Forging our own path for Māori wellbeing reflected in our new Strategic Plan

By: Anne Hobby, Tumuaki (General Manager)

  Laurie Ashworth, Keith Palmer, Aroha Bond, Lydia Mains and Anne Hobby

Laurie Ashworth, Keith Palmer, Aroha Bond, Lydia Mains and Anne Hobby

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Ngā mihi mahana ki a koutou.

As we reach the end of our fourth year of operation, although young in service delivery terms, we are no longer in the establishmment phase. The past four years have given us some lessons that we can use to forge our own path for Māori wellbeing and this is reflected in our new Strategic Plan. Our Board has worked with management and staff to develop a more progressive strategic plan that looks towards prevention and addressing the determinants of health.

Much of the original business case and subsequent  Nelson Marlborough DHB contract in 2014 was concerned with chronic conditions. Chronic or long term conditions are any ongoing, long-term or reoccurring condition that can have a significant impact on peoples lives (NHC 2007). This includes diabetes, cancer, cardiovascular and  respiratory diseases, mental illness, chronic pain etc. Many of our people are managing more than one of these condition at a time and this is stressful for everyone. While we are committed to looking after our people we are united in wanting to do more to prevent these conditions from forming.

Improved nutrition is the rongoa for most longterm conditions, and Te Piki Oranga is committed to getting a better understanding of how we can support whānau to maintain a healthy diet, starting with ourselves. We often say our mokopuna are our future so we need to look after them by not giving them sugary drinks. We can lead the way by having a healthy food policy and only serving healthy kai to our whānau and manuhiri. 

Kia ora Koutou.

Photos at the Strategic Planning Hui at The MudCastle

  Karen Davidson, Caroline Sainty, Kereopa Ratapu, Jane du Feu and Cathleen Walker

Karen Davidson, Caroline Sainty, Kereopa Ratapu, Jane du Feu and Cathleen Walker

  Sonny Alesana and Ricky Carr doing a little presentation for their group proposal

Sonny Alesana and Ricky Carr doing a little presentation for their group proposal

  Myra Dick and Lindi Rule sampling one of the suites that the Board spent the night at The MudCastle

Myra Dick and Lindi Rule sampling one of the suites that the Board spent the night at The MudCastle

Toitu Te Whenua 2018

By: Ra Hippolite, Kaipakihi Kaiwhakahaere (Business Support Manager)

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Ngā mihi koutou.

What a priviledge it was to attend Toitū Te Whenua 2018. Ngā mihi ki te mana whenua Kai Tahu raua ki Te Rau Matatini.

  Mason Durie

Mason Durie

After mihi whakatau and kai the opening address was made by Tā Mason Durie. He talked about he Māori advancement since 1918. Leading with images of Tipuna who championed the Te Whare Tapa Whā model of hauora. He summarised by showing what research has shown whānau want in Hauora.

  1. To be treated with respect & kindness (remember our mana and dignity)

  2. Speak the same tongue (body language matches korero)

  3. Whānau & family included in assessment, planning, care process

  4. Community solutions e.g. IronMāori

  5. No Stigma or shame (stop using labels that stigmatise like ‘manic depressed’)

  6. Healing and treatment (how can two different approaches come together like clinical and rongoa

  7. Information exchange (my health records belong to me)

  8. Joined up Treatment and Care (division between Primary and Secondary care or hospitals and General Practice)

  9. Kawa and engagement (health and social services should be no different who you engage with)

  10. Getting well and keeping well. Adopt a recovery process to wellness. Not about fixing crisis but getting on pathway to wellness.

  Dr. Darryn Russell

Dr. Darryn Russell

After kai the next speaker was Dr Darryn Russell. His topic was “The distribution of power and privilege -  Competent or Casualty”.

He asked has there been a change in health equity and health disparities since the HPCA Act was introduced in 2003. This act is about protecting the health and safety of the public.

He then proceeded to display a lot of data showing that this has not happened. Data that showed that  Māori are 8 times more likely to get cancer and 20 times more likely to die from cancer.

Data that showed Māori are not getting allocation of medicines but are over subscribed to steroids and non- steroids.

