TY  - SER
AU  - Elder, Hinemoa
TI  - An examination of Māori tamariki (child) and taiohi (adolescent) traumatic brain injury within a global cultural context
PY  - 2012///
PB  - Sage
KW  - ADOLESCENTS
KW  - ABUSIVE HEAD TRAUMA
KW  - CHILD ABUSE
KW  - CHILDREN
KW  - CULTURAL ISSUES
KW  - HAUORA TINANA
KW  - HAUORA WAIRUA
KW  - INDIGENOUS PEOPLES
KW  - IWI TAKETAKE
KW  - MĀORI
KW  - PATU TAMARIKI
KW  - PSYCHOLOGICAL ASPECTS
KW  - RANGAHAU MĀORI
KW  - TAIOHI
KW  - TAMARIKI
KW  - TIKANGA TUKU IHO
KW  - TRAUMATIC BRAIN INJURY
KW  - YOUNG PEOPLE
KW  - NEW ZEALAND
KW  - INTERNATIONAL
N1  - Australasian Psychiatry, 2012, 20(1): 20-23
N2  - Objective: This paper provides a pragmatic review of the literature to describe the size and shape of Māori tamariki (child) and taiohi (adolescent) traumatic brain injury (TBI) and highlight issues pertinent to psychiatrists. A review of the literature describing cultural aspects of international TBI research further contextualises these findings.
Methodology: Literature searches using the words indigenous, ethnic, culture, native, native American, native Alaskan, native Hawaiian, Māori, aboriginal, traumatic brain injury, rehabilitation, paediatric, disparities and epidemiology were undertaken. Reference lists were also examined.
Results: The literature is adult-centric and selected papers are summarised. Significant gaps in the literature were found. Recent local epidemiological studies describe Māori tamariki and taiohi as being significantly over-represented in TBI populations, with poorer outcomes including higher mortality rates. International research shows evidence of ‘minority’ culture being a risk factor for certain causes of injury and a differential rehabilitation service response.
Conclusions: These findings are important for psychiatrists working with Māori. They underscore the importance of asking effectively about possible TBI history. Implications for future research to address literature gaps are evident. Kaupapa Māori rangahau (research) could be used to explore application of tikanga Māori (cultural lore) in prevention, rehabilitation and psychiatric management. (Author's abstract). Record #9191
UR  - https://doi.org/10.1177/1039856211430147
ER  -