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Te Kete Rongomau

Respecting our rights, will and preferences 

Mā te tuakana e tika ai te teina, Mā te teina e tika ai te tuakana

 Through relationships and respect, we can find a way forward

Nature Background

Our kaupapa

Substitute decision-making, where others make decisions for us, can cause and exacerbate distress, harm and inequities, particularly for Māori. International treaties and guidelines, domestic codes of rights, and He Ara Oranga (the government inquiry into mental health and addiction) require that substitute decision-making be replaced with supported decision-making. This approach involves supporting individuals to make their own mental health decisions based on their will and preferences, in both law and mental health practice. 


Stakeholders have expressed that Mental Health Advance Preference Statements (MAPS) are a useful tool that can facilitate supported decision-making. As such, we are undertaking a comprehensive project to create, implement and evaluate MAPS in the mental health settings of Te Whatu Ora Lakes and Te Whatu Ora Waikato.

Latest Publications

From substitute to supported decision making. 

Gordon, S., Gardiner, T., Gledhill, K., Tamatea, A., & Newton-Howes, G. (2022). From Substitute to Supported Decision Making: Practitioner, Community and Service-User Perspectives on Privileging Will and Preferences in Mental Health Care. International Journal of Environmental Research and Public Health, 19(10), 6002.

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