Data that showed Māori mortality rate is worse than 2003.

There were many other great speakers that told their life story and how they have survived atrocities as rangatahi to become the rangatira they now are.  There was also a leader born into rangatiratanga who questioned what her iwi has done for hauora since their settlement. I also noticed a common theme from the audience questions. When will my health professional be able to pronouce my child’s Māori name?

These are the challenges that Te Piki Oranga must now address with their partners the DHB, PHOs and Ministry. It is why we have representatives on the Iwi Health Board, TOSHA (Top of the South Health Alliance) and  Te Tumu Whakaora (NBPHO Māori reference group).

We will strive to advocate for whānau for equity in health and we must do it better over the next 100 years.

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New beginnings and new challenges at our new whare

By: Ricky Carr, Pūkenga Kaiwhakahaere - Wairau  (Site Manager – Blenheim)

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Te Piki Oranga Wairau office has had a big quarter. We have been packing up in preparation for our move that occurred over a two-day period 29th and 30th of August to join Kimi Hauora aka Marlborough Primary Health (MPHO). The new site address is 22 Queen St, Blenheim. Our contact phone number and P.O. Box remain unchanged.

Staff packed and transported their desktop items including computers to the new site over Wednesday and Thursday, the heavy stuff was moved by an external team organised by Director of Operations, Lindi Rule. Whilst it was sad to be leaving our current location this was tinged with the potential of new beginnings and new challenges. The opportunity to work with several external services, will build our ability and improve our holistic approach to health and social services for the benefit of whānau. Mares Martin (AoD) was heard to say this was her fifth office relocate in six years. 

We inhabit an area of 400 square metres on the first floor which has twenty-two dedicated work stations and two meeting rooms, with an additional seven shared clinical rooms available on the ground floor. We are adjacent to the staff dining area so, no problem for that cuppa if you pop in for a visit.  

Our entrance is situated opposite the Blenheim Library (Arthur St) and allows you to use either the lift which opens directly into our reception area or, if you want to be healthy, use the stairs.  

There are currently one hundred and eighty staff already in the building and that total including us has risen to two hundred and two.   

The following services will be or are located within our new premises; Scott St. General Practice, Sexual Health, Vision and Hearing, B4 school check programme, Mental Health, Counselling, Smokefree and Stop Smoking Services, Infectious Diseases Specialist, resources and expertise for General Practitioners, Public Health Services: Nurses, Medical Officers of Health, Health Promotion Officers, Health Protection Officers and Liquor Licensing Advice, District Health Nurses, Pharmacy services, healthy homes programme advice, Physiotherapy and Hearing Services.

A big thank you to all staff who assisted with our relocation. Special mention for an outstanding job by our Director of Operations, Lindi Rule and thanks to Barry Hedley (MPHO) for his assistance with the transition. 

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Dawn blessing of  Te Piki Oranga new whare at 22 Queen Street, Blenheim

The Big Latch On

By Sharon Osbourne, Tamariki Ora/Outreach Nurse

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The Big Latch On is a worldwide event which takes place every year.  It celebrates and promotes breast feeding.

This year’s event took place on August 3rd and in Wairau was held at the Clubs of Marlborough.

Local health professionals and a group of volunteer mums helped organise this year’s Big Latch On.

This year we had 46 babies and children who all latched at the same time which is a marked improvement from the last couple of years.  Last year there was just 26 participants.

After the latch on, there is a prize-giving. Te Piki Oranga kindly donated prizes, see pictures attached. These prizes went to the "youngest baby breast feeding", the oldest feeder, tandem feeders and to mums who have fed more than 4 children. Plunket and La Leche League also donated prizes.

The event had a great atmosphere and was a real celebration of breast feeding. With wonderful community groups working together, this year’s latch on was a resounding success.

