagement in mental health: a New Zealand Māori contribution.
abstract: The active engagement of clients in mental health services offers far greater chances of successful outcomes. When clients do not actively engage in treatment, their risk of becoming part of the population of 'high users' is greater. The 'high users' consume a disproportionate share of health resources, which may prevent other potential clients from accessing services. Engagement can be particularly challenging in crisis situations, which is how many clients attracting psychotic diagnoses first enter the service. New Zealand Māori bring a transcendent quality to the idea of 'respect for Other', which would make it sacrilegious to overpower Other in most situations. This paper reviews a growing body of literature indicating how we might integrate an enhanced respect or reverence of Other into clinical practice. This includes the idea of engaging more frequently with the social network when building rapport with an individual is particularly challenging. There is some evidence that services adopting this kind of approach are more economical.
authors.affiliation: Mental Health and Addiction Services, Hawke's Bay District Health Board, Hastings, New Zealand. Nick.Drury@hawkesbaydhb.govt.nz
authors.forename: Nick
authors.initials: N
authors.lastname: Drury
authors.forename: Te Ata
authors.initials: TA
authors.lastname: Munro
mesh_terms: D000328:Adult; D003419:Crisis Intervention; D005006:Ethnicity / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology / Q000451:nursing*; D009520:New Zealand; D009723:Nurse-Patient Relations; D011618:Psychotic Disorders / Q000208:ethnology / Q000451:nursing; D012945:Social Values; D016746:Transcultural Nursing; D026712:Value of Life