Mental health promotion plan for New Maori Mothers

Question

Task: Prepare a mental health promotion planfor new Maori mothers?

Answer

1. Values
The mental health promotion plan for working with new Maori mother’s mental health will resonate values of Te Tiriti o Waitangi. The plan will aim at setting up playgroup activities that focus on empowering women of Maori community, as well as in building relationship such that mental health literacy skills can be instilled in them and they are able to deal with their mental health challenges in a better manner (Came et al, 2017). There will be three principles that will be abided by the mental health promotion plan which include participation, partnership with Maori people, and protection. The values and ideologies informing mental health promotion plan and thinking will include partnering with Maori communities' women children by engaging with them. New mothers from the Maori community will be contacted for whom specific mental health promotional techniques will be planned by understanding the specific challenges they face after child-birth. The mental health promotion plan will be such that it protects Maori knowledge, values, interests, and other taonga. The mental health intervention technique will undertake an intervention technique along with the preservation of Maori culture without adopting any contrary approach. It will also bring about greater involvement of Maori women from all over New Zealand.

2. Evidence
In this current mental health promotional plan for new Maori mothers, approaches through counseling will be undertaken. There is an increasing proportion of Maori people in general and women in specific who faces a number of mental health issues. These issues can be understood from checking increasing prevalence of suicide, family violence, depression and crimes amongst them. These approaches will specifically aim at tackling depression, stress, and anxiety faced by these new mothers by way of counselling (Bécares, & Atatoa-Carr, 2016). The mental health promotion plan will adopt approaches specific to the population, such as those requiring such interventions for their effectiveness. For the purpose of undertaking this mental health promotion plan, specific evidence will need to be collected such as population whereabouts such that appropriate settings can be adopted for the plan of action. There will need to be evidence collected from different sources that include quantitative and qualitative information. Data will be collected regarding evidence on the health need within the Maori community by way of health inequity of new mothers. Data regarding new Maori mothers will be collected which reveals evidence of effectively planned initiative (Harris, 2014). There will be playgroup created for new mothers, where they can come and engage with other mothers from their own community. Through this type of engagement, a survey method can be undertaken, with new mothers who have given their first child's birth. These data regarding the mothers will be collected from hospitals across some major suburban regions in New Zealand where there is a concentrated Maori population. Data will be collected from these hospitals regarding childbirth amongst the young Maori population in the last 6-month period. Post collecting such data, these mothers will be contacted over a telephone call and asking them to participate in the mental health promotion plan. Once they accept to participate, they will be provided with a consent form to be signed.

Then they will be called at a local playgroup at a pre-specified time period, where they can come and participate in the survey interview. Several of such group sessions held for collecting data from approximately 100 Maori mothers. The survey for mental health promotion plan will be conducted by means of a pre-established set of questions, which will be posted to these mothers. This data collected will mainly consist of qualitative data or subjective data regarding their experiences post motherhood. There will also be quantitative data collected by asking a specific survey question as to how many of these new mothers adopted for mental health treatment post their delivery. This will directly provide a number of relevant mothers who severely needs to be engaged in mental health intervention planning.The playgroup will be created with several plays well-knit together such that the women are able to interact amongst them and also take part in the intervention planning as well. The mental health promotion planof action through such interaction will aim at engaging in communicative procedures amongst the women. The survey question will also ask regarding the whereabouts of the mental health intervention mechanism provided to these mothers, in case they wanted to disclose, explaining the possible outcomes of this current mental health promotional plan.Once these mothers have been engaged in discussing their whereabouts, challenges, and issues as revealed through the survey, then group discussion sessions will be undertaken for them. The playgroup setting for new mothers will provide the opportunity for these mothers to discuss their problems in the open. Through such an open group session discussion, it will be possible to intimate a plan of action for the specific mental health intervention.

3. Theory
The theory that will guide the mental health promotion plan for this mental health intervention technique is the empowerment theory. This theory will form a part of the focus in this mental health intervention planning approach by the inclusion of process which emphasizes the participation of new Maori mothers and women in their own environment such that they can recognize patterns of depression, stress, or anxiety faced by them. This will enable them to engage through an inner resource for well-being (Park et al, 2015). Through health empowerment, this mental health promotion plan mechanism will aim at the facilitation of one's awareness in participating in bringing about the desired change by knowingly participating in health care decisions. This theory of health empowerment arises from personal resources and social contextual resources. Hence by application of such an approach personal-resource of Maori women and social contextual resources for increasing the wellbeing of new Maori mothers will be attempted.