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  Kete donated by TPO

Kete donated by TPO

  Kai prize donated by TPO

Kai prize donated by TPO

Bowel Screening Programme launched at Wairau Hospital

By: Ricky Carr, Pūkenga Kaiwhakahaere - Wairau  (Site Manager – Blenheim)

  Pictured above at the launch are: Ricky Carr (Pūkenga Kaiwhakahaere – Wairau) Ms. Lexie O’Shea (GM Clinical NMH) Ms. Joyce Forsyth (NMH Bowel Screening Team) and Mr. Gerald Hope (NMH Board member)

Pictured above at the launch are: Ricky Carr (Pūkenga Kaiwhakahaere – Wairau) Ms. Lexie O’Shea (GM Clinical NMH) Ms. Joyce Forsyth (NMH Bowel Screening Team) and Mr. Gerald Hope (NMH Board member)

Nelson Marlborough Health launched its bowel screening programme on Thursday 16 August 2018 at Wairau Hospital.  A few Te Piki Oranga staff attended the opening where Mr. Gerald Hope (Board Member) and Ms. Lexie O’Shea (GM Clinical NMH) spoke.

Over the next two years approximately 30,000 people aged 60 – 74 will be invited to participate in the programme, with the first invitation letters sent on 14 August.  Screening save lives by detecting pre-cancerous polyps or finding bowel cancer at an early stage. New Zealand has one of the highest rates of bowel cancer in the developed world and the Nelson Marlborough region has the fourth highest rate in the country. It also has the lowest bowel cancer mortality rate of 18.1 per 100,000 people (Ministry of Health data, 2016) – an indicator that bowel cancer can be successfully treated if detected and treated early enough.

“It is important for Māori, because Māori have higher rates of bowel cancer, they are more likely to die of bowel cancer than non-Māori. “This is often because they are diagnosed with bowel cancer at a more advanced stage than non-Māori, so we are asking people to encourage their whānau – their matua and kaumatua – to do the test when it comes to them in the post,” Mrs. O’Shea said.

For further information contact your local Te Piki Oranga Nursing service.

Pamper Day ... a way of giving something back to themselves

By: Flo Joyce, Pūkenga Manaaki (Whānau Navigator)

  Massages for shoulder and neck for wāhine

Massages for shoulder and neck for wāhine

  Pūkenga Atawhai Ayla Legg, giving free health checks

Pūkenga Atawhai Ayla Legg, giving free health checks

  Noho Pakari (Sit N’ be fit) led by TPO Pūkenga Manaaki, Marg Crosby

Noho Pakari (Sit N’ be fit) led by TPO Pūkenga Manaaki, Marg Crosby

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Noralyn Berwick dreams that the wāhine (women) that she works with would experience the benefits of being pampered and to give something back to themselves. This has been running for 5 years and she opened it up to other organisations. Noralyn is still a big part of the organising and planning of the pamper day. Wāhine can only attend once however there is never a shortish of wahine that would like to attend. The numbers are kept to 10 from each organisation with a hostess.

The morning started off with a karakia and a welcome. Carolyn Tipene did the introduction of the guest speaker, Sandz Peipi.

There were 200 ladies to be pampered.  20 per table, each group spent 30 min at each pamper station.

The sessions were: 1. Makeup, 2. Health check with TPO nurse BP diabetes advice, etc., 3. Hair styles to change their looks, 4. Clothing - where client was able to pick out what they needed to take home, 5. Nails where you could choose to have them shaped and painted.

There were massages available for shoulder and neck or hand and feet either by hands or hot rocks.

Our very own Te Piki Oranga kaimahi Margy Crosby led the group for a bit of fitness Noho Pakari (Sit N’ Be Fit).

A Buffet lunch was served, and it was a great day for all that attended.

Matariki Celebration 2018

By: Lindi Rule, Quality Kaiwhakahaere (Manager)

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What is Matariki?

Matariki is the Māori name for the cluster of stars also known as the Pleiades. It rises in mid-winter and for many Māori, it heralds the start of a new year.

Matariki literally means the ‘eyes of god’ (mata ariki) or ‘little eyes’ (mata riki). According to myth, when Ranginui (the sky father) and Papatūānuku (the earth mother) were separated by their children, Tāwhirimātea (the god of the winds), became so angry that he tore out his eyes and threw them into the heavens.

Traditionally, Matariki was a time to remember those who had died in the last year. But it was also a happy event – crops had been harvested and seafood and birds had been collected. With plenty of food in the storehouses, Matariki was a time for singing, dancing and feasting.

