Te Ara Tauwhirotanga- new model of care for mental health and addictions
30/10/2018 12:00:12 p.m.

Tuesday 30 October 2018

Te Ara Tauwhirotanga- Pathways that lead us to act with kindness

The mental health system’s new model of care for the Lakes area is the product of a five month co-development process with tangata whaiora, people with lived experience of mental illness, whanau/family members, communities and a range of local service providers (DHB clinical staff, NGOs and primary care).

The model of care is named Te Ara Tauwhirotanga to echo the aspirations of the community that services and systems are designed to “act with kindness.”

Lakes DHB Portfolio Manager for Mental Health and Addictions Marita Ranclaud says overall what the Model of Care Working group heard about most, was connectedness, kindness and compassion. That services and staff reflect a Maori world view is also important to the new model.

A model of care informs the end user of a service/system and gives them a sense of what they can expect from it in the future. It describes what’s most important as a service user to improve their wellbeing.Iif you look at the descriptors, what people can expect to see is clear, Marita Ranclaud says.


A Model of Care Working Group worked hard engaging with stakeholder groups and communities and collating their views in to themes, to shape the new model of care. Over 20 hui and workshops were held capturing the views of over 200 people and a survey monkey tool had nearly 200 responses. In August a draft model of care was taken back to communities to check their views had been correctly captured.

Marita Ranclaud says, during consultation people said they wanted the graphic representation of the model of care to reflect a Lakes feel and to be distinctly “of this place”.

The graphic representation of Te Ara Tauwhirotanga- the final model of care

The colours reflect the Lakes region; the green reflects the maunga, forests and outdoors; the red reflects the geothermal nature of the area and the blue reflects the sky and lakes.

The centre picture, depicting faces with pressed noses (hongi) represents people being at the heart of everything and speaks also to connection.

The second circle around the centre faces incorporates elements of the traditional Te Arawa and Tuwharetoa designs representing Te Pupu and Te Hoata, sisters of Ngatoroirangi the tohunga of the Te Arawa canoe. When Ngatoroirangi was climbing the summit to Tongariro he faced many challenges, including a blizzard. Seized by the snow, he called to his sisters Kuiwai and Haungaroa to send fire. Upon hearing the calls of their brother they sent two demigod siblings; Te Pupu and Te Hoata to take heat to their brother.

Marita Ranclaud says the early work on Te Ara Tauwhirotanga has focused on what’s needed for the business case for the new mental health facility and will influence its design. In the on-going work, Te Ara Tauwhirotanga will provide a framework against which service solutions are designed and evaluated, inform future commissioning (contracts), influence how the DHB interacts with other agencies to influence their approaches to protecting, promoting and strengthening wellbeing and how the DHB will invest in the future.

An implementation plan will now be developed to set out how the model of care will become real. Tangata whaiora and providers will be involved in the implementation planning and in the next few months will be invited to participate. Lakes DHB is also awaiting the results of the government’s inquiry into mental health services due at the end of November.

Members of the Model of Care Working Group are: Rameka Te Rahui, Manaaki Ora; Donna Starling, Derryn Hyde, Link People; Fahryn Whippey, community mental health nurse Taupo/Turangi; Wi Huata, Link People; Marita Ranclaud, Portfolio Manager; Michael O’Connell, Clinical Nurse Director Mental Health and Addiction Service; Sonja Quan, Psychiatrist Community Mental Health; Mandy Allman, Nurse Practitioner MHS; Kylee Douglas, Manaaki Ora; Haehaetu Barrett, Regional Manager Lifewise; Kingi Biddle, Ngati Whakaue; Carli Sudlow, Clinical Nurse Manager Inpatient Unit; Stuart Burns, Board member and whanau member with lived experience.

Click here to download Te Ara Tauwhirotanga.