4. Community
In a mental health intervention mechanism, it is essential that need assessment of the community is undertaken in an in-depth manner. This will help in revealing the key aspects of the need that will in turn assist in undertaking the fourth part of the planning cycle.

i. Aim and Objectives
The aim and objectives of this mental health promotion plan approach is designed for attending to the below mentioned issues;

• Identifying post-natal Maori women, who faced mental health challenges
• Identifying the post-natal Maori women who faces mental health issues but do not undertake intervention processes for the same

In order to attend to the above issues, the below mentioned objectives will need to be answered.

• To identify Maori women, who have recently given birth in the last 6 months
• To invite the new Maori mothers to take part in playgroup sessions
• To diagnose through survey and by collecting qualitative as well as quantitative data, new Maori mothers, who are facing mental health challenges such as depression, stress, and anxiety
• To diagnose through survey and by collecting qualitative as well as quantitative data, new Maori mothers, who are visiting mental health practitioners for dealing with their mental health challenges such as depression, stress, and anxiety
• To engage the new Maori mothers in mental health promotion by way of empowerment

ii. Setting
A community setting for this mental health promotion plan will comprise of new Maori mothers. However, it is essential that the specific target audience for this health intervention is defined. The target audience along with a range of stakeholders in the process needs to be identified.

The demographic setting of the target audience includes new Maori mother’s age between 15 years till 40 years of age, from the low- and middle-income background. The mental health promotion plan will be broad-based and aimed at covering most of the northern part of New Zealand. The geography of the targeted audience includes suburban regions in New Zealand, which includes Wadestown, Kaiwharawhara, Wilton, Ngaio, Crofton Downs, Johnsonville, Khandallah, Glenside, Paparangi, and Tawa. These are some of the well-known suburbs and hence have been targeted for the purpose of conducting the mental health promotional plan. The psychographic segment which will be targeted for this health intervention includes those women who are specifically unaware of the various mental health challenges faced by them. However, their behavior reveals that they are experiencing certain kinds of depression, anxiety, and stress.

The stakeholders who will be engaged in order to conduct this mental health promotion plan include nurses from the local hospitals, mental health practitioners, and field research executives, who will be collecting data for the plan of action. The nurses will not only indicate data regarding the new Maori mothers in their specific regions but can also guide in accommodation of engaging in safe mental health practices. Mental health practitioners will assist in guiding specific mental health intervention promotional approach which can allow attending to the specific mental health challenges. They can also guide through proper counseling approaches to be adopted for Maori women from their experience.

iii. Data availability
In order to conduct a specific mental health promotion plan for Maori women, adequate data will need to be collected. The data for undertaking this specific health intervention promotional planning will be gathered from;

• National government websites on statistics such as the NZ Census, Ministry of Health Data, The Growing Up in New Zealand Study, Statistics NZ, and DHBs. Data will be searched from these websites by using key terms such as Post-natal depression amongst women and post-natal depression amongst Maori women. Stress in post-natal condition, Anxiety facing post-natal women, and so on.
• This study will also take into consideration the data from hospitals to conduct community assessment regarding mental health conditions faced by Maori women, who have recently given birth. Primary data will mainly be collected from them regarding Maori women, who have given childbirth in the last 6 months.
• Data regarding the current knowledge present about the needs and assets of the community can reveal valuable information.

Also, by way of survey questions, data will be aimed to be collected from the local community. An assessment will be conducted by way of interacting with a mental health practitioner in the area, human service staff, social workers, police, and advocates for understanding the severity of mental health cases faced in the region and also any impact arising from such mental health issues. The various indicators of health will be analyzed to understand the mental health issues faced in the region. In short, there will need to be undertaken survey by use of volunteers (field researchers) along with statistical experts, who can assist in the collection of data by means of primary research.