In true festive spirit our TPO whānau travelled from Motueka and Whakatū to the Wairau whare on Wednesday 11th of July. The heat was on due to the Management Team based in Waimeha, holding the overall award from the previous year. The Motueka, Wairau and Whakatu whānau were determined to take down the Management team…

This year it was decided the theme was Tāhuhu (Gardening). The wero (challenge) was for each whare to produce a miniature garden, a vegetable/fruit animal and to make a manu aute (kite). The whanau arrived about 10am and there was a mihi whakatau (welcome), for kaimahi (staff) who had not been into the whare before.

Following this the respective teams got their garden and animal displays organised in preparation for judging. Judges were chosen with the technical ‘name in a hat’ system. A kaimahi from each whare made up the judging panel. Each whare nominated a kaikōrero (speaker) to give the whakapapa of their displays. Whakatū brought river rocks to represent where they had come from and were distributed to the Tumuaki and Ngā Pūkenga Kaiwhakahaere.

  Weaved whetu (star)

Weaved whetu (star)

There was a bit of argy bargy and bribery tactics during the judging, but judges stood strong and formed a solid alliance against the heckling from the majority. The suspense was intense however the results were not to be revealed until after the final challenge.

Everyone headed over the bridge to the Clubs of Marlborough for our buffet lunch. Kai (food) and kōrero was enjoyed by all. The Wairau whānau had made a koha for each kaimahi to take away. Ngā mihi (thanks) to Margy Crosby for the potted kowhai trees and Ala Ward for the weaved whetu (star).

Following lunch kite flyers were nominated from each whare to run along the river bank and test the flying ability of their handmade kites. Whakatū had success with their kite getting it up off the ground. The other whare looked like they were walking their dogs… Loud laughter of this event distracted the poor council workers trying to go about their business. 

To solidify the day’s events the river rocks were simultaneously thrown into the Taylor River by the Tumuaki and Ngā Kaiwhakahaere. These rocks were taken from further up the Taylor river and is our symbol of new beginnings at Matariki.  This was to represent us all working together to strive towards our moemoeā and to be mindful that we launch out into the unknown. 

We headed back upstairs refreshed from our outdoor activity. Time to use our brains for the Matariki quiz. Again, there was a lot of yahooing and shenanigans during this however Wairau team dominated and took this out.

After draining the brain, Margy and Brenda encouraged all kaimahi into a Noho Pakari (sit and be fit) session. This was just what was needed after the lovey kai that had been devoured. Of course, the build up to the final judge’s decisions was on everyone’s minds.

  Te Pukapuka nga Waiata

Te Pukapuka nga Waiata

After the hustle and bustle of physical activity, it was time for some presentations. Whakatū had made a beautiful waiata pukapuka (song book), which they had printed copies for all kaimahi and gifted to each whare. Ngā mihi. Anne made some presentations to kaimahi that had stood out over the last year. Some tears were shed in surprise by some of these kaimahi. Tino pai to mahi, very good work.

The tension and rivalry could be felt by all as the judges lined up. And the awards went to:

Miniature garden – Motueka
Vegetable/fruit animal – Whakatū
Kite flying – Whakatū
Quiz – Wairau 
Overall – Whakatū

Note: Most kaimahi were secretly happy that the reigning champs didn’t win anything 😊.

Reply from Waimeha hub/reigning champs “We intentionally did not try to win anything. We loved spreading cheer and giving the other hubs a chance.” 😊

Ngā mihi to the TPO Board for enabling us to celebrate Matariki. Watch this space as Whakatū are now the target for next year. Over and out for now…

Ra’iatea, new extension at Te Piki Oranga ki Motueka

By: Lydia Mains, Pūkenga Kaiwhakahaere (Site Manager) – Motueka

   “Ra’iatea”    New extension at Te Piki Oranga Motueka hub.

“Ra’iatea” New extension at Te Piki Oranga Motueka hub.

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After many months of hammering and drilling, our new extension has been completed. The builders have put in long hours throughout the winter months and have done a sterling job. The weather has caused a few disruptions for the painters who have been patiently waiting for the temperature to be right and the rain to cease.

