Fonofale Model Pacific Health & Wellbeing Ministry of ...
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Fonofale Model
Pacific Health & Wellbeing
Ministry of Pacific PeoplesWednesday 5 May 2021
10.40am-12.30pm
Fuimaono Karl Pulotu-Endemann
Director,
Le Toloa
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Fonofale & Pulotu My Grandparents
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My Immediate Family
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Background• 1970’s-1980’s.-• Psychiatric Nursing-1971-challenge to Medical model
• Dawn raids” Politicization of Pacific people”.-Pacific development (By P.I for P.I services)especially in Mental Health and Early
Childhood/Language Nests. Deinstitutionalization
of Psych. Services e.g Oakley/Carrington Hosp. HIV/AIDS pandemic (P.I.A.T)
• 1980’s-90’s Cultural Safety movement-Nurses.
Fonofale Model was developed in this context-Reclaiming and Finding the way home
• Fonofale appeared in PIAT(1991) and (MoH.March 1995”Strategic Directions for the Mental Health services for Pacific Islands people )
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Background
•2000’s-Seitapu Framework
developed in 2006 response to Cultural competencies (“softer”option to Cultural Safety.)
Samoa Tsunami 2009
Christchurch Earthquake recovery 2010,2011
• 2021-Mental Health Inquiry Measles, Covid 19 pandemic. NZ Health & Disability Review. Wellbeing focus
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Fonofale ModelHealth & Wellbeing
Model(Starts with the Pacific
Greetings-Kia Ora. Kia Orana-Life
Malo e lelei. Malo ni. Bula Vinaka-Namaste-Wellness/goodnessFakaalofa lahi atu. Talofa lava-Love
(‘Life that is cocooned in wellness and goodness and delivered in love”(Pulotu-
Endemann 2010).
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Fonofale Model is in further development-Kalisi Model
• The most important factor that is not displayed in the model is the
Viewer (Mitaera 1998.Researcher as
first paradigm)
• However, the Viewer needs to be cultural and clinical competent in Pacific worldviews to enable them to access indigenous references.
• Kalisi model(Petaia.Pulotu-Endemann 2020) will focus on the Implementation phase
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The Foundation or the Floor
of the Fale
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The four pou
Physical
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The four pou
Spiritual
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The four pou
Mental
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The four pou
Other includes
Sexuality
Gender
Age
Socio-economic status etc
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Seitapu Framework
Pacific Cultural & Clinical
Competencies
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Seitapu Framework• Key points:
• Competency of the worker in clinical and Pacific cultural competencies
• 4 areas of foci-Competent worker levels of competencies in Family, Language, Tapu considerations (boundaries of best practice),organizational/policies
• Levels of competencies-Core, Advance /Practitioner, Expert.(Step formation)
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Seitapu Framework con’td• Role of consumer/patient/service
user/learner and family is monitoringand assessment of the worker
• Worker is defined as anybody who works with Pacific children, adults or elderly in any setting e.g Teachers, Social Workers, Community Support Workers (CSW), Nurses, Doctors, Other Health professionals
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Pacific Health & Wellbeing
• Holistic
• Pacific cultural & clinical competencies
• Identity
• Self determinism-courage
• Survival
• Family
• Alofa/Compassion
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Legacy of Fonofale
“E leai lava se mea e sili atu i luga o le Ali’i –i- le- lagi, alofa ma le tausiga o ou matua ma aiga, tagata ma le mea e te sau ai”
(Nothing else matters above the High chief in the sky, your love and care for your parents, family, people and where you come from)
-Fonofale Talauega Tulouna
Mc Carthy.1971.(Direct communication)
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“O le matagofie o le lima foa’i…O le Matagofie”
The beauty in the giving (hand) is the Beauty”
Pulotu Faileaso EndemannA’oaoga/Teaching.
Fonofale’s daughter & Fuimaono Karl’s Mother.
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Ia manuia.Soifua.