000			02974nab a22004217a 4500
999			_c9191 _d9191
005			20250625151727.0
008			250408s2012 -nz|| |||| 00| 0 eng d
040			_aAFVC
100			_aElder, Hinemoa _97338
245			_aAn examination of Māori tamariki (child) and taiohi (adolescent) traumatic brain injury within a global cultural context _cHinemoa Elder
260			_c2012 _bSage,
500			_aAustralasian Psychiatry, 2012, 20(1): 20-23
520			_aObjective: 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
650			_aADOLESCENTS _943
650		0	_aABUSIVE HEAD TRAUMA _97583
650			_aCHILD ABUSE _9103
650			_aCHILDREN _9127
650			_aCULTURAL ISSUES _9177
650			_aHAUORA TINANA _95533
650			_aHAUORA WAIRUA _96276
650			_aINDIGENOUS PEOPLES _9307
650			_aIWI TAKETAKE _95589
650			_aMĀORI _9357
650			_aPATU TAMARIKI _95534
650		4	_aPSYCHOLOGICAL ASPECTS _9473
650			_aRANGAHAU MĀORI _95532
650			_aTAIOHI _9595
650			_aTAMARIKI _9597
650			_aTIKANGA TUKU IHO _95542
650			_aTRAUMATIC BRAIN INJURY _93258
650			_aYOUNG PEOPLE _9660
651			_aNEW ZEALAND _92588
651			_aINTERNATIONAL _93624
773	0		_tAustralasian Psychiatry, 2012, 20(1): 20-23
830			_aAustralasian Psychiatry _97610
856			_uhttps://doi.org/10.1177/1039856211430147 _ydoi: 10.1177/1039856211430147
942			_2ddc _cARTICLE _hnes133