The new extension was blessed on a beautiful Wednesday morning (25 August, 2018) and was officially opened presenting the name “Ra’iatea”. According to Te Awhina Marae, this name was was chosen as it is inclusive of all iwi through their tupuna who courageously left their homeland Ra'iatea in their waka and followed the star to reach Aotearoa. They wanted to recognise the importance of their Maata Waka whanau and the contributions they have made to Te Awhina Marae during the last 60+ years - Kotahitanga.

We are pleased to be celebrating the growth and development of our site, and this whare is a step to accommodate our growing needs. 

We will have more facilities to extend the services we currently provide and hope to provide in the future, it is exciting times ahead and we appreciate the extra storage, large kitchen and separate staff room.

  An ‘ugly duckling’ …

An ‘ugly duckling’ …

  … turned into a swan!

… turned into a swan!

  Rangatira and Te Piki Oranga kaimahi at the opening of Ra’iatea.

Rangatira and Te Piki Oranga kaimahi at the opening of Ra’iatea.

  Te Piki Oranga board members, Kereopa Ratapu and Keith Palmer.

Te Piki Oranga board members, Kereopa Ratapu and Keith Palmer.

  Rangatira and Te Piki Oranga kaimahi at the opening of Ra’iatea.

Rangatira and Te Piki Oranga kaimahi at the opening of Ra’iatea.

Health Promotion at the Regional Kapa Haka Competitions

By: Brenda McQuillan, Pūkenga Manaaki (Whānau Navigator-Mental Health)

  Brenda McQuillan with Sonny Alesana

Brenda McQuillan with Sonny Alesana

Anne Hobby (Tumuaki) and I presented an HPV/ Sexual Health promotion at the June Kapa Haka competitions. We had posters, water bottles, flyers and most importantly, a REALLY big Snakes and Ladders game. It was a huge hit with kids of all ages. And a great distraction from the long queues and waiting times between performances. We created hashtag laminated signs to put at the tops and bottoms of the snakes and the ladders. Signs like #KEEPSAFE, #GETCHECKED.

We found this a great, fun way to promote healthcare. I'm sure we'll see this game used a lot in the future. I'll let the pictures tell the story.


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Manaaki whenua, Manaaki Kaimahi, Haere whakamua

By: Karen Davidson, Pūkenga Kaiwhakahaere (Site Manager) – Whakatū

  Mahi - The Whakatū team working in the Cafe

Mahi - The Whakatū team working in the Cafe

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Whakatū kaimahi (staff) had a team re-energising day, ready for spring, leaving the old and embracing the new.

Karakia to start of the day then a physical clean of our work spaces, considering health and safety in the tari (office).

  Kōwhai - gaining inspiration from Papatūānuku

Kōwhai - gaining inspiration from Papatūānuku

Today was a day for reflection, kaimahi selected a value card from the kete (basket) and as individuals left the site to meditate/ponder what they discovered during their time in response to their value.

On return they shared their experience, many had taken images of the environment around the site and shared what the time had meant to them. Kaimahi daily deal with “the tough stuff” and have challenges within their own whānau. Recently having experienced grief and loss on a very persona level.

We then moved into the physical health and had a session with Lance Andrews on our muscular skeletal wellbeing and how the TIB programme can support whānau and kaimahi who are not eligible for ACC for back pain. Māori and Pacific island represent 60% of this cohort.  

Kai was served in the “Di and Karen’s pop up Café”, sponsored by Justine and Clint the back-yard pig hunters.

After lunch we had time to rejuvenate the Tikanga document for the Whakatū site, good healthy discussion and the document will be finalised for all staff and put unto Whakatū orientation package.

Wairua (spirit/soul) was the afternoon focus and we were blessed to have both Bob Bickerton musician and Nicki Green from Nelson Provincial Museum with the collection of traditional Māori instruments to play, teach and engage with. The rich sounds of our ancestors once again filled Rangikapua, many kaimahi were moved. Peace settled on, there was discussion of how these traditional instruments could have a place in our mahi (work) for providing peace often in the turmoil of life in 2018.

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I want to acknowledge Bob Bickerton, Nicki Green for freely giving their time and knowledge to our rōpū (group).

