Exploration of Pacific perspectives of Pacific models of mental health service delivery in New Zealand.

There is increasing concern about the inequalities, overall health outcomes, and mental health of Pacific peoples residing in New Zealand. The New Zealand Mental Health Survey (Te Rau Hinengaro), conducted in 2003/2004, identfied Pacific peoples as having a higher 12-month prevalence of mental disorders than the general population. The burden of mental health amongst Paqfic peoples was identified as high and associated with other socioeconomic correlates. Pacflcpeoples were also more likely not to access professional mental health assistance. The aim of this study was to provide indepth qualitative data that explored Pacflc perceptions and experience of the theory practice, and utilisation of Pacific mental health services in New Zealand This paper documents: (i) the different models of care practiced in the Pacific mental health sector and (ii) the specific components that: (a) make these models uniquely Pacific, and (b) that consumers and families identWed as integral to the recovery process. Pacific peoples 'views of mental health from the following three perspectives were studied: (i) the service provider (ii) the mental health consumer and (iii) the family member, using focus group interviews in Auckland, Hamilton, Wellington, and Christchurch. The results report the different perceptions of the Pacific focus group and interview participants. Our findings indicate that firstly, having appropriate family and community support networks (psycho-social and community), appropriate living environments and meaningful workfor consumers, and secondly, access to culturally competent mental health staff contributes towards consumer recovery and assisting families. In conclusion, Pacific models of care (service delivery) were found to be informed by Pacific models of health belief and existed in implicit rather than explicit forms. To develop clearer or specific articulations of Pacific models of service delivery, the first step for services is to develop written expositions (a theory) of how these models might be framed taking into equal account cultural, clinical, and service management issues.