Oranga Hinengaro – System and Service Framework
• The Framework identifies the core components of a contemporary mental health and addiction system with a 10-year view.
• It provides guidance for those responsible for publicly funded health system policy, design, service commissioning, and delivery.
• Uses the waka hourua (double hulled sailing vessel)as an approach
• It provides guidance for those responsible for publicly funded health system policy, design, service commissioning, and delivery.
• Uses the waka hourua (double hulled sailing vessel)as an approach
Lived Experience Perspectives
• Recognises the knowledge and wisdom that comes from the impacts of experiencing challenges, despite what we think we might know.
• The most valuable insight into what solutions whānau need come from experiencing, addressing, and surviving challenges or distress.
• It is important to understand that lived experience is built on different personal experiences, perspectives and world views
• Through the survival and knowledge garnered from (lived and living) experience that we learn from and become better equipped and prepared to respond to and navigate through those challenges in a better way.
Language is important.
The terms used throughout the SSF relate to broad concepts that are widely used and understood, however, words mean different things to different population groups, cultures and individuals.
- It is important to be able to hold these multiple perspectives and to understand the many perspectives that have informed the journey towards pae ora
- It is acknowledged that the words used in the SSF are imperfect and lacking, but these words attempt to provide a common understanding and language
- ‘Oranga hinengaro’ is used to encompass the full range of people’s needs and aspirations related to mental health and wellbeing.
It includes the full spectrum of needs and experiences related to mental health, mental wellbeing, whānau wellbeing and flourishing; as well as distress, diagnosable mental health conditions, alcohol and other drug use, addiction, gambling harm and substance-related harm
- ‘Mental wellbeing’ is used to describe the positive experience within oranga hinengaro of being resilient, enjoying positive relationships and having meaning and purpose in life.
- ‘Tāngata whaiora’ translated means people with wellness.
It can refer to people from all ethnic backgrounds who experience mental distress or gambling or substance-related harm who have or are eeking wellness or recovery.
It recognises that even if a person is receiving support there can still be wellness within them. It is also intended to speak to the potential of Māori.
It is being used as an inclusive term for all people accessing support for their oranga hinengaro
It recognises that even if a person is receiving support there can still be wellness within them. It is also intended to speak to the potential of Māori.
It is being used as an inclusive term for all people accessing support for their oranga hinengaro
System principles
Shaping decisions about the health system’s oranga hinengaro responses:
•Person- and whānau-centred •Human rights •Holistic •Equity-driven •Accessible •Community-focussed •Social inclusion and anti-discriminatory •Collaboration and innovation
Service principles
The foundation for decisions and approaches when delivering services for oranga hinengaro needs:
•Self-determined recovery •Harm reduction •Preventing suicide and targeted supports •Trauma-informed and healing/restorative centred care •Strengths-based
Critical shifts required
•Actively deliver on Te Tiriti o Waitangi•Design out inequities.•Build Lived Experience-led transformation.•Get in early to support whānau wellbeing.•Promoting wellbeing and responding early when distress arises•Connect services to work better.•Be responsive to needs - Options and respected choices.