There is a collection of Brian Flintoff /Robin Slow and Bob Bickerton’s music presently at the Sutter gallery, a rich collection to visit.

Instruments - the art and beauty of design and sound

Problem Gambling – Lived Experience

By: Brenda McQuillan, Pūkenga Manaaki (Whānau Navigator-Mental Health)

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Kia ora koutou, it was my pleasure to give a brief presentation at our last training hui, about problem gambling in Te Tau Ihu. I spoke about the quarterly spends through EGMs (Electronic Gaming Machines) or “pokies", in Class 4 Venues.  There are three classes of EGM Gambling in NZ, Casino, Non-Casino – hotels and clubs and TAB. Te Tau Ihu all have Class 4 Venues.  The breakdown of spend in the most recent quarter by TLA (Territorial Licensing Authority) or council, in Te Tau Ihu were as follows;

Wairau (Marlborough District Council) – April/June 2018 – $2,500,000.00
Whakatū (Nelson City Council) – April/June 2018 - $2,500,000.00
Motueka (Tasman District Council) – April/June 2018 - $1,800,000.00

All these TLAs have similar adult populations of approximately 34,500.

So, these are some of the stats, I want to tell you my personal story and the toll it took on my life and where I am today.

I first started gambling on pokies in 1992 in Australia and I was pretty much hooked right away, I describe it as having a switch go off in head, and there's no turning it off. At first my gambling was manageable but over time it got worse. By 1999 I was in trouble. I was in debt, I was worried all the time and I was facing serious consequences. So, I sought help, I contacted what was then Kawai Clinic AOD services and met psychologist Phil Townsend.  I started seeing him fortnightly and I was able to stop gambling, this was my first attempt. I went well over the next 14 months but then I became complacent, I thought I had it beaten.

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One night after work I decided to treat myself and have a flutter on the pokies, $40.00 and half an hour I told myself. Three hours and $300.00 later, I had spent all my pay, I was broke, disappointed, scared and I was back on the gambling roller coaster. And it got bad over the next four years. I was evicted from my flat, I had no phone or landline, my power was disconnected three or four times and I was always anxious and scared.

I also had a beautiful daughter, we always had food and she always had nice clothes and all the things she deserved, but I was so emotionally distant as I was constantly worried about the awful secret I had. I had reached rock bottom.

Back then I needed three things to gamble, time, money and cigarettes. Time was Leah being in school, money was payday and smokes was the other part of my addiction. So, when I woke up on a payday that Leah was at school, I'd wake up with butterflies in my stomach, a dry mouth, no appetite, high blood pressure and pulse and an inability to focus. I would be fixated on gambling. I'd try and talk to other people or other strategies to stop gambling but as soon as the pubs opened at 9.30 am I was there in front of the machine, and that was the only way the anxious feeling would go away. I’d kid myself that I'd limit my pokie spend but that never happened. If I won a jackpot, that gave me no joy, it just meant I could gamble longer. It was unsocial, depressing and soul destroying. My wairua was in so much pain. You know I still tear up as I write this because it really was the most awful time for me and my beautiful girl.

By May 2004 I was spent, I was tired of feeling so beaten down. So, I made an appointment to see Phil Townsend again. I asked him if there was a way I could ban myself from the pokie rooms and as fate would have legislation had just come in that enabled problem gamblers to self-exclude from Class 4 Venues. Phil and I took a grainy photo of me, drafted a letter quoted the section of the 2003 Gambling Act, and sent those out to 23 venues. I self-excluded for two years, the first person in Aotearoa to do so, and it saved me.

I became involved as a Consumer Advisor on Ministerial Advisory Groups, I’ve spoken and presented workshops at various International Gambling Conferences and have done a few media engagements. You see I got mad that my lovely daughter and I had been so affected by my use of a harmful product, so I am speaking out very loudly to whoever will listen about the very real misery and destruction these things cause. And we Māori are four times more likely to experience significant harm, the highest numbers of pokies are in the lowest socio-economic communities where our whanau live.