iv. Information need
In order for the field research to be conducted in a successful manner, it is essential that informants are asked questions. The questions will provide the answers that will meet a specific purpose for this study. The group of informants as ascertained above will be asked regarding the most affected people by mental health issues or their intervention techniques there-off (Palinkas et al, 2015). The opinion of varied professionals, who work with these people such as mental health practitioners, community staff, nurses, police, social workers, and so on. The health indicators specific to the areas will also be sought. Most of the data collection activity will be conducted by me, along with my friend, who is a statistician. He has agreed to work with me free of costs. The people to be engaged in this project include me (for field research), my friend, mental health practitioners, nurses, social workers, and more people will be added as and when needed. The costs related to this project are calculated as below;

v. Information Gathering (Community Assessment Tools (CATs)
The selection of tools is necessary for seeking information from the group. For the purpose of this research on mental health promotion plan appreciative inquiry will be used as CATs. With appreciative inquiry, the focus group will be attempted to gather data from the audience. By way of appreciative inquiry, it is possible to build a strategy on the basis of appreciation. The Focus group will enable undertaking planned discussion with the community as their preferences and opinions on the topic, hence it was selected. It is crucial for the empowerment approach that the community's point of view is understood and appreciation is undertaken for the participation of the people.

vi. Information gathered from
Information will be collected by way of play-grouping new Maori mothers. By way of survey procedure, such information will be collected. The participatory research methodology as discussed above will be undertaken for attaining the community-oriented mental health promotion plan.

vii. Reaching informants
The informants will be reached out by means of collecting data from local suburban hospitals and also by mailing services. A personal approach also as described above will be used for reaching out to informants.

viii. The person analyzing the data and ways to do it
The data qualitative in nature will be analyzed by me and quantitative data will be analyzed by my friend. Once the information is collected, the qualitative data will be analyzed by way of descriptive analysis. The quantitative data will be analyzed by way of the statistical analysis technique.

ix. Recording results of the assessment and presenting them
The results of the assessment on mental health promotion plan will be recorded on my personal computer. Then it will be presented to the community by means of infographics such that greater participation can be brought from them.

5. Reflection on Precede-Proceed Model (PPM)
The Precede-Proceed Model (PPM) is an appropriate cost-benefit evaluative framework that can assists in the analysis of the situation and designing of health programs in an efficient manner (Sinopoli et al, 2018). This model has been applied in this health intervention planning. The portions covered in the PPM terminology includes predisposition, reinforcing, enabling, constructs, in education, diagnosis, evaluation,which implies the terminologies of the Precede, factors which comes next from the evaluation includes Policy, Regulatory, Organizational, Constructs, Educational, Environmental and Developmental. For appropriate mental health promotion plan, there needs to be looked at ways to find information, awareness regarding the various needs for diversity along with different strategies that can assists in improvement of health. The model not only allows collection of appropriate predisposition, constructs, reinforcing, and enabling in providing education, evaluation and diagnosis but it also allows in developing appropriate regulation, policies, and constructs.

Reference
Bécares, L., & Atatoa-Carr, P. (2016). The association between maternal and partner experienced racial discrimination and prenatal perceived stress, prenatal and postnatal depression: findings from the growing up in New Zealand cohort study. Mental health promotion planInternational journal for equity in health, 15(1), 155. Doi: 10.1186/s12939-016-0443-4.

Came, H. A., McCreanor, T., Doole, C., & Simpson, T. (2017). Realising the rhetoric: refreshing public health providers’ efforts to honour Te Tiriti o Waitangi in New Zealand. Ethnicity & health, 22(2), 105-118. Doi: 10.1080/13557858.2016.1196651.

Harris, P. E. T. K. (2014). W?hine Whaiora: M?ori women's experiences of bipolar disorder and their pathways to recovery (Doctoral dissertation, University of Waikato).

Palinkas, L. A., Horwitz, S. M., Green, C. A., Wisdom, J. P., Duan, N., & Hoagwood, K. (2015). Purposeful sampling for qualitative data collection and analysis in mixed method implementation research. Administration and policy in mental health and mental health services research, 42(5), 533-544. Doi: 10.1007/s10488-013-0528-y.

Park, C., Song, M., Cho, B., Lim, J., Song, W., Chang, H., & Park, Y. H. (2015). Effects of a multi-disciplinary approached, empowerment theory based self-management intervention in older adults with chronic illness. Journal of Korean Academy of Nursing, 45(2), 192-201. Doi: 10.4040/jkan.2015.45.2.192.

Sinopoli, A., Saulle, R., Marino, M., De Belvis, A. G., Federici, A., & La Torre, G. (2018). The PRECEDE–PROCEED model as a tool in Public Health screening. European journal of public health, 28(suppl_4), cky214-182.Mental health promotion plan Doi: 10.1093/eurpub/cky214.182.