Today I live a gamble-free life, I've been gamble free for over five years, but I am only one $2.00 coin away from relapse. I'm also smoke free now as well, thanks to the wonderful Te Piki Oranga Quit Coach, Sonia. Thanks, Kare. Life is good, but it also needs to be good for our whānau.

Nga mihi nui, Brenda.

Safe Home Visits

By: Dave Emerson, Nehi Arahanga (Clinical Lead)

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The majority of the time, visiting whānau at their homes is an effective, ideal and safe way to work. However we should always mitigate the risks of visiting people in their homes. Before visiting anyone we should recognise and understand known risks, and have strategies to manage unexpected risk. 

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When we arrive we should environmentally scan the area:

  •  think about where to park

  •  assess the premises for hazards

  • listen for unusual sounds

  • look for anything unusual. 

When at the door:

  • knock on door and then move back and to one side

  • give yourself space to retreat if necessary

  • if no one answers consider returning to your car to make to call. 

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When entering the whare:

  • respectfully wait to be invited in

  • follow the person into the house

  • as you enter be mindful of the layout and potential risks

  • allow plenty of personal space

  • avoid turning your back. 

During the visit:

  • assess the room for potential hazards

  • be alert for items that may pose a risk

  • avoid reacting to the house

  • treat occupants with respect (you are their guest) and monitor their body language. 

Leave the premise for safety reasons:

  • leave early if you are aware the person is escalating or risk to yourself is increasing

  • have a couple of plausible excuses to leave

  • If the threat is serious just leave. 

We advise you to do not enter:

  • no one answers the door

  • there is evidence of a break in

  • there are conflicts/ noises coming from the house

  • the person answering the door gives any cause for concern and

  • for any reason you feel uncomfortable entering.

Nau mai, haere mai ki ngā Kaimahi hou!

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We've had another busy quarter and we are happy to welcome all our new kaimahi (staff) profiled below who started across the rohe.

Dave Emerson has joined us at Motueka and has taken up the position of Pukenga Atawhai and Clinical Lead. Dave has extensive background in health, forensic and mental and has already provided valuable input to the organisation from his time at the DHB.

Te Pae Oranga have now welcomed Betty Soane to the team at Waimeha. Betty has come to us from Te Korowai trust where she has managed several contracts over a long period of time. Betty along with Melissa Linton are Kaikawe Kōrero supporting the participants coming through the panels.

Tanya Tauwhare has rejoined us and will be working from the Stoke Library working with rangatahi Monday to Friday. She will also work alongside Sonny on some rangatahi projects.

Congratulations to Blair Carpenter who has accepted a new position with Internal Affairs. We wish Blair all the best and look forward to a continued relationship with him in his new role.

 
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Ko Tararua te maunga
Ko Ruamahanga te awa
Ko Ngāti Kahungunu, Rangitāne, Ngai Tahu ngā iwi
Ko Ngāti Hamua, Ngāti Tangatakau, Ngāti Hikawera ngā hapu
Ko Papawai, Hurunuiarangi ngā marae
Nō Wairarapa ahau
Ko David Wiremu Emerson tōku ingoa

Kia ora koutou, He mihi atu ki a koutou i roto i te ahuatanga i tēnei wā. I have recently moved to Te Piki Oranga from Nelson Marlborough Health were I worked as the Forensic Care Manager-Māori in the community Mental Health Area.

However my history in health started as a young seventeen year old joining the RNZN as a Medical Assistant. I was fortunate to be trained as a Registered Nurse while I was in the Navy. After nine years in the Navy I left to find a theatre role however I was persuaded by Robert Wilson, well known to some Te Piki Oranga staff (he is the brother of Gloria and Karen), to  join him in the Taharoto Mental Health Unit. This started a career in Mental Health mostly in the Forensic Mental Health area including roles in Mason Clinic, Paremoremo Prison, Manukau and Hamilton courts.

Outside my mahi (work), I am married to Sonia who is a local girl from Ngatimoti, we have two children Bradley aged 12 and Anahera aged 3 which keep us very busy. I really enjoy following my children in their different pursuits particularly sports. I also love coaching the local Wakefield Football team.

 
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Tēnā koutou katoa!
Ko Julie Ulutupu tōku ingoa
No Porirua ahau,
Ngā mihi nunui ki a koutou mo tēnei kowhiringa otirā mo te tūāoma hou e haere ake nei
Tēnā koutou tēnā koutou tēnā tatou katoa

 Talofa lava, My name is Julie and I am based at Te Piki Oranga in Motueka as a Kaimahi-a-Iwi. I stand as a Social Worker and just recently left Work and Income (Nelson) as a Case Manager. I have two children, both boys – Riley (13yrs) and my pepe Lincoln (10yrs). I am an exotic flavour baby but identify as a Samoan descendant.

I am excited to work in this organisation and I look forward to building relationships with other kaimahi and to work as a team.

Furthermore, I look forward to learning/taking in new skills and challenges and will do my best to go above and beyond in delivering respectable, professional and great services to our whānau and the community.

 Fa’afetai tele lava mo lenei avanoa
Ua amata la’u malaga fou i totonu o Te Piki Oranga
Manuia le tatou aso

 
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Mālō e lelei
Tēnā koutou katoa!
Ko Hayley Veatupu ahau.

I am a Year 4 Social Worker student completing my final placement at Te Piki Oranga.  Although I grew up in Nelson I spent almost 12 years living in Christchurch and returned in 2012.  My background is mostly in hospitality and human resources prior to having my son.  I am really passionate about working within the health and education sector and giving back to the Pasifika community I grew up in.   

Big thank you to everyone for looking after me especially my Field Work Educator – Toni Maui.

Looking forward to meeting you all.

 
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Kia ora koutou
Ko Aoraki te maunga
Ko Waimakariri te awa
Ko Tauiwi te iwi
He Pūkenga Atawhai taku mahi
Ko Jo tōku ingoa
Nō reira, tēnā koutou, tēnā koutou, tēnā tatou katoa

Hi, my name is Jo. I am on my second marriage after my first husband passed away over 20 years ago.

I have four adult children, three grandchildren and two step children.

I am a Registered Nurse who has worked at Hillmorton hospital, hospital level rest home care and as a practice nurse in a private medical centre.

I have a special interest in mental health supporting our whanau to improve their life and health outcomes. My practice is underpinned by the Te Whare Tapa Whā Māori model of health: By this I mean that we as a community are all effected by all 4 corners of health spiritual, physical, whānau and wellbeing therefore if we as a community can work to improve each other’s health, the community as a whole, will be stronger.

 
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Ko Falto te maunga
Ko Arno te awa
Ko Giovanni te waka
Ko Gargiulo te tangata
Ko Campania te iwi
Ko Sorrento te hapu
Ko Italia te turangawaewae
Ko Betty Soane ahau
No Whakatū ahau
Nō reira tēnā koutou, tēnā koutou, tēnā tatou katoa.

Hi, my name is Betty Soane and was born and bred here in Whakatū. My parents are Italian, and we lived in the Wood area and grew tomatoes.

I am married to Emani Soane who works in Mental Health Day Programme for the DHB and he is Tokelauan. We have four children who are all adults and spread wide and far. We are expecting our first Moko shortly which is exciting.

I have worked in the social services sector for many years helping whānau within the community to achieve their goals and aspirations.

E ki ana te whakataukī, “Ahakoa he iti he pounamu”.

 
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Ko Tutumapou te maunga
Ko Te Hoiere te awa
Ko Matua Hautere te tangata
Ko Te Hoiere te waka
Ko Kaikaiawaro te kaitiaki
Ko Te Hora te pa
Ko Ngati Kuia te iwi
Ko Melissa Linton ahau
Ko Victoa, Uriah-Hemi ratou ko Jacob aku tama
E ki ana te whakataukī – Kaikaiawarohia to ara!

Kia ora my name is Melissa Linton, I’m one of the new Kaikawe Kōrero for Te Pae Oranga.

My background is in the disability sector, youth justice and homicide victim support, with a degree in Psychology and Criminology. Working on Te Pae Oranga is a dream come true for me. Playing a part in helping people change direction and make their own paths, like my whakataukī says (make your own path like Kaikaiawaro) is where my passion lies. I’m excited to be on this journey!